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Home My WebLink About02-1255 BUILDING PERMIT 0 CITY OF ZEPHYRHILLS Permit N_ 1255 (813) 780-0020 Date ~ Q/_O'2 BUilDING "'~,_..._. - ~ PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # Zoning: DescriPtion of V/;-.7;:~~ ~5-~~h-1~A~ Water Meter: T.I.F.'s: FINAL C.O. -ltJ-. (J ~ 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, DATE Inspector l<L ~m:l.itJ:e.!! Valuation or ~ - - Contract Price C I natur eompany City license Registration # ~c'B 7 Addre.ss State Certified license# . ~ePh~ 9 (1;;~ 11 6~-;;..~ ---...... . BUu..gmtj ......-- ELECTRICAL PlUM8+NG ---- M~-"'. Breakers Ducts Insl, Compressor Final Tp. Servo Rough In Meter Can Const. Pole Pool pre-Ma Final \. "10--(/ d- f!LY SlB Tub Set Water Sewer Final Ftr, Pre SlB lintel FRM, Insul. Cl WL Driveway fF L/;i'S & '-I{I~t1:?l- C0rt~ I:..r- 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. FP c... #- ~ 2 ~ ~6 cr 0- <0 '5+- =rQc-~~L~ \Ze..-~~c-_k ~c.~, "- ~~ r...h c... e.. , ( G 't'~ b~':" ':) o\Je<~e., SL l.-<S\) " ~ ~j~/) ~,:)~>~ (~ ~ ~ u.. ( I 0~~. :2..... <?' G,.....I...J r~> ..... 2.. - a.<:.o r" ~ L: Jc;.,_~_" I ii: ,~ / ~ - ~ g~,. C. 't I - z. " ~ G.. ~ '" 2 :' \,-J ~'V~ e/ ~,--L 1- ~ l~~ 1 +f'\. ~ ~"\~ (l re-:. ~ p~~~ - ere ( 6't> __ q2> <6'."'\.~ 11. Z_ '1,--1 S.. ~ , "0 ' cr. cJ<:j ~> /4.')' / 'l. 'is z. 5' 1..-) P\f<-' Z 0 2.0, . ~'t' /7~. _ 250 ~ /' <"I "ty 0efv. r 1..0 .:> e{ rarcelltUortnanon mr: 11-:lb-:ll-WlU-lnUO-UOlU card: 001 Page 1 of2 vy!!~!!!!! : ~fl(:Qfd S_er : PImlI SMIeI'l ~M~I'LA-g~in ~how Map Generl!!lJKt Buildina Schematic C8~late Taxes ~~oll.ctDr Infofmation - Cu.a:mnlDellnquen~ Taxes ParcellD 11-26--21.0010-17200-0010 (c.d: 1 of 1) C....ification 01 - Single Family Mailing Add..... .......ment (IOta... LYNCH ROBERT N BISHOP OF THE DIOCESE Of S1 PETERSBURG Ag L.and - PO DRAWER 40200 Land $82,790 ST PETERSBURG, FL 337430200 Phy.lcal Add"", Building $88,201 38802 5 TH AV Extra Fe&tures $9,514 ZEPHYRHILLS, FL 33640 Legal DescriptiOn (Flr1lI 4 t.m.) Total AMeument $160,505 ZH MB 1 PG 54 LOTS 1-8 & LOTS 7-10 EXC S 50 FT Save Oll Homes $0 RB 837 PG 1041 & 1042 & RB 868 PG 873 & Tluble Value $0 Land Detail c.d: 1 of 1) line us. DMcrlptlon Zoning Unlta Type Price Cond Value 01 0100 SFR 00R2 1,800,00 SF 1.95 1,00 $62,01Cl 02 0100 SFR 00R2 ',200.00 SF .85 1.00 $780 Addltlona' Land Informdon Ac.... I 0,76 I Tax AfU I ~ I Fema Code I ~ I R.. Code .!!i(.:.ii.~ WlcllMlJ",rormatlon - V..r Built 1948 USE 01 - Single Family Reeidential (Card: 1 of 1) Ed Wall 1 Concrete Block Stucco Ext WIll 2 None RoofStr Gable or Hip Roof COY A9ph8It or Composition Shingle Int Wan 1 Plastered Int W.II 2 Plywood Panel Flooring 1 Carpet FlooriAl 2 None Fuel Electric Heat Forced Air - Ducted AC Central B8th8 1,50 Line De8criptlan Sq.Fe.t Repl. eo.t New 1 aAS 2,~ $99,127 2 F~ 548 $11,023 3 f.