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Home My WebLink About02-0932 BUILDING PERMITN~ 0932 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date /-,~/- 0:2 BUILDING PLUM~ MEC~AL Sewer Conn Water Conn: Job Address: Parcel I. D. # ;e hlt/d, , $ Water Meter: T.I.F.'s: Zoning: Descriotion of Work Ene~de: 1/e - ~ 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 Valuation or Contract Price '7; L(/9 . tnJ , 9Yo City License Registration # State Certified License# Address )c"'elephone# ff/").- r~'j:.. vS' 6 /' Yo l.1JeJr~ ~h';~ BUILDING AL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 001100 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 '\ OWNER'S NAME 0 r~~<'J-e-- IJ/O s s {)h'} If "9A/~ A , OWNER'S ADDRESS lIIi>JS- /J'/(}..rJ'O/Vl tr/(,Icf. JOB ADDRESS J 7710- ;1.~--;ll/-~6 ;Jj/ff/9 (.9 ~.,l() 5' PHONE 7,i?~ (?OO"/ ;< €/// /A. 33.s-t;// . LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ~lteration -X-Repair _Install _Sign _Move _Deaolish PROPOSED USE: _Single Fallily _M/F L, of Units _M/H _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Department Approval DESCRIPTION OF WORK: BUILDING SIZE: x Square Feet, 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. PERMITS REOUESTED _BUILDING $ 7 t;/1 ~ Valuation of Total Construction _ELEC'J'RlCAL AMP Service Florida Power Corp. W.R.E.C. _MECHANICAL $ _PLUMBING GAS Valuation of Mechanical Installation X ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fralle _Steel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION BIJTlJ1ER COMPANY State Cert. or Regist. , City License Registration . ****************************************** Signature F.I.RC'J'RlCIAN COMPANY State Cert. or Regist. . City License Registration , ****************************************** SilmAture PLUMBER COMPANY State Cert. or Regist. . City License Registration . ****************************************** Signature MECHANICAL COMPANY State Cert. or Regist. . City License Registration . .****************************** Signature Signature OTHRR COMPANY ~vI-(Jlj 1001.-';7 G. State Cert. or Regist. ....CCC ()J-? r S-~ City License Registration # //10 * ********************.**.***..**......... APPLICAT PERMIT OFFICER. CONDITIONS OF PEI~IT AFFIDAVIT A. _ NOTICE OF DEED HES'l'UICTIONS The' undersigned understands Lh~thi~ii-.aV-be subject to "deed restrictions" which lay be lOre restrictive than City regulations. The undeuigned assllIIes respoJlsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTMC'l'OnS AND CON'l'HAC'l'On RESPONSIBILI'l'IES If the owner has hired a contractor or contractors to undertake work, they lay 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 lay be cited Cor a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirl!.lents lay apply Cor L1le intended work, they are advised to contact the City of ZephyrbiJls Building Deparblent, (813) 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have tile contractor(s) sign portions of the .Contractor Sections" of this application for which they will be responsible. If you, as the owoer sign as the contractor, you are indicating that you, ralller 1I1an the contractor, are responsible for the work. If the contractor wishes rou to 8igo as contraclor that lay be an indication thal he is not properly licensed and is not entitled to per.itting priVileges in the Cily of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES l' ~\' ~r D. CONS'l'RUC'l'ION LIEN Lf\.W (CIIAP'l'ER "/13, FLOIUDA s'rA'rUTES, AS AMENDED) I certiiy-Ihat I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOWner's Protection Guide" prepared by the Florida DepartJent of ngriculture and Consuler Affairs. If the applicant is sOleOne other than the "owner", I certify that I have obtained a copy of the above described doculent and prolise in good Caith to deliver it to the "owner" prior to cO.lencelenL E. !