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Home My WebLink About00-9434 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 09434 Dote !1i .Jg /00 2~ !S. t'2 BUILDING )~1.1o.j ELECTRICAL PLU~ING 970. ptJ MECHANICAL Sewer Conn Water Conn: Property Owner: _perr ~ er (;,-o"'"p Job Address: 4sJo 2o-b S~ jl""er,', Co. Water Meter: T.I.F:s: Parcell.D. # Zoning: Descriotion of Work Energy Code: ~4-er~ cr {le....n v~--l:o"'" Radon Gas: ..for blo~ IAcl" NO OCCUPANCY BEFORE C.O. FINAL C.O. 'i?-- ~ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector (C City License Registration # State Certified License# Permit Fe _ Signature Company Address _ Telephone# I e~, .6qr.s7tftJO.s- T4/11/,? .?.l6fl l?/...5 -9bfj--/<3~7 Valuation or Contract Price s 7~ . 000 , 3 \..I. p. (t, 'h BUILDING ELECTRICAL b'2 PL MBING MECHANICAL Ftr. Tp. Servo Pre SLB Rough In . I Lintel S'~2-0al;a,p Meter Can ~ <;)/') ~ FRM. 5-II!b-o<J] 6l/c' Const. Pole o Insul. CL Pool ~ WL 5-/"-l>tJ~ Pre-Meter ~ -5 -17 -(;fC-' " . Final S o,qveway f~~. ~ ,,~r-~ '5-1-00 2.e 5-36-00 ~R ~ 5-9, ~d> ~ JL S-~-l!)~ ~~ .::s 5"-30 -00 K .s ___ t " -l't) ) Ie.. 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: SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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. /2fdz~ ~i?1) ;I%iE (Jft/~R!,\/ 'j u ; IA .( Oil/ if r: Is. Ole _tv t- ,S I/CJII/S g- /J - 9u;Jf~ /-s dilP f!tf.. '?) 3 . ;<(p ~5-" CJ 7..3 t/ OWNER'S NAME /)Ek/(/[!c' (~tJO/J' Il//JE/?/'c# JOB ADDRESS ~.ssC dC}1" ~ifEEf .:z~jYRh;& / FA APPLICATION FOR PERMIT CITY OF ZEPHYRRILLS BUILDING DEPARTMENT --:\ ~~., '. /-1- .&;- /,', .::'\ DATE RECEIVED I - ">' - (./ U P...... RZVID ~rjj, .OJ]. ..j,/()(J PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: ONEW CONSTRUCTION o ADDITION o SIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING ~MMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER BUILDING SIZE D RESTAURANT & HEALTH DEPARTMENT APPROVAL WORKt ~1It"7/l.e~ ~ o..Cc.<J7rlt4ti" ~~~;Mu~~~ ' - ~~K SQUARE FOOTAGE //1300 HEIGHT / . DESCRIPTION OF RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~UILDING //// 0" ELECTRICAL o PLUMBING ..--.. ~CHANICAL $ S7SJtJC) 0 ; VALUATION OF FLORIDA POWER o W.R.E.C. PERMITS REQUESTED AMP SERVICE 0 $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO !:!~: . jl:!~~ ; mnLDBR '~ a~ i\ )' / STATE CERT OR REGIST # ..,C:' SIGNATURE' 1nn~ CITY PROCESSING ij If II V *************~************************************************ ELECTRICIAN SIGNATURE ~~A": ~ COMPANY~fd-k, STATE CERT REGIST # CITY PROCESSING # /61.- v . ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE YBCHAHICAL SIGNATURE p<f~o ****************************************************************** . COMPANy-J. w. """-' I l..-4;:)<<::;;- I-'(~-A-,.J tc:..A-'-J STATE CERT OR REGIST #CI"'\C.OS'81~ CITY PROCESSING # J '--i ~ V lIVe. . ~~~J?_ ~ ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may b.~ 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~~ork will be performed to meet standards of all laws regulating construction, City cod~~oning regulations, and land development regulations in the jurisdiction. I also certif~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.,SJch agencies include but are not limited to: *Department of Environmental Regul\lion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, WateDJWastewater 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 Y UR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO~~ NEED TO RECORD AND P A "NOTI OF COMMENCEMENT". ~ j t!! AGENT SIGNATURE: Om(ER OR AGENT STATE OF FLORIDA ~ COUNTY OF U Oc 5C!..() The foregoing instrument was acknowledged :~fore m~1J~-.f ;)aY/!tlji; y , ~ f2.p _ ~ame of person acknowledged) ~o is personally known to me, or STATE OF FLORIDA DfiSLO COUNTY OF /.1 The foregoing instrument was Before me this _ day of by acknowledged , 19_ (name of person acknowledged) Dwho is personally known to me, or of identification) take an oath. o who has produced ~~.. (type of identification) an.d~did . ,><,<'~ take an oath ~ ~-' \2' Q-f~ ~e of person taking acknowledgment o who has produced (type and whoD did Ddid not Signature of person taking acknowledgement Name typed, printed or stamped PERRIER GROUP 4330 - 20TH STREET SQ. FEET PRICE MAIN OR LIVING AREA $ 40,00 OTHER AREA UNDER ROOF $ 15.00 OTHER VALUATION $ 575,000,00 FEE SHEET $ 1,822.00 ADDRESS DRIVEWAY BUILDING: $ 2,733.00 CREDIT: $ 100.00 BUILDING LESS CREDIT: $ 2,633,00 ELECTRICAL: $ 192,74 PLUMBING: MECHANICAL: $ 970.00 RADON: $ - TOTAL $ 3,795.74 I SEWERI $ WATER: $ TOTAL: $ - I 3/4" WATER METER:I $ . f T IF'S :1 $ 99% $ 1% $ TOTAL: ~V '---9 '- ~"\J-"'" ,?\.,~. ' ~'''' \':) , . ,.~/. ,,,/\. \ '- ~t,~~(x.:i"n~ ' P~lIM {erZ,:;,-..;,') 4~ '~0 ZeH..'~-f (- iN\. Wi LL 1''\'''' ~ (01'41((.'\.. -r.,.;"" ' SQ. FEET PRICE MAIN OR LIVING AREA . . OTHER AREA UNDER ROOF OTHER 4/;~ 12A)~( if ALu"1it;~ 57'5~, uDO BUILDING: ELECTRICAL: ~ f~ · '1 L( PLUMBING: ,J I,n,. tit -u.~ ";) MECHANICAL: ?,' 7 0 o:,C RADON: JJ!?r CREDIT: _ /00. t. 0 SEWER: N lit- WATER: 1 TOTAL: J. I T.IPsl NIl' I 'l . "....., . .~.... ~ . -.-...................-- - ------- '- - R ~~;:t;'o~lorid. } ........ IN _PLMlaU' ~~~~~~~~l~llIlIIlIIllIlIIllllIIlml WIUIII ~II The undersigned hereby Inlorm. .11 concerned that Improvement. wlli be m.de to cerealn r..1 propeny. and In .ceo,..n with _ctlon 713.13 01 the ,Iorld. St.tut... the following Informetlon I. .tated In thl. NOTICE OF COMMIlNI!EMENT. Oa.cription o' property.. .Z.~'~~.&"\.~S... >r.~!~ k. .W~. .~~.v~J!8X:~U{~." ~Nf........... ....:Y .M~ ~ r-:,J.:..~ .I1..?-.t;;.. .~.t.. 9~J.C?.. 07196.... 0.0 ~.()......, Rcpl: 409598 Rec: 6.00 os: 0.00 IT: 0.00 04/28/00 Dpty Clerk . . . . . . . . . . . . . . ~ . . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...' . . . . . . . .. . . . . . . . . . . . . . . . ------~-- Gener.1 descrlotlon 01 Improvement. . ~~~,. .~~~rf. \~~J.\.C;>~.~ ,:.~. . .J~~ ~~~. .~"~l:.~. .~~ j~~}~~~. Owner .1~"~\~j?_ .G.~~.. t?r.. A~~~~~A........... ................ ....... .......... ...... ..... .... ... ..... .... 7n 'J~,~ tvrNAM A~E. bJt'U.\JW\C,\\ CT. ()(,&36 Addre.s ....... ". . ...... ........... . .. .. . . . . . . . . , . . - ,-. . . . . , . , . . . . . . . . ' . . . . J. . . . . . . '.-' .. ~ .. ., - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Own.r's in.er.st in site of the improvement . .h~.~.~~.~J.:.". P~~~:T.. ~~~~.c." ~~~... ~~M..................... Fee Simple Title holder (if other than owned JEO PITTMAN PASCO COUNTY CLERK '")) l\. K 1.) l'IT 'C JJ E. 04/28/00 10: 58am 1 of 1 Name .........I:\~i__""' .~~~.<.7..r:l-.~........~N.'.&.l..~..~....... OR BK 4356 PG 1793 Address . ..'15.'3.~. '.. :?:p'. .~r~. ..,.. .ZtP.)\~~\:\-',,*S.., ..fL....... .~~~4D.. ..... '" ... ... ................... ContraCtor .] .:..r:J\.~_ )}H-=~~.~~~...... ....*'....................................................... ....................... Addr.ss . ..eQ~.~.~~...J. ca~.<&1 :.,... T~ ~~~)t:: L.....~.3_619-.C6 z.~. .............................. Surety Cil anyl ........................,......,..................................,............................................ Address .., _. , '. . . . ....... ..... ... ... . , . . . .. . . . .. ... .. . . , . .....:. . ... . . . . . . .. ... . . . ... . . .. ... :Amount 01 bond S .... .. .. .. ., Any p~rson making a loan 'or the construction 01 the improvement.: Name .",................................................................,................................................... Address ..,.......................,....................................................:..................................... Person within the State 0' Florida de.ignated by ownar upon whom notices or other documents may be served: Name" ,.::DA.~,.,A...K r~~.~. ,j.'Eld'!.l-!t. ,J;.~&\~~{?..... ....... ............ ... ........ ................. Address .433.P 2.0 ~ S:T.'r ...~rny.h\\~~ ;EL~_.J3~4D............................ ......... In addition to himself. owner designates the followlnh 'person 10 receive a copy of the Lienor's Nolie. as provided in See: 713.13 (1) (hi. Florida St.tutes. (Fill In .t Owner's option'. R\JT\-\ <:nLL. ) E. ~\:("v"'\"E. As!. a SloTA NT ::::~+ij.~. :_i.~~,~:<jr-:.. i.;~~ ~1J.!-~~1h:.. jJi~...............;-. ~;.A?t'"'''''''''''''' THIS SPACE FOR R.CORO....S USI O-'L Y :J) ~ ~,' /~. . . . . . . . . :'. . owne~E ~ Sworn 10 and subscribed before me this. . . . . ~~."'~~~:'f. . .A~ 1.11. 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 OFFIC.;..~J~ MY , AND OHI L SEAL ~ C-ffAy OF JE M NJ CL ' 0 'IRCUIT COURT . B ~~~C~RK ....tfl..':::.......y of a~.... . .;)1,.. ... .. . ... ...........~ ...... ,-~. .~.......... Notary Public 'W....~~.. Ruth L Gill ~f E7 MYCOMMlSSION# CC911597 EXPIRES 1 ...... April 13, 2004 'Rr..rt. 1lOH00D THIlU TROY FJlJN INSURANCE INC