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Home My WebLink About02-0902 BUILDING PERMITN~ 0902 CITY Of ZEPHYRHILLS (813) 788~6611 Permit .tI>I.,5 BUILDING Date /-/4- a~ u.i -0 00 N ,) ::r- t.:: j-o. f' d ~ c C 4>' ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: Job Address: Parcell.D. # ater Meter: Zoning: DescriPtion of Work ~rgy Code: ~ D~ Radon Gas: "'" l;:r-. (..11 . o ~ :J> FINAL -0 :L 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. c.o. DATE Permit Fee Signature Company Address Telephone# Inspector Valuation or Contract Price 11 ~9S~.GO City license Registration # State Certified license# ~~"<J BUILDING ELECTRICAL PLUMBING MECHANICAL 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 00/1 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th STRBBT ZBPHYRHILLS, FL 33540 Phone:813-780-0020 Fax:813-780-0021 DATB RBCBIVBD PLANS REVIEW FEB OWNER'S NAME rr,~~ ~ M:v1 i jt:o-~~fu~NE CONTAC{}\(f'f)~ lo'1 JOB SITE ADDRESS 0_ _~~_ t\,~_)...( 5-\- fn ~ ~ LEGAL DESCRIPTION: LOT(S) WORK PROPSED: [JNEW CONSTRUCTION PARCEL ID # \'\-l.l~- 2t -00\ \.~qlOG _ DD20 (OBTAIN FROM PROPERTY TAX NOTICE) BLOCK SUBDIVISION [J ADDITION [JALTERATION [JREPAIR [J INSTALL [J SIGN [JMOVE [J DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI - FAMILY [J# OF UNITS [J MOBILE HOME [J OTHER [J COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL q QJfC'D9 BUILDING SIZE SQUARE FOOTAGE RESIDENTIAL: COMMERCIAL: HEIGHT 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 BUILDING $2S~- PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. [J PLUMBING [J MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [J GAS [J ROOFING [J SPECIALTY [J OTHER TYPE OF CONSTRUCTION: [J BLOCK [J FRAME [J STEEL [J OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES o NO BUILDBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELBCTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REG 1ST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE :::TURE QoF~=""""'~~~~~&~~T"""""" ***************************************************************** ;.f. ':;1.. .q..' CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsH 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 SectionsH of this application for which they will be responsible. If you, as the bwner 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 GuideH prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ownerH 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 *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 "AH or "A,etc.H, it is understood that a drainage plan addressing a "compensating volumeH 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 $2'5~;D TO RECORD AND POST A "NOT! c:=>>"~ 9- s0ATURE' OlONER OR AGENT SIGNA~' CONTRACTOR ~ STATE OF FLORIDA COUNTY OF The foregoing instrument w~ acknowledged Before me this A-day of 0.-":> ,:rg. 2.001. by ~~LP STATE OF FLORIDA90ChC D COUNTY OF -- - The foregoing instrument w~ acknowledged Before me this.ll:L- day of\l~ ' 1:'9 '2,06 "Z.,. by (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type of identification) and ~id not take an oath o who has produced (type and whoO did 0 did not . Signature of person taking ~cknowledgement #',&' Suzanne Douglo...Alle,' *K.My Commisllon CC87<208 Name typed, printed or st;n~'d !lrllhs Oct~r 25,2003 of pers~n t~~~ acknowledgment #1' ~ DouglaS-AIIen ~ ~MY CotftInlSSlon CClt420R . ''':It!1' l!l<p'Jre~ Name typed, prln~~d or sv~~~3 I / / - ---- - _." I~ , (. ""/.'; - -~. ...... .. 111'"' "'" 1111I1111' "'" 1111I'"11 "'" 1IIIIIIIIi 11111111 ~ __ 2002007491 - - --.-- -~- Rcpt: 557625 Rec: 6. 00 DS: 0.00 IT: 0.00 01/14/02 Dpty Clerk NOTICE OF COi't-B!L.'fCL1IIENT . , CoUl1ty of -.:..f 0.. ~ ~ ') State ofFIorida. Permit No. Key No. T .~ " f , TE:E: Th"DERSIGNED heieby gIVes notice that improvement will be made to c:ttain real property ~ and in acccitdaiIce witft Chapter n~p Florida Star: Srntutesp the following infoIJIIation is provided in tbis. Notice ofCommenc:mem: ,,' - " , L Description ofPropeny: Parce!No. /' "1-( "l-}. 6 (j i (J l 9100 (j-t:?, LO ..-' z. .Genera! Description ofIinproveI11e:lt ((.. ~ /Z..oc> r- ~ .3. Owner- Iilfor:nation: Name FirsT S-'t ~,' ~ J . c; 7~~ Address .J. ~ if (' 1 ~:~LAzt~ City ~ e0'^ ~/Jt..b1JJ " Srare-El 33'51(0 --""~ Phone No. 7 8'~-W__ Fa."'C No. R ~ Cantnctor. P:ml Schape::-. rt150 (is Hig!1way 98 So1,II!t. D~(Zity. FL 33525 5. Surel;y: Boyee: fns.Jr.Inc~ 14.L L4-'t" Sc:=r,. Dade CitY, 'FL 335is .- ~'91~~~~"A~:ffs;o fOUNT:, C';.ERK 6. L~cie=: Name!Address: OR BK 4830 PG 1948 7. Persons within me Scare ofF1or:d.:1. designated. by Owne:- upon whom L!oric::s or ache: documents may be se:'Ved. is provided. by S.:ction il3. L3(l)(b), Florida SCltUres. 3. I:n :uiciition ~o b.imse!.t: Owne::- desig!me5 'P:ml Schaper- COllStr.lctionIRcotlng-p mc. of t [250 US Eighway 90S. South. Dade City, FL 33515 co rec::ve a. copy afche L~inar'~ Notic: as provided. in Sc:c:ion 713. r3(l)(a)(i)~ FIatid.:1. Swures. 9. E.'CiJir"t..rion d:lre of~-otic: afCotIImenc::nenr (the e.-oir:trion d:lre is I V'e"..r from dIe .. ... \. .. d:lre of t':CorCing un! a' ....r e is speciiieri.) .. Signarure ofOwner:~ ., Ownerrr.nred.N .Wdi /I S &~AJe...,,} OU)N~12- H. i)rl;~ LfC'e''",f< \ In: /34-rs--'f7(j -..,/--37.tf-(j Pe:sonallY~Q~ Swom CQ and :>wr.cribed befOre me-~~.da: Jr"of 0~ 2D 02,- . . . ~. ;1/ t./ l 'Nac.1r1 Public: ' . ~~ ,..) (Type: Pri.nr.. Or" Scmp. Name Of0ioc~ry) , #'e-> suzanne Dougla8-Allen , *"',*MYCommission CC874208 '\;,,,~' EAplres October 25,2003