=ONTMCTOU' S/OWNER' S AFfI~AV 1'1' I certify that aU the inforlation in this application is accurale and 1I1at aU work will be done in co.pliance with all applicable lalfs regulating construction, zoning, and land developlent. I \ t Application is hereby lade lo obtain a perlit to do work and instailafion as indicated. I certify that no worl or installation has cOIIenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of otber goverDlental agencies laY apply to tbe intended worl, and that it is IY responsibility to identify what actions I lust take lo be in cOlpliance. Such agencies include but are not li.ited to: * Departlent of ~nviroDlental Regulation - Cypress Bayheads, Wetland Areas and RnviroDlentally Sensitive Lands, Waler/Wastewater Treallent I Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health i Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treallent, Septic Tanks I US IinviroDlenlal Protection Agency - Asbeslos abatl!llent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood tbat a drainage plan addressing a "colpensating volDle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to per.it. issuance. . A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or 8e~ aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Svery per.it issued 8hall becoIe invalid unless the work authoriled by such perlit is cOllenced within six IOnths of issuance, or if work autboriled by the perlit is suspended or abandoned Cor a period of six IOnths after the tile the work is coaenced. One 90 day eatension of tile, la' be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged durin ch six IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE T ORD A NOTICR OF COHHRNCIiHRNT MAY RRSULT IN YOUR PAYING TWICE FOR IMPROVIRRIrS TO YOUR PROPIRTY. IF YOU IHTIiND TO IN FINANCING, CONSULT WITH YOUR LENDRR OR AN AnORlIlY BIFORI RIC OUR If ICE OF COHHINCIHHNT. JOB DE 2 N VA DO NOT NIiHD TO RHCORD AND POST A "NOnCK, C T". / ' ,-,/' S ST~~ FLORIDA COU~yO~F The foregoing instrument before me this I : I' was acknowledged , 19_ by STATH OF FLORIDA COUNTY OF The foregoing instrument before me this was aCknowledged , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC " f f\..OR\O~ I"G IS ~ ~'tJ~\~r~~r~6~~o~ir~~;, i~U~ t>.tl'J ~~ ~~CQ~O I" ~t>.\.. 1\-\ I S~ O~ O~ plJ Q~~IClt>.\.. S '2.atIJ. Rl ~"O t>.~O. \) CI~Ctlli COlJ ;1'{ C\..EWt<-. "", ClE~I<.. _. OEPlJ Jt.O \2':\\ 1"\'''' - '3'1 1111I111111111I1111111111111111111111111I1111111111111111111 2002016641 Rcpt: 562016 DS: 0.00 01/31/02 Rec: 6.00 IT: 0.00 Dpty Clerk JED PITTMAN PASCO COUNTY CLERK 01/31/02 10:25am 1 of 1 OR BK 4846 PG 1902 N State of Florida County of 2. General description of Improvements: 1<'IF-At)~P 3a. =~":.:.?~;li'<l;~~~ ~ .fi;:YJHiLLS" FI. B~S-W 3b. Owner's interest in site: I) w"J 3c. Fee Simple Title holder (of other than owner) Address: . Contractor Name: ){:,v~ 1/'; Rc:cl/v Address: :t (0 (' /d c, A./,j A./n. 4. . ".'-;'-r . .~ 5. Surety Name: ;..//7 Amount of bond: f4/.9 Address: Iv' n- Lender Name: V/l Contact: "v LJ Address: ~A. 6. 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served a8 provided by Section 713.13(1)(a)7, Florida Statues. Name: )../1)- Address: ,v-~ 8. In addition to himself, Owner designates the following person to receive a copy of the Lienor's Notice as provided in SectIon 713.13(1 )(b), Florida Statutes. Name: ,v '1- Address: j>o../,j Expiration date of Notice of Commencement (expiration date is one (1) year from date of recording unless a different date Is specffled). Ie .- /.- C> Z. ~AA/ "1Jf_~ ~~~.,.tI'n ~4t..~ Signature of er STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me thi8 11~,..<!.f"7 PI. Ir~/t. ). ~l'l:~te of J . / R~:}.1\ -- -/j~, ....1~- who(Is)(~ a8 idenUftcation, who did/did not take an oath. ~\\\\UIIl!",,,,1. ~""''I(..~ C. YOw. III",~ ~ \0 ........ ~(~ ~ .J~V.ISSION~.. ~ ~ ..:... G ~'\ 13. <00 ~.. \ : :~ 'S (.? ~\ = =*: .... :*= :: : . ::- S t -. Me," 11i0007 . ~ ~: ~::;4....o. .&..~~ ~~-^'.-f'-:l ~~ .~~ \;.>J- A.=ljflqsura~ ti ...\v# ~ ~......... c'c ~~ l'.f.fll. lie STA1~ ~,'~ ~"''';I'''''''\\~ ~me or produced !"- . (Driver's Ilcense#) N~~PrintN0f8ry'.N8II18 My Commission Expires Commission Number (A copy of any bond must be attached at the time of recordation of this Notice of Commencement)