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Home My WebLink About02-1429 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ (813) 780-0020 BUILDING ELECTRICAL MECHANICAL ff~~~ S~ '1 I()# PLUMBING /La/ ST. ?r Property Owner: Job Address: Parcel I. D. II Zoning: Descriotion of Work 1429 Date g- 30 - 061.. Sewer Conn Water Conn: Water Meter: T,I.F.'s: Radon Gas: Energy Code: ~1-.-k 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. FINAL C.O. DATE - () ::z. !/ftJ Valuation or Contract Price /. 3 ().o' ty0 I 9-7~ 'i Permit Fee )..Signature Company Address ~) ')hlephone g /3 7/'7-:] 7 J....l J City license Registration II State Certified license II P ns e,'<) Qrr,CAJt. BUILDING Ftr, / q~;; /~z ReI( !fI~P. Servo Pre SLB~q -~ - 02(,( 7 t.6~ough In lintel Meter Can FRM. Const. P Insul. CL Pool WL Pre- . al SLB Tub Set Water Sew Fi I 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. BUILDING PERMIT Permit N! " ~o ~ eo BUILDING I-( () " pO ELECTRICAL CITY OF ZEPHYRHILLS (813) 780-0020 1--(0' e-O 35"' ~ PLUMBING MECHANICAL 1430 Energy Code: M. H, S'..ul.~ Radon Gas: Date q -~-O:l Sewer Conn t:2 7 K. trO Water Conn: . 3 '!) tJ" t"O I to v I?D /.j,C#).pQ T,I.F.'s: 'I. -y If" :H'J' ~- 19'tJ'pt> -Z;"'f . Cmn.. /75" rt1 Water Meter: Property Owner: Job Address: Parcel I. D. , Zoning: Descriotion of Work V~~ ~'7 5"3/ N84. lie. . NO OCCUPANCY BEFORE C.O. FINAL C.O. -02- DATE ',-0 '2 Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector City License Registration # State Certified License# .1(8' Permit Fee ~ 'X. Signature LJ . Company Address Telephone# ~"7J-f~"-u. Valuation or Contract Price ~~fdI6 f1 C!.L -#- ~~ --td~~.o L(S'" /7(~ # IJ'? PLUMBING MECHANICAL BUILDING ELECTRICAL SLB Breakers Tub Set Ducts Insl. Water Compressor Sewer Final ,--/'7 -f 'i - d 2...t&y Final ~-I., .- ~ 2- "RLy I-Ij() '-" HJo Driveway Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final(.,A -/9- 0 '2. Rt.'1 I../J b _ j..AJVIJ e.. V' ~ 8': 3 d {L---'1 Ftr. Pre SLB Lintel FRM. Insul. CL WL Ff q- p.,o-02 REINSPECTlON 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. b. C. d. e. f. g. Wrong Address Condemned work resulting from faulty construction. Repairs or corrections not made when inspection called. Work not ready for inspection when called. Permit not posted on job site. Plans not at job site. Work not accessible. (iao,~ The payment of inspection fees shall be made before any further permits will be issued to the person owning same. CITY OF ZEPHYRUIIJLS PERMI'f APPI..ICA'l'ION BUILDIN(] DBPARTMENT 5335 8th 8TREET ZBPIIYRHILL8, FL 33540 PhoneI813-780-0020 FaxI81J-780-0021 DA'rB RBCBIVBD -------.---.. PLAN8 RBVIBW FBB I OWNER'S NAtIJE c-P,~J~f"Af~:':"________________,____ PHONE CONTACT ,....- ,JOB SI'l'E ADDRESS L_ c.~_t Y.J.__, /Vc._::,J5_c:""'2 }qu~____. ______________________________ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION c;..,\AA-'( ~ If on.. 0:."..:..':.___ -----~---- PARCEL ID # WORK PROPSED: []NEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION o AUfERATION [] REPAIR IJ INSTALl, DSIGN [] MOVE [J DEMOLI SH PROPOSED USE: DSGL FAMU,Y DWELLING DMlJLTI.. F'AtULY 0# OF UNITS ~E Hot,1E o COHMERCIAl, [] INDUSTRIAL, o SlUMMING POOl, [] OTHER DESCRIPTION OF WORK o RESTAURANT & HEALTH DEPARTMENT APPROVAl, u,Jt BUU,DING SIZE ---------- SQUARE FOOTAGE ------- HEIGHT RES IDEN'l'IAL: COMMERCIAI~ : ATTACH (2) PLOT PLANS & (2) SETS OF BrJIl,DING PLANS & (1) SET ENERGY FORf\IS. ATTACH (3) SETS OF BUIUHNG PLANS & (1.) SElT ENERGY FORMS. PROPERTY SURVEY REQUIRED F'OR ALl, NEW CONSTRUCTION. PERMI~~REQUESTED [] Bl1JLDING $ VALUATION OF TOTAL CONS'l'RUCTION [J ELECTRICAL --------- Af'.1P SERVICE o FIDRIDA POWER [) W.R.E.C. [1 Pl,UMB ING o [V]E:~HANICAL $--- ---- VALUATION OF' MECHANCIAI, IlJSTAU,AT ION (] (3AS LJ ROOFING [] SPECIALTY [J OTHER TYPE OF' CONS'l'RUC'l'10N I [J BLOCK D FRAME [] S'I'EEI~ o OTHER FlIHSIIED FLOOR EIJEVA'I'IONS IS PROJECT IN FLOOD ZONE AREACJ YES [] NO BUILDBR SH3NATURE _W~V- _ ****************************************************************** ELlIlC'l'RICIAN SIGNATlJRE v.P~ COMPANY J1-C <-- ~----------~-------_.._-_.