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Home My WebLink About03-1757 Property Owner: -rT<f\ cT 0 R Job Address: ~ (~ to Parcell.D. " Zoning: Energy Code: DescriDtion of Work JiJlO A (~ S' 0 . BUILDING BUILDING PERMIT Permit N~ 1757 CITY OF ZEPHYRHILLS (813) 780-0020 1-10-0:5 Date ELECTRICAL MECHANICAL PLUMBING Sewer Conn Water Conn: SupD I ~ ~/dcP. I Water Meter: T.I.F.'s: Radon Gas: FINAL C.O. NO OCCUPANCY BEFORE C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Valuation or Contract Price DATE Inspector / ~ 1 g-,. ,.0 I City license Registration # State Certified license# Permit Fee ;>$ignatur Company Address \t8lephone# (y I ~) 5l' ~ ~ -.> / '8' ;;i. eaT S~YI'fty5iS' MECHANICAL 3D~ Ftr. Pre SLB lintel Driveway Al Tp. Servo Rough In Meter Ca Const. ole Pool Pre- Fin I SlB Tub Se Wate Se er Fi al Breakers Ducts Insl. Compressor Final 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. 111111111111 1111I11I1111I111111I11111111111111I11111111I1111 2003006345 Rcpt: 646273 OS: 0.00 01/10/03 Rec: 6.00 IT: 0.00 -----____ Dpty Clerk Permit No. I/S;? . Key No. NOTICE OF COMMENCEMENT County of State of -r 1(') f I da f>ttsco THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida State Statutes, the following information is provided in this Notice of Commencement: 1. 2. 3R tate PI State 4. Contractor: Address: Phone No. Persons within the State of Florida designated by Owner upon whom notices or other documents may be se~d as pr9Jl!ded.w Section 713.13(1)(a)(7}, Florida StatJJtes: . .LJ~// Name 't UK 1""1'1 L.b Address .s- ~..3{, CcM~t6JtJI City_~/~ T7/// State .J=7. Phone o. ~~. 597-3,;).,2;""0 ax No. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided In Section 713.13( 1 )(b ), Florida Statutes. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is"specifi~ Signature of Owner. ,::"j) 't .)~~-- ~'i91&m't"dc~o fOONT"v, C\ERk State of pt r:Jy f do, County of ~ I 04 OR 81< 5200 PG 861 Sworn to and subscribecj before me this () day of ( .h rtUCl 1'i. ' 20 D3 , by.. F'<'lt t<.. 72 t () I who IS U personally kno to me or Q9Produced' catl 3 . >>s-.y~ -;;(1<:;' -0 5. 6. 7. 8. 9. Notary Public: ""'" C hI " \ ,,"~~~.P.tf';t~, at e8i1 ~lie !an L~ng~Jn :f\~""~"'~~Com~ission #. CC 918194 ;~\A..~~ Expires April 28. 2004 ,,~.......~~..~ Bonded Thrn "',~.U\\\' Atlantic Bonding Co., Jnc. C.'~...-.~..,......\........__;......\_r_............. ...........l , OWNER'S "AMB T'fACLt? t' ..5pl>)r JOB SITE: ADDRESS ')~~ / Gj:{ / f B/ ~, . /'I..' ( t r II Ai' 1 16-0:/ L:.LTY OF ZEPHYRHILLS PERMIT APPLICA'l'ION lLV'J~VJ\ liX - ..' ',G. BUILDING DBPARTMBNT 5335 8th STRIllE'f ZIllPHYRHILLS, POL 33540 ----_~ d~ Ph. one.813-780-0020 FaxI813-780-0021 Ih /--tJZ-- ' DATB RBCBIVIlD _..!..t.~=. .::5 -~_ PLANS RBVIBW FBB________. PHONE CONTAC'(815j ~t6~ -)7/8';Z LEGAL DESCRIPTION: LOT(S) PARCEL ID # BLOCK --- SUBDIVISION WORK PROPSED: ONEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION o ALTERATION D REPAIR J8(~NsTAr-,L DSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING OMULTI-FAMILY -0# OF UNI'rS o COMMERCIAL D INDUSTRIAL o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK IJ15'Ta 1/ r:,,.. B-~J a If PI CJ RESTAURANT & HEAL'l'H DEPARTMEN'r APPROVAL k/;r/; m~lJil./!;lr/ht1 -I HEIGI~T ":>V.51~~ / BUILDING SIZE SQUARE FOOTAGE RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS ATTACH (3) SETS OF BUIJ.DING PLANS & (1) SET ENERGY PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. FORMS, AMP SERVICE o FI.ORIDA POWER o BUILDING o ELECTRICAL PERMITS REQUESTED $ /.21>~9 ./ >VALUATION OF 'roTAL CONSTRUCTION IJ PLUMBING o o MECHANICAL $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL IN8TALI,ATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE BLBCTRICIAN ****************************************************************** S I GNA'l'URE COMPANY ___ STATE CERT OR REGIST # CITY PROCESSING # PLUMBBR ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # S lGNA TURE MBCHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST #__ CITY PROCESSING # SIGNATURE )TSBR ~'rWJ SIGNATURE'. ~"p""J;/:;; ***************************************************************** COMPANyA.DT 5e.c.Uf'iIY 5erVI.ce3, IJ1L _~ STATE CERT OR REGrST # / EF PCJL? //c:(.3 CITY PROCESSING # .:3 0 ~ D ************************************~**************************** UJl~JJl.TJ.'JN::; Uj:' PEFlMIT AFFIDAVIT 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 undersigned assumes responsibility for compH.ance with any applicable deedrestrictlons. B. UNLICENSED CONTR~CTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake Hark, they may be required to be licensed in accordance with state and local regulat~ons. If the contractor is not l.icensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or i;!ltended contractor are uncertain as to what licensing requirements may apply for the intended \<lork, they are advised to contact the City of Zephyrhills Buildlng Department, 013-766-6611. 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. TRANSPOR'l'A'rION IMPACT FEES AND UTILITY CONNEC'rION FEES D. CONSTRUCTUION I,IEN 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 appllcant is someone other that the "owne.r/J, I eerify that I have obtained a copy of the above described document and promise in good faith to deliver lt to the "owner" prior to commencement. E. CON'l'RACTOR' a/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance wlth 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 prlor to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zonlng regulations, and land development regulations in the jurisdlction. I also certify that I understand that the regulations of other governmental agencies may appJ.y tc 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/Wastewal:er 'freatment *Southwes1: Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aitering 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 Ir1hich 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 silt months of issuance, or if work authorized by the perrnlt is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of thite 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 '1'0 OWNER: YOUR FAII.HRE TO RECORD A NO'l'ICE OF COMMENCEMEN'l' MAY RESUI,'l' IN YOUR PAYING TWICE )!'OR IMPROVEMENTS TO YOUR PROPERTY. IF. YOU INTEND TO OB'l'AIN FINANCING, CONSUL'J' WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UND~R $2,500 IN VALUE DO NO'r NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUN'l'Y OF The foregoing Insi.:.rument was acknowledged Before me this __ day of __, 19_ by (name of person acknowledged) Dwho is personally known to me, or STATE OF FLORIDA COUN'l'Y OF The foregoing instrument was Before me this __day of by acknowledged , 1 9 _:- (name of person acknowledged) Chho is personally known to me, or o who has produced (type and whoD did Ddid not of identification) take an oath. o who has produced (type of identification' and who Ddid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment' Name typed, printed or stamped Name typed, printed or stamped