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Home My WebLink About01-0861 BUILDING PERMITN2 - 0861 CITY OF ZEPHYRHILLS (813) 788~6611 Permit J5"CO BUILDING 30 f c:o ELECTRICAL Date /,2-19-~/ P~ ME~L Sewer Conn Property Owner: Job Address: Parcel I. D. # ater Meter: Zoning: DescriPtion of Work En~de: fI1f~C . G~ Radon Gas: J- .~ (.th. ~, NO OCCUPANCY BEFORE C.O. FINAL C.O. - 8-::::2.. - O-;;L DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ~ 5 ~ /Signature tt.. ~A.---.. Company Address 'yrelephone# (2/3) 7g- 2-7'oR'Q Valuation or Contract Price .s; ;2, ~o . City License Registration # -;)",37 '3 State Certified License# ~Ul ;IIf t.1 ~V\ b:nst. G..'iT ,P~5C;) EI(!. (. BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. /I~ i-O;) t2LI(, 1./f6rp. Servo Pre SLB ./ ( -$- 0"). 12 L '(. IP"'Rough In I J. -.r; ~ 0;). I Lintel Meter Can FRM. / :J-7-():J. f!.LY Const. Pole InsuJ. CL Pool WL Pre-Meter Final ,/:2 ..;)2-0 ';)... Driveway .tJ ..,It- 0:1 13. 8, /IrD /JiJ. *6 1- ~ ~ -O-z. HifDj IZ'-''1 11..1..1.( SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final i20f {ffJtJ I 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. CITY OF ZEPHYRHILLS "NOTICE" OF ADD.ITION OR CORRECTION BUILDING DEPARTMENT /I.'M ~~ ADDRESS DATE PERMIT." I 5d'lO - lD7P--6:b1. ~-o-q '4 CJ'i!bl - THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job will be accepted. , <:20 '\... ,~t d~"'"\ f ~"'"'" j t'I~~(/ ",A Q ~~d i.. ~ i"", .'Y. ., {. ~,r 4 DO NOT REMOVE II i. unlawful tor any Corpenl.r, Con'rac'or, Bulld.r, or olh.r peraon., '0 cov.r or caUM '0 be cov.red, any port of ,h. work wllh flooring, la.h, earth or o,h.r ma'erlal, until ,h. prop.r Inlpeclor ha. hod ampl. tlm. 10 approve ,h. Inl'allatlon. . AFTER CORRECTIONS ARE MADE CAll 788-6611 FOR RE-INSPECTION INSPECTOR ~ OfFICE HOURS 8 - 5 MON.-FRI. . lP-A. N~rW!'l 52 Lf~ lD+I....<)-t Gq~~ "fh)DlrL-:>~ cJ lfY4II?/li'~fL f(lfWv..~~' , . " SQ, FE!T . P-=s " .. IIMI at.u.. a__ ~5'"L t 15""~ ;...~ 0'1'HER~ r~1!R - t ." - VALl.lAlD t ~ 2-io. ~o . J I -.~-:t . I , . 1 7 '---.::> -:;:. =>. C4l!ei I()-li~ 0 I a- CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 Phone:S13-7S0-0020 Fax:S13-7S0-0021 DATE RECEIVED I rfl-jf-ol PLANS REVIEW FEE OWNER'S NAME CONTACT ~~Z - zi J 3 JOB SITE ADDRESS LEGAL DESCRIPTION: LOT(S} PARCEL ID # )J- ZIb-2 SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION DSIGN ~DITION DMOVE DALTERATION DREPAIR o INSTALL D DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL D INDUSTRIAL D SWIMMING POOL DOTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK /J..}..J/Jr i.L) J BUILDING SIZE ),,'jo. z.. z..' , @..?JIL~ -..L -I /'4/ .J.IJ.^ iu-. W 4 J j~ SQUARE FOOTAGE 3-S 'Z- 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. , j tU ~ y].ttA- _- PERMITS REQUESTED ~ o BUILDING $ D MECHANICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE 0 FLORIDA POWER 0 W'R.E.tJ~ VALUATION OF MECHANCIAL INSTALLATION 1 q I- ,9 !) f? () o ELECTRICAL o PLUMBING o GAS D ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT '~ NO BUILDER kJ.' SIGNATURE ~~ COMPANY 0.. STATE CERT OR REGIST # CITY PROCESSING # 02~~g ~ ****************************************************************** COMPANYQ.I ~S..,) L'j ~ STATE CERT OR REGIST # ~ ..~~~ CITY PROCESSING # ~~~ ' ***************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT 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 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 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 perfooned 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 "compensatinl;1 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 requiEing 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 $2'5~~~ ~ED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA I~ COUNTY OF .. {\ S ( '-"' The foregoin? insJ;.fument was a~knowled~d " Before me th1s i-day of 10 G '-..' , d::Ilcx I by G ec,- ...,.-(" ~C:lC ~ r h:: " (name of person ac nowledged) Dwho is personally known to me, or )Lfwho has producedfL--1'C ~>-.b .s;.ol"i 3-0'-.\/' 0 (type of identification) and who did ~id not take an oath. . .~ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by acknowledged 19 (name of person acknowledged) C1ho is personally known to me, or "- (/Signature acknowledgement Signature of person taking acknowledgment .---.--- TRINA BURY 'tp: :-: MY COMMISSION # CC 831436 ~" ;~ff EXPIRES: May 14, 2003 -'1.:f.p,",l<tW" Bonded Thru Notary Public Underwriters . .'ht'" ame typed, printed or stamped Name typed, State of ;:;;; 11L ~. d I} County of ".~_._- ""~..~'...,......--~ 11111111111111111111111111111111111I1111111111111111111111II 2001175885 ~S(.O ' JP'" .-.. } NOTICE OF' COMMENCEMENT THB ImOERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the following infor~ation is provided in this Notice of Commencement: 1. Description of Property: Parcel No. J J - 'l (,.- '2 j - (J)o. a - 14 J ()l) _ OIJn (Legal description of the property and street address if available) 2. General Description of Improvement f)/')/.1r 4 ~ d. G:M/JJ~ 3. l~ddress. ~z vv Name of Fee Simple Titleholder: (If other th~n owner) Rcpt: 551570 DS: 0.00 12/18/01 Rec: 6.00 IT : 0 . 00 Dpty Clerk Address Address 110 g'Q.~ J L 0"/ City Stute eVM ~NiV caN Sirz.C/C-I-,O~ .::rAlc..., - 4~..', Contractor: Name :.. ... .~. .oi ", CitySh rv f)lVfonl./o Statetj..1-- 3 s-7~ 5. Surety: Name Address City State iS91G~nMA~: f.r:~o fOUN~Yf C1ERK OR OK 4804 PG 1762 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: N.nme Address City Stute 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:xp.lrl1t,j,'ln dnt.e ot not.lce or Commencement. (the expiration date is 1 yecsr ir?ITi the date of recording unless a different date is specified.) ~Jf;]rllh~ 1~9-- F L. R :A.~o ~ Sb I - '1 ~ - Dlt 10 Signature of Owner :< Sworn to and subscribed before me this ~L~DI . r Not<lry PllbliC~;~ My C'Jminj ssion Expires:/ day of N o'~ e.", b€r-" F2~ TRINA BURY PC93053048