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Home My WebLink About01-0828 BUILDING PERMITN~ 0828 Property Owner: Job Address: Parcel I. D. # CITY OF ZEPHYRHILLS (813)~):;LO 1RtJ - t) EL~ PLU~.. M~ ~O~~ {l~. Permit Date /~-/:2-DI , €~ Sewer Conn Water Conn: Water Meter: T.LF:s: Zoning; DescriPtion of Work 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 CJ Valuation or //,. A.-ZD ' ~ Contract Price ~"~__ City License Registration # ::< 7~ Certified License# p~'m;~ r ~na~ ~ ~ ompany Address 02- c/:J~ E J!Ll.:Jl\'ilCING MECIIAf41CAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Canst. 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. ~mY~JO)J,c:&E~" BUILDING"bl'Ai~ . PATE: RECEIVED PLANS REVZEW FEE JOB ADDRESS OWNER'S' NAME LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # J] -d.-7-dl-6a"fft- -oOml\- .'&/0 PHONE WORK PROPSED: []NEW CONSTRUCTION oSIGN (ORTATN FROM PROPF.RTY TAX NOTTCF.\ o ADDITION OALTERATION [] REPAIR o INSTALL [] MOVE o DEMOLI SH PROPOSED USE: []SGL FAMILY DWELLING [] COMMERCIAL []MULTI-FAMILY o INDUSTRIAL 0# OF UNITS [] SWIMMING POOL [] MOBILE HOME q OTHER ~ DESCRIPTION OF WORK BUILDING SIZE HE+GHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SET~ OF BUILDING P~S & (1) SEr ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEy REQUIRED FOR ALL NEW CONSTRUCTION. [] BUILDING [] ELECTRICAL [] PLUMBING [] MECHANICAL $ [] GAS ~OFING [] SPECIALTy $ PERMITS REQUESTED q S- 7~ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE [] FLORIDA POWER [] W,R,E,C,. VALUATION OF MECHANCIAL INSTALLATION [] OTHER TYPE OF CONSTRUCTION: [] BLOCK [] FRAME [] STEEL o OTHER 1,. FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[] YES [] NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRJ:C:IAN SIGNATURE COMPANY. STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHAN:rCAL COMPANY STATE CERT OR REGIST # SIGNATURE CITY PROCESSING # ~t:.-.,Q ~.. ........... ...........~................... ................ . , OTHER ~ t{J~~~~:~~ER~,~/~;f~~~~ SIGNATURE. CITY PROCESSING # ~ '7~ ... ***********.******************************************************* ***************************************************************** 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 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 licens~d 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 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 ~pepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatexnent 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". ~~ STATE OF FLORIDA ~ ~ - \ COUNTY OF ~~~ The foregoing instrument wa~ckno~~ged Befor~ me this .....1.1..-d,ay of IJL../".L--<... ,~~/ by ~otob,~ ~ lr9 (name of person acknowledged) ~ho is personally known to me, or STATE OF FLORIDA /J COUNTY OF !/ fL? 6f) The foregoing instrument was acknowledged Befo-H me~his-LL day of ""f)U~b1Rri ham I by-O()bu)~ ~ ,fiZ,Q (name of person acknowledged) ~o is personally known to me, or of identification) ake an oath. Dwho has produced (type of identification) d not Sig of rS~I~~~g acknowledgment ..' 6"'", Ange a *jj[*My Commission CCB00247 ~~.f IiKfitAl8 JIR\la~ 2. 2001 Name typed, p'fJ.nted or stamped per~9.n Atakinq ackno gement ..' 6...,,,, ngeJa L f1elms ~~~MY CommiSSion CCB00247 Name typed, pri~\:'ed E:~~""'s"!W~~~3 State of f4:..l'F; 1\(9 1111111111111111I1111111111111111111111111 111111111111111111 2001172365 NOTICE OF COMMENCEMEN~ l County of ,+-1 ~~ J <;"-= THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property~ and in accordance with Chapter 713~ Florida Statues~ the fOllowing informat.ion is provided in this Notice of Commencement: 1. Description of Property: Parcel No. '35.- (J. 5- d / ~ 00:5 If _ OOCD0-/(g () (Legal description of the property and street address if available) 2.General Description of Improvement~ ~ 3.Owner Information: Address Interest in Property: - Name of Fee Simple Titleholder: (If other than owner) Rcpl: 550062 DS: 0.00 12/12/01 _ __ _ Rec: 6.00 IT: 0.00 Dpty Clerk ~ Address City 4.Contractor: Name RYMAN CONSTRUCTION, INC. --:, R Address 37325 S.R. 54 W. State City ZEPHYRHILLS StateFL 33541 5.Surety: Name Address City State Amount of Bond: $ JED PITT"ANft PASCO COUNTY CLERK 12/12/01 00:46am 1 of 1 OR BK 4798 PG 1424 6. Lender: Name Address City State 7.Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7) I Florida Statutes: Name Address City State a.In addition to himself~ Owner designates of to receive a copy 0 f the Lienor I 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 . g',lorn to and 200 } Print N---& I/I/./I1 day of ~~[1f:;~ Notary P~liC: ~~qllk! My Commission Expires: . ..~~,,~ Angela l Helms j' ~ ~Mv Commission CC800247 \. .: .,.,~' F 'plres January 3. 2003