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Home My WebLink About01-0156 BUILDING PERMITN~ 0156 - CITY OF ZEPHYRHILLS (813) 788.6611 1!l..SU ~~ Permit ./ ~:'-::::.J ~ Date $-:2-D I ,; M~AL ~%- ~~- (i)d. . Aadon Ga" ~ _h~~ Q- ~ ti:'l~ T.I.F.'s: Property Owner: Job Address: Parcel 1. D. # Zoning: DescriPtion of Work Energy Code: ~~ ~laIa._ NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or Contract Price ~ /0.000 . , f City License Registration # ~q ~ .~ State Certified License# . . BUILDING ELE TRICAL PLUMBING Tp. Serv. Rough In /../- 3 - I!J ) S' ~ Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Jj-3- 0 ( .s:~ Water Sewer Final Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. .it ...g-t:J I S ~ Insul. CL WL 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 PBmaT CITY 01' ZBPHYRHILLS BUILDING DBPAR'J.'MBNT z/Zg/o f DATI: UCIIZVBD' . PLANS IUlVIBW I'BB PASCO PERMIT SERVICE 813-788-5314 OWNER'S NAME /J! 1(-1 In 12~ r'AR, (C ~v;7Tc- PHONE JOB ADDRESS .3'1 ri. D . ... Oil '3 t"1A-LffC-H I TE DR.. -- - -- ~--- -~ -- -- . LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION E f11ertdd Po,,~f- PARCEL ID # .J?tj-.;24,-.;l./-OO;).O-O&6J&O- f);)&O WORK PROPSED: ONEW CONSTRUCTION . ADDITION {OBTAIN FROM PROPERTY TAX NOTTCE\ o ALTERAT ION o REPAIR o INSTALL o SIGN PROPOSED USE: ~GL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DRESTAUAANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK .F ~ c- R ,. <~,t-:j f2 C' r' m -r f?J If r~ ' BUILDING SIZE I;? X ;J, 7 SQUARE FOOTAGE 3;;?t./ HEIGHT 7'-fp"h> 8" 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. PERMITS REQUESTED M BUILDING I~O&O, t70 VALUATION OF TOTAL CONSTRUCTION $ ti ELECTRICAL AMP SERVICE 0 FLORIDA POWER D W.R~E.C. df PLUMBING D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION , , D GAS D ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK D FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO 1 \, ill!!II!I!!i!I!I!lml~ill~!i!II\!I:llllllllmmmmmmmmmmmmmmmm~m!!ll;!!lm :~I!I!I!!!il\ilj~W!!:!il\!!I!!immm!lm:l:mmmmmmmmm!ili!11ilimmmm!i!!1 BUILDBR SIGNATURE ?1!L-~ (~~ COMPANY rYl,'ke. w/I//ams. (Jbnsfruc.J-,on..., STATE CERT OR REGIST # CITY PROCESSING # 3~~ ****************~************************************************* ~t SIGNATURE f :tC~J ~/~f COMP.N1YI:c.. h~ll{) (,,~;U~:>*LL peEl:-- TRr e- STATE CERT OR REGIST # CITY PROCESSING # 670C . ****************************************************************** SIGNATURE ~~/ . COMPANY D -< 4) J.J; ~ ""- ~~ ~ STATE CERT OR REGIST # b\J~JI.1 ,J-Y"\. CITY PROCESSING # Ll W.r II ; A- m ~ oo97~S- , 17_ P PLUMBD. SIGNATURE ***********.******************************************************* COMPANY. STATE CERT OR REGIST # CITY PROCESSING # HBCBABICAL ***************************************************************** OTRBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE **************************-************************************** CONDITIONS OF PERM!T AFF~DAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that t;his permit may bl! sub:lect to "deed restrictions" which may be more restrictive than City regulations. Thl! undl!rsigned assumes responsibi~ity for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILI'rU:S If the owner has hired a contracte..r or contractors to \1I1der1:ake 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 contract'~r 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 cont,ractors, 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 .:ontractor, 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 t~e Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become ipva~id unless the work authorized by such permit is comrnencedwithin 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 LEND&I\ OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMBHCBMBHT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ) // Y '(I (:: 0-1..-1::..,,- ~... ~"7- SIGNATURE: WNER OR AGENT /# (./ D ~ ~ . ,~ t/~if!~~t--1 SIGNATURE: CONTRACTOR STATE OF FLORIDA Pt COUNTY OF a.S<:!.