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Home My WebLink About01-0643 BUILDING PERMIT N~ 0643 CITY OF ZEPHYRHILLS (813) 788-6611 Permit "-s s. ~ Jo _/6--0( Date BUILDING ELE\TRICAL PLU~ING Property Owner: ._~4"JO I f k I ~I{ Job Address: ~ is " , 2 AI~" c.. Av~ . ParceII.D.# S~-]S,1\. oo~A- 00000- 09,0 MECH\NICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Description of Work Energy Code: ((,~. (.;>\9.(: Radon Gas: 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 City License Registration # State Certified License# Permit Fee Signature Company Address Telephone# Inspector Valuation or Contract Price 3000. o.!!- ,[;;,.,....... '" ( ;e')" S t- I 1 BUILDING J7! ELEC RICAL PLUMBI ~G MEC~ ANICAL Ftr. Tp. Servo SLB Breakers Pre SLB Rough In \ Tub Set Ducts Insl. Lintel Meter Can \ Water Compressor FRM. Canst. Pole Sewer \ Final \ Insul. CL WL Pool Pre-Meter Final \ l \ I \ 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 PElUUT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME PHONE JOB ADDRESS e- (OBTATN FROM ':!:!:: ~6X NOTICEl LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # 36. <&.~'02\. 00571 t CCCt"J,r). 09l) WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION ~PAIR o INSTALL o SIGN o MOVE 0 DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER ~ DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL R~ ~~ 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 o ELECTRICAL PERMITS REQUESTED $ c~f')~ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C. q PLUMBING ,,/ o MECHANICAL $ o GAS firBoOFING 0 SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** "'" PLtnmER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE SIGNATURE ***********~****************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # MECHANICAL ~**~********************************************************* OTH&R~ COMPANY ~~~~ '. , , STATE CERT REGIST # if" t -- SIGNATURE . . . . . CITY PROCESSING # ~ _ ***************************************************************** A. NOTICE 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 contl:actor 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 othe~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". ,~~ _-d.r>Jj,:~~. SIGNATURE: R OR AGENT SIG~T~OR STATE OF FLORIDJl(J /:.l,/)/'Y ~ STATE OF FLORIDA /) '-;---...., COUNTY OF /L~~ COUNTY OF I/~,,,,,--> The foregoing instrument was acknoWled?:d~(r)1 The foregoing ins,rument ,wa~~aCknO~ged~rY~/ BeforMe this..l...i:Z=- day of O('.ftj:lt?r;" ~ Before me this -'Lday oB::M , 1'9...~ by-L...!)0h )1(.~( J-( ~ by i?J?'\bh) L-..jp{lJ__ ~ (name of person acknowledged) ,~~ (name of person acknowledged) L~who is personally known to me, or ~o is personally known to me, or o who Sign person taking acknowledgment "~':~';"'" Angela l HeImI * ' ... My Commission CC8OO247 Name typed;",~ 'l~gJ~'!!Iry~ed re of pe n taking acknowledgement 11"" ~.".. Angela l Helms ~ * ~y CommiSSIon Cca00247 Name typed, prin ettPI~!-J"B~ 11II11I11I11 II111 111111111111111 I1I1I 11I11 1111I11111 11111111 2001142416 State of NOTICE 1=lOV' ~d ~ Rcpt: 535588 DS: 0.00 OF COMMENCEMENT 10/12/01 County of ~~~Cr) Rec: 6.00 IT: 0.00 Dpty Clerk THE UNDERSIGNED hereby gives notice that improvement will be to cer:tain r:eal pr:oper:ty,. and in. accor:dance with Cbapter: Florida St,atues,. the fOllowing information is provid(!d in Notice of Commencement: made 713,. this '7 l.DescriptioIl of Property: Parcel No. 35' ~ ?L(2fQA ()~ . , - C'A7() (Legal description of the property and street address 1f ava1lable} 2.General Description of Improvement~~ ~~~ 3.Owner InfoI1llation: Name &~Rc,-,^ Jo l.p~ Address ?) <0(<<\ C'" Alpha. Rve. City~ StateFL Interest in Property: . Name of Fee Simple Titleholder: (If other than owner} i~91~~nMArt : rt:;o fOUN~Yf C1ERK OR BK 4745 PG 843 n Addr:ess City 1i"4f.eontractor: Name RYMAN CONSTRUCTION, INC. Address 37325 S.R. 54 W. City ZEPHYRHILLS Stat(~ 5.Surety: Name StateFL 33541 Address City Sta tE Amount of Bond: $ 6. Lender: Name Address City State 7.Persons within the State of Florida designated by owner upon whom notices 01:: oth.el:: documents may be ser:ved as Pr:ovided by Section 713.13 (1) (a) (7), Florida Statutes: Name Address City State 8.In. addition. to himself,. Owner: designates of to r:eceive 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 from the date of recording unless a different date is specified.) ~- ..---~- Signature of Owner :)C .e, . R. . .p tmlfffJ-v Print Name'<" /2" R. f?~ AJdo It>/; ~I to. and Sub" S, =ibed bef~e m, thi~ {~J~ day of Oew tel 9;::-': NotarYPubliC:.;r~Q ~~_ _ ~ _ My Commission Expltes: ""6---. AngelaLHelms ,('~.'\1IY C.UlnlnISSlOIl 1,;1,;1IUl/247 ~....., ....~.. c.....jllres January 3, 2003 ;1.:- !'