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Home My WebLink About05-5199 ~~. CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 5199 Permit Number: 5199 Permit Type: ELECTRICAL MISC Class of Work: ELECTRICAL MISC Proposed Use: NOT APPLICABLE Contractor: SHEPPARD ELECTRICAL SERVIC Square Feet: Est. Value: Improv. Cost: Date Issued: 11/30/2005 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 11/30/2005 Work Desc: ADDING CIRCUIT FOR COMPUTER Address: 39052 PARK DR ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: FERNANDO & MANA ANAS Address: 39052 PARK DR ZEPHYRHILLS, FL. 33542 Phone: ELECTRICAL FEE 35.00 /) ./" &~D5 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 acc The payment of inspection fees shall be made before any further permits will be issued to th person owning same "Warning to owner: Your failure to record a notice of commencement may result in your payin 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. .\ /i, "<!,t ( ./6 .. ,.\ ~~ -PER~~ OFFIt); INSPBCTION - 8 HOUR NOTICB RBQUIRED PROTBCT CARD FROM WEATHBR NOV/29/2005/TUE 09:33 AM . . ZEPHYRHILLS BUILDING FAX No. 813-780-0021 P. 001 CITY OF ZEPHYRHILLS PE~T APPLICATION JaU:tLDZNG bEPARTMI!lNT 5335 8TH St, Z.phy~hj.~~D, JrL' 33542 8~3-780-0020 FAX:8~3-780-0021 PHONE qONTA<=T Ji'OR. DATE RECEIVED PlilliU>a'rT:tNO (e/~)ql()'B101 OWNER'S NAME 1='=0 ~1)Ja':1Ll afi: ,. .. JOB ADDRESS 3__ /21& De. 2_~'d (ht1.1s LEGAL DESCRIPTION: LOT(S) <it BLOCK 2 PARCEL ID it 1:2-JJ..LP-~/-tXJ30400~a:J1J08D PHONE (g'JL~) 7K'J. .!JtI7Lf Ztph~r Hetqhf5 SUBDIVISION WORK PROPSED: CI NEW CONSTRUCTION o ADDITION o MOVE (OBTAIN FROM PROPF.RTY.TAX NOTICE) ~TERATION 0 REPAIR 0 INSTALL DSIGN PROPOSED USE: ~L FAMILY DWELLING o COMMERCIAL o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0* OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER BUILDING SIZE c:J RESTAURAN.T & HEALTH DEPARTMENT APPRO~AL ". . t) . Add/Ill{ (I1Jet1J i If ~&Jm pLJ-n.r - ((eW IlInq (/)()ytt SQUARE FOOTAGE HEIGHT DlilSCRIPTJ:ON OF WORK' 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 RE:QUESTED o -,UILDING at ELECTRICAL o PLUMBING o MECHANICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D. Progress Energy 0 W.R.E,C. o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER $ TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL . tJ OTHER FINISHgO FLOO~ ELEVATIONS IS PROJECT IN FLOOD ZONE ARJi:AD YES o NO ~~:~~4;~"~~1::,!~J:,>:~:; -~~~~c-~~:::2:~ ~~=,;_;~~::.~~~~~-~' ~~:_1__~~ _ ~~~ _ -, --- _~_' ".<~-~ . ~ ~:~~ ~~--~-"- .~~ ~~::::~~'!~'"1 BtJ:U..oSR . COMPANY SIGNATURE STATE CERT OR REG I ST *. SIGNATURE *************~********************************** o COMPANY ~<)bprf11(d PJl(liYlCf1J Sld.rv1t15 STATE 'CERT OR REGIST # Et.!./ .'1(){JI4>( q 2:r..J;tCTRIC:IAN **************ww****************************~********************* PLUMBER COME'ANY' SIGNATURE STATE CER~ OR REGIST # *********************************~******.*.*****.***************** M:&:CHANJ:CAL COMPANY SIGNATURE: STATE CERT OR REGIST * * * ***** **..., **.*** *.. **.. * ** *... '* * '* '* **.. *.. ***** **.. *** * * ~.. -Ir;'*******.. *.. ** 'lit....... OTH1iIR COMPANY ,.'. SIGNATURE STATE CERT OR REGIST * NOV/29/2005/TUE 09:34 AM . . ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 002 A.' NOT.ICE OF DEED RESTRICTIONS 'Th~ undersigned understands that this perm.it may be subject to "deed re5trictions" which may be more restrictive thah City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions~ B. UNLICENSED CONTRACTORS AND CONTRACTOR'R~SPONSIBILITIES If tne owner. has hired a contractor or contr~ctors to undertake work, . they may be required to be ~:Lcenaed in accordance with state and l'ocal regUlations _ If the contractor is no.t lieen5ed 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 auildlng Department, 8~3-780-0020. 