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Home My WebLink About02-1697 BUILDING PERMIT. CITY OF ZEPHYRHILLS Permit N! (813) 780-0020 1697 Date 1:2- (? - 1/ :;.. , BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # ~ /Ie t!0~-r/~ 57e4/~ :=i 7 :). ~ I) ..J... I J.1 C f) ~, ~J 1/ -<. . Water Meter: T.I.F.'s: Zoning: DescriDtion of Work Energy Code: YAQ.e..-Y) ~ Radon Gas: FINAL -03 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 Inspector Permit Fee / I d... v ySignature J3o~v .) c. "\) e .r- Company Address Yrelep'hone# '/2'7- 92:2.-;; t1 ?~ o Valuation or Contract Price 8; ;4w ~ eO c1~ 7 ;;.. City License Registration # State Certified License# ~o a'\ob. '~A"YUJrln~.rs BUILDING Ftr. Tp. Servo Pre SLB Rough In Lintel Meter Can FRM. .L;-{3---03 - j!(JI.d{I:JiJ Const. Pole Insul. CL Pool WL Pre-Met Final PLUMBING MECHANICAL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. CITY OF ZEPHYRH'ILLS' PERMIT APPLICATION BUILDING DBPARTMEN'r 5335 8th B'rREET ZEPHYRHILLS, I!'L 33540' PhonerB13-780-0)020 FaXI813-780-00~lATE RBCEIVIID I ~ ::.~.:O?-- PLANS RJIlVIIIW rIll8--'--'__,:.o____ OWNER I S NANE ,,$-re w(#'LL JOB SITE ADDRESS 37536 uC c:...'ve.r1e-Y/4 ~117CoJ/J o~ , PHONE CON'I'ACT ,.,." LEGAL DESCRIPTION: LOT(8) /17 BIJOCK SUBDIVISION PARCEL ID # ar(DDITION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ALTERATION o REPAIR o INSTALIJ oSIGN o MOVE o DEMor,ISH PROPOSED USE I lJSGL FAMIIJY DWELLING o MUL'1'I - FAMILY 0# OF UNITS o SWIMMING POOL o MOBII,E HOME o OTHER [J Cot1MERCIAI, o INDUSTRIAL o RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK /G 0 . J?1 ::yo 6' C-t!' ./ ? d'b t) n{ BUIIJDING SIZE /5 ~ SQUARE FOOTAGE HEIGHT ~tJILDING P!RMITS REQUESTED RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PI.ANS & (2) SETS OF BUIIJDING PLANS A'rTAC!H (3) SETS OF BUILD!NG PLANS & (1) SET ENERGY PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. $ . s. . 2//0 / VALUATION OF TOTAL CONSTRUCTION AMP ~ERVICE 0 FLORIDA POWER 0 W . R . E . " . b ~ <II ~O '10f1b VALUATION OF MBeHANOIAL IN~TALL7~N I] r1 ) Lj .,. J - o OTHER \ t rl- D FRAME 0 S'I'EEIJ 0 OTHER II ELECTRICAL o PLUMBING o MECHANICAL $ o GAS o ROOFING o SPECIAIil'Y TYPE OF CONSTRUCTION: 0 BLOCK FINISHED Fr,OOR EIJEVATIONS IS PRO,TECT IN FLOOD ZONE AREA 0 YES ONO BUILDIR. COr1PANY ~-/ c.v~(J STATE CElRT'OR REGIST CITY PROCESSING # ~eJfl7 ..t-:m. # ClK'. (")0~ L) "'7 3(O7{}- SIGNATURE 13~&6.../ -< t..-:::-.-le y / ,.,uJ~ ~. ~'6e ****************************************************************** BlL8CTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MBlCHANICAIJ *****************************************'************************ COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE **************************************.************************** OTHBlR SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** CONDITIONS 'OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands thqt this permit may be subject to "deed restrictionsH which 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 SectionsH 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 GuideH prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify that I have obtained a copy of the above described aocument 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 Inust 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 ~AH or "A,etc.H, it is understood that a drainage plan addressing a "compensating volumeH '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, con~truction, or vio~ations 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 FINANGING, ~QN~ULT 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", &~\./ At..~Je- SIGNAT~E: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this __day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged 19 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Owho has produced (type of identification) and who Odid DUd not take an oath o who has produced (type and whoD did Ddid not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped \'>~" iii ,.) rt). 5). 6). 7). 8). 9). 111111111111111111111111111111111111111111111111111111111111 2002188901 Rcpt: 637775 DS: 0.00 12/05/02 Rec: 6.00 IT: 0.00 Dpty Clerk iS90G~~~"A0N~'3P9ASCO lCOUNTY CLERk ~. pm of 1 OR Bk 5158 PG 173 NOTICE F COMMENCEMENT Permit No: Parcel No: /2- 24,- .2/- 02~- 00tX)(votI7(1J State of Flori~ County of ~1f'S~ The undersigned hereby give notice that the improvement will be made to cenain real property in accordance with Chapter 713, Florida Statues, the following information is provided in this notice of commencement. 1 ). 2). Description of property (ad<kess, le~description) aqS30 Llnt!A/n 111/<..- 2~~r h\\ \~\ r \0(""\0...0:: General descriptr~ fimprovements ')C"_J'ce/J. Y'012JYJ 3). Owner information 'I _ a). Name and address A.L 4 tlJJl(,~r\a. st-f.wo.x+ b). Name and address of fee simple titleholder (if other than owner) Ci"i~com4q,.Te5i:d~ess~~'fu~~~ Surety t:4J a). Name and address A b). Amount of Bond Lender (name and address) Person within the State of Florida designated by owner upon who notices or other documents may be served provided by Section 713.13(1)(a)(7), Florida Statues. Name and address In addition to him or hersel( owner designates t\.\ , rl. . 'of to receive a ~f~he Lienor's Notice as provided in Section 713 .13(1)(b), Florida Statues. Expiration date of Notice of Commencement (The expiration date is one year from the date of recording unless a different date is specified). x"i> ~~Il-.c.5i~~ 1 . Printed name of Owner /;/:~. (1_ J ;~~ L/ Signature of Owner ....~~~:~~~;~.., Stacey Bruss e'~""'f:j MY COMMISSION # DD039796 EXPIRES ~,.,~~<>~ June 22, 2004 ..../,(9f:,~~~.... BONDED THRU TROY FAIN INSURANCE, 1He. ST A -m OF FLORIDA, COUN1Y OF P ,'(Vl....\ l CLJ' The fOllo~g ins~<:"t was, acknowledged ":fore me this ,..::;;. day of O~....+O b i: /' 2002, ~ ~~~ S+-<L'lL~ ) ~,(: ~ who IS personally known to me o~ On l;'lj":f . I,' U).r,.u? ~ as Identification. . N~tary Signature and seal . . S-+zt..u~~ Prmted name of Notary I"tii..,(11t J../" rv...-}~ fAy ~ fLi.M I f'l( , / ~ I!Z-p,;l/:/ l -------- 5'1 ~..;-~ WNLCuJ f1v. 6L~~ lJ-\4cL) SQ. FT. PRICE Main Other Area Under Roof Valuation: ~ jld>, yD Building: III S C Electric: N i A- Plumbing: JJ/4- Mechanical: JJ 1 fir Radon: . /)J J Pr School Impact .1\..1 , Fees: '"'I ff Connection .. ,/,n Fees: !'V r"f Trans. Impact l:\ \ / A Fees: I\J f I