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Home My WebLink About91-1972 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY Permit N~ 1972 Job Address: BUILDING DEPARTMENT _ 1-813-788-6611 __ ~~ MECHANICAL F. Si~r~ ~, F Lot Zoning CI: 1; -c f oescriPtionOfwork-4i 5~~~1r.Cfk~~ Date-L' 2 - S- - '1 I Legal Description: Blk, ~Ofl Complete Plans, Specifications and Fee Must Accompany Application Energy Code Readout: Estimated Cost: 4t ?l /;S. '-\ I ~.) Fee: . . V . 1 SIG N A TU R E(~-0..--<..:.P'I-,....J ( /?z-~c-- {, All work shall be performed in accordance with the above and all City Codes and Ordinances. COMPANY ADDRESS TELEPHONE # OCCU~&- LICENSE # ~~~ BUILDING MECHANICAL SLB Tub Set Water Sewer Final 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 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-lIT CITY OF ZEPHYRHILLS BUILDING DEPARTt-lENT ADDRESS ;?~lMtA. ~. J/j~, -' /-I.-"il /'2/9 ..#41'~h7 ~, OWNER ~.AM.L. . Jon LOCATION L.~/1 &yji-""'YSlf ~~i&&. LEGAL DESCRIPTION: LOT(S) ~,~-~~~~. APPLICANT PHONE :Yo' .fIB "7f2.-~2..76 LOT SIZE -'IS' X 7t/J AREA SQ. FT. ~ 714 BLOCK SUBDIVISION PARCEL 1. D, if WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _~!:ove ____Demolish PROPOSED USE: ~Single Family ...:..-M/F ____t~ of Uni ts , .-t:-M/H ____Commercial ____Indust, ____Swim., Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: ~t X IV , 7!i Square Fee t I Height RESIDENTIAL: COilllERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'IS,H ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~IS. ** **COPY OF CONTRACT REQUIRED. pERMITS REOUESTED .--LBUILDING $ /' IS, 2'11 , V~luation of Total Construction V ELECTRICAL ..L-MECHANICAL /PLUMBING .bIJ AMP Service ~ Florida Power Corp. _H,R,E.C. $.,f4o&~~ ~ Q)~ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel /)1,,0 ~<"'-O the r FINISHED FLOOR ELEVATIONS: FT, r-;) , ~EAC-A ceJ71W r: ****************************************** ,I CONTRACTOR SECTION BlITLDER}J~ ~f/nMM ~, Company S~ 7/J .. ./ State Cert. or Regis t. II ,:35'''- SignatureV' F t..,.' ,L~ . City License Ref'.';;Cr"r;"n " '* * * * * * '* '* * '" * * * * * * * ,.. * * ,.. '" * ie ie ie * ie '" -Ie ie ~e i, ,', ,', ,', " i, .:, i, ,', * ::::::::~.~ ;fr-~ c~:~:n~e,~.e;~:~gist. .i! __~______~~~ ccc:-_ ~ ~~. l.1.cense Re[',~str<:ltlon I! ......~...............*.****.*.**.*' Company 5.... - State Cert. or Regis t. !,f /tJF City License Registr<:ltion n ****************************************** MECHANICAL.6aiM ~a,M.(...$~ ";k.- Z' Company a~. ~ 0 .~~ State Cert, or Regist. i.f Signature . ~ 1&~~' ~......., City License Registration iF *. .......,....................*.***.*.*** Signature Company State Cert. or Regist. 0 City License Registration 0 OTHER ***"'*******************~****************** APPLICATION APPROVED BY PERNIT OFFICER, CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS lh~,und~rsign~d understands that this perlit lay be subject to "dued restricti~ns" which may bl? o~re restr,ictive than City regulations. The undersign~d ass~les responsib~litf~!~r"colpliancu Kith any applicable d~~d restrictions. " . B. UNLICENSED ~ON!RACTORS AND CONTRACTOR RESPONSIBILITI~S If the ollner has hired a c~ntractDror contractors to undurtake Kork, they lay bl! rl!quired,.t~ b'e licensed in accordance Kith state and local regulatiDns. ' If the contractor is not licensed as rl!quired by law, b~th thl! ~Hn~r and contractor lay be cited fot a ,misdeleanDr viDlation under state law. If the Dwner Dr intended contractor arl! uncertain as to w~at licensing require.ents lay apply for the intended work, they are advised tD cDntact the City of Zephyrhills ~uilding Departlent, (813) 7BB-6611, Furthermore, if the Dwner has hired a cDntractor or cDntractDrs, he is advised to have the contractor!s) sign portions of the "Contractor Sections" of this application for which they will be responsible, If y~u, as