HomeMy WebLinkAbout16-17302 � CITY OF ZEPHYRHILLS
:. • 5335-8TH STREET
(813)780-0020 17302
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17302 Address: 3651 BLACK DIAMOND DR LOT 240
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: CARPORT Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 4,000.00 OWNER INFORMATION
Date Issued: 4/29/2016 Name: � ���TiC' OAK� i i r � ���s
Total Fees: 82.50 Address: 3651 BLACK DIAMOND
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 4/29/2016 Phone:
Work Desc: CARPORT & CONCRETE 13 X 40
CONTRACTOR S APPLICATION FEES
SUN STATE ALUMINUM INC BUILDING FEE 82.50
� C.
���
Ins ections Re uired
� FRAME
SHEATHING
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
' NOTICE: In addition to the requirements of this permit, there maybe 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.
"Warnin to owner: Your failur
g e to record a notice of commencement may result in your pay�ng twiee 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 Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
' � `
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IIV 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT C�►RD FROM WEATHER
s�s-7so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received ',� �( � " � /r�
2 I Phone Contact for Permitting � - S.� 7
TrfTfTTr , f-I�-�
Owner's Name C. 'FL//S� �C UwI'1l Owner Phone Number ��7 "-� v - � �
Owner's Address Co7� �arrce a • �S'� 13 3/o Owner Phorie Number � -- - - -
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �CO S� �QG(C ` fX D P� r'��G� f"I. �`r LOT# o? Y O
SUBDIVISION q ,�5T1 G Da,�S PARCEL ID# �y"�G•�I� ODDl�� d0�Uv-�B�v
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e , NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK � 8�� � �d��� -
BUILDING SIZE �X y� SQ FOOTAGE �� v HEIGHT
Ti�TT�TTrrT�IT1�TTI�Tf�ITTT'rITITT�T�TITI�T�T�TITTT�TITf�1�
�BUILDING $ yado.o� VALUATION OF TOTAL CONSTRUCTION
'QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMI3ING $
���
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ) '�Qi�P
� >�p��
GAS ROOFING SPECIALTY OTHER Uv _ �
0 0 0 0 � . ��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � I
-�-1-F-i-F-1-f-d-1-�-1-�-F-a--f-t--l-1-i-{-1-f-i-f-�-l-f-{-1-HF-1--f-�t-E-a-t-�-�-1-I-1-f-1-1--1--I-H-t-t--f--1-1--t-1--H-H-a-i--1-F-1--I-f-
I `� �/ �/� /
BUILDER �""_ 7 ��y��� � J "OMPANY �kS 1 Q.TC G LC!as/Y)Gl!�-
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address /,S�L/ /�i�� ia /�L -�i�i �S 33Syi License# ���D/7 �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER - COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
IIII1111111111111111111t1 'IIIIIIIIIIIIIIIIIII11111111111IIIIIIIIIIIt
RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construc8on.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"**`PROPERTY SURVEY required for all NEW construction.
.a-.f-F-f-4.�--4-1--1-1-I..{-{-f..�1..1-I..1.-4.f..t-1-Ia..1�i..t..f-L-4.f�-{-4.f.�f-f.�1-i-{..1..1..1--i-I..f..f-f-�-i-L.�{�-f-a-4.1-i-f-1-a--4.�-f�-F-�f-
Directions:
Fill out application completeiy.
Owner&Contractor sign back of application,notarized �
if over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
•* Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
�
� p .
r " O = -
.;'
_ �u����_ _ -
.,''
9
I City of Zephyrhills
�I
, BUILDING PLAN REVIEW COMMENTS
,
��
i Contractor/Homeowner: �LLit�S . �G��'1 Ge r�
� Date Received: 7—ZZ ���
J ,
Site: c3lo� � �/� ���''�'1C�
Pernlit Type: �`�x Z`l' ��� ���l��f�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
;;
,
.�
This comment sheet shall be kept with the pernut and/or plans.
