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Home My WebLink About02-1549 /' J.(D C'~ BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N2 (813) 780-0020 1549 Date /O-/O-f)~ , Property Owner: Job Address: Parcell.D, # ~l p~" ~n~~'i1? Jt MECI tAr41(.~L "Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: FINAL 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 Permit Fee ~r'lat~re Company Address ~ ;a'" 1?i- Oti'f-i' --"V 7fJ - C{" ~ f Valuation or Contract Price J;J:J- ~, /00" City License Registration # -------- U.ified License' ~ knY1 BUILDING E LE CTR 1CAl::------ ----- Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final PL~' ~I:CHANICAL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final 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. 3llrI .l.r.UdOlId .uIOlU' 3KrI LtJI3id01icI oUIOlU 10 '[ XX'Idna.OE: WV.3: 'IDSIOZ aSSOdOHd .Ot DNI.I.SIXS .Ot lOt ,0 '[ 10Z D a N :!l I S .L ~J .Ot L~ :01 :if d I lOT - 109 DNINOZ E:H HO.3: SX~Vaili~S 'Z .09 DNINOZ Z~ It~ HD&' SX~Vg~~S "1 ----51T1 /-7 / 1'--7t:. ~ZZ'H~S (z ~ T SZ~dW~~~ &iliON) SRI'! A~H&dOHd ~NOH.3: ! ~ . NOIJ.VW -HO.3:NI NOIJ.VONnO.3: ~ HZIS MORS ~snw SDNIa~InH LiliI~I.I.n ~ f: /~'r /' // _____/...., _1 6:; __--- f -'.!" " "'j:':;U ,,//1' If'! If"~ ',-..:' e1/J" ,- ! I ~. ,^' '1' .-{-- /),'/ { /.' ..--- ,-, 7~ t!-::l ~i' J / '1,'),77 ; ~,' ' . ~~ =r;1:i ..1__1 ..-. .. -! "',' -f Eli Ii ~ --' I ./ ,;:>; 'A. . SX::>vB;L2S :Jg SNOIsmurra ~lfiAI~ SXHf.U..::mx.I..S U3S0dQUd ~ f>k'T.I.S'IDI 'TI\( MORS -# . . IT' I 'I&;::HNd NOI.I.~-:>O'I aor H~NMO .I.N:lIK.I.H\fcum f>NTa-rIOR S'"l"LLHKLH,n~~ 30 L..1.LJ CITY OF ZEPHYRHILLS "NOTICE" OF ADD.ITION OR CORRECTION BUILDING. DEPARTMENT DO NOT REMOVE ADDRESS DATE PERMIT 0# (J C; 5 '0 5 'it: S-\. . I () / L 2 0 ~ I 5 "I 1 THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job will be accepted. , ~P~(,'f&+r.,. lV\~r~eF" ~,^c~11 b~ e...l/osetl cd.. t<.....e 0/ I r1 Sf c' C \-- ' (;" L.A ec:, r < <;.J.-{' 01\. Meet:., /"" ti I /l 0, /' rOt;c./ W('Y' ~ Mu~~ v.st' ^p~ t.4.ff;Ol..,td /l-'\.r.k,...-; Lt.' II II unlawful tar any Carpenter, Cantractor, Builder, or other per$Onl. 10 caver or caUM to be covered, any port ot Ihe work with flooring, lath. earth or other material. unlil the proper Inlpeclar hal had ample time 10 approve Ihe Inllallatlon. , AFTER CORRECTIONS ARE MADE CAll 78~ RE-INSP,N INSPEcrOll. -jL ~4 OfFICE HOURS 8 - 5 MON.-FRI. I City of Zephyrhills Building Department 5335 Eighth Street Zephyrhills, Florida 33540 66a.r-~4 ~- NOTICE (813) 788-6611 Wm. A. "Bill" Burgess Director of Building. Licensing. & Zoning IT SHALL BE UNLAWFUL FOR THE OWNER OR OCCUPANT OF A RESIDENTIAL/COMMERCIAL BUILDING, STRUCTURE, OR PROPERTY TO UTILIZE THE PREMISES OF SUCH PROPERTY FOR THE OPEN STORAGE OF ANY: ~INOPERABLE MOTOR VEIDCLE DICE BOX E:]REmDGERATOR DSTOVE E:]GLASS DBUlLDING MATERIAL DBUlLDING RUBBISH DSIMILAR ITEMS X ,ry'/lTT- \. ESs ;::;;-;.n:.t..':' ::f.... ,q~ I-t: <.~~__, r {wO~:CE FR~M THE COD~i~i~~;~~i1r IT SHALL BE THE DUTY AND RESPONSffiILITY OF SUCH OWNER OR OCCUPANT TO KEEP THE PREMISES OF SUCH PROPERTY CLEAN AND TO REMOVE FROM THE PREMISES ALL SUCH ITEMS AS LISTED ABOVE, INCLUDING: DWEEDS DDEAD TREES [2]TRASH DGARBAGE YOU HAVE 14 DAYS TO COMPLY. FAILURE TO COMPLY MAY RESULT IN FINES UP TO $500.00 PER DAY. BY ORDER OF THE BUILDING OFFICIAL WIllIAM A (Bill) BURGESS Certified Building Official :. Cio/ of Zephyrhills ~ r :A.