HomeMy WebLinkAbout01-0729
BUILDING PERMIT N~
0728
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date
II -1'--0 /
BUilDING E~Al Pl~
Property Owner: -Rabll;y:r STOru"
Job Address: 3 9 '1'0 'j 9 ~ J4 Vc. .
~ICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning:
Description of Work
~ Energy Code:
~~ - ~F
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
City License Registration ,
State Certified License#
Permit Fee
,1eignature
Company
Address
)f8'ephone#
Valuation or
Contract Price
;)../ 2 &---iJ
fj~
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
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 Ins!.
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.
I Robert Storer, owner of the property located at 39409 9th Avenue,
Zephyrhills, Florida, 33540, give permission to Manny Funes of Century 21
Bill Nye Realty, to pick up the Pasco County Building Permit, which will
give me the authority to "te off the old Shingles and put on the new" for
my house.
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Address ,.....,
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, Date
,-Notary Information. _ '. / (i :; ij) D!'l" ,(1;1 )t.)t1Jg"ju~
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PAULA M. PRESToN'
COMMISSION'D0055IU
EXPIRES NOV 05 2005
IlONDED HOUc:lff
ADVANT.\GE NOrAI'I
- '.. (_.,-~-:~:.~~e:r::.." V'n
CNNER-nUIJ.m:R AFFInhVIT
STATE OF FLORIDA )
COUNTY OF PASCO )
'.
D1~FORl: me, the undersigned authority, personnlly Appeared
;<Pbe;?! :;:'!tfJ/UrL
. who being by me first duly sworn, under oath, deposes and staLes
tl S follow 5 :
I do hereby swenr/affirm:
ThilL I own the property descJ:ibed ns
Ze-JJtzvr /11 ( I~ , /:"L
fir'
~9yof
355:';0
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,
A~,rue:
Disclosure Statement
Stllt.P. 1m.' n>r}lJi rAS confitruction to l).~ don~ by li.censed contn,ctors. YOll hnve ilPplied
for 0 permit under on exempt.ion to the IIJw.
The exemption allows you, AS the owner of
your property., Lo Ilct liS your own contr.actor even though you do not hnvc Il 1 iCr:\nse, YOIJ
mllst supp.rvisc the construction yourself.
(omi.ly residence or Il form outbuilding.
building ~L 11 cost of $25,000.00 or less.
You may build .or improve a one-family or two-
You r.IIlY also build or improve a commercial
Th~ building must be. for your own use and
occupanc.y.
It may not bo built for sale or lease.
If you sell or lease a building you
have built yourself ~ithin one year after the construction is complete, the law will pre-
sume that you built it for sale or lease. which is a violation of this exemption. You mllY
not hire 011 unlicensed p~rson as your contractor. It is your responsibility to mllke sure
that people employed by you have licenses required by Stote law and by County or municipal
licensing ordinances.
Any person working on your building who is not licensed must work
under Y0ur supcrvis.ion Ilnd must be employed by you, which means that you must deduct
F. I.C.A, Hnd withholding tllX and provide Workers' CCl1pensation for that employee, all as
pr~scribed by Lw,
Your construction must comply with all applicable lows, ordinances,
building c':>des. flnd ;o.cnir:g reg:JlcJtjOl~;;.
FURTJ~ER AFF J ANT SA YETH NOT.
liabilities
That I hnvc l'end the fore.~oi.l1g, and nm lIh'nre 0[ my r
[or COl1struction work on the above-described
lIgrec to each of the
aforesaid stipul nLilil1S.
,II
Ow r's Signature
q- C;'-fl1 ~
Address
J ~ I? L; f h I / 1:-. r: t 33.s-Y/J
'-q- 'j/-C}f--C/
Date
SWORN to and subscribed before me
this C dov of /V{L~-<-
J- J
2012- /"'
(~-1)!~
Notary Public
Sta~\of Floridll ~t Lorge
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C J-?! () l fj }.{. (;r02 ~ "/0 AJ
Print, Type, or Stamp Commissioned
Name of Notary Public
My Commission Expires:
I1PU1Uc
8>>nQl1'
Fll:ll'lltW
~AULA M. PRfSTON
~, DD05SIU
~s NOV 0.5 _
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., ......;.. .,~ '.,......,
Personally Known
or Produced Identification
,., ,
YJ;~I 'P<Z res J..-) C f! uSe.
)..
-.
'.
Type of Identification
PC93053047/A