. � a� �
Kalvin Swi —P��Examiner Date Contractor and/or Homeowner
(Required when comments are present)
� � i iiiiii iiiii iiiii iiiii iiiii iiiif�i�i�iiiii iiiii i�iii iiii ii�i
: � ���Pl�r�� 2016062573
�'lorida �c�i1CIf1eL�'iCi •
�uildin� 6272 R�bott Siation r. ��pt:1765400 Ftec: 10.00
Unit 101 DS: 0.00 IT: 0.00
� �..vode �ephyriti(ts,FL 3S5 04/22/2016 K. R. M. , Dpty C 1 erk
Pe�nit No. Parcel ID No
NOTICE OF COMMENCEMENT
State of �ja�(O'Gr County of ���C C�
THE UNDERSIGNED hereby gives notice th�t iFnprovement will be made to ceriain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this N tice of Commencenment:
1. Description of Property Parcel Ide tification No. �G y''o��O'e2�'� Q�CS� ^ (S(�/[j d .,�jQ� �
Street Address: (�� �f GlL Q d c[ ` ls �• r�!/�_
2. General Description of Improveme � � � �
�
3. Owner Information or Lessee info �ation if tfi Lessee contracted for the improvement:
� �L � �' ' G -
me Q � • .J '�FJ�/� CaT�3 l�4 �-e Z ��� .f�
Address City State
Interest in Praperty: � �
Name of Fee Simple Titleholder:
(I, different from Owner listed above)
Address � / City State
4 Confractor. G
Name
2�nl�,���/�� �� .�3�y�-
Address Cit�� State
Contractor's Tetephone No.•
5. Surety:
Name i�
�D'
Address City State i O�r
i �ND
Amount of Bond: $ Telephone No.: , cn
� W�
0
6. Lender• �m 2
Name � r�'"`m
i�d��
Address City State I�`'��
►.+�-
Lenders Telephone No.. i�" o
__ ��w D
7, Persons within the State of Florid� designated by the owner upon whom notices or other documents may be served as provided by � 3 �
Secfion 713.13(1)(a)(7),Florida Stat;�tes: � � o
�� �
r
Name m
�
O '�
�N��
Address � City State ���-'o
Telephone Number of Designated Perso�. i� �
-i
�
8. In addition to himself,the owner desi nates of � '-
r
m
to receive a copy of the Lie�ors Notice as provided in Section 713.13(1)(b),Florida Statutes. �
Telephone Number of Person or Enti Designated by Owner:
9. Expira[ion date of Notice of Comme�cement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from e date oi recording unless a different date is specified):
WARNING TO OWNER: ANY PAY ENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER . YMENTS UNOER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWIC FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON TH JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATfQ NEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penafly of perjury,I declare th t I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA ��� `
COUNTY OF PASCO ���
ignature oi Qwner or Lessee,or Own or Lessee's Authorized "�
; Officer/Director/Partner/Manager
L�Gr/.c��f�
- _ _ Sian�tpry's TiHe/OKc= _
The(oregoing instrument was acknowledged begfore me this�day of /"� ,20�pby_ /��� �� c��Gf9 icJ�!C9�
as Q6('/(�L— (type of authority,e.g.,officer,trustee,attomey in fact)for
� (name of y on behalf of whom instrument was execu ed).
Personally Known❑OR Produced ldentificatio�� Notary Signature � `�,
Type o(Identification Produced fb �. �i/ _ Name(Print) �� � €
�'�ws�------
�u�i��
- ,a��+p�� SHIRDEN K DEL COTTO
=+e ;= i� MY COMMISSION#EE 198857
r;e,,., �.� �XPIRES:June 26,2016
„q�,, � �efl�ad Th�u Notary Public Underwriters
wpd ata/bcslnoticecommencement_pc053048
w
(
I "
/ �������� PageNo. af � Pages
�UN STATE A�UMINUlVi; (NC.
