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Home My WebLink About01-0679 BUILDING PERMIT~~ 0679 CITY OF ZEPHYRHILLS (813) 788-6611 Permit 2.)-~ BUILDING Date 10,,1 S- -Ot ELEC~CAL PL\MBING MEC~NICAL Sewer Conn Water Conn: Property Owner: C. , ~"" O-"\f' Job Address: "1 r "Ie &,t I Parcell.D,# ~S--2f-21... 0010- L:j&.<ors,. "7/1<', (SIt/d- o & 'OC). Dot."JO Water Meter: T.I.F.'s: Zoning: Energy Code: DescriPtion of Work f::' ~'7 e S-+C r('. ~ 0'\ .} Radon Gas: tjlc.s~ Q.~o. 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# Permit Fee y. Signat Company Address ;<. Telephone# .:3S-2 -l:J'6 7- 7992- Valuation or Contract Price 2000. ~ BUILDING ')~) ELECT ICAL PLUMBING MEC ANICAL Ftr, Pre SLB 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 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 FEi; OWNER'S NAME-CJ eOMOr) e.. L I' ~U Cd'S l:[n ~_ I JOB ADDRESS~a W~ ~G\.ll is lvd 2e.ph\/lhi . I PHONE '5?" I :.l- '7 &S--~Y!:1Lj ')ls\ rLA,335 /' I y . LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.0 1# 35 85" ~ I 001 D O'6~OOa..JCO(OBTAINFROM PROPERTY TAX NOTICEl .' WORK PROPSED: ONEW CONS'!'RUC'!'ION o ADDn'ION ~RATION I o REPAIR o INSTALL OSIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING ~ERCIAL OMULTI-FAMILY o INDUSTRIAL Off OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER BUILDING SIZE CJ RESTAURANT. HEAL'f11 DEPARTMENT APPRiVAL .Q4~ .-<1~ r ,,-.sf- 3 h.OEl ()~ , SQUARE 'FOOTAGE HEIGHT DESCRIPTION OF WORK RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMs. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~LDING PERMITS REQUESTED ~. $ ~(J) VALUATION OF 'l'OTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R,E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECIIl\NCIAL INSTALLATION o GAS 0 ROOFING 0 SPECIALTY TYPE OF CONS'fRUCTION: ~K o OTHER o FIU\ME o STEEL G--<:ffHER ~ ,FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO COMPANY STl\'!'E CERT OR R CITY PROCESSING ****************************************************************** ELECTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST 1# CITY PROCESSING 1# ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST 1# CITY PROCESSING 1# SIGNATURE MECHANICAL ***********.******************************************************* COMPANY STATE CERT OR REGIST 1# CITY PROCESSING 1# SIGNATURE ***************************************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST 1# CITY PROCESSING ff ***************************************************************** .. CUIJDJ'l'.LUHS OF l'EHMl'l' AVFIL'^Vl'l' A., NOT;I:CE OF DEED RESTRICTIONS The undersigned understands that this permit may be subje,ct 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 RESPONSIBILI'l'IE:S If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed In accordance wilh slale 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 lic,ensed 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 conunencement. 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 compl~ance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as inqicated. I certify that no work or installation has conunenced 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 peDmit issued shall become invalid unless the work authorized by such permit is conunenced 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 conunenced. 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 '1'0 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 COMMEN EM T. JOBS UNDER $2,500 IN VALUE DO NO'r NEED '1'0 RECORD AND POS'!' A "NOTICE OF COMMENC NT SIGNATURE: OWNER OR AGENT acknowledged , 19_ GNATURE: CONTRACTOR S'l'ATE OF FLORID~o.. c:::... QjJ COUN'l'Y OF ....;:> The foregoing instrument was ~bknOwledged Before J this ~..Ja\1 Of~;h or- , ~.x.rI by P rorY'\. . n (' ~. (name of person acknowledged) pho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by . (name of person acknowledged) Owho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) ~id not take an oath o who has produced (type and whoD did Odid not Name typed, printed or stamped acknowledgment Signature of person taking acknowledgement , DOO~6IR EXPlIES NJG 01 2005 IIONIlED neouatt JII NlJR,t,NCIl aJNIIIH'( .. """" Rec ~i\/ed Oct-18-01 01 :20pm ~ from 964~7 3 ... S OCT-19-01 12:29 AM Ab d~i. 96407e3 I .e.,,,jg,LJo. 200 11JJ5AM ~lRMC. ~~~~!E~~.~ .. 9181:5%J2S~ __. _.. . .. NO 480 I Np. 2~ PJ.c>~C:O ~'~OO~ ~~ . ;~~: jj~"- -I r7 J.o~ATt.~1; ,~ 7:~ !:l"J- -, - " page 2 P.02 . ~ 'I ~ ~ . , . ~ ~ 1 ~ c ~ ~ t: ~i '; ~ % t1 ......... ~ ...... 00 ':::t- '-'. ~ 1 w~u.. MATe'" ---- ., C1".,f.." 'ToM _ . tt.O fliTS NOT&:. . Receiv.d Ti.. Jul ,19~ !1:42AM Re~eived Oct-18-01 01:20pm from 9640783 4 S page 2 OCT-19-01 ~2:29 AM Abdo.eho.'~~I. 9640783 P.02 .. I ,.,;jY,LJo, 200/1;. t 35A~ ~RMC. ~~~~!E~~.~~ .. 91S13%J25~ n. ~.. . .' NO 480 I Np. 2~ W4 . . P'-O~~O INDO~ ~ANWe. p Fl I .~"- \I ~ M ,1(~ ~- ~ ~ t: I %: t1 ~ II eo ~ ~ ~.. ~rY:' ~ ~ ~ :,.. F .1 l 1 w ~ &.I. f'W\ATe". ----- WI' 'ToM 'tt.Or-aTt NOT'E. · , Received Tiu Jul.19;. 1I:42AM