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Home My WebLink About04-3508 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3508 Permit Number: 3508 Permit Type: MECHANICAL Class of Work: A1C CHANGEOUT Proposed Use: MOBILE HOME SUBDIVISION Square Feet: Est. Value: Improv. Cost: 3,500.00 Date Issued: 10/26/2004 Total Fees: 50.00 Amount Paid: 50.00 Date Paid: 10/26/2004 Work Desc: A1C CHANGE OUT Address: 37736 NEUKOM AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: Name: ALEXANDER DAVE Address: 37736 NEUKOM AVE ZEPHYRHILLS, FL. 33542 Phone: 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 "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. n Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. . ;Jfi~ ~~ CONTRAC 0 SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ~. ,. , ... ''<I>' ._.........., .." ""'__._.'. ,-...,... ",....._~.._ ... APPLICATION FOR PBRHIT CITY OF ZEPIIYRIIILLS BUILDING DEPARTHENT _'S - AI fJ x o(l[{<9S- ) C)Q vp_ PRONE '6 It! l'f{J ~ OWNER'S ADDRESS ~l/dC) (\()l )('()\Yl NV~- JOB ADDRESS ~ll& n~Ucom We- LEGAL DESCRIP'l'ION: LOT(S) BI.OCK..--SUBDIVISION Gr O,(\c1 +to,", zon PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:-Hew Construction --."Addition -..Alteration -...Repair _Install _Sign ---1Iove -.Deaolish PROPOSED USE: _Single F_ily ---1J/F _' of Units 2...Jt/H _ec-ercial _Indust. _Swill. Pool _Other Restaurant &: Health Departaent Approval DESCJUPr1011 OF 1iOIlIt: ::\.',.'5 ioI t5t LO 0r/c c Do. nge ~OU+ BUILDING SIZE: x . Square Feet, Height 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. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction RI.RCTRlCAL MIP Service Florida Power Corp. S ~. ci:) Valuation of Mechanical Installation W.R.E.C. ~ClWiICAL ----PLUllBDfG GAS ROOFING SPECIALTY TYPE PF COISTIlUcnON: -Bloclt _Fraae _Steel Other P1IIISBED n.ooR BLEVAnOBS: Fr. IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO COBTRACTOR SECTION BllTUlER COHPANY State Cert. or Regist. f City License Registration , .......................................... Signature RI.RCTRTCLUI COMPANY State Cert. or Regist. , City License Registration' .......................................... SignAture PLmlBER COKPANY State Cert. or Regist. , City License Registration , .......................................... Signature 1lEClL\NICAJ, ~ OOfIPANY. L i DC 1L 1t. (' ~~~ State Cert. or Regist.' ' Signature C (9 , . V y,- City License Registration . - . ...............**.****.****......*.**..* OTRRR COMPANY State Cert. or Regist. , Signature City License Registration f .......*.......*******.*****.**.**.*.*.*.* APPLICAnON APPROVED BY PBRHIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'l'he undersigned understands that this perait laY be subject to 'deed restrictions' which lay be lOre restrictive than City regulations. 'l'be undersigned assUles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they laY be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the OIIIler and contractor Jay be cited for a lisdeieanor violation under state law. If the OIIIler or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813) 788-6611. FurtherJOre, if the OIner 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 OIIIler sign 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 laY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of 'Plorida's Construction Lien Law - HOIeOIlIIer's Protection Guide' prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is 8OIeODe other than the 'owner", I certify that I bave obtained a copy of the above described docUJeDt and prOlise in good faith to,deliver it to the "owner" prior to COll8DCeJeDt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all work vill be done in cOlpliance with all applicable laws regulating construction, loning, and land developleDt. Application is bereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or installation bas COIIeDced prior to issuance of a peIlit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, loning regulations, and land developleRt regulations in the jurisdiction. I'a1so certify that I understand that the regulations of other goveIDJeDtal agencies JaY apply to the intended work, and that it is Ii responsibility to identify wbat actions I lUst take to be in COIpliance. Such agencies include but are not lilited to: t DepartJent of BnvirODleDtal Regulation - Cypress Bayheads, Wetland Areas and BnviroDJeDtally Sensitive Lands, Water/Wastewater 'l'reatJent t Southwest Florida Water Hanageaeot District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, lavigable Waterways t DepartJent of Health & Rehabilitative Services, EnvirOJllleDtal Health Unit - Wells, Wastewater 'l'reatJent, Septic 'l'anks t US EnvirODJental Protection Agency - Asbestos abatl!ll!Dt 1 also certify that, if fill I8terial is to be used in Plood Zone 'A' or 'A,etc.', it is understood that a drainage plan addressing a 'cOJpensating '01_' will be subJitted which is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A pe,:lit issued shall be construed to be a license to proceed with the IOrt and not as authority to violate, cancel alter, or Bet aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery perlit issued sball beCOJe invalid unless the work authoriled by such peIlit is COIIllJlced within sillODtbs of issuance, or if work authoriled by the Perlit is suspended or abandoned for a period of sillOntbs after the tile the work is coamced. One 90 day utension of tiJle, JaY be allowed for the perait with fee charge of $15.00. I'he utension sball be requested in writing to the Building Official. An approved inspection lUst be logged during each sillODth period, or the project will be considered abandoned. WARMIKG 1'0 OWIBR: YOUR FAILURE 1'0 RBCORD A KO'rICE OP COIIMDCIIIBRI' MAY RESULI' IK YOUR PAYING !IIICE FOR IHPROYBIIDI'S TO YOUR PROPBRtY. IF YOO IIIIBND 1'0 OBAII PlIl.ANCING, CONSUL'l' WI'l'H YOOR LDDIR OR AllnoRDY BBFORE RlCORDIIG YOUR JO'l'ICE OF COHMBNCBHBMI'. JOBS UlfDBR' $2,500 IN VALUE DO 10'l' mD 1'0 RECORD AIm POSI' A "NO'l'ICE OF COIIMDCBIIBIII'II. 0tc.h(lUl ~cWn fIt~~ E30~ SIGJlA'fURI: OIfIIBR OR A III SIGD'fURI: COIl'l'RACI'OR ~::y O~FFWRInn / /~ Tbe foregoing instrument was acknowledged before me tbis /0/ d. ~ I ~ by f 1J1! ( j <e / /<f? -;A-cAj CJ;J .!Iho is personally kn~ to me or wbo bas produced as identification and wbo did/did not ~L!::)~!d//# ( ignatqce) . / re/ILf/ 7. tJ///#-A/Z."I- (Name Typed, Printed or Stamped) ROTARY P---- -- - --- ',':"~'.r;:;'-. FEUCE I. WlU.AFORD f:/''b.''f:r. MY COMMISSION' 00 121407 \-i.~.~l EXPIRES: September 18, 2llO6 '<.t~P.f.:f..W Bondetl Tem Notary Public UndorWItl8nI "C.Jlo.'.'-':"; ~~O~/WRIDA ib / /< Tbe foregoing ins~ent was acknowledged before me this / () ,;zc; ,'M-OY by , /!llcA P //<e :JAc~O.xJ who is personally known to me or who bas produced as id t' ication and wbo did/did not an atb., ~ ( mre) k let"' L wll/~ J:2J (Name Typed, Printed or StamPed) ROTARY P ,.......", FEUCE I WI" 'FORD ~~!f>y.fi'.';;;:~ . ,u.n f*, ,.@.~~ MY COMMISSION # DO 121407 ' ~~ EXPIRES: September 18, 2006 '~Rr.~~' Bonded Thru No1IIry PublIc UndeIwr1tet8