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HomeMy WebLinkAbout91-1500 ~ STATE OF HOAI DA City of Zephyrhills PASCO COUNTY Permit N~ 1500 8 BUILDING DEPARTMENT ~"'":) 1-813-788-6611 Date .::;- - b - ? / ~c;~~~T~ C;UMBIN0 ~CHANICA~ Property Owners Name: ni!A-i~~ ff1.JrUA, Job Address: <3 ~ / I 61 - ~ Y' l~ Legal Description: Sub.Div, Lot Blk. Zoning CI: / / - d 6 - ;L / Description of wor~~ ? ~ ~_ ell _./\..P A.;Z;" A"7~ " ~i2..d -L2J -AvLLT A..4-...- /" Energy Code Readout: ~fJ: Sfge:l 6?#~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cos.3.;z. tnTD / ."';/71" All work shal! be performed in accordance with the above and all City Codes and Ordinances, Fee: U~J 7J SIGNAiURE~~"(I ~...~ IJA1 p,Serv, ~-(7P Rough In Breakers Meter Can ~ Ducts In'stj/-,4,Ql P) Const. Pole V J;;,-Z../i1fdtrJ- Compressor Pool~ ~ :..- Final j\()l.... tv- Pre-Meter /Zr 7-J~ I ~l.""" f.t'li:: 1~/O' J Final Dnveway _ _ O'~~"1/ {brio- V<If~/ 'J-'1-4'{ ~ 6>,.JI)lJlr)~ ~,7~C.I/ f~ Reinspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10,00) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called, The payment of reinspection fees shall be made before IOY further permits will be issued to the person owning same. LO(..'JM-pJ r:-1ff,..le~ ~.7--'1 ~ ~woJlL~ '0"" t1-'1 L ~ ~ --r d.? 2- -~~ I ~'A" fouL SLf) 13 fJ..f'-tl ftL ~ \'''bt>l- G.. ,.( i~ f'At2-t.... ','~'- I I~~J<.. /2.-' ?,-tt, ~..;.( /-z..-1-?1 M ~ 5 L-A~ 1...2-~'41 e,;) tz. -~~i , t 2-0- u- If I COMPANY ADDRESS ..:::a. SV~ ~~-{U:" (j MECHANICAL /..3 APPLICATION FOR PERMIT CITY OF ZEPR~roiILLS BUILDING DEPARTMENT APPLICANT WRLbd1s f'- ::::55 (;~ d ;.fJ/t'J!6 JOB LOCATION .?I / /; '-- ~.Y ~ , PHONE' I J1M-1j~A~--,L LOT SIZE_X AREA SQ.FT, LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.~~ WORK PROPOSED: ~New Construction ____Addition ____Alteration _Repair _Ins tall _Sign/Temp. ____Sign _Hove _Demolish PROPOSED USE: ____Single Family ~M/F _~~ of Units ,,_M/H ____commercial ____Indust. ____Swim, Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height 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, H **COPY OF CONTRACT REQUIRED. pERMITS REOUESTED V;UILDING vELECTRICAL VMECHANICAL ~' . ____PLUMBING $ . ?/.2, ~ . . Valuation of Total Construction AMP Service Florida Power Corp, _W.R,E,C. $ Valuation of Mechanical Installation GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Company State Cert. or Regist, ~ City License Registration n ****************************************** BUTLDER Signature Company State Cert. or Regist, n City License Registration n ****************************************** ELECTRTCTAN ELlJMBERl/ 3 Company 5 ignature {jf ie. ;ftIl . ~ Ll ~ ~ ~~~\~~:~~e o~e~~;~~~ ~i:n ;1 ****************************************** I ~~ '7 Signature Company State Cert. or Regist, # City License Registration # ****************************************** MECHAN1CAT. OTHER Signature Company State Cert. or Regist, n City License Registration n ****************************************** PERMIT OFFICER. APPLICATION APPROVED BY CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Th~,und~rsign~d und~rstands that this perlit tay be subject to "deed restricti~ns" which may be more restr,ictive than City regulations. The undersigned assules responsibility~for..colpliance with any applicable deed restrictions. , . B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If th~ owner has hired a contractor ~r contractors to undertake work, they .ay be required to be lic~nsed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay b~ cit~d for a lisd~.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply f~r the intended work, they are advised to contact the City ~f Zephyrhills Building Depart.ent, (813) 788-b611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of th~ .Contractor Sections' of this application for which they will be responsible. If you, as the ~wner sign as the c~ntractor, you are indicating that you, rather than the contractor, are responsible for the work. If the c~ntractor wishes you to sign as contract~r that lay be an indication that he is not pr~perly licensed and is not entitled t~ per&itting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of 'Florida's C~nstructi~n Lien Law - H~leowner's Protection Guide' prepared by the Florida Departlent of Agriculture and ConSUDer Affairs. If the applicant is sOlec.ne other than the "owner', I certify that I have obtained a, copy of the above described d~cument and pr~mise in good faith to deliver it to the 'owner' prior to COIDenceDent. ~ 1 '~ .