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Home My WebLink About91-1707 STATE OF FLORIDA City of Zephyrhills Type of Permit .------- '~ ,/ " BUILDING ~"O C-Z' -~-:=.~.. ( /;~'ECTRIC~ PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 ,;; () , (;(-:; C: PLU~~B~0, Permit N~ 1707 L~ , .S --:J~ ;:-:~ " Date~? . I,:) - y / , ME~L Property Owners Name:\. /- "1/") Job Address: ..) ex '- _/ 7'- j } - /' " ,lJ ./ /t4f .<~ c:<..;l2( /,~t ;- -"" '," II' ,:S 4 ~ -~-:I", /, / :4' / pf'..t'cU ' Legal Description: Sub.Div. Lot /5' -.f () L.\ Blk. /.S '-5- Zoning CI: 0(.'/ (, / S ",5- o:.:~ ~. (! / ~) L Description of Work 1"1 ' vA/! /,} j}'"-7C, ~ 'v""1...6 (--" ~-.) ~ ~,' 1..7 /~' ) ,'4. /. ~rI1/f1--~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Fee: 9_ <v. ( 0- SIGNA'TUR~~,G-v,,:t k ~~1Lr.L ,-,,-<-52 V COMPANY ~ ADDRESS /';j'tLIii~c, t;t, TELEPHONE # /1 \.....1 Estimated Cost: z...... "/- / /~?, 0-;1) . ' All work shal! be performed in accordance with the above and all City Codes and Ordinances, .'"/ ":), OCCUPATIONAL LICENSE # \--<.:') 6 \ ,~' /.f .'::.. L. -~LUM BI~~ili-~ ..------. SLB -c. Tub Set '1/LJ,r41 I ~ Water Sewer Final M~CAL ....-........... ( '- Tp.Serv. 2L Rough In 1- .~j/ Meter Can Const. Pole Pool Pre-Meter /-IO-q-l.- Final Ftr. Pre SLB Lintel FRM.~-Lb-ql ~ Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of tI.... ,119.90) dollars shall be made for each__.Tra...de (/0>-: oi) ) (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 any further permits will be issued to the person owning same. 7&;)//R,/ APPLICATION FOR PERI-lIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT ADDRESS 38300 Fi fth Avpmip PHONE JWNER Trustee Corporation of First Baptist Church ~ Jon LOCATION 5212 Fifth Street LOT SIZE X ~, LEGAL DESCRIPTION: LOT(S) 19 & 20 BLOCK 155 SUBDIVISION PM~CEL I. D .l~_, 0010-15500-0190 782- 5574 ,,\PPLICANT Future Builders of Florida AREA SQ. FT. \WRK PROPOSETl:_Ncw Construction _Addition -LAlterntion _Repair _Install _Sign/Temp. _Sign _~love _Demolish PROPOSED USE: _Single Family _M/F )_l~ of Units ._~l/H _Commercial ____Indust. ____Swim. pool Other _Restaurant & Health Department Approval BUILDING SIZE: RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORM$,H COmlERCIAL: ATTACH (3) SETS OF BUILDING pLANS & (1) SET ENERGY FORI-IS. H **COPY OF CONTRACT REQUIRED. x Square Fee t, Height V"BUILDING PF.RM1TS REQUESTED 7J 7 7 h r ()()' Valuation of Total Construction , $ _ELECTRICAL Al'lP Service Florida Power Corp. _H.R.E.C. _~IECHANICAL $ Valuation of Mechanical Installation _PLUMBIN'G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SEr~~ . Comp'any ''.L(;r ~,/~ a&.., Ej;f State Cert. or Regist. 1F ,'00 ':)..c:') Ci ty License Regis tra t inn i~ ~ 1> ~ '*********~******************************* Signature Company ~f)K1t){/ t){C, State Cert. or,Regist. ff City License Regis.tr,ation W' '1/ *******************************~**~******* Signature Company State Cert. or Regist. i~ City Lic~nse Registration ~ ****************************************** pT.mmER Signa ture Company State Cert, or Regist. 0 City License Registration 0 ********************************~********* tlE..Gllb N 1 C A 1, 'I> Signature Company St'ste Cert. or Regis t. jf City License Registration ff .eiTHER APPLICATION APPROVED BY ~~~**~~******~* ******~****~,~,~~~~~~~~~*~,~~ l ^ ^. .. ..", , / " ,... . ."...".."................ n Ill. V: L\ ' , ,.)\.~1'1 ') I - ,- " 'j PERl'lIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A .' NOT r CE OF DEED RESTR I CT IONS The und~rsign~d understinds that this permit may be subject to "deed restrictions" which may be nore restrictive than Cilj regulations, The undersigned assumes responsibility for compliance with any applicable deed restrictions, , ' , 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the own~r has hired a contractor or contractors to undertake work, they may b~ required to be licensed in accordancp "ilh state an,d local regulations. If the contractor is not licf.'nsed as required by Lit/, l)(,lh Ihe Ollner and contrac\e,r nay Ill' cited for a ~isdemeanor violation under slate law. . If the owner or inlended contraclor are uncertain as to what licensing r~quir~gents may apply for the intended work, they are advised to contact the City of Zephyrhills Building Departeent, (813) 788-6611. Furthermore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor!s) sign portions of Ihe "Contractor Sections" of' this application for which they will be responsible, If you, as the owner sign as th~ contractor I you are indicating that you, rather than the contractor, are responsible for thp work, If the contractor wishes you 10 sign as contracte') that /Jay be an indicatic,n that he is not pre,perIy licensed and is not entitl~d te. perlllitting privileges in (t,e City of Zeph~rhiIIs. 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 provid~d 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 SD~~on~ other lhan the "owner", I (ertify that I have e,btained a copy of the above described de,cument and prc'fflise in ge.od foi th to d~1 iyer i I I." thl "owner' prior to cOlmencement, E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all "ork "ill be dDne in co~plian(e wilh al I applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a per~it to do work and installation as indicated, I certify that no work or installation has com~enced prior to issuance of a perait and that all wDrk Hill be performed 10 roeet standards of all !~ws regulating cDnstruction, City codes, zoning regulations, and land development regulations in Ihe jurisdiction, I also certify that I understand that the regulations of other governmental agencies roay apply to the intended "ork, and that it i~ flY responsibility to identify \lhat actions I must take to be in cc1mpliance. Such agencies include bill ~le not lillited tCi: I Department of Envir'onmenfal ReQulation - Cyprelis Bayheads, Hetland Areas Lind Envire,nment:dly Sensi ti\'~ L3nds, Water/Wastewater Treatment f Southwest Florida Hater "anaQe~ent District - Wells, Cypress Dayheads, Weiland Areas, Altering HatercDurses I Ar~y CorDS of Enqineers - Seawalls, Docks, Navigable lJater>>ays f Depart~ent of Health L Rehabilitative Services, Environroental Health Unit - He11s, HasleHater Treat~en~. Septic Tanks f US Environmental Protection AQency - Asbestos abatement I aIsh' ce'rti~y that,.i.f.fi,jJ .l\atDriaJ is.,to ~e used in Fle.od Zone "A" or "I~,etc.', it is understc1e,d th3t a drainage plan addressing a '''coJllpen!-at..il1g volume" will be'subftliHed lihich is prepared by <l.pn,ff:5!i.i.c.na! enl]'ineer li?qistf~e~.in the Slide c> Florida prior to permit iS5uftnce. - \ A per~it issued shall be construed to be a license to proceed with the Hork and ~Dt as authority to vroJ~teJ cancel al t~r, set aside any provisic.ns of the technical c(.des, nor shall issuance of a pl!rmit prcvrmt the Building Official ffC'~ ll,PI0i,ft requiring a correction of errors in ~lans, construction, or violations of any code. Every permit issued ~halI becoee inval unless the work authorized by such perlllit is COlllmenced within six. months o'f issuance, l.rif "l'lel\'f;.aulhcOI Hed by the pu,lil i suspended or abandc,ned fe,r a perie,d of six tonths after the time the 1I0d; fs cor.lmenced, One 90 day i?~t.:j,SiCI\I of ti6e, lI.al allowed for the permit Hith fee charge of $15.00. The extension shall be requested in "riling to the Building Officj~l. ~ approved inspectie,n roust be le,ggedduring each six lIlDnth period, or the project l'li II be .ceonsid!?red dbaiidoned. . ~l ., " " .:' ~ . 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 YOU~ LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALL DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATlJRE~~_~-------- ";ll'''-_~~,_~;'il-~v0. g - S' --7/ DATE______ar:_~=2!