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Home My WebLink About03-1896 BUILDING PERMIT Permit N2 CITY OF ZEPHYRHILLS (813) 780-0020 1896 Date 3~ '9''' tJ. 3 BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: veo.-V\ ~"l ~ 11J1~(!vrY1 Job Address: 3 5'1 0 rV,9A-~~tv T J... N . Water Meter: T_LF.'s: Parcel I. D. # rt- Radon Gas: ::< . ;;2 '0 \Jlni 11<~ Zoning: DescriPtion of Work Energy COd~ 75J-.uJ NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Permit Fee ~ignature Company Address '(?f elephone# ~~#// Valuation or Contract Price '1, 55S . ~ City License Registration # State Certified License# J7.5~7/~-7~2-~ A To 2. A-lUtl.-.,j. , 'Pef tt: I~Y BUILDING ELECTRICAL ,;I'L it Ftr. ./3 -31-0 3 If.7/; Tp. Servo Pre SLB /'3 - :=, 1- V :) 1-i-:.r;D Rough In Lintel e <-1 Meter Can FRM. ./ '1-/1- D J PC'f f 6Cl Vconst. Pole Insul. CL Pool WL Pre-Meter -- Final Driveway. /'3 ,- 3/- 0 3lfJJ D f-Li " .. 17 lI) flT'-' Sf"- "'- ft\ I .... j- <{- 1(- 0 'j r {f. . 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: SLB Tub Set Water Sewer Final MECHANICAL Breakers Ducts Insl. Compre Final 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. It (6 L A-\-DtAA..N~ ?5"'j<) Jif2IS)tT ua. 4:t:i4JM J- Ul1Llll (2~b~ SQ. FT. PRICE Main Other Area Under Roof Valuation: ;:>~ 5, 5b-O. Building: ~ Q 10 \, ~~ Electric: Plumbing: tI c;2,Z~ Mechanical: Radon: t. I 2J.i School Impact Fees: Connection Fees: Trans. Impact Fees: puLL I?L\:;W\J~~ '3~~ ~~~-r 0(t. p~BuJu SQ. IT_ PRICE Main Other Area Under Roof Valuation: BUilding:/J hA Electric: / I } tP)b/J<' Plumbing: 5b" ~ Mechanical: . I ) Radon: IV tit School Impact ... ~ Fees: 7' J Connection AJ III"\" Fees: , , Trans. Impact A I ).,/l-. Fees: /\J fl CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, PL 33540 Phone:813-780-0020 Pax:813-780-0021 DATB RBCEJ:VBD ; -,;2 '7- 03 PLANS REVIEW FBE ~} -'3-l'3 OWNER'S NAME 'Dt'-iAv'\ 4. JOB SITE ADDRESS,?> 5',-/0 l.e JLeS A (VI c.. G U IUe.lf PHONE CONTACT t.(2 ~ -- Z 82 - 30 ('/ PE/LII::J() r .v.e. Z ephr-< it' lis k LEGAL DESCRIPTION: LOT(S) 'Z '3 8' BLOCK PARCEL ID # 2 '-f Z-lL:J . L. ( () OC:,{] WORK PROPS ED: ~EW CONSTRUCTION 0 ADDITION DSIGN 0 MOVE SUBDIVISION ~~ ~~IN FROM PROPERTY TAX NOTICE) o ALTERATION o REPAIR o INSTALL o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME ~THER o COMMERCIAL o INDUSTRIAL o SWIMMING POOL DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL U I V1 L-f ( 12-DIYVh + 5/fe7J z 2- SQUARE FOOTAGE Z ZO HEIGHT It::) I BUILDING SIZE /ox RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~ BUILDING o ELECTRICAL il-PLUMBING $ 7~S--S- VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C. o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK )Kt FRAME o STEEL ~ OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO BUILDER COMPANY STATE CERT OR REGIST CITY PROCESSING # SIGNATURE ****************************************************************** ELBCTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER ~!f! COMPANY STATE CERT OR REGIST CITY PROCESSING # # 2-1 ( 2--- SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject 1:0 udeed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES 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 contractor(s) sign portions of the uContractor 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 uFlorida'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 Uowner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the Uowner" 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 UA" or uA,etc.", it is understood that a drainage plan addressing a ucompensating 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, 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 period, 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 OBTAI~ FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO EMENT. JOBS UNDER $2,500 IN VALUE 0 NOT NEED TO RECO~D AND POST A uNOTICE OF COMM C~ENT". SIGNATURE: c SIGNAT acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. o who has produced (type of identification) and who Odid Diid not take an oath o who 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 ~. t R 5. 