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Home My WebLink About03-2273 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2273 Permit Number: Permit Type: Class of Work: Proposed Use: Sq. Feet: Cost: Amount Paid: 2273 Issued: 8/04/20031 GENERAL BUILDING PERMIT PLUMBING/NEW II NOT APPLICABLE I Est. Value: i Total Fees: 77.00 77.00 Date Paid: 8/04/2003 Address: 5205 RIDGE ST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: EAST PASCO ELECTRIC Addr: 10411 CONNERL Y RD DADE CITY, FL 33525 Phone: (813)713-4570 Lic: ER 05724 Work Desc: ADDING BATHROOM IN EXISITING Name: HOLTON TERESA Address: 5205 RIDGE ST ZEPHYRHILLS, FL. 33542 Phone: oj (( VV III ~ {o;is-. o L PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER FINAL MECHANICAL FRAME MISC , SEWER I MISC INSULATION WALL MISC ! MISC. I MISC. INSULATION CEILING MISC. i MISC. : MISC. DRIVEW~~__~~___~ISC'm _ J MISC. _ ... ___ FIRE DEPT. FIN~L _ 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 paY_'!I~t of inspectio!1__fe~s shall be mad_~_ before any furth_~r-'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 twicefor-- improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before re~~~_ing your notice of commencelTl_t!nt." y ~~ ~ 1-'" CONTRACTORS SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER NO OCCUPANCY BEFORE C.O. . ~ CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th Street, Zephyrhil1s, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED PLANS REVIEW FEE JOB ADDRESS 'Ie II.. f SA 1-1 c I-I-();t/ ~~D<; R?dJe PHONE OWNER'S NAME LEGAL DESCRIPTION: LOT(S) 5+ ' Z e~ h :f/'It;II~ I / BLOCK F i- 3 s5" 7"2- SUBDIVISION PARCEL 10 # I () ,. <;, ?../ 00 Cj~ "600 tlO 7S D IOBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION ~TERATION o DEMOLISH o REPAIR o INSTALL OSIGN o MOVE PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ftdJ gAlt';?C~M ['tV ef;5i/~ SQUARE FOOTAGE / ~ C (~) 5r:j {+ HEIGHT 1 M~L. PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. OF BUILDING PLANS & (1) SET ENERGY FORMS, REQUIRED FOR ALL NEW CONSTRUCTION, BUILDING SIZE RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT ATTACH (3) SETS PROPERTY SURVEY PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL ~UMBING AMP SERVICE o FLORIDA POWER o W.R,E,C, o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OT HER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER 15:2-- L(t ~ g FINISHED FLOOR ELEVATIONS I S PROJECT IN FLOOD ZONE AREA 0 YES o NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE 'yo " ****************************************************************** ELECTRICIAN ~ COMPANY~ ~<" /~C- /' STATE CERT OR REGIST # e;P~{)/~59"/ SIGNATUREL CITY PROCESSING # JlY3f? ..,**.*, .*~*.*..,.,.*'*,...*.*****'**.*******.*...**'**. PLUMBER ~L -- COMPANY- (tJ/#'!/l Pl(hhhl~- STATE CERT OR REGIST # {jw#fp CITY PROCESSING # ( t; 3~ SIGNATURE MECHANICAL **********************************************************k******* COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsN 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 Zephyrhi11s Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor SectionsN 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 GuideN 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 aIso 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 "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 , 2~ 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 , 20_ (name of person acknowledged) Owho 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 odid [}:lid not take an oath owho has produced (type and whoO did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped . Name typed, printed or stamped ~ ~ ~-l oJ ;J -Y!.. V\ ~ () ~"C ~ 9-- ~ o ,)' / co~\.. '1 ~ tJ..\..G ,.u. 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