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Home My WebLink About91-1935 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1935 /3 Type of Permit C~~E~P~M~L (j/ Property Owners Name: ,. ~ ~~ Job Address: o~/ / Y - ,':J (J::ZZ ~ Legal Description: Sub.Div. Zoning CI: Description of Work Date / / -/ ~ - 9 / Lot Blk. 7/~ ~/. v "~~" Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ '/ lJ7J - c/V All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # r2 9 '-/ IJ~ ~~ flJL - 'BUILDING"> Pl Ftr. Pre SLB Lintel FRM. Insul.CL WL Driveway Fee: <. -:; t:J "" L/2) SIGNATURE ~4/ o/'/~/___~ ~/ , COMPANY ADDRESS TELEPHONE # M~NICAL """ Tp.Serv. Rough In Meter Can Canst. Pale POOl Pre-Meter Final Breakers Ducts Ins!. Compressor Final Relnspectfons: 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 PERI-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ADDRESS APPLICANT c:J1.tA/1 C/I.4MJA ~1i;;;f!17L4.u? ~gO(g/()I?/2A/1~~/~ ~ ';t~Ad ~fJ~f .. SilL/ aOf/-, .JJ- PHONE (aLl 7-) S-(o I OWNER JOB LOCATION LOT SIZE_____~ AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK... SUBDIVISION PARCEL 1. D. ~f WORK PROPOSED:____New Construction ____Addition ____Alteration ~;pair ____Install ____Sign/Temp. ____Sign ____Nove ____Demolish PROPOSED USE: ____Single Family ____M/F ____iff of Uni ts .____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 FORHS. ,',* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED c--13UILDING $ fl LlOO CrC/ _ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _'....R.E.C. ____MECHANICAL $ Yaluation of Mechanical Installation ____PLlmBING GAS __ROOFING %~;;TtJlJ?-'4<UL~ TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel FINISHED FLOOR ELEVATIONS: FT. ****************************************** BUILDER ~~ ~~.;t~'f_:;>NTR~~;~=n~ECTIadd/]~ ?~ I State Cert. or Regist. ~612'O~ Signature L'.. c: co. City License Registration iF J... 9,-/ **************************************~*** ELECTRTCTAN Company State Cert. or Regist. # City License Registration # ***************************************~** Si!?'nature PLUMBER Company State Cert. or Regist. # City License Registration ~ ****************************************** Signature MECHANICAl Company State Cert. or Regist. f City License Registration :, Signature **********************************~**~**** OTHER Company State Cert. or Regist. # City License Registration. Signature APPLICATION APPROVED BY *........*.... ~ J.** *21* ****J.** **~. J..* ~,",.1.. "',oJ.. j..~,.. J...J.. ~'...J.. ~'.. ~........ oJ.. -'.. ~'.. 71~Ai^ _ a/1~~"d'''''_'' PERmT 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 Ollner and contractor ~ay be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart~e"t, (BI3) 788-6611. Furthermore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(sl 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. lf the contractor wishes ye,u to sign as contractor that may be an indication that he is not properly licensed and is not 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 Protection Guide" prepared by the Florida Department of Agriculture and Consu~er Affairs. If the 2.pplicant is so!eone 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 cOlffiencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all ~orK will be d~ne in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a perlit and that all work will be performed to 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 of other governmental agencies may apply to the intended work, and that it is my responsibility tCI identify what actie!n~ I must. take to be in cclmpliance. Such agencies include bid ~I~ ii(,l li,~ited tc!: I Department of Environmental Reoulation - Cypress Bayheads, Hetland Areas and Environmentally Sens! liv! L~nd5J Water/Wastewater Treatment I Southwest Florida Water ManaQement District - Hells, Cypress Bayheads, Wetland Areas, Altering Hatercou.ses I ArDY Corps of EnQineers - Seawalls, Docks, Havigable Waterways t Department of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Hasteliater Treat~e~:. Septic TanKS I US Environmental Protection AQenci - Asbestos abatement I also certify that, if fill material is to be used in Flclod ZClne "A" or "A,etc.', it is unders.tc,c,d tl;~t a d! ainage plan addressing a "compensating volu~e" will be sublitted which is prepared by a professional engineer feyi5t~,~d in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the work and nDt as authDrity to ~ioj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Uffici~l from thereaftel requiring a correction of errors in plans, construction, or violatiDns of any code. Every permit iS5U~d ~haJl becDte invalid unless the I'/Clrk authc,rized by such penit is c[luenced within six ilj(lnths of issuance, ~r if \'le'l K al!\l'fll j,~d by the per~it is suspended or abandoned for a period of six lonths after the time the worK is commenced. One 90 day 0~tE~51011 of ti~e, may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing tD the Building Dfficial. An approved inspection ~ust be logged during each si~ month period, or the project will be considered dbdl,dDned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfY. 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". ) SIGNATUREu ../;2 ~~ /~bOR DATE_____L'~~~~---!------------- ~g~~~~C~~R:~____;;tI1fb--------u- MY COMMISSION EXPIRES____._.._~!!,b!c----- SI. Off'iQfiill at lIrllt My ~ Expifllfo ~Il'il 'J7 \!!'J2,. SIGNATURE~~ O~NrR or AG NT DATE ______Li-,LLtJfL-!2L----.._---------- ~~~~~v o~s A~~NT --------J)td6---------- MY COMMISSION EXPIRES______....:-::.-,lMtt---<-- My ClIallftiISiaII ExpiIeS April 27 1992 ,