< ~, " ) ; : E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all w~rk will be d~ne in compliance with all applicable laws regulating c~nstruction, zoning, and land developDent. Application is hereby lade to obtain a perlit to'do work and install~tion as indicated. I certify that no work or installation has co.tenced prior to issuance of a perlit and that all work will be perf~rmed t~ leet standards of all laws regulating construction, City codes, zoning regulations, and land development regulati~ns in the jurisdiction. I also certify that I understand that the regulations of other governllental agencies flay apply tel the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlllpliance. Such agencies include bill ~le ne,l lilliled lo: <#' I Departle~t of Envir~nlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensilive lands, Water/Wastewater Treatment I Southwest Florida Water'ManaQelent District - Wells; Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, Wastewater Treat~e~~, Septic Tanks I US Environaental Protection AQenc~ - Asbestos abatement 1 also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc,', it is understood tl.~t a drainage plan addressing a .colpensating volute' Hill be sublitted which is prepared by a professi~nal engineer regi51~ied in the state of Florida prior to permit issuance. A pertit issued shall be construed to be a license to proceed with the work and not as auth~rity to viol~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici~l fr~1 thereafter requiring a correction of errors in plans; construction, or violations of any code, Every permit isst1~d "hall becole invalid unless the work authorized by such perllit is cO.lenced within six months of issuance, or if work authDI Ized by the perlit is suspended or abandoned f~r a period of six lonths after the tiJe the Hork is C~lIlmenced, One 90 day e~l~~sioll of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in liriting tD the Building Official. An approved inspection ~ust be logged during each six lonth period, or the project will be considered dballdoned. 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE SIGNATURE ------------------------------ CONTRACTOR ---------------------------------- OWNER OR AGENT DATE ----------------------------------- DATE_______________________________________ NOTARY AS TO OWNER OR AGENT______________~____________~- MY COMMISSION EXPIRES NOTARY AS TO CONTRACTOR_____________________________ MY COMMISSION EXPIRES " ------------------ ---------------------- Walbridge IDe, 12477 Telecom Drive Tampa, Florida 33637 Phone 813,977-7890 Telefax 813/977-3105 General ('(.nte t< Constructi')[l 1\ I 11 September 13, 1991 The City of Zephyrhills Building Department Re: Zephyrhills Neighborhood Park To Whom It May Concern: P lease be informed that Walbridge Inc. has rep.Lac::>d : 1; r original plumbing subcontractor, Emory M. Garland PL 111 b l.rl;1 Co., Inc. on the above referenced project. Thl:> IH:>W plumbing contractor will be Bel-Mar Plumbing, Inc, Bel-Mar Plumbing, Inc. is currently seeking to cOlnp.L: 1: e I:II.J. paperwork necessary with Pasco County and the Ci ti' I) 1 Zephyrhills, so that their work may commence. If Zephyrhills Building Department requires fUl:-th'::>J:' information, please do not hesitate to contact Wa lk:r::-j (l g'~ Inc. Very truly yours, WALBRIDGE INC. T~ O. ~ Thomas D. Robinson TDR/u STATE OF FLORIDA COUNTY OF HILLSBOROUGH f Sworn to and subscribed before me this ~~day of )yf-J-~~l.-- , 1991. ~ Wi ~0 Notary Public Or- My Commission Expires: Q~ 17 I /99 A /' ' A Rudolph/ Libbe Company 1iII(~ . NOTICE TO OWNER NOTICE NUMBER ? 