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Home My WebLink About03-1748 BUILDING PERMIT Permit N!! aTY OF ZEPHYRHILLS (813) 780-0020 1748 DateU - 0 '3 BUilDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: P"'peny Owne' ~ ~ ~ Job Address: J --u r.f()1 V-e Parcell.D. , Water Meter: T.I.F.'s: Zoning: DescriPtion of Work ~gy Code: o J~(~O Radon Gas: FINAL C.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 Permit Fee "10 . D-O )C Signature ~ z:~ Company Address X"elephone# y/3 - 7?.;!- /J'?'1 Valuation or Contract Price /1 3 ev . c9"O /sr City license Registration , State Certified license# /1,1-10;1 ~ &:;. BUilDING SlB Tub Set Water Sewer Final Ftr. Pre SlB lintel FRM. Insul. Cl Wl Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Met Final 0/ I -/ €f-()3 lIDO Breakers Ducts Insl. Compre or 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 ZEPnYRHLI~IJS PERMI'l' APpr~ICATION BUII,DING DBJPARTMEN'r 5335 8 th S'rRElBl'r ZElPHYRHII,I,S, P'L 33 e 4 0 Phona,813-780-~020 FaxI813-780-0021 AI h~ ViiI aje €;Mes Ph 05 e1 , ,:>/3 1"1 P6Sb q) l-ot '13 ~~~:::~:~~:D ... . , ' f' . __'_._._. ,_ ._ ___... OWNER' 8 llAME_._..BL;g 0._--1JCttL~(je.{r._.._ _._ __ PHONS -,'Oll'1"""81J .z(~. 3.31.1 ,roB S ITB ADlJREJ88:3g6.I.!:L_._e'ed~~()-Yl_t__A__v:___.2.~~J4.llL;_11.~__tL____~_~_?~ Q___ __ _'__'_ LBl(]AL DBl8(!RIPTION: LOT (S) __EL3_._____ BIJUC'K________._ SUBJJIVIS lOti A1r-Vtg.-V.ij.\f1.fje._T~:i>el PARr.!8IJ In #__..25" ;)f!.~J. J-=-_Q.Q~ 0 ~O Q90Q--,_Q13Q._~~~TAIN._~_RO~_P_~_~.~!~~~~~. 'I'~~__~~~~I~~_~ __. HURK PROPSEl[J I LJNIlJW l'ONSTRtJCTION [JSHm PROJ:lUSF,n USE: I ClSGL FAMII,y DWELI,Ilm fJ CCJt1MElRt! IA T I C:J REISTAURANT & HElAI/l'H VElPARTr1ElNT APPROVAL )JIll8CRIPTION OF NORK __..i..~~J...J ___\)~_; Vf'~!l\L_________~__..____.__._____________________ Burr,fJIW] SHiEl .---------. ---_.~._--- SQUARE: FOOTAGE _. . .-.--------- HEll GH'l' ._.____._____..___ RESIDENTIAL I COMMEJRClJU'1 A'I'TACH (2) PI,OT PfJA118 & (2) SElTS OF Bm; ,[lING PLANS & (1) BEI'I' ElNElRni' FORMS, A'I"IiAC!1l (]) SE'rs OF BU!LDING PLANS & (1) SEl'r ElNERny FORtlJS, PROPlllRTY SURVEY REQUIRED FOR Al,L NEW CUHSTRl1CTION. FERMITS REQUESTED [] BllTI,IJINn $ --_..Jt3...c:_~__._. _ VALUATION OF TOTAL CONS'I'RIJC'l'ION L1 FJLBlC'I'RWAl. -------______-'- ArIJP SERVICEI [] FI,oRIDA POWER [J W,R.EJ.C. [] PWt1BINC3 U 1.1BJUHANIC!AfJ [J (m8 r.J ROOFW(3 , $-- --.--------- VAI,UATION OF tIJEC'IlANC rAI, HISTAl,I,ATTON fJ f:!PElCJtAUry [] OTHER TYPE OF' CON8TRUCTION I [] BLOCK [J FRAtIJEJ [] STElE I, [J OTHER FINISHBl[J FI,(jOR EIJEVATIONS .---...-------- IS PRO,TEC'I' IN FLOor> ZONE AREA [J YES [] Ho BUILIJBlR ****************************************************************** CotlJ PAN y-l1!~(b ~_._.(.c 1V,5r:';e.--~(;' :...._ ___._ '_ _. __..,.._ STA'I'Bl CElRT OR REIGle'!' # --.';A,~~/q-::7.6...____ . ,_._.._ CITY PROCElSSIN(] tL_(~~'_'_____._n __'~__'__ __ SlrmATUREl ~.?,.fi;4-(J---_. ---.-.~ B1r.BICl'rR I C!AU S J cnlA'1'l1RBJ ____.__ '.---.-.- .----.---- ._-~---~- .__._-~-~.__..__.._--_._------ COI.1PANY_.___ ___ __________ _______.___ ___ STATE CEJRT OR REGIST # CITY PROCESSING # ._-_.,,-_..._._-~..