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Home My WebLink About06-5313 ." CITY OFZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT j 5313 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: 5313 SLAB PERMIT SLAB NOT APPLICABLE Address: 550412TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-13900-0150 300.00 1/12/2006 35.00 35.00 1/12/2006 FLAT SLAB 4 FT X 41 FT Name: OLSEN,ARTHUR Address: 5504 12TH ST ZEPHYRHILLS, FL. 33542 Phone: # ,--2 pYl / 04. f -' I t1 ~~ I- ~0 I REINSPECTlON 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." NO OCCUPANCY BEFORE C.O. / .-/ ";:'7'/; V ;JZ~~ . /( ..~{t~ n LJUtr ~-- - ""CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER " fJ. 0 L5 tl'vl 5':)0 t-f - l;t. st. 1\ LLt~ , ~'r . ~(I;).. ~ '/1 f"'~ - - - ~ ~ ~ t!1~ ; 10 J ~I o ~~ \\~ V) Vl ~ Q-o> - ~ l- IU \L ~ -__u :::r-~ ~ \) ~r{J~ f-r I~/~st CI~Y OF ZEPHYRHILLS PERM~T A~~~~~AT~U~ BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, B~ 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED - " } 1- /'~--Vft;; PHONE CONTACT FOR PERMITTING OWNER'S NAME ~\ ,;) /).}/ t,t ,2 11''- ,! ......... S~ ,)- (; c(. ) I ,_ ./'f\ (, L~e I~ I ') c.J-- ()\ .J l- PHONE '78- f,' /~ (1 D , JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION ("7PiRC'EL 10 it -~ I/-;J i -.:J I-V () j(.) - / q 'tti{)'" C I ~- J (OBTAIN FROM PROPERTY, TAX NOTICE! WORK PROPSED: 0 NEW CONSTRUCTION o SIGN PROPOSED USE: ~~GL FAMILY DWELLING o COMMERCIAL o ADDITION o ALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH OMULTI -FAMILY o INDUSTRIAL Ofl: OF UNITS o SWIMMING POOL o MOBILE Hm o OTHER D RESTAURANT & HE~TH DEP~RTMENT APj?ROVAL /\ DESCRIPTION OF WORK:::~'" ~-(- r-,-: I LII r-1 P L C r 5' L /} /j I ... 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. FORMS. /' -:ri--fl UI LDING I o ELECTRICAL o PLUMBING o MECHANICAL ,:v 'jdo '.- $ PERMITS REQUESTED /3/'3 if j ./ , 4-. ........ ~:..._,;;:;;;;.,.;......._....-.. I ! j f/. ./ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o Progress Energy o 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 o OTHER FINISHED FLOO~ ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO /rfh' BUILDER i/. y.-; ,,'} . 1 I ' :/ . 1/. . , . 1/... .' , ~ ./ . / SIGNATURE LJ.: j Uit.,:U1^v COMPANY L/rli. C It} ( d t~ Ai 6' STATE CERT OR REGIST fl: ****************************************************************** ELECTRICIAN 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 * A. NOTI~E OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" whi-ch 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. ha~ hired a contr~ctor or contr~Ftors to undertake work; 'they may be required to be licensed ln accordance wlth state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemea~or 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 "Gohtractor Sections" of this application 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 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 CONNECTI,ON FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~tiTES, AS AMENDED) I certify that I, the applicant, haye b.een 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. ' Appliqation 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 wiil be performed to meet sta~dards 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 inolude but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetiand Areas and Environmehtally 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 la 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. Ir 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 , 2~ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before m~ 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) Dwho is personally known to me, 'or (name of person acknowledged) C1ho is personally known to me, or Dwho has produced (type and whoD did Ddid not of identification) take an oath. o who has produced (type of identification) and. who [] did [}:lid. not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped