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Home My WebLink About03-2522 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2522 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 2522 i Address: 5251 19TH ST ELECTRICAL SERVICE CHANGE I ZEPHYRHILLS, FL. ELECTRIC SERVICE REPLACEMENT Township: Range: Book: NOT APPLICABLE I Lot(s): Block: Section: i Subdivision: CITY OF ZEPHYRHILLS I I Parcel Number: 11-26-21-0010-17710-0060 11/19/2003 35.00 I Address: 5251 19TH ST 35.00 I ZEPHYRHILLS, FL. 33542 11/19/2003 .. J Phone: SERVICE UPGRADETO 200 AMP REINSPECllON 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) Candemned wark resulting fram faulty canstructian (c) Repairs ar carrectians nat made when inspectian called (d) Wark nat ready far inspectian when called (e) Permit nat pasted an jab site (f) Plans nat at jab site (g) Wark nat accessible The payment af inspectian fees shall be made befare any further permits will be issued to. the persan awning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice-fo:r--- improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." ____u Camplete Plans, spedficatians and Fee Must AccamparlY- Applicatian. ____n_ n ____________-'~!Lwark shall be p~rfarmed in acco!:9ance with City Codes and Ordinan<:~~_____ NO OCCUPANCY BEFORE C.O. -- - ~ vM~L~V~ - ~T C SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th st, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 II ;/Q/ DATE RECEIVED IJ! ,//03 PLANS REVIEW FEE OWNER' s NAME//I~/f>.~_5.j;/r~t=: g"//e/f JOB ADDRESS :52 "'-)--; /17 d c;- /; PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # //".,,( c:; -J< / /lrJ Ie - /7 Y /t'I~OCbCJ (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMt1ING POOL o MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK t:r~~y /~f%rt.c/ 4 ,t2 ,:://t1/-z~ 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. PERMITS REQUESTED o BUILDING ~ ELECTRICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE j2( FLORIDA POWER o W.R.E.C. '1 -;;L, ) /f --tJ ~ ~ ~ INSTALLATI~..~ o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL 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 SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** ELECTRICIAN ~ SIGNATURE~:?~/ /: /r-:f~d/}J ~ -- COMPAN~2/ f h:- L~:."'--M / CL STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ok***************************************************************** MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *********************************************~*********k********* A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pennit may be subject to "deed resLric;Ljons" vlhich may be more restrictive than City regulations, The undersiyned assumes responsibillty for compliance \'Il th artY applicable deed restrictions. B. UNLICENSED COl1TRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, tlley may be required to be 1 icensed in accordance with state and local regulations. I f the contracl:or is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state lall. If the OWler or intended contractor are uncertain as to \"Ihat 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 ovmer has hired a contractor or contractors, he is advi sed 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 tile contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indica~ion that he is not properly licerlsed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION J,IEN 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", T cerify that J have obtained a copy of the above described document and promise in good faith tu deliver it to the "ovlller" prior to conunencement. E. CONTRACTOR' S/OWNER' S AFFIDAVIT I certify that all the information in this application is accurate and that a 11 \'lork \'Ii 11 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. [a.lso 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 mllst take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and EnvironmerltalJy Sensitive Lands, Water/Wastewater Treatment ~Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetlarld Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Departm~nt 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,et.c.", it is understood that a drainage plan addressing a "compensating volume" lJill be submitted \"Ihich is prepared by a professional engineer registered in the State of Florida pei.or' to perlnit 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 lechllical codes, nor shall issuance of a permit prevent the Building Official from tllereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the \'lOrk authorized by such permit is cOIllmenced v~ithin six months of issuance, or if work authorized by the permit is suspended or abarldoned for a period of six months after the time the vlOrk is commenced. One 90 day extension of Lime may be allOl-led for the pennit Il1th fee charge of $15.00. The extension shaLL be requested in writing to the Building Official. An approved inspection must be logged duriny each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A [10TICE 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 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". u~/A~d~ SIGNAT E: OWNER....OR;. GEI1T 6/~~ ~d4'; SIGN RE: CONi'.. lR STATE OF FLORIDA COUl~TY OF The foregoing instrument was Before me this _ day of by STATE OF FLORIDA COUHTY OF acknowledged 2CL The foregoing instrument was Before me this _day of by ackno\"IJ edged 20 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) Olho is personally known to me, or of identification) take an oath. o who has produced ________ (type of identification) and \'1110 0 did [:kEd not: Lake an oa t:l1 Signature of person taking acknowledgement Signature of person taking acknovlledglllent: Name typed, printed or stamped Name typed, printed or stamped