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Home My WebLink About05-4845 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 4845 Permit Number: 4845 Issued: 8/17/2005 Permit Type: GENERAL BUILDING PERMIT Class of Work: SITE WORK Proposed Use: COMMERCIAL Sq. Feet: Est. Value: Cost: Total Fees: 295.00 Amount Paid: 295.00 Date Paid: 8/17/2005 Address: 6739 GALL LVD ZEPHYRHILLS, FL Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: J. McLAUCHLI & COMPANY Addr: 3019 SW 27TH AVE STE. 102 OCALA,FL 34474 Phone: Lic: Work Desc: SITE WORK DR.AHAD MAH 6739 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: ~~o ~ XO .~ -~ OW o if , \p ' J()).. \0 V' 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. n NO OCCUPANCY BEFORE C.O. , ~ ~ SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8"" st, Zephyrhi11s, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED r7 !:2~ /()5 PHONE CONTACT FOR PERMITTING OWN,mAM' IdlA-/J ~~~!4,~, ~HO~~ ~~-7.?'l-.[~ JOB ADDRESS ~ 6fl~ ___- _ (} S. Hw y <-- :XL .\ -2L-J Zb LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # 3 -2ft? - 2-1-DOj().-- () ?2tJo -OO2{)roRTATN FROM PROPERTY TI\X NOTTeF,) WORK PROPSED: ~EW CONSTRUCTION DSIGN D ADDITION DALTERATION D REPAIR o INSTALL D OTHER cJ~ {G )1 ~ .f\ i~~ ~ D MOVE D DEMOLI SH PROPOSED USE: DSGL FAMILY DWELLING ~COMMERCIAL DMULTI -FAMILY DINDUSTRIAL D# OF UNITS D SWIMMING POOL D MOBI LE HOME BUILDING SIZE D RESTAURANT & WORK MftJ I tAL- ~I '75' SOFT HEALTH DEPARTMENT APPROVAL DESCRIPTION OF A- S'C SQUARE FOOTAGE HEIGHT /'1 ~ RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED R'BUILDING 9(ELECTRICAL 9C PLUMBING ~ MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION D GAS )i(ROOFING D SPECIALTY D OTHER TYPE OF CONSTRUCTION: KBLOCK D FRAME FINISHED FLOOR ELEVATIONS 6f - 00 $ /~tf 11M VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D Progress Energy D W.R.E.C. )4' STEEL D OTHER BUILDER IS PROJECT IN FLOOD ZONE AREAD Y~S /8f NO (-wof) z,A;'A./e- \\ COMPANY ~ C'o, SIGNATURE STATE CERT OR REGIST # COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # .; - ~~ CONDITIONS OF PE?NIT AFFIDAVIT 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 bl= 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 portions 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 F.griculture 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. CONTRACTDR'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 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 ITIUst take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Se~sitive 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 "AU 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 commer.ced 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, r the project will be considered abandoned. WARNING TO 0 R: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE F IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LEND OR TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,5 IN V NOT NEED RECORD AND POST A "NOTICE OF COMMENCE NT". ,. c nowledged~ , 2~) F FLORIDA CO OF The foregoing i~en~edged~ Beforc(~his, ' (f 0 , 20(J14 by ~ YZ1' t"\ . / (name of person acknowledged) ~ho is personally known to ma, or . MJ1 JIl/0LI' by ~ (name of person acknowledged) ~who is personally known to me, or o who has produced (type N ';;..V::. ,~, or sG.mpea o"t'Jt!'\ PCle9(" Deborah S. Ransome ~ c; Commission # 00438176 ~ ./.. Expires June 7. 2009 ~ OF f\l B~ Trov Fo," . In..,once. Inc: 800-385-7019 Name o"}!'\Y PCI,t Deborah S. Ransome : c; Commission # 00438176 ~~ / Expires June 7. 2009 OF f\l ~ondGd Troy Fain - Insurance. lno 800-385-7019 A"~ J. McLAUCHLIN & COMPANY STATE CERTIFIED GENERAL CONTRACTOR CGC 019761 . CONSTRUCTION MANAGERS' DESIGN BUILDERS' SINCE 1979 July 5, 2005 To whom it may concern: Permitting Department City of Zephyrhills, Florida Please be advised that the following persons are permitted to act on my behalf to pull building permits until December 31,2005. G. L. Lester Dean M. Blowers Judd Davis Phil Messana Your cooperation is greatly appreciated. Sincerely yours, /t Ben G. McLauchlin PresidenUCEO State Certified general Contractor No. CGC 019761 Sworn to and SubSC~i bed V1' he thiy StG day of d IAJ ~ 2005, Publ ic ~0~5'KR~ commission expires: \J~LV1e 11 7-061 Notary .r~1:, Deborah S. Ransom. : c.: Commission # 00438176 ~~ ~ ....#.. Expires June 7. 2009 e-a TIDV "11ft . Inl4l_ Inc 8()O.385-7019 (352) 873-3900 · Fax (352) 873-0755 · www.mclauchlin.com 3019 S.w. 27th Ave. · Suite 102 · Ocala, Florida 34474