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Home My WebLink About02-1282 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ 1282 (813) 780-0020 Date " - /:3 - 0 :2..... G~ILDINY ~BJeAC PLU~G----'''' MCCItANICAL", . Sewer Conn - /y . . Water Conn: ~ i Z-G.4./YJ6 Wate~ Mete, @. ___- T,l,F,s, Zoning: Descriotion of Work Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL -~ DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or " L ~ /7 Contract Price . r c-Jr .;;1.00 Permit Fee ~w;e" Company Address -rii8Ph~~~#' Inspector City License Registration # c:< 76" e Certified License# -- _.,,'_.-.,..~. c. ELECTRICAL PLUMBI MECHANICAL ----.-- -- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECT ION 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NJ\ME~uri~t C1_J,1 J ~'/s JOB ADDRESS "'5L-\~ I~ "5..J-. '7 ~\\~ SUBDIVISION D(~~TtTN FROM PHONE h. '3 3 :)7'0 LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # --tI..-- z. ~ - 2- t 'l'-' 00 I D - {(Q 70f) WORK PROPSED: ONEW CONSTRUCTION OSIGN PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL o ADDITION OALTERATION PROPERTY TAX NOTTCF.l [tJ. REPAIR 0 INSTALL o MOVE o DEMOLISH OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o $WIMMING POOL o MOBILE HOME o OTHER ~ BUILDING SIZE' CJ RESTAURANT & HEALTH ;KT,MENT }l.PPROVAL . f-ArrJ> ~ () ,'.. f ~ fmf.-.. }- SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK 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. . o BUILDING PERMITS REQUESTED ~f) ~ VALUATION OF TOTAL CONSTRUC;rION $ o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C., o PLUMBING o MECHANICAL $ o GAS ~OOFING 0 SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***********.******************************************************* MECHANICAL COMPANY: STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER ROOFING ~.' COMPANY RYMAN CONSTRUCTION INC. '-"L "'.. STATE CERT OR REGIST # RC0061648 SIGNATURE X ~ , PROCESSING # 275 ***************************************************************** STATE OF FLORIDA P!1.<J('J-'" COUNTY OF L/V The foregoing instrument wa&-<<cknowledged Be~e me thiS-* day of ,)U/vLA.. , ~ by on!?) -f U/l;K e (name of person acknowledged) 5Jwho is personally known to me, or 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 for 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 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 GuideH prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~ownerH, 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-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 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 $2,500 IN VALUE DO NOT ED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". SI~M~L STATE OF FLORIDA l? /do Ar" /) COUNTY OF ~/~":::::::J,,_ The for.egoing ins~rument w7Es..acknOWledged Before JPr. this ~d,R.y Of~ ' J:'9<ytr'b\ by f~~J< /~~ (name of person acknowledged) ~o is personally known to me, or Dwho has produced (type ~id not Dwho has produced (type of Bud not identification) ke an oath ~~:1:n t.i fica tion) ~~ ture of p .'6~~nEM~g" acknowledgement ~iT::Y ~om:I"'on CG8fc Name typed, pri"n't"~d x6~' :~J:~~ecr person tak'ng acknowledgment ..'6'- Angela l Helms ~My Conumssion CC800247 Name type l' p1l!N~~88'j'~mped , R-.e. -ivrY'- --!-6 -,--- iC~ <g>IS - 7( LI_I ~ ~--</ . . '".' . ;;:/~. 111111111111 11/111111111111111111111111111 11II1 111/111111111 2002085022 NOTICE OF COMMEN~ State of ~(cI);cl ~ County of y ac~ C.-2J THE UNDERSIGNED hereby gives notice that improvement, will be made to cer:tain. r:eal pr:oper:ty, and in. accor:dance with Chapter: 713, Florida Statues, the following informat,ion is provided in this Notice of Commencement: 1.Descr:iption of Pr:oper:ty~ Par:cel No.x//./1h-lftJt!Jb-/6?dc7c-tJ$Y' 3.Owner Information: Address 57td16 (Legal description of the property and street address if available} 2 . General Description of Improvement ;-) '."S lof. ') r b ~DE-f., Name1>/r,~l- Club QP ?~1~k.1~'1:;. < 7,?J,-._~r City Z )//1$ St.at,eFL Interest in Property~ . Name of Fee Simple Titleholder~ (If other than owner) Rcpt: 593360 DS: 0. 00 06/04/02 Rec: 6.00 IT: 0.00 Dpty Clerk AddIess City ~ 4.Contractor; Name RYMlIN CONSTRUCTION, INC. ~ Address 37325 S.R. 54 W. City ZEPHYRHILLS State s.Surety: Name StateFL 33541 Address .r _ City State JED PITTMAN PASCO COUNT~ C1ERK 06/04/02 08: 34am 1 10 160 OR BK 4965 PG Amount of Bond: $ 6. Lender ~ Name Address City State 7.Persons within the State of Florida designated hy owner upon whom notices or: other: documents may be ser:ved as pr:ovided by Section 713.13(1) (a) (7), Florida Statutes: Name Address City State 8.In addition to himself, Owner: designates of to r:eceive a copy of the Lienor:' s Notice as provided in section 713.13(1) (b), Florida Statutes. 9.Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified.) " l?rint Name~.v"'e=/C....# day Of~ _'~ SignatW:e of SWO~d 2Qo . Notar:y Pub~ic~ My Commission Expires: ~, ~JButtce tW * My Cornm1lllon CC8t44t3 ......." Eltp/rea March 3t, 2004