_________________________ NOTARY AS TO ~ . OWNER OR AGENT __ ~_~---,-- Nola-ry Publ\::. ~te 'of FloriiflJ MY COMt1ISSION EXPIRES__IIITIlomflli5&i~~..2..1~Z. DA1E__________________________. NOHjiW AS Toll 1211 A, /1 C(}NTn{iCTOn___f~K~ ... ' . . -,...-. " . ..-. .-~._- ....-._---_.. ~lY Cml~lI 55 I ON EX P I1H:B~t~J'JiE1J.e.!. ~~!~..~~n6trd! My Commission ExpireS Sept, 2. 1992 APPLICATION FOR PERMIT CITY OFZEPHYRHILLS BUILDING DEPARTMENT ^PPLICANT FUTURE BUILDERS OF FLORIDA ADDRESS 38300 FIFTH AVE.' PHONE ,( 8 1 3 ) 7 82- 557 4 OWNER TRUSTEE CORPORATION OF FIRST BAPTIST CHURCH Jon LOCATION 510 - 5th Street LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) 19 & 20 BLOCK 1 55 SUBDIVISION PAH.CEL I.D.t~ 0010-15500-0190 WORK PROPOSED:____New Construction ____Addition -2l-Alteration ~Repair ____Install ____Sign/Temp. ____S ign _Nove ____Demolish PROPOSED USE: ____Single Family ____M/F J____t~ of Units .____N I H ____Commercial ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMl'1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS.** **COPY OF CONTRACT REQUIRED. x Square Fee t, Height PERMITS REQUESTED ____BUILDING $ Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. H.R.E.C. ____MECHANICAL $ Va~uation of Mechanical Installation ____PLUMBIN'G .... GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. Signature , CONTRACTOR SECTION ...... - . Company F<-< '?~tL(;:- ~u ,L.-?~,(.J 0';-::' FI, ~ ~ State Cer't, or Regist, II. 12. ~ 00 'T 7 -;;"?>r ~ /lA. 4"'~' City License Registration. it * **************************************** ****************************************** }3IJILDER ELECTRTCTAN Company State Ce~t. or,Regist. ff Sip.:nature City License Registr?-tion W ****************************************** PLUMBER 1"1 Company 01 . ~\Q nI / State Cert. or Regis . il Signature flU t:J7:iV- City License Registration ****************************************** Signature Company State Cert. or Regist. tl .City License Registration iF ****************************************** MECHANICAL OTHF.R Signature Company State Cert. or Regist. ff City Licerise Registration ff ****************************************** 'Ii "~'I APPLICATION APPROVED BY J J CLH.J1.C,( '>/1 ('/)/It,,..~PERl'IIT OFFICER. \ \ 'J CONDITIONS OF PERMIT AFFIDAVIT A" NOT r r:E OF DEED RESTR I CT IONS: . The und~rsignrd understa~ds that this perlit lay be subject to "deed restrictions' whic~' roay be more res~rictive than City regulations. The undersIgned assullles respons'ibi1q~f~f compliance Hith any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may b6 required to be licensed in accordance wi th state and locel regulations. If the contractor is not licensed as re,quired by law, both the olfner and contractor nay be cited for a lisdemeanor violation under state law. , If the owner or intended contractor are uncertain as to what licensing requirelents nay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departeent, (813) 788-6611, Furthermore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor!s) sign portions of the 'Contractor Sections' of this application for which they will be responsible. If you, as the OHner sign as the contractor , , . ' you are IndIcatIng that you, rather than the contractor, are responsible for th~ 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 perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTI~ITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED> I certify that I, the applicant, have been provid~d ~ith 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 SOllleone other than the "owner", I cert~fy that I have obtained a copy of the above described document and proiise in good faith to deliver it to lhe "owner" prior to cOlmencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all w~rk