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Home My WebLink About00-9320 BUILDING PERMIT Permit 09320 Date ~ /1400 CITY OF ZEPHYRHILLS (813) 788-6611 ~o,~ BUILDING ELEC~CAL PL~BING Property Owner: O...c:t ""~Q ~,o S-'CJ....., ~...C~ Job Address: 37&03 - 5"-7 - c; M~S$a. MEC\NICAl ~S 0(,.. Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. /I Zoning: Energy Code: Description of Work J", .- .r 00..( Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. -s-~ Z s-- gJ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price .~ 575 J. City License Registration # State Certified License# sto BUILDING Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway DATE Inspector )l:~;~~::,:eJ?::-?4 Com~'- /' Addre' _ '- )I Telephone# ~/ )-. 9~?' ~~~,,'/ PLU BING ME SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.00) 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 PERKIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME Or"^,~-e- ff/pSSCrI ~1~1f,~ .t9 Jfp c_ , PHONE ?i r- Dt)o7 OWNER'S ADDRESS '/6/ S- /3/0 s.s l~ PI Illve/' "2 ~ ~/I, /,(, :1 3~-~ / , JOB ADDRESS :3 7 $03 - os- - ()1- 07 # /;'.$..J-? LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION tJl""'-~e-- Jl/tJJ.f.,,., "f"N~ PARCEL 1. D. f (OBTAIN FROM PROPERTY TAX NOTICE) ..... WORK PROPOSED:_New Construction _Addition --.Al.te rat ion .....x..Repair _Install ... _Sign -Jove _Deaolish iSiogle . -!i....., of Units PROPOSED USE: Faaily _H/F _M/H ,"" _~ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPTION OF WORK: f1 e ~ flt-~ ~ !>" "/V)"(./ I. o~ f , , BUILDING SIZE: x s- ).,00 ~ 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. PERMl;TS REOUESTED _BUILDING 10" $ 57,> ;>-- Valuation of Total Construction _ELEC'l"RlCAL AMP Service Florida Power Corp. W.R.E.C. _MEGJlANICAL $ Valuation of Mechanical Installation _PLUMBING GAS '" ROOFING SPECIALTY TYPE OF CONSTRUGTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUTT.nER COMPANY State Cert. or Regist. f City License Registration f ****************************************** Signature RT .RC'l"RlClAN COMPANY State Cert. or Regist. . City License Registration . ****************************************** SilntAture PLUMBER COMPANY State Cert. or Regist. f City License Registration . ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. , City License Registration' ~ ****************************************** Signature OTHRR COMPANY ~w-e.!lJ ,fO{}J('? (0. State Cert. or Regist. .~C' 00;( ~,~ J 50- City License Registration # '88'0 ****************************************** Signature APPLICATION PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands tbat this pertit lay be subject to .deed restrictions" wbicb laY be lOre restrictive than City regulations. 'be 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 lisdl!leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!lents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departtent, (813) 788-6611. FurtherlOre, if the owner has bired a contractor or contractors, he is advised to bave 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 ~f as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN hAW (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 tbe Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOlK!one- other than the "owner", I certify tbat I have obtained a copy of the above described dOCUJent and prolise in good faith to deliver it to the "owner" prior to cOllencl!leIlt. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all tbe inforlation in this application is accurate and that all work will be done in cDlpliance with all applicable laws regulating construction, zoning, and land developllent. 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 pertit and that all work will be perfoIJed to leet 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 goverDJental agencies laY apply to the intended work, and that it is IY responsibility to identify what actions I lUst take to be in coapliance. Sucb agencies include but are not lilited to: t Deparblent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater 'reablent t Southwest Florida Water HanageJent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIJy Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rebabilitative Services, EnvirODJental Health Unit - Wells, Wastewater Treattent, Septic Tanks t OS'In,irODJeDtal Protection Agency - Asbestos abatl!lent I also certify that, if fill laterial is to be used in Flood Zone HAl or "A,etc.", it is understood that a drainage plan addressing a UcQJpensating volUJe" will be subJitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A Perlit issued sball 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 pertit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or VIolations of any code. Every pertit issued sball beCOle invalid unless the work authorized by such pertit is cOlleDced within six IOnths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six IOntha after the tile the work is coaenced. One 90 day extension of tile, laY be allowed for the pertit with fee cbarge of $15.00. 'be extension sball be requested in writing to the Building Official. An approved inspection lust be logged during each six IOntb period, or the project will be considered abandoned. WARNING fO OWHER: YOUR FAILURE TO ~. NOfICE OF COMMENCEMEHT MAY RlSUL' IN YOUR PAYING 'NICE FOR IHPROVIIIEH!S TO YOUR PROPERTY. IF YOU IHTEW TO ~FIlIBCING, CONSULT WITH YOUR LEWD OR AM AnORREY~EFO.RI.. HG YOUR HOTICE OF COMMEMCEMENT. JOBS UlfDEW",500 1M V DE 00 NOT lfEED TO RlCORD AIID POST A IN E OF " . / . / .,~", ./ SIGH STATE ~/FWRIDA coum OF The foregoing instrument was acknowledged before me this , 19____ by ATE OF FWRIDA coum OF 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 .~ STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COtty OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFF!' 7t~ MY H~J:~~ SEAL 2r;WL. ~ OF JE~AN. ~Lf~CUIT COURT BY <K -/ 1 ~ Y4'.I1OEPUTY CLERK 1111111111" 1111I1111I1111I11I1111I11 ""11111111111111111" 2000031299 Rept: 39846!5 DS: 0.00 03/14/00 Ree: 6.00 IT: 0.00 --------__. Dpty Clerk ~i91~~~~"~.:ll:;O fOUNT~ CLERK OR BK 4~28 PG !JS5 State of Florida County of p.,. S c: 'D The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statues, the following information is provided in the NOTICE OF COMMENCEMENT. 1. Legal Description of propeljy (include street address, if available) 15--)..6 - ~/- Ol?~~ o;{lo(),- 00(.0 J7fo'J - oS--01- 09 411.J",}'~ J...<t../h,.J/;/I:' h. iJ1"-~J . I space above this line for recordina data. NOTICE OF COMMENc.EMENT 2. General description of improvements: 7 Jp ~ I'e JI'~" r ,i// 'f{ S", N.J /--:-J:- / - 3a. Owner Name 0... fJ.Jl.,. Owner Address: 8 ~t.... -;).:>; 3b. Owner's interest in site: iJ/t " , tff:J.;";";;-' ~ "'. ;:l;' u ~.. ~ 3c. Fee Simple TiUe holder (of other than owner) rt/ ,1- Address: .ft,../ ,9 Contractor Name: UW~ II) Jfo"F-:;? c~. Address:..(:.il.1o 0/,-( ("s~,.eAJ' t",. c c K .....c'f. ,,( /J).. ;L,(. "> Y'tt' ;) ? / 5. Surety Name: Address: A./I::J AI/}- Amount of bond: .IV r9 6. Lender Name: Address: ,..,.09- A/ /1. Contact: /V~ 7. Person within the State of Florida designated by owner upon whom notlcea or other documents may be served as provided by Section 713.13(1Xa)7, Florida Statues. Name: ,v~ Address: r-r:l 8. 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 )(b), Florida Statutes. Name: /"-""". Address: /"-" ,.,. Expiration date of Notice of Commencement (expiration date is one (1) year from date of recording unless a different date is specified). ,114-'1 BJ~/ ~ ~. Signature of Owner STATE OF FLORIDA COUNTY OF 1'4/'1) The foregoing instrument was acknowledged before me this I () ddate of 41~~ <' 1 rc "''' V fJr ~ (; ( ~ D" ~') . 199=: ,by who (lsXare) personally Print Notary's Name as identiftc8tion, who did/did not tahft,ftQ oath. ~"'\\~ C. yd""',,~ #' ~C>~ ........'!'~( ~ ~ ..~\~\SS'ON ... ~ "" ..0'" \3 ~. '"" ~ ;';1.' ~ll ~ ~.. ~ -:: .~ ~ p~.. ':: =*: tf): = -. ... .*- - . . ... ~~\ ICC759007 :~i ... ~.:tli ~ ..~- ~ ~... ...~~ ~. 0 ~ ~';-A:;"~ ..~ ~ ~:..VB/......::..()~ -# ""'I/. 4/C STAI \00 ~""" ~"'I';IIII"\\\\~ Pires Commission Number nd must be attached at the time of recordation of this Notice of Commencement)