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Home My WebLink About04-2695 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 2695 Permit Number: 2695 Permit Type: ELECTRICAL MISC Class of Work: ELECTRICAL MISC Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: --Work Desc: Address: LOT 56 LAUREL HAMMOCK ZEPHYRHILLS, FL.\.\3~f23 II Township: Range: ~- Dook: Lot(s): 56 Block: Section: Subdivision: OAK RUN Parcel Number: 34-25-21-0100-00000-0560 ~,P~ [Nlil3/t/01 //:21 ; )P(I~ ~ I R.L~ I ------------.--'---------__..-.-J _--------.L_______,_________.__ REINsPECTlON 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 payment of inspection fees shall be made before any further permits will be issued to the person owning same - "Warning- to owner: Your failure torecord a notICe of commencementmay result In your paYlng- twice -'or-- improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." ----- -----CompletePlcins,Spedfications andFee Must -Accompany Application.-------------- ---,- --- _____________AII\^I~~~lihallbepel}'orme9._ in accordance with City C~desan~grdinanc~li ____un ___________ .~ -- - - NO_O~UPANqBEFOREC.(). t'~ ~----- ~~- CO NT C 0 IGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED I-~o-ot PLANS REVIEW FEE C OWNER'S NAME m-~ J, ~ \nlQdL ~ ~ ~.f-.s.. G..J....,.PHONE JOB ADDRESS ~ 5''' ~ell Ul.({ ~ '/.-l{u--..tL.. LEGAL DESCRIPTION: LOT (S) 0,5' 6 () BLOCK Q~()C# SUBDIVISION PARCEL ID # ;=5 cj.. - ~ S" - ..::Lj - Of'CLl -CffXf~ OSlC.t?OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o SIGN PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL o ADDITION DALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS D SWIMMING POOL o MOBILE HOME ~R ~ (~OM.'f D RESTAURANT & H"":'TH DEPAR~T AP~VAL_ DESCRIPTION OF WORK 0 ~ -+--r-~ \.N\.. Otp L~'I r-~ l"e.-f BUILDING SIZE ~)( ~g SQUARE FOOTAGE <<~~ HEIGHT pI to f' . 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. D GAS o ROOFING o SPECIALTY rlu71 PERMITS REQUESTED r1r(J(;l:JYYI...~ VALUATION OF TOTAL CONSTRUCTION ~~ "Y) ~~ (1\MP SERVICE 0 FLORIDA POWER 0 W. R. E . ? r- Ol( r &. ~-S; ~Ij' ~~~__., -~-\ ~ ~,) VALUATION OF MECHANCIAL o BUILDING ~ECTRICAL ~ TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o MECHANICAL $ o OTHER o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO '-~ COMPANY < STATE CERT OR S TURE CITY PROCESSING ~oo..~t~L r~"T 0\\1 '1 h...l ~ \ ti.. ELEcmUcrAN ~. COMPANY FAST P'SCO ELECTRIC STATE CERT OR REGIST # ER-0014591 SIGNATURE CITY PROCESSING # ~ ~RE / ******************************************** ******** / COMPANY STATE CERT OR RE CITY PROCESSIN~/# ***************************************************************** OTHER SIGNATURE COMPANY RYMAN r.ONSTRnr.TTON. TNC. STATE CERT OR REGIST # RC-0061648 CITY PROCESSING # ***************************************************************** A. 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, 813-788-6611. 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 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 "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 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 "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 RECOR,D AND POST A "NOT~"CE OF COMMENC~ bd//... ~._ _L ~J._~ SIGNATURE: =n~-- SIGNATURE: CONT OR ~~~yO~/LORIDA f~ ~~:~/~/'LORlDA \?~~-<~ The foregoing i~str~ wa acknowledged . The foregoing i~~nt wa acknowledge? ~ Befor~mJ?'/~h:j..{s. :<0 ~aYf5lf''''- ,010;: cj Before mo/t" ~";>t.'~a of ~,Pl1tij::;:.i:. by 6~ / ,,) (...). 'E:- '1::-:. L "'--->----.- by ~ '-' ',,",oe.:.. ~ ..___Aname of person acknowledged) _ ~ of person acknowledged) "Uwho is personally known to me, or ~. is personally known to me, or o who has produced (type EtClld not of identification) take an oath. acknowledgement Si person taking acknowledgment '==rD s L.., --Y;:;t?I < d (.'J 5- Ie "/ amped (ii\~'~\ i-tt( i~ ,~ . . ..... . " fl' JOSH lWARDOSKY MY COMMISSION # DO 087283 EXPIRES: Janual'f 28, 2006 Bonded Tbru -.y Public Undelwriterl hl'LJ. LUUL IL'00iM "III V~ Ltinlt1nlLL0 nO.lOIV t', III .~ , Cf:TY OF ZKPlll.R~L~,~. BUILDING D~PARTHBNT ," OWNER ~j/lecv 'f"0ed'C'-je<. ( ~+c Cev...f-e-.-- ~ JOB LOCATION I~ S" r; cC2-JL ~ S. ~ ), C~ t~' (~I 6J-~ :3 '-f-.::<.5 - ~ - O/OO--OO~., 0-.('(0 tQ PAncEL I.D.'" SUO" ALL EXISTInG ~ FROFOSED STRUCTURES GIVING DIHENSIONS & SETBACKS. 7;). , " ~i. ,I I I J3.i UTILITY BUILDINGS MUST SHow SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 ~ 2 ) STREE'r 1. . SETBACKS FOR Rl, R2 ZONING 60' 10' .P E R J( 0 I 10' p s 10' 0 'l' 1 0' S I E N D G '20' FRONX' PROPERTY LINE 35' 1.1N8 .... . 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' 1 0' PROPOSED 20'SGL FAH 30'OUPLEX FRORT PROPERTY LINE \ · - DENOTES PE I LS 4281 ( R) - DENOTES A ( NR ) - DENOTES A R/W - DENOTES RIC POB - DENOTES PO D.E. - DENOTES DR U.E. - DENOTES un ORB - DENOTES OA ~G. - DENOTEs PA( \ UNPl.AlTED @ ',w OAK RUN S .. C'I - - -, I r -PHAS g ('I PLAT 800K 37, p .0 :g b 19 I I 20 ~ I I TRACT "e"l I LIFT STATION r ~~ - -1 L _ _ _ _ . ( ( - --HAMM9€K-~B9.57'~4.~~ 296.33 ~ u (' w @ It C\l.. ""'0 .. 0 o . ...-10 . ...- 0...- o z 1.~~ ?n' --- ., ~ · DENOTES PE I LS 4281 ( R) - DENOTES A ( NR ) - DENOTES A R/W - DENOTES RIC POB - DENOTES PO D.E. - DENOTES DR U.E. - DENOTES un ORB - DENOTES OR po. - DENOTES PA( tQ:t.o 'J,'.>$lO UNPLATTED @ " OAK RUN S .. ~ - - -, , r -PHAS g '" PLAT BOOK 37, P .0 ~ b 1 9 I I 20 ; I I TRACT "c"l I LIFT STATION , ~~--1 L____ ) c ( - -HAMMOOK-~89.57f54f:"0 296.33 ~ u (' lLJ @ . ("I.. ~o .. 0 o . ..-1() . ..- 0..- o z 13ft 70' -- -- --- --