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Home My WebLink About03-2021 BUILDING PERMIT Permit N~ 2021 CITY OF ZEPHYRHILLS (813) 780-0020 BUILDING ELECTRICAL PLUMBING P<aperty Ow.." Ccr /I~J1,{ .~=v1 Job Address; J.-(11 .3 ~ y?" S. Parcell.D. /I Date 4/- () r- CJ 3 MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Descriotion of Work Energy c~ ~~-E Radon Gas: 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. Valuation or Contract Price t;s-e-v City License Registration # State Certified License# [I,) i1.Jir BUILDING DATE Inspector Permit Fee ~ ' ~ 7Signature_4 '/-1~~, "d, Company Address Xl'elephone# ~/"3 ,- 11'1,.- 6" 3 c.; i r /.(~~ o~ Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway MECHANICAL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compresso Final 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 BUIIlDING DBlI?ARTMElN'r 5335 8th S'rRElBl'r ZEPHYRHILIJS, P'L 33B40 PhoneI813-780-n020 FaxI813-780-0021 DA'rBJ RIllOl!lIVllIo --..;..... ..""'''"' .... .....-_.k.... _......_.__ PI,ANS R!IlVIBlW rJllBi_,-,~--,-- u._ ______. OWNmR'S HAMS J!il[414CLf~ -LrebD UL_______ PHONS CO"'j'AC'!11'L:L~'lt_. ,TOB B ITB ADIlRmBS - - '+'113_,_ ?i+,,___ 51 ~-----~c.bjjJ"'-Et-__33 ~1:z __ .. _ . . _. _ l,mO"L "mB'," " p'rIn" , wr I s ~,;bi~ SUleK _____._ SUBll IV" S ION __.______.__...___.. __ PARnEll III #ll-;).Io - ;) l-o.PItJ.~_a..1J-2t){) - G'6 7- O~_~~TA_~~!_ROM PR_~:ER':_~._'1~~~__~~::,:r.CIl'~~__ WORK PROPSBlIJ I [JNIIM C'ONS'I'RtJCTION [) AfJIJI'I'IdN [J A UI'EJRA'rION ;xl. REPAIR [J INSTAHJ [JSIOI1 o MOVE n DEMOI,ISII I?RDI?OSElIl USE I I)l(gGI, F1\MIl,Y DWELTJI1\!G Clt1tJI.'l'I - FAfv1U,Y CJ# UF mUTS [JSWH1MUlO POUL fJ MOBJI,El HOME f] OTHIIlR [J Cm1MElRCIAr. D INDlJSTRIATJ D R~8TAURANT & HEALTH DIllPARn1BlNT APPROVAIJ IlBlBCRIP'I'ION OF NORK f..(XoJ_s.h::.;!€!..~ ~ IQIIe.J rrJ!;f{~___~:L!rfrJ-~t!e~,_____u_________h________'_'____ _U I BUILIHN<l 9lZEl ----__L~_.___ SQUARE FOOTAGE __ ~___~_ HElIGHT -'Lc2.___-'____ Rtll13IDIllNTI}\l, I UOMMIllRcnATJ I A'I"rnCH (2) PLOT PIJIU1S & (2) SElTS OF BUI! ,IHN<J PLANE:! & (1) SElT ENBJROY FORMS, A'r'1;J\.(~H (J) SETS OF BUtI,DING PLANS' & (1) SElT ENlllfWY FORtIS, PROPElRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. [] BllJI.IJINn oJ /<OO~ $ ___ / '-..J ~ERMITS REQUESTED VALUATION OF 'rOTAL CONSTRlJCTION [1 BlLIIlCTRlCAI. _._-~._-------- AMP SERVICEI o FlJORlnA POWER [J W . R . E . (1 , [] Pl.tJt18ING U J.1BJUHJ\NH!ATJ $--,-- - VAI,UATION OF tIlECHANCIAI, INSTAI,IJATTON [] (JAS XROOFIN(] LJ SI?EC1IAUry [) OTHER 'l'YPHJ OF CONSTRUCTION I lJ BI,()CK ~ FRANE! [J STEElIJ [] OTIlElR FINISHEfJ FfAJOR BlI,EVATIONS -------- IS PRO,JEC'I' IN nOOf) ZONEI ARElA 0 YIllS IiCt NO :~:::::R.4jy~0~ ~~~~=:~~~~S~~N~.~r8.~#_~~_=:~=:=~:==:-==: ****************************************************************** mlJIOTRICtAN 81 <J!U\TURE ______ ....---.-..- ..._--~_.."----._._._.._--~_.._-,.__._--"----- COf1PANY ~._______~_.___________,__________~_ _____ STATE CERT OR REGrST # CITY PROCESSING # .---..-- -_._-- '..----.--------..-...-" _.~ *~**********************************'***************'***'***'****' -~'-------~ --.---. _._,.~..__._"------_._._.---- pr,UMB BlR (~OMP1\NY ________________~_________,.__________________ STATE CER'l' OR REOIST # _____.__~_,________. SWHA'l'lJRE CI'rY PROCESSING # ....._,._~...._--~--~._--........_--------_.--....-._-~-- ._-_._._----'_.~.,----~---_....._~~._--_.--- *************************'**************'************************* MBlCHANICAT, .__._---_.__...._-~----- ColvJPANY___ STATE CERT OR REGrST # CITY PROCESSING # .-..........---.-....-...-___.._.M...__ ..___..___.__ 8 HJNA1'I1REl "-'-"----"'--..-. ._-. --- ------~-_.-------_._---- ***********************'**********************************'****** -------.--------....-----.-.--....--.----.--- OTHER e IrJN1\'l'tJREl (~or,1PANY srrl\11B] CERT- OR -REGrST #------....-'..----- .-~~..---.,~_..-.---- C I'rY PROCESS ING # ----- ----------------_____ _____ .'---.-...........-..--------------.--.----------- **"****'*'*******'****"**'**"***'*****'****'*********~******** -~.----~ ..-..---.-------.....-- - "'-'..--'_.',---, .--. 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 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 Inust 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.lI, it is understood that a drainage plan addressing a "compensating volumell 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 COMMENCEMENTII. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR 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) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid Qiid not take an oath Dwho has produced (type and whoD did Ddid not 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 2022 Permit Type: Class of Work: Proposed Use: Sq. Feet: Cost: Amount Paid: ress:4331 ZEPHYRHILLS. FL Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: DU PRE-SLAB CONSTRUCTION POLE ; 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER i WATER FINAL MECHANICAL FRAME MISC SEWER MISC INSULATION WALL MISC , MISC. MISC. INSULATION CEILING MISC. i MISC. MISC. DRIVEWAY MISC. ' MISC. FIRE DEPT. FINAL REINSPECTION FEES: When extra inspection bips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each bip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain finandng, consult with your lender or an attorney before recording ,your notice of commencement. II NO OCCUPANCY BEFORE C.O. ~~.~ ~ CONTRACTORS SIGNATURE PERMIT OFFI . CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED . PROTECT CARD FROM WEATHER crry f)F ZHJ~1HYRHIIJl'JS PERMl'l'APPld:CA'.l'lON B".tIII)Ull~ Illllli'lIR'l'MJ!lN'l' 53315 8th 8'rPJ11Bl'T ZHlI?H'iRHHltJS, FI, ;'Hj40 1i'hOH~18i3-7f10"0,020 F'l'I.'f.18U.'780 OOH IJA'rRl RllW!lIVmn PJ,lI.Nel R!'nVIBlW rllllll eLL <pf .---,-.- '-.. ...- "'~'7-" '..--..- '~--'-' -,... ,-, .....y .3 .3:_0 .. ;;? 1~~~I1::_{,{ !~, J-.o f- -.... ..-. _.. .:).... --"-...-. PliONIl1 (~rJlr'I'l$!T ~ !/C&S5 . Ol'lW1JR f S I1M1E1 ,roB 8 I'I'M 1HJlJIU!lSS J,E1Cl1\L IlR1SnH 1 PTlul1, lilT (A) B U)(' K ,<JIIBrllVUl]UII Pl\Rf1!llI, [fl It WnRK PflOl?Am!, I [JW!lN !'[)NS'l'Rt1c~'l'IOI! .._-, ..'..---- -. -...--...--- ----_..._-~-. (ClBT1\J1I F'Rot,1 PRrJPP.l\i.'J'V '['1$( NO'f'Tr'Hl) .. . .~........_.-...... '..--.,.- .. [] l\flIH'j'IOU U l\L'I'E:R 1\1'1 01.1 [ I fU1JP1\ tR )c\ J NA'l'I\TJt, [J s rmT [J HOVE!l [J tlHlf1ot,ISII PFHWrJSFlfl USRl, Llsq!, P.'l\tHI,y DWElU,111G nr1tJt,'j'I' F1\IUI,Y [)# UP' mll'I'S 11 110R 11 ,RJ !In/1Rl fJ f)<JI/IHIlIRcl J1\ r I [J H1DIJSnUhI, [] AN H'I~H"'r~ POur., IJ flTllfllR t~] R~18'I'1\{jRl\UT & BElAI/I'1I lJRJP..I\tl.'n/1E1N'I' !\PPIHW1\J, IlEISr.'HTP'I'InH OF NunK_.lY!~~~,.__J2((~=f..:;?.J!:,eVU;j~__._ S;Z<.",,)if..tz- ltFI- rS4+":).I1/ B!1n,fln)(~ f:!r zrn "0- ___. .__.._.._._...........___~.._ _.._.._._.~__.___._.. SQU1~PE1 FO[J'f'A(jEl Il Rl T!1!1'I' R/'!Je TrJRlN'I'IJ\T " (!(1~1MBJIWt1\f,' /\'I"r1\CH (2) I?!,rYl' PI..1\118 & (2) SIil'I'S OF BlJIf,tJINc~ PI,AHA & (1.) SEll' fllfltJlRfJ1l Ff1R!'1,g, A'f"l'l\(!!I (~l ARi'rs OF ButLflHlG PLJ\NS &. (.1.) SEl'1' ENP.lIWY FOR~1S, PIl.OPI11IH'Y SlJIWlllY RElOUIHlilIJ Fon 1\IJ1, NElW C!ON,g'I'RTJC'I'IIH1, / -~-." .----....--- .---,.-. -- ~ V/\l.,lJ1\TJON OF 'rOTA1, (!ONS'fRI!f!'f'Totr " \ (/117 ~ . 1~-' F~RM~~~__REQU~ST~O LJ BtJIJ,UJNI~ LJ El1JF.I(1'1'fU IJ1\ I, U PJ,ll/~BnTrJ U HHIC!J11\lll (! 1\ T J $ A~"P SF.lRVIIJEl f] F'J,r)p Hll\ pn~lE1R LJ VI, R, fll, f!, $, ..._-------~._-_.__.- - -'--"--- --- VJ\T,UATION Ufl' HH:CHA.1W t.1\T, IH,g'l'1\T,I1l\TTrl/-T Ll r!l\8 L.J RUOFnH~ [J f:lp.mr~rAlil'Y I] O'T'HElR 'J'Y [,llil UP' C'Ul'IB'1'llllr!T IoN I LJ 13[,(}C'K [J FRI\HEJ [J STFlE:J, [J OTIlJil.R F.tIn SHFJfl p'r ,(JOR mrJElVl\T IONS ~._-_._.. --"-- '-'~"-- IS PRo,tElC'I' IN FUJrJ!) 7,OllEJ lWIilI'\L] YFl18 L1 WJ athu'll1~ - -. .~",.. -,-- --.._---~- --.---...-....--.....--. .....-.-------......-. Cnt1PI\NY. . ST1\'f'H: CFJR'I' OR flEJrJ!B'I' If ' C ITY PROCF"gSntr~ II A 1 r~II^'!'l;Rf11 ~ ~ I< ." ~ ~. I< '* I< *' ." I< ~ ." .* * ~ '" ." ." I< * * I< * ." I< ." A A I< * ." ." ." * * ." * I< '" * -I- * * ." * ." ." ~ * ." A I< ." ." ." I< ." I< ." ." ." * * ." tflf ,R1d'J'R.J:(J r 1\ tt COI1P1\HV _S./~f~.#XJ~. p(h. ~..f!.(/2-c.1 . ~ Str/\'l'El (IERT IJR. RE)rHS'l' If _no . .-t"~..n .-- .. -.- -...... ""I" PR'~::'" ~_. b;7cl . . A ~ '" ." ." * ." * ." I< ." A I< A A * A, ." ." ." * ." * * ." ." * ." ." ." ." ." * * ." ." ." .",~~l* r ./1 * Ir * ." ." * A * * * ." ." I< I< ." ." AWI11\TrmBJ _. PT,tJMElRlR. ._... ..~ ---. .._-~_.- . -.--.-.--.-- ~...._._-_._._-- (~m'IPl\tlY. ST1\TEJ r:I1JR'l' em RFJIHR'I' II _P"~'_'P CJ'rY PROCE18Rnl(~ II SJmll\'l'IlRFI MIIH,!IUU1IC^T, I. I< * II '" '* * * '" '" *. * ." ." * I< * ." ." ,~ ." * ." * I< .." I< '" *' * * * ." ." *' ." ,i, * '" '" ." *' * *' ." *' * ." ." I< *' * ." .* *' * ." ." * *, * 'A ." I< * * ----.,. _.- ,--, -~_.._- ...._. ---.*.., ...., .,.- .. --.__ "'0'" _____,.._._..___ ._.._.__ ___ (!UH P ANY..-.______h_U. ..___._ 8T1\'l'EJ ('F.lIlT OR REJrHA'r II (!l'I'Y PRUC'ElSSHIf1 # 81 <H1l\'I'f11Hl **"'**'*******'*****"'**'A**"'**'****,*,**~***",*",*****",***A**'l'***** .. ---...-....---- ..- .-... - .---.. -_. O'J' II IlJIt ...._.._ _.~.d.~.___~_.. .....~_ .""___ ~....___. _ _ (]Ol..r P 1\1-1 Y S'l'1\'T'PJ ('F.1R1'-OR-niiirRT"tr CITY PP()CP.lSSINr~ ff .....~.--_.._-~----_...-..- . .'-'--~---,------ FI Un/JI'l'llRE: "*'**'*'*****"*********************'**************'*****'*~."****.,, CONDITIONS OF PERlIIJIT AFFIDAVIT A.. NO'rrCE OF' DEED RES'I'RICTIONS '1'he underbigned understands that th1;:; penni L Hlay be subj eet to "deed rebtrictions" whi eh nlay be more restrictive than City r'egulations. The uod<:u:signed assumes respon::':libili,ty for compliance vlith any applicabl e deed r'est:ricLions. B. UNIJICENSED COi~TRAC'I'ORS AND CONTRACTOR RESPONSIBILI'l'IES I f the ovmer has hired a contractor or contractors to undertake work, they may be r'equirli:d to be licensed in accordallce with state and local regulations. If the contractor ib not licensed cH; required by lalrl, both the ovmer' and contractor lnay be cited for a misdellleculOr violation under state lalrL If the o\mer or intended contractor are uncertain as to \Ihat licensing requirementb may apply for the intended work, they are advised to contact tile City of Zephydlills Building Department, 813-788-6611. Furthermore, if the ovmer has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for whicll 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 wislles 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 ~ephyrhills. C. 'l'RANSI:'OR'l'A'I'lON H1PACT I!'EES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAP'1'ER '713, r'LORIDA S'I'A'1'UTES, 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 r'lorida Department of Agri culture and Consumer Affairs. If the applicant i5 someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to c1\;.liver it to the "owner" prior' to COllunellcement. E. CONTRACTOR' S/m'mER' S AFFIDAVl'r I certify that all tile information in this application is accurate and that all work will be done in compliance vl1th 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 Hork or inbtallation halO cOlmnenced 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 jurisdicti on. 1 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 ldentify what actions I must take to be in compliance. Such agencies include but are not llmited to: ""Department of ~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitlve Lands, Water/Wastewater Treatment *Southwebt Florida Water Management District-W~lls, Cypress Bayheads, Wetland Ar~as, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Service::;, Environmental Health Unit-Wells, Wast~wat~r Treatment, Septic Tanks *U.S. ~nvironlnental Protection Agency-Asbestos abat~ment I a1::;0 certify that, if fill material is to be used in Flood Zone "Ail or "At etc.", it ls understood that a drainage plan addressing a "compensating volume" will be submitted which is rnepared by a professional engineer registered in the State of E'] orida prior: to pennit i s.::mance. A permit lasued shall be construed to be a license to proqeed with the work and not as authority to violate, cancel, alter, or set aside any provisions of tile 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 i:;;sued shall become invalid unless the work authorized by such per'mit is conunenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for' a pe,dod of six months Ctfter the time the v/Ork i::; corrunenced. One 90 dCtY extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in v~riting to the Building Official. An approved inspection must be logged dm:ing each six month period, or the project Hill be considered abandoned. WARNING C1'o OWNER: YOUH FAILURr; TO RECORD A NO'1'ICE OF COlvJMENCEMEN'l' MAY HESUL'I' IN YOUR PAYING TWICE FOR IMPROVENEN'l'S TO YOUR PROPERTY. IE' YOU IN'1'END '1'0 OB'rAIN l!'INANCING, CONSUL'!' WITH YOUR LENDER OR AN ATTORNEY BEE'ORE RECORDING YOUR NOTICE OF COMMENC~MENT. JOBS UNDER $2,500 IN VALUE DO NO'1' NEED '1'0 RECORD AND POST A "NO'rICE OF COMMENCEJvJEN'r". SIGNATURE: OWNER OR AGEN'I' SIGNATURE: CONTRACTOR BcrATE OF' FLORIDA COUNTY OE' The furegoing instrument was Before me this __ day of by STATE OF FLORIDA COUNTY OF The forego1ng instrument was Before me this __day of by acknoHledged ,19_ acknowledged , "l9 (name of person acknowledged) o who is personally known to me, or (name of person acknoHledged) O,ho is personally known to me, or of identification) take an oath. Dwho has produced (type of idenlificatioll) and Hho Ddid D:hd not take an oath Dwho has produced (type and whoD did Ddid not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped NamE: typed, printed Ot stamped Parcel Information for: 14-26-21-0100-08000-0010 Card: 001 Page 1 of 1 Welcome: Records Search: Parcel Detail Search Again ~hQw M~ Building Schematic Unavailable Calcujate laxe~ See TClxColl~ctor .Information- Current/[)~Iinquent Tax~~ ParcellD ::f 14-26-21-0100-08000-0010 (Card: 1 of 1) Classification 00 - Vacant Residential Mailing Address Assessment (totals) GREAT SPRING WATERS OF Ag Land - AMERICA INC Land $11,259 777 W PUTNAM AVE Building $0 GREENWICH, CT 068305091 Extra Features $0 Physical Address 4331 20 TH ST Total Assessment $11,259 ZEPHYRHILLS, FL 33540 Save Our Homes $0 Legal Description (First 4 Lines) Taxable Value $11,259 ZEPHYRHILLS COLONY COMPANY LANDS PB 1 PG 55 BEGIN AT NE COR OF TRACT 81 TH NORTH 43 FT TH WEST 273 FT TH SOUTH 210FT Land Detail (Card: 1 of 1) Li~=Y~ Use II Description I Zoning I Units ~~e Price I Cond Value 01 0100 SFR I OOAR I 10,000.00 F .65 1.00 $6,500 02 0100 SFR OOAR 15,000.00 SF I .23 I 1.00 $3,450 I 03 0100 SFR OOAR 360.001 SF I .08 II 1.00 $1,309 Additional Land Information I Acres II 0.95 II Tax Area II 30FZ I Fema Code II X II Re~Code II.z:HLPl..P1 I Building Information I I Unimproved Parcel 00 I I Extra Features I I No Extra Features I Sales History Previous Owner SUTORUS JAMES & FREDA Year Month Book I Page I Type II Amount I 1999 09 4244 / 0739 I WD I $60,0001 I 1998 II 11 I 4070/0154 QC I - I Search Again ~~ho~M~J.> Building Schematic UnavailableCClI~LJIClt~T~)(~~ S~~T axCoH~~tOLlnfQrrT1~JiOfl=CLJr!~IJ.UQ~liD~I.1Eillt T ax~~ http://appraiser. pascogov .com/searchlparcel.asp?sec= 14&twn=26&mg=21 &sbb=O 1 OO&bl... 4/2512003 i CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 MOBILE HOME SET-UP 2023 ermit um er: 2 Permit Type: MOBILE HOME Class of Work: MOBILE HOME SET-UP Proposed Use: MOBILE HOME PARK Square Feet: Est. Value: Improv. Cost: Date Issued: 4/25/2003 Total Fees: 175.00 Amount Paid: 175.00 Date Paid: 4/25/2003 ... Work Desc: PARK MODEL SETUP ress: 9 1 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: MAJESTIC OAKS Parcel Number: 24-26-21-0030-00000-0750 Phone: BAHR'S PROPANE GAS & NC, INC. CRANDALL, RICHARD L -u FINAL &"";)"-2 -0 3 l4-'3*OJ.IlL'1 ! Ff/ ~-5~(J3 r:Fr-Mttj ~ REINSPEcnON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible .The payment of inspection fees shall be made before any further permits will be issued to the person owning same Complete Plans, Specifications and Fee Must Accompany Application. All work shal! be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. ._~-.~----~-- ~~ - . --- CONTRACTORS SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CI'l'Y qp' ZHlPHYR.UlhL,S PHlRMJ'l'APPld:CATlON BHlI1Dum IJIlJI?1\R'l'MFlN'l' 53]!; 8th S'rR.RIIlJ'r Z.RII?H'x'RHII,IJS, FI, 33li40 PhonaIB13-780-n020 '~~1813-1eo 0021 IlA'n RJll(!1lltVliIn PI,AHS 4r ~5---0~ .............-..."., .';. "',, ,. .~.~ ....... -+- R~VI.RIW rg~~~ Ul'ltTRJRi s IT'A''1~,___13~.Lt3J.;_,.____.____, '_. . _____,..._____ ..u..____.._ PliONIl1 (~rl/\!'l'lWI' ,TO. "T'j" AI''''.. Bt ~ 'C7L ..MLUm fi'<_fJ.A {<;~_ --_$ !7/'7-6~ -Cjl4-k~ _ J,ElrHlL IlI<JSnHTP'l'lI)lIi W'I'(FJ) /.".:Ju Bf,()C'j( ,<.JIIBIJJVrUlll ~_'_()"_'_'_' P1\Rr!P111 rn II NllR.K PR()p~lllrll fJNRll'1 ('ONA'I'RlTr:,rWIT . ---.-...--- "-- ----...-.---.. '..- ---- (( 18'(')\[1I E'p.m,1 PfHJPF.lI1.'JII{ U l\L'l'HiH1\'1'JO!.1 f I R~IPA tR [] l\UtJJ:'I'ICHI . '. '"--- "..---- _...... ~m_ Llsnm [J ~10VE!) [J 1J&lWJI,TSII PRt'\PlJI3EJIl 118BlI Llsql, P'MHI,y [)WElI.,r,r1J(~ [j IHJi,' l'T, f.l'1\I1 IT, If lJ # () 1:7' !llll 'I' FJ [J um!IHI1I1H! JJ\ I, [J HlDUS/I'R r lIT, r)aV111,1~~It1r.~ POUL, [:"'J RBIF.l'I'AUR1\HT & H~l\Ul''' [)Rlp.M.'n1~H'1' l\PPPOV1\J, IlfjJSr'fU P'l' un'l OF l'IrJR K H _f!t!,:,j<-:____I!:J:=.J...( --_"d_ -.-----.____h__ _ ,._. 8l.T:rr,TlIN(~ ~lZHl .'~._-_. "-~-".--"""'--_,,_", -._._~----_..-.. 9QUl\p,El FOO'I'1\GF. HEl WilT RIliBHJF.Jl-I'I'IJ\f,1 (!O~1Ml:llIH!Il\f'1 A'I"l'l\CH (2) pf.(yr PI.jI\I1S F< (2) BElTS OF BtJII,IHNt1 PT,AHFl & (1.) SHI'I' RlHrnRrJ'l Fnru.1R, 1\'1"11}\(!1I (3 J A!1i'ra I'JF BtltLIJ1HrJ PLANS & (.1) ElEl'I' ElNEJRIlY FORt18, PROPEln'I'Y SIJRV1l]I{ REJ0t11RHlIJ P'OR 1\1,1.1 NEN C!ONS'1'RlJC'I'ION. -- .----.....- .--..--..-...- -. --... ~ vJ~ .. -- .... U_W'm ..... Fm:'~~T~O::~~::~~~H8'fR'II""TOI.l // ~"9J i 11 ~:Jff- r/"p...".~ ---.-...--.------ _H Vl\I,Ul\TION UP' 11I3lCHAH(~ r1\I, lIL'.J'I'~\' '" M1P SElRVII.!El fJ P'T,nPHm p(J~IEln Ll B11rr.tIINIJ 1.1 TllTJF.JC!'I'IU UA I, [J PI,tlI1Bnrr3 U HR1UlI1\N TC!1\J J $ $ Ll (~TlS fJ ROOF nH~ r I 8 PEl! t AI,'l'Y I] OTHER ~...-"",,, "----- 'l'i'PJjj (IF' C'lH.JF.:lTRW!'rrON I 1.1 BWe'K [J FRI\HPJ I] STErnL F.IIHSHI:lJIl P'r,UOR l1lT,ElVJl.TIONS -------... -~.._- .......-...-- J S PRO,JElC't' Jl.RElACI YFllEl L1 Nt) a I' rr. tJP.U~ FJ 1 (~IIJ\'rI1HElW_~~______. . - --'~---'''_'__''___M'__, PJ,UMBJlJR 8 JQll1\'l'Il1H11 '-^ _~ /? .,.,."....,~~--- Ult,!IICI'rR HI 11111 cor 1Pl\l\l'{..CIJ..-i~J~(/ _ __ .__ _____ STATE!) ['ElRT OR REHHfl'l' li R "'IJA'1'lJn"-.(.J'.~ --,,_ _ _,,___.._ ..... ''''1'1 pnOC'"." I N~ i"7.:t :_= _ ~ ~ ~ ~ ~ '" 1/ ,10 A ~ '" k k' k /, '" * 10 '" * ~ ~ ,J }, 10 * A 10 * * /, ~ * * /, * /, k , ,~ * , * * ... ~Io * '" * 10 * * * /, * * * * * * * * to (!IJ!,IPTIIIY - _cs.~1h~ t-/ cJ _ 8'['l\Tffi (;BJRT un RI1!OU~'1' # _ hU_ C!I't'Y PROCBI8ATHlJ # .... ----.-.-.- ..---..'------- 81 (H11\ '1'lItl Ell I. * '" 1< 1/ * * Ir '" '" * * * ~, * I< * * 10 '.~ * 10 I< * I< '.~ '" '" * * * k * '" * I< ~ * * * /, '.~ I< /, * * * 7* * * ** * * /, 10 * * l *\ * r !. * ('(JI"1PAl'TY-,_..~d'h/.l-?___... _"__ .. 8Tl\TEl r'I<l~T OR ~ElrlrFl'r # W~~_::::::-::...._ ""'? PR"C'9B;}!l "n- .....