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Home My WebLink About04-3382 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 3382 Permit Number: 3382 Issued: 9/20/2004 Permit Type: GENERAL BUILDING PERMIT Class of Work: GAS TANK REMOVAL Proposed Use: COMMERCIAL Sq. Feet: Est. Value: Cost: 10,000.00 Total Fees: 80.00 Amount Paid: 80.00 Date Paid: 9/20/2004 Address: 38509 COUNTY ROA ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: PETRO EUM PLUS IN Addr: 748 E INTERNATIONAL SPEEDWAY BLV DELAND,FL. 32724 Phone: Lic: Phone: Work Desc: REMOVE GAS CANOPY,AND UNDERGROUND TANK AND LINES Name: RI A Y/ASHVINI INC Address: 38509 COUNTY ROAD 54 EAST ZEPHYRHILLS, FL. 33542 F F L 1 DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. INSULATION CEILING MISC. MISC. MISC. DRIVEWAY MISC. MISC. REINSPEcnON 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 nWarning 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. n NO OCCUPANCY BEFORE C.O. TORS SIGNATURE PER~ 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 ;{f~t1t Wcr OWNER'S NAME //5 /l1/:~ " I -z:; c JOB ADDRESS 3ft :'~O'1 (iou~ ;1~, LEGAL DESCRIPTION: LOT(S) PARCEL ID # CJ7--CJ6- ?/- tJL'//6 - tJ6/o0 oe, 0 (ORTAIN FR(~ PROPF.R~Y TAX NOTIr.F.) 6~jb- 6~ DATE RECEIVED /J'h1,u-c; ~~_ PHONE CONTACT F6R 'PERMtTTING ?5~-CJ.?6 <L ~~,- 3r9-/IC? PHONE ,r9 7;~ A>';' 4.. ZL' BLOCK SUBDIVISION WORK PROPSED: ONEW CONSTRUCTION o ADDITION OALTERATION [J REPAIR o INSTALL Os I GN o MOVE ~MOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME OCOMMERCIAL [J INDUSTRIAL o SWIMMING POOL o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~AA"1t'i. t:A. ~ ..s;."" 0'7 u.J~.. d~_"/ J;;...,16 .0 / ~ / ./ SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK 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. & (1) SET ENERGY FORMS. FOR~f . 11 DO. G '::J ()Lv 6 - o BUILDING $ PERMITS REQUESTED /etJ, ~OO, ~/D ~/ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o PLUMBING tJ MECHANICAL $ o FLORIDA POWER o W.R.E.C. o GAS o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER ~'f,8 A. o ROOFING TYPE OF CONSTRUCTION: 0 BLOCK o FRAME FINISHED FLOOR ELEVATIONS o STEEL o OTHER IS PROJECT IN FLOOD ZONE AREAD YES 0 NO [ ~ CO:NTRACTORSECTI~. :-:;'l' ~ ~~LAUIAt~r/l..S.-4..,-L COMPANY" :J. -/7 Y-O . r ~~ I~ ~ c::> () STATE CERT OR REGIST # C-/SC OJ-c)// ~ BUILDER SIGNATURE ELEC'1JR~ SIGN~i ************************************************************~** - VOh~ l"'rc.J7l"" 'c::.. STATE C REGIST # _k...CX9~( PLUMBER ****************************************************************** SIGNATURE ****************************************************************** COMPANY MECHANICAL SIGNATURE COMPANY STATE CERT OR REGIST # STATE CERT OR REGIST # ***************************************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" whicll 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 regula~ions. 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 tile City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have tile contractor(s) sign pOftions 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 ~he "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 tllat 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 LE OR N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 I 0 RECORD AND POST A "NOTICE O~C E SIGN TURE: OWN~~~ENT ~~~~~yO~/LORIre - \.,7.i~) The foregoing instrument Be or th's by CONTRACTDR-- STATE OF FLORIDA/~), COUNTY OF ,/" (jc '6(-;<-.-.-) knowledged 1/ The foregoing iristtUl~ent w.a~s ack:1owledge':L?" , 20QY ~~fore ~)~i1~oPCL!-t~~ , 2~ acknow edged) (name of person acknowledged) Dwho is personally known to me, or Qho is personally known to me, or ~:~ produced FJ /) ~ ~i2J -?~~-;q..../)Jl!'D ~~:s produced FJ ~J.., ., , (type of--fdentlflcatJon) ,/" ---,~.(iYP,e of +~nt1flcatlon) a~'Wfio~ did not t /k~, _ <in 0, ~th. and...who 0 did ~id t;it t /~ oa~h l (___ C. .. / )//- ",.~ acknowledgment Name M~~ 0026iM~E!i~RES : : ~ February 22. 2008 ,~...~. . BOIIOtD11-lRUTROY fAIN IIlSIJP.ANCF.INC ,Rf..\i\ ,,,....,,~"'.,'~.,,._~.,_,_..o_