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BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1332
(813) 780-0020
0r;- ) 0
BUILDING
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ELECTRICAL
Date
7-'1-(J~
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner: 6 (JvW(" a ~
JObAddress:_11(30 ~ ~T'
Parcel I. D. "
Water Meter:
T.I.F.'s:
Zoning:
DescriDtion of Work
Energy Code: Radon Gas:
C~ lr-~ I+d~ O>l. E'j..'S(;~ st-.k
FINAL
C.O.
~o.;L
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
Permit Fee
><Signature
Company
Address
yelephone#
Valuation or
Contract Price
~ 'J-(J()' ~
/C(7
City license Registration #
State Certified license#
,~( ') - C V '2 ("
71)1564.
f 4A-4:-' (' ./4../Y:)
#llTb
ELECTRICAL
Breakers
Ducts Insl.
Compre
Final
AL
BUILDING
Ftr.
Pre SLB
lintel
FRM. ~/'7 .--/1-1)?. Rfi
' 0
Insul. CL
WL
Tp. Servo SLB
Rough In (, /'7- /1~();J.. !.}1 Tub Set
Meter Can Water
Canst. Pole Sewer
Pool Final
Pre-Meter
Final (/ 7'-.:2~ ~ 0:;) j2t.. '7
/
Driveway
51N.,,~~ 7-9-0;2 !2('0ft)o
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
Jo :/,
PERMIT + I
7.J2S-02. J33;;J...
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
. will be accepted.
(.,))J\O(~Z)-W-'--b~/L ~ I
(I) )sif i ""\dM..-
-l\\ ~OA- J1~ at ~i: tvJt_
DO NOT REMOVE
ADDRESS
t,/3a Go~~ ib .
DATE
11 is unlawful tor any Carpenter, Cantraclor, Builder, or other per$Ons, 10
cover or cau.. 10 be covered, any part of Ihe work with flooring, lath, earth
or olher motlH'lal, until Ihe proper Inspector has had ample lime 10 approve
,h. Ins lallation.
. AFTER CORRECTIONS ARE MADE CAlL
788-6611 FOR RE-INSPECTION
INSPEGOR ,~
OFFICE HOURS 8 - 5 MON.-FRI.
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDINQ DBPARTIimrr 5335 8tb SftBBT ZBPRYRRJ:LLS. PL 33540
PhoneI813-780-0020 PaxI813-780-0021 4?
. DATB RBCBIVBD -I?'-O~
PLANS RBVJ:BIf PBB
OWNER'S NAME
CONTACT PASCO PERMIT SERVICE
8 1';- i (j8-o;j 14
JOB SITE ADDRESS
LEGAL DESCRIPTION: LOT (S) #"Sg
PARCEL ID #
BLOCK
, SUBDIVISION
WORK PROPSED: ONEW CONSTRUCTION
(OBTAIN FROM PROPERTY TAX NOTICE)
DSIGN
j(ADDITION
D MOVE
DALTERATION
D DEMOLISH
o REPAIR
o INSTALL
PROPOSED USE:~SGL FAMILY DWELLING
o COMMERCIAL
OMULTI - FAMILY
0# OF UNITS
o SWIMMING POOL
. 0 MOBILE HOME
o OTHER
o INDUSTRIAL
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Ren\1Ove old Q1.rp:>r t- I BUt I d new carPort- '+-
~bo- (;l.x. lq a-
BUILDING SIZE C:c.r-por t- t,:tx 17 SQUARE FOOTAGE
rOOm ~i+-l~~
Qn eXI~ . ..s\a..
HEIGHT
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.
PBRMITS RBQUBSTBD
~UILDING
Iit"ELEcTRICAL
$ 7) '). 00. t)t)
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
D MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE ARBAD YES. 0 NO
BUILDBR COMPANY
~ . A ~ STATE CERT REGIST
SIGNATURE ~~ 7-~ CITY PROCESSING #
* ****************************************************************
BLBCTRJ:C
"
* ~********************************************************
PLUMBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MBCRAHICAL
******************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
-~.....-..........._......... '-'.I.. ....J,.;J,f;-U.l-LJ. .n..c1:.lJJt1.V-'.-!:
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject 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 RES~ONSIBILITIES
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 regulation~. 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 contraptor 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 IM~ACT 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 nowner", 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. I
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 nA,ete.", it is
understood that a drainage plan addressing a ncompensating 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 Offic!al 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 NEED TO RECORD AND ~OST A ~NOTICE OF COMMENCEMENT".
veL g fJAJ ~~_
/'I SIGNATURE: OWNE OR AGENT. SI,mATU : CONTRACTOR
STATE OF FLORIDA B
COUNTY OF tL>LO
The foregoing instrument was acknowledged
Before me this ~ day of ~t..C... ,~;l.
by E.I~... 6. Gric..b
(name of person ackno~ledged)
Dwho is personally knowD to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was-Acknowledged
Before me this ~ay of I I/.M..L , ~ ;;1.{)0=>-
by SU7a.01v1L- Bdh...
(name of person acknowledged)
~ho is personally known to me, or
Pa.s.(.D
o who has produced D. t _ .
(type of identification)
id not take an oath.
person taking acknowledgement
"'~~'~z.',, Jeffrey Todd Reutimann
~~~""'~Commission # CC 790956
d .- I - ~~n~~U15.2002
Name type , pn "'" _~~ 'SY.B"oN'Eie8' THRU
"/ff.,~\" ATlANTiC BONDING CO., INC.
c.---
~
person taking acknowledgment
,,~I~~II',~ Jeffrey Todd Reutimann
~~, ~Commlsslon # CC 790956
-*: *-
Name typed,
NOTICE OF COMMENCEMENT
1/1111111111 II111 II11I 111I1 11111 1111I1111111111 IJIIt 11/11111'
2002091895
state of 5-, or'( da...
County of
P a..~ LD
TUR trnOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencemcnt:
1. Oescr iption of Property: Parcel No.
a Ie)
Car po r t) RDD Y"\'1 Ad.d..d-l D~
2 .
General Description of Improvement
3 .
O\,'ncr Information: Name -01 V\"lCt.r G ri e b
Rcpt.: 596136
DS: 0.00
06/14/02
Rec: 6.00
IT : 0. 00
Dpty Clerk
f\ddress (c;>>(~() ('rt'_c.rOW'1 S~ City "rh,/rhil\~
Interest in Property:
State _F' 3354 I
lIame of Fee Simple Titleholder:
(If other th~n owner)
JED PITTMANA PASCO COUNTY CLERK
06/14/02 0D:58am 1 of 1
OR BK 4977 PG 1068
Address
City
State
, II.
Contractor: NamehJ'S c..onst("IA.c.:tl~h
Address 1033;;2. NewsoMe 8..cL. City O~ Ci+"
I
~
..s......"
State Xl. 335".;l5
5. Surety: Name
Address
City
Stata
I\mount of Bond: S
6. Lender: Name
Address
City
State
7.
Persons within the State of Florida
notices or other documents may be
713.13(1)(a)(7), rlorida Statutes:
designated by Owner upon whcm
served as provided by Section
tJt:mc
AddLE'SS
City
State
8. In addition to hims('lf, Owner d~signates
of
Lienor's tJotice as provided
to receive a copy of the
in Section 71J.IJ(ll(b), FlorIda Statutes.
'I. fxp..i.r"t J.'J/I dnle n{ lICJtlce of Commencement (the expiration date 1:3 1 year
fr~m tile date of recording unless a different date is specified.)
Signature of ownerXa- $: ~~;;~
Sworn to und subscribed be f ore me this 15 tl1 day of IT" Lo\..~
20 0;).
NoLuy Publ ic :
,":,"'."', :'::uzanne Bahr
~...~..~::--<~ C;ji'11rni~~:;I0!1 .
;~( ~ L;~ bpi! (S NOV. 15,2002
';1"-~'" ,7..~' ',-: ..'''t-InFO THRU
""',S,2~ .\'t:...,'" ,l\ I: ~: .lll: 1I()ln 1\ 'IG CO . lNL
PC93053048/A
D ~ v-m ; c C ; n"Y'\ f1"1 ^
..L "-' ..L..llL-.L L~-' L_J _J_ '-,J..l-L i '....J
Pick 1Jp
l1bi:ildi/j
PASCO PERMIT SERVICE
7025 Fort King Rd.
Zephyrhills,FL 33541
To Whom It May Concern:
Please be advised that Suzanne Bahr has
my permission until further written notice
to sign and pick up permits for me.
Sincerely,
Q~_~cZ/V-
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this Is#- day of fl1Aj4St;
i602fJr){) .
Personally known ~ Produced identification
Type of I.D.
,~tp::'" Jeffrey Todd Reutimann
{~(. '.A....,. 't[~Conll~lsslon # CC 790956
~~\~~~ ExpIres NOV. 15, 2002
-:',1'Yi~ ;J~'.':- ao~mED THRU
'IJ'f/i\'\'" /'...TlANTI;": nONOING co., INC.
Co~~isioned Stamp
and Expiration Date
s' nature
Florida
of Pasco
,
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