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Home My WebLink About03-1753 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N! 1753 .--- (813) 780-0020 <S-6 ,~.... G~L.. '. PL!JA48fNG M~L' ~o~rtyown."~ 5 Job Add,..., . - --- . ~. - . -in,~j L'J~ Date /- 9- Og Sewer Conn Water Conn: Water Meter: T.I.F.'s: Parcell.D. " Zoning: DescriDtion of Work :g':~~?~' ~.Jl~, I/-I?~ NO OCCUPANCY BEFORE C.O. FINAL C.O. ;2-~-t?~ DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE -1 /7~'7 ~i:Jtf 8 ff;. (~.(J Per.rTIi!.fee . nature Valuation or Contract Price City license Registration , State Certified license' ny Address Telephone' #/71'1) BUILDIN8~' .----- .~.".,_., elECTRICAL Tp. Servo .../ Rough In Meter Can Const. Pole Pool Pre-Meter Final ~/ ~ -dO -l',~ P~"- MECI-I4/\/lC^l Ftr. Pre SLB lintel FRM. Insul. CL WL 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. '-' ,~, ..... ~II: ~ AI j;" n ,J. .nn ...., -l-U.j 0 .t' .wnJ,vu.! ,H..t:' J:' Id, 1;J\'l.'.l. Uli l3UU,flnm lll:lIli'AR 'I'M IlJU'J' 5335 ~~li S'l'RIilBl'f !(,BJPHYRIlIl,I,I3, FI, 33540 l?hoUilIB13-'180-0.020 HimIBU. '18D'()0~1 IJA'I'Bl lUIlOlUVBJn i'l,AHI:l RllIvnw Jt'llIBl.. PQ.~( 0 Per"", i"" 'ser VICe I MiI"R '8 i1AI;O_ --Lar: nJ--L-:L~rr QrL __ _ %_ _ _ _________ _ ____ __ ___ _ _ _ __ P II "tiE ""ll'I' "''1'____ 7 flXe :L~ l'l__ dIJl3 IH'J'E ADDRESS 3.5.Ql---r~~C-t'!:1g..I_(~"2~._DL''---h _ __ _ _ __ ______. LbiGAL llUl/:WHll?'l'JllIl; LO'l'(B) d..5!J -_._'"_.-...__.-.........---~ --~ ----. B f,OC' J( J?JllWliiL In # "-'--- ----~.. .._- S IIBI J 1 \l I S lilt 1 ..E...m-~~.l?Q.I__ Yl.:! _ rl AfiDJ'l'IOlI . -----. .--------- --...- - -'-.- --'''--'-- -____m_.__.._ '__ .__ _"_'.. . _.. ... ..._. ._.._.. ........ ,,_ (nBTAHl ~'RO"l PRIJPElR'l'lj 'I'M; HO'J'few) HURl( I.JR(Jl;>SHlfJ I I)(1NBM I!OllS'l'RIIC!'nON -_.- -----____n__.__ ~._._____.___~ ._. __ __.__ .___________._.~ f] AI/f'EHA'l'J (IN I] H/tWIHH r-J JHS'J'ArIII [] S WII [J lVJ(W BJ [] DElI'lor,TSII I?RC1PUS1J:fl USH: I lX1SGJ, F1Ii1IL~ DI'/ELLli~Gl I:] (!(JI-1lvJHJRC! J A I i []"-1IJI,'J'T. FAIHT,Y [J # Of' llIH'l'S LJSI'IH1IUNGl POOl. IJ 1'10a JI,ill IInj'.11l1 Il O'J'/Il11R [) TNflUS'J'RIAr" C] HIi18'fAlJRAN'f & HI:iJAr/l'II IJHlPAR'l'I'1EJN'J' APPROVAL" l)liJ8Cft It"J'] UIl OF I'IURJ\ ...ELeL-tD'0_.-h?<Q.cg.~__._____...__. ____....___ __,_.. BlJIr.IHlm 81ZBl .._.l'(:L~:J..2:'..__._____ SQUARl:jJ B'O()'I'AGE --<?:2Q______._ '.~ '.- _. .,. --.--..--.--- ---- ........ . "...... .'-".- HBJfHDBlN'l'IJ\ L I CIlI'11.1HlRl!1J\J II A'l"l'M!1l (;3) I?I,c)'j' FLAilS & (2) SElTS OF' B{]JL1JINll PLAI/S Ii. (1) Su)']' HlNlJIJirlV l1'OHI-18, A'I"!'AC!1l (3) SE'l'S OF BunnrNG PLANS &. (1) aw'!' ElNHJWn' F(jHf'~S, PRUl?lilR'l'Y /3IJRVEJY RIiI(JUIRElD !I'C!R ALL HElW CONS'J'RUCTWH, II BJ H.:!Il'J' ..._..Lf?. .~____ CJ BljJJrllJj'jC:l ~ERM1T~ REQUE~TED 1M l1ILli)C!'I'R H!AJ. t..____.__.______________..,.. VALlJA'l'Jm~ OF' 'J'O'1'A1. CCJNS'l'RlJC!'I'HJlI --------...--.----._ AI'II? SIiJRVWlll CJ FIl)Rl!JA POHElR rJ I'L H , lil , r~ , U PJ,lJl'.1BIl7l:l lJ "IIiICIll1l1 Tr.! AT , [J (JAS fJ ROCJF'IW:l ~---.._----.--.---- V]U,UATION UF /'lECIlAI/UTAl. IHS'J'AIILA'l''lON I] StlWmAL'!'i.' [] U'J'IIER 'J'~J?b) (I);;' (!( Jl,j8'I'RI1C'I'JOll i [) Bj,()(!!( [J F't~ AJIJEJ !J 8'J'lJJJjjL n UJ'1l &1Ft E'lJn~JjlilJi li'UJClR Jj;J')~;VA'l\IOHS '-'-'-_..~_._- IS l?ROdBJC!'J' IN B'I,OO/l ZONE! AREIAn 't61S /1 NU 8lHLllllJR - ..--.--.