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Home My WebLink About91-1964 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1964~ Type of Permit Date /~-~-91 , BUILDING -----~,.. " I l(ECTRI~~_ -~."...~- ~J:.Y.MBtNG ~-- Property Owners Name: Job Address: Legal Description: (0 ~7-:- Lot Blk. Zoning CI: ~ Description of Work .// -"" ~ );)--'1-9/ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: //1 /,-0 /i~7 ~/ -:Lfl , .. #:- ~' ~ L-t CJ ::~ATURE~-~nY COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with Ihe above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # BUILDING PLUMBING S L B-"'- Tub Set Water Sewer Final / ~ tV ~5 I~;(;-" (' ,ELECTRIC~ M~ --.,~ - ~..--- Tp,Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. _ /" Pre SLB Lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway Reinspectlons: When extra inspection trips are necessary due 10 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. APPLICANT /J/f{~ c ~ L ~ iil? .., .. 3 ~ APPLICATION FOR PE~lIT CITY OF ZEPHYRHII,LS BUILDING DEPA~TMENT feed ?o/a~ ,:Sr ()Q((ode ADDRESS PHONE OWNER JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D, ~fr ~ :2(/J ~ ( ?"-() WORK PROPOSED:____New Construction _Addition _Alteration ____Repair _Ins tall _Sign/Temp, _Sign ____Move _Demolish PROPOSED USE: _Single Family _M/F _4~ 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 FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ,~* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ 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, ****************************************** CONTRACTOR SECTION Company State Cert, or Regist, # City License Registration # ****~******************* {company State Ce t, or Regist, # City License Registration .************************************ BUILDER Signature PLUMBER Signature Company State Cert, or Regist. # City License Registration 1 ****************************************** MECHANICAL Signature Company State Cert, or Regist. # City License Registration # ****************************************** OTHER Signature Company State Cert. or Regist. # City License Registration # *~**************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit lay be subject to "deed restrictions. which tay be lore rrstrictive than City regulations, The undersigned assu.es responsibility for coapliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES , , If the owner has hired a contractor or contractors to undertake work, they tay 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 tisde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departaent, (B131 7BB-6611, Furtherlore, if the owner has hired a contractor or 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 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) 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 Consu.er Affairs. If the applicant is soteone 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 cotlencetent. 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 develop.ent. Application is hereby tade 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 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 governaental agencies tay apply to the intended work, and that it is /ty responsibility to identify what actions I Itust take to be in cOlpliance. Such agencies include but ~i r. not liilited to: f Departtent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitlve I.ands, Water/Wastewater Treat.ent f Southwest Florida Water KanaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatment. Septic Tanks f US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.', it is understood t~it a dfainage plan addressing a 'cotpensatingvolute" will be sub.itted which is prepared by a professional engineer feqist~jed in the State of Florida prior to perlit issuance. A pertit issued shall be construed to be a license to proceed with the work and not as authority to vioiate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frOB thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issll~d ~hall becole invalid unless the work authc.rized by such penit is co..enced within six lIonths of issuance, or if wc.rk authorlzed by the perJliit is suspended or abandoned for a period of six .onths after the tile the work is c~mmenced, One 90 day e~t€nSiOH 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 must be logged during each six month period, or the project will be considered abdHdoned. 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 peST A "NOTICE 0 CO ENCEMENT". SIGNATURE_~~_--- DATE___~~_:_~__~_~~------------ MY COMMISSION EXPIRES NOTARY AS TO CONTRACTOR NOTARY AS TO OWNER OR AGENT Notary Public, Stat 0 oridr _~_~~-Ma1T.J.1,-8!t-:; -" MY COMMISSWN