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Home My WebLink About00-9620 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 09620 ~ \ 20 Date 1J-1.Af-oo BUILDING PLU~G_ P,"perty Owne, J~~ Job Address' 10 <?J I 5 ~ - , Parcel 1.0. #. Cl t. - G. - - t!) - 0 0 t!> - 00 I CJ 4{4S.bo MECHrl Sewer Conn Water Conn: ELECTRICAL Water Meter: T.I.F.'s: Zon;ng' ~Code' Radon Ga" Description of Work fL.._ ;:;~ /-/0 -0/ cp ~/~"i.-" .4,!I7~?flL . (95 NO OCCUPANCY BEFORE C.O. ~ bn d. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. City License Registration # State Certified License# Inspector Permit Fee ~ ~ Signature .,/ ~ V'\^... ~ \-. Company (2~ 6~ Address Telephone# ~\ '1 r).g <.) /~L~ Valuation or J-I Contract Price -l=f IO)C)~ C PLUMBING MECHANICAL Ftr. 1-zg~{).zL Pre SLB ~/ t'Z.-e:Jtp -M Lintel .;;:~ I <jJ.OIJ S-R... -- FRM. /2-13~o;s re.. Insul. CL WL SLB t:tJ-Ift5Jd k Tub Set Water Sewer Final Driveway ~ I'-I-OD'IC.. Tp. Servo Rough In 02-1.$-0" .s ~ Meter Can Const. Pole Pool , Pre-Meter V/ - / ()-I 'E? I? Final r~~/?-li-O; !/L Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 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. Russell Brown 4745 Silver Circle Zephyrhills, FL35541 10-18-2000 Zephyrhills Building Dept. I request a license change on building permit # 9618,9619 and 9620 from Dennis Tryznadellicense # ER 0607888 to Russell M Brown license # ER 0010551. r#.2 C}/p Sincerelyyollfs ~ru.~ Russell M Brown RUSSELL BROWN GARAGE DAIRY RD. SQ. FEET PRICE MAIN OR LIVING AREA $ 40.00 OTHER AREA UNDER ROOF 672 $ 15.00 OTHER VALUATION $ 10,080.00 FEE SHEET $ 80.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 120.00 CREDIT: $ - BUILDING LESS CREDIT: $ 120.00 ELECTRICAL: $ 45.60 PLUMBING: MECHANICAL: RADON: $ 6.72 TOTAL $ 172.32 SEWER: $ - WATER: $ - IRRIGATION: $ - TOTAL: $ - I I I I WATER METER:I $ IRRIGATION METER $ SUB-TOTAL $ 172.32 I TIF'S'r 99% $ 1% $ : I TOTAL: $ 172.32 I ,.--:- ../ bi;11 '8'~.5' \),,~,,/ Rd. ') ~ APPLICATION FOR PERNI CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ~ OWNER'S NAME -.J u O.SO ~ +-lli\ 0 iA JOB ADDRESS ~~ }J,'/1~ \..'\ \ (' r \' \ 2,\4 Ct'-GTT PHONE 7t5PHYflH IL.L-S: '7 s.~,~ Z J :S ~ r=L. "5 3. ~4-o LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 ## O'L- 71... -2..\-aOlo - O'7~DO- OD\ 0 IOBTAIN FROM PROPERTY TAX NOTICE' WORK PROPSED: ~EW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL DSIGN o DEMOLISH o MOVE PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL o RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK Du. PL tel< BUILDING SIZE . ~''f- 'K 7 ~' '8'" RESIDENTIAL: COMMERCIAL: UVBUILDING u( ELECTRICAL a' PLUMBING n;r"MECHANICAL o GAS I3"ROOFING DaMULTI-FAMILY o INDUSTRIAL ~ OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER SQUARE FOOTAGE:Z 13'8/::<' I~ . , HEIGHT .~. €9 L=14~'.$ 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 $ ~'{ 000 :;loO VALUATION OF TOTAL CONSTRUCTION (9/ FLORIDA POWER AMP SERVICE o W.R.E.C. $ 570{) VALUA1'ION OF MECIIANCIAL INSTALLATION o SPECIALTY o OTHER TYPE OF CONSTRUCTION: ~LOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS BUl:LDBR SIGNATURE IS PROJECT g;yNo Q~ VI1. <?,~ COMPANY ,~U g" c;.,6LL- .1Vt ~12 ~ STA'fE CERT OR REGIST 1# c..&:- 'ZO 4th t, CITY PROCESSING 1# 'L" t:f 3. D 1<- ....................................................~....~... "'1 COMPANY.!) e lilt/} ,"5 t ~ Ul~ -e,.-( --.J STATE CERT OR REGIST It {)({)l) "7 f?;g>J? CITY PROCESSING ## 32"8 . ~ D . BLBCTRICI PLtJH8BR _CHARI OTHBR SIGNATURE ***************************************************** COMPANY::S: M \4" I c:6 STATE CERT OR REGIST 1# r<. t- 00:$ ( b q.. 0 CITY PROCESSING 1# Q.. O~ *********** ******************************'~******~******~*****t* COMPANy-R1 N $,='1 CL-::: NT(? ~L .. STATE CERT OR REGIST ## DoS4-IL CITY mfESSING 1# i ~ 2- .. , * * * * *.**. *. *.' '* * * * * * * * * * * * * * ** * * * * * * * * * L1:ffIA\t; ~***t~t-;-r~~_..... " 4. ; lfP1 COMPANY STATE CERT OR REGIST 1# CITY PROCESSING ## ****************************************************~************ ,,: CONDITIONS OF PERMIT AFFIDAVIT A. ~OTICEOF DEED RESTRICTIONS . The undersigned understands that this permit may be subject to "deed restriction$" 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 contaC?t the City of Zephyrhills Building Department, 813-788-6611. 1 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 privil~ges 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 SOIneone other that the "owner", I cerify that I have obtairied 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 compl~ance 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 register",d 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 per.mit 1 issued shall become invalid unless the work authorized by such permit is commenced within' si~ 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 ~~ M. c:g~ SIGNATURE: CONTRACTOR acknowledged , 19_ STATE OF FLORIDA COUNTY OF The foregoing in~ent w Bp.fore this ~y f byS PeL? L() STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this ---r-- day of by owl edged , ,~a:tt> of identification) take an oath. (name of person acknowledged) [1ho is personally known to me, or ~hO has produced~.A U..UiOAA ~ (~ (type of identification) and who Ddid ~d not take an oath gment (name of person acknowledged) Dwho is personally known to me, or o who h~s produced (type and whoD did Ddid not Signature of person taking acknowledgement Name typed, printed or stamped ''':':'''1 Clerep.n M Brunly Na"'~~VIrnp&ldJ8t_ser stamped \~'.'.. .~. E<pres ,June 15 2002. ""f."'"" Clereen M Brunty " ,,- . i' ~tf*MY Comml88lon CC1..... '.;.~,,~ Expires June 16, 2002