HomeMy WebLinkAbout92-2025
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
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Properly Owners Name: ~ ~"d
Job Address: c.3R:3......~~ _
Legal Description:
Sub.Div.
Date
2025/3
j- 7-9/
Permit N'!
Lot
Blk.
Zoning CI: / f -.:J-I. - ;)..j - tI 0/ 0 - /..li.O -d:z2Jz~ / Q -3 D
Description of wor(K ~ ..-:nr-z1 T....t\..1.-" ~_---!
r yt-J,t; 2-
lP ''fJ~.ff
Fee: ~~ ~
SIGNATU- ~ · d'.kJ. . --
COMPANY
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: ~Yt.f d.., t:T7J
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE /I It'
,,~
. BUlL
~~ /~-
"'- PLUMBING" /
Ftr.
Pre SLB
Lintel
FRM. 1-15 -ll L f) ~
Insul.CL
WL
SLB
Tub Set 1- J5 ..ql BtJ)
Water
Sewer
Final
Driveway
ADDRESS
TELEPHONE /I
~~A/~Ill
ELECTRICAL ) ~ MECHANICAL
Tp.Serv. ~ ~
Rough In J - , S-..qL If'r
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Reinspections: 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 any further permits will be issued to the person owning same.
APPLICATION FOR PERI-lI.T
CITY OF ZEPHYRHILLS
BUILDING DEPARTl'1ENT
JOB LOCATION
.::5AAJtJ tl b&iJ:', (10 '-:;-jL/~
J7~ 3 /:;U /~:'v ~~ /
5~;J # /I~4U'dJ
Jg-7)/o f/g ?'2-L)
LEGAL DESCRIPTION: LOT(S) )~ L/ BLOCK/tr;3 SUBDIVISION
//::2& ~:2-:1 ~ CJO/O - /,y 300 -00/0 .- ;JC';J2#
PHONE
t:JtJ1"~.sb7-7~~.2:..
APPLICANT
ADDRESS
'.
OWNER
LOT SIZE~X
AREA SQ. FT.
PARCEL I. D . j~
WORK PROPOSED:____New Construction ~Addition
~ltel"ation
____Eepair
____Install
____Sign/Temp.
PROPOSED USE: ~Single Family
_Sign
_Nove
____Demolish
~M/F
_j~ of Units
,._l'l/H
_Commercial
_Indust.
____Swim., Pool
Other
_Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS.H
**COPY OF CONTRACT REQUIRED.
t/ BUILDING
VELECTRICAL
$
..3 ytfj ~~
PERMITS REOUESTED
AMP Service
V~luation of Total Construction
~Florida Power Corp.
H.R.E.C.
_MECHANICAL
~PLUMBING
$
Valuation of Mechanical Installation
.... .
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block _Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
~ONTRACTOR SECTION
Company
State Cert. or Rcgist. U e
City License Registration a
************************************
Company Cb#~/:I/
State Cert. or Regist. 0
City License Registration ;!
******************************************
-
5"d-'7!t/ C!C
t70/ 21 0/- /
.;J. 0 C:.
Signature
Company 5 ;?!l/aJ...s
State Cert. or Regist. a
City License Registration
******************************************
1'ft;1~:f"4-
i!~~ //..\
Company" ~~
State Cert. or hegist. a
City License Registration 1
******************************************
MECHAN1CAL
Signature
OTHER
Signature
Company
State Cert. or Regist. 0
City License Registration 0
APPLICATION APPROVED BY
~********~***************************
. 'LlA1...-l ~ €/!.AA.J- .
PERIUT OFFICER.
.",
CONDITIONS;O~.PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
.
the.undersigned understands that this perlit lay be sub1ect to "deed restricti~ns" which ~ay b~ ~ore restr,ictive than City
regulations. the undersigned asSUles respDnsibpity.;hr;.colpHance lIith any applicable d~ed restrictions.
. . : ~I'~. . . . ,
'. I,
E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractDrs to undertake lIork, 'they lay be required to be licensed in accordance with
stlte Ind local regulations. If the contractor il not licensed as required by lall, both the Olfner and contractor ~ay be
cited for a lisdeaeanor violation under state lall.;If the owner or intended contractor are uncertain as to IIhat licensing
requirelents lay apply for the intended lIork, they are advised to contact the City of 2ephyrhills ~uilding Departlent, (813)
7BB-bbll.
