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Home My WebLink About91-1991 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit 1If~ 1991 E- Type of Permit . IAAIll!t!G ~CTR~ PL~~ Properly Owners Name: ~ ?!!.i/:"l -,;; ~ h JObAddress:~tJ.~ ___ Date_l;L- I'J.... - 7'/ Legal Description: Sub.Div. Lot Blk. Estimated Cost: #/A- Fee: :;LO - c::r-u SIGl-JATURE ?d~~.J ~.-J ~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # ~ '0 COMPANY ADDRESS TELEPHONE # ~~~ Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final ME~L CStJiL.91~IG P L t:tM..e.! N G .. ............ Ftr. Pre SLB Lintel FRM. Insul.Cl WL SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($ 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. Thc payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PER~IT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT ADDRESS 5[50 ~ If) Tk. <)) () I '1 rfi" I OWNER ~l'\v.v r ~ :\ .(v\\.l~'\\o<)\'" JOB LOCATION S<103 III ft\ sf PHONE'~ ..55.3 () LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. # 11-.;2.6 ,~,;2.- i ~ 0 C1 Ie) -- cJ 7..2 C7cJ r- c?CJ -9C? 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 & 0) SET ENERGY FORMS.u **COPY OF CONTRACT REQUIRED, PERMITS REOUESTED ____BUILDING LELECTRICAL $ ICD AMP Service Valuation of Total Construction ~lorida 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. ff City License Registration # ****************************************** BUILDER Signature t ~ F~ .~ Y A ~ :.- eCompany c (? .?-- C' ~,~ :::::::: ~ ~~.- :....*....m~:~m~~: :;:;m;:~~;~ ";; 'j~,y 6 "''' Company State Cert. or Regist. ff 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 ~(J- .::,f/~~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit 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 lisde.eanor 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. Further.ore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s} sign portions of the 'Cc,ntractor Sections' of this application fClr which they will be respunsible. If yuu, as the c.wner sign as the cc.ntractor, 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 sOle one other than the .owner', I certify that I have obtained a copy of the above described duculent and promise in guod faith tu deliver it to the 'owner' prior to COllencelent, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be dune in cOlpliance with all applicable laws regulating construction, zoning, and land developlent, Application is h~reby tade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cOltenced 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 governlental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance, Such agencies include ~It ~le not limited to: . Departlentof Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensjtjv~ Ldnds, Water/Wastewater Treattent . Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses . ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways . Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks . US Environtental Protection AQency - Asbestos abate.ent I also certify that, if fill material is to be used in Flood Zone HAH or HA,etc.', it is understood thit a drainage plan addressing a 'coapensating volUMe' will be subtitted which is prepared by a professional engineer registered in the State of Florida prior to perlit 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 Ufficial from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued ~hall becole invalid unless the work authorized by such perlit is coamenced within six lonths of issuance, or if work authDllled by the permit is suspended or abandoned for a period of six lonths after the tile the work is coemenced. One 90 day e~t€nS10II of tile, lay be allowed for the permit with fee charge of $15,00. The extension shall be requested in writing tu the Building Official. An approved inspection must be logged during each six month 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 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 N~~",,~RD AN} PO:T "NOTICE OF COMME:~;ENT'" .4-rr SIGNATURE>>~Nfr~ SIGNATURE__;?~~RA~~-- D~TE__ _-'_______ld/().aLtU-------------- ~~~~~~C~~R:~_~_~~--- MY COMMIS~ION EXPIRES____fl~~~~~--- DATE_______l~jLl~~tlJ--------------------- NOTARY AS TO Y ~I _) \.;}. OWNER OR A8ENT.._CL.~-WM~---- MY COMMISSION EXPIRES_____jj~~a~4~------ .~