6 3 4 ~ 5' DATE 1 [) / 3 () I 0 1 (PRELIMINARY NOTICE, NOTICE OF INTENT TO CLAIM AGAINST BOND) WARNING TO OWNER: UNDER FLORIDA LAW, YOUR FAILURE TO MAKE SURE THAT: T7 ' i:If)'"T :- '!T!L IS PAID MAY RESULT IN A LIEN AGAINST YOUR PROPERTY AND YOUR PAYING TWICE. TO AVOID A LIEN AND PAYING TWICE, YOU MUST OBTAIN A WRITTEN RELEASE FROM: ; l n T 7 ' ~ I T ~., /o'i ': I 1 " - ': T l, L EVERY TIME YOU PAY YOUR CONTRACTOR, TO: I"~ (~ j c }),. i I ( ( :./ r-;",,: , ! . ~', T'I (" t' ( r r t i fie rl H a; l 1 Q9 ~ 1 '7,1 1 " ,'" f r> 1 \, 1 v ;- ! "7 :~ ..' ., The undersigned hereby informs you that he has furnished, or is furnishing services or materials as follows: r," T " r . L (General description of services or materials) for the improvement of the real property identified as: Z, ! 'ii ''( r L'_ r r ~ v ,) " '" 'i";':.t: c 'lll:)' " S J,.l.lU r C( / ' , ' ! 'i 1 1 l !. : L n r i \J1 L'.) t - , l 0 c k -, r l) t () () I< -, r, ,J ,1 P - U 2 2 I, t': ,. !; i . 1 ) , , I:: "; '" C , 1 I? , ---) " ' 1 ! L, :) pet ion , Tow n '> hi:, ?!" :':) n "1 e ? 1 ,^ s - e c:,;r !: p ,/ TnT r p i:'! j f lie (' cor d (~ f i'I a 5 c 0 ( C \J n t y , F l (1 r ; rl <l . under an order given by: , , "'" I L !~ I- ) T , " T T · " 1 I, ''', 1 {+ :; ~ r! Florida law prescribes the serving of this Notice and restricts your right to make payments under your contract in accordance with 713,06, Florida Statutes, If Job is bonded UNDER SECTION 713,23 FLORIDA STATUTES, SECTION 255.05 FLORIDA STATUTES OR 270 U,S,C, the firm sending this Notice will look to the bond (Surety Co,) for protection if not paid, IF PAYMENT BOND EXISTS, FURNISH A COPY TO THE UNDERSIGNED OR PROVIDE NAME AND ADDRESS OF BONDING COMPANY. FAILURE TO PROVIDE THIS INFORMATION MAY RENDER YOU LIABLE FOR DAMAGES. PLEASE REFER TO THE NOTICE NUMBER LISTED ABOVE WHEN RESPONDING, IF THERE IS MORE THAN ONE CONTRACTOR ON THE ENTIRE PROJECT, PLEASE FURNISH THE UNDERSIGNED WITH A COPY OF EACH CONTRACT, Copies to: 1, ! '\L lli.71 ;' ,'., .: ~; .~\, , l , , L_' ...... I -, {)C-;' , ;' .~~ j ) By: T " j , , ;. / '; 7 r i.... ;' 2, j i\ 1 I '.' \ '- r T 1 r r r- \,~ , r (' FIRM: ,~ r ,; T! r- "' U T "" "_ : T (~r N TAL (, " '-(;) y;" TIn,! (02 f) 7 ) " 7 'JC, -~ -, · .... (' 1'1 :',~ J V r T^,-Pi, F'. 3":6190000 ( ',' 1 '; ) () 7 - i, 5 p 1 !!- l.'''' \ I ",",:f J /\( ,j " 1 ,;, 1 J ~ , , T " ) ' n'l , !' / L 1 :; (; ') 1 '1, 7 , ! 7 (" (' 3, I T y' ".' I _) J C ;.-; : ~ '.l ", \' \ '1 '1' I L ,- I T 1 (; .') l 1 .~ /~ ILL r , :, ~I r,' f'- ~ 4, IMPORTANT INFORMATION FOR YOUR PROTECTION Under Florida laws, those who work on your property or provide materials and are not paid have a right to enforce their claim for payment against your property, This claim is known as a construction lien, II your contractor fails to pay subcontractors or material suppliers or neglects to make other legally required payments, the people who are owed money may look to your property for payment, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL. PROTECT YOURSELF RECOGNIZE that this Notice to Owner may result in a lien against your property unless all those supplying a Notice to Owner have been paid, LEARN more about the Construction Lien Law, Chapter 713, Part 1, Florida Statutes, and the meaning 01 this notice by contacting an attorney or the Florida Department of Agriculture and Consumer Services, Division 01 Consumer Service, PREPARED BY FLORIDA NOTICE CORPORA TION 16855 N.E. 2nd AVENUE, SUITE 101 NORTH MIAMI BEACH, FLORIDA 33162 DADE: (305) 653-2200 BROWARD, (305) 467 -6855 TOLL FREE (800) 329-7377 FAXi (305) 653-2996 ZEPHYRHILLS FIRE DEPARTMENT Zephyrhills, Florida 33540 38410 6th Avenue (813) 782-8184 FIr\:\L BUILDING INSPECTION Assistant Chief Robert Hartwig OCCUPANCY, 2,c.;tM 'j'A/,y u -" A-/.2J::. (;g", L )nA TK 11- 20 - <;. J ADDRESS: 3,R //6 C /)., So. 'f E BUSINESS PHONE: /f? 3-1 ?l3 OWNER/MANAGER: ~..J ~ ~#"""',f#AI Fire Chief William T, Fenton This huilding has heen inspected hy the Zephyrhills Fire Department under the codes and regulations of the 7\FPA ~tinimum Standards and other local fire safety codes, -.lS APPROVED NOT APPROVED CO~t~tENTS: O/(..I/)N< G/)v,...) AI!) (., ;:J {':. /~/1f:::.. 4IJ/'Irl.L~V,t/ 0/( (l'~k fo gc)1( UJ/~/J- ) I~SPECTOR:_ W~ cPtUcS DATE: !/--2CJ",9/ TIME: OR$O SIGNwwL TITLE: S U~ t...c..L..J.- I 06/1 i /86 als