Furtherlore, if the OHner has hired a contractor or contractors, he is advised to have the contractorts) sign portions of the
"Contractor Sections. of this application for which they Hill be responsible. If you, as the ollner sign as the contractor,
y'u ". i,di,,'i'g lh,l y,u, ,.Ih., lh.n Ih. ,.nl,.,I,r, .,. ,.'p,n,ibl. I" lh. ."k. II th, ",t,."" .i,h,' y" I, ,ign
as contractor that lay be an indication that he is not properly licensed ~nd is not entitled to 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 lIith a copy of .Florida's Construction Lien Law - HOleoHner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOle~ne other than the
.oHner", I certify that I have obtained l cripy of the above described document and promise in good faith to deliver it to the
.owner. prior to CO.lencelent.
.. : 1, -t '~:~., 1,_ '. ; : .
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all worr. lIill be done in coapliance Hith all
applicable lalls regulating construction, zoning, and land development.
. "
Application is hereby .ade to obtain a perlit to'do lIork and install~tion as indicated. I certify that n~ w~rk or
installation has co..enced prior to issuance of a perlit and that all work lIill be performed to $eet standards of all laws
regulating construction, City codes, zoning regulatiDns, and land development regulations in the jurisdiction. I alsD
,.,'ily Ih.' , "d"".,d 'h.l Ih. ,.gul.li,n. ,I ,lh.r g.v.",.n,.1 .g."i" "j ."Iy t, th, i"t"d,d "", .,d lh.t il i'
'y mp",ibl Ii ty ,. id"lIly .h.1 ,,",,' I ",I h'. " b, i' coop Ii .",. 'oo" """d" i "d.d, ""I '" ,,,' Ii .il,d too
...
I Depart.e~t of Envir~nlenia\ ReQulation - cypr~ss Bayheads, Wetland Areas and Environmentally Sensi \i\'~ Lands,
Water/Wastewater Treatlent
. Southwest F\~rida Water'ManaQelent District - Wells; Cypress Bayheads, Wetland ~reas, Altering Haterc~urses
I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable Waterways
. ~p""'" ,I H,.llh , R,h.bilil.liv. ,.,vi"', Envi"".,I., H..llh ",it - "II., ",t,..." ]".."". S.pti, 1.'"
t US Environaental Protection AQen~ - Asbestos abatelent
I also certify that, if fill latl?rial is to bl! used in F1'c,od Zc,ne "AR Dr "I\,etc,', H is underste,e,d lIdt a drainage plan
.dd,."ing . ',..p",.li'g v,lu." .ill b. ,uh.lll.d .hi,h i, p,.p.,.d hy . p"I.,'i".1 ,'gi,'" ,'qi""" i, 'h' ,..,. ,I
Florida prior t~ permit issuance.
. p.r.il i",.d ,h.11 b' "n,'r.,d " b. . li,.n" " p"".d .Ilh Ih. ",' "d "t ., .uth"i'y .. ,i,I;", ,.",1 .1'." "
,.l .,i" ,'y ",vi,i,,' ,I lh. I.,hni,.i ,.d." n" ,h.11 i""'" ,I . p."il """t 'h, "II'i'9 ,lli,i,1 1". lh"..ll.,
"qui "'g . """Ii" ,.1 """ in p""'; "",1",\1,,, " vi' I,ll '" ,I "y "d.. E"'j ,,,.il i ""., ;t..1\ h"''' i ".1"
,,1'" Ih. ",' .. \h" i "d hy ",h p." il 1, ,,,,,nted .ilh in'" '" l h' ,I i "" "'" " if '"' l '" II"" ",d by l h' P '" il i'
,u,p.nd.d " ,b.,d."d I" . p"i,d ,I ,I. ."Ih, .1'., 'h. ,,., lh, .", i, "...".,. p,," d., ,.I,.,i.. .r Ii." "y b,
.11,..d I" 'h. p.r,il .ilh I,. ,h.rg. .1 'i5.00. lh. ..I."i.n ~.II h. ,'q".t,' i' .,I.i.g ,. lh' ,.II'i'9 Olli,i.l. ..
approved inspecti(.n r..ust be le.gged during each six lIonth period, (.r the prtojl:cl Iii 11 be c(,nsidered abdl,de,nfd.