=_.. * * !. * * * * * I< -I. * * -I. '" * '* '* ,~ * * * * /, 10 * * * * * * * * I< * * * * ** * -I. * * *l('io f;, I< * * * * * * /, /, * * * * * * I< * HIllC!IfAHH!M. O'l'IHDlt .----.-... .__.._.._._----~----_.. .....~,- ,.._---..'-----~. - -, -----'---".---. ,,- .-_.--,--. (;(JI:IPl\HY S'j'I\'I'Fl dii'R;r-(lRhRi~T8T# (Try ppnCFlSS INrJ It - ._~. _.._~---_.__._-....--- RJr~l/1\'I'flRF.1 ''''''''I<I<''~****'''****''***************'''*I<*****I<*I<**/'*******.,,**** CONDITIONS OF PERHIT AFFIDAVI'r A. NOnCE OF' DEED RES'I'RICTIONS 'l'he undersigned understands that tbi::; permit may be subject to "deed restrictions" wll' d, lllay we mor", l:estrictive than City l:egul ations. The undersigned a I:> I:> ullIes rel::lponl::libility tor compliance with any applicable deed restrictions. B. UNLICENSED COi-JTRAC'1'ORS AND CONTRAC'TOR RESPONSIBILITIES If the o.mer lias hired a contractor or contractors to undertake work, they may be required to be licen.:::.ed in accor:dance .Iith state and local regulat.ions. If the contractor is noL licensed as required wy lenl, both the owner and contractor may be cited for a misdemeanor violation under ::;tate la.l. If the OHner or intended contractor are uncertain al::l to ..hat licensing requirements may apply for the intended work, they are advised to contact tile City of Zephy!:hills Building Department, 813-788-6611. Furthermore, if the ovmer 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 tht=Y 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 wislles you to sign as contractor that may be an indication tllat he is not properly licensed and is not entl tIed to permitting privileges in the City of Zephyrhi.lls. C. 'l'RANSPOR'fA'rION IMPACT fEES AND UTILI'I'Y CONNEC,!'ION FEES D. CONSTRUCTUION LIEN LAW (CHAP'rER 713, r'LORIDA STA'fUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Iflorida's Construction lien Law - Homeowner's Protection Guide" prepared by the r'lorida Department of Agd Clll ture 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 conunencement. E. CON'fRACTOR' S/OWNER' S AFFIDAVI'f I certify tll<lt all the information in this applicati.on is accurate and that <Ill 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 conooenced prior to issuance of a permit and th<lt all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in tile jurisdiction. 1 also certify that I understand that the regulations of other governmental agencies may apply to the intended wOLk, and that lt is my responsibility to identify what actions I must tClke to be in compliance. Such agencies include but are not limited to: A'Department of {!;nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Si;;;:nsitive Lands, Water/WasteHat<:r 'rreatment *Southwel::lt Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercoursras "Arruy Corps of Engilleers-SeaHalls, Docks, Navigable WaterwClY.:l *Department of Health & Rehabilitative Servicel::l, Environmental Health Unit-Wells, Wal::ltewater Treatment, Septic Tanks *U.