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Home My WebLink About03-2009 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 780-0020 2009 Date 'f-;(g-tP'3 BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owner: Job Address: Parcel I. D. " Zoning: Descriotion of Work .ch uv (' h '!}~ )7 ~ _~ Lf I ~ 'f . Ie5{)S chv;sr sT Water Conn: f"'t:tt,y c fa-y S~ I~ 1Water Meter: T,I.F.'s: Energy Code :b 'R~ - K-~ Radon Gas: FINAL ~)-'1- 03 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector 1(( (/ ~ //.TC 10 15:S \ cV\..; . ~5't9"t:> Permit Fee . xSignature __ ' C --::~u ~ Company Address Valuation or Contract Price City license Registration # State Certified License# \trelephone# 3S d - 'S.~"l h~ ~jCf;T[ b( C,( t~ ~~'6' BUILDING Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pol Pool Pre-M Final PLUMBING Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final 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 BUILDING DEPARTMENT S335 8th STREET ZEPHYRRILLS, FL 33540 Phone:813-780-0020 Fax:813-780-0021 DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME ~~-C~ ~ zre.s~.s C~(~ s.-\ lG...-\\~r \:)c..'t~ PHONE CONTACT '1i';} -I ~~~ JOB SITE ADDRESS '\ ~ ~'-\ \ Io~ 'S,""t'. ~~'tlr~\.\s. ,~L "32>'Sl\C> LEGAL DESCRIPTION: LOT(S) p t{; BLOCK ;J{:; SUBDIVISION PARCEL 10 # 3 '5 <') C"'" " (7~c7\ 00 \ a ())s"dOQ 60' () (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME o OTHER o COMMERCIAL o INDUSTRIAL o SWIMMING POOL DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL '\?~(~ s;:\\''''S '<-S '10 ~. .~o \j~' \'~~~r\\"e HEIGHT BUILDING SIZE SQUARE FOOTAGE 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 o BUILDING $ \ () \ \ S ~. C)d VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE D FLORIDA POWER D W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS 'P ROOFING TYPE OF CONSTRUCTION: 0 BLOCK o SPECIALTY o OTHER D FRAME o STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILD1!lR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** 1!lL1!lCTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMB1!lR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER ~,() 0-0 C',) COMPANY ~ 'R \.c..c \"""c.r- ~~"'~ STATE CERT OR REGIST # (' (' C O~ '1 ~1-- CITY PROCESSING # SIGNATURE ***************************************************************** 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, 613-766-6611. 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 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 ot~er 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.", 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". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 1lL- 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 ackno~ledged) Dwho is personally known to me, or (name of person acknowledged) [Lho is personally known to me, or o who has produced (type of identification) and whoD did Ddid not take an oath. o who has produced (type of identification) and who Ddid [}:iid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2009 ermlt um er: 2 9 Issue : 003 I Permit Type: GENERAL BUILDING PERMIT Class of Work: ROOF REPLACEMENT Proposed Use: CHURCH Sq. Feet: Est. Value: Cost: 10,153.00 Total Fees: Amount Paid: 85.00 Date Paid: dress: 73 ZEPHYRHILLS, FL. Township: 0 Range: 0 Lot(s): Block: Section: 0 Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 35-25-21-0010-08200-0010 HE H ALL PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER FINAL MECHANICAL FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. INSULATION CEILING I MISC. MISC. MISC. DRIVEWAY MISC. MISC. FIRE DEPT. FINAL REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same - "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." CONTRACTORS SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER NO OCCUPANCY BEFORE C.O. ~ ~e~ 23 02 01:46p EAGLE SUPPLY INC. 813-247-2612 ~~n: L~M Br~nt 8OO.asl-1035 1'0, John ;:lIk Oll'- 2JSi02 Time: 5:41"$ F'Py1 p. 1 PilII' 2 of ~ ~ @ U.;.,erwrltdr........,...... "C. 0\) 33if I'IIIpIIlIllIIIIJ ~~alGII ..__ '-- ......0..., 00dI0 i'l <""l m__ FAll_. ltlTI moll12l ~..u- '~nuary 23, 2002 OM Mttcriala CorpanQod Mr Ran4a1lzalll=' l361 Al))8ao.d W.yne, Hl 011"0 OI,ll'B.ct;rcac:e: lUl Subjoc:t: UL Li3tcd prod.., Dear Mt Ziesler: Thil is is I'CSpOllse to ~ requeIl to ideatify some oftbc: productl tha1 Ire CURIlt1y Lilled with Underwriters t.&bot.Iories rc:JatiDI to various StuldaTd.. Followins ate those J.1I oduCl4; RDyal So~ ~~"W~ax<ID SLATELDfE(t GRad caIlJOG'ftI Grand SequoiaC CourlIry Muaioll'nl ~ EstatesT. ~-]Q1'lIll "l'ia2ber11M ~ 40 licbedioe Uln.'ftlI Semm. 1'bIl UOVe produalaave ~ lCIUIG to A.STM ~ lad \JL, 997 (~_ wiiIa ..' A&ils)with vdociti. up ~ 110 1Ilp1l and MW ~ met thoae tell oman.. JI~ by. -.ny ~ ,IteM fiM& bolO cocaec 1be-nt., V-:v tnaly :JOUfa. ~ tLt,'/""'1j ~~(BxL43:W) ScPiar ~ AI.... Confi:InIIicy ~ s.w-.. lOllB-NBK Rniowcd ~. ~ ....-.- ~ ~- ~, J'loow- C. Miller (Bxl432U) ~aro.,pJ..dar C~Aaeua\_~3011B-NBK --- 1 NOTICE OF COMMENCEMENT State of "......,' 'r ;" I OfOC( ~ ") / ,f County of +..' ;'/:./sco THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: j. 1. Description of Property: Parcel No. :') 5' - 25-' 2..1 - C'Oi 0 - 0 <62(0 . (:n \f'! L6~/)1t I tw t'''1-' (> e..:";:.t.. :! 'A~ 15J l( /'1: fi.. S C ,~:?A f I L~ ~ (Legal description of the property and street address'if available) 2. General Description of Improvement R~ - roo -f ~ h\~ \e. 5 / V 1/1111111111111111111111I11111111111111111111111111111111111 2003070845 ~ 3. Owner Information: Name Geo0l~ l'1.f(/~('?~ A"k k I Interest in Property: ff;.1A.1((~ I~; :::/~'/J11 ft"'.:;- Name of Fee Simple Titleholder: (If other than owner) .,"'10....'1 Address ,;'7/1'",2. ,I' ,j J:, E f"-I / City ~:.s4/(.) . b1(.7~/1 '(..-" ,,;.r, State t-Z-''--, ./' 1/1' / ,""',- '/ J _ ~:X5~5:..'~~. CIJ!tf er)'J/4rrJ Rcpl: 674041 Rec: 6.00 DS: 0.00 IT: 0.00 04/22/03 _~__ Dpty Clerk Address 5. Surety: Name City Contractor: Name Serf'-\- ~ \:"""-"-t<"Clr'\ ~,.s"S Address \)(1, ,.~~ \\~5 City ';\f\", {\t-J'\bt(J\o ~e..~ -\(..( " ~\.. C ~:~ City State PL '~'55qb State R4. ..' Address State Amount of Bond: $ g-m .OC) 6. Lender: Name JED PITTMAN! PASCO COUNTY CLERK 04/22/0i,. 0 : 1,!pm 1 of 1 OR BK ~32~ PG 190 Address City State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: Name Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. 9. Expiratio? date of Notice of Commencement (the expiration date is 1 year from the date of recordmg unless a different date is specified.) '" Signature of Owner: ~0'rj' l Sworn to and subscribed before me this ;< I r\ ,/j'_- Notary PUbliC:~. ,I. ., dJ~I'~..'WO M C " \ . Y ommlSSlon' xplres: .' PC93053048/ A ~r7.' LA;i:'~' i "b~{ 11</( I .-"7 (-' l)jpt {.i /1 fI , et"lll .J day of -4pr I I ,20-.0.3. JAN LAVIOLETTE 1 . ida My comm. elpires Aug. 8. 2003 No. CC8Ei1310