-. -'-_._._-~ ..- --.. -_._-"-_. --- *********************'******************************************** ---- ----.---. ---..-.-.---- ---..--,.--. - '''---...-.-., - -...--.--.- PJ,UMSBlR "- ._~.~--...-._._~----..._--- ----- r~OM P ANY --..------.__._.__.________________.._.__.__.. ____._...___ ._....__ STATE CER'I' OR REGIST # ___.____..___..._._..._______.. CITY PROCESSING # SII3NA'l'IJlUJ MIllC!HANI CAr, ****************************************************************** ---.......-- -'.'- _.- ----_.._~._.. ---.~------_.__._,...- ---------.------...-----------...--..--- (!O/\1PANY___u_____.___.__...__.______________._... STATE C@RT OR REGIST # CITY PROCESSING # -~---- -...-.-.---------.-------.---- -_. -....'-- S [GHA'I'UREl ******************'*******************~************************** ------._-----._-_.._.~.-..__.__. -- ---~-~ OTUBlR .~-------------_._-- COI'IPANY S1'A1'E cmRT OR - REl(~ISfr -fj---------- '~------.--.----.__.._-..._...-.-- CITY PROCElSSING # ---.-----------._________.__..__ -----.--...---------.-------------.-- S [(mATURE ***************************************************************** -----------. --.--.-.-.-.---.--...-. -._~.,- -....--.-.. -....- CONDITIONS OF PERJ'1IT AFl:<"IDAVIT A. NO'l'lCE aii' DEED RES'l'RIC'I'IONS 'fhe undersigned understands thqt th:Ls p~nni t may bd :ll1b}ect:o "deed restJ:ictions" which may he more l:estrictive than City n:gulat:ions, 'I'll,: lll1J':rsi<Jned assumes responsibility for complic:mce with any applicable de;::ct l':Stl:ictJol1ti. B. UNLICENSED CON'I'RAC'l'ORS AND CON'l'HACTOR RESPOloJElII3Il,II'IE:S I f the OWH:r has hired a contractor O,C contractors to under'take work, they may be r.equired to btl Ii censed in accordance wlth sta1:t: and local reglllati.ons. If the contractor. is not lioensed as required by law, both t.he o~mer and contractor may be cited for a misdemeanor violation under state law. If the owner or intended cuntractor. are uncertain as to wllat licensing requirementl:i may apply foe the intended work, they are advised to contact the City of Zephyrhills Building Depa.t:tment, 813-788-6611, Furtherlllol.'e, it the oymer has hired a contractor: or contractors, he is advised to have the contractor(s} sign portions of the "Contractor SectionsN of this application for which they will be responsible. If you, as the owner signa <lS the contractor, yo\,! are indicating that you, I:ather than the contractor, are responsible for the Hor'k. I f the contractor \'>/ishes you to sign as contractor that may be an indication that he is not properly licellsed and is not enUtled to permitting privileges in the City of Zephyrh1.11s. C. 'l'RANSPOk'l'ATION IMPAC'l' FEES AND U'l'ILI'l'Y CONNECTION !J'EES D. CONS'l'RIIC'fUION LIEN LAW (CllAP'l'ER 713, FLORIDA STATUTES, AS AMENDED) I cert1.fy tllat I, the applicant, have been provid~d 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 applictllllt 1.13 someone other that: the "ownerN, 1 Gerify that I have obtained a copy of the above described document and prom1.se in good faith to deliver it to the "ownerN prior to commencement. El. CON'I'RAC'rOR' S/OWNER' S AFFIDAVIT I certify