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Home My WebLink About96-6352 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 635~ Date I rJ- -CJ-O -7'6 ~~~ ELECTRICAL Property Owner-.. )l ~ JJl ~iJc ?C .") Do- - 5" Job Address: ( J y!J oL d ~./ Parcell.D. # Zoning: ~nergy ~: Description of wor";--K_a ~~ PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: t/..4/-€'-- T.I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# ,..57 P.'m;t Fee ..? tJ. /J7/ ~ Signature _~ _~__ Company Address Telephone# Valuation or Contract Price '-? htl - ~ '--j(~A~~ BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. . .... .. APPLICATION FOR PERHIT CITY Of" ZEPlIYRHILLS BUILDING DEPARTMENT JOB ADDRESS Ed Mason ?lj 0 2.~ -Same. PHONE ~/3- 182- 4152- OWNER'S NAKE OWNER'S ADDRESS 5-t-Y) Ave '. I 'Zephyrb.L1Js I FL LEGAL DESCRIPTION: LOT(S) 12-2lo-21-00~O -00300-'002-0 BLOCK SUBDIVISION _Sign -----1fove _Deaolish " PROPOSED USE: _Single Faaily -----1f1 F _' of Units _M/H _ec-ercial _Indust. _swta. Pool ___Other ____Restaurant & Health Department Approval DESCRIPTION OF WORK: ~ 0 __ ~~ 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERHITS REOUESTED ~BUlLDlNG $ :!.:/:Y:1) .~ 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 CORSTRUCTION: _Block _Fraae _Steel Other FlNISHED FLOOR. ELEVAITONS: FT. IS PROJEC'l' IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BUIIDER ~ ~ W<PARY ~ ns · " . State Cert. or Regist. . Signature ~~. City License Registration' . -- ***************************************** DI V(Si "Df") ELECTRICIAN COMPANY . State Cert. or Regist. # f<.r. ffilqlfJJW City License Registration # r ****************.************************* SimlAture PLUKBER CO~JJANY State Cert. or Regist. '__ City License Registration t ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. # City License Registration . ****************************************** Signature OTHER COMPANY State Cert. or Regist. , City License Registration , ****************************************** Signature APPLICATION APPROVED BY PERHIT OFFICER. , CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peflit lay be subject to "deed restrictions" which lay be lOre restrictive than City regulations. Tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSEP 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 owner or intended contractor are uncertain as to what licenSing requiretents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 188-6611. FurtherlOre, if the owner 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 peIlitting 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 - HOJeowner's Protection Guide" prepared by the Florida DepartJent 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 docUlent and prOlise in good faith to deliver it to the "owner" prior to cOlleDcl!.lent. E. CONTRACTOR'SIOWER'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 developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perf oIled to teet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIental 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 but are not liJited to: t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Vastewater Treablent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abateJent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood that a drainage plan addressing a uCOlpensating volUle" will be sublitted which is prapared by a professional engineer registered in the State of Florida prior to perlit issuance. 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 codes, nor shall issuance of a perlit prevent the Building Official frCl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every petlit issued shall becOJe invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the petlit is suspended or abandoned for a period of six IOnths after the tile the work is cOIIenced. One 90 day eltension of tile, lilY be allowed for the peIlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. NARJHNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING fIIICE FOR IMPROVEMIlft'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR AN AnORBBY BEFORE RECORDING YOUR 10TICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NO! HElD 1'0 RECORD AND POST A "NO!ICE OF COMMBIfCBMEJl!N. :h~tJ~ SIGNATURE: M!R OR AGE d~.....~ SIGNATURE: CONTRA~ STATE OF FLORIDA ~ COU~YOF r~ The foregoing instrument was acknowledged before me this . . ., 19 >p by /@-I~ w 0 is personal protluced. as identification and who .-./did not take an~~~ .~~~ (Signature) '(Nam~ Typed, Printed or Stamped) NOTARY PUBLIC STATB OF FLORIDA ~ COUNTY OF \~ The foregoing ins~ent was acknowledged be~fore me this /~ ~.., 19~ by ~ /' ~~'-----_.- -: is personall~ own to -me or who ~t) ... as identification and whoel8/did not take an rJ~. 