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Home My WebLink About03-1977 '-lo.~ BUILDING ELEC~L PLU~G "'opert'( Own., Wi \ \ i "'~ (Z, W'of ~ ( . Job Address: to to t.., Lv r-( ~CJ. ~-\ ~ '2 J ParceII.D.# 02-26- ~I- c')ulO- cJ'/~Oc} - 0000 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ 1 977 (813) 780-0020 Date Y ILlo> , MEC~ICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: DescriPtion of Work &., h rCr'\/i Permit Fee "" Signature Company Address ..,.. Telephone# FINAL DATE C,Q, DATE s. Inspector ~ " ..0(. / ' .- NO OCCUPANCY BEFORE C,Q, Complete Plans, Specifications and Fee Must Accompany Application, All work shall be performed in accordance with City Codes and Ordinance Valuation or ~ a 5 0 Contract Price 1 . City License Registration # State Certified License# "7(/0-937-66' 3~/} '~cc. Ftr, Pre SLB Lintel FRM. Insul. CL WL Tp, Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breake Ducts I Compr sor Final ELEC RICAL PLUMBI G Driveway 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION DIllPA'RTMBlNT 5335 8th S'f'RBlBl'f ZBJPH'{RHUIJS, rL 33!!40 PhoneI813-'180-0,020 Fa)(1813-780..0021 ' '. , lJA'fBJ 'RBlC1111IVlllD '-'--~"_ ~...,-"-,, InANe RlllVImw rllllli_u:.._~c..,__.tJu___. OWNElR I S HM1El__~_;.~\~u.~. ~_L__~.~_S_ ~_________________._ PHONE CON'l'J\r!'~~'Zi~:'~_91~~.2---, ,TOB a!TEI ADr)RBl88__b_(Qj.I_.__:W~_.L~___~_~__.*~3__u_.._____u__..... ______.________._ IJBlrJAL JJElSURTPTIOtl: LOT(8) ______~__3__ BWCK _____._._ 8UBllIVI8lON ~Ltt~y_Jl~lls;).tNh__ PARnElIJ In #~~-~ (,~ ~J~--'Q Dl().4' Dl{5 .o()- OOOQ_~~~TAIN .-:'ROM -=-~~:!R'r~._~:~~__.~n1':C!El_~._ WURR PROPSBlllr [JNEW C'ONS'l'RtlCTION [] ADDITION OAL'l'ERATION L1 RElPIHR [J INSTAlJ!' BUILDING [laWN [1 MOVE [1 DElMOl,ISII PROJ,lOSElll USEl I [JSC;!I, F1\MnY nWElLrlI1K~ []~1ut/1' r.. FAI"1I1.Y 0# UF lINI'I'S [JSNIMMING POOL ~08rr.El lIor~Bl /] OTHER [] CW1MER{! TAt, D INDlJS1'RIAt, !lBJ8CRIPTION OF NORK o Rel8TAURANT & IIEllUml DE:PART~1ElN'r APPROVAI., ~ ~~~J S,' ~ih.-:el~LL-\1tL~J'Llu_'l~___ SQUARE FOOTAGE tj ,;; 3.5__ H81JOH'f "___,_-,___ BUH,fJINH SIZE RtllBIl1!llNTIALI CO~iMBlRmAll : A'f'fACH (2) PLOT PIJAllS & (2) SElTS OF BUI! ,DING PLANS & (1) SET ElNElRr!Y FORMS, A'r1;A(~H (J) SETS OF BUiI,IJING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY RElQUIRElD FOR ALL NEW CONS'I'RUCTION. RERMITS REQUESTED C1 BlIII,IJIN<~ $_.J..i.S ~_._.-" VALUA.TION OF TOTAl, CON8'rFl.tJCTION' [J EJrJIllCTRlCAL '-----___..._-----'0 AMP ~ElRVWE [1 F['oRIDA POWER [] W.R.El.Cl. [] PI.tl~~B ING o I>1BJUHANIUAI, (- $---_. . VAl,UATION OF MECHAt-lt.!!AI. H1STAI,lJATTON L1 G1\S ~OOP'ING [.I ElI?ECJtAUry [) O'I'HBJR TYPE: OF CONS'I'RtJ()'rroN: [) Br.OUK [J FRM~El [) STElEl!. [J OTHER FINISHEr) FI,()OR IlJIJElVATIONS IS PRO,TECT IN FLOO/J ZOHEl AREA [1 yes 0 NO BUILnmR cor1P AN Y -1;f)_~_~_n~..JJ_L__~.~s>_~________.__ S'fATE CEJRT OR REGIST If .(,.,..~-"-~-~.9.J..b_2____.__ CITY PROCESSING L_..:1_..9... 9 ________ u_____________ ****************************************************************** III,IIClTRIC!!AN S Jl31TATIJREl ____... . -----..- ~-..--~.-__.___..o-__..___ ._____.. ____.._.__________ COI'lPANY _..___________________________. __ _____.__ ____ STATE CElRT OR REGIST II CITY PROCESSING # .----.-- --,~_....- .__.~._"-~-- -._-~._- - ...,,~,- ****~*~***~**************************************~**************** ---------.--._._. ~._4.____,._.__.__..__._______ PIJUMBBlR -~-~--_._~_...,.,..._..__.- -~ (!O~1PANY ____h____________________..__..._..___.________ STATE e'ERT OR REGIST # ________._------'---_______.. CITY PROCESSING # 8 Tl3NA'l'l1RE MBlfJHANI CAr I ****************************************************************** -~'-'--"-.__M___________.______ ----------------~-_._-_....._- COIvlPANY ______ STA'fEl r'ElR'r OR REGIST If CITY PROCESSING If _..-.~._-..._---.~.- ----.-,-..-.-.-- 8WNA'l'I1IUl -----.._.....-._-......._-~._-_._-----. ************************************************************'**** OTHBJR COf'1PANY ST1\'I'El CHlRT OR REGIeT W------------------- CI'fY PROCHlSSING # ----.