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Home My WebLink About03-1956 ~~ING BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ (813) 780-0020 $'35 PLUMBING 1956 Date 3- ;27-03 ~~T~CAL MECHANICAL Sewer Conn Property Owner: Job Address: Parcel I. D. " Zoning: DescriPtion of Work .L.,vJr<v\Aeo_ ~/1 vll~h 51~1 /8 sr: Water Conn: Water Meter: T.I.F.'s: Energy Code: ~YlVMT hl,'<,/i'y'(f Radon Gas: ou-t bieR,. +n-PJ keu..~ w/13~ o ( Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. DATE Inspector ()WVV/V Ow~ Perm;' F~<>O )tSlgnatur -~ ~ ~ Company Address ~ephQ~~ ~I J -- 7 I L - ~8'tJ tr J.!o,..l ~ 3 - '7~ - 5 8""0 8'""" () L..I ~ Valuation or Contract Price ~--D~ . tYD City License Registration' State Certified License' Ftr. Pre SLB Lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compres r Final BUILDING ELECTRICAL PLUMBING Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway REINSPECT ION 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUIllDING llBlI?ARTMEN'l' 5335 8th S'l'REE'r ZEPHYRHII,IlS, P'L 33540 PhoneIB13-7BO-~020 FaKIB13-780-0021 DAtrBl RlllolllIVl!ln _ __ ,__ _<",. ______ PIlANS RBlVIBIW B'IllBl__.______T. UNNElR' s IIM1El__LaW.Le.~C_t;__.&__EiLcL~f_b_____________._______ PHONEl (~ON'l'AC!'~,__31'}___5l~=:f..8'{JO ,JOB SITE ADDRESS p-5'73Lpp-l~~-SEj~e..7;-__--2epi-r-rlt;I{~-P~d~._3_.Js-'t'_z- !,ElrJ1\L DBJSCRTPTlON: LOT(S) -Y.,-~--+~-- BfD(~K ---8'"D-____ SUBDIVISION --.-----,__._____________..h P ARCEJ IJ I n H_JL2..-'....2.1___af2LD_J2!l0b0-_Qo!i..t2.-._______~~~T A I N .~'ROM !.~~~=-~~~~._~~~_..~~~~_C~_~___ HURK PROPSBlIJ t CJHElN l'ONS'I'RlJCTION [] mmrI'WN ?LTERATION [l RElPAIR [J lNSTAIJI, [)SHm 0 MOVE 0 DEt10l,ISH PROJ:108EJIl USE: I [lS(;!I, FAMILY DWELhUIG [ltlUIiI' I .. F AfvI n,v []# OF UNITS [J SNU1MING POUL (] MOBII,El HOt1EJ ~r.~THHlR [] Cot1fV1ElRC!JAf, [J INDUSTRIAL o RB18TAURANT & HElAI,TH DEJPARTt1EJH'I' APPROVAL IJESCRIPTlON OF 110RK&'ltJer(~;Xt.sf!..~~i ~'lJ/'-'7.._T9 --_.~aL/J.-OIAS.t._~t'flit:t.t1__ BtJIl,DINr~ SIZE _L~..bY____.___ SQUARE FOOTAGE ___________ HElIGfIT ...____.______h_.__ REl8IDElNTIATJI A'I"I'1\CB (2) PL,o'I' PI"AllS & (2) SElTS OF BtJII,lJINlJ PI,ANS & (I) SEl'I' ElNEllmy FIJRfvlS. (~OMMBlR(!I1\f,: A'I"I'ACH (3) SElTS OF BUILfJUlG PI"ANS & (1) SET ENElR<lY FORt1S, PROPERTY SURVEY RElQUIRED FOR ALL NEW CONS'I'RUCTION. P~RMITS REQUESTED [] BIIILIJING $-l~-.JL_ r, 1(.9()c).__ VALUATION OF TOTAL COH8TRUC'I'ION L1 EJLElC'J'RWAI. [~r,uMBING ---__________ T\t1P SElRV I eEl o F[DRlfJA PONER [J W,R.EJ.n. lJ J<1El(JHAlUC!Ar, $-- ------------ VAI,UATION OF t<1ECllANCIAI, urSTAI,llATTON [] GAS f.J ROOFING [J SPEClAUl'Y [I OTHER 1'YPEJ OP' CON8'I'RUC!'l'ION: [J BLOCK o FRAMEl [) STEElI, [] OTHER FINISHEJIJ F'UJOR EJIJEvr,TIONS IS PReXTEC'J' IN FLOOD ZCJNEl AREA 0 Y81S 0 NU I. ' , ElUILDER ~ ' 1PANY --..-U~~____h_____________..,._.___._____ STATE CfiJR1' OR REGIS'I' # _____________ ________H___.___ " 1 "I< ^ TUR. b?'--_~_.~ .-'i. IT Y PROC! IDa" IHO IL__. _ ___ __ .___ .._ ._._._ ._ __.__ ._ ****************************************************************** B1I.mc'rRICIAl1 COI1PANY_.__.__________________________._ ___ _.__ ~ ~STA'J'E e'ERT OR RECHS'I' II 8"] ImA'l'IJR I ...-""'-----. - ./:? ~__ ______.__ ________ _ __ u. _ _ - --.=-Ch--~..ur~ --- -_____ CITY PROCESSING 11 ---.----.---- -----.._- ------*------ ****************************************************************** PIlUMBE~ '---- 8WNA'1'ITR "~ .-----.----------- -~ Ir**************** COM PAN Y ---------.-________________...___.__________ _._____ STATE CEJRT OR REGIST 11 ____~.____.__.___. CITY PROCESSING # ---..----.-..-.---------.-------------- MBlCHANI CAI, ********************************************* ---.--.-----.-----.---.....----------- colv! PANY -_________,____________.___________. _..__..__ STATE CERT OR REGIST # CITY PROCESSING # '_.~.. ..-.--- ------- -.--... -. ---.~~*~.-._-.-- --. SWNA'l'tJREl .--- ..--.----------.--.----.--- .- -....--..--. ***************************************************************** OTHBlR SWNA'l'UREl (XJ1.1PANY S']'A1'Bl C!HlRT- OR- REGI8T -W----------------...----.. -._-- ,-~~ --- CI'I'V PROCESSING # ---..------.--------------- ..~.__._-_.--....._---.,-------------_._- ***************************************************************** --...----'-- - '-"---'-'-'--~--_.-. -.- ....-. '."'-'--.-.- ~--~ CONDI'l'IONS OF PERM!'!' AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The underaigned understands thqt thi~ permit may be subject to "deed restriotions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applioable deed restrictions. B. UlnlcENSED CON'I'RAC'rORS AND CON'l'RACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordaIlce with state and local regulations. If Lhe contractor is not licensed as required by law, both the owner and oontractor may be cited for a misdemeanor violation under state law. It the owner or intended contractor are uncertain as to ~~lat licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-786-6611. Furthenno~-e, if the owner has hired a contractor or contractors, he is advised to have the eontractor(s) sign portions of the "Contractor Sections" of this application for which they ~dll be responsible. It you, as the owner signs as the contractor, YQll are indicating that you, rather than the oontractor, are responsible for the work. If the oontracto~' \-lishes 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. 'I'RAN~POR'l'ATION IMPAC'!' FEES AND U'l'ILI'l'Y CONNECTION F'EES D. CONS'rRUc'rUION LIEN LAW (CHAP'I'ER 713, FIJORIDA STATUTES, AS AMENDED) J certify that I, the applicant, haVE: been provided with a copy of "Florida's Construoti.on 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 Ilave obtained a copy of the above described dooument and promise in good faith to deliver it to the "owner" prior to oonunencement. E. CON'rRAC'rOR' 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 construotion, zoning, and land development. Applioation is hereby made to obtain a permit to do work and installation as indicated. I ce.J:ti fy that no work or installation has oonunenced prior to issuanoe of a perrni t and that all work will be performed to meet standards of all laws regUlating construotion, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I under'stand that the regulations of other governmental agencies may apply to tile intended work, and that it is my responsibility to identity 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 Bensttive Lauds, Water/WasteHater Treatment *Soutllwe~t florida