4~A/l- (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC l\tIlIYP~ -1P~ DONNA M SINCLAIR * Ii * My Commission CC382619 Expires Jun. 14, 1998 ...... il' "~~'A.O~f!i <lS'tIlIY P~ .~ UONNA M SINClAIR * * My Commlnlon 0C382I18 Expires Jun. 14,1998 ".~ il' ~ OF A.O~~ I~Y:~lJ ~~~:':::::~~>N-i~~F~~~~--~-- No. l~O(:'FING DIVISION} : ;7:; 25 SR 54 WEST ZEFHYRHILLS, FL 33541 J 'HC NE: 813-782-60'94 LICENSE: RC006164 . Sheet No. ~"-'-~'~"'~' 'J"308 /VV~; , , ..1;\ \ ! \ Date /' () - :2? .- 9 f? U$dl Submitted To: .--...-.-- Work To Be Performed At: Nam :~) /1/\ S 0/( ~ ~; 0.1 ~ --!J--fl-J /J .,,/, Parcel 1.0. /2 - 2 t -.z I _ () 030 - (j () ;Jot) - 0 0 2 V Stre. Stre.et City - J _/ / 4"' ("/1/'7 ,.) 0- . d 2- State F/A City State Phar, 'l 7 .s- 2.. Date of Plans Architect ropo;e to furnish the materials and perform the labor necessary for the completion of ~I :Slt/9- ),-....",.. tv If, f-e... ; ;' -Iri=t :1 ~ r-A.. @.).Geffiplete tear-of.f...ot existing shingles. ct.) Roof dried in with.3~ lb. feIt. 3.) .Badplywood replaced at a cost of $35.00 pei~ dheet. 4.) Installation of new 2x4" lumber and lx6" tasci~ @ $1 .5U per .1 ineal ft. /9 /.... ""'- @.) Install all new valley metal wjth 20" g:J.IYY'?f'c1 metal. .~.}..:Installation of all new lead boots through roof. .~tf~E!:~:~;~~~: ;~~~~~:9h~; ~~ ;~~ ~~~ ~ ~~ ~ e ~h 1 n 91 e s. ~.) All materials and labor furnished, 12/cl.se i/~M""" {laps tn..> C="-'''>~ P];'yMENT DUE UPON COMPLETION OF JOB. ,:::'q::o..I',- (!c,' /, ~5 ~ vscJ. e~ iVew 7,'/c > I9-p'P' ~ Ii tE ' II is guaranteed to be as specified, and the above f ~( ; mE, submitted for above work and completed TOTAL f3JU: c .3P.~~ -"~'r'-"'-- .....--..- OZ) wit I 3) 1 :mts to be made as follows: b,J /J) /. / ..t'. - ,\ C . (;')o"y;/I ,0" I rC:)y\...J work to be performed In accordance with the drawings and in a substantial workmanlike manner for the sum of Dollars [$..3tJ t'~, ~(2] All SpE Any ; 'a ( or d, Jiatlon from above specifications involving extra cost ill., exe,;ul ed only Jpon written orders. and will bE,come an extr ; 3r liver ar j above:he estimate. All agreements cDntlngent UpOI It ik, ; 3cclde Its or d,~lays beyond our control. Owner to carry f<re, )1 lal ) Ind ot er necessary insurance upon above wor'k. Work- mer. (lIT.' Isatior and Public Liability Insurance on above work to be takE 0 C I I Respectfully submitted ~~ .~ ,...~~_.. JtLJ/0 J'._ ;.:.<k~~'~f';-~'~:~' .,--'....,.-.~~\ r:f:/'---'~..-) -". ...f~;j~.........., ~... ../"'~~ -""'-. Per Note-This proposal may be Withdrawn by us if not accepted within days. ,".......... ACCEPTANCE OF PROPOSAL ThE II J\ l IrIC e: , specifications and conditions are satisfactory and are hereby accepted You are authorized to do the wOI'k as specified Pa\ 1 n' 'IIIIJE made as outlined above. P ~ r Signature ~ ~ /f/ ~ ~ . Oa ; Signature .FO.JS. F JRM c 850 DUPLICATE MADE IN USA. Si "'.'e cf OW~~ ~. J1i~- 51') n . 0 :lIld subscri bed b-2fore me tiS / .},t~:" "~h_r;-;_~ : ..------ -1"'./ Ou Y c., r __~-<~-€~-Y"-~~--. 1 c /.\ . -'~ (~. '+--F'-- . Nc' c'-' Pub ic: ~jJUUA- B08BIE J BURKE * My Commission OC543871 ~ ~ ~29~..__..._._. "\ ~-- ~.~ .\to~ M' I :cTmis~ion Expires: ~ '. NOTICE OF COMMENCEMENT t 120621 Ree: 6.00 Rep: 000 OS: 0.00 IT: D t. Cl rk 12/20/96 p y e T11WI PASCO COUITY CLERI t~~~~96 08~32a. 1~f 1288 OR II 3674 t Permit No, 11111111111111111111111111111111111111111111111111 96133608 State Of FLORIDA County of PASCO THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance With Chapter 713, Florida Statutes, the fOllowing information is provided in this Notice of Commencement: I. Description of Property: Parcel No. /$!. -~t. -:2/ _ 003Q _ 00300 _ 0020 Legal description of the property and street address if available} General Description of Improvement tf.e ~ R ~ 2, 3. Owner Information: Name C!!. cP.._rn~ Address S 90 ~~ S-bf ~ City 2~ State<s!-i . -oJ"~ ~s.r~1 . I nterest in Property: ~.arne of Fee Simple Titleholder: (I f other than owner) ~ .-,. \~;r~~~4\ Contractor: Name RYMAN CONSTRUCTION, INC. ; ':.." ". ;Ja.\., "_ , " l'~-' i' "\ . \' .,' ,,~ . W Address 37325 SR 54 WEST City ZEPHYRHILLS Address C i t'l State -- 5. Surety: Name Address Amount of Bond: $ 6. Lender: Name Address S ta te FL. 33541 City State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Sec tion 713. I J 111I a 1I71. F larida Statutes: City -- Slate --- Name 8. In addition to himself, Owner designates Address -----5 i t y Slate of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is the date of recording unless a different date is speci fied, ) year from Signature of ow~ Sworn to and subscribed before me 199~. Notary Public: of ~,,~ ~~ - BOEIE J BURK~t My ComrnInlon E~.. MN..31.lU!.QQ My Commission 8:<pires: