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Home My WebLink About02-1057 BUILDING PERMIT Permit N2 CITY OF ZEPHYRHILLS (813) 780-0020 1057 Date -?~ 7 -tJ ;;Z BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Pmpertv Owne, ~;f Y-~;:f~ ' Job Address: 3'1 1J1/J.N:Jj .LJ . Parcel I. 0, II Water Meter: T.I.F.'s: Zoning: Descriotion of Work Energ~: (ipy;, Radon Gas: /. q ;:) f NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or Contract Price ;), g-f?fJ , ,~ Pe,m;' Fe. ~ L/::z . /Signature4-<.'~ '/8&~ Compan/' Address yelephone# [C/37 7 r/'- 531 '/ City License Registration # State Certified License# OvJAlAF Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pol Pool / Pre-Mer Final I SLB Tub Set Water Sewer Final Breakers Ducts lnsl. Compress Final BUILDING AL Driveway REINSPECTlON 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) shaH 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. '. ()l0 .1'iju~ 57'fcD1 //UF2ADdV,S C;D;) Ub0f >1T " ',',' . - . IQ. A!!!T P!E:8 ~ .. ....CR.U-- $ . C1IEI-.A J~1J1__ _ /~~ s --- ci:.:. .. 1'7, . YAUIA'l'IaI S _~~~U. t:.O . " -- .. . ~)It . .. iV/(r - -.. ;J Irr ... rJlft /q2 t. /. (1 2-- {o~11v 5'-11 +2- .. I I Tl"~~S Nh1 OWNER'S NAME -.15 E IT'l ~.- M g 1) oN,q leR JOB SITE ADDRESS ,--:2ft (p tJ ~ /'1 E,4 V 00 <:) Oct I.CD!? , / wM 3 -s-- c7d( 4- CITY OlP ZEPHYRHILLS PERMIT APPLICAT!'OIr' 17 n'f- BUl:LD:i:lta DIIPARTJOnno 5335 8th 8TR.IIT ZIIPRTUILLS I'L- 335-40 rtl51'o rer;n.-?f . --=zet" v' (c. e.., PhoneI813-780-0020 l'axI813..780-0021 , 7~g- 53('1 DATil RBCIIIVI!ID ~ - 01... 7" () -:1... PLAlt8 RBVIIIIf ..811 LEGAL DESCRIPTION: LOT(S) iD~ PARCBL ID # -~ J - 01'10 - 00000 _ /036 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION l!fADDITION o ALTERATION 0 REPAIR 0 INSTALL CtfRpO~1 D MOVE BLOCK PHONE cONTACTg 1 j - 7 Ij-- ~ 13 g Zepi'(IeL,/(f."7,' (-~. '35::'-"0 SUBDIVISION MFADOWOOD DSIGN D DEMOLISH PROPOSED USE:~GL FAMILY DWELLING o COMMERCIAL OMuLTI - FAMILY 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER o INDUSTRIAL DESCRIPTION OF WORK BUILDING SIZE IO'X/(pl CJ RESTAURANT C'{A.r~ alA&: 51 x 7' & HEALTH DEPARTMENT APPROVAL SQUARE FOOTAGE /Cf J- f HEIGHT REStDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SBT ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SBT ENBRGY FORMS. PROPERTY SURVEY RBQUIRED FOR ALL NEW CONSTRUCTION. ql k(BUILDING o ELECTRICAL o PLUMBING PBRMITS, RBOUBSTBD $ 350. ()O VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o N.R.E.C. o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION I 0 BLOCK o FRAME o STEEL Hi1 OTHER A L U hl... FINISHED FLQOR ELEVATIONS IS PROJECT IN FLOOD ZONE ARBAD YES' fi?f NO BT1ILDIIR COMPANY 0 IJ) JU/='tJ _ - (vf) L-,.-, ~) STATE CERT OR REGIST # BIGIlATURBr/ ~p. j I'/(,,~ CITY ORoesBBI.... . ...... ........................................................... BL8CTRICIAlt SiGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # .................................................................. PLUllB8R COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNJ\.TVRE IIBClIAHICAL ....*............*................*.........*.........*.*.....*... COMPANY: STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE .****************.*******.*****.***.***.*******.*.*.****.******** OTBBR COMPANY ~ L G:nA C.V J /J /7 STATE CERT OR REGIST # I:J.. 7f: :'J --!.L.L ~ CITY PROCESSING # ***.*w.*..*....***.**.*......**.*..*...*...*.**.***...****....**. SIGNATURE: ~. NOTICE OF DEED RESTRICTIONS The und~rsigned 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 REBfONBIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with st~te 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, 813-188-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the ~Contractor Sections" ot 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 contra~tor that may be an indication that he is not properly licensed and is not entitleq to permitting privileges in the City of Zephyrhills. C. TRANSfORTATION IMfACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAfTER 113, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of ~Florida's Construction lien Law - Homeowner's frotection 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 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 limdted to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cyp~ess Bayheads, Wetland Areas, Altering Watercourses *Army corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health i 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 ~compensatingvolume" will be s~bmitted 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 Offic~al from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every peDmit issued shall become invalid unless the work authorized by such peDmit is commenced within six months of issuance, or if work authorized 'by the permit is suspended or aband~ned 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 IMfROVEMENTS TO YOUR fROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEJ!'ORE RECORDING YOUR NOTICE OJ!' COMMENc1!:MENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NqTICE OF COMMENCEMENT". SI~~1/~ J!!#~ SIGNA~J~~?filJ( STATE OJ!' FLORIDA --D COUNTY OF. T MeD The foregoing instrument was acknowledged Befor~ me this ;2..&~day of feb.r-l-ItU'j , ~;L by 'l2p-.iiy SlA-e.. VVt (()oV\CL( d.: . (name of person ackno~ledged) 'Dwho is personally known to me, or ~hO has produced vi/ (type of identification) ~id not take an oath. STATE OF FLORIDA COUNTY OF The foregoing instrument was ackno~ledged Bet. ore me t1L~s ~a~ of_f'.tJ>'vu-"') , . ~;, by Be~ ~w t1Jt(U~ . (name of person acknowledged) [1ho is personally known to me, or ~hO has produced ~,!~ype of identification) and who did ~ n~t~ke ~ oath ' .~ Z~Z~ Sign ture~ person taking acknowledgment ...,~~Ili;:.',,> :-,~u7anne Bdl,-lr Name ~~:::~~t~~~e~~,7;;~~ed -:;,,,;;,?;;;!:~:,\:---, - . :, - ::~~,~~;',':' ';:'.:::l~g" f~IC Pc15CO S1 ......"';i?!::?/,.. . <.~ ',.lnne 8ahr a~~' 'E ... ,.," H~'geel~ _. :. ~~.' ~ ' "fl'. ..... " '.') '. .. ".. ' Name typed, p ~::" .~/J~tO~"stcunpe" 2002 '.~::,\~ >,',:' ~."'0r.,~~' --, < U . _0.r '1-- <0 --t-<o --I- II! ai 1 2i (/) 2j c U) (/) .... x ~ -+ .... N ~ N ~ ~ <<l in ~ t ..,. --1- .-- ..q E ~ i U) <0 ~ I- " ~ G) c ::! 0 - .... - 0:: M >< Z 1- M <C 0.. I- i'<, 1- - I- Z 0 i= <C - > I <0 ~ w in irl ~ .... +~ i ~ ~ IE ~ ;B <C w u ~ .cO::lt)G)