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Home My WebLink About02-1107 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N2 (813) 780-0020 1107 Date .:? - c2 ~--D ~ Qt --.......... /'."'"' ( ~-_. Property Owner: Job Address: Parcell.D. " Zoning: Description of Work ~"--sewer Conn Water Conn: Water Meter: T,I.F.'s: FINAL 5 ~t -o~ NO OCCUPANCY BEFORE C,O. DATE Complete Plans, Specifications and Fee Must Accompany Application. C,O. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or /J r-~g--- Contract Price CXt ~ ~. City License Registration # c!l 07 State Certified License# ~ Company ~~.0 7-Yf.J' 9'1 ~ d G,,~~~ BUILDING ELEC~' .....- PLU~- ..-- ------- MECHANICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Con st. 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 00/100 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 NAME CITY OF ZEPHYRHILLB PERMIT APPLICATION BUILDING DBPARTMENT 5335 8~ STRBBT ZBPBYRBILLS, PL 33540 Phonet813-780-0020 PaxI813-780-0021' DATB RBCBIVBD PLANS RBVIBW FEB . PHONB CONT~T3 7 ~ 3- 9 d 6 ;;., ,'" te ( SUBDIVISION JAJ}' Y'\ le. 1 s:- ~ - /~~ 0:2- -- ~SITE.. r. LEGAL DESCRIPTION: LOT(S) (,/ q /5 - C). I. Q 0 (je). <:J:I (J \) - Do 0 () BLOCK PARCEL ID # WORK PROPSED: [JNEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) [JSIGN [J ADDITION o MOVE [JALTERATION o REPAIR o INSTALL o DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI - FAM1LY [J# OF UNITS [J SWIMMING pOOL Cij-MOBILE HOME [J OTHER [J COMMERCIAL [J INDUSTRIAL DESCRIPTION OF WORK c:JRESTAURANT & HEALTH DEPARTMENT APPROVAL I{e R ~D-\ vJ) -~,' ":!lie PI y (\ bh., fY1<> n'lb.q >If. SQUARE FOOTAGE 1.-; ~ L/ HEIGHT BUILDING SIZE RESIDENTIAL: COMMERCIAL: ~TTACH (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. 8J BUILDING $ PBRMITS RBaUBsTBD ?-.' 5 ~ ~. v~ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE (] FLORIDA POWER (] W.R.E.C. (] PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [J GAS [J ROOFING [J SPECIALTY [J OTHER TYPE OF CONSTRUCTION: [J BLqCK [J FRAME (] STEEL (] OTHER FINISHED FLQOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES (] NO BUILDBR COMPANY 7/1~ ~~/,~ 4.rs-oc., oL~~ STATE CERTOR REGIST # CCc.Os/fY67 SIGNATURE ~ . ' 'CITY PROCE~SI # 4 1 ' . rL dO ' ******************************************* **~*****.* .****.*** ELECTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # PLUHBBR *********.*......****.****.******.****...*...******..*********.*** COMPANY STATE CERT OR REGIST # CITY PROCESSING # ' SIGNATURE IIBCBAHICAL ***.**.****************************.****************************** COMPANY STATE CERT OR REGIST. # CITY PROCESSING # SIGNATURE OTHBR *********************.******************************************* SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # **************************************.************************** CONDITIONS OF PERMIT AFFIDAVIT A. .NOTICE OF DEED RESTRICTIONS The und'ersigned understands that this pElrmit may be subject ,.to "deed restrictions" which may be more restrictive than City regulslt:ions. The undersigned assumes responsibility for compliance with any applicable deed rest:r:ictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or c:ontractors 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 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-Seawa11s, 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 flll 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 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 $2,500 IN 1Il\W& 00 NOT II&&D TO RECORD AND POST A~~ SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRI\.CTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 1!L- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this ~ay of by acknowledged 19 -:..- (name of person ackno~ledged) o who is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or o who has produced (type of identification) and whoOdid Odid not take an oath. Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped ( --.,- -.. .- - ,.- ,:' alNVjNCIBLF ~ Making Florida 0 better place to live sInce 1987.., one home at a time, :'>',' , ", ',; '-I;}::~tP~:/',- ,:' . Contractor!s tetter of Authorization I hereby authorize the below named Individual to act as my agent to obtain all neces,sary permits for residential roofing work for: R,~t~ R~~s at this location: '-/ c; / '5 L q /(f!, S J J e () (. Owner This person Is also empowered to obtain, complete, and sign all forms, applications, registrations, and documentations, with this lim- Ited power of attorney, on behalf of me that may be required to accomplish the Issuance of any permits that may be r.squlred In any jurisdiction throughout the State of Floricla, Authorized Person: S+ V\Q,...--l; JrJ e../c h , Authorized Pe,rsoll's SIgnature: ~/D - ~ fAr " II 1::1 ,# 00Idd - , .,~ OOI92.JS ~ ~ Expires Dee 2 ----3 ..., ,'" B d . . olIlVU ""It ".., AtlanticOBoJi edd.TlQ-u n 11lg 0-0., hie, Brian Stover State License #CCC049367 INVINCIBLE ASSOCIAfES. INC. 10931 75THST. · LAI~GO. FL33777 · 727/545-1800 . 800/937-6635 STATE CERTIFIED LICENSE" CCC049367. CRCOJ5276 \~ ,. ~1I5,......w..l"-=-1IIi'lfJk,.. ... ----.... - ..~~~--:-.~:-'l".,~~. . .r.:. .:.-_-.~2~.~-~'~-"." TO on COMr, .::n'rr,1 r.,l CONS'{'" cnON v ALun uxcm;,vs ,U,:H)IJ.{I(/ \ \11\\' \\\11 11m lll\l \\l\\ 11111 \\\\1 1'\1' 'I\ll \\11\ 1m \11\ 2002038687 Pcml111J .-..................--...-" .1" ......_. .. ......... . Tax Folio II Rcpl: 512291 DS: 0.00 03/12/02 Rec: 6.00 IT: 0.00 Dpty Clerk OF.FICIAL Nfrrj(i~ OF COJ\,iva~;NCEMENT StRle or Flor;(iSl """'"'.Ill .H' ~,. - 6 '-'- n~-rI ...~ /-- O..J L. JED PITTMAN PASCO fOUNTYf CLfRK 03/12/02 1~:35am 10510 OR BK 4884 PG THE UNDEI~SIONlJn ~!!lrd;~ ~ivc~ unlice :1m! iWlil'Ovcrncrll will h~J m::dc to (;~t(.lli" len/ '?H~f!crlYi flm! in 8ccordnnco wi,h G,;,rI1U ! D, nUl 'IiI! ;-:/f""fe.li, i' ,': iill'lHvlIlH illiill'llllltltlll i~ I" 0\1.11(.;" il: Illi; N'Jlko of ComJha,~ce!'m.,~": , J. f)cscrif,fiol1 ofJ)roporty: O,rl; e 4 f 99/5" LL?AI!'.t: ~ L;J,-; /..y-;z? 2/ - ()OO 0 ~ v ()~ (It) ~ 1)600 2, Gcncml rlcscripUoJl of Inml'Ovcmcnj. d/461 3. Owner Jiii.JiHial;VI\; , d' J v1 / ./ / J ,1. A. Name and BtJdrels:..tr. t~ /~f?(::r._..,..?_fl...5' L4/4!! J'. )'C! <J,,; Ze.t?1n"'~) #J' n. J"lo\'~;;:~ ;1\ 'Jrc'j~.K;; Cl-- ~ r /~ L. 3:1 5' Y'/ j - ;J _~..... .e, _ _. .......~".l....,,"..,. . ..,._...._. ...... C. Name ait\~ "Jdi~&; \irrCC :::mp!c !!lI!.i1nfll,,1' (if,,''',,!, Ihm'IlWI1m-): .rr/ //"1 _ l>._\o.r"~._'\' ...__.........-..... .__,... ... '. R 4, .-. . .... 5, con~"}"f; "..":!/~ ;~ir"""'71JI I/, 4. i !};;~~'?-;:f;.Fjf'''''' .... .-/ , ~..--s:.,...__...._....____ u~....;_ __ _._ -~..--.L___. Surely (if rc(!"irecl) // __ A. Name !'.!Hr Rddrcs8 ._. ~ B. Amount ofbonu $ __(f;? .._ ....---..---."'....--...-...--.---.......-......-.... 6 ~cndcr IIOlne '''d.~~~=:~~_~~_:~~_:.::=~-. .:~.. ._~:~_.:-'-':-':~:: 7, Persons wi'hin riu: Stllle o[ t-h,ri':1I hCSlWlilicd hy OW ~"T I!I'OIl 1101 ice;. "'. ";;, .;: dPC;l': ,': " i.1 "lilY he scrved 88 r.r1widcd "Y 9cd;on 'lU. I,; '. ; .~ I'll ;"'1;;(;,1 "HII:llh;~ Name and addrCRll: . 7:/1 t/. ~c "'J./'t!. 4s-- f.OC ,- 8. In additio!! Co hilt1self, Owner dc.qigl1l1k~ .__,__. '_"_"_'__ .....,__......._.... 10 Icrc1vc $I l;npy uflhe Lienor'll NOlice nil prov;(tcd '" .,I:d IUiI,' I.;. f .... i Iii;;} ;;i", ida SI ai life.... 9, Jjxpira'ic-m ~ffl'c of N("licc or Cnl1lll1Clll,Tlllcnl ( I he (' :qill :triOI' da(e I~ "lie \ I i Y \::.1 " I,..till Ill{: dille or recording unless n di rforcn' dillc ill ~pn:1 lIcd) _,20_ Sigf1nfur'c or O'll\o'I;CJ' 0: l~uihlJl.j;,\;d ^ w..)f1fy..__(.-8.....A.;.:.~<1.?1...e.(..~~__._..__....._... SV\r'or:t and subllcl'Jucd before me [hi.. 7-t- dnyor.JhA.n-~w- .,20a.:L- ><-: , NoCary l'ubU My cOf11I11ISRit:l; ,;x,):' ~',' STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTiFY THAT THE FOREGOING IS A TRUE AND CORRECT COpy OF Tf-IE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE. WITNESS MY HAN AND FICIAL SEAL THIS~ OF 200~ LERK OF CIRCUIT COURT DEPUTY CLfPI( .~..!.*~...-.;r .. ."":" ~_ . .....-... ";';;:.011:;':.-:- ':'-/JIY""-,,, rz fJI..?;J' L/ L- ..7t7'