Water Management District-Wells, Cypress Bayheads,-Wetland Areas, Altering Watercourses 'Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Departn~nt of Health & Rehabilitative Services, Environmental Healtll Unit-Wells, Wastewater Treatment, Septio Tanks *\1.8. Environmental Protection Agency-Asbestos abatement I also certify that, it fill material is to be used in Flood Zone ~A" or "A,ete,N, it is understood that a draJnage plan addressing a "compensating volume"'will be submitted which is prepared by a professional engineer registered in tile 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, canoel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Otficial from thereafter requiring a correation of errors in plans, oonstruction, or violations of any code. Every permit isrsued shall become invalid unless the Hork authorized by such permit is oonunenced Hithin sJx months of issuance, or if work authorized by the permit is suspended or abandoQed for a period of ai:K months after the tilne the work is conunenced. One 90 day e:Ktension of tillle may be allowed for the permit with fee charge of $15.00. The extension shall be teques~ed in writing to the Buildi.ng Official. An approved inspection must be Jogged duri.ng each si.x month period, or the project Hill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A No'nCE OF COMMENCEMENT MAY RESUW' IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IE' YOU INTEND TO OB'!'AIN IfINANqWq, (.::(IN@UL'r WITH YOUR LENDER OR AN A'l"rORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'r. JOBS UNiJER $2, SOD IN VALUE DO NO'l' NEED TO RECORD AND POS'l' A "NOTICE OF COMMENCEMEN'IIII. SIGNA'l'URE: OWNER OR AGEN'I' SIGNATURE: CONTRACTOR S'fA'rE OF FLORIDA COUNTY OE'- 'J'he foregoing instrument was Before IlIe this ___ day of by~ acknowledged _, 19_ STA'l'E OF FLORIDA COUNTY OF The foregoing instrument w~s aoknowledged Before me this ------J.iay ot-----, 19.......:._ by (name of person aoknowledged) Dlho is personally known to me, or (name ot person acknowledged) Dwho is personally known to me, or Owho has produced (type and who[] did Ddid not of identifioation) take an oath. o Hila has produoed_____ .____ (type of identifioation) and ~Jho Odid DUd not t,ake all oath 8ignatux.'e of person taking acknowledgement Signature of person taking acknowledgment ---'-~.__..-._- ..__._--.------~~---_.._~.-----_._--_.------ Hame typed, prillted or stamped Hame Lyped, printed ox.' stamped DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I, {c<'Wr-(r"/(c" A.FhrIJ~/' have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by ,4prl(, 1-00J said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspect ion fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. O""""'S S<GNATORB ~ :~:SS H~7~:Jfi; H_ ~I- _ ~1ff~B 3-.26-0:> C ' ~': - 4o-;Js-rz WITNESS PERMIT # ., -------------4- 4------ ~---- __- ~ .' ..~ .-..c._:::_::::___ _--.--- tt 7-~~-y:-----..--- M ~ 10 J- Y'I €S _~--------------7( I:!!tr l-j --~ ~ '. C\j . \..J -O~f i~7:t1"- \M~O ~ . ( , \ ,..e, ( I ) v\ (( II'; (> q'? '))(/ '\ ( ( ;} , I ~9J 'I ;,1 .rl I ,..__.._--.-.--------- .--..---_.~ .- "/"'-"-.. - -- .-,,/ .-- (/ SWI'frlfYI /7 -0 I r c;?D \... - ------.,' /-_._,.__._----_.~ -- . ---- . -------------- -~-~l ~ ~ ~