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Home My WebLink About04-2809 I. CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2809 Permit Number: 2809 Issued: 3/09/2004 . Permit Type: GENERAL BUILDING PERMIT Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 2,400.00 Total Fees: Amount Paid: 67.50 Date Paid: ! ! I ! ! 67.501 3/09/2004 I Address: 37422 TEABERRY LP ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: WEDGEWOOD MANOR Parcel Number: Name: SON CONCRETE Addr: 6134 7TH ST. ZEPHYRHILLS. FL 33540 Phone: (813)788-5500 Lie: ---Work Desc: RAISED DECK FOR PATIO B.HERMAN 37422 TEABERRY LP ZEPHYRHILLS, FL. 33542 Phone: tawl 5 L~/) '3/ io</ JpjCJ 1ST R PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB I DUCTS INSULATED LINTEL PRE-METER WATER . FINAL MECHANICAL FRAME MISC SEWER I MISC INSULATION WALL MISC MISC. I MISC. INSULATION CEILING . MISC. MISC. MISC. DRIVEWAY I MISC. . MISC. I FIRE DEPT. FINAL " _..______ _ o_.~._..__ .___ ___ I ._.0___ __0__ __ ___ . _l___.._~_ _ _.~. ~_,_._..______________ ____ ____._u.__,_ 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 !be p~yment of inspection fees shall be made before any further permits will be issued to the person owning same . "Warnilli.- to owner: Your falll.lre to record a notice of commencemerif-m-ay resuffln-your paying twlcefo-i--- I_~=': ::;~;:m~~~:".::;.obtain_finanCi~,-""nSUI~ with YOU~':"der o:nattJJmey_ I---------NO OCCUPANCY liE FORE C.O. 't'~ - t~~RSSiGNATURE - - PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER cfi!dl3 -tY-e Y CITY OF ZEPHYRHILLS PERMIT APPLICATION 3 h/Ot/ BUILDING DEPARTMENT 5335 aTR st, Zephyrhills, FL 33542 1~/1 r 813-780-0020 FAX: 813-780-0021 ~ DATE RECEIVE~~ PHONE CONTACT FOR PERMITTING OWNER'S NAME h }/(Y/iJIJt/ JOB ADDRESS 37 '1;;.;J., 72-1 &rrt LO~IJ LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL 10 # /0 .-JIo -;)/ -O/;}o -OtXnJ - ()R{) PHONE 7t"fi-55on SUBDIVISION [Je.()clc(JJofJ!J (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: []NEW CONSTRUCTION [] SIGN PROPOSED USE: []SGL FAMILY DWELLING [] COMMERCIAL [] ADDITION []ALTERATION [] REPAIR [] INSTALL []MOVE [] DEMOLISH []MULTI-FAMILY [] INDUSTRIAL []# OF UNITS [] SWIMMING POOL [] MOB I LE HOME [] OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL !JJ;/{/c Ie: - 1UJ;5CI) fJect:- /0 V ;J;+/; tl I / BUILDING SIZE SQUARE FOOTAGE S.~ RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SE IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIR PROPERTY SURVEY REQUIRED FOR ALL NEW CONST D BUILDING oJ $ {.;JijDQ VALUATION OF TOTAL CONSTRUCTION [] ETJECTRICAL AMP SERVICE [] FLORIDA POWER D W.R.E.C. [] PLUMJ!3ING o MECHANICAL $ D GAS D ROOFING D SPECIALTY VALUATION OF MECHANCIAL INSTALLATION D OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAHE D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE MEAD YES D NO BUILDIlR COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNAtURE ! STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ME CHAm I CJ\L COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTIlER {i;./(f~ SIGNATURE {J ~ II COMPANY /'Z/5o~ (;JA/Cf"e-fe- / STATE CERT OR REGIST # 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 responsibilify 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 indica~ion 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 conunencement. 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. Appli~ation 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 al~ 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 understanp that the regulations of other governmental agencies may apply to the iritended 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 whicll is prepared by a professional engineer registered ill 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 he 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 Cm1MENCEMENT 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 Befr_He .ne this _day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by ac\;:nowledged , 7.0 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) Qho is personally known to me, or of identification) take an oath. Owho has produced (type of identification) and who 0 did DUd 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 i Ii ja- r; I I , ~ I ;/ , I ~/ ';., I , ; (,\1.'/ _ I ./ - - - - - '~J - - _ -oL. _ _ 7'~ _ _UJ!. 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