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Home My WebLink About91-1982 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 198213 Type of Permit (~~) ELE~ ~ M~AL ~::P:::r~:~e~s~Na:e:;:f - l~~1Lf;~o c.l~ ~ ~/I Date-L'02 - ;; - f / Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work v<!J;fi1 ~~~ 6 z//l, e Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: 9 Zs-: clD OCCUPATIONAL LICENSE # J9('J Fee: 02 o. cJ-i) SIGNATUR~A/Y) GU,J)-bo--n COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. ~r./ h &, ~~".~ . , E6UILDING~ PL~ . ~ SLB ~.. Pre SLB Tub Set Lintel Water FRM. Sewer Insul.Cl Final Wl ~ICAL ~ -------- M~NICAL ~ Tp.Serv. Rough 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 fccs shall be made before any further permits will be issued to the person owning same, : ~ <;;;;1... JO S bI---"p /1 ell (/ ,ec./I- ~5'Y1/ .r~/,I. ,f#~ 6 ,- WooJ F~~tV~e at ./ . 99,)#,Do 6 . ~~0 1'- .. < wOdJ PW<-i' ~ 1 ff:C1Oey ] ;$ f'f () '2-- .s- ~~ ~ (/ ~ o V '-'--... () iJ) tr r / l ~ #01.1' f/ ! r l ~ ~ ~ ..., II rll. 81, s3Zo i.? I , APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT ADDRESS IJ;; ~ c ;..) F E pJ e f;;;:- ~ 0 -' ~ 2--.5 'I ;J L {//'1 OWNER ..9.1.. ",fa S e PII 011-7;1 (., / C JOB LOCATION ~'IZ.5 ~~ /I{/(': ST. 2 M//J ~)/(//Zc;l PHONE ../ . 7.?ct,~ J ~ Y l APPLICANT LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.i~ WORK PROPOSED:_New Construction ____Addition ----Alteration ____Repair ~Install _Sign/Temp. _Sign ____~Iove _Demolish _Commercial ____Indust. _Swim. Pool __HIll F'E-!lI(!/fV? Other PROPOSED USE: _Single Family _M/F _i~ of Units _Restaurant & Health Department Approval BUILDING SIZE: x Square Fee t, Height RESIDENTIAL: COl'-U'IERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-IS. ,~* **COPY OF CONTRACT REQUIRED. PERMITS REQUESTED ~BUILDING $ 9 f!.J-:' 00 Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. _MECHANICAL $ Valuation of Mechanical Installation _PLUMBI.N'G ... . .~-=---GAS ROOFH1G SPECIALTY TYPE OF CONSTRUCTI.ON: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** nUlI.DER Signature ~ tJk CONTRACTOR SECTION Company j) 11-[;. C cJ Fc/!/ b:::- State Cert. or Regist. 0 City License Registration 4~ ****************************************** <! o~ s fJ t a~ I 9 Z- ET,ECTRTCT AN Company State Cert. or Regist. 0 City License Registration 0 ****************************************** Si!!nature Company State Cert. or Regist. 0 City License Registration fl ****************************************** PUlMRER Signature Company State Cert. or Regist. 0 C1ty License Registration ~ ****************************************** fo-IECHANICAL Signature Company State Cert. or Regist. 0 City License Registration ff OTHER Signature APPLICATION APPROVED BY ~~::.;~.*~.:;:;;:;::.*~*********'** PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A.'- NOTICE OF DEED RESTRICTIONS:, , The undersigned understands that this perlit lay be subject to "deed restrictie,ns' which may b~ mor~ res~rictive than City regulations, The undersigned a55Ules re5ponsibili~X.fo~ compliance with any applicabl~ deed restrictions. ... ...\" ,., 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may b& required to be licensed in accordance with state and local regulations, If the contractor is not licensed as required by law, both the OHner and contractor may be cited for a lisdeleanor 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 Departeent, (813) 789-bbll, Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(,) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If ye,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 you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to per~itting 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 provid~d ~ith a copy of 'Florida's Construction Lien Law - Homeowner's Protection Guide' prepared by the Florida Depart_ent of Agriculture and Consumer Affairs. If the applicant is soeeone other than the "owner', 1 certify that I have obtained a copy of'the above described document and proffiise in good faith to deliver it to the 'owner' prior to cOimence~ent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inf~rmation in this application is accurate and that all ~or~ will be done in co~pliance with all applicable laws regulating construction, 20ning, and land developaent, Application is hereby sade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has com!cnccd prior to issuance of a perlit and that all work will be performed to roeet standards of all I.ws 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 roay apply to the intended work, and that it is IY responsibility to identify what actions I must take to be in cc,mpliance. Such ager,cies include bllt -, e IiC,t li'lited t~: i Department of Envi~on~ental ReQulation - Cypress Bayheads, Hetland nreas and Environmentally Sensi liVE L3ndsr Water/Wastewater Treatment i Southwest Fl~rida Water ManaQelent District - Hells, Cypress Bayheads, Wetl'and Areas, Altering Hatercourses i Army CorDs of EnQineers - Seawalls, Docks, Navigable Waterways i Departlent of Health L Rehabilitative Services, Environmental Health Unit - W~lls, Wastewater Treal~En~. Septic Tanks f US Environaental Protection AQency - Asbestos abatement I als~ certify that, if fill laterial is to be used in Flc.od Zone "n" or 'A,etc.', it is understoe,d Udt a drainage plan addressing a 'c~.pensating v~lu~e' Hill be sublitted which is prepared by a professional engineer regist~red in the State of Florida prior to perlit issu,ance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical cDdes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a c~rrection e,f errcors in plans, cc,nstructi(,n, or violations (,f any cc,de. Every per~it issued "hall bece'le invalid unless the work authorized by such permit is commenced within six months of issuance, or if HDrk authDrlzed by the perlit is suspended or abandoned for a period of six .onths after the time the Mork is commenced. One 90 day e:le~5jO\\ of tile, aay be allowed for the per~it Hith fee charge of $15,00. The extension shall be requested in Hriting to the Building Official. An approved inspectic,n !!lust be lc'ggedduring each six Mnth period, or the prc,ject \.,il1 be [('nsider~d "bande,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 AND POST A "NOTICE OF COMMENCEMENT", DA TE ,!:::-------tlZ--1 .:-d..-5.=91--------------- I',r' ,. ~ . /J NOTARY AS TO / ((! ~., I OWNER OR AGEN _______~~~~---- - ---- .' , fiobfry Public. Sta e of Florida MY COMMISSION EXPIRES~i-~~~~~~!-~~~~2~~- SIGNATURE_~ ____ --~~~------ ~RACTOR DATE_________L~-1~~(- SIGNATURE~_~-~ OWNER OR AGENT MY , -r.' ",," ","mA. -,,'~': ..~ . "~,;;"~~:i~5, .....--'" .",,-