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Home My WebLink About02-1597 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N! 1597 (813) 780-0020 Date / () -.:2 f/'-t?~ BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn "'opertyOwn., .5~~p_ (i"-1r'~~ ~ Job Address: 3 9 S 85 -ntl-^dN'Hul ~. Parcell.D. , Water Conn: Water Meter: T_LF.'s: Zoning: Description of Work Energy Code: JPe - ~ Radon Gas: FINAL C.O. -o~ DATE 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. DATE Inspector Valuation or Contract Price 2, / yo . ~ Permit Fee 2i ~~;:~~: 1~--4kte. Address &~~ City License Registration # 0:2/ J- State Certified License# 3~-:" 5(.;.7- &{)47 )(Telephone # ~ --#!dhA1 ~. BUILDING Ftr. Pre SLB Lintel FRM. Insu/. CL Wl Tp. Servo Rough In Meter Can Const. Pol Pool Pre-Met r Final PLUMBING MECHANICAL SLB Tub Set Water Se Fi al Breakers Ducts Ins/. Compre Final 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. APPLICATION FOR PERMIT CITY or ZEPHYRHILLS BUILDING DEPARTMENT MCI 2994 DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME Stefanie Campbell-stevens PHONE 813/072-2000 X:6160 39585 MEAr.XMWOOD LOOP, ZEPHYRHILLS, FLORIDA JOB ADDRESS LEGAL DESCRIPTION: LOT(S) PARCEL 10 #;3 26 21 0140 00000 0820 BLOCK SUBDIVISION COBTAIN FRQM PROPERTY TAX NOTICE) WORK PROPSED: []NEW CONSTRUCTION [] ADDITION []ALTERATION [] REPAIR [] INSTALL [] DEMOLISH C RE-ROOF~ [] SIGN []MOVE PROPOSED USE: ~SGL FAMILY DWELLING [] COMMERCIAL []MULTI-FAMILY [] INDUSTRIAL []# OF UNITS [] SWIMMING POOL [] MOBILE HOME [] OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK SHINGLE RE-ROOF (24 SQS) BUILDING SIZE SQUARE FOOTAGE 2400 HEIGHT J;vs RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ 2,940.00 VALUATION OF TOTAL CONSTRUCTION [] ELECTRICAL [] PLUMBING [] MECHANICAL AMP SERVICE [] FLORIDA POWER [] W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION [] GAS KI ROOFING [] SPECIALTY [] OTHER TYPE OF CONSTRUCTION: [] BLOCK [] FRAME [] STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJEC'f IN FLOOD ZONE AREAD YES [] NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN cm-1 PAN Y STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL **********~******************************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # 218 SIGNATURE ..*..............*..*.*..............*.*.**.*........*...******** OTHER ~t1L SIGNATURE k COMPANY MILBAR crNSTRUcrION, INC. STATE CERT OR REGIST # acc 051562 / DAVID R. ABLA CITY PROCESSING # 218 ***************************************************************** t......'.Ji"JUJ rJ_Vl'~J \.):~ ,1_ L.lj,0.~J. _. 1\.1: I, }_.I))\~V}~ A. NOTICE 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 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 fora 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 Inay 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 Manag~ment 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 1'0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2'5~~~O RECORD AND POST A ~~ SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF PASm The foregoing instrument was acknowledged Before me this 21 ST day of ocroBER ,}{)g 2002 by DAVID R_ ART.A (name of person acknowledged) ~who is personally known to me, or STATE OF FLORIDA COUNTY OF PASm The foregoing instrument was acknow1edq~p Before me this 21ST day of~ , ~~2 by DI\Vn> R. .'\m2'. (name of person acknowledged) K1ho is personally known to me, or Dwho has produced (type and did not o who has produced (type of identification) ~id not take an oath of identificati?n) take an oath. -~~...... Signature Name 1IP ..-..__.... . .... ....1.... .,'.. .' NOTICE or COMMENCEMENT MCI , 2994 - I ~~~Wl~'l~!'~' 11111 1111111111 11111111111111111111111 PermIt No. PuceII.D/tfU.O ~-lJl( -a:I3IB1~- CrrrrJ ~~O State of PlorIda County 01 pASCX) THB UNDBRSIONBD hereby live notice thlt the Improvement will be made to certain real PlopedY In 1CCOI'danc:e with OuIpter 713, florlda St.,ues. the folloMnllnfonnatlon II provided in Ihit nota of COIIUlIencemcnt. Rcpt: 62613!5 Rec: 6.00 DS: 0.00 IT 0 0 10/17/02. :. 0 Dpty Clerk --- JED PITTMAN P I 10/17/0i. 04:1~SCO COUNTY CLERk ORBk ~104Pm 1 of 1 PG 1584 I I.Description of property (~~ ""'''''''7 and address If IvaJlable) 39585 ~ tI$:R ~inrU3 .. 'lhWnBhiD ~l..D -.. ._~40 /YYYY") D~::Jtl ~; nauDA 2.Oeneral descriplion of lmprovelncnts . SHItGaB RB-lUF 3'15B5 MeMOWWood LtJop ~hyrf,nl$ FL 335~ ~ 890S hbLI3Cli F~ PL, Jdlo'! 161, .L~A, ~ JJG-4 - 3.Ownet information a)Nune alld .ddress STEFANIE CAMPBELL-STEVENS / b)lnterest in properly 100' I OWNER c)Namc and address of fee simple titleholder (If other then owner) 4.Conuactor (name and address) MILBAR CONSTRUCTJON. INC.. { VANCE L. MILTON . 15911 US 3011 DADE CITY. FL 33523 S.Surety .)Name and address b)Amount of bond C).Lender (name and address) 7.Person within tile State of Florida designated by oWller upon who 1l0tices or other documents may be served 88 - provided by Section 713,13(1)(.)(7), florida Sratues. Name and address B.b. addition to lum or herself, owner- desiplltes of to receive a copy of thc Llcnor's Notice as provided in Section 713.13(1)(1>), florida Statues. 9.Expiratton datu of nolice of commencement from the date of recording wlless I different date 18 specified). - 0 ()NNg'S SI~'lURE ~h~~- ~Q ~ 1:'1UN1'ID fW4B 1& '1'1'1'LB S . (the expiration date is one year STATE OF FLORIDA COUNTY Of nae foUowing instrument was acknowledged before me thls-ll-day of SEPl'EMB~, 200~ by STEFANIE CAMPBELL- ~ho is personally known to ~ who produced as identification. sTEV"ms Aller ftJCOI'dln,. mum \0: tfotllrY SIJUAI"'" m~ ~ NaJne MILBAR CONSTRUCTION, INC. Naane(priRt) /J?t:;J"!j (5;;. CAs -I-ro Addreu 15911 US 301 R Ti'le or rank . City DADE CITY, FL 33523 Scrial number, if any 11 19" STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THEFOAEGOING IS A TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFIC~.lt'!T~SS MY HAND AN~AL SEAL 2T~~DAY OF JED ~ ' CLERK OF C1R~:!T COURT BY , - DEPUTY CLERK I I _ I iYle~do'-" w~ ;;:"~.MiIiiCii;,;IIr.----"'""2- -=- __...- _ JI /1 '. .-... -~- .. . .l I . '.. 1... oU ""-"!. _.......... -........ ...- ..-- -. ... '. _"1 I,. .'.. ............ -..t ... lO Ji.. ............,.....-,. _ _ _ . _ .... 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