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Home My WebLink About00-9182 BUILDING PERMIT <1 { . ~O BUILDING -sS ' vy ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 '25 .~ PLUMBING Permit 09182 ,I) 5/OD Date ME~NICAL Sewer Conn Water Conn: P,aperty Own." Jr. 'f 13.,~t'IS Job Address: 5S- "l 3 i {3 '1tl ~ 0 ParceII.D.# ll-J~ ]f- 0010, '1~00' 0100 Water Meter: T.I.F.'s: Zoning: Energy Code: Radon Gas: Descriotion of Work ef' reel Cj(vQ.~t? It- 11. fIN;.:.,\ ruC...{. ,MJ 6c...tl . , (\lev ..,."Jew $ 7f/o / t..f/f:J!60 ,:1oP"" FP (lc.J~H' r~~;e . (R-t-(.""'^..~ ~~ ro.,;N'l <!i i? t7c/ I'QC>..... I NO OCCUPANCY BEFORE C.O. FINAL _/5_ eo DATE -00 Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Feer{ 5'5". ~ - Signature 70 l^- Company _ Address Telephone# ~l .3 ~o Valuation or Contract Price v.. I~, 000. . City License Registration # State Certified License# ??f2 4103 Driveway Tp. Servo Rough In 4- , 2...0 CJ ..:H?_ Meter Can Const. Pole Pool Pre-Meter Final ~ ~- 6-o0~lC- SLB Tub Set Lj---t7-1Jt? J;t Water Sewer Final Breakers Ducts Insl. Compressor Final ()\ 1'1,/\ -€ r o LV..., e.r Ow"" er BUILDING ELECTRICAL PLUMBING Ftr. Pre SLB Lintel FRM. L;--Pl-I! & ~ - Insul. CL WL REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.001 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. OWNER'S NAME 'SAY 1+ JOB ADDRESS 5,5 '-13 l3eR GeRS I !f 1h s or / flQ) / ~ ..AJ.;L r;/orlATE BBCBIVBD -1/ '2j) f!XJ' I ~tfjJ PLANS REVIEW I'BB PHONE 7 8 2-'11 () 3 2ff/JYR /),1/3 .7--L 335'16 / APPLICATION FOR PElWIT CITY OF ZEPBYRHILLS BUILDING DEPAR'l'YENT BLOCK SUBDIVISION LEGAL DESCRIPTION: LOT(S) PARCEL ID # II iG "-, aOlo 1/ 300 0/00 (OBTAIN FROM PROPERTY TAX NOTICE\ WORK PROPSED: ONEW CONSTRUCTION o ADDITION tf(ALTERATION o REPAIR o INSTALL OSIGN o MOVE 0 DEMOLISH PROPOSED USE:~SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK Rt:. RooF GA~aG13 4 t M~/1tI R- F. Ad) 13".11. f("",'1t ./ LlS'V 3? I /3 t-r BUILDING SIZE ' A ~ SQUARE FOOTAGE O~ RESIDENTIAL: COMMERCIAL: r:g BUILDING gJ ELECTRICAL Il3 PLUMBING o MECHANICAL f/. 13~/. R(.J(N11 ,1/1EjN U/lAld.,.".S 5l4<rl- ,(~.cJ..{ c:..i/llv-'! HEIGHT I S r.:>~ y , 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. ;0 $ '5 oou. - 'foo PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION 'i o FLORIDA POWER W.R.E.C. AMP SERVICE $ D GAS D ROOFING D SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: .. BLOCK o FRAME o STEEL o OTHER IS PROJECT IN FLOOD ZONE AREAO YES ~NO FINISHED FLOOR ELEVATIONS BUILDER SIGNATURE ELECTRICIAN SIGNATURE PLUHBBR SIGNATURE YBCBANICAL SIGNATURE OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # ********************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # ******************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # ********************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'The undersigned understands that this permit may be subject to ~deed restrictions"-which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, 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 signs 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 may 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. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR' S/OWNER' S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit 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 governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone ~A" or ~A,etc.", it is understood that a drainage plan addressing a ~compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit 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 permit prevent the Building Official from 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 commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may 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 month period, or the project will be considered abandoned. 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". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or o who has produced (type and whoD did 0 did not of identification) take an oath. o who has produced (type of identification) and who Ddid [}:lid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped OlGf\\ 12.