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Home My WebLink About01-0842 BUILDING PERMIT~~ 0842 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date /,J -/L(- 0 ( BU~G ELECTRICAL PLU~ MEC~L Sewer Conn Water Conn: Property Owner: 5T Jos e-ph's ('c;f-hhc, e1twch Job Address: 3%{o40 +tAl/V 3~(g5cj -S'f'> fJVe... Water Meter: T .I.F.'s: Parcell.D, # Zoning: Energy Code: Radon Gas: Descriotion of Work '])\5('. l? ~ S<V(v I (l...()I"lI1(.ch~ +-0 1-40f) Iq ~ S-a.r-v. ~ ri!;~~~rl~ :I~~Lc5a0 NO OCCUPANCY BEFORE C.O. FINAL C.O. -,t7:;L DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector RL. Valuation or /0 I Q 0.-0 . ~ Contract Price _ t -1...Q.! City License Registration # :;J 31] State Certified License# :~~ 0-0 \("Permit Fee .>:Signature.... kaJ~ Company ~~ ~~1;' Address 39111~;;' ~ ~ yelephone# 173- 782-- 3vtt I1rT/i ~ Efee. Ftr. Pre SLB Lintel FRM. Insul. CL WL ELECTRICAL SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Met,r Final V 1-"1-0;). j!<..y , 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 00/1 00 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 DA.TE RECEIVED PLANS REVIEW FEE OWNER'S NAME S T ~ 0 oS (:;- P /) '5 [;;/-l /J-/UkI41(~ PHONE ?X ;) -c2x 1.3 JOB l\DDRESS 38~t.J1J t-JvtCA. 38'G.~-,", Sflt flv~ 2~~t"h,i6_ FI'I <335-'10 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # 11:2&, , :2-/ 00/ () /700 () O{)<~TATN FROM PROPERTY TAX NOTICEl WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR ~NSTALL Os I GN o MOVE 0 DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING WMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER c=J REST1~JRN~T & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK]ill '6 tr1~+e".. 5ell)j~t's / C~ -Q /-~~PI9,~ ~ ~ BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: CONJ.1ERCIAL: 11.TTACH (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. PERMITS REQUESTED o BUILDING cYELECTRICAL $ ---.!iL~ AMP SERVICE _ VALUATION OF TOTAL CONSTRUCTION ~FLORIDA POWER o .Jr ,-,..J W.R.E.C. /tJ/ <iN'/) , o PLUI-1BING o MECHANICAL <: .,. VALUATION OF MECHANCIAL INSTALLI:\TION o GAS Cl ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINI SHED FLOOR ELEVATIONS [~ PROJECT IN FLOOD ZONE AREAO YES o NO CQ:N'r~C'l!QR.:SEC~IQN BUILDER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PRQCESSING # ****************************************************************** ELECTRICI~~ SIGNATURE~)'J1.. bd~ COMPANY ALu.; ~.u:#A-';'J STATE CERT OR REGIS'!' # tEe t)(JtJ/fL"? CITY PROCESSING # .;('17 ********************-k********************************************* ':.> PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** MECHANICAL COMPANY STATE CEHT OR REGIST 11 CITY PROCESSING # SIGNATURE ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING 11 SIGNATURE ***************************************************************** CONDITIONS Of PERMI~ AF::DAV:~ A. NOTICE OF DEED RESTRICTIONS The undersigned understands tha~ this permit may be suoject to "deed restrictionsN 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 rrusderneanor 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 SectionsN 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 GuideN prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "ownerN, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the ~ownerN prior to corrunencement. E. CONTRACTOR'S/O~NER'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 ~o work or installation has corrunenced 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 developrnent 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 Inust 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 "AN or "A,etc,N, it is understood that a drainage plan addressing a "compensating volumeN 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 corrunenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months a~ter the time the work is corrunenced. 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 Inust 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 COMMENCEMENTN. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Owho has produced (type of identification) and who Ddid D:!id not take an oath Dwho has produced (type and whoD,did Ddid not Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped 1111111111I1111111111I1111I111111111111111111111111I11111111 2001174345 State of :V~ NOTICE OF COMMENCEMENT County of ~ THB ImOERSIGNBD hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the following inforr.1ation is provided in this Notice of Commencement: 1. Description of Property: Parcel No. / / -2/" .:z I IJ L11 a /7ootJ 0010 3f/'I//)~ (Legal descr1pt1on Ie) 2. General Description of Improvement ff~a.-u.- f? n7rlt:'/ ~ /.J.J/il ~ ijpv,4 ,~4 ~ 3. Rcpl: 550880 DS: 0.00 12/14/01 O\Yner Information: Name 51. .Jo5~fA's ('/9~khc {~JrcA Address 5'3 J (, /,,,t Sfrc--e-f City '2ef~,hl'JlJ Rec: 6.00 IT: 0.00 Dpty Clerk State F I Interest in Property: Name of Fee Simple Titleholder: (If other th~n owner) JED PITTMAN1 PASCO COUNTY CLERK 12/14/01 1 :08am 1 of 1 OR BK 4802 PG 227 Address City State R4. Contractor: Name ~ ~ Address ,19//1 h-~ K~ City ~j/~~:t'/~ Surety: Name State # 335ya 5 . Address City State Amount of Bond: $ 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), Florida Statutes: NClme Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. E:xp1.rat,ion dfit.e ot rIot.ice of Commencement. (the expiration date is 1 year fr0m the date of recordi~g unless a different date is specified.) Signature of Ow day of ~ _'-~~l' 1\ ~ Sworn to and subscribed before me this ~g)O \ . Notary Public: ~ REBECCA S MY COMMISSION II CC 930337 My Cominj ssian Expires: PC93053048 1-8QO.3.NOTARY FL Notary SeMce & Bonding, Inc. " ~(;'(~