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Home My WebLink About02-0961 -, BUILDING PERMITN~ 0961 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date 02-5"{)~ BUilDING ElE~Al PlUMSHrSG/ MECH~ Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # .!l/I~ ~Acb~ 5Bt?() ( " . Water Meter: T.I.F.'s: Zoning: DescriPtion of Work Energy Code: 1<~ - 'Ront= Radon Gas: FINAL 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 Inspector ~,m;t Fee !ji;;~ ~Ignature _ __ Company Address ~lePhone# fa 0- f ] 1 - 6' (' lS Valuation or Contract Price <9--0 3/ QC) . r City license Registration # State Certified license# ::z; I1v/'1t.,-ble A~'Sc('- BUilDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SlB lintel FRM. InsuJ. CL Wl 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. OWNER'S NAMB1l1le~ ~'QGk& JOB SITE ADDRESS 5 3 ~ a S c a-f ; 01. ~-t. CITY OF ZBPHYRHILLS PBRMIT APPLICATION BUJ:LDtNQ DIIPARTIiJmT 5335 8t:h STREIIT ZBPRYRBJ:LLS, rL- 33540 PhoneI813-780-0020 raxI813-780-0021 DATil RIICII:IVBD PLANS RBVIBK rRE PHONB CONTACT 7 ~ 3-79/-; SUBDIVISION S hq J y Qe d LEGAL DESCRIPTION: LOT(S) BWCl( P~CEL ID ff 1 0 ~ -b ')..1 - 0 0 / (j - 0 CJ.3 00. \)\jO(). (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONBW CONSTRUCTION - D ADDITIqN DALTERATION D REPAIR D INSTALL DSIGN o MOVE D DEMOLISH PROPOSED USE: DSGL FAMILY DWli;LLING D COMMERCIAL DMuLTI - FAMILY o INDUSTRIAL Off OF UNITS D SWIMMING POOL -BtMOBILE HOMB D OTHER o RESTAURANT &: HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORl( \Z~ Rt)~{ wi ~)' tljle. fly RV1bbeo Mety)b{qrt~ BUILDING SIZB SQUARB FooTAGB <6 ~ S HBIGHT RBStDBNTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SBT ENERGY FORMS. ATTACH (3) SBTS OF BUILDING PLANS &: (1) SBT ENERGY FORMS. PROPERTY SURVEY RBQUIRED FOR ALL NBW CONSTRUCTION. o BUILDING $ , ~16b. PBRMITS. RBQUBSTBD sjg.. VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SBRVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MBCHANCIAL INSTALLATION o GAS J!rRobFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION I 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLQOR ELEVATIONS IS PROJECT IN FLOOD ZONE ARRAo YES 0 NO , : ' -, " ' .,., -, . "'.' I . .'" . , ~. '" '. BU:ILDJUt SIGNATURE. ~ .--L?~~ COMPANY ....;:::70nc, :t k. r1s-s aL STATE CERT OR REGIST ff cCc 01/1..167 CITY PROCESSING ff ................................**......................**.***.*.. BLRCTR:IC:IJUII COMPANY STATE CERT OR REGrST ff CITY PROCESSING ff SIGNATURE ******..*******************.***.*.***********.**.**.**.*.....*.... PLUllBBR COMPANY STATE CERT OR REGIST ff CITY PROCESSING ff SIGN1\.TURE MBCIlAHICAL *..*....*......*.....*......................*.**................*. COMPANY STATE CERT OR REGIST ff CITY PROCESSING ff SIGNATURE *****....***..**.***..*.*~*..**......**.*..*...........**..**.... OTHER SIGNATURE COMPANY STATE CERT OR REGIST ff CITY PROCESSING ff *****..*.*..*.....**...................................**....*.*. A. 'NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be sub:lect 1:0 "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 RESJ?ONSIBILITIE5 If the owner has hired a contractor or contractors to undertilke work, they may be required to be licensed in accordance with st~te ~nd local regulationtl. If the contractor is not licensed as required by law, both the owner and contractor mOlY be cited for a misdemeanor violation under state law. It the owner or intended contrac1:or are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact tne 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 contraptor that may be an indication that he is not properly licensed and is not entitle4 to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT nES AND UTILITY CONNECTION FEES ., . . D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS MlDDED) 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. J E. CONTRACTOR'S/OWNER'S AFFIDAVlT 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 pe~it 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 Bayheadsf Wetland Areas, Altering Watercourses *Ar.my Corps of Engineers-Seawalls, DOcks, Navigable Waterways *Department of Health i Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S.Environmental J?rotection 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 "compensating volume" will be s~mitted 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 perndt issued shall become invalid unless the work a~thorized by such pe~t 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 NOTIC~ 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 COMMENCI!:MENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~<< ,~ SIGNATURE: OWNER OR AGENT. SIGNATURE: CONTRACTOR STA~E OF FLORO;, STATE OF FLORI~ COUNTY OF. - a.5~.n COUNTY OF ~~j1 . The foregoing inst~ument was acknowledged The foregoing ins~~, ent was~ ..,ACkp ololledged Before me this ~- alay of rCI5 , ~O~_. Before me this 4-day ~f) r ~h' ' ~~ by -~71!