���} �� 6154 �ort King Rd.
�{��.�;� � ZEPHYRHILLS, FL 33542 �
(813) 788-?308 �
_.l ��"C��� ` C~�� -��,��� �
S PHOME `
\� C�� � � � �-t"�. — � l
STREE7 � � �—i��` - _ � [ � /'1, JOB NAME ,
n�
1
� �ft_a1.� 1 i•-t..){
CfiY,STATE P CODE .t08 LOCATION
�.� L�C= �t�'�
i7ECT DATE OF P�ANS JQ8 PFit}F7E .
We herebyi sabmii spectiiCaUons and esUmates f r.
__.�:_..._�..__��.�__�.�.G��_____�...__�.����..���`'`--�----���
. �:?�._._�--�.._. ._. ._.._ _.__.__._...__..__.._.__w._____......_.
.._.__..._..__.._...___..__-..____._.__-_____._.__--__ � �__.___.____--___....___�________._._..._._____.___f...._._._.__.__.
_.._. ..._._._.______1_�.?�._.�_.�____.__ _._ .._....._._...___.�__.____.__.____.._---___._----.._._._._---._.__-.---._.___._____�_--.--__.._..
__._.._.._....__K____-��.-.�_c._�.-_._.�����_-.��____.___..._.__._._.____......__._...._...__._�.�.......^._.__.._._.._ _____.___.___.__.�._
�
� hereby fur 'sh material and labor--complete in accordance with abave specificaYons,for th{e�tim of:
\J\, y
t7
Payment to be rhade as follows: a� ).
t l,�
--�_.
AII unpaid balances sabject ta 1.5%monfhty icrterest fee.
aH maceoat is guaranceaa m ne as spe�driea.a�work w ne o«npletsa in a wo�anantace _
mautner axotdu�g to�andard ptactices.l4tr}r aReretion or deviatbn irwn above�tlor�s
mvotv's�g e�dra cn�wti'�bs eueeuted aNy upas vv�otders,and w�l becartte an e
.eharge over and above tlre esl'vnate_Aq��eemer�aoM�eM upon strikes. - .,.
or delays beyond our comrd.CMmer m carry fire,lomada mw omer nboessary insu Note:This pro�losal ma�r be
oar workers aze tuty cbve�ed by w«kman's Canpensai'arn trowar�e. v++ithdmwn by us ff not acx�pted within days.
�C�E ��I�CC D� �CD1�tT���—�e abave prices,s�eci�catians ° �
�
and conditions are saiisfactory and are hereby accepUed. lbu a� autfiorized Signaiu�e
to do ttre wark as speciRed. Payment wSl be made as outl'ined above_
E}afe atAccep#ance: Sigtaafum+
I
----��-- — ��� J°�O u!�/� � �J��7T/
/
� ,S� a
. ,
Qe
� ����
�a(�l
i � �--,, - '�`��Ib�i`�� �6�l�1� - 1
�/ / '���
�� ��"i4�8��h���� �� �l�l�
��,'����1����� �
��� J _
. �
� �v
s��I �� ���o� � ! ,z�
S�.�I�I�I�1�`0 � IZ�I���'� I ,
�d�Qoa a����z� o�����n a ►
��ua�ag�Qt�a�o� � sx�om ��
1
��xs� � � ` i
� 3 �
o ��x¢.� or �
I a1�°� � 1
7� J b� +.AOU���
Sk►.fS'�X� �oSQUO.��
v
�/ �(
� � - \
, � � U
f
_ />
�
; 4 � �i
�✓ �
nh
Yh ��'� '��f �S�/ '� ��ij � ��� �Xp ��.� ����� /.s ��
o�l° -�-�7 �-�' b � ',',��� ,�b�,�/ .
@ 6 �Q - o��o�J �-t7r�'c�' —��'-��'/���° � �a��`.�/