-12- .J. t''i 6~ (2.6 boOKS . <1 ,~'" _ t 5S-1..{~ (1) .~'- SQ. FEET PRICE MAIN OR LIVING AREA OTHER AREA UNDER ROOF OTHER V A t..-ur.\ -n D,,-, 15 0 t) D' v . i , BUILDING: q c:). cO ELECTRICAL: 35"< v~ PLUMBING: 2-<;_ 0';:) MECHANICAL: Ntt RADON: f0/ Pr CREDIT: ,\j In SEWER: rJ/rr WATER: TOT AL: ~ T. I.F'S I 10/" Jj, '-r5 rA-L /55: <f?t FLA, 1977 LAWS FS 713,13 NOTICE OF COMMENCEMENT ~::::f o~p~~ } ~.:.~. ~ ~~..... 1I11111111111~~~~~~111I11111II11I111I1I1 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. SEMINOLE FORII!I408 Oescription of property . P~~. . . .I !. ..1: ~. . . -;? .l.. , . P. ~./ ~ . .. .I. !. ~ ~ ,~. oo ~. J ,t?, ~. . . . . . . . . . . .. .. . . , . . .. . , , . , . . . . , ......... .................................... .... .............. .0....... ........................... ... ,...... .................... ~.~~~~~; ~~~~~i~t'i~~ ~~'i~~'r~~~~~~~~' ~'J'.;. '. '.~~;'~'. ~;'. '.~~.'. ~';~~'. ~ ';;~.'~'. ';.;'. '.~;;.~~;~.~'.~~)'.'. '.~.~'i '.~~0/i:~~c Owner., .5t!r:y..ft. .0. ~~.~:~r;.~/.t11.t1.f\ .G.tk.l;.-r.. '~'-:'~'I'C:,~~"""""", .......... ........ ,.,..,.,..., Address ,.~7.~~.[... i3.~.~~c;)<... p R.... "'~:(f- '1.A..~.l J./.r.,. .,7.~..,. ~.~ .~<j{.......... ,..,....,... Owner's interest in site of the improvement. . . . . . . . . . . . . . . . . . , . . . . . . . . , . . . . . . . . . , Rcpt: 386307 Rec: 6. 00 Fee Simple Title holder (if other than owner) OS: 0.00 IT: 0.00 01/24/00 __________ Dpty Clerk Name..........,....."....,..,............................................,..... JED PITTMAN. PASCO COUNTY CLERK 01/24/00 09:28am 1 of 1 Address..............,.....,......,.................................,............ OR BK 4299 PG 758 Contractor,. ,~~y.A, .~4i .~~.~..."............."......,............"...,..,.......,.,.,..,.,.....,...,',......,..,., Address ,'3..7. .~~.~,.. .a.~. .~~~.,<,.. D.~...... '~~l4~~. 4,L,((..s...". .'14"" ,J,~...$;,'1.1.,',.,. ,.",.,., Surety (if any) ................................................ .................................................................. Address ...........,.....,.,...,...,..........,......................,........,..."...,',.,.. Amount of bond $ . . . , , , . . , . , , , , , Any person making a loan for the construction of the improvements: Name ;1/0 AlE. .. ................................................................ ........................................................ Address ".",.",......,...,.....".,......,............,.............,.,.."...,.",......"..,',.,.,..,..,.."....,"",.,... Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name .. .................................................................................................... ................... Address ",....,..,..."...................,..........................,....,..."."..."."...,.,.,....,..,..,..,.".."..,.... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1 I (hI, Florida Statutes. (Fill in at Owner's option). -.... ::' - Name ............... ___...... '_" ~ .__..._.u._...-_....................................................... .-,~.. ..'.~....... Address T~I~' ~~~~~ 'F'~~ .~~~'~~~.~~,~. ~~'~ ~'~~~ . . . , . . . . . , , . . . , , . , . , , , , . , . 'WOO' . . .. .. .. ~ .. " , , . . . .. . . . oo . . . . . . . , , ::-!~. . .. .. . 'OO ..,.. . .. .. . . ~~ .. .. OO' .. .. . . .. . . . . ~wner Sworn to and subscribed before me this . . . . . ,~, c/.. t!.. , , . ;~~~~~~;tv a:p~Ja;~.. Berg~::~ Not ry Public CONNIE AMAN "'01 ~ c.1!Ip s.pl17. 2IlDO 0... CC sas.4 o PERSONALLY KNOWN BY .ME ---ii PROOUCEOLO. FL- DR-II/~ L.,leGAJSc STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT Copy OF THE DOCUMENT~ON FILE OR OF PUBLIC RECORD IN THIS OFF~ 't)T MY D AND OFFICIAL SEAL THIS AV OF 2~ JE~ ,.CL~:CUIT COURT BV ~//./ t?A1DEPUTV CLERK "...., i&l. l 1.....9 I c-l-. , ,~ ,~ -- s- (ZJ:) ('I') v , ,/ '\ .. I ~, ,. ~. ~<;' ,'" I:( If.., (, c )t II .= I F r ~-" .. '<v tfj~ - ~~~ , ~ ~~ -s> 3'$ 1 '~ ~ .. ..._, -:: I 1 , ~ T ,~ ~ ~ ~:r t'"" ~ i 1 .' f\- ?- 'j, / <' ~. ) (----)(;5'-7/ I · ~ ~------- ~-T. i I I ~ . : I I I I ~ ~ --- --- t " J (:1" -\I oJ (!J , "J'11<t'l. ~o/'~ ,/l ~, ) )V-' -) 'j..J ,1 (---- -> ,t u<i ~ I W\~'% DJ. ~- '-. 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