~ 112 $8tH5 4 .uDG 880 $10,821 Extra FeaturM (card: 1 d 1) Line DeRriptlon Year Unitll V.lue 1 owe 1973 230 $280 2 C.QN..P-T.Q 1973 317 $358 3 GB.l\.L. 1973 1 $85 4 DOEENCe 1991 1.000 $495 5 PAV ASP 1991 1~IOOO $8,316 http:/...IPaIT..el.asp?sec=11&twn=26&mg=21&sbb:OOl O&b1k= 17200&lot=001 O&a.ction=Subtni 5/30/02 213 38'v'd 4JdnH8" r-Id3S0flS 9€.3T88LU8 8::80 300l/TE/gO APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DA:rE RECEIVED PLANS REVIEW FEE OWNER'S NAME S-f. -~5('fA~ rku.rcA JOB l\DDRESS 3g>gtJ"z 5;rlt. Ai/~ 2qk.; r)1/ /6 PHONE Y/3. J~,t - ,;z~/3 F/., ?3 ~'ftJ / LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o-INSTALL Os I GN o MOVE o DEMOLI SH o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME ~OTHER PROPOSED USE: DSGL FAMILY DWELLING c=J RESTF~JRN~T & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK :J.-;,v.5/??.J/ ;lieu? tJVMhe...d Serf/la A"~l1tr1f h /pJ,.eJohe,P ,Yl rr'l~ri'1 BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMHERCIAL: l...TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (11 SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED D BTJILDING $ tf<2 ~ 'fir .:Uc) AMP SERVICE VALUATION OF TOTAL CONSTRUCTION ~FLORIDA POWER o W.R.E.C. @"ELECTRIC1\L o PLUJ.1BING D MECHANICAL ~. .,. VALUATION O~ MECHANCIAL INSTALL~TI0N o GAS [] ROOFING o SPECIALTY D OTHER TYPE OF CONSTRUCTION: ~BLOCK o FRAME o STEEL o OTHER E'WI SHED FLOOR ELEVATIONS [;; PROJECT IN FLOOD ZONE AREAD YES o NO L___ CON':rAACTQR.i.SEC':rION COMPANY STATE CERT OR REGIST # CITY PRqCESSING # BUILDER SIGNATURE ****************************************************************** ELECTRICIAN SIGNATURE ~h ~nrvR'- COMPANY PtLIZU z:e~~~ STATE CERT OR REGIST # EC. - 000/..2t,.f CITY PROCESSING # ~3 7 ****************************************************************** PLUMBER SIGN.~TURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # *******************************************k**************k******* SIGNATURE COMPANY STAT!': CF.HT OR REGIST II CITY PROCESSING # MECIJANICAL **~****************************************************-k********* SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # OTHER ***************************************************************** 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 fOL 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 misderneanor 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 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 GuideH 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/O~NER'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 ~o 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 developrnent 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 S!'~nsitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland A\eas, 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 "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 perrnit 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 corrullenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months a~ter 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 IllUSt be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR F~ILURE 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 VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR ar::knowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _day of------, 19 by (name of person acknowledged) [1ho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument ,.ras Before me this _ day of by (name of person acknowledged) Dwho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid [)::lid not take an oath Dwho has produced (type and whoD did Ddid not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped