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Home My WebLink About00-9321 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 09321 Date gf( y I CtJ Permit {"o. OP BUILDING ELEC\.,CAl PLUM~ MECH~CAl Sewer Conn Water Conn: Job Address: Parcell.D. /I Zoning: Energy Code: Description of Work 120 - rO Co (: Water Meter: T.I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. 3 ... 22-<1)cJ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # g ~ State Certified License# JIS! p~rmit~ee.50. _ _~ _-" Signature ~~ Comp Address :YTelephone# ~/7- 7Yf- l./~~6/ Valuation or Contract Price 575-~, ~ ~......eU f!.co~;r-) . 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 Insl. Compressor Final BUILDING Driveway 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKE OrnvL -&- j/OS,J'oNl ~"I'-?I.. 1';.70. - OWNER'S ADDRESS 'I {, I ~ IJ It)J".J" 111 8 Ivl. ;( r: 11 Ii /,(, , JOB ADDRESS YS-/~ -/f- ~O'-~R.. IJ/O>-J'fH'1 #I...,t! PHONE 33(,;-'1/ i7~<6"- 000/ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D. t (OBTAIN FROM PROPERTY TAX NOTICE) c..r WORK PROPOSED:_New Construction _Addition _Alteration -LRepair _Install _Sign _Hove _De.-olish -bingle . L. of Units PROPOSED USE: Faaily _H/F _H/H -~ _ec-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: R(:'IIA;~..... >~f'-//Y.. ~o(!1 I r BUILDING SIZE: x . r-J('C' 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. PERMITS REOUESTED _BUILDING $ 5>-7S~C;~ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECllAlUCAL $ Valuation of Hechanical Installation _PLUHBING GAS )( ROOFING SPECIALTY TYPE OF GONSTRUC'l'ION: _Block _Fraae _Steel Other FDlISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? ****************************************** YES NO CONTRACTOR SECTION BUTT JlER COMPANY State Cert. or Regist. t City License Registration t ****************************************** Signature ELECTRICIAN COMPANY State Cert. or Regist. , City License Registration , ****************************************** SianAture PLUHBER COMPANY State Cert. or Regist. t City License Registration . ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. f City License Registration f ~***************************************** 7 . COMPANY ){.v'{ / /j If ()c f '7 t'D State Cert. or Regist;' Rc "0).. SS"'I ~'- City License Registration # (rO * ************************************** Signature OTRRR Signature APPLlCATI PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. ' NOTICE OF DEED RESTRICTIONS The undersigned understands tbat this peIlit lay be subject to Hdeed restrictionsH wbich 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building DepaItlent, (813) 788-6611. FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the "Contractor SectionsH of this application for whicb 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 wisbes you to sign .." as contractor that laY be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN i:.AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of 'Florida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOEOne~ Other than the Howner", 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 cOll8Qcelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infoIlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas COIIenced prior to issuance of a perlit and that all work will be perfoIled to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developll!Jlt regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDlental agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: t Departlent of Environlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water{Nastewater !reatlent t Southwest Florida Water Managelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Health & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater !reatlent, Septic tanks t US EnvirODlental Protection Agency - Asbestos abatelent 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 volUleu will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. .A peIlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or VIolations of any code. Every peIlit issued shall beCOle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the penlit is suspended or abandoned for a period of six IOntha after the tile the work is cOlleDced. One 90 day utension of tt.!, lilY be allowed for the peIlit with fee cbarge of $15.00. 'fbe extension sball be requested in writing to the Building Official. An approved inspection lust be logged during eacb six IOnth period, or the project will be considered abandoned. WARNING '1'0 OWNER: YOUR FAILURE 'fa RECORD A NOl'ICE OF COMMENCEMENt' MAY RESUL'f IN YOUR PAYING 'fIIICE FOR IMPROVEMENt'S 'f0 YOUR PROPERTY. IF YOU INt'ElfD ~O OB'fAIN NG, CONSUL'f WI'fH YOUR LElfDER OR AI A'f'fORRBY BEFORB RBC O. RDING YOUR NOTICE OF COMMENCEMENt' . JOBS UNDER IN VAL NOl' NEED 'f0 RECORD AID POS'f A lfNOl'ICE C ~- ,- """".' / // ~. ,// // S'fA'fE OF FLORIDA COUN'fY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUN'fY 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) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC Wy~ ~II 11111 11111 1111111111 11111 11111 11111111 ,'I' 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 O:~'tf!'fJS MY HAN 0 OFFI AL SEAL THIS ~ OF 2t? JED TIMAt'{, CLE F CIRCUIT COURT BY DEPUTY CLERK Rcpt: 398469 DS: 0.00 03/14/00 Rec: 6.00 IT: 0.00 -------.-- Dpty CJerk ~J91~Jlll'I'1': lla~CO FOUNTY CLERK OR BK 4328 PG ~86 N space above this line for recordin& data. ENT State of Florida County of pI}- J cO 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 pro~rty (include street address, If available) 15"- :( b - ;f / - D I J tJ - (/" 91?() - 0 0 c (/ ",~/, - /B'- lO-.2.'J. iJ/OHO""l 8/,,/ ) f?/"yrJI,'lfJ, II... .1.1S-C(1 2. General desCription of improvements: /~ . r~/'c~ / tv.- I( JA,/A,..,./.e..... '" 3a. . Owner Name Ot'A.;#~ ~~o ~ s,,"" ~ ~IJC^ ~ J..$ C(.. Owner Address: '1~ J ~ 6/ () a (),..... iJ/IIJ 2. ~/)i r 11.' II . , 'tJ.. I '3 )~ 1./1 3b. Owner's interest in site: v~ --'R ..... ' \ 3c. Fee Simple TlUe holder (of other than owner) N A Address: Iv' It Contractor Name: !/rt. II J If#f-:::;;. ('D. Address:~~~OOI. ~'y/I'lc.J':> C.....~K. /'c/. ,(Q..(. JL,<. JVIJ"1 #tJ I-fi tV" ,-v'" Amount of bond: -- "9 5. Surety Name: Address: 6. Lender Name: Address: Contact: V '9 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7, Florida Statues. Name: J./4 Address: A/19 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. fVlt Name: Address: ,vi? Expiration date of Notice of Commencement (expiration date is one (1) year from date of recording unless a different date is specified). :..~ /1,.A; te;.-'/~ "J Signature of Owner STATE OF FLORIDA COUNTY OF 'if f <" ~ The foregoing instrument was acknowledged before me this I D t date of )114" < " T<J\"y fl'~f; (/,f, fJt 'It)- J' I~- 3~... ?9/- C) ,c J.., . river's Ilcense#) q Q"" . U)9:::- ,by who (Is)(are) personally Print Notary's Name as identiftcation, who did/did not take an oath. ~,\"\""11111',,1. ~,,~u..~ C. YOW~/~ ~ ~~''......... ~(<' ~ ~ ...~\SSION ei;:. ~ E _. ",<:I ~\ \~ ~ ~. "" ::: :~ 'OS ~~.. ~ .::: .~ (I). = =*: .... :*: - . . .: ~ \ 'CC759007 :~E ~~.. ~ tP. .. ~ ~:';-A~.~~..~~ ~llt8lIC.ST~1~ ~",,'i: ~"""jlll""\\\~ pires Commission Number nd must be attached at the time of recordation of this Notice of Commencement.)