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Home My WebLink About91-1950 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 3--S::- A ~ Properly Owners Name:f1~~ ~ ~ Job Address: L7 p <-..1_ . ___---'-~_ __ _ _ Legal Description: SUb.Div."M~ Lot /'< '1/ ~ OdS (;) - L?O/ ""0 - 00/7--.. Zoning CI: ---.J - - O'-b - - _ C/ '-' // 71- A-/c Description of Work ;:;. /.;2 , A~ ~ - ~--1 ~ Type of Permit --- BUILDING- PL~ ~ PermitN~ 1950;1 Date ,II f;);;L - 7'/ Blk. Energy Code Readout: ~~'~"L Complete Plans. Specifications and Fee Must Accompany Application Estimated Cost: 0 0 '7~ --: c/'"-<<..) All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # / / 0 Fee; 3S': cTz) ~ SIGNkTUREPk.ct1=:::-. f<. . COMPANY ADDRESS TELEPHONE # <=. BUILDIUC ,,- _~G ----- SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Driveway E~AL .............. Tp.Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final ~~yUo Breakers Ducts Insl. Compressor Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (S 10.(0) 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~~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT (fa R, E<<I fo -r-rEf? ~ :3) D otl-G.-LI4-!4. R {) if.! l> 1-1- ~ 'If) e.^~Fd NTE/? JOB LOCATION J.{ J}g 3 S U'tIf.t1IN E ~ T APPLICANT '.64t?'7 o/..../JShFJ.R PHONE ..}?../',/ - 2J'//Vi ADDRESS OWNER LOT SIZE X AREA SQ. FT. W//tI-rt;!i'~ t1 If'! LEGAL. DESCRIPTION: LOT~ BLOCK SUBDIVISION PARCEL I. D . i~ j ..(' - 2.. t -9.1 - 0 () 3 -0 - 0 0 I 64 -- Cl ~ i () WORK PROPOSED:____New Construction ----Addition ----Alteration ~Repair ____Install ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family ____M/F ____# of Units ~/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 FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ ValUation of Total Construction _ELECTRICAL 1L...MECHANICAL $ AMP Service .., :3 0 ')..J. - 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. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER ELECTRTCTAN Company State Cert. or Regist. # City License Registration # ****************************************** Signature PLlJM}3ER MECHANICAL (; /J(,../,~r Company State Cert. or Regist. # City License Registration # ****************************************** ~,/,. -7DR PA-c././1fk UN rr- Signature Signature Company St.! feftl 'ie /leIfTlJJ6.. f- c. Hi-I /"Ir State Cert. or Regist. i; cA C t) 1/t2 '7/ City License Registration;; .I / t!J ****************************************** OTHFR Signature Company State Cert. or Regist. # City License Registration # APPLICATION APPROVED BY PERMIT OFFICER. -_. ~7""'"-,.,.,.-.",..---,". ..-- .....-- CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th~ und~rsign~d und~rst~ds that this p~rlit lay be subject to 'deed restrictions" which lay b~ lore restrictive than City regulations. Th~ und~rsigned assules responsibility for cOlplianc~ with any applicabl~ deed restriction~. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hir~d a contractor or contractors to undertake work, they lay be required to be licens~d in accordance with state and local regulations. If the contractor is not lic~ns~d as r~quired by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the own~r or intended contractor ar~ unc~rtain as to what licensing requirelents aay apply for th~ intend~d work, th~y are advised to contact th~ City of Zephyrhills Building D~partaent, (813) ?88-bbl L Furtheraore, if the owner has hired a contractor Dr 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 aay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) .. 1 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 Consua~r Affairs. If the applicant is SOI~~n~ oth~r than the "owner', 1 c~rtify that 1 have obtained a copy of the abov~ d~scribed docul~nt and prolise 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 cOlpliance with all applicable laws regulating construction, zoning, and land developaent. Application is hereby lade to obtain a perlit to do Mork and installation as indicated. I certify that no work or installation has coaienced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent 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 tc, identify what actions I lust take to be in co.pliante. Such agencies include bill ~le not lilited to: I Depart.ent of Environlenl:1 ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive l~nds, Water/Wastewater Treataent I Southw~st Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departaent of Health ~ Rehabilitative S~rvices, Environlental Health Unit - Wells, Wastewater Treatlent. Septic Tanks I US Environ.ental Protection AQency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone 'A" or "A,etc,', it is understood th~t a drainage plan addressing a.,~colpensating volule~ will be sublitted which is prepared by a professional engineer regi=tcied in the State of Florida prior to perlit issuance~ A perlit issued shall be construed to be a license to proc~ed with the work and not as authority to violate, cancel alter, or set aside any pro.visions of the technical codes, nor shall issuance of a per.it prevent the Building Off\cial frol thereafter ,.,.i,i" ' ""',",' ,f ."", in pI"', ""I,.,,',n, " ",I.",n, ,f ,n, "d" E'." p.,,'1 i,'"'' ,h.ll b.",. ",.Iid unless the work authorized by such perait is cOI.enced within six Icnths of issuance, or if WOl k authol Ized by the p~rlit is '''pond.d oe .b..d,",d foe . p.,;,d ,f ,i. ",Ih, .ft" 'h. Ii.. the ",0 " "...."d, 0"," d., ",,,,,i..' ,f Ii", .., b. allowed for the per~it with fee charge of ~lS.00. The extension shall be requested in writing to the Building Official. An approved inspecti~n ~ust be logged during each six aonth period. or the project will be considered dbdlJdoned. 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". SIGNATUR ---------- SIGNATURE_~~~-~~----- CONTRACTOR DATE-------J1~~~~L--W---- -------- NOTARY AS TO CONTRACTOR --- ----------------~-~---- MY COMMISSION EXPIRES_____~~-~-~~- NOTARY AS TO OWNER OR AGENT_ MY COMMISSION EXPIRES____~_ ~~~~-------