-.". ~-""-----_.-.-- - .-----~-~-_.._----------- . ...--0-....__.4..__ (!(if'I! Ii' lHl y...E:cy5_t-....&~{Q_.n. fj c~f~:(-c..... STA'I'li) CliiH'l' Of:( HlilinS'l' H_. CITY PR()(!E!SSH/G ~__. '__...._ ....0__. ____,_.. _. SlIINJ.\'f'!JHE , * " * ~ /, , *k * A · * * , , · * ., * . * k · f; 'Ir ./, .. * .j 'Ir , * /, i, , 'k *' 'k * /, ., 'k * .. I< . j j, 1< k . 'k /, .. !, A A * " * !" . .. ..--~. -,.-., .. ~.__._-~ ..,. '" .-- --_. -.- .~.._-._--.-....,-------.- (X)I'lP1UIy.lf!l!:!?t&.tz_.e~~~. BTA'J'/.i) CBJR'I' OR RElIHS'!' II ~t2~/~59./.. (]I'L'Y PRC)C'HJSSl1m # -"3' .. ~d'~'_,_,,__,,_ .. "__. i'X,l1HEllllR , , I k *Ir , · .. · .. " .. ;,Ir ... ., . , * " , , 'k . ;, , /, .. "* . 'I.1r . , , /, /, , /, .. . k .. " . .. ;" * j,' " 'j,. :II .. " . . .. .. Uti/CUAIlI CA r. .**'*"""*"'*;'*'*";""""'***'********I.'*."t**.**"**'1**,,* (!OI',lPANY- . -------.....---..-.-____.u__.. .. _....__... .. BTATE CWHT OR fUiiG1 BT 1/ '_'__'_ ......u...__. C I'PY J?ROCHl8S TH13 # BHJIJA'l'IJHBi . . '--'-.,.- ."'- - _..-._-_._~-. ...-..-.- ----.. -----.--.--.- ------~......_----- -------.-- -"'-" -----.,--.--.-.--- ....-. ()'fUIiJR ); k A " ;, * ); A * * * A * * " A ., * · ;, k , ); ! , . 'AI. *A !. * " * , A "... A;';. 'A ., ;\ A .~ * " * * A , ,. I * , ;\ I * .k ); 'A 'k ); C!()IYJPANY____..._____._______,._... ...'__._....__.__.. ....h STATIiJ CEH'f' OR RW:ll S'J' # CI'l'Y I?ROc;/tJSSU111 II .----- ."'---'--.---.-,...-.-- ,. . SWlli\TIJR&: .". ----.-- --.---------... ------~..__... -..----.-.........-..-- ~.._--.-..---._._--- _._-.~'_._-.._--_._.- "--. . _. --,..----. '.-.--- S T I ~11l\'1 'liRE! -,.... -__ n______..__..,..~_. _.__ __.~.___.__ _____________..__ '_'_._.__..__ ******'*********"**************"*"**"*A**A"*"**,A'***,***" (!O/,IPANY __4.._,____'_--..___~_,_.._____ __,.__... 8'I'A'1'HJ C'BlRT OR Rlil!1TST # CT'1'Y PR(JCElSSJN!1 # " '-".--'. -"'-'---'- '-'- --------_.._~.__.__.__._..._---_.__._---.._----~....... -.-+. ._.'.._-..~----" ----+---- ~'--_. ...-.....- -~-+.... ....-..., ..'---. --"--." -.'-'. CO\: '):':':' ~~ 01\' sot;' '?";D,~/l'_T ^F",E\AV1_'~ ~. NarICE OF DEED RESTRICTIONS 'I'he under:siyned under:stands that tl11;3 pennlt may be subject to "deed restrictions" vltiich may be more restrictive than City r'=9011ations. '1'he underslgned assumes respol1s.ibLli.ty for compliance w~ th any applicable det~d res I:rict.ions. B. UNLICENSED CON'l'RACTORS AND CON'l'Rl\CTDR RESPONSIBILITIES If the oWller has hired a contractor or: con.tractors t.o undertake work, they may be r:equired to be licensed in accordance wittl state and local regulations. If the contractor is not Licensed as requlred by law, bot:1l the OI"iner and contractor may be cited for a misdemeanor vlolation under state law. If t.he O'dne.r or intended contl:actor are uncertain as to what licensing requirements may apply for th,= intended work, they are advised to contact the city of Zephyrhills Building Department, 813-"188-6611. F'urthermore, 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 whict1 they wjll be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsi.ble 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 nol: entitled. to permitting privileges in the city of Zt:!phyrhills. C. 