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Home My WebLink About91-1939 STATE OF FLORIDA City of ZephyrhiIIs PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ Type of Permit . 1939/lL Date ,II - ;C;-.~/ B~ILOlNG ELECTRICAL. PL~~~JNG (/~~CHAN~~ ----".. ".. '-- ---. ~::P:~:r~:~ers ~:~e: ~~l (J Vi':i /~1i &~J771ri Legal Description: Sub.Div. Lot Blk. Zoning CI: , Description of wo:r ,-9 4J dJJl /?' - D1^./ C - ~ AJ"'-1 ~ 7~ ~ (:.- Sj ~ t)~-L4J Energy Code Readout: ~-ql Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ ~~..IiO ()' ~ Fe,Jz /II)' BL g SIGNATUR~ {I Wt.z-... (' ~ - COMPANY /'):J-tM J"lt:,~ i:(. f'P;~'7';'flJ9- /,'1.--- V~ ADDRESS 9.- c) ( f? (l Y '70 <6 TELEPHONE # r / .1-- 6. f Lf - 5' if Lf (' All work shal! be performed in accordance with the above and all City Codes and Ordinances. (~/l ~) c2 9 ij~9 , OCCUPATIONAL LICENSE # /;1 ;-1 /~ PLUMB~...' S~" Tub Set Water Sewer Final ElEc~~14A/~/:!j- -~ Tp.Serv. Rough In Meter Can Canst. Pale POOl Pre-Meter Final B !J.U:'f'TNG ~ Ftr. Pre SLB Lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor J Z -v- "I" Final Driveway 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 PE~IIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ,<1M APPLICANT [) 11m (fo /V If EFR; J ~ i?/?0/IV ADDRESS 9. Oi G30y ~g .1111/f/jt3"/ I'l / '~J- C! '~ I I ~ C-r;J /VU- IfJ/- f/; ~ OWNER \j ffK - PHONE 8/7 - 6%'(-5" 'f'-{ ~ JOB LOCATION LOT SIZE_X AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL I.D.iffr L - 2-~- 2-/ -I 4-- -t>-/ SUBDIVISION WORK PROPOSED:____New Construction _Addition ____Alteration _Repair ____Install _Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: _Single Family ____M/F ____ifF of Uni ts .____M / 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'oJ:S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS. H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction _ELECTRICAL ~ AMP Service , R~FRi9~lIlrrfP', ~CHANICAt. $ If; 'cJ ~; W Florida Power Corp. _W.R.E.C. Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel .Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature ELECTRTCIAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAl. U Company D #/>1 iP"I'" iPr-r'/f/)'G'tf'~;[.,,_-~ ;) State Cert. or Regist. I,! C ACt?> 9' ~-z..-/ Signature (~C/ ~{;ity License Registration 'F 1/1 ****************************************** OTHER Company State Cert. or Regist. # City License Registration # Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. . . ... .. "" CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS .. The undersigned understands that this permit lay be subject to "deed restrictions' which may be lore restrictive than City regulations. The undersigned assules 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 lay 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 lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (SI3} 788-(,(,11. 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 ~ign as contractor that lay 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 - Homeowner's Protection Guide' prepared by the Florida Department of Agriculture and Consuler Affairs. If the applicant is SOleone other than the 'owner', I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the 'owner' prior to cOllencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in coapliance with all applicable laws regulating construction, zoning, and land development. Application is hereby .ade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has COI.enced prior to issuance of a permit 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 governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bllt ~ie liC,l limited to: I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive ldnds, Water/Wastewater Treatment I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environaental Health Unit - Wells, Wastewater Treatment. Septic Tanks I US Environlental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone 'A" or "A,etc.', it is understood thit a drainage plan addressing a 'colpensating volute" will be submitted which is prepared by a professional engineer registered 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 not as authority to vioi~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perMit prevent the Building Ufficial frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issu~d shdll becole invalid unless the work authorized by such permit is cOllenced within six months of issuance, or if work aUthol Ized by the perlit is suspended or abandoned fClr a period of six lonths after the tile the wDrk is cOlilmenced. One 90 day e~t~nsio" of tile, lay 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 lust be logged during each six month period, or the project will be considered dbd\~oned. 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". SIGNATUREI!~L/)~--- CHA,eL.e.S. (!. ~.&I~TRACTOR FU>R D5rp!;I4-3+O 327 / G:. -92 DATE 1/- Iq-q ~g~~:~:;i::~~~~~~ SIGNATURE ---------------------------------- OWNER OR AGENT DATE --------------------------------------- NOTARY AS TO OWNER OR AGENT ----------------------------- MY COMMISSION EXPIRES ---------------------- MY COMMISSION EXPIRES__________________ NOTARY PUBLIC, STATE OF ~_~ommlssion expires Jan :iOf/DA uUllued thru Patterson _ B "ht '. 995 ec Age nay