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Home My WebLink About00-9579 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 09579 $5 ~~E~~ANI~ Date Io-~~-oo Sewer Conn Water Conn: Water Meter: T.I.F.'s: DescriPtion of Work L3j)V;:~e: Radon /~ /7/ Zoning: FINAL 8--1J.{-o DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinances. c.o. Inspector DATE v2 Permit Fee ~~.,.n _ ",,' _.~--........ ~ natur Company City License Registration # I~:l- Address "- State Certified license# ~) ~L~ ~~~RI~~;d"e;~ Valuation or Contract Price '13.000 - 7 J?,2. ;2:-S tKJ ~ 1- ,_. .~.~ ~ - - F~AN~) Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.00) 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. _~,"~,"'~""'~'~'~~"'"~'f"""f.l'."M""'1!"l!'~'~".' ..~='""~"~'''1 ~;"'c:' '., ~~;}" "~),':" /},;i~"-'-:::: ! ,Klnsey_C~ntral .,;--r/~~,. - . j Heat & Air-Conditioning ----:?.- P.O. Box 2209- ...,' Zephyrhills, Florida 33539-2209 (813) 782-2300 L \ c I IPIOE ~:: /,--C -;1 ".,.DATEOfOllllER ~,..,';; /.':7' ,;-. _ /-, "'"j?'l - >-1,',-0" . DATE PIKJIIISEll .--. /' C; "7J ~--:~-/ ~r;.,J ." -' ,'" W---T I? ,.0'" .A') olDIlllElIS " /f -I- APAR1MEIIT - /(:' ..~;;? , '-- .<A'-:'~A..i ---I-.. ..- - . -~{ _'.f' .'t'-~ , CITY .- ::r IIIIIlE T- \-- ErtSTlMATE NATURE OF ~ 0 CASH SERVICE REQUEST 0 CHARGE QUAN. PART NO. DESCRIPTION PRICE AMOUNT ! ~- ,~..-' ..- -"", .?<:;.~..-/~-:~ --.,.... / ~. ~/...., -' ""....../ .' ,- ""'. h..." ....-; , - i / ./'",: ..- ,~k..r .. I : . I I . : I ! -. I &ElMCE PERFOR~_ .' ~ lUIlII. ! .; ~ 1M18ML .. .' .-V .. t.- .. -- : ./ , , ~ -_.~ 'r-- -. IEIMCE ... .......-"2.- '.. . - I - .' -, -. . .. ! ..' TAl 7'-' ..."r DATE COIII'lE1ID I CASH ::m-~ -, TOTAL - ...;,1 ,~ ',~; ~ '-' ., TECHNICIAN CUSTOMER'S SIGNATURE , , ! f ~ \ ! I APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BtJJ:LDING DEPARTMENT DATB RECEIVED PLANS REVIEW I'EE OWNER'S NAME ~ .~ 0- 70 S-AJ ;-- d Q.,o- r6? !) / ;ItA A.; VI ~cS-tow PHONE '7Re,~ 6'<;5 '3 JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # c '3 -"A -~/- ()(.;:)r1 ~ {){)()~s: ($~ (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: []NEW CONSTRUCTION o ADDITION OALTERATION o DEMOLI SH o REPAIR o INSTALL o SIGN o MOVE PROPOSED USE: OSGL FAMILY DWELLING [] COMMERCIAL OMULTI-FAMILY [] INDUSTRIAL 0# OF UNITS o SWIMMING POOL OMOBILE HOME o OTHER BUILDING SIZE o RESTAURANT & HEALTH DEPARTMENT APPROVAL t< J.- 7 .".. ~ SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK 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 REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION [] ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ 2~t 00 VALUATION OF MECHANCIAL INSTALLATION o OTHER o GAS [] ROOFING o SPECIALTY TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[] YES 0 NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN SIGNATURE ".. ('~. /.~ ( Ic:'z- j,?~-Ll) COMPANY fi?, c ;. ,4 .-t. fJ C've.