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Home My WebLink About00-9961 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 09961 i2/'/00 Date 7 o. uj:! BUILDING ELE~RICAL PL~ING MEC~CAL Sewer Conn Water Conn: Property Owner: ~ E\ : ~ c..~-IL- '> S15<; 1~-6 St-> /t-.1t.'2'-Cb/o- 05'DOO- T.I.F.'s: c.. ~ c...r u-... Water Meter: Job Address: Parcell.D. # 0010 Zoning: Descriotion of Work Energy Code: fe - .roo",,- Radon Gas: FINAL /- 5'-/ DATE C.O. DATE Inspector :s~ 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. Permit Fee -- Signature Company Address Telephone# 70. a!' {~,~ -2W.tP-- Valuation or Contract Price 1/~2~.~ , City License Registration # State Certified License# <i?-,~ I f 2.... V R-..L S- BUILDING 17f Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final MECHA ICAL ELE :TRICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final 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. APPL1:CATION FOR PERMIT CIT'~ OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME r (Yf f j I 6'-,' 0t t I, (:1 J LA I (Ii ) JOB ADDRESS 5;51-55" I L/JY-i",- 'S71'"'et7j- PHONE '7yJ-/r)(;) ~- ~ ~.... , LEGAL DESCRIPTION: LOT(S) BLOCK SUBD~SION PARCEL 10 # / /-")( ~~ r')/--CI()/()- OC-XX'.Ju--..;..,ztijiTATN FROM PROPF.RTY TAX NOTICEl WORK PROPSED: DNEW CONSTRUCTION DSIGN o ADDITION DALTERATION ~REPAIR o DEMOLISH o INSTALL o MOVE PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER ~ DESCRIPTION OF WORK o RESTAURANT & HEALTH DEPARTMENT APPROVAL r~ -((-l~ BUILDING SIZE SQUARE FOOTAGE HEIGHT 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. o BUILDING $ Q)&.cf5 PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING .I o MECHANI W' $ 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 AREA 0 YES 0 NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN COMPANY. STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE SIGNATURE ***********~****************************************************** COMPANY: STATE CERT OR REGIST # CITY PROCESSING # MECHANICAL '''j *~* ~""-* ** * * * *** * * * * * * * * * * ** ** * * ** ** * *** *** * * ** * ******** *** *** *** .~ ~"0n I .~ =mR' ~~~_~,'';;'f.l-tC'~ I l/Jl~~~:'~ER ~ O~ ';;'~~T " ~~. SIGNATURE CITY PROCESSING # ***************************************************************** A: NOT~CE OF DEED RESTRICTIONS , The undersigned understands that this permit may be 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 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 permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, Qr 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 4 -d- VALUE oo_:OT NEED TO RECORD AND :~T:2..NOTICE ~CEMENT". ~TURE~ER OR AGENT -- SI&"~~CTOR STATE OF FLORID1\ /?-" /J cD STATE OF FLORIDA /7 .... ~ COUNTY OF ~~ COUNTY OF .~ The foregoing instrument w~ acknowledged The foregoing instrument wa~~~edged ~;f~e~)~iS (. ~ ~' ~~ ~;foref{./J?Ji~I---'-r!a'*i1f~iC;:::vCPO (name of person a~nOWledged) ~ (name of person aC~OWledged) ~o is personally known to me, or ~ is personally known to me, or o who has produced 0 who has produced (type (type of identification) Ddid n id not P...~;:~?lIng~iJ~ ~~ ~,\~y Commission CC800247 .,.,. ......."- EXDlres l;:anll~'Y 1. AOQI Name typed, printed or stamped of ~rsQn taking acknowledgment ,'6"'", Angela L Helms *W *My Commission CC800247 Name typed>p1i~t~c['l'o~rya~ed 111111111111 1111I 1111I III1H1111 1111I 1111I 11111 11111 1I11111r 20001!50429 State of NOTICE OF COMMENCEMENT Rn~bA- County of p~) THE UNDERSIGNED hereby gives notice that improvement will be made to certain. real property,. and in accordance with Chapter 713,. Florida Statues,. the following information is provided in this Notice of Commencement: l~Description of Property: Parcel No~ //-:l./p _ ~ -00(0 . oSOO? -60/0 (Legal description of the property and street address if available} 2 . General Description of Improvement Ir..e. - rc) tifJ c 0/1 . _~ J 3.Owner Information: Name3-/-. (117CJ)::;J-P71j LL{ ru ) Addres~J)g....55'" /0'"0 ~~ f- CitY"?PRuurjt.Jh StateFL3aJt.f 0 . t Interest in Property: - Name of Fee Simple Titleholder: (If other than owner} Rcpl: 458471 DS: 0.00 12/01/00 Rec: 6.00 IT: 0.00 Dpty Clerk R Address City 4.Contractor: Name RYMAN CONSTRUCTION, INC. State Address 37325 S.R. 54 w. City ZEPHYRHILLS StateFL 33541 5.Surety: Name Address City State Amount of Bond: $ JED PITT"AN~ PASCO COUNTY CLERk 12/01/00 0~:32pm 1 of 1 OR Bk 4491 PG 376 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 (I) (a) (7) I Florida Statutes: Name Address City State 8.In addition to himself,. Owner designates of to receive a copy of the Lienor's Notice as provided in section 713.13(1} (b}, Florida Statutes. 9.Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified~ ) ~ Signatw:e of Sworn to and 2 Due) Notary Public: v'Jnc:~ Ie.. tJ My Commission Expires: ~~~;f N~5;J1 :~ UJ~ "~ OJ ~ b. Mel",s ,1rnission CC800247 ..'6' Angela l Helms ':; January 3. 2003 *~ *My Commission CCSOO247 ---"" ....l'. Expires January 3. 2003 STATE OF Fi_ORIDA COUr-JTY OF P/:..SCO i ::s 'f; TO CERTlF" l' ~\T rHE FOREGOING IS A TRUE MJL' ,;CH'iECT COD\ :" !,iE DOCUMENT ON FILE OR [:,' !Oi,,:;, ;-;:CO~L' . n',,; r)>=F!CE~NESS MY H:', 1'1. D ~; Ci ,C I H.::: :r H 1-:' -.L.!!:.- DAY 0 F -.... ~.tu-,_..._. ,m.-. JED PITTMAN CIEF-li( ,jf CiRCiJIT COUfn BY ,~~..~_.DEPUTYCLERK