thl! owner sign as the c~ntractor, you are indicating that you, rather than the contractor, are respDnsible for thl! work. If the contractor wishes you to sign as contractor that aay be an indication that he is not properly licensed ~nd is not entitled to per~itting privileges in the City of Zephyrhills, C. TRAN,5PORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713~ FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provi'ded with a CDPy Df "FIDrida's Construction Lien Law - HOleoHner's Protection Guide' prepared by the FIDrida Depart.ent of Agriculture and Consuler Affairs, If the ~pplicant is s~~e6ne other than the 'Dwner', I certify that I have Dbtained l c~py of the abDve described dDcument and prDlisl! in good faith to deliver it t~ the 'Dwner' priDr to COlmencement. .. :1.';,.':: '. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor~ation in this applicatiDn is accurate and that all MDrk will be donI! in cDapliance Hith all applicable laws regulating cDnstructiDn, 2Dning, and land development. ApplicatiDn is hereby ~ade tD obtain a per.it to'do Mork and install~tiDn as indicated. I certify that no work or installatiDn has co.menced prior to issuance of a per.it and that all wDrk will be performed tD ~eet standards of all laws regulating constructiDn, City cDdes, 2Dning regulati&ns, an~ land development rcgul~trons in the jurisdictiDn, I also certify that I understand that the regulations of other go~ernmental agencies ~ay apply'to the intended ~ork, and that it is my responsibility tc, identify what actions I must take to be in compliance. Such agencies include bllt ~Ie IiC,t liaited to: .... I Departle~t of Envir~nmental ReQul;tion - Cypress Bayheads, Iletland Areas and Environm~~taJJy S~nsitive Ldnds, Water/Wastewater Treatment . SDuthllest FIDrida W~ter' Mana~e!ent District -,Hells; Cypress Bayheads, Wetland nreas, Altering HatercOufsES I Arty CD~PS ~f EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health L Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treal~en:. Septic lanks f US Environaental PrDtection AQentI -,~~bes\os ~bpte=ent I also certify that, if fill aat!?rial is tD be used in FJc,od Zc,ne "A" c,r "n,etc,', it is understCoC,d tldl a drainage plan addressing a 'collpensating voluJlie" wil) besu~.itted which is prepared by a prc,fessie,nal cngin!:cr ri:i)ist2ii:d in the State of FIDrida prior to permit issuance, A per.it issued shall be construed to be a licenSE to proceed with the work and not ,as authDrity to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prl!vent the DuilJing Official fro~ thereafter requiring a correction of errDrs in plans; cDnstructiDn, Dr violations Df any cod!:, Every per~it issued ~hall bec~!e invalid unless the we,rk authorized by such permit is ce'''lIenced within six months c,f .issuancl!, e,r if H(o\k aull,eq ],cd bi the per.it is suspended or abandc,ned f(o1" a periDd of six .Dnths after the tille the \lurk is cc'K\lel1cEd. Oile 90 da'i i:~t€i,sioJl of tile, !lay be alle,wed for the perfllit with fee charge of $15.00, The extensie,n shall be reques-t!:Q in. liriting to thl.' 8llilding Official. An approved inspectic,n f.lus~ be logged during each six Mnth period, CoT the prc,ject Iii II be cc,nsidl.'r!;d db,;\,de,nfd. 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 "NOT I CE OF C.OMMENCEMENT'" ) SIGNATURE U~ ) lunL- SIGNATUREc1~~-,=--------- -------6~~~~-6~-ji~~i------------- ~CoNT~ DA TE ____~?:J _~f_J-2~----------'------.------- DA TE - - - -- J_~ ~_:? ~~L ~ L - - -- -- - - - -- -- - - -- NOTARY AS TO ~~ r ,j __ NOTARY AS ~~--p r7/.. - OWNER OR AGENT _~j;;<<;:;::MU~..~..;;;!-t';f;-"- CoNTRACToR_=-_~~- NotlrY hbIiC. State of RoritIa" . ~tary Public, State of Ronda MY COMMISSION EXPIRES_...~JIri,.1I-1_1!92 MY COMMISSION EXPIRaAL~!!.'J!l!!~OJlJ.!~~tAI!!'!!.J.LJ992 ..,ade4 JlIltIIJ01 fele: __ .... .... Jonded Th,u TroY f.ill: I,ooul.na! Iui