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Home My WebLink About91-1949 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 194'913 /I~ :l::J--7/ , Date Ty <""E:LEC I HICAL ~ '~ICAL ~ Yr Properly Owners ~ame: _ _. . ~ ti- . Job Address: 0 9 / L - . Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work ~~1f.~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Fee: 20~ SIGNATURE '. /:v~~ COMPANY ADDRESS TELEPHONE # Estimated Cost: G rY. c/O All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # :1.9,/ OIJAl ~?!E!1.'~ C BliiLDING .~~ UMBING Ftr. SLB Pre SLB Tub Set Lintel Water FRM. Sewer Insul.CL Final WL E Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor 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 PERl-tIT CITY OF ZEPHYRHILLs DUILDING DEPARTl'1ENT OWNER JOB LOCATION_ /)"91 {c;, , .' APPLICANT PHONE 6lj7-l<~/ , ADDRESS '. XI--h p. LOT SIZE_X AREA SQ.FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D .l~ WORK PROPOSEo'____New Construction ~ddition ____Alter.tion ~~air ____Install _Sign/Temp. _Sign _Hove _Demolish _Commercial _Indust. _l~ of Units ,._l'lIH _Swim,. Pool Ib.A1Jl- J!l-Jl0ther PROPOSED USE: ~Single Family ~/F _Restaurant & Health Department Approval 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 FORHS. 1:-1, **COPY OF CONTRACT REQUIRED. }ry:RMITS RROUESTED _BUILDING $ It' ? 9' ()-Q- valuation of Total Construction _ELECTRICAL AMP Service' Florida power Corp. _W.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ___-Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** ~ONTRACTOR ~EC~ . . Company /;'./t;! 13.nrA'f./.A. @~nA 1./1 . State Cert. or Regist. !i~C~rjr:~J.f/1(r(f&:, . City License Registration j/ ~;J 9'/ ****************************************** nmLDER t1JA/~C:LY~//- Signature :;ignature Company State Cert. or Regist. n City License Registration 1 ****************************************** f.LECTRTCTAN Signature Company State Cert. or Regist. a City License Registration n ****************************************** PT.lJMRER Signature Company State Cert. or Regist. ii City License Registration 0 ****************************************** MECHANICAL Signature Company State Cert. or Regist. 0 City License Registration # DTHER APPLICATION APPROVED BY ~~~~'~:;;;;j~"'~"*'*"**"*' PERtnT OFFICER. CONDITIONS;O~.PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The .undersigned understands that this pertit lay b& sub3ect to 'deed restricti~ns" which ~~y be aore restr,ictive than City regulations. The undersigned assumes responslbilltf~for;.co.p1iance with any applicable deed restrictions. , -.",":." . , ' B. UNLICENSED CONTRAC~ORS A~D CONTRACTOR RESPONSIBILITI~S If the OMner has hired a contractor or contractors to undertake wor~, they lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, b~th the OHner and contractor nay be cited for a .isde.eanor violation under state law. If the OHner ~r intended contractor are uncertain as to what licensing require.ents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills ~uilding Departlent, (8131 788-6611. ' . . Further.ore, 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 c~ntractor, you arc indicating that you, rather than the contractor, arc responsible for the work, If the contractor wishes you to sign as contractor that aay be an indication that he is not properly licensed and is not entitled to per&itting 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 Depart.ent of Agriculture and [onsuler Affairs. If the applicant is sOIEDne other than the 'oHner', I certify that I have c.btained a. copy of the above described dc,cument and prc,mi5e in ge,od fai th to deliver it to the 'owner' prior to cO'lence.ent. .. : 1, . ::~ ~. I" I : : ' E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this applicati~n is accurate and that all work Hill be dvne in cvapliance with all applicable laws regulating c~nstruction, zoning, and land developaent. Application is hereby lade to obtain a pertit to'do ~~rk and install~tion as indic~ted. I certify that no work or installation has c~llenced prior to issuance of a perlit and that all w~rk Hill be performed tv ~eet standards of all laMS regulating construction, City codes, zoning regulations, anc land development regulativns in the iurisdicti~n. I also certify that I understand that the regulations of other governaental agencies ~ay apply' tv the intended Hork, and that it is IY responsibility t~ identify what actions I lIuSt take to be in compliance. Such agencies include bill "Ie ne,t lillited to: . ". till-' I Depart.ent of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Envirvnment~lly Sensi tii;~ Ldnds, WateriWastewater Tr2at=~~t . Southwest Florida Water' ManaQement District - Wells; Cypress Bayheads, Wetl~nd Areas, Altering Hatercourses I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent vf Health ~ Rehabilitative Services, Environmental Health Unit - Wells, \j~steHater Treat~en~. Septic Tanks I US Environaental Protection AQency - Asbestos abatement I also certify that, if fill latedal is to be used in Hc,od Zeone 'A' or "A,etc,', it is underste,e,d 11,~t a drainage plan addressing a 'colpensating volule' will be subtitted Hhich is prepared by a prvfessivnal engineer regi5t~red in the State of Florida prior to permit issuance. A pereit issued shall be construed to be a license to proceed with the work and nvt as authority to vivlate, cancel alter, or set aside any provisivns of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter requiring a corrEction of errors in plans; construction, or violations of any cvde. Every per~it issued ~hall becvle invalid unless the work authe,rized by such penit is CC'llIenced within six ~Dnths e,f issuance, e,r if He,d; a\lthr'l Ired by the perlit is suspended or abandoned for a period of six lonths after the tiJe the Hork is commenced. One 90 day e=te~5iDli of tiae, lay be allowed for the per~it with fee charge of ~15.00. The extension shall be requested in Hriting to the Building Official. An approved inspecti(,n l:Iust be l(,gged during each six Mnth period, vr the prvj!:d ui II be c(,nsidered <lbdllde,,,ed. 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__~~------- SIGNATURE_ ~ ,,~~--~~ OWNER OR AGENT ~~~~6R DATE__j!/n)tJI---------------------- DATE_jl/JA/1L------------------ ~~~~~yO~SA~~NT------C~~~---~--- ~g~~~~c~;R~~----~~-------- MY COMMISSION EXPIRES___"tI1J~,~(==.Ht2-- MY COMMISSION EXPIRES_s..'::.=.....:------ , ccmna&iUnblilllAlri27.l992