that all the information in this application is accurate alld that all work will be done in compliance with all applicable laws regulating construction, zoning, and land dev~lopment. Applioation is hereby made to obtain a permit to do work and 1.nstallation as indicated. I ce~tify that no Hork or installation has conunenced prior to issuance of a permlt and that all work will be performed to meet standards of all laws regulating construotion, City codes, zoning regulations, and land development regulations 1n tbe jur1sdictlon. 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 IlIllSt take to be in compliance. Such agencies include but are not limited to: *Department of Environmental RegulaU on-Cypress I:layheads, Wetland Areas and Environmentally SensJ.tive Lauds, Water/Waste\~ater 'rreatment *Soutllwest li'lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Aony Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *u.S. Envi.t:onmental Protection Agency-Asbestos abatement 1 also oer.tify that, if fill material is to be used in Flood Zone qAN or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" 'will be submitted ~dlioh 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 allall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction~ or vio~ations of any code. EveI:Y peI:mit issuC'ld l3hall become invalid unleas the w01:k authori:zoed by auch permit 1.s cOllunenced Hlthin six months of issuance, or if work authorized by the permit is suspended or abandoqad for a period of elx 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 Buildlng Official. An approved inspection must be logged durJng each'six month period, or the project will be considered abandoned. WARNING 'fa OWNER: YOUR FAIUJRE 'fQ RECORD A NO'rICE OF COMMENCEMENT MAY RESUL'l' IN YOUR PAYING TWICE li'Ok IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'fEND TO OB'l'AIN li'INANGING, ~qN{WL'r WI'fH YOUR LENDER OR AN A'I"rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. . JOBS Ul~fJER $2,500 IN VAL\JI!: DO NO'!' NEED '1'0 RECORD AND POS'l' A "NO'I'ICE OF COMMENCI!'.MENT". SIGNA'l'lJRE: OWNER OR AGENT SIGNA'I'URE: CONTRACTOR acknowledged __, 19_ STA'fE OF FLORIDA COUNTY OF The foregoing instrument wc\s aoknoHledged Before me thJs ------siay of-----" 19 by (name of person acknowledged) [1ho is personally known to me, or S'l'A'rE OF FLORIDA COUNTY OF The foregoing instrument was Before me this ____ day of by' (name of person acknowledged) Dwho is personally known to me, or Owho has produced (type and who[] did [} did not of identification) take an oath. Dwho has produced (type of identification) and Hho Ddid C}Ud not take an oath Signatur'e of person taking acknowledgement Slgnature of person taking acknowledgment Nallle typed, printed or stamped Hame typed, printed or starnptld .. .. . . . ': ,p....- ,- . .... .~.- .. EX' 7:' 'S',.{) 11"\ J /-h~s~ +- ,- \J\ '!).. .,. , C- 'c:: <'v E y -r< r , , . . -, ~ J '> < ~' - (0 '7 I ~~ ! ~1- I X r~ ~ :::, (,\ ~ I U/,- X ~ Q.....- ~v /-t, ~'Tv () 1t- ~ ~- .., ,..>. ~ ,;,4 -1 1< ~ f~ ~," ~ ~ A1 7:> -(' ~ V , G. 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