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Home My WebLink About92-2019 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit ~t.r ~.... ~ 2019 P / -.2- 9/ Type of Permit ~ EL~ eLUMBING~ ME~ Proper,y Owners Name::~ f ___ ~l fVf/ Job Address: 61 dlL__ ~ Date Legal Description: Sub.Div. Lot Blk. Zoning CI: Description Ofwor~7~7 ....J- r:KJ ~ Z--.<A~~_~~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ijA= Fee: ~. clV ~ SIGNATUREP~If4f::2t. ~ COMPANY ADDRESS TELEPHONE /I All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE Ii.. '3 '1/ ~.~U~CAL Ftr. SLB Tp.Serv. ~ Pre SLB Tub Set Rough In Lintel Water Meter Can FRM. Sewer Const. Pole Insul.CL Final Pool WL Pre-Meter Final ME~L ~ Breakers Ducts Insl. Compressor Final Driveway Reinspections: 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. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. APPLICAfION FOR PERfiIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT :J t! () ADDRESS PHONE OWNER ~.}. ~e.chl{,.hl lls JOB LOCATION UIO'8' $,I\JeY' Oaks Or. J e.. \J LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~F WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign ____Move ____Demolish PROPOSED USE: ____Single Family . ____M/F . . ____Commercial ____Indust. ____# of Units .____M / H ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: X J.. Square Feet, Height (2) , (2) SETS OF & (1) SET RESIDENTIAL: ATTACH PLOT PLANS & BUILDING PLANS ENERGY FORMS. ** COMMERCIAL : 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 .... Other TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # ****************************************** BUILDER Signature SifZllature Company State Cert. or Regist. # City License Registration # ****************************************** ELECTRICIAN Signature Company ~d~ State Cert. or Regist. !I City License Registration **** ************************************ ;k:.}//::' iF .3 7' / PLUMBER MECHANICAL Company State Cert. or Regist. # Signature City License Registration # ****************************************** OTHER Company State Cert. or Regist. # Signature City License Registration # APPLICATION APPROVED BY PERMIT OFFICER. 7!~~ CONDITIONS O~ PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it lay be subject to "deed restrictions" which lay be more restrictive than City regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions. B. UNL I CENSED CONTRACTORS AND CONTRACTOR RESPONS I B,I LIT I ES 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 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 Departlent, (813) 788-6611. Furtherlore, 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 indicat~ng 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 licens~d and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CON~ECTION 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 document and proMi~in good faith to deliver it to the "owner" prior to cOllencelent. ..",,;1- . . E. CONTRACTOR'S/OWNER'S AFFIDAVIT~~ ..; ." .. .. I certify that all the inforlation in this application is accurate ~nd that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land develDplent. ... Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllilienced~ritJr to issuance of a perlit and that all wClrk will be performed to meet standards (If all laws..... regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. 1 also certify that I understand that the regulations of other governaental 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 nol liaited to: . ~..: . I ~ ReQulation - Cypr2ss R:yhrl~s, ~2tland Ar~as and Environmentally Sensitive I.ands, Water/Wastewater Ifeataent I Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Arty Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatment. Septic TanKS I US Environmental Protection AQency - Asbestos abateaent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.', it is understood th~t a drainage plan addressing a "compensating volule" will be sublitted which is prepared by a professional engineer feqist~ied in the State of Florida prior to per.it issuance. A permit issued shall be construed to be a license to proceed with the work and not as authority to yioj~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Uffici~] frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit iSSUed shall become invalid unless the work authorized by such permit is cnlenced within six lonths of issuance, or if work authollzed by the perllit is suspended or abandoned for a period of six lonths after the time the work is cOlmenced. One 90 day e~ho,,51011 of tile, aay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six tonth period, or the project will be considered dballdoned. 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 A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ....... SIGNATUR~___ -OWNE~ :~--------- DA TE _________j..d=_~_-::9..L--------.------------ SIGNATURa~~~~~_~j1 . ~,J.7 CONTRACT~ DATE ____-'-d.;.-=~:3...L_ _______ ------ ------ . ~~~:yo~~-~1Zc~- ~~~~:~C~~R~~g_~ N NOTARY PUBLIC. STATE OF FLORIIlA MY COMMISSION EXPIRES M~Tt{~\'illIC. STilTE OF F1"o.BIDA MY COMMISSION EXPIRM COMMISSION EXPIRE~_M.!\B~26, ;994. 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