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Home My WebLink About02-1725 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 780-0020 1725 Date / d -c2 7- tJ :<. BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: Job Address: Parcel 1.0. # Zoning: 13n~r"JJ Code: OescriDtion of Work --fe ~ d :51//(..(" (/ ~~VJ- ~5(J If/) 9 &r/~'t11 'Sc If #, IJ Lie . Water Conn: Water Meter: T.I.F.'s: Radon Gas: 1f1Jf-;iff'~ /z/2~ b&~X---- 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 DATE Inspector Permit Fee ~S~ ~ ~ignature ;Zit (> /1~ Company Address .;c Telephone# '6 I 3 - Valuation or Contract Price /? "un ~ Cf(JO ,f or- City License Registration # State Certified License# '- 749 - 37'2.) J- ~.~ ll-nt( L 21 / t..J I"\..L/Y' Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Met Final SLB Tub Set Water Sewer Final MECHANICAL BUILDING Breakers Ducts Insl. 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. ~........ ..... .......u......~u...~_u....P .I:".c...n4v.L.!..l. ~.I;'.I;''!...J.l;J\'J.'j,\)W :aUILDINli DBPARTMJjJN'I' 5335 ~tll S'l'Rlll]jJ',!' Zllli'HYRHILI.I3, ifL 33540 ~bon~lel3-7ao-qo2o F~XI813-7aD-OOal nA',!']jJ ftBCilIVJjJD ____.___.____..._,____ i'I.AliS RIIlV Il!lW i'lili________._. _,,___._ ' ~ ' mIlls. 'B ".>t. 11l{)ll1Il~ Ll R. II!JJ!-__.._______.__~__._._:--- IJ--. ""ON8 O(JN'l'AC''!.--t.?~f-l;l ,JUS S J'J'hl ADnHEss-3-Z.Cf-{)g__-5IJ.y~__A~____2~~__t:l--,,___.3.3SY1__._,_ ___~____, ___._____ LECJAL DESCk 1 {'IT ION I LOT (S) BLOCK f:JIIB!HVISroN ----~--:-~--- -..------ P.lHWEL ID # (OBTAIN I<'ROM I?IW~lllR'l'lj 'l'AK lw'nmill . t_..._,......~.~___.-.._..~_...____ []ALTERA'I'JON ~IilPArR [J mS'J'M~tj [] DEI"1OI,ISH WCJRK l"RlJl'SI1l1J: l]NEW COliS'!'RlJ(~TION [J ADm'!'lON tJRLJ},rUI:lEll DEHGlI USE:: ["[:ll~ P'AMILY PWELI,nm lJ COMr.1IilRCIAl, lJ MOVE [Jt1UUJ'J - FAl>1U,y [)# (iF mu'l'S [j MCilij U,E HOME [1 D'J'lUllk o HWUE:i'l'RJAL OSWU1MINf3 ImcJ}', OESCRIiTION OF WORK D RESTAURAwr & HEAi/ru DEPARTMElN'I' Al?PROVAL ~e -Roo( LsbJ(i~ SQUARE l"O()'I'AGEl -,~J.OO__ ..._--....._~---.-.-...-----...--_.__.._-- B\1IJ.DINl) 8 I ZEl !Il:11 WH'j' Rti:SIDEHTIhI~ : iX)I>1(vJlllRCIAI~ : A'T'l'ACH (2) ~LO'r PI~AllS 0. (2) SE'rs OF' ElUU,DUHJ flr ,ANS ~ (1) f;lj-jl'I' ~NlilHrfrl Ii'ORl'4S. A'I"l'Aeu (:3) SE'I'S OF BUILDlHG I?LANS & (1) SET ElNIilHe3Y FORMS, JilROPEHTY SURVEY REQUIRED P'OR AIJL NEW COliS'1'RUC'I'IOH. .~"'--"'-'-'--'---------- [] BIJ rLllH/i) IJ iilLhlC'I'RlCAL F~RWIT~ ~BQUE~TID ~--2~_ VALlJATWH OF 'J'D'l'AL CONs'rRUC'j'ION -----___ ANP SillRVTCEl CJ FLORIDA I?OWER o W , R , El . 11 . U PI.jIJJ\1~nw o J.1hlUHhlH GAL ~---- VALUATIOl'l OF' MECH.zU'IC1IAl. INS'I'AI,I,A'L'HJN [J (~As t4 M50F'IlW [J Sl?.IiI()rJU/l'~ o a'L'lIER 'j'){Pill OI<' L!ONs,{,Ruc'nOl~; It( l:U,()CK o F'RA1'IlE IJ i:lTElEL [) OTHER F'HnSHEln Fj.ODR EI~EVATION8 r S !lRO,] ElC'T' IN FLDOfl ZONEl AREA 0 YElS ~ WJ DurLnil~ / 8H3NA'I'URE _._~~J~ c-----______ IUl.ElO',l'lUOIAU ...........................................................**..~.. um1PAl'lY __________.___.___,___.___~_____.__ S'I'A'I'E CElR'L' Oft RElens'!' # .______.___________.______ CI'l'Y PRO(JfllSSING #____ ---...~--~--~-.......-...- S J C:ll/A'rlJRlIl _____ .-.-------..-.---..---.---. --------.--------. COI1I?AHY -------------~........--._-~--_.....--............._-- ---- S'rA'j'El CElt'!' OR REG I S'I' # CITY PROC~SSJNG # '-'--- ~_.._- --_.. ~.- -~ '-~,--._-.,------ ~r_...._~.__.~ i>LUWf:UllR A.. · ;. · · ;. .. .. · A .' . '" ;. . . . ..A' · 'Aj, · .. .. ;. * ;. * ;. ;. ;. . * . * * .k .. * . . . .. ;. . .. A .. .. .. .. ;. * . . . . "/; .. .. . t ;. --------.-...-------.......,.. -..-........ .- --'-'---"-'---.--. ---------.----- (~()MI?ANY-.--_____:____.___._______,__.___~___ STATE CER'l' OR ~ElGIST It ______._________________ CITY PROCESSING # SIGNA '1'lJH E: WlIlCJHA1UOAI, ..."'.**...''''***'''***.**.*'''.,.'''.***.**'*.......,.***'''*......*'''''''''''';.**.... COI'IJI?ANY _______________________ _______.._._ ._____, STATE CERT OR RhlGIST # CITY I?ROCEssrrw # ------.------------______, --.-----.-.------...---..---. SIGNATlJF<E .,"'..**......*"'''',.;.;.****;.*..;.***..**;.*..***.*;..;.***'''...,.....,.;.* .....--....-.._-...---.-...-,.~._-----.--..- O'I'HliIR .------- em11?AHY STATE CElRT OR RElGIST # ClTY PROCESSING # -----....~...--._-~ '--.-- SIcmA'l'URE: --.-------.........-.......- --.,-.--.....-- ----_..._-~~.~- .......-~";" .-...'..-......-. ...;.*......,..;.**;.*******;.*******.*".**.,.".,*,*,***".,.*,**** --.....--_---_._-----....~.. ,~...-.--' ~.-~._'.......---"---_. "'"- .... CONDITIONS OF PEPMIT AFFIDAVI'j:' 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. The nndersiqned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI'BILITIE;S 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 corttr~ctor(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 pd.or 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 per:Lod, 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 'fOUR I,ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this __ day of ____, 19_ by (name of person acknowledged) Dwho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged , 19....:.... (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid DUd not take an oath Dwho has produced (type and whoD did Ddid not Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped POWER OF ATTORNEY To whom it may concern, KNOW ALL MEN BY TIIESE PRESENTS. that the undersigned SAJI KJOHN"and JESSYMOL KURIAN do hereby appoint 1\rf.r.THOMAS KUIAN. 5133-EngIeWood Lane ,Zephyrhills. Florida. 33541 to manage to do the necessary repairs and 10 the following parcel of real property located in is' ASeO county. in the state of Florida; 38409 South Avenue, ZephyrhiHs, Florida, 33541. Plat Book 1, Page 54, Public Records of Pasco County, Florida. being Located in section 11, Township 26 South.Range21East, in Pasco County, Florida, 38409,South Avenue, Zephyrhills, Fiorida,33541. '\~~ \c.. ~\~VJ . ~ . , 2. I{$ 7'0 l tsbC) Signe~ sealed and delivered In our presence as witnesses: ~~ SSJ(\ ~~~ S"6 . - - . .. :.. 1ES!::f(CZ:.tt "~,, -<'-~~---~-.~-~.- -- :- . ~ ! D:5 /8 5 ~ 98 . ~ - The Forgoing instrument was acknowledged before me this ~daY _ Of NtNMU!l2002. by SAJI K JOHN and JESSYMOL KURIAN ,who is personally known to me or who has produced photo identification as identification and who bas taken an oath. ~ MY COMMISSION IS EXPIRES: Notary ~~Vi n........~. 01THe07)z01 Oftc ~In ~Counb,_ Commll.d~ &pl,.. July.. Jj~ 1d W~~:Z0 r00~ T1 'nON :9[cT9LBTL: 'ON x~~ : WOC:i:J