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Home My WebLink About01-0193 BUILDING PERMITN~ 0193 Property Owner: CITY OF ZEPHYRHILLS (813) . _ _t.1- /f~O - OOc:LO .---..- ' P~- Permit -0- Q1',;) Date ~-~ () -Z) I BUILDING M~~.NfCAL~~--~~ewer Conn Water Conn: .s: 7b Zoning: DescriPtion of Work FINAL C.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, DATE Inspector City License Registration # State Certified License# ~~/5-- ~ ~~ - --- Company Address ~ep-h~/ -tfOtJ- X'/ t7 ~ ~ 7? .2 Valuation or -1 ~ }Z (( a.sL- Contract Price /0' 10 At Ftr, 3-'c...7-i01 9/C. Pre SLB 3 - 22. --0 I S R.-. Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway ~ lj-tq-()t Src REINSPECTION FEES: When extra inspection tri~s 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 fa~lty construction. c. Repairs or corrections not made w en inspection called. d. Work not ready for inspection whe 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. I CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 Phone:813-780-0020 Fax:813-780-0021 DATE RECEIVED PLANS REVIEW FEE L@ LEGAL DESCRIPTION: LOT(S) 34 SDtJA A t> f _ 7 PHONE CONTACT 7 ~ :z - +- J J 10 OWNER'S NAME -:r: h tV ~ ~ AM Ii' t IV JOB SITE ADDRESS ..3 q 0'2 U r0; Nt h SUBDIVISIONYi (IJj 1; Wj':;, AJd;-t,\oAJ (OBTAIN FROM PROPERTY TAX NOTICE) BLOCK PARCEL ID # IZ2lP 21 o UJ.- 0 007 tJO 0:3 1 l WORK PROPSED: }(NEW CONSTRUCTION OSIGN o ADDITION o ALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI - FAMILY 0# OF UNITS o SWIMMING POOL o MOBILE HOME o COMMERCIAL o INDUSTRIAL o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~QNstR'lC+ ~e:1Mhd GMlije X 2. 4- SQUARE FOOTAGE 5 71a ~4 HEIGHT 2 2.J Al\~ & (1) SE1 ENERGY FORMS. FORMS. 12. \ ovt.I~t-lll ----- BUILDING SIZE RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED J!/ BUILDING o ELECTRICAL $ \3 ~to~~:E l VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK I)( FRAME , FINISHED FLOOR ELEVATIONS /p A I5livt ~~.:)C\e o STEEL o OTHER IS PROJECT IN FLOOD ZONE AREAP{ YES ,&10 87 o NO SIGNATURE COMPANY Yf'lA,te ~ C-CAPfljt $ i cL('~ STATE CERT OR REGIST # ~. K C.- 0 S 7 D ~ 'if CITY PROCESSING # 2~/~ BUILDER ********************************************** 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 ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restrictions" whlch 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, theapplicant~ 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. Protect.ion Agency-Asbestos abat-ement: 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 OBTAI.N FINAN~NSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, ~O:S~I DER $2,500 IN VALUE DO N~T NEED TO RECORD AND POST,~~NOTICE OF COMMENCEM~T". ~~ ~ d- -rn LA}-/ ,XI../! U SIGNATU~~R OR AGENT CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument wa~\,fcknowledged Before me thisl24h day of --1.llfl \< C \ , 7UlQl by JohN ~u) A (name of person acknowledged) ~~hO is personally known to me, or Dwho has produced ~ (type ~f-identification) '-7[10. ~ not(~a an oath. ~atuce ~f pe~50n takin acknowledgement ~~S Ii-. L'-1eAh~ Name typed, printed ~amped 0)', Ross A Grohfll1g . '~.