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" 0:1; this application for which they w;i.L~ be responsible. If you, .a~ 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~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 ~IEN LAW (CHAPTER 7~3, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, haye been provided with a copy'of "Florida's Construction lien ~aw - Homeowner's.protection Guide" prepared by the Florida Dep~rtrnent of Agriculture and Consumer Affairs. If the applicant is someone other that t~e "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 t;:'ommencement. 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 .ali applicable laws regulating constr~ctiori, zoning, and land development. _ Appliqation 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 wiil be performed to meet standards of all laws regulating construction, City codes, zoning regUlations, and ~an~ 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 id9ntify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Env:irohmental Regulation-Cypress Bayheads, Wetiand Areas and Environmentally SensitiVe Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Weils, Cypress Bayheads, Wetland Areas, Altering Watercou~ses *Army Corps of Engineers-Seawalls, Docks, Navigable'Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Weils, Wastewater Treatment, Septic Tanks *U:8. Environmental Protection Agency-Asbestos abatement; I a;Lso certify that, if fill matgr.:lal ;La to be used in F~oC?d Zone "A" or "A, ete.", i.t is understood that a drainage plan addressing a ~compen5~ting volume" wi~~ be submitted which is prepared by a professional eng.:lneer registered in the State of Florida prior to permit issuance. A permit issued shall ,be construed.to be a license to proceed w~th 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 pre~ent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit is~ued shall become invalid unless the work authorized by such permit is commenced within six months o~ issuance, or if work authorized by the permit is suspended or abandoned for 'a period of six months after the time . the.: work is coni:menc~d. One 90' day extsns.:lon of time may be allowed for the'permit with fee charge o~ $25.00. The extension sha~~ be requested in ~/riting to'the Building Official. An approved inspection must be logged during each six mont:h period; or the project will be considered abandoned. WARNING TO OWNER: YOUR FA~LURE TO RECORD A NOTICE O~ COMMENCEMENT MAY RESULT IN YOUR PAY1:NG TWICE FOR' IMPB,OVEMENTSTO . YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH UR LENDE AN TTORNEY BEFORE RECORDING YOUR NICE . CE T. JOBS UNDER $2,' I 0 NEED 1'0 RECORD AND I?OST A "NOT E OF . .'t .sba-YW.gh 'pment wa'-1lJf)jnoStledged.. r- "day of 'hi IS 20 J:lSl STATE OF FLOij.;tD~-b h . COUNTY OF HIllS. /)ro/~ . . The foregoing instrume twas acknqwledged Befc>r~me this ~~<L.hday,of l1D'!!.,mar, 2~ by ~t'LJ-rr r1!llfMl2..50AJ . -'-- ~/(name of person acknowledged) ~who ispersona~~y known to me, or Dwho has prodUced ~ (type of identification) and whoDdid~~id not take an oath. ~LLJ().''-I8~. . Signatu e of pafson taking acknowledgement ,........... ................... ...... ... ..,.., . : PHYLLIS A. BALDREE ..-t Name t~q,".~""'.... ,.-Lnt~"i : f~ . \ ExplrH 1mJ2OOt : : \:~~ ~~i ,Bonded Ivu (1Oo)432--I25..! i ~~I;iRf,:~~"<f Florida Natatv AlII\..1nc : I.. ... .... ......................\............& (name of person acknowledged) is personally known to me, Or o who has produced ~t~e of identification) and ~~d~not take an oath Name I.......................""":~~~.! .' ~I',.t.p.t. . tYPe~, ,Jj;l~nted~~fJ~: : ~.....~UV4" Eo"'" 11221200t : : :!i'm"~ .....'- : : ~:,~,~} Bonded lhru (800)432-4254: i .,<: ~>~ F IOfida Notary Alan.. Inc : ~ I.... i I' fl.......... ...... .......... ........1 (J \ , IJ " I 11/1 Ace J t _ --O~ I iJ S' POO~ (J dO I- (J \ ~ lE-( 11((. ] ~ - (J dO ,e -O~ ~ I - IJ S' POO f- , IJ