11II11I11I11 II111 II1II 11111 II1II 111I11I1II 111I11I11I 11I11II1 2003038382 HOTleR OF COMMENCEMENT Rcpt: 660018 DS: 0. 00 03/04/03 . 11'14-:5'0 --.--............r..............:__._..--- Rec: 6.00 IT: 0.00 Dpty Clerk State ()f r.F t... o/L( If.) ,Q .... -- -~._- Coun'ty of TUB UNDERSIGNl'.D hereb} giveB notice that improvement, will be made 1:0 c2rt~.in real property, and in accordance with Chapter 713, Florida Statutes, the following info:nnation is provided in this Nf.."'ltice ot CornmenC~m(!Ht: 1. Description of Property: Parcel No., ~ 0 I c2-S g/ t::m ~.lcL ~fo i-.~tft"' 2pt>l, n.( i:LLt~ k. " ~--descrJ.ptJ.on or tt~'" property and street address if ava~.rlableT- ;2 . GenerAl Description of Improvement --- ~590~~~~MAri.fCSCO fOUNTY CLERK _.~R_~~ 5259am PG iSB6 Owner Xnformation: Name~~~fay-~ ~_~~ ^ddress ..~..LA1 ~ sf. Cit.y :Tnh~~~&'ry Interest in Property: Ol..on~~ .__...........,._~~--~--......1.--._ ."__ ,"" State 7N --..... -.. ...-------..--- Name of Fee simple 'J~itlQholde:c: (If other th~n owner) ~ Address Cit.y S til te Contractor~ Name A I-a Z. ,4L"'rt1 t.!!.P~~~A~?{~./c.~ "~&::L_h~ F AddLe s a .-.1:, (l-.IJ~"-11.bq~~ City _ Z~A-.:pe./t.- tZ'..€ _ S ta te /!~'." '3 -; S.~9 Suro.ty ~ Name ~=~__.__, --......- ---~~--------"""''''-,=-'''"T=.----= Address _ Ci ty ___,~_,___." Stabi~ ^mount of Bond: $_ 6. Lender: Name ~. l/~ "._-""--'.""~!_---'-:"""""""'"- -.........,..__-........._--...,.........,~ Addres~ City State -----~...._---.------ - Persons within the State of Florida desi.gnated by nit/Her. upon ......h(;.m notices or other documents .may be se:t'ved as provided by Section 713.1J(1)(a)(7), Florida Statutes: Name _.~... Addreae ,__ City __.~____~____.__ Stc\te In a.ddition to himself r Owner designates -~~~_..._.,--,~-_---...u. of to receive a copy of the l.ienor'e Notioe I;},~ provided in sectI'On7I3.13(1) (b)~ Florida Stat.utes. 9. E:xplrl.lt,j.on ante Cor NotIce ot Conlm~ncement. (the expl.r;at .Lon da.t.e .La 1. year fr?mthe date of recording unle$6 a different date is specified,) j Signature of owner:"~i:2~:;;~ ...-,;'~~c?~~~ _ ~~- 3~ d before me this ~Jf:t day of mtUilf(;} ,_,_' .-' t{. v, <",~",_,'_"b: ""<:, ~, .: i~fip$ :/~, Sworn to and subscribed -1-Q2&Q.:2 . ~ ~ (!. Cwvo Notary Public: MyCommiss.ion Expireu: -_.J.2i~__~"~'_____'~T" ~~~....,'_........~---,.., .......-- -.......- ""*"~~ ,..:., --~,-,.............,.- ."" 1 ", ~ '.'t' /'.' ; .' : ; , ~ ~ ,; . , . ['C90053048 S J '/'F. I'I.AN (RESIDENTIAL USE ONLY) PARCEL 1.D. ~ SEC M TWP Z( RNG d IJ, () SUBD ~~ BLOCK Z3Fo LOT DATE: 2-;; 7}:; 3 r I All drawings shall be drawn to scale or fully dimensioned for all parcels. s- !OX2'Z, /Z.IIISIZ'V 5~ s- ~ '3/ 2c7 OATE ., . 8U""-' .... 2( SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE ANY BODIES OF WATER, TREES (INCLUDING SIZE, DIAMETER, TYPE), AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PROPERTY. INDICATE THE SIZE, YEAR, AND NAME OF MOBILE; SUCH AS 12' X 60'. 1981. FLEETWOOD. . ALL "EASEMENTS", "PROPERTY LINES", "RIGJIT-OF-WAY", and "JURISDICTIONAL LINES" must be shown on all site plans. DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE. HOUSE CONSTRUCTION r.ar (80') PROPOSED ADDITION r.ar ceo') - - 0 8 :: NoelLE HONE SET-UP r.ar (180') 40' 150' IU ~ Cf E o Cf o II:: - - . 0 ~ !:? .... .... e ~ .'! .. .; e . 'V 'V '; '; - a ElIiuin. She. . .., .. ROAD /'lANE "OAD NANE ROAD /'lA NE PL PROPERTY LINE R/W = RIGIIT-OF-WAY o = TREES APPROVJm SIn PLAN MUST BE POSTED AT JOB LOCATICIf. NOTICE 01' DUD RESTRICTI<II THIS PKRHIT may be subject to ''Deed Reatriction..tt wbicb are IIOR reatrictbe than County regulations. Tbe permit bolder assu.es reaponsibility for c~lianc.. with any applicable deed reatrictions. siteOs;ce PC95035005/A . . i ') tv_ 'e ) (\ 'ff f)o')6~ €\? .:JJJ ,:J J..J L L( ~, \ Pi Iii (. 0 *,J C, L) T ~ t t:)t!-- ',4E /:::. !) r. f' I r-J"\.<;' f) GO ~.~. .;'t--. ) '1 i . ~- -~~-- ~ '-~c~~~-~~~-l----~,~~=-(~-~ -J'-' -r' -,- . -- " v l_ T-.-\ I \___J /I / ~d (_. 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