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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
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Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 2/21/2006
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 2/21/2006 Phone:
Work Desc: CHANGE METER & PANEL TO 3-PHASE
5471
ELECTRICAL SERVICE CHANGE
ELECTRIC SERVICE REPLACEM
COMMERCIAL
Address: 4928 AIRPORT RD
ZEPHYRHILLS, FL.
NT Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 13-26-21-0010-00000-0010
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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 colTections 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.
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CONTF<ACTOR SIGN TURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CIrr'Y OF :6.t!iJ:'n~1'.n....J..IJ..I~ .. ..........- - --- --.
BUIILDING DEPARTMENT 5335 8H st, Zephyrhi11s, FL 33542
813-180-0020 FAX: 813-180-0021
DATE RECEIVED
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PHONE GONTACT FOR PERMITTING
OWNER'S NAME ;& / r d';{.P-./ ~h''',St rrJ~ /1 JS.z;:;iJ
JOB ADDRESS 49 ;lA. 4.,'... ~ r< yt .RJ
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PHONE Y/3 - '7Ep--,{7G,{(
LEGAL DESCRIPTION: LOT(S) ~
PARCEL I D it /3 - z (; - 7. I
BLOCK SUBDIVISION
_ 0010
(j 0 ("0 - 000 IOn {OBTAIN FROM PROPERTY. TAX NOTICEl
WORK PROPSED: DNEW CONSTRUCTION
o SIGN
PROPOSED USE: OSGL FAMILY DWELLING
Ji[COMMERCIAL
o ADDITION
IRALTERATION
o DEMOLISH
o REPAIR
o INSTALL
o MOVE
OMULTI-FAMILY
D INDUSTRIAL
O. OF UNITS
D SWIMMING POOL
o MOBILE HO~
DOTHER
c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL
DESCRIPTION OF WORK (, ACt /I J P /) If? le-r 1-- /6, ,,1 /1 e I ~ ,3 - ;14a J e..
BUILDING SIZE '.~" 07SX5U SQUARE FOOTAGE /Z 5~ 41 HEIGHT /4 r-/..,
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENE;B.G'l.-m~s.
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
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VALUATION OF TOTAL CONSTRUCTION ,...-
o BUILDING
$
~()
o ELECTRICAL
o PLUMBING
D MECHA~ICAL $
D GAS D ROOFING D SPECIALTY
AMP SERVICE
. Progress Energy 0
W.R.E.C.
VALUATION OF'MECHANCIAL INSTALLATION
D OTHER
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
o STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
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BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST .
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SIGNATURE
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COMPANY
O(ll~r..I~ f:Lk~'C.
ELECTRICIAN
STATE CERT OR REGIS'l' # EC {JM'I""SSJ..
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
***********************************.********~********************
OTHER
COMPANY
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STATE CERT
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SIGNATURE
REGIST #
A.' NOTI~E OF DEED RESTRICTIONS
Th~ 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 appiicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
If the owner, has hired a contractor or contr~Ftors to undertake work, . they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner aod contractor maybe cited for a misdemeanor
violation under s~ate 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 "Contractor Sections" of this ~pplication for which they
will be responsible. It ydu,'as the owner signs as the contractor,ydu are indicating that
you~ rather than the contractor, are responsible for the work. ~f the contractor wishes
you to sign as contract?r 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 STArUTES,- AS AMENDED)
I certify that I, the applicant, haYE;! 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 d~scribed document and promise in good faith to deliver
it to the "ownerl, 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 compli~nce with all applicable laws regulating construction, zoning, and land
I 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 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
be in compliance. Such agencies inolude but a~e not limited to: *Department bf
Environmental Regulation-Cypress Bayheads, wetiand 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 ~anks '
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill matedal is to be used in Flo~d Zone "A" or "A,etc,", H is
understood that a drainage plan addreSsing ","compsnsating volume" will be submitted which
is prepared by a professional engineer regis"ered in the State of Florida prior to permit
, ~
1ssuance.
A permit issued shall.be.construed.to be a licenSe to proceed with the work and not .S
authority to violate, .cancel, alter, or set aside any provisions df the "echnical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring s
correction of errors in plans, construction, or violations of any code, Every permit
issued shall become invslid 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
period df six months after the ti1ue."he work is commenced, One 90 day extension of time
ma y be allowed for the permit with fee "harg~ of $ ~ 5 . 00 , The extension s hall be reques te~ :
in writing to.the Building Official, An approved ,nepection mnst be logged during each s'x
month period, or the project will be considered abandoned., -'
WARNING TO OWNER' YOUR FAILURE Td RECORD A NOTICE OF COMMENCEMENT MAY RESOLT IN YOOR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOO INTENO TO.OBTAIN FINANCING, CONSULT
WITH YOOR LEND~R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2, .00 IN VALUE 00 NOT NEEO TO RECORU .AND POST A "NOTICE OF COMMENCEMENT",
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Y'/ /1-,,-$40
'ng instrument was, c
is { day ~f
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STATE OF FLORIDA
COUNTY OF Ph~cD ,
The foregoing instrument was acknd~ledged
Befo~ me thi~ day of f't$~ , 2~
by -..J oIf J "";f: 0 ~ D Efl.. ' '
(name' of person acknowledged)' '
~ who is personally known to me, 'or
STATE OF FLORIDA
COUNTY OF
The fO'
Befor~
by
~o
(name of persor ack
is personally known
owledged
\ 20~
5 -'
o ledged)
to me, or
O Owho has
who has produced
. (type of identification)
and w oDdid ~take an oath. aod
e of~rson tay' k -~tD." ~ l,~' ,tiliPt::~~~g ature o,~.,,;person tak~ng acknowledgment
l ;My C .~.,.y.~ Bobble Swetland
;'1 ii' ,,~(" )( r . :: ommtSSIOIl Expires Feb 10. 2010 - .....J,=, ,MY COMMISSION # 00268763 EXPIRES
~J.l f'.,:.LIt:.. f)-.:J!/ ~$ /,' C9mm1sSion # DO 51266
~ Name typed, pri~ted or s ' .", , By National Notary A~e typ~aiir:;f#inMl~T1alHR I~IC