~ '""IV' <"-5 C /11 c- i......J - CLV ~ ~ <-__0 r:u: ..- ~~ce,4^.,z'''''T ~I'\r ,- FLORIDA 33540-4312 5335 EIGHTH STREET lEL (813) 788-6611 FAX (813) 788-3293 L:.1'.l'~ O,Ei' ZEPHYRHILLS PERMIT APPI~ICATION aUILDING DBPARTMEN'I' 5335 8th S'rREE'f ZBlPHYRHILI,S, FL 33540 ihon~1813-780-~020 FaxI813-760-0021 nA'l'B RBCllIIVED --./..t2--:lZ2..-:- O?- PI,AJ.'lS REVIEW Fil(=-____ ~_:..._ \. Jvofv ~(.N€-/( ___siPf-_Jl;J. Jt:______ PHONE CON'l'AC'~~_~ 7~-cl97r O\'/l~ER 'S HAl\1E V' ,JOB SITE ADDRESS ~------_._----.......---. ._~_.._,_._"..- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISJON PARCEL 10 #) ---- . ~. WORK PROl'SED; ONEW CONS'j'RUCTION o ADDITION (OBTAIN FROM PROPERTY TAX NOTICE) o ALTERATION 0 REPAIR ~TAr,~- Os ION o lVlOVE o DEfYJOLISH I?ROJ:lOSED USE: OSGL FAMILY DWELLING OMULTI - FAMUN 0# OF mUTS OSWIMMING POOL (J MOB nEl HOME [J OTHER fJ COMMERCIAl, o INDUSTRIAL DESCRIPTION OF WORK D RESTAURANT &. HEALTH DEPARTMENT APPROVAL .-. ~ ,~~m-l~ - 16-0'- 200Ft , BUILDING SIZE SQUARE FOOTAGE HEIGH'j' RES IDENTIAlo; COlvlMElRCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUII,DING PLAl'lS & (1) SET ENERGy FORMS, AT'l'ACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~rLDlNG $ ~ERMITS REQUESTED /00 - VALUATION OF TO'l'AL CONS'fRUC'froN [] ELECTRICAL AMP SERVICE o FLORIDA POWER (] W.R.E.C. (] PLUMB ING o j.1H:CHAlnCAI. 9 VALUATION OF MECHAl'lCIAL INS'l'ALLA'l'ION o GAS o ROOFIlW o SI?ECIAl,'l'Y o OTHER TYPE OF CONSTRUCTION: lJ BLOCK (] FRANE o S'l'EH:L o OTHER FINISHED FLOOR El,H:VATIONS IS PRO,JECl' IN FLOOD ZONE AREAO YES o NO (Ji!1~,z..l!l:il~) C()tt]PANY ,_ /A'.J-7J,,/' , ~/1. L /J LJ ~E CERl' OR REGIST #_. G SIGNAl'URE.._~ ~ ~~CESSING~_ '----- - .. .. . . . .. . . . . .. . .. . .. . .. .. .. .. .. . .. .. . . .. .. . .. .. . . .. .. . . .. .. . .. .. JilI,BlCT1UCIAN COM PAl'l Y STATE CERT OR REGIS'!' # CITY PROCESSING # SJGHATURE ___h______ ~----------.......---__.~--- """""""""""""""*"'****'**"*"**'*'*""""""" JilLUMBIilR COMPANY STATE CERl' OR REG 1ST # CITY PROCESSING # SIGHATlJRE MIilCHAJ.'lI CAr, '***'*'*****"*'********'*****"*'*""*'***~**'**'**''*'*"***'*' COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE "**'*'**********'***"***************~*"******"*'*'.**,******* OTHER SI(~HATURE CO!'1PANY STATE CH:RT OR REGIST # CITY PROCESSING # '*****'*****"'*'**'*"""'*"*""*""'*'**"*'*'"""""'" CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" v!hich may be more restrictive than City regulations. The undersigned assumes responsibility for 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 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 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 Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", 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. 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 "A,etc.", 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 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 VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~ ,- SIGNATURE~~R AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by SIGNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or Dwho has produced (type and whoD did Ddid not of identification) take an oath. Dwho has produced (type of identification) and who Ddid [}:iid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped