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Home My WebLink About03-2217 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2217 Permit Number: 2217 Issued: 7/14/2003 Permit Type: GENERAL BUILDING PERMIT Class of Work: FIRE SUPPRESION SYS Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 1,550000 Total Fees: Amount Paid: 40.00 Date Paid: Address: 5841 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: HERNANDO FIRE & SAFETY EQUIPMENT Addr: 11109 PONCE DE LEON BLVD BROOKSVILLE, FL 34601 Phone: (352)796-5679 Lic: Phone: Work Desc: REPLACEMENT ANSUL FIRE SUPPRESSION SYSTEM Name: MARl'S DONUT SHOP Address: 5841 GALL BLVD ZEPHYRHILLS, FL. 33542 DUCTS INSTALLED PRE-SLAB ! CONSTRUCTION POLE DUCTS INSULATED LINTEL PRE-METER FINAL MECHANICAL FRAME MISC MISC INSULATION WALL MISC MISC. INSULATION CEILING MISC, I MISC. . MISC, DRIVEWAY MISC. MISC. i 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 Thepayment of inspection fees shall be made before anyfurther permits will be issued to the person owning same "Winning 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." NO OCCUPANCY BEFORE C.O. ~~~-~~ - ~-.= CONTRACTORS SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER l".;J.'J.'.l VJf il:aJti.t'lt:t.Rt1J..l.ILS 'p~J:(MI'l' APPLICATION aUILDrNG DEPARTiMENT 5335 B~ Street, Zephyrhil1s, FL 33542 913-780-0020 FAX:B13-780-0021 DAtE RECEIVED 7- 7- 0 ~ .., PLANS REVIEW FEE OWNER' S NM-~E ,fV1 A-ICI \~ 0nVeA. j silo, JOB ADDRESS J75'11 G4 L( 131 v 6 ' PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # WORK PROPSED: ONEW CONSTRUCTION DSIGN PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL o ADDITION IOBTAIN FROM PROPERTY T~X NOTICE) o ALTERATION ~PAIR 0 INSTALL o DEMOLI SH o MOVE DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOHE o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK 12e(J/A-c~ /hJStiL /:::-/1'2< 5~;Ji.p55t'q,..)Sy5jPrz, 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. AMP SERVICE o FLORIDA POWER ~ J-' ~ PERMITS REQUESTED o BunDING $ VALUATION OF o ELECTRICAL o o PLUMBING o ~lECHANICAL $ ~)5V,~?O I VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER 'l'YPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO [ ,,',:',",~ ,,,,,' .' ,,,.: ' , ' , " . . . I , '.... ""..JJU,~' '1'1 . ~ .";,::,::"::'.~,:_~ . ,I' .., , : I I"', ';'r.' .~.." ,,' ,,~. ."."'" , ' I . H' :,,,;,.,,... STJrLDER COMPANY STATE CERT OR REGIST # CITY PROCESSING t SIGNATURE ****************************************************************** ELECTF.ICIAN COt'1PANY STATE CERT OR REGIST # CITY PROCES~ING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** CO~~PANY STATE CERT OR REGIST # CITY PROCESSING * SIGNA'l'URE ***************************************************************** OTHER h/Ze 5'(;::P12~.55 l~iV ,...0e !4-/~.~ ' CO~lPANyNPIIC'A/41V/.)," lih Y--5/rFef; {;o. (~ Tpr, -4- (' ~ STATE CE"" OR REGIST # -93)')OmOOI/'1lfJ' SIGNATURE ~ CITY PROCESSING # ~~_ *******************************************************~(yI4~ The. undeX:S,1.gned understands t.ha.t this pe:nnit ma.y 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 1s 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 licen$ing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Further.more, if the owner has hired a contractor or contractors, he 1s advised to have the contractor(s) sign portions of the UContractor SectionsN of this application for which they will be responsible. If you, as the owner Signs as bhe contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zepnyrh11ls. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUIoN LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of ~Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the Uowner" prior to commencement. E. CONTRACTOR' S!OWNER' S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a per.mit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it 1$ 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 Landa, Water!Wastewat~r Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineer$-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U. S. Environmental I'l:'otection Agency-Asbestos abatement ! 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 volumeN will he 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 ~lS.OO. 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 '1'0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A~'NOTIC~u7Tn~ _ (, ~I SIGNATURE: OWNER OR AGENT SIGNA: URE: CONTRACTO~~ .-:> STNfE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of_ by acknowledged , 20......... STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledibed Before me this day of '..-:- by (name of person acknowledged) C4ho is personally known to me, or Owho has produced (type of identification) and who Odid []:iid not take an oath (name of person acknOWledged) Dwho is pe~$onally known to me, or o who haa produced (type of identification) and whoO did Ddid not take an oath. Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or s~ed Name typed, printed or stamped Z 'd SOU'ON. Sl!IH~^Hd3Z jO Al!J ~d82:? SOC! 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