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Home My WebLink About91-1941 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1941 P Date // -JO -- 7/ Type of Permit ~_~~ M~AL Property Owners Name:_ ~ ~~ I JV~ Aa e~~A>Le",,;t- Job Address:,? '7 / 3......s- ~ /Ur.A( ~ ~ Legal Description: Sub.Div. Lot Blk. Zoning CI: Descriplion ot Work '. ~-/L-~ _.;~Z'H ,- ~-?;/47;--1 Energy Code Readout: Estimated Cost: _ ~/ ft All work shal! be performed in accordance with the above and all City Codes and Ordinances. / '2l- "t I I ' . 'JO ~; P Fee: ,><-- " {../ (,../ -". . d /) '3 <-.. I' I ~ '- SIGNATURE,fi7!/ I .-<-r ,f~i.-L~ COMPANY Complete Plans, Specifications and Fee Must Accompany Application /~. OCCUPATIONAL LICENSE # c 5 ;// ADDRESS TELEPHONE # \. Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final 'Sl:B:=:-..-- -' Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the foHowing 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~lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT -;!} ,j) U~~ I AtUfF>1 ~-P ADDRESS OWNER 52 JJ D (/ JOB LOCATION 3 7 / 5 3 LEGAL DESCRIPTION: LOT(S) PHONE r~ n:--t:~ p - ~ ~ BLOCK LOT SIZE_X AREA SQ. FT. SUBDIVISION <)~... /'~./ PARCEL I. D. iff WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family ____ifF of Units ._M/H .---~ _Swim. Pool }/J[Y. (i;Z~ Other ____Restaurant & Health Department Approval _M/F _Commercial ____Indust. BUILDING SIZE: X_, Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~lS. *,~ **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. ____MECHANICAL ~LUMBING $ Valuation of Mechanical Installation GAS ROOFING L--.-SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ELECTRTCTAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature PLUMBER Company ~/ ~_I' dr;J -"If '0 /J State Cert. or Regist. 1ft r~ I" 2. ,.,e.,JA:. r?~,L~,J::::.cr City License Registration if * **** ** * *** ** *** ** * * * *~, * *** * * * *-{, * ,,: ** * of, * ,', .3 '-f ( Signature MECHANICAL Signature Company State Cert. or Regist. # City License Registration # ****************************************** OTHER Signature Company State Cert. or Regist. # City License Registration # s~~ r~ d- ;T /:IC?~ /1<:1 me Wt~ PERMIT OFFICER. APPLICATION APPROVED BY d-- s~f3~~-n ?n. ;?n-z ?~~~ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictio:is" which .ay be more restrictive than City regulations. The undersigned assules responsibility for cOlpliance 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 lay be cited for a misdeleanor 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 Department, IB13} 788-bbl1. 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 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 buide' prepared by the Florida Departlent 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 document and promise in good faith to deliver it to the 'owner" prior to cOlaence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has co..enced 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 lay apply to the intended work, and that it is /ty responsibility to identify what actions I /tust take to be in compliance. Such agencies include bill ~ie not liilited to: * Departlent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Ldnds, Water/Wastewater Treatment * Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * Arty Corps of EnQineers - Seawalls, Docks, Kavigable Waterways * Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks * US Environlental Protection AQency - Asbestos abatement I also certify that, if fill latcrial is to be used in Flc,od Zone "A" or "A,etc.', it is understc,od tli~t a drainage plan addressing a 'colpensating volumc" will be sublitted which is prepared by a professional engineer reqist~led in the State of Florida prior to pertit issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to viuiate, cancel alter, or set aside any provision; of the technical codes, nor shall issuance of a per.it prevent the Building Uffici~1 fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit isslIed ;nal1 beco.e invalid unless the work authorized by such per.it is co.menced within six tonth; of i;suance, or if work authollzed by the pertit is suspended or abandoned for a period of six lonths after the tile the work is co.menced. One 90 day e~tEnslull uf tile, lay be allowed for the permit with fee charge of ~15.00. The extension ;hall be requested in writing to the Building Official. An approved inspection must be logged during each six tonth period, or the project will be considered abaildoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERfV. 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". ~ "r ' SIGNATURE___~~cm.-~------ OWNER OR AGENT SIGNATURE ~___J~ ;/-~R~TOR ,) DATE_____________~lj_~9~~1----.------------- DATE____________J~;t~_~)9l~------------- NOTARY AS TO tJ I n Il ()(1. ' NOTARY AS TO 10 ~ /I Q /}(}/l "- OWNER OR AGENT__~~--~~ CONTRACTOR______~---~ NOTARY PUBLIC. STo\TE OF FLORIDA. MY COMMISSION EXPIRES MY COMMISSiON EXr-IRES:, MAR. 28. IaN\! COMMISSION .JI9liQJUl.:r~~ual-IC-WI_w"I'I'..,j.. . EXPIRES NOTARY' pi} ,,'Oc. -Sf ATE OF FLORiDA. MY Cl..._..~.-.. ,..,,'IRES: MAR. 26.1994. 80NDE__ nll'dJ 1"-..1','",,..1 ".",a;.,.i'~ vN':'.RWRIT&;R8.