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Home My WebLink About91-1973 STATE OF FLORIDA City of Zephyrhills p.rmllllf~ 197a.f/ Date /.1- 6 -- 9 I Type of Permit PASCO COUNTY BUILDING DEPARTMENT )-5 ~1-813-788-661l EL~AL C ..e.LUMB~_ ~iCAL BUILQJ.NG ,,'" .---/ Legal Description: Sub.Div. Lot Blk. Property Owners N~e: / . ' Job Address: Zoning CI: Description of Work --;r,<<)~ '-~i0/M~~ Energy Code Readout: Estimated Cost: ,Ptt ,(0 as- /.. 31 ~I..~ Crf-~ -:z~ ~ ~ -:h Fee: ' - i SIGNA;URE ~t /4-:1:yL fl./; COMPANY Complete Plans, Specifications and Fee Must Accompany Application All work shall be performed in accordance wilh the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ADDRESS TELEPHONE # BlJILDIt'iG ,~~ E ~' /-- ip.Serv . Rough In Meter Can Const. Pole Pool Pre-Meter Final MEC~L ~ / ( PLUMBINy/ C - ,,- --5tS Tub Set /2-tf-1/ ~ Water Sewer 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 (SIO,()()) 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~lIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT JOB LOCATION PHONE 7 ~?' A-~ s 2>' - APPLICANT ADDRESS OWNER SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I, D , ~F WORK PROPOSED:_New Construction _Addition ~Alteration _Repair _Install _Sign/Temp, _Sign _Move _Demolish _commercial _Indust, _Swim. Pool __M/H I/.a I1t6(>J6 Other PROPOSED USE: _Single Family _M/F _IF of Units _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,H **COPY OF CONTRACT REQUIRED, PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W,R,E,C, $ Valuation of Mechanical Installation - GAS ~ * '! J. _ j~:.L< ",;n:"S,' , '-:)', / ,4 'S v1k ! 1'\ I~, - :/( l)-J t+ ROOFING SPECIALTY _Frame _Steel 01her FINISHED FLOOR ELEVATIONS: FT, ****************************************** CONTRACTOR SECTION Company State Cert, or Regist. # City License Registration # ****************************************** BUILDER Signature Si2:nature Company State Cert, or Regist. # City License Registration # ****************************************** ELECTRIC1AN PLUMBER CJ(/(t'S AA-Hf( f~L{/1J.hl'i/.:, Company ~ j7 /~ Q d5a.i State Cert. or Regist. il Signature 11../tc. './1 ,,-{), }:( City License Registration ****************************************** iF 00 1fJ'C;'1 K iF _ S Company State Cert, or Regist, # City License Registration # _ ****************************************** MECHANICAL Signature OTHER Signature # . 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 lay be lore restrictive than City regulations, The undersigned assules 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 aisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents aay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, l813l 788-6611. Furthermore, if the owner has hired a contractor Dr contractors, he is advised to have the contractorlsl 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 - Ho.eowner's Protection Guide" prepared by the Florida Departtent 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 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 lade to obtain a per_it to do work and installation as indicated. I certify that no work or installation has co.tenced 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 govern_ental agencies lay apply to the intended work, and that it is ,/ty responsibility to identify what actions I lust take to be in cotpliance, Such agencies include bHt ~i r. liCIt lillited to: I Department of Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitiv~ I.dnds, Water/Wastewater Treatlent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks f US Environ_ental Protection AQency - Asbestos abatement I also certify that, if fill laterial is to be used in Flclod Zone "A" Dr "A,etc.", it is understc,c,d tll~t. a dJainage plan addressing a "colpensating voluie" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to pertit 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 pertit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code, Every permit issued :hall becole invalid unless the work authorized by such perlit is cO.lenced within six lonths of issuance, or if work authorlzed by the per.it is suspended or abandoned for a period of six lonths after the tile the work is cosmenced. One 90 day e~tensioii of tile, aay 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 lonth period, or the project will be considered db~iJdoned. 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 COI'1MENCEMENT". ... SIGNATUR':7:n~jz~~___ DATE____________::~~~~------------ ~~~~:yO~SA~~-~~-------- MY COMMISSI~~PIRES______~~t~~j(~______ SIGNATURE _ " ~~~~~~ CONT~AZ OATE________~~ _~--~------------ ~~~~:~C~~RTO _~______~~~--- MY COMMISSION EXPIRES___~:t'~:_~.s:-____