//,<.J .v -1~ Ec.c<.,//(' t' C STATE CERT OR REGIST # CITY PROCESSING # tJ 77... ****************************************************************** PLUYBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE OTHER **********~*********************************~**********~***~~ , COMPANY ,.Q,.J N ~::.,/ ~. - /'/"':./) //' STATE CERT OR RE 1ST # t' //2:---v, / ( ~ - CITY PROCESSING # I' g ,;l... -..'" ( . / ..../.7*** * ****"", ***** ** ** * * *** * * * ** **** * ** * * **** ** ** ** * * * * * ** ****** *** \_/ COMPANY STATE CERT OR REGIST # CITY PROCESSING # MBCRAHICAL SIGNATURE SIGNATURE ***************************************************************** CONDITIONS OF ~ERMIT AFFIDAVI~ A. NQTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject 1:0 "deed restrictions'" which may be more restrictive than City regulat:ions. 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 regulation:3. 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 contrac.tor 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 cont.~actor, 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 Zephyrh.ills. 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 penm1t 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:~~~EED ,TO RECORD AND POST A?~~~ URE: OWN~ OR AGENT SIG~: CONT~CTOR / /~ ( ST~ OF FLORIDA {Q<5'UNTY OF The foregoing instrument was acknowledged Before me this -----pay of 19 by (name of person acknowledged) C1ho is personally known to me, or TAT OF FLORIDA CO NTY OF The foregoing instrument was Before me this _ day of by acknowledged 19_ (name of person acknowledged) Owho is personally known to me, or of identification) take an oath. D who has produced (type of identification) and who Odid [}lid not take an oath o who has produced (type and whoD did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped 111111111111 1111I11111 1111I1111I11111111111111111111 1I11IIII 2000079594 NOTICE OF COMMENCEMENT State of P( County of ?~C{') THE lmDERSIGNED 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. 03'-:2-1,-)./-/))20 -tJ{J()tJ~-- J3j-{) ,. street address ~f ava~lable) 2. General Description of ;2 -i /fAJ Improvement ~C- Rcpl: 423188 DS: 0.00 06/26/00 Rec: 6.00 IT: 0.00 Dpty Clerk Name of Fee Simple Titleholder: (If other th~n owner) Owner Information: Name ~'/]/f n/V S.-Q t-dOv Address t ~ 0'7 fI (uvJ,~ -) <h</ .7tity ~";o /., 14 Interest in Property: t? c...uh9Y ~/~ / City' State F( 3. Address State Address i) ~ 4. Contractor: Name 5. Surety: Name Address City State ~i~2~~~~"Ar2 : ft:~O fOUNToYf CL"ERK OR BK 4391 PG 1621 Amount of Bond: 6. Lender: Name Address City State 7. Persons 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 Statutes: f/ Name ~d::: /:~...f /&:,Jl r- #7 C Address' <;"') '5/ Q If,~ kiZ ~ty 2-rAl/,i,-/f.J / ( In addition to himself, Owner designates State F/ J ?S-ycJ 8. 9. of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Exp.lrnt...i.on date or Notice or Commencement. (the fr?m the date of recording unless a different expiration date is 1 year date is specified. \ <tw> LL. ~ . en i't ~ 0 ffi t;z~ ~ d ~~~ ~ ~ ~:J . U Cl ,,",Ou::, ~~r ~~~;:~~ ~ ~ '!' l- Ic-.J U -- <:( U ...A-. LL. ~ - LJ... O()~;:;~ Cl -cn~o..._rn a:<eliOC_J o (L LU (..Hr 4: ...J <..H-gu u.. u.. o::rl LU -- .- a: a:: :t ~C\,~ Signature of Owner: .~ 4--~..-,r Sworn to this a day of ~()OO Notary Public: My Commission Expires: . :; MY COMMISSION' CC936026 EXPIIlE&O >- ~ 8 ~ 0 . ~ May 14, 2004 w!2 i!= ~ ~ ~ <(0 ~02 t-C/) () c:; a: < ~ Cl :J: PC93053048