//lR'!7:z/L-<-t!-//. by ~Tt.J~ . wr~ . (name of person ackno~ledged) (name of person acknowledged) o who is personally }l:npwii to me, or Gho is personally kn<?,.wp to met' or / ,- _ tu;ytJo -79?-If-a?s/,-o J/ r.ulfpo- 9'l-r...J _ ~o has produced P-J. ])PJvt-;?~) I<!.- ~~ho has produced FJ ))./Il. - ~!J'7 0 , . (type of identification) ~ (type of identification) did ot oath. . who Odi ~~jIi not a an oath . .L. "....lA, u.......L.J.. ,r1.l:' C .J.. Vft V ~t -.1.- Name "2 Bebb. SWetJa,d t~ 'it~ri'fl~:~~~;:rRES ~1'...;;;" BONDED THRU TROVFAIN INSURANC~ INC '~',?f.11"" Signature of person t ing acknowledgme "~'''''''' Bobble Swetland . Q. lAY mMMI!:SION-I CC893160 EXPIRES Name typo ntedF~ '-'~~,ilI,' " BONDED THIlU TROYFpjij'NWoike. IN<:. a INVlNClBLF ] Making Florida a belter place fa live since 1987... one home 01 a lime. ''4'' . Contractor's Letter of Authorization I hereby authorize the below named individual to act as my agent to obtain all necessary permits for resldentlar roorrng work ror: Owner -M e 1'\ ~ \' 0.. c. k e. +f- at this location: S -3 a 0 -S C <:::Ii," Ot ~-St. This person Is also empowered to obtain. complete, and sign all forms, applications, registrations, and clocumentatlons, with this lim- ited power of attorney, on behalf of rr18 that may be required to accomplish the issuance or nny r.'~3rmit,; thn t may be requirecl in any jurisdiction throughout tht~ :,t(1te I")f Flori/okr Authorized Person: s;: -fu.o" i We Ie.. h . , Authorized Person's s/gnQture:_A~~ Brian Stover State LIcense #CCC049367 - u&A ".....~" Kimberly Gould f~~~Commillllon "CC 89213' ~,d = Expires Dee. 2, 2003 "m ,....: Bonded Thru """ """ Atlantie Bonding Co., Inc. INVINOBLE )\:1:10ClArES. INe 10931 7SrHST. . LAr~GO.FLJ3777 . 7211.5,IS-1800 . aOO/9J7:66JS STArE CEflTlF/Eo LICENSE II CCCO.19367. CRCOJS276 OFFICIAL NOTICE OF COMMENCEMENT I lUll' 11'11 '\III UII' \m\ UI'I \1'1' ,,\\\ UII' II'" 1m IllI 2002019022 Rcpt: 563146 Rec: 6.00 os: 0.00 IT: 0.00 02/05/02 Dpty Clerk JEO PITT"AN PASCO COUNTY CLERK 02/05/02 09:28am 1 of 1 OR BK 4851 PG 41 TO DE COMPLETED IF CONSRTUCTION VALUE EXCEEDS $2,500.00 Permit # Tax Folio # State of Florida County of P q .5 c. [) THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chaptcr 713, Florida Statutcs, thc following information is providcd in the Notice of Commencement. 1. Description of property: H 0 ~ '^ ~~J'f ~ ~~ Nt"" p.:fl... 4lf 5300, , \) -;). b - ~I ~ c~l () - 0 l13 0 0- ~~<:)~ S c. \\-f~tP~\fr'~.'" 5 rL..))5 'II 2. Gcneral dcscription of improvemcnt: ~-R ~~ 3. Owncr Information: All () I. _ ~ ~: ~l~~:~S~u:~ ;'~~:~~~:ow~nLq<4!m~~~\~PJ.*~MiJ f-L 335'1} c. Name and address of lec simplc titleholder (if othcr than owncr): tJ fiJ '4. 5o~tg;O~lil'S ~~d :~t~: ~J1j":~J;: l:\t~ ;,~~ 77 R 5. Surcty (i f requircd) A. Namc and addrcss _..~______ . B. Amount of bond $ ~____ 6. Lcndcr namc and _~~ddrcss:~+-___ 7. Persons within thc State of Florida designatcd by Owncr upon noticcs.or other documents may be scrvcd as provided by ~ctio!, 71 ~.14 (1 ) ~}l) Florida Statutcs. Namc and addrcss: .l.. 1\\\ ~ t\c., ~~ 11.s.5 \:) L 8. In addition to himsclf, Owncr dcsignatcs ~\i\ to rcccivc a copy of the Lienor's Notice as provided in Scction 713.13 (1) (b) Florida Statutes. 9. Expiration datc of Noticc of Commcnccmcnt (the expiration datc is onc (1) year from the date of recording unlcss a different datc is spccificd) _ ,20_ Signature of Owner or Aothori;'.ed ^ge~~6~ tary Public commission expires: ~ IlJIlberIJ OouId ~\ConnI... .00 192133 IIpfNl Dec. 2, 2003 80ftded Tbru At.l.ntie Bonding Co., lne. STATE OFFLQRIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS TRUE AND CORRECT COpy OF THE DOCUMENT ON FIL OR OF PUbLIC RECORD IN THIS OFFI:}:rNESS M HAND AND OF,ZCIAL SEAL THIS DAY 0 ~ 2 Cj{];:( JED PI LERK OF GI~CUI COURT .i i./