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Home My WebLink About04-3515 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 3515 Permit Number: 3515 Issued: 10/27/2004 Permit Type: GENERAL BUILDING PERMIT Class of Work: ADD/AL T COMMERCIAL Proposed Use: COMMERCIAL Sq. Feet: Est. Value: Cost: 1,750.00 Total Fees: Amount Paid: 52.50 Date Paid: Address: 38105 13TH AVE ZEPHYRHILLS, FL. Township: Range: Lot{s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: A TO D L PMENT, INC. Addr: 8257 CAUSEWAY BLVD TAMPA, FL 66319 Phone: 813 623-2222 Lic: Work Desc: REGRADE PARKING LOT FCF PEERTIES LLC 38105 13TH AVE ZEPHYRHILLS, FL. 33542 Phone: LU 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. 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 NO OCCUPANCY BEFORE C.O. S SIGNATURE PERM~ 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 DATE RECE lVED /0 .- cP!f -oi PHONE CONTACT FOR PERMITTING gJ3 Z'?Cf j III JOB ADDRESS f (~f (l.. /7,0 o~rl-1i3 . J 38' /lJS 13 ~ Av€..-Jt.""z L/ {.,. G PHONE 1 z, 'J ',-,} $1- tJ <;30 Ze:f~1r'ht tls I fL '3 'JS,TI OWNER'S NAME LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE\ PARCEL 10 # o SIGN o ADDITION o MOVE o ALTERATION o REPAIR o INSTALL WORK PROPSED: ONEW CONSTRUCTION o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER BUILDING SIZE RES I DENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET E~RQif"FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS'~~l?o~O IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. (" PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <:;>~'{""" 1h0l'iLL-r <;1 ~ M~I r{/!} ,1'1 . ()l9Sr-l ~ fl.>Jr< en=- '. l-VQ ;"~ PERMITS REQUESTED c~ .. c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL j( eJvculR P({J<,/L1hY Iv r SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK o ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o Progress Energy 0 () o BUILDING $ I ISO 0 J VALUATION OF TOTAL CONSTRUCTION o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION {9 OTHER o-i"'a.1. {.....f $ TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO SIGNATURE ),I-e (oV\.I-.,.",,-,,,,,,>/ ~ ftJ ./~J~ COMPANY~ To 2 {JeveLC'I'n-r(>~', IlVC. . lWI-WEIt (.. -1'\ ~'r~) '-'" STATE CERT OR REGIST # SIGNATURE * * * * * * * *0* * * * * t t ~.ti.t * * * *1)* * * * * * * *. *H.'J!' * tJ* * * * * * * * * * * * * * * * * * * * * * * * * * * onna M. ....Itntl . ~ Jt{ iY,dJl..-L Notary Public. ~OMPANY Commission #D0307601 . Expires April H~, ~nnR STATE CERT OR REGIST # State of Florida ****************************************************-k************* ELECTRICIAN COMPANY PLUMBER STATE CERT OR REGIST # SIGNATURE ****************************************************************** COMPANY MECHANICAL SIGNATURE STATE CERT OR REGIST # **{p:-*****************:~~:~;:*ic;~* *Ih;;-;A~ c c STATE CERT OR REGIST #.. 11 .~ ",'i Ow ilfc:',- OTHER SIGNATURE 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, 813-780-0020. 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 d~y extension of tlme may be allowed for the permit with fee charge of $15.00. The extenslon 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". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 20-- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged ,20_ (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) ~ho is personally known to me, or Owho has produced (type of identification) and whoO did Odid not take an oath. Owho has produced (type of identification) and who Odid DUd not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped --- CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 BTH st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-7BO-0021 DATi: RECEIVED /0 -~::J -Or PHONE CONTACT FOR PERMI~~TING %/'3 ZiCf j It I JOB ADDRESS f(~f(1.. 3g'IOS /JroO--frl-fiJ 1 13 di Avl.-4<o,Z [(y ~ PHONE 71/f '-- 381-0530 Zet;"'1",htttJI ft. ) 'J)-Y1 OWNER'S NAME LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) PARCEL ID # WORK PROPSED: DNEW CONSTRUCTION D SIGN DADDITION D MOVE DALTERATION D REPAIR o INSTALL D DEMOLISH PROPOSED USE: []SGL FAMILY DWELLING o COMMERCIAL []MULTI-FAMILY o INDUSTRIAL 0. OF UNITS o SWIMMING POOL o MOBILE HOMl o OTHER BUILDING SIZE RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET E~RQi"FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ..~~~.~Q IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. (> .J~, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~~~~~: 1ho3j.L.-r 9~ j\Altll'Cf,}'1'l .~I'l ~ /W,,"of'f'- "l:v ii\'i <; PERMITS REQUESTED ~ c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL !?eCO-wdR PClI-klh7 JtJr / SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK [] ELECTRICAL [] PLUMBING [] MECHANICAL AMP SERVICE o Progress Energy 0 D BUILDING $ il,fOO;) VALUATION OF TOTAL CONSTRUCTION $ VALUATION OF MECHANCIAL INSTALLATION o GAS [] ROOFING [] SPECIALTY {9 OTHER v~at{ (^-j TYPE OF CONSTRUCTION: [] BLOCK [] FRAME [] STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO amLDEit .rIfe CoVlI-~"'l.-rOv SIGNATURE ~ 111 .Ilp)~ @ COMPANy--1 r 0 2 De vel? 1'/'C'f~1 -fN"c.. STATE CERT OR REGIST # SIGNATURE *******tfonnii~.~I~****ii~fti~~************************* Notary publlcK/ C~MPANY Commission #00307601, ' Expires Jl.pril H~, ?nn8 STATE CERT OR REGIST # State of Florida ****************************************************************** ELECTRICIAN COMPANY PLUMBER STATE CERT OR REGIST # SIGNATURE ****************************************************************** COMPANY MECHANICAL STATE CERT OR REGIST it SIGNATURE SIGNATURE *****************************~******************** COMPANY (2-,Ptt m#-frA,I{c-C I OWVldr- OTHER STATE CERT OR REGIST it ". .~ .... ' 'v. 1i' A TO Z DEVELOPMENT 8257 CAUSEWAY BLVD TAMPA, FL 33619 PHONE: 813-623-2222 FAX: 813-628-0333 CONTRACT FOR: ANKLE AND FOOTCENTER 38105 Unr AVE ZEPHYRHILLS.FL 33541 FROM: GARY M. ANZULEWICZ ITEM DESCRIPTION REGRADE PARKING LOT TO I IMPROVE DRAINAGE UNIT Pt:! /..; r... I ( ~.tI TOTAL EXCLUSIONS: DATE 10-20-04 1750.00 1750.00 TERMS: IF A WARDED A COPY OF THIS PROPOSAL MUST BE SIGNED AND RETURNED TO OUR OFFICE BEFORE CONSTRUCTION COMMENCES. FINAL PA YMENT TO BE BASED ON "AS - BUlL 1'" MEASUREMENTS. ......................................................................... ACCEPTED OWNER: hi /1 / I hJ1. /1' > t, :/N " ATOZ " ///:b;,IQ~. o-'q --7 Af. 1f'11..... IA- l (L (lc . '....._.....~,.".."...~." Donna M. Pleta Notary Public Commission #00307601 Expires April 19, 2008 ,u"' State of Florida /'l I iI~' .it I'~ A TO Z DEVELOPMENT 10-29-04 TO: City of Zephyrhills Building Department Please let this serve as authorization for John Early, an A to Z Development employee, to pick up permits. Thank you for your assistance. Sincerely G~~.~~ President