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Home My WebLink About02-1520 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N2 1520 (813) 780-0020 Date It) ,. 1- 0 :2. BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: Job Address: Parcel I. 0, II Zoning: ~ Energy Code: Rado(l Gas: DescriDtionofWor/ ~1Ie. ~ ~1"-C.J2... SIr ,. P.I../fn S/~ rf- tJ~ 5~M tJ.({ c?) t?1I(~ f3~ ~2" 00 ~ NtJR.,TJl J.111~ , Water Conn: Water Meter: T.I.F.'s: FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE ;2/ ,3PO f go Valuation or J A ~ Contract Price ~p.m , City License Registration # 3 ?'0 State Certified License# Inspector Permit Fee 3$' ~ ~ )cSign,ature '7~~ )j (?ily Company Address "xrelephone# \1') 1) <) -3 2.. ,/'7.- ~ 9 Ftr. Pre SLB Lintel SLB Tub Set Water Se nal , ~ ~ ~ ,'\ .1",S. ~d<15 '..J.. ~ VI)(I f S i? MECHANICAL ,/ Tp. Servo Rough In Meter Can Const. ole Poo P -Meter inal Breakers Ducts Insl. Compressor Final BUILDING 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 a~ STRBBT ZHPHYRHILLS. FL 335~O PhoDfl,813-780-0020 Fax:B13-780-0021 r-/-;9-0 A DATE RBCBIVBD . / _ _ ~ PLANS RKVIBW J'IIB OWNER'S NAMB Wa..~l'}~ ()... PHONE CONTACT JOB SITE ADDRESS 3~ee~ ~O~ ~\J JL LBGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: [JNEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) ~N [J ADDITION D MOVE D ALTERATION D DEMOLISH DREPAIR D INSTALL PROPOSED USB: DSGL FAMILY DWELLING ~ERCIAL DMULTI - FAMIL Y [] INDUSTRIAL Oil OF UNITS [] MOBILE HOME D OTHER [] SWIMMING POOL DESCRIPTION OF D RES1'AURANT & HSALTH DEPARTMENT APPROVAL WOR< ~.Q.. <;\ ('~ a S\CL<\ S --- $l~~GEIL)"~&- ~/~IG>> ATTACH ~ PLOT p~ & (2) SETS OF BUILDING PLANS t:f (1') SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. BUILDING SIZE RESIDENTIAL: COMMERCIAL: [] BUILDING ou . { fL, tJ ' PE~ITS REQUESTED ~ VALUATION OF TOTAL CONSTRUCTION [] ELECTRICAL AMP SERVICE D FLORIDA POWER D W.R.E.C. ,/ / vi~/ -z-- / (;/?-f'O [] PLUMBING D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION D GAS [] ROOFING [] SPECIALTY D OTfiER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO Bt7ILDItR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ..~.*...*..*....**..**.......~**..*...*..*.*............w.*...*... BLBCTRICIAN COMPANY STATE CERT OR REGIST ~ CITY PROCESSING # SIGNATURE .**.*.**.*~****.*.*******...*..*.**..*...*.*.*..***.*......*.****. PLUMBIlR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE KBCIl:ANl:CAL ..**.A..*.....****.*.*..****.**..~*.*.****.**.*..*.***...*****.... COMPANY STATB CiRT OR REGIST # CITY PROCESSING it SIGNATURE OTIl'BR ...*..*~.*...****.**.**.**..*..****... COMPANY V mv I j W 9 J./ 5 / Iv L STATE CERT em ~GIST it " va e-c 1{1.(.J CITY PROCESSING # ~~ ................................~.~ .. ........ ..~ ,::1/;;-' ~iL . , C 1\ 0-~~-,-I,rld,,1d:Z =1: d ~I: CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540 Phone:B13-7BO-0020 Fax:S13-7BO-0021 Z /0 DATE RBCBIVBD _ - L ();j PLANS RBVIBW FBE ----- OWNER'S NAME PHONE CONTACT JOB SITE ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # - (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL OSIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME o OTHER o COMMERCIAL o INDUSTRIAL o SWIMMING POOL c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK BUILDING SIZE SQUARE FOOTAGE 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. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o 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 AREAD YES o NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** BLECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REG 1ST # CITY PROCESSING # SIGNATURE ****************************************************************** MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. ~~!CE.OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsu wh~ may be more restrictive than City regulations. The undersigned assumes responsibility 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 Sectionsu 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 GuideU prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owneru, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owneru 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 "AU or "A,etc.u, it is understood that a drainage plan addressing a "compensating volumeu 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 VAl.UE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTu. ~ib{~~ STATE OF FLORIDA , '--J a.- 50 COUNTY OF \ _,~ The foregoing ins,'3fu~ent was ac nowledged Before me this.L ay of , "D1 c2!:!.a-L. by SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged lL- Owho has produced (type and whoD did Ddid not of identification) take an oath. (name of person acknowledged) Dwho is personally known to me, or Signature of person taking acknowledgement Name typed, printed or stamped Permit Number NOTICE OF COMMENCEMENT STATE OF COUNTY OF Florida Pasco The undersigned hereby gives notice that improvement(s) will be made to certain real property, and in accor- dance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement 1. Description of property (legal description of the property, and street address if available) o First Union \ Wachovia 38008 North Avenue Zephyrhills FL 2. General description of Improvement(s). 34475 Sign age 3. Owner Information Name First Union National Bank of Florida Address P.O. Box 44247 Jacksonville, FL 32231 Telephone Number Fax Number Interest In Property: Owner 4. Fee Simple Title Holder (If other than owner shown above) Name Address Telephone Number Fax Number 5. Contractor Information Name Davis Signs Telephone Number 727 532,4229 Address 12355-B 62nd St. Fax Number 727 533-8594 Largo, FL 33773 6. Surety (if any) Name Telephone Number Address Fax Number Amount of bond $ 7. lender (if any) Name Telephone Number Address Fax Number 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by 713.13(1 )(b), Florida Statutes. Name Address Telephone Number Fax Number 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in 713.13(1 )(b), Florida Statutes. Name Address Telephone Number Fax Number from the date of recording 10. Expiration date of Notice of commencemenJ(th e unless a difference date is specified): \ 7)15'02- Date Signed Signature of and no one e Sworn to and subscribed before me this 1.~ day who is personally known to me OR er (Note: per 713.13(1)(g) "Owner must sign... may be permitted to sign in his or her stead." \ '081120 NOTARIAL SEAL KATHERINE POHl, Notary Public Upper Sou~h~ Twp., Bucks ~ My CommiSSIOn Expires June 27, 2006 Wachovia Bank, N.A, 100 North Main Street Winston.Salem, North Carolina 27150 WACHOVIA .1111\' ~, 200 I I~ l': \V ;IC hov i a 13,\11 k PropC1'I1 \ ", I-:il'st Unioll Nation,lI [),IIII( ['mpl,rtics To \VllOIll it may cOllcern: This Ictlel' gives East Coast Si)211$lvcl'lising authority to acl ,IS ;l~Clll 101' \V;lL'llOvia Bank III ;Ipplyillg for permits to add 11l'\\ si,~Il;lge at the abovc rei'erellcl'd 1$C;IIIOIl. il \()II h;I\\' ;\IlYLJIICStioIlS rl',~;II',illl~ 1111,; malter. please call Illl' ;11 (()()_~) _~~l)_)()c~~. 1'1 \;111k Y llll :; i Ilcne I v. L l// /, ?:l r-__ \Vi iam Jackson .\ sislalll Vice President 'O!'pol';lle l,zeal Eslate