The URL can be used to link to this page

Home My WebLink About91-1983 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit )f~ 1983 IJ Date /2-7- 91 AL ~M~ Property Owners Name: J ~ ,-j Job Address: ~ I o1.r~~ -/1- . Legal Description: Sub.Div. ~~ Lot ZoningCI: ::.. -~. ~ -!3 OescriptionofWork r) c. ~ J7~h~.A1? Blk. r 4L-f Energy Code Readout: ~ Complete Plans. Specifications and Fee Must Accompany Application /2 ~~ Estimated Cost: to~. ~ OCCUPATIONAL LICENSE # ;; --..s-y Fee: :LtJ .- 0'0 SIGNATURE I'JU';Ar te;Jd~ COMPANY ADORESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Tp.Serv . gh In Meter Can Canst. Pole Pool Pre-Meter Final 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.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 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 1Jir? -I12i1e ,-<5 [ ( 6 V.]) , , , ~ f. (;, I d- r':) rf?-2 ~ 1/. ~a.-f6J\ :;7J2-~ D1~ ~ ~~ ~ S#J71Ll -~,~ APPLICANT ADDRESS PHONE ~"> ~;.--~ Q <f; X \ ( f) OWNER LOT SIZE_X AREA SQ. FT. ~~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.# 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 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 ABUILDING ____ELECTRICAL $ bOO Valuation of Total Construction 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 SECT~.. f) / n '/7/J - (Ir.J) '"--IJr 0 BUILDER Company _~ Gz.Y.-?~? ~ S1' gnature C1,Aq.~? <::)/ ?12t~~ State Cert. or Regist. iF Iru..r~ [ft, ~J!.J.. City License Registration # .;;t...< Y. ****************************************** Sie:nature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICTAN Company State Cert. or Regist. # City License Registration # ****************************************** PLUMBER Signature Company State Cert. or Regist. # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature APPLICATION APPROVED BY ~.** *********~************************ .' 'c14tA'a d~/L.,r- PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 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 aisdeleanor violation under state law, If the owner 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, (813) 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} 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 Consu.er Affairs, If the applicant is sOleone other than the 'owner', I certify that I have obtained a copy of the above described docutent and promise in good faith to deliver it to the 'owner' prior to cOlmence.ent, 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 perlit to do work and installation as indicated. I certify that no work Dr installation has com.enced prior to issuance of a perlit 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 governMental 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 bill ~ie IiO~ limited to: I Departtent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treat.ent I Southwest Florida Water KanaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatment. Septic Tanks I US Environtental Protection AQency - Asbestos abatement I also certify that, if fill .aterial is to be used in Flood Zone 'A' or 'A,etc.', it is understood t~at a drainage plan addressing a 'co.pensating volute' will be subtitted 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 vioi~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issu~d ;hall becole invalid unless the work authorized by such periit is cOllenced within six ionths of issuance, or if work authol lzed by the perlit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day e~tE~SIOII of tile, lay be allowed for the permit with fee charge of $15,00, The extension shall be requested in writing to th~ Building Official. An approved inspection must be logged during each six lonth period, or the project will be considered dbd~~oned, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERry, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~. II SIGNATURE-/' . r;r::::-' , . ------ 0 NER-OR-AGENT--~---------- DATE_________~~~j?~~------------------ ~~~~:yO~SA~~N~~~---- MY COMMISSIO~IRES____~~~~~__--_-_ SIGNATURE_~L~)~Lk!.~- CONTRACTOR DATE__~~~~~-~_S2~_-_---_--_-_-_ ~~~~:~C~S T ________~--~-- MY COM I E~PIRES____~;-~~::~~-_ JOB LOCATION CITY OF ZEPHYRHILLS BUILDING /?! I( -f fYI fY 5 ~L~y'c/ 01d~ (f~~. DEPARTMENT OWNER PARCEL 1. D , # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS, I) I /j(r- , 1[/~1{ , I ~~~.,'1 ~\tJ '~.D J; ,X C1 Yf~~ rt' v-~----'~- UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' 0 T S I E N D G 20' FRONT PROPERTY LINE FRONT PROPERTY LINE 2. SETBACKS FOR R3 ZONING 60' 1 0' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX FRONT PROPERTY LINE