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Home My WebLink About02-1408 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N2 1408 (813) 780-0020 Date g -/9- t',,<. BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. II "JA. tN. ~ 3K' 5'0/'5 (}NtY\1Ly /'J71 r:.Ave.. Water Meter: T.I.F.'s: 13S '1~ Zoning: DescriDtion of Work Energy Code: Radon Gas: ,:.1 tJ. ={ I' CI1A I;' A, /;~ NO OCCUPANCY BEFORE C.O. FINAL '1- 5-' 0 ~ DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City license Registration # State Certified license# d775 Permit Fee ~ignature Company Address .:>lrelephone# ~ Valuation or Contract Price &7'30" 77?-#"JjJ fJ-AC-t;6~ r~~ Ftr. Pre SLB lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Po Pool Pre- Fin SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compre Final BUILDING ELECTRICAL 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. . A ACTION .r-y:ENCE CO. Your Fence Company 8327 Jacqueline Ct. · Zephyrhills, FL 33541 (813) 779-4331 . :T7Jfl'1 F: 5 12 , t: A fW !3,/l(),J Address: 18'.5 L/ ~ " C.4 1/ E# WE .:2 Ej7H,VR )/JI/~ PI, ,~,~ 542- 171.3- 71f0L- h/"?Pl Date: ~-16-0? ~ ~ FENCE SPECIFICATIONS ~ #,.t?~tJ.y d(fJ6,k.- ~' ~/#I/Alj,IN'~~F/"O~" J/f2../AM~e. d/2-,t 7&t?11u,vALhs/ I~NL/HE ~S/ /~h'.;:f3~ ~/L. / - ~:r /tJ '/../. i/R1 P' C 4,47,g. J? /1 ~sr &HC';'(L7FiJ , Name: Sunshine State One Call (1-800-432-4770) . Reference # c2 3 t;;( () 0 7 7 ~9 --02- ) ./ Phone: , 57 x - - -- ~ f ~~1/;a FENC.€' g'peKYI/R.D f [ (,' CllfI,tJJ.,1Ie I. f,jKt,t: l' ~o~ I t (1.~ , I ~ ,cftldY/l~D ..J- t . . j , - 57 X~WJ41J:.R "'6tE~ 89' -t < C AVENue ;, Customer agrees to fumish and be responsible for property lines. This quotation does not include compressor for digging in underlying rock. A Action Fence will not be liable for any underground wiring, pipes, or other conditions not known to us at time of installation. Customer agrees to be responsible for all building code and home owner association code restrictions that may apply to the erecting of a fence on their property. AAction~ ./~/_ By. Y.o-4 We hereby propose to furnish labor and materials complete in accordance with the above specifications, for the sum of ~ "'/J & I/' ,11 $ 6Vt ~ ,3?,) ';./2',,#/6 ~FL~".r- / ;' With payment to be made as follows: ~",?, ~ J~r ff~ /$E/l/" ~~h-.,f l Accepted: By: We Accept Visa & MasterCard Warranty: One year on materials and workmanship unless extended manufacturer's warranty is noted. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 PhoneISI3-780-0020 FaxI813-780-0021 DATE RECBIVJlID ______ PLANS RBVIBW FEE I OWNER'S NAME---.n-mu 1<1. CA.,..,ERoN JOB SITE ADDRESS 3 Sl s 4.5 C! AVE/lLf,.te PHONE CONTACT ?~A~tI-& R:. ~3S-~2- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: 0 NEW CONSTRUCTION o ADDITION (OtlTAIfl FROM PROPERTY TAX NOTICE) OALTE~tfo1f; 0 REPAIR ~STALL OSI~ PROPOSED USE: ~L FAMILY DWELLING o MOVE o DEMOLI SH OMULTI -FAMILY 0# OF UNITS o SWIMMING POOL o MOBILE 'HOME o OTHER o COMMERC IAL o INDUSTRIAL o RESTAURANT & HEALTH DEPARTMEN'r APPROVAL DESCRIPTION OF WORK rA..c'i4H 9' ~H~N; L.H?K rl5"~ .J( 203 I BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUIl~DING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL, NEW CONSTRUCTION. o BUILDING $ lJt1 750,- PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FI,ORIDA POWER o W.R.E.C. [J PLUMB ING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALI,ATION o GAS o ROOFING o SPECIALTY o OTHER 'I'YPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** BLBCTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SlGNATURE MBCHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** ,c~ SIGNATURE .. OTHER ***************************************************************** COMPANY #.4e77p/v' FENCE eG', STATE CERT OR REGIST # ~D205b'(OOI9? CITY PROCESSING # ;2 9/'.'7 CONDITIONS OF PEP~IT 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 utldersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTR1\CTORS AND CONTRACTOH RESP()N~HBI!~ITIES 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 ~egulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under sta,te 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, 813-766-661l. Furthermore, if the owner has hired a contract:or 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. CONSTRUC'I'UION J,IEN LAW (CHAPTER 713, FLORIDA S'I'ATUTES, 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 cer'ify that I have obtained a copy of the above described aocument and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR'S/OWN~R'S AFFIDAVIT 1 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 *Departlnent 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 "AH or "A,etc.H, 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 ~he 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 connnenced 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 connnenced. One 90 day extension of thtte 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 FAII,URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE I!'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'I'AIN FINANCING, CONSULT WITH YOUR LENDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VAI,UE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR s'rATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged i9_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by acknowledged 19 (name of person acknowledged) r~who is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type and whoD did Ddid not of identification) take an oath. Owho has produced (type of identification) and who Odid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment. Name typed, printed or stamped Name typed, printed or stamped