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Home My WebLink About98-7955 BUILDING PERMIT BUILDING ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 AFTER HOURS PHONE NUMBER (813) 788-5262 PLUMBING Permit 7955/3 Date 9'-J'I-9f" MECHANICAL Sewer Conn PmpertyOwne, ~~ ~~~J:J~ == Job Address: (j . If} '...!:,-..:] -,J; - ...3 - Parcell.D. # Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Wor-;- j( J2 ~ Radon Gas: FINAL 10 In. I Qj DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector /;'b Valuation or Contract Price ~'-~~-.J-: ~ Permit Fee City License Registration # 8"Rn State Certified License# Telephone# f/ ~U.t7?~~ BUILDING (j ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Ins!. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($+5':'6e) shall be made for each trip for each trade: QJ..S; t.JV Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. a. b. c. d. e. f. g. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERMIT CITY OF ZEPBYRHILLS BUILDING DEPARTMENT OWNER'S NAKE (/":Yf'/.,t..>- /flc::-:,') I;~ /1", ;~,) /}S,-:'Oc, / OWRER'S ADDRESS (It. /S- /3/(u ~c ," D/t-'t./ f'l /:,1', tI / (,1 JOB ADDRESS f::. ~ _ 'j <; 3/- ~/t:;), 'j - Y 5-- >7 - 'li>~, I ~' PHONE 7 :? Y- DfN) 7 Z e t';j,~ y J.: /~ . , ,.:~ ,~ ~ ') - y / , / I {f /0'> f {J,..} /J/II..r, LEGAL DESCRIPTION: LOT(S) PARCEL 1.D.' BLOCK SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction --'ddition -^lteration --.X..;aepair _Install _Sign --...JIove _Deaolish PROPOSED~E: _S~eF_i~ ---XJt/ F -!:L. of Units _M/H _ec-ercial _Indust. _Swia. Pool _Other -Restaurant [( Health Departaent Approval DESCRIPTION OF WORK: 7'0 " ;fe:' (J /-1 c: t f ~ ~ ,'/'V, /'4'- / 1'1'(1;: BUILDING SIZE: x ,~- ^ O() Square Feet, Height RESIDERTIAL: 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. PERMITS REOUESTED ~UILDING _ELECTRICAL j' $ S'-/ 3~; ,-' Valuation of Total Construction AItP Service Florida Power Corp. W.R.E.C. -"ECIIAlIlCAL $ Valuation of Mechanical Installation _PLUMBING GAS X. ROOFING SPECIALTY TYPE OF CORSTRUCTION: _Block _Fraae _Steel Other F1IIIISIIED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BIJU.Dm COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature F.T.RCTRICIAN COMPANY State Cert. or Regist. . City License Registration . ****************************************** SiimAture PLUMBER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature IlECHANICAL COMPANY State Cert. or Regist. . City License Registration . **************************************** .~ /' Signature OTIIF.R COMPANY %~<-Jf/lj liotfiA.'} (0. State Cert. or Regist. #' 1ft' 00 ..{ ~- <;-) ~ City License Registration' ,~ >1 0 ****************************************** Signature PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tbe undersigned understands that this peIlit laY be subject to 'deed restrictionsQ wbieb lay be lOre restrictive than City regulations. Tbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired 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 lisdeeanor violation under state law. If the owner or intended contractor are uncertain as to "hat licensing requirl!lents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtherJOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the 'Contractor Sections' of this application for wbieb 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 be is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - lIoIeowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUleI' Affairs. If the applicant is SOIeODe other than the "ownerQ, I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the "owner" prior to cOlleDcl!lent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work will be done in cOIpliance with all applicable laws regulating construction, loning, and land developllent. Application is bereby lade to obtain a peIlit to do work and installation as indicated. I certify that no wort or installation bas ~ced prior to issuance of a peIlit and that allllOrt will be perforted to leet standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other goverJlJeDtal agenCies laY apply to the intended wort, and that it is If responsibility to identify what actions I lUst tate to be in colpliance. Sueb agencies include but are not lillited to: t Departlent of EnviroDleDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water/Wastewater Treatlent t Southwest Florida Water Hanagl!leDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departaent of Health i Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater TreatJent, Septic rants t US Envil'ODlelltal Protection Agency - Asbestos abatl!leDt 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 "cQlpeDSating volUJe" will be subllitted whieb is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. /' liTE ,(nORIDA comFop' The foregoing instrument was acknowledged before .me this , 19____ by 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 sball issuance of a peIlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall beCOJe invalid unless the work authoriled by sueb peIlit is COlleDCed within six IOnths of issuance, or if work authoriled by the pel1Iit is suspended or abandoned for a period of six IODtbs after the tile the work is co.enced. One 90 day l!Itension of tille, Jay be allowed for the peIlit with fee ebarge of $15.00. Tbe l!Itension shall be requested in writing to the Building Official. An approved inspection lUst be logged during eaeb six IOnth period, or the project will be considered abando ~ WADING TO OIlIER: YOUR FAILURE TO -'l.DICE OF COIHEICEIlBIft' HAY RESULT IN YOUR PAYING fillMPROVmlmS TO YOUR PROPERn'. IF YOU IIft'BIiD ~~~iG, CONSULT WITH YOUR LENDER OR All A ...BE. FOIJ: / YOUR Ii ClIIIEIICIlIlIIII> J UID/~ P IRJ! IIED!O IlI\lBIIIIID POS'f I .~ ./; #CEIlB. ,'::;--" // ~:-' ,/ .- - ~ / // "".""./"': ,-;;--:/ ---_/ Rift'. If1'RACTOR ~ CO The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC .. 11111111111111111 11111 11111 11111 1111111111 11111111 98111762 NOTICE OF COMMENCEMENT Rcpt: 268518 Rec: DS: 0.00 IT: 09/14/98 6.. 0.. Dpty Clerk State of (101", )" County of J~9.s c 0 THB ImDERSIGNBD hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. /S-~t-~/- OIJE-O/foo- ooc.o (Legal description of the property and street address if available) 2. General Description of Improvement ! e 114 (: .Q- oS..{ ,',v~ foe /,,:' .. r , '" JED PITTMAN, PASCO COUNTY ClERK 09/14/98 01:40p. 1 of 1 OR BK 4005 PG 1349 3. O\vncr Information: Name IflI?n/V'cE' (jLbS stJm 11~/Vf! i! ffss" t- i.J4 19 Address '/'CJ/- <../s-./9- '1;1.'17, - t:/~':J t City ZFPfI y'jJ;j/LL5' I I I /J/bSStJt>1 "", Interest in Property: State f'1, J 3O;~/il Name of Fee Simple Titleholder: (If other th~n owner) /"-"1- Address f"o/tt City ,VI}. State ;vii r~' L/ //1 " '/ 4 t;ltlf': Contractor: Name /() 1"/ f" /1) If (Nf I '.,...., / fZ;. , ' /' Address 2..J.lo pi) ('1/,-)) /;....~ II /1.1 City J'(JfV{/f) j -9//0410"; / 5. Surety: Name ./\./ <1-: '","' ~"c,r: ;~ !Y~lf;\ State //), :i '/ c: ;r '/' jJlY. City :: '.~ ,1...,,' : "I {):,.' '-':'\;:,:,:j,~.':-_:; Address ;<":, .:}M'!9,~,.. '("t". ':st~t;e:/:,l)jY-'i ~~., : r,:~.';:>~}.-t~;i>. -;": "~\i"/ '".';" . I' i:';,<...:,,!I,;~;\T ,:~~\,<: ~;_.t.- Amount of Bond: $ fV 11 l~:"',l c,r F'i~:~:~.l':~ ,',':::; r.','i 6. Lender: Name QC fJ " Address fVI1 City I _1'1" tX~ ,-,,: .,! j; CCtjj.;T tate .K:/d fW, D.C. crertgnatea by Ow'ner -upon whom served as provided by Section 7. Persons within the State of Florida notices or other documents may be 713.13(1)(a)(7), Florida Statutes: Name Address City /vJ1 State A//j- 8. In addition to himself, Owner designates r1/~ of ;J A to receive a copy of :the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Explratlon date ot Notice ot Commencement (the expiration date is 1 year fr?m the date of recording unless a different date is specified.) ;Vf/j- Signature of Owner: :7'heJdM/ ~ tt:ut~ ~~ k~L ~ Sworn to and subscribed before me this J/f M day of CWA-/L", 1993 ~ ;- Notary Public: OFFICIAL NOTARY 5E~ .r. -'t.' t', My Commission Expires: N(ftAR';,' r-UiJlK. ;":/:1 E OF Fi.ORiDl.~ COMMiSSION NO. CCS1596J I.