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Home My WebLink About03-1777 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 780-0020 BUILDING ELECTRICAL PLUMBING MECHANICAL P"'..rtvown.'?~ T. __1Y\.~. Job Address: _o.~~ -rnt~~ Av.(.. Parcel 1.0. , 1777 Date j- I 7,.. 0 3 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: OescriDtion of Work Energy Code: 'R~II~ J- ap.e~ fL Radon Gas: .<"T '" C GO ~(1~ Inspector nO;' ,po Permit Fee . f,' A ~ignature .~ ~ Company Address '>hlephone# 3 ~d- _I..{ ?-.lj'" 31 Lt] 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. Valuation or Contract Price 7rg-t}-O'frV . SOt!- 5 FINAL -oJ DATE DATE 1/5D City License Registration # State Certified License# IJ'~/C y~ff hldtJ. rcl~V. BUILDING Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway sr~be.~ ~~~ .;t-7-03 /2'1,#;:;-" 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) shaH 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. OW".. '8 ""'" ~,,"LS~-1~tch._. "'___ ...... _ __. ._.._ _. PHON> "ON'J'^"'~..1.'6.~::S;.:c.l.J ,J08 a ITE ADDREas .-3'i93-~_.CJd}~co...L.~~i~c..A.1.2J2,..__J.JQYC>_.__.________._. 3b~'.JU LJ3)(]AL DHJSl!RIP'l'IuN: LOT(S} BIJOCK SUBDIVISION ____._____........____.._.. CITY OF ZEPHYRHILLS PERMIT APPLICATION aUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, rL 33~40 PhoneIB1]-7BO-~020 Fa~1813-780-0021 DA'fm RB<1!IlIVllIn ~.._'__~~_. '___. PI,ANS R!IIVIBIW rill ~--,_.,,-- ------ HURl{ PROPSEfJ I [JNBlN l'ONS'l'RUC:'TION PARCElL In If JS~d-S-;;).) -00)0 --O:-~O-Gt::..;3d(OBTAIH F'ROM PflOPElR'l'Y 'l'AX NO'l'WEI) -._- ~---------.....-_~-._--,--~._..- ..----....--.--.---- [J AflIJI'l'Il1N OAL'l'ERATION _._-_.._._._---_._------"'"-._---~-......_..._,--_.,...'---~_..~- ~ REPAIR lJ INSTAl,l, Osrrm o MOVE o DElMOl,ISH PROPOSED USEI I [JSl3L FAMILY DWELfJI!TG []~1Ul,'l'I.. FAII(!t,y 0# OF l1NITS [J SN H1MING POOL (] MOBIr.El HOME [J CQt/lfvlElR(! fA r I rJ INDUS'l'RIAfJ I:J OTHBlR lJEJSCRIP'f'IClN OF l<10RK o RE18TAlJRANT & HEAl,TIJ DIl:PARTI1EJN'f' APPROVAL '~.~_/4'1~ ~'L&pjc<::e ~~'?n1.S>.."b-~J.._ S~:..S2 ~_.~_.__ BUILfHN(] SIZE ~-------__4.___.__ SQUARE FOOTAGE RElSrnBlNTlJU'1 COMMIllRCIAf, : HElIr3HT .____________ A'I"rACH (;3) PLO'f Pf"Al1S & (;3) SElTS OF BUU,IJING PLANS & (1) 8ElT ElNEJROlJ FORMS, A'f"l;AC!H (3) sl1l'rs OF BUiLDING PLANS & (1) SElT ElNElR(~Y FORMS, PROPERTY SURVEY RElQUIRElD FOR ALL NEN CONSTRUCTION. [] BtlILIJING LJ BlLBlC'I'RlCAI, ~ERMITS REQUESTED . 0-<..> $ 7 ODe) - VALUATION OF TOTAL, CONSTRtJC'l'ION ---.-7-----.-.__ -----~--_'_ Ar1P SElRVICEJ o FI.C)RIrJA POWER o W.R,Bl,C, [] PI.tJt1BING LJ J.1EUHANIl!JU, $_.......' ---- VAI,[JATION OF ~"'ECHANUIAI, U1S'l'ALIJATTON [] (~A8 r.J ROOFING [) SPElCJtAUl'Y [] OTHER 'l'Y.PHl UP' CONSTRuc'rroN: (J BLOCK [) FRAHEl [J STElElL [] OTHElR 1" INISHED Ff/UOR ElI,ElVATIONS -------- 18 PR(XIEJCT' IN FLoon ZONEJ ARElA 0 YElS o Nu ::',:::::.. ~au/J~~~~J::f~~~~~~~E~S~.#.~<i~~2~-7-:~-:. """*""'*"**""""""""""'**"*"******'"**"*'***'*' !IIJ.!lOTRIC!I\N COI'1PANY _..__._______.________._____....__....._._._ __.__ STA'l'ElCEJRT OR REGIST # 8WlTA'['{JREJ ....--...----....-.-.-________._..__________ CITY PROCESSING # '------ ..~----- -, .-.-------.-..-------. _.--- PI,UMBBJR *'*********~**'****'k******'***'*****'**"*"*'**'*'******'**""* -----_._-~ -----.-------.--.-.---. -------.------- --.-."- --~-~~ -~_._-_....----_.-. -----.-------- (~OM PAN Y -----_._...___.._____,--__.__._____...__.__......_.. _____.. _.. STATE (~ERT OR REGIST # ___._______.._..___..____.. CITY PROCEJ8SINr3 # 8 WNATtlR E MIIIC!HANICAl, ***"******'***"'**'*"'*'**"*'*'**'*"**""*'*'***'*'*'*"'*" ---_. ._--_.._.-----_._-.~-- -..- ~_._---'--~.__..__._~- -----------..------------.....---..-- COMPANV..________.____...__..___..____..._._._._.....__..__.._.. STATE ~mRT OR REGIST # CITY PRUCESSING # - -~.._~. ...n______u ------_.______.u.__.._ S TGNl\'I'tJREl OTUBlR ****'*****"'*'*'**'*****"***"'*""~*'*'***"'*'*'**"**""'* .--------.. -...-. ---- ----'-~.,----~._-_...__._--_._----- 4____~__________._____ (;OHPANY , STATE CERT- OR - REGIST tr---------.-..---.----.--.--.. CITY PROCElSSING # -.__~_..___.________. S WI lA'l'IJREl ***'**'**'***""*****"****'***"*****'**'***"*'*'*'*'*'**"'" ------- .__._---.---_._-..-,~..__._------,~._....- COlWI'I'IONS O? PER"1IT AF.'?:.;)AVIT A. NOTICE or DEED RESTRICTIONS The undersigned understands thijt this parmit ~ay be ~ui)1ect to "deed restrictionsU ~hich. may be more restrictive than City r,;gulcd:ions. 'l'he und:n:si';}ued assumes responsibility for oompliance with any applicable deed n:st:r:iction~. B. UNI,ICENSED CON'l'RAC'l'ORS AND CON'l'HACTOR RESPONSIBIIJI'l'IES If tile owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordal1ce with state and local regulat10ns. If the contractor is not licensed as required by law, both the ol-mer and contractor may be cited for a miademeanor violation under state law. If the owner or intended contractor are uncertain as to wllat li censing requi rements may apply for the intended work, they are advised to contact the City of Zephyrhills 8uilding Department, 613-788-6611. Furthenllol:e, if the owner has hired a contractor or contractors, he ia advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which they vlill be responsible. If you, as the ownel: s.igns as the contractor, YQlj are indicating that you, rather than the contractor, are responsible for the work. If the contractor Hishes you to sign as COlltractor that may be an indication that he is not properly licensed and is llot entitled to permitting privil~ges in the city of Zephyrhills. C. 'I'AANSI:'OR'l'A'rION 1MFAC'l' !fEES AND U'l'ILI'l'Y CONNECTION j!'EES D. CONS'l'RIIC'l'UION LIEN LA\tJ (CliAP'llER 713, FLORIDA STA'I'UTES, AS AMENDED) I certify that I, tile applioant, 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. CON'I'RAC'l'OR' S/OWNER' S AFFIDAVI'l' 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. Applioation is hereby made to obtain a permit to do work and installation as indioated. I certify that no Hork or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construotion, City codes, zoning regulations, and land development regulations in tile jurisdiction. I also certify that I understand that the regulations of other governmental agencies Inay apply to the intended work, and that it is my responsibility to identify what actions I Inuat take to be in oompliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally SensJ.tive Lands, Water/Wastewater Treatment *5outhwest rlo~ida Water Management Diatrict-Wells,Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Servioes, 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 ~Au 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 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~tructionr or vio~ations of any oode. Every pe,mit is~u~d shall become invalid unless th@ wo:rk authori...ed by such permit is oOllunenoed within six months of issuanoe, or if work authorized by the permit is suspended or abandoqed for a period of o$Lx months after the tiwe 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 requ~s~ed ill writing to the Building Offioial. An approved inspection must be logged during each aiK month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NO'I'ICE OF COMMENCEMENT MAY RESUL'l' IN YOUR PAYING TWICE IfOR IMPROVEMEN'I'S TO YOUR PROPERTY. IF YOU INTEND TO OB'I'AIN I!"INANGING,~9N@UIlr' WITH YOUR LEHDER OR AN A'I'TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. ',JOBS Ul~fJER $2,500 TN VALUE DO NO'l' NEED '1'0 RECORD AND POS'l' A "NO'l'ICE OF COMMENCENEN'l'''. / J(~ ~-A~ENT / ~ ) y~ SIGNA'l'URE I CONTRACTOR 15~~4171 S'I'ATE OF F~}YD~ ...... COUNTY OF fTS<l-0 'l'he foregoing .1nJ'lf.,J.;\.lment wa~t~~~led?,.~ ,) Be~. r"u~ll~ thi~W~day of '. .' ~tl3 by. '\d ()r~ - ~name of person acknowl~dged) ~ho is personally known to me, or STA'I'E OF FLORIDA [If!.' I ~ COUNTY OF .~ C.v _ 'l'he foreooing ins nnent w~ aoknovlledged Befo~l1 ~~ this. iay of' 'tU1..u~ ' ~~~:S by ~J" _ /' (name of person acknowledged) ~o is personally known to me, or Owho tion) ion) S Nan~typed, printed or stamped -.......-1;.....--. _._,_._._~.__.".~_~__'W Name'typed, printed or' ~tal~p~d FLA. 19n LAWS FS 7;3.13 SEMINOLE FORM 408 NOTICE OF COiY1MENCEMENT ~::;:f o:'orida } IPR~PARE IN DUPLICATE' ~~~~~~'~1~1I111II1I1II1I111111111"" 1111111111111 The undersigned hereby informs all concerned that improvements will be made to certain real property. and in accordance with section 713.13 of the Florida Statutes. the following information is stated in this NOTICE OF COMMENCEMENT. Description of property. 3. ~~.J.7... .1l:1t:cL'~A.{. .C!::.~-f~.r...I</ !/e... 2'~lP.l.l~.~'\lll..s. .fT. .l.~.~'f.'fp... VO:;;'ic.e I 55~'~5'-2l -oo7c> - ?DOGCJ -003 (,) .... ...... -............. .-.......... ......... ". ............... ....... ............................. -.......................... -.. .... ................ ........... ..... .... ......... ..... ........................................................ .................... 1< l .. '. . .OJ r--~_. I '. > . A"'-. , :-fur I( General descrrptlon of Improvements . ~w..:.>.e-........ p ~c::...e... .~.t:v;..... d....Vh<ta.e.c1s.... :-.c. .1. .&c})~... .~ S;::'1 \ Owner. . . . . . . . !. .~. t! .l. . . . . . ~. . . . .l. . !. :!. ~.g.'.\Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '. . . . . Add,e..'3:f (j 3 j.... /M~((j).. . (c:b.. .1<<..~.. ??~ It), 1.& .33. ry Cl Owner's interest in site of the improvement. . . . . .OW.r\..-p',C . . . . . . . . . . . . . . . Fee Simple Title holder (if ether than owner) Rcpl: 647794 DS: 0.00 01/16/03 Rec: 6.00 IT: 0.00 Dpty Clerk Name ........H03.H...~H~HU~H?.... r.~.)...~...~L..i.ii.~o Address . ~~....... ~................ C.........................)..... .<:f.. .t'..... .lJ. r........................... Ron,,,cto, .~'--I!(&..... L~1 e (......... ............................................ ................... ..... ~dd'e.. .S:;>Q....~H...jt,{,3.JH~,2!'f~I'~lCr:..~..~.>~:31H . Surety (if any) .... _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . '" -.......".. "...".....". - -. &-. . . Amount of bond s-S~...-. . Address .................................................................... Any person making a loan for the construction of the improvements: JED PITTMAN PASCO COUNTY CLERK 01/16/03 02: 3!pm 1 of 1 OR BK 520D PG 1599 Address ................................................ _ . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . . . . . . . . Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name "'_", ....... ............................... ..... ..................... "'_ Name .. ..... ......... ............................... . ............................ - Address... ....... _.. _.................................. .... ..................... _......... .. ........ _ .......... _. ....... In addition to himself, owner designates the following person to receive a copy of the lienor's Notice as provided in Section 713.13 (1) (h). Florida Statutes. (Fill in at Owner's option). Name'P/'?(cJI.i ~~.... 'u' .....__..................... _............... Address 'i}.J... .;Z1c)x. GI.3.. .ZGp/lt,f~.h.I.ll5. .f}...... ~?-!?~'(j~1 J. THIS SPACE FOR RECORDER'S USE ONLY . .".: "7::::::,:;1 . I . t/.t~~~'" .. Owne/ Sworn to and subscribed before me this ........ . . _ . . _ _ . . j~~-1day Offt~Yf;} /i., ..)1'5;:t;1~. .~..~. . . .L~' #",YP~otBA)RB)IlRIX:E. CONKLIN ~ ~ ~ MY COMMISSION # OD067198 "A.'~ -. OFl\.\)'li EXPIRES: OCIOber 23. 2005 1-800-3-NOTARY FL Not8/)! Service & Bonding. Inc. ~;LuC2 .=) .~_......-:. A _'t- ~~. I "6 u =alii f ~:I~ e o~ I Ii! ~ .! ~ u- I uti Idi~5~ :to. J 1 _lD . 10..., I .. " o I Lh C\J E d CI.I ..Q -g Ol o ~ :to :j:i "-UlJl! CI.I- X >~CI.I Od.,e o a.~ U"t:J d UCI.IE ::J+> +>dO Ul3+> OlUl.,e .f.f.p +> d 11I-_ -d X ~ CI.I CI.I:J,,- +>- CI.I U :to U:J,,- d ~ CI.I 1i+>> CI.IUlO "-" "t:J CD 0 ~X U d" U C")::J CI.I1t; >C\J o .,e .,e E.p+> &.~