'I'RANSPOR'1'AIrION IMPACT FEES AND U'l'ILI'l'Y CONNEC'l'ION FEES D. CONS'1'RUC'l'UION IJIE',N LAW (CHAP'l'ER 713, FLORIDA STA'l'UTES, AS AMENDED) 1 certify that I, the applicant, llave been provided with a copy of "Florida's Construction lien LaH - Homeowner's Protection Guide" prepared by the Flori.da Department of Agriculture and Consllmer Affairs. If the applicant is someone other that the "owner", I cerify that I have obl:ained 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 applicati.on 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 lndicated. I certi. fy t:hat no work or installation has commenced prior to issuance of a penni t and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development r'egulations in the jurisdiction. 1 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 SeIls~tive Lands, Water/Wastewater '1'reatment *Soutl1west Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses kArmy Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *11. S, f,nvi romnental 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 penuit issued sllall 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~llall 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 beoome invalid unless the wor:k authorized by such permit is commenced wtthin six mont.hs of issllance, or if work authorized by the permit is suspended or abandoned for a period of stx months aftex: the ti.me the work is commenced. One 90 day extension of tJme may be allowed for the permit with fee charge of $15.00. The extension shall be requested in wri U.ng to the Building Official. An approved inspection must be logged during each slx month period, or the project will be considered abandoned. WARNING '1'0 OWNERI YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESUL'I' IN YOUR PAYING 'I'WICE E'OR IMPROVEMENTS 'fO YOUR PROPERTY. IF YOU INTEND '1'0 OBTAIN FINANCING, CONSUL'I' WITH YOUR LE:NDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,TOBS UNDER $2,500 IN VALUE DO 1'10'1' NEED '1'0 RECORD AND POS'l' A "NOTICE OF cOMMENCEMEN'l'''. -----.-------,.. SIGI1A'l'lJRE: OWNER OR AGEN'1' SIGNATURE: CON'l'RAC'l'OR STATE OF FLORIDA COUNTY OF --- 'l'be foregoing lnstrument was aclmowledged Before me this _day of-----, 19 by (name of person acknowledged) l"1ho 1s personally known to me, or STATE OF E'I.ORTDA COUN'1'Y OF ------.--- '1'he foregoing instrument was acknowledged Before me this __ day of ____, 19_ by _______.____. (name of person acknowledged) [.J who is personall.y known to me, or [] who has produced (type and whoD did Ddid not. of identification) take an oath, o who has produced_____.__________ (type of ident1 ficat:l.on) and who Odid QUd not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement --.-<--.---.-----------.---- Name typed, printed or stamped .------------~..._--<.,~. Name typed, printed or stamped CITY OF ZEPHYRHILLS IINOTICE" OF ADDITION OR CORRECTION BUILDING DEPARTMENT /O.l~ I ADDRESS DATE PERMIT." ] 3'S~a ~~Ll 2- s,o::? 1753 . THIS JOB HAS NOT BEEN COMPLETED The following additi<?ns or corrections shall be made before the job . will be accepted. : , DO NOT REMOVE It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the wor1< with flooring, lath, earth or other material, unlilthe proper inspector has had ample time to approve the installation. AFTER CORRECTIONS ARE MADE CALL 780-0020 FOR RE-INSPECTION INSPECTOR r? ~i?) OFFICE HOURS 7:30 AM - 5 PM MON.-FRI. --1 ~ ;: --1\ -tf} -____ i-- Y, ..... ~ M ~f--- MO J-- M N -t- N N o ..- N ~r N in L_ ... O. ------, ,----- ---- I ~ \ \ Co