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Home My WebLink About03-2043 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2043 ermlt um er: Permit Type: Class of Work: Proposed Use: Sq. Feet: Cost: Amount Paid: 2043 ssued: 5 1 03 GENERAL BUILDING PERMIT I ELECTRIC SERVICE/NEW i RV PARK ! Est. Value: Total Fees: 73.70 73.70 Date Paid: 5/01/2003 Ad ress: 35 3 U ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: EMERALD POINTE Parcel Number: f,j I <t{,'-1{oJ R T PRE-SLAB ~ CONSTRUCTION POLE 2ND ROUGH PLUMB , DUCTS INSULATED LINTEL I PRE-METER WATER 'I FINAL MECHANICAL FRAME I MISC SEWER . MISC INSULATION WALL ~' MISC MISC. ~' MISC. INSULATION CEILING MISC. MISC. MISC. DRIVEWAY MISC. I 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." - --- --c )s!~ORS GNATURE - . PERMIT OFFI vVI'\I1 7 I CALL FOR INSPECTION _ 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHIL~S PERMIT APPLICATION aUIMJINC1 IlllJI?ARTMIlIN'r 533!; 8th 8'rRIlIBJ'r ZBJI?H'iRHII,IJS, 11'1, 33540 PhoneI813-780~~020 Fa~la13-780~0021 . flAtUI RIlI<1J!lIV!110 ......--...~"~:. _-",-,,,_ _____ PI,ANS R!lIVIBlW rIllIIL___~'-_~_'L'u____. OI1NIlJR'S NM111J W. ~ w l+i ltoV\ PHONE! cotfl~~ PERM_'T S,~~~i~____ ----------.'_.'h___h_.______________ '--- ---- -.-.--------~--- -- .---____ tlt3=78C)-5314 .JOB SITE ADnRBl88,2,-2.._-??__~___1:9~("l'\'l~Ll:"l.~__Df"_______________________________._____________~ . _._ _._.~_ !JBlO1\L TlB)SCRTPTIOI1: LOT(8) ._~C?.___ B UK! K SUBIHVI8HlN E:~aM.___ PQL~t ~______ PARC.!EIJ IIJ If ;6.t/-_;)/P-;d_l~Q05q_~Qf)CJ::?l2.--- ;;1.&00 WURK PROPSI3l111 [i1Nml1 CONSTRUCTION [] ADDITION ~--_...._-_._-~----_...-----._----------_....._...-~-_.._-......-------.----..-- (OBTAIN F'ROM PROPElR'rV 'I'A}< NOTICBl) o AI/I'EJRATION [] RI!lPAIR LJ !NaTAfJY' [ISWN PROPOSEI1 lJ8Ei I [~J FJ\MU,y DWELIJlHr~ o MOVE: [] DElMar,ISII Ch1tJW'I. FM1Il.Y 0# OP' UlUTS [JSWH1MING POUL fJ MOBIIrEl Hor-11ll f] cm1MBlRc! IA r, o INDUSTRIAJ, (] OTHER D RBl8'rAtJRANT & HElAlmI DB)PAR<n1ElNT APPROVAL IlBlSCRIP'rION OF l'10RK __E"/~c....+r-I_(..,. fDr tA-'{-((/ft n:>()~__~ v(..~ 't-L..!:!JP..~________~___.___ BUu,nrWl ElIZEl _(0 X-E-?-_____ SQUARE FOOTAGE ____.;2;uJ_.____ HElHut'I' _____._-------'____ RSlBItJBlNTIArJ I C~O~1MERC!IAJ'1 A'rTJ\CH (;;1) PLOT PJJA118 & (2) SElTS OF BunDING PLANA & (1) 8ElT ElNElRrJ1f FORMS, A'r'l'A.(m (J) SETS OF BlJtLTJING PLANS & (1) SET ENERclY FORMS. PROPERTY SURVEY REQUIRElIJ FOR ALL NEW CONS'I'RUCTION. iERMITS REQUESTED CJ BtJJLIJINr~ r~IJI!lC'I'RJ.(JAI, $ VALUATION OF tOTAl, CONs'rRUCTION ---.--.--_--c. AMP SElRVICEl o Ff,oRIfJA POWER [) W.R,E1,Cl, [] PI.tJt-1BING U J.1BiCHANIl!AJ, , $-- ----------- VALUATION OF t1ECHANCIAT, Il-ISTALIJATroN [] GAS rJ RoaFHm [J SPEcrAU!'Y [I O'l'HER 'l'YPBl OF CON8'1'RtlC!TION I [] BUJeK o FRAME! [J S'I'ElElIJ [J OTHElR FINlSHED FJ,OOR IllIJEVATIONS -------------- IS PRO,TElC'I' IN FLOCH) ZOl--lEl ARElAO VElS [] Nt) 19UILOIllR 81GNl\TUREl COHP ANY _____________.________________.. ..____ _____. _ _ .__.______. ___ ____. STATE CElRT OR RElGIS'I' # .___ _______..___~______'_____.___ CITY PROCESSING L..------------___________________._.n___ COf1PANY Ea.s t- F?:t.,Sa; Elec-f-r(~ STATE CEJRTOR--Rs-rir S~!~-#.=.E~_Q.6J~SiT__~=:~~,~ CI'I'Y PROCESSING #dlf3f(.'___________._ _._._____~._____ **************'*'~*'**"***"*'**'*""""'*"*""*''********'*' PIJUMBBlR ...- ._.~----._-........*;;_..._.......--_. -.------ cm~PANY ---~_____.____________________._____...________, STATE CElRT OR REGrST # ______._.._.____...,. CITY PROCESSING # S WNA'l'l1R EJ MECHANICAl, cotViPANY __.________.___________________._______ STATE ('ElKT OR RElOIS'I' # ________________________________ Slr_H-JA1'tJREl CITY PROCESSING # """"""**'*""""'*"*""""*"*"""""'""""""" .-..._-------~--- ---"----------.--- ------.--------...--------..--.--- ------------------ -.- .------ '*""""""""""'*"""""""'*""""""""""'*"* OTHER SiGNATURE C!Of,1PANY STATE CEJRT OR REGIST # CITY PROCEJSSING # -.---......-------..-.----..---... '~"""'- ---~_.--..:.._----------~- ._-----~_...-.._--~----._--- ---.. "*'*""""""""*"*""""'*"**"'**""*""**'~*""*'* -_____o.-~_.___..______...__......._~.__._._____. 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 ar~ 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 conunencement. 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 conunenced 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 luust 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 conunenced 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 conunenced. 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 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) o who is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type and whoO did Odid not of identification) take an oath. o who has produced (type of identification) and who Odid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped