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Home My WebLink About03-2128 r---"-- CITY OF ZEPHYRHlllS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2128 Permit Number: Permit Type: Class of Work: Proposed Use: Sq. Feet: Cost: Amount Paid: 2128 Issued: 6/03/2003 GENERAL BUILDING PERMIT PLUMBING/NEW SINGLE FAMILY RESIDENTIAL Est. Value: Total Fees: 80.50 Date Paid: Address: 4754 17TH ST ZEPHYRHILLS, FL. Township: Range: lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: Addr: lie: Phone: PLUMBING & ELEC. FOR BATHROOM ADDITION Name: COX CHARLES Address: 4754 17TH ST ZEPHYRHILLS, FL. 33542 E 1 ST ROUGH , CONSTRUCTION POLE · 2ND ROUGH PLUMB PRE-METER WATER MISC SEWER . MISC INSULATION WALL MISC MISC. I MISC. INSULATION CEILING · MISC. , MISC'j . MISC. [DRIVEWAY I 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 ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property, If you intend to obtain financing, consult with your lender or an attorney before recording your noti~e of commencement." NO OCCUPANCY BEFORE C.O. . ~ -~ SNfRA~GNATURE - PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER - -- .- ;;;,,, ,4'-"\~' ~~. _}:/ . ,?j? 'is"' _ . '-;:j\:'''" _...Q~ .ry<f; ""C _ '/ -C.\P~ ,c.....r, ;:;-.C./ _A..S~.' "$:)~s-..', <0C~~~~' f;r~::;:;~Y .o\Y ' o~ v G(:' - >- }""- '- i..~ ;.....,.~. 0- .>- .,-- ----- -- ~, ;- ,\\"":2.. -::-. . :';' \~; ~. "-:- \,_r- - - (', I --;I:I~ ~ - . /' / ./ /t"...- _','u ,.// / "> ~. -T - - )-: -~ , ~ "__' c::::,.-.- ~;- . .;:.-: ---' --" OWNER I S 11M1EJ c:r:'rY OF ZBJPHYRHILl,S PElRMl'l'APPld:CA'l'lON aUn,IHl-m llmJ?A:R,'l'MFlH'l' 53.:H5 8th S'l'IUl1Bl'l' 7,BlPHYRHI.I,f,S r 11'1, 33B40 PhOh~IB1]-180-~020 '~HI813-7aO 0031 IH\.'rIlI RH<1l1JIVIllO ----"'''-.... ~... .~ '-.. :.. :~ ,.:c.- Pf,l\NS R~VIll1W JJ'flllll . '! PlloNm r~~7!'!' 2g~ -72 ?f"" .. :3_}~C( '2 C f-:- C.'- () f ,ros . ns AlJ"~~~~ I;Z~~ ~/ if ~_-$t.'~<,7J, ;~L';SFi Ll3llJAL IlI<JAUHTP'l'JUI1, UYI'(,CJ} BWC'K.2.l_.___ AURlllV 18 J ()!I PAR"." t/I II j Lj~2 (,;}l,!20! 9_ Q22 "E, . Ol2''''-_, __~_ .. I ".'rAUI '':''MPRn ~ ~R'I'Y 'I' A ""'r I (! ',' HURK PROI?8Hltl, UNI!ll'/ ('OHS'1'RtlCTICJ11 [] 1\1lIJI'I'IUH L:lJ\L'I'EJRl\'l'lOl~ L) RF.!PAtp II JNRTl\f,T, [) 13 rm! [J "1aVEl [J DEJf10!' r 811 N1.0POF.lFll1 IJBEII llsm, F.'1\r--l [I,l' nWF.JI,r,111C4 [JfllJt,'J'r. Fl\Hnv [J It UF' lIllJ 'I' S U S~IH1r1Ulr~ POUJJ Lll10B II ,m llot1Rl L1 O'rHBlR f J rJrJHHll1Rr! Jl\ I, [J nmUSTIHlH, IlElACRIP'l'ruN OF !'lURK [:~J tUl8 'I'AlJRlIITI' t, 1tE11\I,1'1I [)AJPAt1.'l't1IilH'l' APPIHJVAt, IJ-9::1.& tg.~~_Bl4 m._Q.:'1l .3._.9-1'1-./UH(L:t__. _________.__ 8!JrT,flINrJ ~l?;EI ......*---...----->"---~- -. --...-___t...____ SOt/APE] F()OTA(~E1 lImWWP'._<h_ '-__.._._ RIllRTDRlH'I'IJ\Tll (!m1~1B1IU!IJ\f, I 1\.'!"I'1\r!1I (;J) PIn'/' PIJA1I8 f, (:2) AIilTS OF' BUIJ,IJHHJ PI,AHA ,. (1) SIll'I' E1t1T!lRnY P'''Rt.1S, A'I"l'1\I!!l (~) aRi'l'S OF BtJtLIJIl'IG PLMIS & (1) SElT ElNE1IWY FORt1.9, PROPflm'1'Y SIIlWJllV REJOlllRRlfJ F'OR 1\1,1, NElW CUI'1S'1'RIJr~'['TON. F ERMI T ~-_RHlQUil~T~IJ [J BIJJI.Il.r.N(~ $ '-.._--.,-.._-_.._._--..~-._.., -_..... VAI,lTATION ()P' 'I'U'1' Ar, cON8'rp.OC'I'rOH IJ BJI.llJlJ'J'R 1 C!1\ I , .. Pl,tJ/1sn.w ---.-...-.-.--..c, AMP SeJRVTCJBl LJ F'f.OPlnA POWF.ln f-.J w,n,Jll.r!, U /.miCH/Uln'AT, $.. .-, -. ~-_.'--..~-_...~ '--_.._-._-_.._~ VJ\l,(J1\TION UP' tmcHAlll! tAT, UI8'l'AT,I,I\'rrOn LJ r~1I8 U ROOP'UH~ U SPElI/rAI,TY II OTHER ')'YPIiJ UF' CUI'!8'I'RUt!TWN I LJ I3I,OC!K [) FRM1BI n S'I'E1ElI J [) OTIIElR FIHLSHHITl F'f,()OR mfJElVATIOHS ,~-- --... -...-.."...-.--..- - -- IS PRO,TE1e'I' IN FT.oorJ ZUIIEl MElACI VFlA [J Nt] BI1rr,llm~ _.. ~.- .... ..... .-, - -. - - -~.- .-..-- -- -~. .~_.. ~----- -.--..... .--.- -... ._-~....-.- -'-... Cnt11?1\HY...._.___..._ '-.--. S'I'J\'I'Rl CFJR'I' OR PArHAl' # ... Cl't'Y I?R()('B1SSn!r~ # 9 1 r]l1l\'I'IIHBl IIlflJ!lCliJllUOIAH "*.*'***'**'*'*"'*****'**'1**'****.'*******'*'**1**',*"*.,,,,*. S I tHll\'1'llRfiJ IJ (;()11PJ\NY._..11L~._ _._ .. ..,._..__ STA'I'Bl ['RiRT OR RElCH 8'1' 1/ C~ I'ry PRr)(.!EJ,tj B nm 1/ .. ..-- .'. . _. .'H _ __..__. A · * * * * · * , · I. I. A. * * * I. I. * * .~, ^.\ * · * * · , · * A · I. * * * * 1.* '" I. 0\:3 tv 1!:!-t2!. * A * I. * . *. * * , CetfQ) LfCY5, \ \~,\:~ ~\ "'_ /0'" ",....-v' 2"5? 'H 0 \'!\ ," p ^., \)4"",.::>,"-_ ,. ~~:~~' ....~.... &., '""s I-'.. C" \; ", STATE ".R'I' OR REI" t8'~ U "~,:S__t;;- \' ~ ~ -< &1:::,;;)... ... . .1"HA'l'IIR'!-..,~~<, ~'~-'''' "__,____ '''TY PROC"8A,"O ij~,__. "__..______"~..,__: ~**'**'*"~:~**'****"*'***.**'**''''~*****.*I.,*'*'***.***"""*'* PT,UHBElR HHlc!ltJ\UI C!M I cu/I1p A N y.--....----u~_....__._u ._._. 8TA'I'm ('l<J!?T OR. Rffir4IST # SWUl\'l'tllHll CITY PR()(-'ElSSH1{~ 1/ , ., * * , "" * , * * * * * .. .. , ." * * * .. * , , '" , '" .. I. * '" A. , * , , * ,., , * . * -!. , , , , , -!. , , * * A I. , * .A * . * , , , (J'rUIlltl. .. _.'__+h_..___ _.... _... - .___.~ . _........._... _ ......___"'----+-. ___._____..__ _. ~~. _ ... ____._..._.. _~.._~__ (!()IIIN\!~Y B'1'J\TPJ ('F.lRT-OR -p!iii1TAT'Wn- r!ITY PPflCFlS8 mq # Fl WIIA'I'tlREJ .-----..-..-----..~ .---____......h..__ ~.~.--.- .~-.___ __'_'. ~.._~.________.... ,_._~.~u . ""t*'*"A"""",*"""",*"""""""*,*"",,*4**~,*,,*, CONDITIONS OF PEro~IT AFFIDAVIT A. NOnCE OF DEED RESTRIC'l'IONS The undersigned understands that this permit may be subj~ct to "deed restrictionsU which may be more restrictive than City t.egulations. 'l'he lll1dersigned assumes responsibLlity for compliance Hith any, applicable deed restJ::ictions. B. UNLICENSED CONTRAC'l'ORS AND CON'l'RAC'l'OR Rli:SPONSIBIJ,I'l'[l!;S If the o~mer has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local reglllatiol1s. If the contractor is not licensed as required by law, both the o~mer and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to wllat licensing requirements may apply for the.intended work, they are advised to contact the City of Zephyrhills Building Department, B13-788-6611. Furthermore, if the owner has hired a contractor or contractors, he 1s advised to have the contractor(s) sign portions of the "Contractor SectionsU of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, ratller 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 licen~ed and is not entitled to permitting privileges in the City of Zephyrhills. C. 'rRANSPOR'rA'rrON H1PAC'1' Ii'EES AND OTlLI'I'Y CONNEC'I'ION FEES D. CONSTRUCTUION LIEN LAW (CHAP'rER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Con~truction lien Law - Homeowner's Protection Guide" prepared by the ~'lorida 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 faitll to deliver it to the "owner" prior to cormnencement. E. CON'fRACfOR' 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 ha~ 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 vlO.r:k, 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-lWastewater 'freatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways -'Department of Health & Rehabilitative Service::;, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Envirorunental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Fldod Zone "AU or "A,etc.u,. 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 tile technical codes, nor shall issuance of a permit prevent the Building Official from thereafter re~liring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by sHch permit if; cOIlulIenced within si.x monthlii of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months Qfter 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 rllonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE 'l'0 RECORD A NO'l'ICE OF COMMENCEMEN'l' MAY RESUW' IN YOUR PAYING TWICE FOR IMPROVEMEN'!,S TO YOUR. PROPERTY. IF YOU INTEND '1'0 OB'l'AIN FINANCING, CONSULT WITH YOUR LENDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COlvtMENCEMEN'l'. JOBS UNDER $2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NOTICE Of!' COMMENCEMEN'r". SIGNATURE: OWNER OR AGEN'I' SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OE' ~he foregoing instrument was Before me this _day of by ___ (name of person acknowledged) olho is personally knoHn to me, or STA'fE OF FLORIDA COUNTY OF The fotegoin<;j lnst'::ulllenL was Before me this _ day of by ackno~lledged , 19_ acknowledged , 19 (name of person acknowledged) Owho is personally known to me, or of identification) take an oath. Dwho hQs produced (type of identification) and who Ddid [J:lid not take an oath Owho has produced (type and whoD did D did no t Signature of person taking acknowledgement Signature of person taking acknowledgment - .Hame typed, printed or stamped Name typed, printed or stan~ed OWN 61L 47{t.j Ilk,~ ~fl-I ~ JiJdu)~(tL SQ~~. PRICE ",.bin Od1e=" AJe:l UDrie:- Rear ;j :lluanOQ 3uilriing: tJ / 11 ~~c: 35. DO . .- <~ ?lumnmg:: L.I? ~ ~\ltedillmca.l: t~ I y.r ~OQ {'! I y)- -r- VI /'JJ.- .j, 1. rj '5 (::, ~cirooi lnmat..