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Home My WebLink About91-1934 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 C~:s:> E~ P~ ME~AL Property Owners Name: ~411:d~~~' JobAddress: S?K-O ~~_~ Legal Description: Sub.Div. Zoning CI: Description of Work "0-7/ ~;L~ Energy Code Readout: Permit N~ 1934~ Date / / - / r- 9 / Lot Blk. Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: :2. '{ 7--.5--: c:7?J All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE #:;;.. C;Y' BUILDING Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Driveway Fee: J(') '~ SIGNATURE, -~,?/.1~ COMPANY ADDRESS TELEPHONE # MEC~CAL ~ Breakers Ducts Ins I. Compressor Final Tp.Serv. Rough In Meter Can Canst. Pale POOl Pre-Meter Final Reinspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT aeJ::hl d/l{4t.-6(./:;Lyu/,,-, d ~,< ADDRESS 6';{%O c. ,J)AaA-+A.;./a OWNER JIf-~ 2~ JOB LOCATION 2 ~ (., tj, au!. PHONE 1cL(7-/~ ~ ( LOT SIZE_____~ AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. #t WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign ____Nove ____Demolish PROPOSED USE: ____Single Family ____M/F ____# of Units .____1'1/ H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x_____ , Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'IS. "'* **COPY OF CONTRACT REQUIRED, PERMITS REOUESTED ____BUILDING $~Y9S- . Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _____\-l.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLlmBING GAS TYPE OF CONSTRUCTION: ____Block ROOFING SPECIALTY _Frame _Steel ,tI;"eJ.,J"':'JOther FINISHED FLOOR ELEVATIONS: FT. ****************************************** BUTtDER t?~/J~/H.A'A Signature ~~~_ - ~QNTRACIDR SF.C~ 6- ~ ' Company 'A-'J "/'Yl/VI/V( -ULJ State Cert. or Regist. it 7 OC:1ffeJ City License Regist.ration it ~ 9~1 ****************************************** ELECTRICIAN Company State Cert. or Regist. # City License Registration # Signature ********************************~********* PLUMBER Company State Cert. or Regist. # City License Registration ~ ****************************************** Signature MECHANICAl Company State Cert. or Regist. # City License Regis tration " Signature ****************************************~* OTHER Company State Cert. or Regist. # City License Registration Signature APPLICATION APPROVED BY *...... *... ~ ... * *...... * *~* * ... * * * * J~ J.- * ,', ~t. -'.. J.. oJ.. "'.. .'~.1. oJ.. .... ..... .... ~'. .!. .... ..'.. .... n~A~ ., ~A~.).' .......H PER~'IIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor ~ay be cited for a misdemeanor violation under state law. If the owner or intended contractc,r are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Departffient, 18131 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is nDt entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - Ho~eowner's Prc,tection Guide' prepared by the Florida Departlent of Agriculture and Consumer Affairs. If the ~pplicant is someone other than the 'owner', I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the 'owner' prior to cOi~encement, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforroatioD in this application is accurate and that all work will be done in co~pliance with all applicable laws regulating construction, zoning, and land development, Application is hereby made t.o obtain a perlit to do Mork and installation as indicated. I certify that no ~ork or installation has commenced prior t.o issuance of a permit and that all work will be performed tc, meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations ~f other gDver~~~n~al agencies may apply to the intended ~ork, and that it is flY responsibility to identify what actions I tlIust t.ake to be in cMlpliance. .Suct! agencies include bill ~I e i1c,l lii!lited tc,: I Department of Environmental Reoulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi tj/! l~nds, Yater/Wastewater Treatment . Southwest Florida Water ManaQeaent Dist.rict - Wells, Cypress Bayheads, Wetland Areas, Altering HatercDUfses * ArDY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater TreatIE~~. Septic Tanks f US Environmental Prot.ection AQency - Asbestos abatement I also certify that, if fillll:aterial is to be used in FlCIC.d Zone "A" (If "Il,etc.', it is understc,od tldt. ii d!ainage plan addressing a 'cDmpensating volu~e" will be subiitted which is prepared by a professional engineer reqist~rcd in the state of Florida prior to permit issuance. A per~it issued shall be const.rued to be a license to proceed with the work and not as authority to ~ioj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Ufficij] fro~ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per~it issu~d shall becoie invalid unless the work authc.ri2ed by such perlllit is comlllenced within six months of issuance, or if \;C'rt; authrq ILea b)' the perJllit is suspended or abandoned for a period of six months after the time the work is co~menced. One 90 day e~IE~510" of tiie, JIIay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writ.ing to the Building Official. An apprc..ved inspectic.n must be lc.gged during each six IlIc.nth period, or the project liill be cC'f1sidefed db"i,dc.i,ed. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". sA q , J /J/ sIGNATURE_____~~N~~-~---~------- SIGNATURE__~~~ DATE__-------!l:--~~~-~!---------------- DATE____~~~~:t~--------------- ~~~~=yD~SA~~NT----~---~--------- ~~~~=~C~~R~~__~------------ MY COMMISSION EXPIRES_____--1Da~DQI--- MY COMMISSION EXPIRES_______~'dk ~--- M, ............... 11:...... A_ fl. 1992 Sta1a 01 fIDridIlt lQt _" ......._ ""'. M, Con\IIliSSiIln El\IiIIS AprlI 'D. 1992 #. ",.'.)