\ MY COMMISSION # CC960753 EXPIRES . : . August 13, 2004 ii.... IlOlIOIOTHltUTROYFAlNMURANtf.1NC. ~\K STATE OF FLORIDA COUNTY OF The foregoing instrument wa~1ackn~Wledged Before me this ~day of. 11 rr: , 19 c),oo{ by 1<655 G-ra j, Ir;;t \ (nam~ of person ack ledged) ~hO is personally known to me, or o who has produced (type of id~~~~_~~ion) ,i.,{-'id not t..w.\~ MD~t'll~ ~ T ........ ~ ( # .':.~~\SSION I:~~.. ~ _ <<t'......,..-A. ~ )0\1< Name I. " &. \\J3.fv>1 (; I M1~-r1iJL. CY#~ l~lL') 6/LS ~OL..D i\\Ll\\r~ Av. sa. FEET PRJCS ' " . MAIN OR LMNG AD':.. $ OTHER.AREA UNDER RGoF $ ,... C~) 5"7b /)~ ~ER VALUAnoN $ , I BUILD_ $ Cr715~ CREDIT: $ Ai/tq . ELECTRICAl.; $ ,J!tr- ^,f rH PW"_ '$ tJ/~ ~ $ JJ/Y1 i S-7b RADQ~ $ 5. }~: i S 1i"Yt. ~ T IF'll :1, ;J I ^ I --G~lf7L , 1j, I () 3, ::.-~ -~ NOTICE Or- COMMENCEMENT STATE OF FlORIOA0.AS 1 COUNTY OF . --f;" C 0 55: 111111111111111111111111111111111111111111111111111111111111 2001030773 The undersigned, II Owner. notllln III plrtln thlt Improvemenu will be mllde to certeln reel property, and In accordarice with Section 713.13, Florid, Stltut", the fallowlnlJ Information II stated In thll Notice of Commencement: OftCflptlon of Property:, " l' I j '"TJu. .5' I S ~ -::tk, IV 3~ 010' ~ LJ ~ ~ .34,~ ( ~ ~t>U~2/ ~ )'10 f~d_~2~,' ~ ~ \~.vI -+' ~ _~,~'V,)-~- 0" ':;;'''o:z 0 ~ A-u-e, ~ I '::l..R. 335""40 ;' Ownerllnterest In the property dncrlbed I' ~/ ~ R~ Contrectan end ContrKtor'.lIddr..: 'MASTER GARAGE BUILDERS 9 7010 U.S, HWY. 98 NORTH ./' '1 LAKELAND. FL 33809 (941) 853-8535 Surety (If Inyl and SurltV'. Iddna: 1-800-810-8782 Repl: 480944 DS: 0.00 03/12/01 Ree: 6.00 IT: 0.00 Dpty Clerk Owner end Owner'. Iddretl: a" Amount of Band: S -'3, g i:,i - JED PITTMANi PASCO COUNTY CLERK 03/12/01 1 :36am 1 of 1 OR BK 4555 PG 1259 Nlme Ind IddrlSl of lender, If Iny, mlklng I lain for construction of thelmprovlmentl: '1\1-/ A Nlme of person within thl Stlt. of Florldl deslgn.ted by Owner upon wham natlcn or other documenu mlY b. ..rved: ftJ/ A In Iddhton. Owner dellgnlte. th. following plrsan to recelv. I copy 0' the Lienor', Notice II provided In Section 713.13. Florld" Slltutes: 'N/A /~~ / ' o~nJ SO~1'l I ~M"-~ l AU. f< Q..0 SO u.L..1l STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY TH~.T THE FOREG01~~ ~~L~ 1~u6t~~&l?~~i~~~gPI~ fHi~~~W~~ESS MY HAND AND OFFIC\AL SEAL THIS, DAY OF fYl/H? 2Q52.f JED PI M . CLERK OF CIA IT COURT , OEPUTY CLERK BY ...:.~..... :i ~.~~./I~,\ OSS A Grohling f*r~~:"i MVC I CC960753 EXPIRES ~'~j1l ust 13, 2004 ?~;;.;,,;,~., IlOHDlD lIOYfAIHIN.""~ INC. '''1,,\'' ~..