-O The foregoing instrument was acknowledged Before me this ..2ikJ..day of rehrwu:; , -,c;uxJ/ by t=arle.. J: Le..avr'H- (name of person acknowledged) Dwho is personally known to me, or ~ has produced I~ J2v~ (type of identification) [Jdid no take an oath. STATE OF FLORIDA . ~ LC-t) COUNTY OF CE.-../ The foregoing instrument waseZcknowledged . Before me this ~a'i of n rt.<aIY , -,c2<<J/ by Et1..rle. J Lea v/'1T _/' (name of person acknowledged) ~ho is personally known to me, or o who has produced (type of identification) and ~id not take an oath of person taking acknowledgement S person taking acknowledgment Suzanne B Name typed, prt~\ ,"W," E~~~o~;,7ig~r ";,l'Di"f:.~," b:l,lDW THRU '111"'\\' ATLANTiC l-i(..')I-JOlNG co., INC Name typed, printed or stamped ",-;~t~i:", Suzanne Bahr ;{$.- tb':~;'':. (omr;1C;!On # C( 790817 ~;;}A);~ NeV.: 5, 2002 "}~''''''\.<1K.,~ L/:"H',[f) THRU ,.,,~q~ ,\",,, ATLAN~IIC gON~.\,NG co., INC. '. " ~l \ t J;{i- w lLLt ~S ~)TfUY.-11;)N J4Z D ~1Tti- JJ{l. ru~ SQ. FEET PRICE " . ". IlIAIN OR UVlNG .A._A $ OTHER AREA UNDER ROOF $ OTHER VALUATION $ 10f OtJO BUILDING: $ /05. u <;:) CREDIT: $ /J/f1 ELECTRICAL; $ ~O..~~ PWIIBING: "$ JfZ/'?C MECHANICAl.: $ fJjPf '3 L --f [X.R. RADON $ 3.2---'1 I TIF'S:ls f\l{rr Ui;TA-L 1J, 2I1J , 7<1 I EMERALD POINT RV RESORT EXISTING SHED A M E T H Y S T EXISTING CARPORT 12 x 27 PROPOSED ROOM ADD:IT:IOH W/ BATH W A Y 5H ~~"'i~ NO CHANGE 12 x 27 u f--r JM..tN~~ NO . CHANGE LOT: 0260 EXISTING PARK MODEL 3420 MALACHITE DR. ::Hf ROOM AOmTlOH I.ItDER EXISTING CARPORT EXISTING 3" COMPOSITE PAI'EL. ROOF ~ B~ E3E3 E3 E VINYL .=::. _ - o SIDINO Sn:>E ELEVATION EXISTING SLAB 8' 1'-6" PARK MODEL FRONT ELEV A nON PROPOSAL /JJ. jlc" (0,' / /; /} ins Co /J0'/1((J,:.T, t>n X/tic='. 7~ VI T;.~;sl9 J:>~. ,-:> J,/' /1 F.. i 3 "3"';'Yc c::. - fi- 11..5 1'\, I' No. Date Sheet No. Proposal Submitted To: Name ;1/1? y. /h1?.5 r": AI? {e. A r-,.,/,'//__ Street .;W;} tI m fI- /... C. ~\ ; 1<: .p 12 I City 2 - ;.1//(5 r I .LtJr- 0;;'60 State r- ^- . Phone Work To Be Performed At: Street 3 f!) D /Jl t1 1.<:. h, T:- p,<J. City 7. f/.//5 State FA.. Date of Plans Architect We hereby propose to furnish the materials and perform the labor necessary for the completion of ,'> !(OC' ;1'/1 ;= A c /~ .\1 A C.),' 7"'1 r? crv' f-} J:> (' (: Ie 0F97h (( 0(') rn ~id ('c' I~ .." ~.x ( 57;' ;t-;J (20r.' F .191... /.;. L~; )1//,S F ../'~",,\<::j II t'" ;2xy 1\-1/ ;::'/U5t.rll47,'c,v - 05(3 /3cAdJ V'J~ ," ! j f ~ ._ ..:) ,. c . AJ . L/!_.~z.7 Sit f"".7 ~o<:,}( ;;<.J ~ " d (:' c...J I ~ f'd 'r Co Cb d(C. All material is guaranteed to be as specified. and the above specifications submitted for above work and completed work to be performed in accordance with the drawings and in a substantial workmanlike manner for the sum of Dollars ($ /.('~ t1 oC>~ I. / with payments to be made as follows: Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an lextra charge over and above the estimate. All agreements contongent upon strikes, accidents or delays beyond our control Owner to carry fire, tornado and other necessary Insurance upon above work Work men's Compensation and Public Liability Insurance on above work to be taken out by .~.~ ~~O""",, ~_ __=_~>-=."''''''' .-.-~_ .,_...'-<--~~ _, ~ ~_~~~~ Respectfully submitted ';::'//1/ ~.V_ /) '. #:1/ //C.c>r<J....p ('L. ~ Cr{-:.'''.>4~ Per Note- This proposal may be withdrawn by us if not accepted within days. ~. ."'""'.. ......,<- ~ ..., -~~~ -=-=--"'~-~""'~"" (The above jJrlC;es, 5F<::clficatlons and conditions ar' Payment will be made as outlined above. ACCEPTANCE OF PROPOSAL satisfactory and are hereby accepted. You are authorized to do the work as Signature ~ fj_ ::t:-~ -<"-------"--- -- p-~ Date Signature TOPS 9 FORM 3850 ORIGINAL LITHO IN USA (j) :c m o IV q I ...... ...... \ \ \ .,~)- ~"--, m r m o -I ;;:J (5 J> r "'tJ r- ~ " \ \ \ ; 6-} dol 4'3 ~ ^ ~ o m .. ~ n ...~$ V ...h ~ 3 3' -, J :'j .~ .~ J: II:) ~ ~ :J ~ ~ r.:t. ..... ~ o ;1 J ~ ~~ ,~ ~ c ~ ~ ~ ~ ~ ~ c S L ~ €- ~ i , -~tt.~b ~t~ Vi.. J _ _ "r: ~., :;~.i.'- .- . . .. _.'!~J 11, ~~~!G n/~'JT j', _' ~ '_