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Home My WebLink About03-2596 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 2596 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: 2596 I Address: 5025 ANTHONY COURT ELECTRICAL SERVICE CHANGE ZEPHYRHILLS, FL. ELECTRIC SERVICE REPLACEMENT Township: Range: Book: NOT APPLICABLE I Lot(s): Block: Section: I Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 10-26-21-0010-12600-0030 12/24/2003 35.00 35.00 12/24/2003 Phone: INSTALL RV RECEPTACLE BOX AT OLD MOBILE HOME LOT Name: LAKEVIEW OF ZHILLS LIMITED Address: 5025 ANTHONY COURT ZEPHYRHILLS, FL. 33542 ~ r;J. 8#ct,,, '~~I J ~1 \!t( V (--1 I ,/ ((VJ I /+{D I 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 I I'j The.p. ayment qf inspecti~n fees shall be ma.d~ before.C3_ny further permits will be issued to the person. owning sa~_ _n "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." ,~ - Complete Plans,--Specifications and Fee Must Accompany Application. .--- -~---- i--- ..- ______-'~II work ~hall be ~~o~~~~:~~~~:;~~~~ ~~~~s and Ordina,!~~~__________ 1--------- -- - - ~ ~ V ~~~~R<SI~NATUR~- PERMIT OFF I 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 (;Jd- ,~p fit p /;{ /:J~/O'2 DATE RECE IVED I I PHONE CONTACT FOR PERMITTING OWNER'S NAME L-kc.IJ~'....:l ~{l ""2....t..w.ylJ.l.. L.:......t:.J ~ A. 4i A~e'''' .,.. ~J '=" PHONE~ /1~1-~ '1{J9-oo1/ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # 10. '1.b. '1..\ . 00\0 - \"LI.Oo - cr>~ (OBTAIN FROM PROPERTY TAX ijOTICEl WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION o REPAIR s;(i"NSTALL Os I GN o MOVE 0 DEMOLISH PROPOSED USE: OSG1 FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INDUSTRIAL OSWIMMING POOL o OTHER DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL TII\4~..l\ ~ \J ~2L.~t-4doll QC'IC ,'t" o\"~ Mo\.tioL ~D__ (...o\;- BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMHERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED & (1) SET ENERGY FORMS. FORMS. ../'_.---------..... .///---~ ;~~ AMP SERVICE ~FLORIDA POWER o W.R. . . o BUILDING ~ ELECTRICAL $ 300 . 00 100 A. VALUATION OF TOTAL CONSTRUCTION o PLUMBING o MECHANICAL $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL .0 OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO r----.-- ~~J(;,';',~~~~[;~ l BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN SIGNATURE ~h ~ {\ ..<-~ COMPANY~e't.yo ulll ~~v :c.....l f 'l:::uL. STATE CERT OR REGIST # 14~1~ ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR RECaST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsU 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 maybe 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 SectionsU 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 GuideU prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "ownerU, 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 inst~llation 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 "AU or "A, etc.", it is understood that a drainage plan addressing a "compensating volumeU 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 co~nenced within six months of issuance, or if work authorized by the permit is suspended or ab~ndoned for a period of six months after the time the vwrk 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 , 20_ 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) Dvho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and \^lho Ddid Q:lid not take an oath Dwho has produced (type and whoD did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped