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Home My WebLink About02-1414 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N! 1 4 1 4 (813) 780-0020 Date g- /2 ~-2 BUILDING ELECTRICAL PLUMBING ,"operty Own.' If (1 (' g 1/. yrf, '.,5 to " Job Address: i.jY'{& ~ 5-r- Parcell.D. II MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Descriotion of Work Energy Code: f(~- ~ LJi~ Radon Gas: 51". f II., 'Rllh~ -rh eA'nh~e.. NO OCCUPANCY BEFORE C.O. FINAL q - 13 - O.:J- DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector P8fm;t~ ~ Cjfj-;;;U ~tgnatur ~ Company Address '~elephone# 7"z7-~1;z- tj7 6 b "'-:fb Valuation or Contract Price City License Registration # State Certified License# TV\v/ ~ (~b/~ AS<;n~~-tfl}'~ BUILDING ELECTRICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sew Final Breakers Ducts Insl. Com pre Fina Ftr. Pre SLB Lintel FRM. Insul. CL WL 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 ($25.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. C. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. OWNBR' S NAMB -.B.I y Uo H l.\ 11 t /1$ <:Ii:) .TOB SITE ADDRESS q <t '-I , 'b r'" . LEGAI~ DESCRIPTION: LOT(S) I 4't'1 S BLOCK' 1 PARCEL ID # /i.{. J 6. ';).1- DO} 0- 0 J 10'0- OJ.3 () CITY OF ~" .dEDI'.f APP.........CATION -U- /L(li-/ BUILDING DBPARTHlDn' ::iHS Sth STREET ZEPHYRnrLLB, PL 33540 PhoneIB13-780-0020 PaxIS13-780-0021' DATB RBCBIVBD PLANS REVIBW PBB PHONE CONTACT 7'::1- ~ 5/ <( SUBDIVISION yt1\)~rese (st A Jdit,' o,J WORK PROPSED: [JNEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION o ALTERATION o REPAIR ~ INSTALL [JSIGN o MOVE o DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI-FAMILY [J# OF UNITS [J SWIMMING POOL rstMOBILE HOMR o OTHER o COMMERCIAL [] INDUSTRIAl, DESCRIP'l'ION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~/ool LV A;~('~ ~ ~b~~;", /?71!'h1//'/I"'~ / / , SQUARE FOOTAGE;? "-I 0 HEIGHT BUILDING SIZE RESIDENTIAL: COMMERCIAL: ~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. AT1~CH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. [J BUILDING $ PERMITS REQUBSTED b~SO. IJ9 VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE [J FLORIDA POWER o W.R.E.C. [J PI,uM8ING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS !)rROOFING o SPECIALTY [J OTHER TYPE OF CONSTRUCTION: [J BLOCK o FRAME [] STEEL W O'l'HER FINISHED FJ.QOR ELEVA'!'IONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUXW_ ~ / SIGNATURE ~~ . .-. COMPANY :x I) lJ " nC ," 6/ e. A s; 5 () c.. STATE CER'!' OR REGIST # C c c. 0 L( 9 3 b 7 CITY PROCESSING # -3 0 CJ **********************.*.*...*.**.......***.................**.*** BLECTRICIAN S lGNA'I'URE COMPANY STATE CERT OR REGIST # CITY PROCESSING # .*...*****.*.****.***...****.~*...**.*********.*.***..***.*..***** PLDHBBR COMPANY STATE CERT ORREGIST # CITY PROCESSING # . , " SIGNATURE KBCHAHICAL *******.*.******************..*..***************.***.***.********* COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ..**.**..**.**..*..****.*.******.**.****.***.....*..****.******** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ********************.*********..*..**.**.***.***.~.***********.** CONDITIONS OF PERMIT AFFIDAVIT A. NO~ICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject ,to "deed restrictions" which may be more restrictive than City regulations. 'I'he undersigned assumes responsibility for cOJi;pliance 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 18 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 Agricultura and Consumer Affairs. If the applicant is someone other that the "owner", I cerlfy 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 installatJon 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 jur.tsdJction. 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 cornpliance. 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, AJ.tering 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 flll material is to be used in Flood Zone "A" or "J\,etc.", it 1s 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 pennit 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 1s conunenced withln 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. O~e 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 '1'0 OWNER: YOUR FAII.URE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RES Ul.'I' 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~E DO NOT NEED TO RECORD AND POST A "NOTICE OF ~ ~ ~"Y SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIrne-J STATE OF FLORIDA COUNTY OF ~<1~~ The foregoing il~str ent was~'.k.n owledgEJd Befor..-e me this,~ "O%, of '1 ' ~oaL by ~fucVrf- (_~ (name of person ackno~ledged) '" f \'; --.. << INVINCI~~] Making Florida a better place to live since 1987... one home at a time. Contractor's Letter of Authorization I hereby authorize the below named individual to act as my agent to obtain all necessary permits for residential roofing work for: Owner --.A I y" -e. l-hOfL' () j t ~)o.l at this location: 4 ~ l.j b .<t r k ~+ , 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 required In any jurisdiction throughout the State of FloricJa. Authorized Person: S -}. \.( Q,. + w -eI v t.. ~ Authorized Person's Slgnature~~ ~tf~ M~ Brian Stover State License #CCC049367 ,.R1 "/,,', ,,0 ........."" MONALBUTlER ....\.%lI * MYCOMMISS/ON#CC961647 ~~~ EXPIRES: August 16, 2004 ~ OF "of' Bonded Thru BUdgel Notary Service. INVINCIBLE ASSOCIArES, INC. J093J 75THSL . LA/<GO. FL33l77 . 727/545-J800 . 800/937-6635 STATE CERTIFIED LICENSE II CCC049367. CRCOJ5276 ~ H STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY rr'IAT THE FOREGOING IS A TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE OR OF UBLlC RECORD IN THIS OFFICE, WITNESS MY HAND OFFICIAL S~AL THIS~Y OF 2 d22 BY TO BE COMPLETED IF CONSRTUCTION VALUE EXCEEDS $2,500.00 111111111111111111111111111111111111111111111111111111111111 2002129530 Permit # Rcpl: 612671 OS: 0. 00 08/22/02 Rec: 6.00 IT: 0.00 Dpty Clerk Tax Folio #/Y-d. b-2J-~IQ-o I~O\)'.\)'"30 JEO PITTMAN PASCO COUNTY CLERK 08/22/02 10:44am 1 of 1 OR BK 5044 PG 795 OFFICIAL NOTICE OF COMMENCEMENT State of Florida County of P q s c. -<:) THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and ill accordance with Chapter 713, Florida Statutes, the following information is provided in the Notice or Commencement. 1. Description of property: J1 () ~ ex -\ 4 <t Y l, <(f'" $+ - "2(.ekJ.~)ls) f-'L ~ 35'1 ;l 2. General description of improvement: ~ R l::) <:)" 3. Owner Infoffilation: A. Name and address: .8J v<:. ~ ~1'} ,,~}o ~ 4 't Y 6 B. Interest in property: _~w~, r-L C. Name and address of fee simple titleholder (if other than owner): <tl ~ S1. 2e ~~Yih.' II f) ~~ 5V"A rJ-"I\ Contractor name al~ address: X- (\ V ~ 1\ c..; l,) 't A oS sot.- )'OCJ31 761 ..sl.~. LC\"t'Jo) '~L 3~777 5. Surety (if required) A. Name and address B. Amount of bond $ 6. Lender name and address: 7. Persons within the State of Florida designated by Owner upon notices or other documents may be served as provided by section 13.13 (1) (a) Florida Statutes. Name and address: #\ 8. In addition to himself, Owner designates :[" oJ l' i\,/ble ~ S $ () c... Lienor's Notice as provided in Section 713.13 (1) (b) Florida Statutes. to receive a copy of the 9. Expiration date of~otice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified) ,20_ Signature of Owner or Authorized Agentt?( _ ~ ~ l1c(~A~~V Swon+il!.ld subscribed before me this I ~ day of l'+ut...vS'\ . ' 20 02- J1\ow.:h~ I^,~ \ Notary Public My commission expires: ""~:.~ ~~'<t, ..~* ..... .. ~'#OFf'rI"<> MONA L. BUTlER MY COMMISSION * CC 961647 EXPIRES: August 16,2004 Bond.d Th,u BUdgll NOlII}' S.lVie..