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HomeMy WebLinkAbout01-0250 BUILDING PERMITt42 . 0250 CITY OF ZEPHYRHILLS (813) 788-6611 Permit ...., _ "v .t ~ . -,..- BUILDING Date --.i II 'lOt ELECT~CAL PLU~ING MECHANt~AL Sewer Conn Property Owner: L'-'\Jc... f1#G..+e S Job Address: ~ I. 3<) oS-, Parcel I. D. # f 2 - Jb - :} ,- 0 0 q 0 - 0000 ()- Water Conn: q~ 00-' 0 Av€l Water Meter: T .I.F.'s: Zoning: DescriDtion of Work Energy Code: 9 I pA () .{ b r.l. Radon Gas: CJ-.c.',. L. '^ Ie Fence NO OCCUPANCY BEFORE C.O. FINAL C.O. ~/'i'...-cJ ( DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector DATE .::5'1C Valuation or Contract Price 1017. 0" Permit Fee ".' Signature Company Address - Telephone# "2 s". ~ ~'/A.-~ City License Registration # State Certified License# R,'1 7 Y ~ '-021...'7 L;4~dc. Fe~u G.. BUILDING ELECTRld AL PLUMBING MECHM ICAL , , Ftr. Tp. Servo SLB Breakers Pre SLB Rough In Tub Set Ducts Ins!. \ Lintel Meter Can Water Compressor FRM. Const. Pole Sewer Final Insul. CL Pool Final WL Pre-Meter \ Final Driveway \ REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME ?-I ..v IJIi .39c.s, )' J"V1 0 A Icz..,~ <?7A Au ~ PHONE /) R:2.. - r:P 1.J.~ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) I L-- 2b ~ 21- OOC?o - Oo~o ' 0070 BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION [J REPAIR [J INSTALL [J SIGN [JMOVE [J DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI-FAMILY [J# OF UNITS [J MOBILE HOME [J COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL [J OTHER I c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK BUILDING SIZE SQUARE FOOTAGE 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. [J BUILDING $ oC /O/?- PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION [J ELECTRICAL AMP SERVICE [J FLORIDA POWER [J W.R.E.C. [J PLUMBING [J MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [J GAS [J ROOFING [J SPECIALTY [J OTHER TYPE OF CONSTRUCTION: [J BLOCK [J FRAME [J STEEL [J OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES [J 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 MECHANICAL **********~******************************************************* COMPANY: STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** SIGNATURE r7"..uc-'L. ~~~ f COMPANY L-/ A.A..JOt4 H'--vc ~ CO STATE CERT OR REGIST # CITY PROCESSING # ?-1J'f-, OTHER ***************************************************************** CONDITIONS O~ PERM!T AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS ,The ul'ldersigned understands that this permit may be subject to "deed restrictions" wnich 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 contract~ 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, 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT ~-rzr-~ ./ SIGNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or o who has produced (type and whoO did Odid not of identification) take an oath. ( Owho has produced ,(/,If,tV'rFl '-"c-7^>S,~ (type of identification) and who Odid Diid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped 1- I..J... ~ - ~{ ~ VL7f11 ilu C \ 6;:'( l' { tt0~ + i(C.:( 'J 6r-:r />0' <.. LA-- rt {).." . ( , (.... fA A., I--' '- t' I- t..- 'f ~f1 ,. ,A. .L (\ VC,-(1.S ~t\~- - ,( V"'-,- .parcel Information for: 122621 0090000000070 Card: 001 Page ! of I Welcome: ,'(ecord Search: Parcel Search Search Again ~how MCiQ Generalized Building Schematic Calculate Taxes See Ta~J::ollector Information - Current/Delinquent Taxes I ParcellD " 122621 0090000000070 (Card: 1 of 1) I I Classification " 01 - SINGLE FAMILY , Mailing Address Assessment (totals) MOATES JERRY H JR & LINDA Ag Land - 39059 9TH AVE Land $9,014 ZEPHYRHILLS, FL 335404417 Building $46,532 Physical Address Extra Features $1,304 390579 TH AV ZEPHYRHILLS, FL 33540 Total Assessment $56,850 l..f:!a~LD~scriptiorl (First 4 Lines) Save Our Homes $48,404 HEATHER WOOD PB 24 PG 117 Homestead - $25,000 LOT 7 Taxable Value $23,404 OR 1754 PG 1968 I I Land Detail (Card: 1 of 1) I Line " Use II Description " Zoning I Units " Type II Price " Cond II Value I I 01 " 0100 I SFR " - 00R2 16,934.0011 SF II 1.30 " 1,00 Ir $9,014 Additional Land Information ~cres 11 0.16 II Tax Area " 3QZH " Fema Code 100 Res Code llZ:ljl,GLp2 Building Information - Year Built 1988 USE SINGLE FAMILY (Card: 1 of 1) Ext Wall 1 CB Stucco Ext Wall 2 None Roof Str Gable or Hip RoofCov Asphalt or Composition Shingle Int Wall 1 Drywall Int Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted AC Central Baths 2.00 Line Description I Sq. Feet II Rep!. Cost New I 1 BAS I 1,341 " $47,471/ 2 FOP I 252 " $1,7701 3 FGR I 375 " $5,3101 Extra Features (Card: 1 of 1) Line I Description II Year II Units II Value I 1 DWC 1988 714 $856 2 : CLFENCE 1989 - 640 I $4481 Sales History Previous Owner MOATES JERRY H & SHIRLEY N Year Month Book / Page Type I Amount , 1988 I 10 I 1754/1968 - WD - 1988 I 03 I 1690 / 0088 WD $11,000 I 1986 " 08 /I 1530/1694 I WD - Search Again ~1'19-"",Jv1aQ ~~Il~@li~..<:t~uilgj[lfLfu::h~rllC!tic Calculate_T~~~~ See Tax Collector Information - GurrenUpelinquentTaxes http://appraiser.pascogov.com/searchlparcel.asp?Sec= 12&Twn=26&Rng=21 &Sbb=0090&J... 4/16/2001