- STATE CERT OR REGIST # CITY PROCESSING #__%____,_-==~==-=,~.: ****************************************************************** SIGNATURE v ~~f1i:2 -- CQtIJPANY- tJ.~7 _____'_______,______., STATE CERT OR REGIST # CITY PROCESSING # ~ PLUMBER SIGNATURE ****************************************************************** ~OMPANY-ft c:=. <-- ________,______, ZJJt- STATE CERT OR RE(HST # _____ ______...._____ t.:.J ~,..,tf,~~ ....___.__, CITY PROCESSING # ./{fi 1~7 _________ ***************************************************************** MECHANICAL OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ----..---------- ***************************************************************** A. NOTICE OF DEED RESTRICTIONS - . The, unders.igned understands that tin I! pe:nnj t 103~' be .9l1bj eut to "deed restrictions" whJch may be mor.e restrictive tha.n City n~qulE,t:io:!s, 'l'hemdl'lt'sl qned assumes responsib.t lj,ty for. compLLance w1 th any applicable deE!d cestric l:ioIlEi. B. UNI,ICENSED CON'1'R1\C'rORS AND COH'l'Hl\C'l'OH RillSPOUSJBn,l'!'U:s If the o\~ner has hired a contracte,r OJ: c:ontracl:ots to undertake work, they may be required to be licensed in accordance with s\:ute and lo,:::al J:egulatloIlS. If the contractor 1s not l.icensed as required by laH, both thH Ol'mel:' and contractor may be oi ted for a misdemeanor violation under state laH, If the (Hmel or intended contractor are uncertain as to Hhat licensing requirements may apply for the int.ended \York, they are advised to contact the CUy of Zephyrhills BuJlding Department, 013-'7138'-6611. Fur.thermore, If the owner has hired a contractor or contractors, he ls advised to have the contractor (s) sign portions of the "Contractor Sections" of this application for vlhich they Hill be responsible. If you, as thE~ owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the Hork. 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. 'l'RANSPOR'1'A'rTON IMPAC'!, FEES AND UTILITY CONNEC'l'ION FEES D. CONsrrRlJC'l'UION 1rIEN LAW (CHAP'l'ER 713, FI,oRIDA S'I'A'l'UTES, AS N1ENDED) I certi.fy that I, the applicant, have been provided \-lith a copy of "F.'lorida's Constr1lction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affai..rs. If the applJcant is someone other that the "owner", I ced_fy that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to conunencernent. E:, CON'I'H1\C'I'OR' S/OWNER' S AFF'IDAVl'l' I certify that all the information .in this application is accurate and thal: all Hork vlil] be done .in compU,ance with all applicable laws regulating construction, zonlng, and land development. ApplJcatlon is lJereby made to obtain a permlt to do work and installatlon as lndicated. I cerUfy that: no work or installation has conunenced p.r.tor to issuance of a permit: and t.hat all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and laud development regulations in the jurlsdictjon. I also certi fy tltat I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify vlhat actions I must take to be in compl.l.ance. SlIch agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitlve Lands, Water/Wastewater 'l'reatment. "Southwest: Florida Water Managemellt District-Wells, Cypr~ss Bayheads, Wetland Areas, Altering Watercourses "Army Corps of Engillsers-Seawalls, Docks, Navigable Waterways "Department: of Health & Rehabilitative Serv.ices, Envirollmental Health Unit-Wells, Wastewater Treatment, Septic 'ranks *U.S. Environmental Protection Agency-ASbestos abatement I also certify that, if fill material is to be used in Flood Zone "AU or "A,etc.", it is understood that a drainage plan addressing a "compensating volumeu wl11 be submltted vlhJ.ch is prepared i)y a professional engineer reglstered in the State of Florida prior to permlt issuance. A pennlt isslled shall he construed to be a license to proceed Hith ~he work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permtt prevent the Bu.u,dIng Official from thereafter requJr.tng a con:ection 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 witld 1\ SlIt months of issuance, or if \'iOrk authorJzed by the permJt is suspended or abandoned for a period of six mOllths after the time the work is conunenced. One 90 day extension of time may be alloVled for tile permit with fee charge of $15.00. 'l'he extension shall be requested ill wri I:ing to the Bull ding Official. An approved Inspection mllst be logged dud ng each si>t month period, or the project Hill be considered abandoned. WARNING '1'0 OWNER: YOUR FAIl,URE '1'0 RECORD A NOTICE OF COMMENCEMEN'l' MAY RESUI,'I' HI YOUR PAYING TWICE F'C>R IMPROVEMENTS '1'0 YOUR PROPER'l'Y, IF' YOU IN'l'END TO OB'I'AIN FINANCING, CONSIJUl' WITH YOUR I,ENlJER OR AN A'I"1'ORNEY BETfOR!!', RECORDING YOUR NOTICE OF COMMENCEMEN'l'. ,JOBS UNDER $2,500 I N VALLIE DO NO'I' NEED '1'0 RECORD AND POST A "NO'l'ICE OF COMMENCEME:N'I'''. CO}\~;):.'~l."IOPS O~ ;-?~PM1T AFF'~~DAVIT .------..-----------..---- ~.__.~."._-----_._---_._..._-._-- SIGNATURE: OWNER On. AGENT SIGNA'l'URE: CON'rR1\CTOR S'l'A'1'E OF FLORIDA COUN'l'Y OF ____ 'l'he forego.ing instrument vias acknowledged Before me this _'__'_ day of______, 19_ by ____ (name of person acknowledged) [JHho is personally knowri to m~, or []who has produced (type and \-lho[] cHd [JdJd not STA'l'E: OF FLORIDA COUN'I'Y OF _____,_____ 'rhe foregoing instrument was acknovlledged Before me this _.J1ay of------, 19 _..~ by ______,_,___ (name of person acknowledged) C1ho is personally known to me, or o \-lho has produced _____.._,___..__ (type of identLficatlon) and Hho [Jdld C}Ud not take an oath of identification) take an oath. ~-"---_._~-_._-_.__._-----_._-~--- Signature of person taking acknowledgement --->_._------...-_._---~----_._-------~-~-- Signature of person taking acknowledgment! _._'-_...--.._-~-----._--_.._----_._-_.-.._-------......-_.. Name typed, printed or stamped Name typed, pr~nted or s l:amped / :u / 3) 7,"t /YJob,'{(;;- /(()J""'C.- / )8' l / 5Hc.~d ;'0 t- I-- 1:1. ' /0 e'ifI( tn' R .,. / ;0 1< :: '<'j ,... ,5-5' 16'~ , ;0 1J..e ,'Vt:t.UA,Y 70 ,/ v-JOd=l / j).. ~r-7,.f' Ji , /60 / ~5" ~ ~ ~ / ~ 10 ~ ~ Q) 'S:" - ~ c::-- l't) / 30 l ~ ~ v-Jd6?'::6 loo<::-IB-5 >t (:-:':~c..IT':::..~'.t, 1:'Er-;.:~y' :': T'''':r ~'"I":: ,::',:Y::;CC:;.::UUhll y" FL.C;::;'I!)r:') o,:,{;...".,_?::, :! '....1"'::.! ...:., 'I ..... t'''',"":: ..... 'r :>.l'::' .. ....., ,-~', " ., .,' CONTRACTOR M: 009864 NAME: BUTTERFIELDS ADDR: 37531 NEUKOM AVE C/ST:: GFMND HClFnZ(]N~:; ZHILLS r:'('~bi::: :: ,.. UI:' I:::S.JF !JFI::':: CE:: )) I~CCE IPT ('H.JI{jjJl~;: .' )!.i800:jH OFFICE:: ))(:1))[: C1T\ FOF::: CHELl::: ** :I. "7:27 f.lOl... I D i,J.J"::fTH:: CONTRACTOR: 009864 TOT(.~I... r~Ij'rH)i...INT:: COMPNY ACCClUNT CENTER (,CCNT 1:1.4 B4:::jO ,... :::';f.:.:~;OOO ..., ..... :I. ,~)" :=:j8 tli-rlOUNT DESCl~IPTION/PEl~MT D('~T,.::-, DI:UTl,: 16 ,,~.:;8 .)(..)(--)(-,)(',)(--)(- SOL I D lJ.!t-ISTE FEE 60 I:;:ECFIVED BY .......G.,6,.."..".."..".....,.............,..,.........,.............,.......,...,..........."........",.",..,...