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Home My WebLink About91-1947 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 permitN~ 1947/1 Date_./ / -.;2/ ~ 9 / Type of Permit PL~ ~HA~~- Properly Owners N~me: ~>-<-C>;1 ~'" -<ref Job Address: 6"..$ / ;2 . d.;? _ _ __ 8lJILulNG E~ Legal Description: Sub.Div, Lot Blk. Zoning CI: ,?- - ,').-6 - ;;2-/ - / A - CJ ~. / Description of Work ~.Y./hA ;t.0{j~7 ,,\ -"~ ./ ~ ~ >24...... &J Energy Code Readout: j?~ '11 Vp Complete Plans. Specifications and Fee Must Accompany Application Estimated Cost: 3,;LcJO , 0-0 Fee: d..s"'- c.r-D SIGNATURE 4?a,z:/~? ~vU?' /' / COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE #/ tJ.3 /JJ~j t~ t, ING EL ,/ Ftr. Pre SLB Lintel FRM. Insul.CL WL LB TulJSet Water Sewer Final ----- Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor t"'Z . ~.....,\' Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the folIowing reasons. a charge of ten ($10.00) do lIars shalI 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 ;)lA.AU.~ f.~l? . ADDRESS ) /3/ b Jl f;; 4. d;I. ~ OWNER 04->~ "" . ~LI ~I..,./rt Y- JOB LOCATION !. ~- / cZ )>(.0/ J ./ /? L../LOT / PHONE SIZE_____~ AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# d- -;}t -d-./ -/4 - 0 / WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _# of Units __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 FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.H **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL ~~ECHANICAL AMP Service Florida Power Corp. _____\-l.R.E.C. $ 3~()O ~ Valuation of Mechanical Installation _PLUMBING GAS ROOFING 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 PUJMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** Signature Company ~I v-t-<-<1..-d.Av1...- ,A/Y.../h, {# ;:;z./ ~ State Cert. or Regist. if CH /' .:l.:9 ~ 4-. . City License Registration!F /cJ5 / . ***** ************************************ y / ..3 :J- MECHANICAl OTHER Signature Company State Cert. or Regist. # City License Registration # APPLICATIDN APPROVED BY ~************************************** r-L11Q ..>f!j. 0/1 A~ PER.~IT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A.' NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit .ay be subject to "deed restrictions" which lay be lore restrictive than City regulations. The undersigned assutes 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 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 lisdeteanor 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, (813) 78iHbll. 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 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 - HOleowner's Protection Guide" 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 doculent and promise in good faith to deliver it to the "owner" prior to cO'lencelent. 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 COlpliance with all applicable laMS regulating construction, zoning, and land developlent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a pertit 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 my responsibility to identify what actions I must take to be in compliance. Such agencies include bllt ~I emIt lillited to: . Departlent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive l.dnds, Water/Wastewater Treatlent . Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks . US Environ.ental Protection AQency - Asbestos abatement I also certify that, if fill material is to be used in Fle.od Zone "A" or "A,etc.", it is underste,(,d th~t. a drainage plan addressing a "colpensating volume" will be submitted which is prepared by a professional engineer fegi=t~ri!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 authority to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Officidl frDm thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issu~d ~hall becoae invalid unless the work authorized by such periit is co..enced within six months of issuance, or if work authollzed by the pertit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~ttnSlOII of tile, may 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 logged during each six tonth period, or the prDject will be considered ~ba~~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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE_~~R~---- SIGNATURE ---------------------------------- OWNER OR AGENT MY COMMISSION EXPIRES ---------------------- DATE____~{=-c2-~~-~L----------------- NOTARY AS T~" /A.....r- ~ CONTRACTOR / _ 1Lt!~~~-- ~Z~ NOTARY PU . STATE OF FLORIDA MY COMMISSION EXPIRfilijcommission expires Jan. 28,1995 Bonded1Oru -paner"Salf" .:13t!CtTt'"Agency DATE --------------------------------------- NOTARY AS TO OWNER OR AGENT_____________________________