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Home My WebLink About03-2401 BUILDING PERMIT Permit N~ CITY OF ZEPHYRHILLS (813) 780-0020 .} Ljt ( cf8 Date /o~~<; ! I BUilDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcel I. D, /I Zoning: Descriotion of Work ;< . ~A.~'hC~/ u.J-rvl~ Water Meter: T,I.F."s: Radon Gas: r2 - t)~/1-~~~ I 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, DATE Inspector Permit Fee )("Signature Company Address Telephone# Valuation or Contract Price City license Registration # State Certified license# C)CL~1 tea "U1/. t--l' BUilDING ELECTRICAL PLUMBING MECHANICAL Breakers / Ducts InsV Compr~sor Fin~' Tp, Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr, Pre SlB lintel FRM. Insul. Cl Wl Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of twenty-five and 00/100 Dollars ($25,00) shaH be made for each trip for each trade: a, Wrong Address b, Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e, Permit not posted on job site. f, Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same, f\J~11+"-'-~ 6WI~ , -S rra-- {7 f1,4tArT sc-~- PRiCE Main ,Jthe:: _'ill::a IJllrtp<r ? .""1i 3~loi~crlo , J~ 'I ::ut1aUlln: 7113S112~ 3uiiding: , f~..o-t) Set..-::nc: ?tumomg: ~vie-.;;i1:unc:u: :uaon: 3o.ooi ::mnac.: :~ '~,mne:::.ucn ?~ I'.r:ms..nmac:: :ees;: SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT NOTICE OF AUTHORIZA TION TO COMMENCE CONSTRUCTION North Town Center PROJECT NAME Commercial PROJECT TYPE Pasco COWNTY 34/25$/21 E SEC(s)/TWP(S)fRGE(s) KOB Properties, LLC PERMITTEE /\PPLlCATION NO.: 44024630,000 [)ATE ISSUED: September 30, 2003 Issuing Authority PAUL Vv. 'NEIL, Jlt, P,E" INTERIM DIRECTOR ElRODKSVILLE REGULATION DEPARTMENT THIS NOTICE SHOULD BE CONSPICUOUSLY DISPLAYED AT THE SITE OF THE WORK 41.00.075 (10/92) 10 39'v'd 8NI S~31N38 3~I8N08 05L088P1P5 51:80 E00G/G0/01 CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED _ 0 ~ ' PLANS REVIEW FEE OWNER'S NAME~~a..,^, ~~~J,^-- PHONE QIJ/j-,-/f''(-eJ;2:XJ JOB ADDRESS _~~ 3 I f\JrviL ~ ~ /.)a.P-!J1o.,.+ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # gt{-[Jf::-;JI-/'Y)/O -O/!<:()t)-t:>'))(') (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL OSIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF_ UNITS o SWIMMING POOL o MOBILE HOME o OTHER BUILDING SIZE ~AU~PART;{N1+oL o SQUARE FOOJAGE ' HEIGHT DESCRIPTION OF WORK 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. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W,R.E.C. o PLUMBING o 1-1ECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO BUILDER ~ ~ ' . STATE CERT OR RE I SIGNATURE U, CITY PROCESSING # ***************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE **********************************************************~****** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** n. 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, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor 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 m1ENDED) 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 6btain 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, 20nil1g 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 ,^lOrk, 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 Floricia 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, ~f fill material is to be used in Flood Zone "A" or "A, etc.", it is understood tllat 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 autl10rity to violate, cancel, alter, or set aside any provisions of the technical codes, nor sl~ll 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 WITI! YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RP.CORD AND POST A "tOTJCE OF COMMEHC' ENT", SIGNATURE: OWNER OR AGENT acknowledged , 2CL- 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) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. Owho has produced (type of identification) and who Ddid O:Hd not take an oath Owho has produced (type and whoD did 0 did not Signature of person taking acknowledgement Signature of person taking ackno,^/ledgment Name typed, printed or stamped Name typed, printed or stamped