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Home My WebLink About04-3156 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 3156 Permit Number: 3156 Issued: 6/14/2004 Permit Type: GENERAL BUILDING PERMIT Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 5,000.00 Total Fees: 84.501 Amount Paid: 84.50 Date Paid: 6/14/2004 Address: 37609 LAUREL HAMM ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: OAK RUN Parcel Number: Name: SUN STATE ALUMN. Addr: 6148 FT KING RD ZEPHYRHILLS,FL. 33542 Phone: (813)788-7308 Lic: Work Desc: SCREEN ROOM Name: CHRIS TEDROW Address: 37609 LAUREL HAMMOCK DR ZEPHYRHILLS, FL. 33542 Phone: 1 PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER FINAL MECHANICAL FRAME MISC SEWER MISC INSULATION WALL MISC MISC. I MISC. INSULATION CEILING MISC. MISC. i MISC. DRIVEWAY MISC. i MISC. . FIRE DEPT. FINAL _____..__.un.___._.,_._.___., _ I ___.__.._ .. __ ._. 1_ _ _... _1-__.,.__._~.,_ _ 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 The payment of inspection fees shall be made before any further permits will be issued to the person owning same u"Warning to owner-:-Your failure-tO-record a-notice o(commencemenf may result in your-paying tWice -fOr-- . improvements to your property. If you intend to obtain'financing, consult with your lender or an attorney _~!fCl~_I"..!~ordin~Lyour notice of cCl_l11mencement."u.________ L\1-~<- C(~ J / /V- CONTRACT~IGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER NO OCCUPANCY BEFORE C.O. - ~- J CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 /. P_ 0 t"/ DATE RECEIVED ~,~ L PA5CO PE:f?MlI SE:R."l( PHONE CONTACT FOR PERMITTING 1-~wCo-g}.L.{-7g9'-1 PARCEL ID ft c lr;J J~JrOt(/ L a.1l ~ / /I (l.1Yl n1oe1c LEGAL DESCRIPTION: LOT (S) d i' BLOCK Jl/ -015' -~/-O/ 00 -(f)XJ(J -QJfO ~ADDITION o MOVE 371,09 OWNER'S NAME PHONE Or/u Z-fp)'jrki/r F/33Sl/! SUBDIVISION 0 a:.JL R t(A \.f.u..6. PfI-f (ORTAIN FROM PROPF.RTY TAX NOTICE} JOB ADDRESS WORK PROPSED: ONEW CONSTRUCTION OALTERATION o REPAIR o INSTALL OSIGN PROPOSED USE:~GL FAMILY o COMMERCIAL o DEMOLISH DWELLING OMiJLTI-FAMILY o INDUSTRIAL Oft OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK 10 XiY() /0 X rJO CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL ~C l'--eeA 120011 SQUARE FOOTAGE 02 00 fb HEIGHT BUILDING SIZE RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: 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. 5i~ci> PERMITS REQUESTED $ rY, ?OO. (X) & (1) SET ENERGY FORMS. FORMS. ~ BUILDING o ELECTRICAL VALUATION OF TOTAL CONSTRUCTION Net. {2n,vl~1 ~2i ~c ~LJj6. ~ " A .1.1 /\ '''' LI {urv- AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION OGAS o ROOFING 0 SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE MEAD YES 0 NO \::::S<ltL ~ CONTAACTORi:;smCmI:Oli .!,:.:-. ;".'.: ',.,-'-.- ,;_.:.-;._.','::i,.,.__..:_.,...;.:',,;.,.;,,:,, ::.,"','__', ...:._.;. ;', .:> ',,"'c.:., COMPANY \S VA S'ltile AIwnJ/J~/'J r~~ ' , BUILDER SIGNATURE ;}aIL STATE CERT OR REGIST ft ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST ft ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST ft MECHANICAL ****************************************************************** COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST ft A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsh whiqp 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 po~tions 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 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. 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 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". . ~-tLe:" ~(L SIGNATURE: OWNER OR A NT. . uLtli!~ ~/L SIGNATURE: CON~CTOR STATE OF FLORIDA ""-:;>4...$ COUNTY OF rC UO The foregoing instrument was acknowledged Befor~t:.his~ day of ,T~ , 2~ by t't'~ ~ (name of person acknowledged) ~o is personally known to me, or STATE OF FLORIDA ~ COUNTY OF GcO The foregoing instrument was acknowledged Before me this ~day of.:T ~ ,20 .E!:J- by S~l'<' ~lo (name of person acknowledged) ~o is personally known to me, or o who has produced (type o did not of identification) take an oath. o who has produced (type of identification) ~id not take an oath ~ Signat re of oq taking.apknowledgment ".." I, :suzanne]janr ...'~t'i'.V.PlJl/. /" . . 57131 ~~~'~"':. 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