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Home My WebLink About03-1912 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 780-0020 BUILDING ELECTRICAL PLUMBING MECHANICAL Property Owner: Job Address: Parcell.D. # 'B '~/[d- ~ 35"".3 Cj ?o 'c -(t..}. 1912 Date 3 -I ;< - CJ 3 Sewer Conn Water Conn: Water Meter: T_I.F.'s: Zoning: Description of Work Energy Code: ;) .:56t7P~ ^ ff\ . , ~adon Gas: S @'Yt cX/~f;~ o SLh Perm;tFee ~ )j Signature ~ Company Address \!elephone# 7~r-.s7'1t/ NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordinances. Valuation or Contract Price 7 fJ1Jo f , f%I FINAL -9- 0_5 DATE c.o. DATE Inspector ~ City License Registration # State Certified License# H J e-y MJt~ j ()l/t '/;I.'~ /llv ~Il/. 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-Mete Final Driveway Breakers Ducts In Compr, ssor Fina '5 ~ ~,~ to\' ~ -- '1-;) ~ c j 12~1-t6() REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessib'e. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. ~vs ~ d-Slf-N) SQ.FT_ Main Other Area Under Roof Valuation: 70 ro I <:.J7J2bt4 s <+U"L\ 'ry flWk ~. ,-1- /:2- ~ t!/ 3 PRICE Building: Ci 7, SO Electric: Plumbing: Mechanical: Radon: School Impact Fees: Connection Fees: -ten. ~u L.:l'!':Y: OF Z.EPHYRHII~LS PERMI'r APPIAICATION BUIl,DING DBJilARTMBlN'l' 5335 8 th S'rRBlBl'f ZBlPHYRHILI,S I 1fL 33540 PhoneI813-780-Q020 FaxI813-780-0021 DA'rBl RBCllilIVJllO tf-::.ll::/?.:3.---- PI,ANa RBlVUW 'If .II!_______..____. OI'lNER I 8 HAHEl_~.hq.~a.-.:_ , rOJ!~,.;r_______._________.___ PHONEl r;ON'l'A(!T_~_~r-$RV'CE 'R . ci t L 813-788-5314 .JOB S I'j'liI ADDRESS ~5.51_.__er-!__~_____!l:_________._.___ '__'___. ______.________.______._____ ... ____ I"ElClAL DESCRIPTION I LO'f(S) ___.~_37___ BLOCK ____..__ SUBllrVISlON E~ra..lAJ'o'.1.r ______ !?}\RUEJI, In # ~~- ~(,- ~'-=.f2!2!H2=~ ~ ~.~__________~~~TAIN _~~ROM ~~~~!_~~:_~~~.._~~~'1' WBl_~__ WURK I?ROI?SEIJ I O(NBIW (,ONs'rRI1CTION 0 ADDI'rION OAL'1'ERATION [1 REPAIR 0 INSTALIl [JSWN 0 MOVE 0 DElMOIIISII PROPOSED USE I l)(aGI' FAMILY DWElLIJum [] CQt1MBlR(! fAll nMtJW'T.. FAMH,Y 0# OF UN !'l'S [] SWIMMING POOL IJ MOB ILBl Hot~Bl [)OTHBlR [) INDUSTRIAL D RElSTAURAN'f & HEAllTlI DElPART~1ENT APPROVAL IlESCRIPTION OF WORK __Sc.r~e.n... E~~_:+- She~ QrL...~l~tr r1~.--st~~-.-----------.-- BUILfHN(j SIZE ID x., L______ SQUARE FOOTA(,E _} go HElWH'f ~~.-p./a..~ s... RESIDENTIAl" (]OI"lMElR(!IAL I A'l"fACH (2) PliOT PI"AllS .& (2) SBJTS OF BUUDING PI,AHS & (1) SElT ElNlilRCfi FORMS, A'rHj'At~H (3) SE'rs OF BUILDING PLANS & (1) SET ENeJfWY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. FBRMITS REQUESTED ~ B1JILIJINC3 Ll ELBlCTRWi\I, $ 1 tJptl. O() VALUATION OF TOTAL CONS'I'RUC'fION ----.--__ AMP ~E1RVICBl o FI,ORIDA POWER o W.R,EJ,n. [] PWfIJBING o IIJEUHAlHUAT, I $---_. VALUATION OF MEC'HANCIAII INSTAI,IJA'I'ION fJ GAEl [) ROQFIHG [J SPElCJIAUl'Y [J O'I'HElR TYPE OF CONSTRUCTION I [] BLOCK 1M" FRAMEl [] S'I'EEL ~OTHElR altLtM../~ FINISHEl\J Fl,QOR BJI,ElVATIONS ----- IS I?ROdElC'I' IN l<"LO()/) ZeJNBl AREA 0 YElS [) 1m BUILnBlR it it '/I '/I . '/I . . . * '/I " '/I . . . . * * . . * * '/I '/I * * . * .* * '/I '/I '/I * '/I '/I ** . * . * * * * * * * * * * * * * * . '/I * * * * . * * * C~ot1I?ANY ...J~~..!f_'%> Q IAAl ,.ty---AL.~J"!!._'_~~~____._ STATE Cl1lR'r OR R~GIS'l' # ----_._h__.___.____.__..~__ C I'l'Y PROCESS ING #......i~___.____~___.____.__._.___._____ f:llGNATURE 11Il,BlCl'ra I 0 IAN SIGNATURE _"___ ..----...--.- -------..------'------..----------- Cm1PANY_______._____________~------.__ S'fATE e'ER'!' OR RElr.HS'l' # CITY PROCESSING # .-._._--~_._-_._._--._---...._-~.._-...._~- ~*****************************************1o*1o******.**...***.*.*** -------~,~.._,---..-_........- ..-..----..------ PI,tJWBBlR --_._------~------_._-" r~OH P ANY ----_____________....,--_________.__.__.______ STATE CEJR1.' OR REGIST # ________,____.__~...:_ CITY PROCESSING # S WNA'l'lJREl MBlCHANICAI, ***********1o*****1o***********************************1o*********..1o _.._'---._-------_.----_.-------~- ------------------.-----.---- COI"lPANY____ STATE CERT OR REGIST # CITY PROCESSING # ~--~-_.._.__.----_._-------....--..._-~.~ STGNA'l'lJRBJ ------------..---.-..---..- 1o******'/I***'/I**1o'1o********'/I************~********'/I'/I********'******* OTHBlR s rcJHA'I'URE CO/vIPANY S'l'A'!'El CElRT- OR REl~#--------"-----'-----'--- CITY PRClCElSSING # -----------__________ ~----_.-------_.- '..****.******'/1*********************************'/1**********"**** --..._--_.._......----~---..-..-._..-.._---- CONDITIONS OF PERMIT 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 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 ~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. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES I D. CONSTRUCTUION LIEN 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 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. 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 ~A" or ~A,etc.n, 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, 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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". ~/~~ S~ATURE: ER OR AGENT STATE OF FLORIDA r:? COUNTY OF ,-~CO The foregoing instrument was acknowledged Befo~ me thi~ day of yYl4.l't"k. , ~3 by . I e("I'='W\'1 _~(name of person acknowledged) ~who is personally known to me, or ~"O~ ~ SIG~URE: CO CTOR STATE OF FLORIDA 0 COUNTY OF rtJt.Sco The foregoing instrument was ackn~Wledged Befor~ this ~day of (Y)~ rt'v_ , .~O:>3 by I"'rI!'M~ ks ~(name 0 person acknowledged) ~o is personally known to me, or of person taking acknowledgement ,\\111/" Suzanne Bahr ,"~tF-.Y.~IJi.~" € .. ~91~+m !.:R.~:"f;<:_ 6m~31611 Name typed, p~\~~~:;~~x~~~ 15,2006 "';~o;.,,-o~'~ ~onded_Thru "",,,,, Atlantic Bondmg Co., Inc. Dwho has produced (type of identification) ~id not take an oath ~ Dwho has produced (type of identification) Odid not take an oath. Name f person taking acknowledgment ",\"~~J'I.. Suzanne Bahr ,~"\tF-. . .oe~ G .'. # _' ~" 8IRAl1991611 DDl5~ typ~t~ J~E~re!l:1N<w~ -';~OFf;'O~" Bonded Thru "I"'" Atlantic Bonding Coo, Inc. S EMERALD POINT RV RESORT LOT: 237 35' j 5' , PROPOSED SHED 10' X 8' _ 5' _ _ 5' _ - .. PROPOSED -- .. SCREEN ROOM 10' X 10' j~ Existing Concrete ~ - - .. 20' 44' ,- 3539 PERI DOT LANE 68' ~ Co ~ 1 ~ I- ~ ~ ::.:: u <( m Co 1 ~ (D 1- e .... L r n L- - I '-- I I 1 j;? ~ :rl I- Z o Cl: u. 5 i= ~ ~ w w Q Ul Co ~ -I