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Home My WebLink About05-4131 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4131 Permit Number: 4131 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 38225 BOXWOOD DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: DRIFTWOOD Parcel Number: 1,403.00 4/20/2005 60.00 60.00 4/20/2005 REPLACING 4 WINDOWS GEORG SCUDDER 38225 BOXWOOD DR ZEPHYRHILLS, FL. 33542 Phone: N F 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. REINSPECTlON 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. flr: .... ~ ~~ CONTRACTOR SIGNATURE PERMIT OFF I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~ BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED Lf-(;J.-(J S- PHONE CONTACT FOR PERMITTING 9 /1;,..... U 7 - ~ v~ Z- PHONE 11?;'1gv-tf?B~ OWNER'S NAME ~6V~~fl-1 q~!ti;[ ~ 16-z Z5 ~ t;;!AJt7J P ':frY. JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK () L-- "Zh - Z( - () 2--1/}-_ /{/{ 1L I7J ... 6 tJ (I D PARCEL ID # U U J-? 7 SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: ONEW CONSTRUCTION o ADDITION oALTERATION o REPAIR ~INSTALL o SIGN PROPOSED USE: []SGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL JZ(fl- '4 fVl/I-P/JIvS/ M ~6 4VJA/~ BUILDING SIZE SQUARE FOOTAGE HEIGHT 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. ~RMS. ~CJ (00, '-0 TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAo YES 0 NO ~~~~~~~~~~~~_:~~~~:.:_--~~=:.:~:_:~:~.::__.--~:~'~::....-~~~uu. . _ _ __ _ _ _ . _ -,:~:_-~:_-~_'~:_'_~~_~-_-_._~-_~-~~==~~_~_~~;~=!-~-}: BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # *******************************************************~.********** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # OTHER ***************************************************************** If ~.. ,a IA-€- COMPANY lnv€s Jh)yL ~ I "-'L- ~ STATE CERT OR REGIST # ~ 11 r,---::rr,t. 6 g 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 lice~sed 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 Zephyrhil1s 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 indication 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 ~ill 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 , 2CL- 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) C1ho is personally known to me, or o who has produced (type and whoO did 0 did not of identification) take an oath. o who has produced (type of identification) and who odid Odid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped LOWEl CanIII.....Inc. 8529 South Park Cr. Suite 430 Orlando, Florida 32819 Bus. 407/370-2872 Fax. 407/352-6309 Date: tl/!z/og- To: City of Zephyrhills Building Department 5335 8th Street Zephyrhills, Florida 33542 From: Rebeca Alicia Banuelos-Bernard I hereby authorize the following individual, Michael L. Berkman, to act as my agent to apply for, sign for and pick up permits under my State Certified Residential Contractor's License, CRC 057468. Address of Job: ~ U f)hC.}? (jr:::;'ly/.-,t:: Homeowner Name: ~ Y IV Cf'T . ~U/ efc "38 22 ~ Br~lIltjOj) J1v . Ze,/up A J/ Lf- '1)Z- /1 /1// /I1Jnli- City: Type of Work: Thank you for your assistance. Sincerely, ~~ Regional Installed Sales Manager Primary State Qualifier CRC 057468 ~!!6~/r::~~ No.public My commission expires ......~\~~:r~~-:. Rebecca Velez t.rJ.,;,\.~ MYCOMMISSION# 00176963 EXPIRES ;'~'~'{"l January 12, 2007 "~,9f.,i\.~" BONDED THRU TROY FAIN iNSURANC~ INC.