----------__ SVmA'l'UREl ***************************************************************** --,._~-_._.._--.._-~_._._------ CONDI'l'IONS OF PERl'11'1' AFFIDAVIT A. NOTICE OF DEED RESTRICTIoNS The undersigned understands th~t this permit may be subject to "deed restrictionsH which may be more restrictive than City regulations, The undersigned assumes responsibility for compliance with any applicable deed reatrictions. B. UNLICENSED CON'l'RAC'l'ORS AND CON'l'RAC'l'OR RESPONSISII.I'l'IES If the en.mel.' has hired a contractor OJ:: contractors to undertake Hork, they JIlay be requirsd to be licensed in accordance with state and local regulations, If the contractor is 110t licensed as required by law, both the owner and contractor may be cited for a miademeanor violation under state law. If the owner or intended contractor are uncertain as to ~~lat licensing requirements may apply for the intended work, they are advised to contaot the City of Zephyrhills Building Department, 813-788-6611, Furthennore, if the owner has hired a contractor or contractors, he is advised to have the contractor(a) sign portions of the "Contractor SectionaN of this application for which they Hill be responsible, If you, as the OHner signs as the contractor, YQ\.I are indicating that you, ratller than the contractor, are responsible for the Hark. If the contractor Hishes you to sign as contractor that may be an indication that he is not properly licensed and is Ilot entitled to permitting privil~ges in the City of Zephyrhills. C, 'I'RANSPOR'l'ATION IMPAC'l' FEES AND U'I'UITY CONNECTION FEES D. CONS'l'RUC'rUION 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 GuideN prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "oHuerN, I carify that I have obtained a copy of the above described document and promise in good faith to delivet j t to the "oHnerN prior to COIrunencement. E. CON'I'HAC'I'OR' a/OWNER'S AIi'Ii'IDAVI'I' I certify that all the information in this application is accurate and that all Hork will be done in compliance with all appUcable laws regulatJng construction, zoning, and land devfillopment. Application is hereby made to obtain a permit to do Hark and installation as indioated, I ce~tify that no .wrk or installation has commenced prior to isauanoe of a permit and that all work will be performed to meet standards of all laHs regulating c6nstruction, City codes, zoning regulations, and land development regulations in the 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 must take to be in compliance. Such agencies include but are not limited tOI *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Bnvironmentally 8ensJtive Lands, Water/Wastewater Treatment *SouthHest li'lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Anny Corps of Engineers-Seawalls, Docks, Navigable WaterHays *Uepartn~nt of Health & Rehabilitative Services, Environmental "ealtll Unit-Wells, Wastewater Treatment, Septic Tanks *U,6, Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone ~AN or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" 'Hill be Iilubmi tted vlhich is prepared by a professional engineer registered in the. State of Florida pdor to permit issuance. A permit issued shall be construed to be a license to proceed with the Hark and not as aut.hority to Violate, cancel, alter-, or set aside any provisions of the teclmioal codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a cQr~ection of errors in plans, aon~truotion, or violations of any code, Every pirmit iSIiU~d .shall become invalid unless th@ work authorized by such permit is cOllunenced within six months of issuance, or if Hark authorized by the pennit is suspended or abandoqed for a period of six months after the time the work is conunenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be reQues~ed in writing to the Building Official. An approved inspection must be loggCld during each sjx month period, or the project will be considered abandoned. . WARNING TO OWNElRI YOUR FAILURE TO RECORD A NorrrcE oh~ COMMENCEMENT MAY RESUW' IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU'INTEND TO OBTAIN FINANqIHq, ~QN'ULT WI'rH YOUR LENDER OR AN A'r'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. J( as UNDER $2,500 IN VA UE D NO'l' NEED '1'0 RECOR AND POST A "NOTICE OF COMMENCEMEN'I'''. S I GNA'rURE : OWN ER OR AGEWl' SIGNA'l'URE: CONTRACTOR ___lo(.~.. Name typed, p~e~~amped r ~~ My C()lTlI1ltS$lOll 00006191 '\l~J ExpIres March 04, 2005 SrI'A'I'E OF nORIDA COUNTY OF The foregoin9 i?s~~ument w~~~~trowledgedh~ Before me this J.-t.ll4 pay of~ ' ~lU by (name of person acknowledged) C1ho is personally known to me, or , ~ho has produced Oy\V-e (s LeG (type of identifioation) and .[ho f]~d ~at~__ Signature of person taking acknowledgment Lon Turner Lv r) Tv lyl p r t:~iM\l~~Ulted or stamped ------ ,\!.# EXpll'8S Ma'ch 04. 2005 I riJ~C!.. 0 S'l'A'l'ill OF FLORIDA . n r f1 COUN'rY OF W ~ 0 'l'he fongoing in~t~ljllIfmt was aCkno\",ledged Before me this_~~ay of ApVi L , Hd003 by~ 5~vQY-+- v)e[(!h (name of person aoknowledged) Owho is personally known to me, or ~ho has produced .of 'v tfS ll~. (type of identification) and Whotrdi~ .[Jdid not take an oath, /Ji:;., ~~ Signature of person taking acknowledgement Ttj( 0Q(