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Home My WebLink About91-1937 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 1937 If DateL!- / ~- 9/ ELEC~AL PLU~NG Property Owners Name: ~ <2 Lrt"\ e. 3~lo '3 '3 ~ ~ ON-e- Job Address: Legal Description: Sub.Div. Zoning CI: Description of Work MECH~CAL Lot Blk. ~~I ~Jc~ ~ d ,;). c;3 , Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: :# cl 0 2> 0, t:J 0 All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~fhvn11l.~ OCCUPATIONAL LICENSE # dJqlj. Ftr. Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Driveway 41' 6 Fee: ;;);5, () SIGNATURE ~~ .~C'~~---- COMPANY~~ en.hn.f~ ADDRESS TELEPHONE # ELE~ICAL Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final MECHA~AL Breakers Ducts Insl. Compressor Final Relnspectlons: 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 APPLICANT ~dA'1./l/1.A.A- g.i (;UL4~ :::::55 i~~: ,i).trf: ;1~ fti JOB LOCATION ,~y(03::S ~ Nd (1 ~ PHONE ~t;7-/5"(P I LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~fr WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _rlove ____Demolish PROPOSED USE: ____Single Family ____M/F ____iffr of Uni ts .____HI H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x_, Square Fee t, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~IS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORrlS.'H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ ~(JOcJ-crO Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _\\.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLL~BING GAS ROOPING SPECIALTY ljJJn~,rl diU) ilr-~~ ~4cv~jJ TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECT22 = Company / ~ L/] t:/I--1 I A State Cert. or Regist. !fr~~ ~t City License Registration 11 . J- 9 Y ****************************************** BUILDER Signature ELECTRTCIAN Company State Cert. or Regist. # City License Registration 0 Si!?'nature ****************************************** Company State Cert. or Regist. 0 City License Registration ****************************************** PLUMBER Signature Company State Cert. or Regist. f City License Registration " MECHANICAl Signature ****************************************~* Company State Cert. or Regist. # City License Registration OTHER Signature APPLICATION APPROVED BY PER~IIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject t~ "deed restricti~ns" which may be m~re restrictive than City regulations. The undersigned assules resp~nsibility for compliance with any applicable deed restricti~ns. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ~wner has hired a c~ntract~r or contractors to undertake w~rk, they may be required t~ be licensed in acc~rdance with state and l~cal regulati~ns. If the contract~r is not licensed as required by law, both the owner and contractor ~ay be cited for a misdemeanor violation under state law. If the ~wner or intended contractor are uncertain as to what licensino requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Departffient, (BI3) 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the "Contractor Sections" ~f this application for which they will be responsible. If you, as the owner sign as the c~ntractor, y~u are indicating that y~u, rather than the c~ntract~r, are resp~nsible for the work. If the contractor wishes y~u t~ sign as contract~r that may be an indication that he is n~t pr~perly 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 c~py ~f .FI~rida's Construction Lien Law - Ho~e~wner's Protecti~n Guide' prepared by the Florida Departient of Agriculture and C~nsumer Affairs. If the applicant 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 cOlmencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this applicati~n is accurate and that all >>ork will be de,ne in c03pliance with all applicable laws regulating c~nstructi~n, zoning, and land devel~pment. Applicati~n is hereby made to ~btain a perlit to do work and installation as indicated. ] certify that no work or installation has commenced prior t~ issuance ~f a perlit and that all work will be performed tc, meet standards of all laws regulating construction, City c~des, zoning regulati~ns, and land development regulations in the jurisdiction. I als~ certify that I understand that the regulati~ns ~f other governaental agencies may apply to the intended work, and that it is IIY responsibility tc. identify what actic.ns I must take to bl? in cc.mpliance. Such agencies include DII\ ~I p. Hc,l liiliited tCI: I Department ~f Environmental Reoulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi IIi! L~ndsJ Water/Wastewater Treatment * S~uthwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Aitering WatercDurses t ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Department of Health L Rehabilitative Sl?rvices, Envir~nmental Health Unit - Wells, Wastewater Treat;EG~. Septic Tanks t US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in FI~od Z~ne "A" Of "A,etc.', it is understc,od tI,,1 il d! ainage plan addressing a 'c~lIpensating volu~e' will be submitted which is prepared by a professional engineer reqi5t~fed in the State of Florida prior to permit issuance. A permit issued shall be construed t~ be a license to pr~ceed with thl? work and not as authority to vioj~te, cancel alter, or set aside any provisic.ns of the technical cc.des, n~r shall issuance of a permit prevent the Building \Jff:,ci~l ilC'iIl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit iS5ll~d ~hd]l becote invalid unless the work authc,rized by such permit is cC'll\lilenced within six months of issuance, or if Hod: al!tl,il\ j"ec by the perillit is suspended or abandoned for a peri~d ~f six I~nths after the titlle the work is co~menced. Dne 90 day e=I~~510I' of ti&e, lIlay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be l~gged during each six month peri~d, or the project "ill be considered dbdi,dofJed. 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 AlTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE_C. 12 _u____ ". ~____u SIGNATURE_~~ ~OR AGENT CONTRACTOR DATE __um_u__jJ/1~1-1L---------u- DATE__ujj;if'j.Lu--~------------- ~~~::yO~SA~~NT______~~--------O- ~~~~:~C~~R~~____~----------- MY COMMISSION EXPIRES_____~=;::......-_--- MY COMMISSION EXPInES____.,_,...sr..~liiii ,. ComIllSSlllll Ext*II April 27. 1192 l4y CumaIilI*I ExpiIII April fl. 1982