-:: .A ( Il":\.. ,'~: V'V f I ,'::.lune::ncn :;~ tJllt ;= Impac: ,J I fr ~ OWNER'S NAME I"-#<-. ~ PHONE CONTACT JOB SITE ADDRBS')6!o 11.4 - ~~,'?35'1-1 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPAR~NT 5335 8~ STREET ZEPHYRHILLS, PL 33540 Phone: 813-780-0020 Pax: 813 -780-0021 _/ /. DATE RECEIVED , _ 2. 3 _03 , PLANS REVIEW PEE f ., PARCEL ID # J {- :2(,' ~ _ 0--0/30 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION D ADDITION DALTERATION DREPAIR D INSTALL DSIGN D MOVE D DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMILY D # OF UNITS D MOBILE HOME DOTHER D COMMERCIAL D INDUSTRIAL ~ SWIMMING POOL c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ~ a,. / L/ X .J.';; / ~".A'..~ /'~ BUILDING SIZE' SQUARE FOOTAGE HEIGHT 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. D BUILDING $ J. () I CO 0 oc;, PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. D PLUMBING D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION D GAS D ROOFING D SPECIALTY D OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER , ~ COMPANY /., ~ 'I ; STATE CERT OR REGIST ~ ~ CITY PROCESSING # ****************************************************************** SIGNATURE, BLBCTRIC~~ SIGNATURE ~~~~ COMPANY ~e-er.,~ /?:tQ.c..tv.~~1 STATE CERT OR REGIST # Ire \~1'36"" CITY PROCESSING # 1\"1"1""1 PLUMBER () SIGNATURE ****************************************************************** COMPANY CA.-~~ p~ STATE CERT OR REG 1ST # f\ f () c> ,3 ~ ~s 1 CITY PROCESSING # ~ 9 C; s MECHANICAL COMPANY STATE CERT OR REGIST # SIGNATURE CITY PROCESSING # ******************* ********************************************** * * * *....* * * * * * * * * * *...*.. * * * * * * * * * * * * * * * ~* * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * / . J OTllBll ~0 i1L '~e~"",- OMPANYV' ~/l'!y I'lL. . ./ . , /1 TATE CERT OR REGIST # /-KCN.;:)Y2..y/ SIGNAT(/ . /11 CITY PROCESSING # /6'; 'Y' --- ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subj ect to "deed restrict:. uns" '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 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 "An 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". )l~a;I;.c~ IGNATUR. OWNER OR AGENT STATE OF FLORIDA fJ ~ COUNTY OF The foregoing i~st~ent wapA~ack~Wledged Before me thi~ 0<t1 day of 7h'aLtJ {tJiI! 0.(, by 9-'~~-;~A--' ((nam of person acknowledged) Dwho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledge~~? BeforR.m~ l,iS ~day of ~~ ' ~ ~ . by ~ nJ.j. i3 L~ ,::/.1 0 ~ (name of person knowledged) ~ho is personally known to me, or p~ tiI who has produced/) 1- Z~3(' -4:1 J - t.//r~/J 'f ~LJ (type of identification) and~hoD did Ddid not take an oath. (l~~ /0-4~ Signature of person taking acknowledgement Dwho has produced (type of identification) and who Ddid Qiid not take an oath (j ~ c7f ~1t~~~~ Signature of person taking acknowledgment ",:-.C\a08L- .... _.,,_~ * * il~'EWJ'O'P1Y;JJUft ~ ~ uosPJelp!~ 1 8JelO ~ " ..~~ra l Rict1ardton Name typed,*. ~~1i ~....~ ExpII'8lAuguat 17, 2003