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Home My WebLink About05-3885 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3885 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 3885 MISC SITE WORK NOT APPLICABLE Address: 6815 DAIRY RD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 22,001.00 2/21/2005 145.00 145.00 2/21/2005 Phone: SITE WORK PERMIT PER APPROVED SITE PLAN Name: BAGGETT, JUDSON B. Address: 6815 DAIRY RD ZEPHYRHILLS, FL. 33542 R H 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 "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." 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. , ~. RACTOR IGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ BUILDING DEPARTMENT 5335 8~H st, Zephyrhil1s, FL 33542 813-780-0020 FAX: 813-780-0021 /') Z DATE RECEIVED rx'-J -/)5- PHONE CONTACT FOR PERMITTING OWNER'S NAME --T ~- b. ~f\ G~G.e1T PHONE (~l~/ 7 ~ e - 2 I <)~- __.~IA 5'N JOB ADDRESS ~815"" bA.~ ~'1 ~C\ ~ ~::.t' f ~ I ~ l'\\ll $ , fL ??')-",J- \. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # (OBTAIN FROM PROPERTY.TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION OSIGN PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL o ADDITION o ALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL DESCRIPTION OF WORK -- ~l\e. ~\O Il IA.. .~ 1ftl~W '5}Th-- O'lrxJ / HEIGHT BUILDING SIZE SQUARE FOOTAGE 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 CONSTRUCTIO . .ENERGY FORMS. o ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o Progress Energy 0 '. . ='\ /' ~ .1~0 / L----~ ~ PERMITS REQUESTED o BUILDING $ )11var VALUATION OF TOTAL CONSTRUCTION o GAS $ VALUATION OF MECHANCIAL o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL FINISHED FLOOR ELEVATIONS IS PROJECT AREA 0 YES 0 NO COMPANY i/C D) '(\J\, :J: N c., BUILDER STATE CERT OR REGIST # ************************************************************* ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # . '4 ***********************************************~****************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # ~ P~I' A. NOTIC.E OF DEED RESTRICTIONS The. undersigned understands that this permit may be subject to "deed restrictions" whiQh 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 "Cohtractor Sections" of this ~pp1ication for which they will be responsible. If you, as the owner signs as the contractor, ydu 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~i6n 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 ~ENDED) I certify that I; the applicant, haye been provided with a copy of "Florida's Construction lien Law _ Homeowner's ,Protection Guide" prepared by the Florida Department or 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 instaliation 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 "NOTI OF CO ENCEMENT". SI ST E OF FLORIDA COUNTY OF ~he foregoing ip~t~ent w~apknowledged Before me this..l.I!- day of y~\a . , 2005 by ~ (name of person acknowledged) ~,who is personally known to me, 'or o who has produced (type of identification) and whoO did 0 did not take an oath. .~ ~ L. '\..),. ~ '-- --... Signature of p~ _~aking acknowledgement mQ.f<:~ ~% mo...() r'"'\ Name typed, printed or stamped o who has produced uvYpe of identification) and who 0 did JI:)!rfd not take an oath ~ /1.- a.;-J -'I ;J// . Signature of perso~~~i~9 acknowledgment UNDABAGGETT Name t" ri~:~lfiil2f.wped ~ '. OF/' . ~, a_ 'ThN Budget Notary Services