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. JOGS UNDER $2,500 IN VALUE
::G::~ij/~:/~~~:S~:_~'~~TICS~G:~Tu:;;;LM~--_
~NER-DR~--- -~CDNTRACTOR
DATE___~__~-3.L-JL~L------------- DATE_____:D~c-.0-~~-fnL---------
NOTARY AS TO ~~ . '
OWNER OR AGENT . .
--- - NotaryPubliC:S te 0 :'f1Q;ida:- .
MY COMMISSION EXPIRES__~~~~~~s~~~~~:~~~~~:~-
NOTARY AS T~ . .
CONTRACTOR ~ . - ----
. - --- -- --N-;;~ry pu c,ate of Florida
MY COMMISSION EXPIRES My Commission Expires June 21. 1993
, ------------------
Permit No.
NOTICE OF COMMENCEMENT
Sta te of
F/-ut/.R. /;,:)/9-
County of
,P.~ 0
TilE UNDERSIGNED hereby gives notice that improveinent will be made to certain
real property, and in accordance with Chapter 713, Florida Stntutes, the
following information is provided in this Notico of COITUnOnCOlllon t:
1. Description of Property: Parcel No. / / . 2. b - 7__ (- O()/O ... / g)OO - COI D-
"8 D 2... H-
(Legal description of the property and street address if aVuLluble)
2 .
General Description of Improvement
/( E~tP~ 3#~;7"~~/+-l
;,
.
Owner Information: Name STEVEN /1- /.rJtt/#/J4Et L
Address j~7t/o .f~~ City ~//l-y4'7/t'~ Stntc Fe
Interest in Property:
3.
Name of Fee Simple Titleholder:
(If other th~n owner)
City
.....
State
Address
4 .
Contractor: Name
z5~I>9'
/7;;..J;ttI ~11J1
~g-vl ~
City rl1~e
~~-
Address
tt~
State
/--L
5. Surety: Name
City
Stilte
Address
Amount of Bond: $
6. Lender: Name
City
State
Address
.1'.
,~
7. PersoI).s within the State of Florida designnted by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
Name
City
State
Address
(3. In addition to himself, Owner designates
of to receive a copy of t~c'
Lienor's ~otice as provided in Section 713.13(1) (b), Florida Stntutes.
9. Expiration date of Notice of Conunencement (the expiration date is 1 yenr
from the date of recording unless a different date is specified.)
Signatureoi6wner:4ad'~ ~
S\olOrn to and subscribed before me this \3~ day of :f.)..P tJ'O Jh4...bl"l ~
19...9.l- .
~-~
'Jotary Public: '5tIvJ, ~...A--
. .... . . ; . Notary Public. Stat of Florida
-1y Conun1.S .,,1.0n Exp1.res . My Commission EXDlres lunA 71 1993
') )
Housing Rehabilitation Projoot
,~oJl'lIluni ty Development Bloc~ Grant Program ~..
City of "ZephyrhillB, Florida. : .
unit: 38540 4th Avenue
., Zephyrhllls, FL 33540
Project Number: ZH-S.48-10
owner: Mr. steven Hummel
proposed Improvements:
1. Re;wire bathroom as needed, add GFI
2. Repipe, connect' water and sewer for
bathroom and kitchen
3. Finish ba~hroom, drywall, paint, add
hy .li~.es a.nd. vinyl flooring .
&!iI'!!H.IHf~. n 7t;- - k,6g- ~~IJ Ftr~A6'5
IP~.rAt'.&- PlF'w,.e,J t.?A-{.Ptr
TOTAL BID:
cost $ 1)41) 00
coot $~~~ it~m #3
COB t $..3, 1 00 _ 00
$ l, h~ S 00
.,
Alternate bid: ~epair tin roof
Cost $ 1 Q7 00
~
SANDY DEVELOPMENT,CO., INC.
1723 N. HWY 301 .
DADE CITY,lFL'J3525
(904) 567-7992
::- f>.
,
BY
DA~E:
/~-b-7/
Williams'
~
"lo.