will be done in co~pliance with all applicable laws regulating construction, zoning, and land development. Application is hereby ,ade to obtain a perlit to do Mork and installation as indicated. I certify that no work Dr installation has cO&lenced prior to issuance of a perait and that all wor!: will be performed to ~eet standards of all laws regulating construction, City codes, zoning regulations, and land devel~prnent regulati~ns in the jurisdiction, I also certify that I understand that the regulations of other governmental agencies may apply to the intended llork, and that it is ay responsibility to identify what adit,ns 1 must take to be in ce'llIpliance. Such agencies include bill ~le nol li.lited lo: I Department of Environmental ReQulation - Cypress Bayheads, Hetland nreas and Environmentally Sensitive Lands, Hater/Wastewater Treatment I Southwest Florida Hater ManaQeaent District - Wells, Cypress Dayheads, Hetland nreas, Altering Watercourses I ArJY Corps of EnQineers - Seawalls, Docks, Navigable Waterways t DepartMent of Health ~ Rehabilitative Services. Environmental Health Unit - W~lls: Wastewater Treat~en~. Septic Tan~s I US Environmental Protection AQency - Asbestos abatement, I also certify that, if fill material is to by used in Flc,od Ze.ne "n" or "/\,etc,', it is underste,(,d lh3t a drainage plan addressing a oco.pensating voluae" will be sub.itted Hhich is prepared by a professional engineer regisl~,ed in the Slate 01 Florida priCtr to permit issu.ance. . . " A perait issued shall be construed to be a license to proceed with the Hork and not as auth~rity to viol~te, cancel a!lrr, I set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Official frD~ thel ~rti requiring a c~rrection c.f errors in phns, ce.nstructie.n, or vie.lapons of any cc.de. Every permit iSSlIlld ;hall bece'le il"lal: unless the work authorized by such perllit is to..enced within sixiaonths of issuance, Dr if work ~uthorlzed by the per~it i' suspended or abande.ned fe.r a peri~d of six lonths after the ti/lle the lIort. is' commenced, One 90 day (o~l"iisi(ill e.f tile, [I.1t ! all~wed f~r the per~it with fee charge of $15.00. The extensi~n shall be requested in writing to the Bui1din9 Officiol. ~ approved inspectie.n f.lust be logged'during each six lIIonth period, Dr the pr(lj~d liill be [(.nsidered iibcllidCtnc-d, 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 YOUA LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN \)(lLU DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATU ...:~_ _h_~' _ _~_________ SIGNI\TUIL _ L'__ _M_ ~!A~~~. ~ OR ~-- ~:Tun 1::/o.,.Y.r.. . DATE____5~_[;~~1J__------------------------- DAlE ! ,; ! ------------------ ------ -- - - _...-- --, NOTARY AS TO \. ' _ .' \ t, _ I OWNER OR AGENT_:~~~~~~Ly~~~b~~~~~~~~-----~ I NotarY l'o'61tc, 'Stal~ "Of t10rtaa MY COMMISSION EXPIRES__JQ~m~~~~~!~~!~~~0~! NOH-\RY AS TO ( \ C OH T f\AC T OR _ _ "':'.:l1~:.. :..:_l_ t:...:t~ 3"-:.:.. ..:.12.1...0..'!;;.' ,D/ MY C()!'lm SS ION EXP I nc';) Notary PublIc, state ofFlOi-lda flfy-Currrm1SSlO1IUpTre; "Sept. 2. 1992 ZEPHYRHILLS FIRE DEPARTMENT Zephyrhills, Florida 33540 38410 6th Avenue (813) 782-8184 Flr\AL BUILDING INSPECTION Fire Chief William T. Fenton .- ,) OCCUPA~CY: /7<1..5/- 13/'1-2(7 s,~ '/'/ l._'/;-c.) /LeJt DATE: 1_/ 7-c; :z- Assistant Chief Robert Hartwig ADDRESS: ~- j- I 1- en"'" S r BUSINESS PHONE: 7'8"2.-.5"57'/ OWNER/MANAGER: This building has been inspected by the Zephyrhills Fire Department under the codes and regulations of the :'\FPA ~1inimum Standards and other local fire safety codes. 1 APPROVED NOT APPROVED CO~t~tEr\TS: ~ & U7~.LJ //-17.5 U),~(eN/') /\/~,o C 0 h~ au, L.JO"^-~~ fl;-JZl./~ , 1?/f./7 INSPEcrOR.M~c::7'w ~ Q~} \~r\ ~ 4 !jY 0- f}J 1Yj11l' ? DATE: /-/'",7 -7- ~ TIME: /.JC'JCJ /~ , SIGNEQ~ " "" /'- V::,//,t "'i Ie' / . v TITLE: ,/" ,2 ,{.:J 1/i:,:1' Ofl/I7/86 als