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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5217
Permit :5217
Permit Type: ALUMINUM
Class of Work: ALUMINUM PACKAGE
Proposed Use: MOBILE HOME SUBDIVISION
Sq. Feet: Est. Value:
Cost: 21,300.00 Total Fees: 245.00
Amount Paid: 245.00 Date Paid: 12/07/200
Address: 37525 LILLY BEA AVE LOT 249
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0170-00000-0249
GRAND HORIZON
37525 LILLY BEA AVE LOT 249
ZEPHYRHILLS, FL. 33542
Phone:
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FRAME
ELECTRICAL ROUGH
1ST ROUGH PLUMB
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
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NTRACTORS IGNA TURE PERM IT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5217
Permit umber: 5217
Permit Type: ALUMINUM
Class of Work: ALUMINUM PACKAGE
Proposed Use: MOBILE HOME SUBDIVISION
Sq. Feet: Est. Value:
Cost: 21,300.00 Total Fees:
Amount Paid: 245.00 Date Paid:
Address: 37525 LILLY B A AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot{s): Block: Section:
Book: Page:
Subdivision: GRAND HORIZONS
Parcel Number:
FRAME
ELECTRICAL ROUGH
1ST ROUGH PLUMB
FINAL
REINSPECTION FEES: When extra inspection bips 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."
o OCCUPANCY BEFORE C.O.
CTORS SIGNATURE PERM.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
(.; J. '1' i: U b' ~.I:!I J:I ti i: !-Ui J. J..J.. S J:I.I:!IRNI 'i' , AJ:I ~ J.. ~ ~'i' lQ~
BUILDING DZPAR'l'MmNT 5335 8~,.,Streeti Zephyrhilh, i'L 33542
813-78P-0020 Jr.\:X:'813.,..780-0021
DArE RECEIVED I ( - ..Je -to.s
, I
PLANS REVIEW nil
OWNER' S NAM~' ~(~--1 \-\(~{ \ -c':1\ \\\ \-\Q PHONE~\?:::>-'~~-\ CJ~,--\
JOB ADDRESQ 'I ~QY~ \ ' \ \ ~ '0s\>~~ ~ c0--\\::1
LEGAL DESCRIPTION: LOT(S) BLOCK' SUBDIVISIO\'~~\-br\O\\
PARCEL ID o'--\-~\....--c~ -0)c::~),'fcn~'-\~D (OBTAIN FROM PROPERTY TAX NOTTeFI
b\iO DOC>OO
WORK PROPSED: ~ CONSTRUCTION ~TION OALTERATION [J REPAIR LCJ-rf:iSTALL
OSIGN
PROPOSED USE: ~FAMILY DWELLING
OCOMMERCIAL
o MOVE
o DEMOLISH
,f'. '
OMULTI-:-FAMILY
0* OF UNITS
o MOBILE HOME
~
" ,,-__OTHER,
t--\Uf l \,f\'-.N\
DESCRIPTION OF
SQUARE
HEIGHT
BUILDING SIZE
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS &, (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~DI1..JG
\.6ELECTRICAL
PERMITS,REgUESTED
',. ,'_ ':"t."-"...,,., _ I.
sQ1 ~.~ VALUATION OF T~T~L CONSTRUCTION
r .
e
AMP SERVICE
o FLORIDA POWER
. 0 W, R:.J:, C :~_\
L..j\ ( 'Q..... ~\:L..1
o PLUMBING
o ~~SCHAIHCAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TY PE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO
BUILDER
SIGNA~~
.~
2JD:' ~~~~iE~T'OR REOIST.Cf
~, CITY PROCESSING * ~)~
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ELE~ ~ J~ 2Sr~O~PANYA\\) ~~W'\L
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. " STATE CERT OR REGIST #
SIGNATUR: V- CITY PROCESSING j Hl:~1
,.'.... .
*-**-*****-*-*********-***-------*****************************-***
.....
PLUMBER
COMPANY
STATE CERT OR REGIST j
CITY PROCESSING j.
SIGNATURE
MECHANICAL
-*---*****-**************************************-************-***
COMPANY
STATE CERT OR REGIST j
CITY 'PROCESSING #
SIGI~ATURE
*********************************.*~,*******.*****************.***
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING *
SIGNATURE
*...****.*************************************************.*****~
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restric clans" whee::
may be more restrictive than City regulations. The undersigned assumes responsibility E~r
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 contr~ctor 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 intende~ work, they are advised to contact the
City of zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, h~ is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which the
will be responsible, If you, as the owner signs as the contractor, you are indicating (ha
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 1
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 Constructior
lien Law _ Homeowner's Protection Guide" prepared by the Florida Department of Agricultur,
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that
have obtained a copy of the above described document and promise in good faith to dellver
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 wlll
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.
certify that no work or installation has commenced prior to iaauance 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 t
the intended work, and that it is my responsibility to identify what actions I must ~ake
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.u, it is
understood that a drainage plan addressing a "compensating volume" will be submitted whi
is prepared by a professional engineer registered in the State of Florida prior to perml
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 ~equiring ,
correction of errors in plans, construction, or violations of any code, Every permit
issued shall become invalid unle.. the work. authorized by such permit is commenced with
six months of issuance, or it work authorized by the permit is suspended or abandoned f
period of six months .fter the time the work 'i8 commenced. One 90 day extension of tim
may be allowed for the permit with fee charge of $15.00. The extension shall be reques
in writing to the Building Official, An approved inspection must be logged during each
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, CON
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNC
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
1:1 13J~
S~T~~WNER OR AGENT
d;;?~
IGNAT :;';:J'CONTRACTOR
STATE OF FLORI~ ~~~
COUNTY OF ~-
The foregoing instrument was acknowledged
Bef re me t ay of , 20,--
by \)
~ame f person acknowledged)
~ho is personally known to me, or
STATE OF FLORID~~a
COUNTY OF ~-
The foregoing instrument was acknowled~
Befor me this of '
by
~ame f person acknowledged)
~ is personallY known to me, or
of identification)
take an oath
Signature of person taking acknowledgement
Signature of person
Name ty
Nam
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