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Home My WebLink About01-0551 BUILDING PERMITN2 0551 ,......- ~,. ~ ELECTCIC~---. PlUMalN6 MECHANICAL P'OpertvOwne' a ~07~' () ~ Job Address: // 9 ~ 9- /9 7:Lt :S -r . Parcell.D, # 1~-~-21-D~/D -nt"J20 0 ~OCJ.2...0 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date 9-(5"'0 ( Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: DescriDtion of Work Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector Valuation or i ~ Contract Price ~ 7 ~ ?J ~~M- IJ City License Registration # -2 7 ~ State Certified License# Address Telephone# 7 'if? - ()? 2 )- ---...." PLUM ME AL Ftr. Pre SlB Lintel FRM. Insul. CL WL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer 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 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 K-e l; ~4 () ~ c... ~ JOB ADDRESS~ L...{ l' \ i.vl.... s-+. PHONE 7~ b-{51~ IT ~ 3 s-lf6 WORK PROPSED: [JNEW CONSTRUCTION [J SIGN [JADDITION [JALTERATION ~EPAIR [J INSTALL [] MOVE o DEMOLI SH PROPOSED USE: [JSGL FAMILY DWELLING [J COMMERCIAL [JMULTI - FAMILY [J INDUSTRIAL 0# OF UNITS [] SWIMMING POOL o MOBILE HOME [] OTHER ~ DESCRIPTION OF WORK CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL ~ Q(bO~ 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. o BUILDING $ 27DD o.L PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION [] ELECTRICAL AMP SERVICE [] FLORIDA POWER [] W.R.E.C. [J PLUMBING ') 'f o ME CHAN I CAL $ [] GAS ~FING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: [J BLOCK [J FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES 0 NO BUILDER COMPAN~ STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN SIGNATURE COMPANY. STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** .... PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE SIGNATURE * * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * COMPANY. STATE CERT OR REGIST # CITY PROCESSING # MECHANICAL OTHER "'*:O::::**~;::=****~~[*~~ :' STATE CERT 0 REGIST # . 'Lt:L..,l;, t\ '-t<i( SIGNATU -' - _ CITY PROCESSING # b2]~ ***************************************************************** A. NOTICE OF DEED RESTRICTIONS -The undersigned understands that this permit may be subject to ~deed restrictionsH 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 SectionsH 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 GuideH prepared by the Florida Department of Agriculture and Consumer Affairs. ,If the applicant is someone othe~ that the ~ownerH, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the ~ownerH 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 ~AH or ~A,etc.H, it is understood that a drainage plan addressing a ~compensating volumeH 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. Everypermit 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 COMMENCEMENTH. ~~ ~~~~ SIGNATURE: E OR AGENT SIGNATURE: ON RACTOR STATE OF FLORIDA Q t?'>._ _ STATE OF FLORIDA ~ _, COUNTY OF ~ COUNTY OF ~ The foregoing instrument was acknow}edged The foregoing instrument was cknowledged ./ Beforl'Lme this II _Aay of i!-tIMJ,.J#,r>'<dfi) I Before me this -U-da of, ' ~ by--L.)Ohn le---r-r-~u{ .~__ by ~ (name of person acknowledged) ~. 0 (name of person acknowledged) ~ho is personally known to me, or 1~4' is personally known to me, or of identification) t ke an oath. and Owho has produced (type of identification) id not an ~~ o ~rRR~f~~g acknowledgment 1'6"", *~* My eolTllTlisliOl1 CC800247 "". !lr r:~.,~.rc d8fttMl~. J,-3003 Name typed, ~ inte or stamped Si of erson taking acknowledgement .."6"'", Angela L Helms *M *My Commission CC800247 Name typed, ;:'~~'t~~h"of""~"ea3m~~~ State of 11111111111111111111111111111111111I11111111111 11111 11111111 2001126890 Rcpt: S28238 Rec: 6.00 DS: 0.00 IT: 0.00 09/12/01 .. Dpty CJerk NOTICE OF COMMENCEMENT C(br; J <;:. County of y~~" () 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: 1. Description of Property, Parcel No. I1-/.. d (."_ .;J J- (,Z' I (\ - (\() ;;;f'()~ c: \~-;) [ (Legal description of the property and street address if available) 2.General Description of Improvement 3.Owner Information: Name f:,'l' l.. I\. A c;. ()he ; J Address </'11 r ( 1.tJ...",J. Ci ty 21' ~- t.,-(l'j StateFL Interest in Property: . Name of Fee Simple Titleholder: (If other than owner} JED PITT"A~ PASCO COUNTY CLERK 09/12/01 0,;,: 5,!pm 1 of 1 OR BK 471~ PG 989 ~ess City 4.Contractor: Name RYMAN CONSTRUCTION, INC.. Address 37325 SooRoo 54 woo State 5. Surety: Name Ci ty ZEPHYRHILLs StateFL 33541 City State Add::.ce~s Amount of Bond: $ r,~ ~. 6.. Lender: Name 7.Persons within the State of Florida designated by owner upon wham notices or othec documents may be served as provided by Section 713.13(1) (a) (7), Florida Statutes: Address Ci ty_ State Name Address City : Sta te 8.In addition to himself, Ownel: designates of to rec<>ive a copy of the Lienar' 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 fr~ti.t~~.date of 4e~orciing unless a different date is specified..) . . SignatUl:e of Ownel:: Sworn to and subscribe 20 (\ I Notary i'ublic, 74.JCld C1. ,. IJ . T My Commission Expires: (c~.i~ C0 l?l:i.nt Namet-&lnA (J i1~ " / day of . 'i, .~..'..,,- .wi ~ - I .. '}';'''' AnQiD'::a' ,.,_......~ ~~~My Commission CC800247 '" .".,,11' Expires January 3, 2003