HomeMy WebLinkAbout91-1976
STATE OF FLORIDA
City of Zephyrhills
-.-'"
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit
N'~ J916(
Date (2 -~- Y _
./
ELECTRIC ~ PbYflFlII Ie -' tvk,. n ....""ML
Property Owners Name: ~"l"Pr~( ~4(e ])etlel .
Job Address: 0 7 ~ -=- ~ 7 ( 7 ~ (c:.Il ~d (P, c -
Legal Description:
Sub.Div.
Lot
Blk.
Energy Code Readout:
g-z~-~( 02.ro-~C>_~r~~
Ca r Dvr f
-Jf
f -r;iff,
~"~
Zoning CI:
Description of Work
Complete Plans, Specifications and Fee Must Accompany Application
Fee: -,:- /~S" ~-
SIGNATURE L/J3ad-~f1.-t7.- (2 /:2ff-'~~~
COMPANY
ADDRESS
TELEPHONE #
Estimated Cost: / II t'~ tJ 0 '
~,
All work shall be performed in accordance
with Ihe above and all City Codes
and Ordinances,
a a- t2 i) #{)c~-~ 7:!J-
OCCUPATIONAL LICENSE # ,Q.:2
6~
(EbECTRICAL/ I~
.
Tp.Serv. ~ _
Rough In , - 14-'12-
Meter Ca
Const. Pole
Pool
Pre-Meter
Final
ME~CA'lP P ,
--
~I .
(--J3lJIL;;~ P~"
Ftr, '2. -2..~.....G}, IJ:~ J:'>SLB
~~~1{f1"*~::~~~et
Insul. Final
WL
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of tcn ($ 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.
J
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
APPLICANT
General Home Development Corp
ADDRESS
817 U.S. 98 Byoass South. Dade City. FL 33525 PHONE 90~-567-6581
OWNER
r,pnpral Homp Opvplopmpnt r.orp
"
JOB LOCATION Driftwood Subdivision (Basswood CirclEd! SIZE
x
AREA SQ,FT.
Driftwood
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I,D,O 2-26-21-0210-00000
WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install
____Sign/Temp.
____Sign
____Hove
____Demolish
PROPOSED USE: ____Single Family
____M/F
____tt of Uni ts
, .____1'1/ H
____Commercial
____Indus t .
____Swim. Pool
Garaqette
Other
____Restaurant & Health Department Approval
BUILDING SIZE: 20 I X
5,41
1,080
Square Fee t,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,..
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
J-BUILDING
~ELECTRICAL
$ 11 ,200 .00
Valuation of Total Construction
AMP Service
x
Florida Power Corp.
_W,R,E,C,
____MECHANICAL
$
Valuation of Mechanical Installation
____PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: --X-Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
CONTRACTOR SECTION
BUTT.DER Kevi n T. Roberts Company General Home Developmpnt rnrp
L--. ' _ IIIJ~ State Cert, or Regist. i~ r.Grn0I1f\95
Signature f-~~ '{ ~ City License Registration il
******************************************
Signature
Robert. H Mi'lrtin. .lr Company Martin Electric
..-iI 0.... n State Cert. or Regist, iF
~I ~ ~ HA City License Registration
******~**********************************
r~()O/'I(()
iF
ELECTRICTAN
Signature
Company
State Cert, or Regist, ~
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. ff
City License Registration #
******************************************
MECHANICAL
OTHER
Signature
Company
State Cert, or Regist. lj
City Licenge Regi~~ration #
APPLICATION APPROVED BY
PERMIT OFFICER.
-"
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
.
The ,undersigned understands that this per_it lay be sub)ect to "deed restricti~ns' which may b~ more restr.ictive than City
regulations, The undersigned aSSUles responsibility~for,colpliance with any applicable d~ed restrictions.
.' . ,
8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractor. to undertake work, they lay be'required to be licensed in accordance with
statl and local regulations, If the contractor is not licensed as required by law, both the owner and contractor Jay be
cited for a aisde_eanor violation under state laH. If the owner or intended contractor are uncertain as to what licensing
require.ents lay apply f~r the intended work, they are advised io contact the City of Zephyrhills Building Departlent, 1813}
788-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is} sign portions of the
'Contractor Sections' of this application for Hhich they Hill be responsible. If y~u, 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 y~u to sign
as contract~r that may be an indication that he is not pr~perly licensed and is not entitled t~ per&itting privileges in the
City ~f 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 C~nstructi~n Lien Law - H~leowner's Protection
Guide" prepared by the Fl~rida Depart_ent of Agriculture and Consuler Affairs. If the applicant is sOleDne other than the
'ollner', 1 certify that I have c.btained a, copy of the above described dc,culIlent and pT('~lis~ in good faith to deliver it to the
.Ollner. prior to cO.lencelent,
'\ -.';'
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all w~rk "ill be done in c~lpliance with all
applicable lalls regulating c~nstructi~n, zoning, and land developlent, .
Application is hereby lade to obtain a pertit to"do work and install~tion as indicated, I certify that no llork or
installation has COllenced prior to issuance of a per_it and that all H~rk will be perf~rmed t~ Deet standards of all laws
regulating constructi~n, City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies fiay apply' t~ the intended work, and that it is
IY responsibility to identify what actions I must take to be in compliance. Such agencies include but ~le nc.~ lillited to:
. J."'"
I Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive lands,
Water/Wastewater Treatment
. S~uthMest Florida Water'ManaQelllent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses
I Arty Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
I Depart_ent ~f Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~en~. Septic Tanks
I US Environmental Protecti~n AQenc~ - Asbestos abatement
I also certify that, if fill laterial is to be used in Flood Zone "A" or 'A,etc,', it is underst~od th~t a drainage plan
addressing a 'colpensating volullle" will be sublitted which is prepared by a pr~fessi~nal engineer fegist~icd in the State of
Florida prior to pertit issuance,
A perlit issued shall be construed to be a license to prDceed with the "~rk and n~t as authority to yi~late, cancel alter, or
set aside any pr~visions of the technical codes, nor shall issuance of a permit prevent the Building Official frol thereafter
requiring a correction ~f errors in plans; c~nstructi~n, ~r violations of any c~de. Every permit isslled ;hall becole invalid
unless the work auth~rized by such permit is co.tenced within six Ilonths ~f issuance, ~r if w~I'k authol l2ed by the pertit is
suspended or abandoned for a period of six lonths after the tiJe the work is c~mmenced, One 90 day e:tension of tile, lay be
all~lIed for the permit Hith fee charge of $15.00. The extension shall be requested in writing to the Building Official, An
approved inspectic,n J!lust, be !c.gged during each six tonth period, ~r the pr(.ject will be cc.nsidered dballdc.ned,
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 AN, D POST A "NOT I CE OF COMMENGE, ME!'lI:". ~1 17'"=~ "'
\ ~~ ~"/~..
SlGNATURE_~~~~~-~--- SIGNATURE---~--CONTRA~
DATE________~{:_?_'2:-1L---. .~____._______ DATE________U::-"b-'1~9.L-----------
EXPIRES ' " , .
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MY COMMIS
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