~. {!;nviron!uental Protection Agency-Asbestos abatement I al;:;o certify that, if fill material is to be used in Flood Zone "AU or "A, etc.", it is undr;:rstood that a drainage plan addressing a "compensating volume" will be submitted which i;:; prepared by a professional engineer registered in the State of Florida prior to permit iSl:iuance. A permit issued shall be construed to be a license to proceed with the work and not as authori ty 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, constLuction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such peL'mit is cOllunenced within six montlls of issuance, or if work authorized by the permit is suspended or abandoned for a period ot six months after the time the vwrk is corrunenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in .niting to the Building Official. An approved i.nspection must be logged during each Si:l\ month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR E'AILURE TO RECORD A NO'l'ICE OF COMMENCEMEN'l' HAY RESUW' lH YOUR PAYING TWICE FOR IMPROVEMEN'l'S '1'0 YOUR PROPERTY. IE' YOU IN'1'END '1'0 OB'l'AIN b'INANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEr'ORE RECORDING YOUR NO'rICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO 1'10'1' NEED '1'0 RECORD AND POST A "NOnCE OF COMMENCEMEN'r". SIGNATURE: OWNER OR AGEN'I' SIGNATURE: CONTRACTOR 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 acknovlledged 19_ acknowledged 19 (name of person acknowledged) o who is personally known to llIC:, or (name of person acknowlr;:dged) Oilio is personally known ~n me, or of identification) tal,e an oath. Owho has produced (type of identification) and ..ho Ddid []did not take em oath o who has produced (type and whoO did Odid not Signature of person taking acknowledgement Signature pf person taklng acknowledgment Name typed, printed or stamped Name typed, printed OL stampr::d --. ,.".--' tU~ ~e /()It~ ~ t.1fm/)0~ i01- -Jru.;. .#l;1- -- 1<10 - 77k -- ~1.D- (l~~ $ .., J '1" )/~ ! ! / 395532 ~ PERFORMANCE BUSINESS PRODUCTS, INC_ 813-719-8008 FAX 813-719-7919 C3-o7~~ CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA WATER ACCT. NO. DATE 3 - / '5 - " 3 ~~~R~ ---t~~ O~~ 3 'f.5 ( jAA..~y- -<-p \'-~L J.;; (\I cf 2€-lk7,h'//~ h. 3.fs~1 ~71) SERVICE ADDRESS 391/1 CcG /",} i~- MAILING SHUT OFF SERVICE 0 TURN ON SERVICE g....--- INSTALL METER Q.../ READ METER 0 CHECK METER 0 OTHER 0 liJ..-1/ATER o SEWER o GARBAGE ~N CITY o OUT CITY / ~ No. OF UNITS _ DEPOSIT AMOUNT /' ~) I, (L( I j;:;/k ~..ti;- "'" - AMOUNT lAST BILL _ DATE _ MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY 3- /3-03 t::r ORDER GIVEN BY Retain white form in office at all times. Send pink & yellow forms to Water Service Dept. Water Service Dept to sign yellow form & return to office. /I?/JJ';; r 71(;" 0 ..4 ~ ..s ~CJ T r; .3 'f 7/7 Cf; &. #1 J-t... .z ;6 "AI /'IV ""- I..(.'('?' S.. P ~ t-olJ ~ ~3 e;-U / 1'/Jt?t:,1 ~ ~ t?;JJ{ - rJ (P - e?- 1- OCJ3tJ - CJ OD t)O - 0 75"'0 / 1/:= ItJ I /~7 t-._1_ /. 'N.€. , t ,-- ~r i -.....--.'------.~/~-,., ,L ,,.'t!.. -., I I /eh 7 hN 7! u,y ~ff1 r t--~~~Je~-1.,. I i I I I 1 7';"" ~{)()3 C'1.I,.Wlt.': 7 3f j . ._-~ ( -:'" ,k-"'r /' k... / / """IF. / / // / i . I II ,I I / I / , / ~ Y--I&~-.. . IrA:'/C /77 0 G" L. ,,-- ,w._~_ I ?' LOT 9~ 1/ /9 cA /1/T Lt) T 90 'ACAri 1 Lo1' fl i)'fl I I 7 ~'N~ , T "~ --'-------. !U), (;0 39\7d 3dI\:7 l38 90t>E-EBL-EtB 11:1.1 E00G/81./t>0