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Home My WebLink About91-1981 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit )f! 1981~ Date1:l- 9- ~ / Type of Permit Co- BUILUI~G ELE~ 'C;:MB1~ MEC~ ::~:::r~:~erst;~72~;:;:1 d!::2~(;;-T Legal Description: Sub.Div. Lot Blk. , Zoning CI: Description of Work ....J-t> ~ ,,,"1"";" '474 :7,:----- Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Fee: :2/2. crD SIGNATURE -z;;/~/~<:" /~~~/ COMPANY ADDRESS TELEPHONE # Estimated Cost: f/A- All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE #3 Y / ~ NG ME Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul.Cl WL Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (SIO.OO) 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. Thc payment of reinspection fces shall be made before any further permits will be issued to the pcrson owning same. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT If ffo ADDRESS PHONE OWNER I-k 3f~ (Y~n~cJ'2e(~.-h'l\s JOB LOCATION (r;yua. -l..o4 ~ (r 6r~~~ Ori u-e LOT SIZE_X AF.EA SQ. FT , LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. 4F WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family ____M/F ____# of Units _____M / H _Commercial _Indust. ____Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t , 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 # ****************************************** BUILDER Signature ELECTRICIAN Signature Company State Cert. or Regist. # City License Registration # ****************************************** Si$ffiature Company State Cert. or Regist. # City License Registration *********************************** ~~.~ .:;. /' 4' / MECHANICAL Company State Cert. or Regist. # City License Registration # ****************************************** Signature OTHER Company _ t:::?/ ~ ~ 17 # ~--;; A"'fftate Cert. or Regist. 4, Signature~~,f'L?-~~~ City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands ~hat this pertit lay be subject to "deed restrictions" which may 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 lisdeleanor violation under state law, If the ONner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (8131 788-6611. Furthermore, if the ONner has hired a contractor or 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 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 - HOleowner's Protection Guide" prepared by the Florida Departlent 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 docuient and promise in good faith to deliver it to the "owner" prior to cOliencelent, 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 aade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a perlit and that all work will be performed to leet 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 governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance, Such agencies include ~lt ~le not limited to: . Departlent of Environmental ReQulation - Cypres! Bayheads, Wetland Areas and Environmentally Sensitive ldnds, Water/Wastewater Treataenl f Southwest Florida Water ManaQeaent District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDurses f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Departaent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treatme~t. Septic Tanks . US Environaental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc,", it is understood th.t a dlainage plan addressing a "colpensating volule" will be subaitted which is prepared by a professional engineer fe9i5ttl~d in the State Df Florida prior to per.it issuance, A perlit issued shall be construed to be a license tD 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 per.it prevent the Building Officiil frot thereafter requiring a correction of errors in plans, construction, or violatiDns of any CDde, Every pertit issued ~hdll becole invalid unless the work authorized by such perlit is COllenced within six IDnths of issuance, or if work authorIzed by the perlit is suspended Dr abandoned for a period of six lonths after the tile the work is (oemenced. One 90 day e~te~slo11 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 inspectiDn must be logged during each six lonth period, Dr the project will be considered dbaiJdoned. 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". " 5IGNATURE~~~~~~ ~ J~ ~~A~T~~~ SIGNATURE____~~--------- DA TE ________.id:=.Le.=-qL-.;.-~---------------- DATE_________~~~~~-=-S?~------------ NOTARY A5~0 ~ NOTARY AS TO ~ /J /) /)/2 "- OWNER OR ___ _ _ __ _ , ~omn~ CONTRACTOR____ - - ~~-~ NOTA p,VijLlC. _ '" nil;' . 94 MY COMMISSiON "XPIRES: MAR. 2~. 19, . NOTARY PUBLIC. STATE OF FlO MY COMM I 55 ION EX P I RES .!!~~];~I.Hi~~':.T~~Y_~_~~:.~~:~~'"~R'"'Y COMM I 55 ION EX PI RI!lI$ COM ~~2!..OlU.1'.elB.fS;J4AJ;l,.. ~'~Ai 994 aONDD""THRU NOTARY PUBLIC UNCERWRITER9: