HomeMy WebLinkAbout92-2026
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
'IS": O?J 1-813-788-6611
Type of~~rm it c3 0 :_.t!TO ;2.() ~ 0l:J / .& (j ~
C~/;UI~ ~'-1"CECTRI~A~/5p~U~ C/MECH;NICAL)
Property Owners Name: ~ -+-? ,~~~
Job Address: ~,/:.:Lt::, -....s-.;z;(..ff
Permit Nt.:'
2026/3
/ - 7 -~ /
Date
Legal Description:
Sub.Div.
Lot
Blk.
ZoningCI: /1- ~,6 - ;l../-OQ/O - 6 q/tJ () - t'5/S0 -- 3D
DescriPtionofWork~~~ .:7..k-Ad!
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: ~ ...s-1/3 ~ cT7J
,-
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE /I
I~
Fee: /.~.~{ IJV
SIGNI<T'flJ / tt ~
COMPANY
ADDRESS
TELEPHONE /I
~~ /)tA~
B JILDIN~
~AA-<b fir /~~~d >~~ .
~, ELECTRICAL ,/ MECHANICAL' :<..
SLB Tp.Serv. ---------
Tu Rough In Breakers
W r Meter Can Ducts Insl.
Sewer Const. Pole Compress r.
Fi Pool Final
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
Driveway
.&~If~ J-lJ,4/LO,#-
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 PERl-lIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTHENT
OWNER
3#~C/ PA)& '~C-
/ 1 ~ ~ . ). ,.d';;~.? /
/';; IV · nz,u y::sro
13~fA-N If ~ ,JlHA-fA
JOB LOCATION S-r;~ ~ sliL j7 LOT SIZE
LEGAL DESCRIPTION: LOT(S~' / 3>-/4-- IS- BLOCK q I SUBDIVISION
PARCEL I.D.~~ I J - L,&' - 'j( ~'OOIC> - 0 q I tJ () - 0 I 30
PHONE ft7-)~f2-
I-I~to'"
APPLICANT
ADDRESS
x
AREA SQ.FT.
- ~?D ZII
WORK PROPOSED:____New Construction ~Addition ~Alterntion ____Repair ____Install
____Sign/Temp.
PROPOSED USE: ~Single Family
_Sign
_Hove
_Demolish
,,:,,-M/F
____~~ of Uni ts
,._H/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 FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS.**
**COPY OF CONTRACT REQUIRED.
V
_BUILDING
V
____ELECTRICAL
~ECHANICAL
$
valuation of Total Construction
~Florida Power Corp.
_H.R.E.C.
$
Valuation of Mechanical Installation
,.t#'.. .
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block
____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
~ONTRACTOR SECT~ 1'1' {b .J-~-
. Company ~ y y-e--v
State Cert. or Regist. il C19~-O/O?,2jJ
City License Regi;tration il /5-
********************************
Signature
:!:::~:d ~. Company (J(I/l'i?Eht'd< 56/-di:G"
...~ . Tn /1 /I S~ate ~ert. or R<:gist. . il OcJ/.a/~/
_1______ _ . ~ C1ty L1cense Rer;1.str:J.t1on il 6lLJ~
- . .. ~...........................*..*;...,.*".
PI,tJMBE~~~~ company..s TEVt?~.S' ~t:. ~L'/"7 -61' "c/y
State Cert. or Rcgist. !.f I!. rOo ~~Yb~
Signature City License Registr:J.tion il / / S-
MEeHANI"A! ~ . I/~:;~"""':::::::'~::::~;:~~~~/.f;et~~-cr
?7 ~ ~ State Cert. orl7ecist. Ii &ma7/J'~/
Signature . City License Registration i.~ ;l
******************************************
Signature
Company
State Cert. or Regist. ff
City License Registration 1
OTHER
APPLICATION APPROVED BY
~********~***************************
.aAA~(j ~ €I\ ~ .
PERl-lIT OFFICER.
CONDITIONS~O~ PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The.undersigned understands that this per.it lay be subject to "deed restrictions' which ~ay be Dore restr1ctive than City
regulations. The undersigned nsulles respDnsibiHtf~for,.co.pHance with any applicable deed restrictions.
\ . ,!w'- ,-
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S
If the o~ner has hired a contractor or contractors to undertake llork, 'they lay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the Ollner and contractor nay be
cited for a lisdeaeanor violation under state laM.: ,If the Ollner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended llork, they are advised to contact the Cily of Zephyrhills Building Depart.enl, tBI31
7BB-6611. ' . . ,.
Furtherlore, if the Ollner has hired a contractor or contractors, he is advised to have the contractor{sl sign portions of the
"Contractor Sections" of this application for llhlch they llill be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
as contractor that aay 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 provi'ded llith a copy of "Florida's Construction Lien Lall - HOleollner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sote6ne other than the
"ollner', I certify that I have [,btained a. copy of the above described dc,culllent anti prc,mi~e in ge,od faith to deliver it to the
'ollner" prior to cOllencelent.
.. :\..:.r.....\::
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work Hill be done in coapliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit t~'do Mork and install~tion as indiCdted. I certify that no work or
installation has cOlmenced prior to issuance of a per.it and that all work will be perfor~ed to ~eet standards of all laMS
regulating construction, City codes, zoning regulati~ns, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies ~ay apply' to the intended work, and that it is
IY responsibility te, identify what actions I lust take to be in cOlllpliance. Such agencies include bill ,;Ie 1'1('\ linited \0:
.....
Tanks
I also certify that, if fill aaterial is to be used in Flc,od Z[,ne "A" Dr "~,etc.', it is underste,e,d tl.,t a drainage plan
.dd""ing . ',.'p,n,.ting ,.1",' .i11 b' "b.ltt,d .bi,h I' pr,p."d by . "of,"i,".1 ,ngi.." "",t"., in th, St.t, .1
Florida prior to permit issuance.
A p".it i""d ,h.11 b, ,..,t",d t. b, . l",n" I. p,.",d .,th tb' ..,k .nd ..t ., .,th.,ity t. .i,I.I., ,.n,.1 .11." .,
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offici.l fro~ thereafter
",""ng . ",r"li.n .1 ",." in p1.n,; ,.n"",ti.n, ., .i.1.t,.n, .f .n, ,.d.. ,,'" .",il ",." ...\1 b,'o" 'n..lid
unless the work authorized by such permit is com~enced Mithin six months of issuance, or if 1I01'k au\hol lied by the perli\ is
,"p,nd.d ., .b.nd.n,d f" . p"'" .f ,i. ..nlh' .ft" Ih' tl.. th, .." ",...,""d. ... II d., ..t...i.. .f "", ,'y b.
alloMed for the per~it with fee charge of $15.00. The extension shall be requested in "riting to the Building Official. An
approved inspecti[,n /!lust be l[.gged during each six Mnth period, [Ir the project Iii J I be ce,nsidered ilbal,doned.
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".
SIGNATUR~~~ < SIGNATUREilb<<-ddf~-- ~
OWNER OR AGENT ~ONTRACTOR ~--
OATE_____ ~~--,~J~-L~Cjj-- OATE____~c-~J1-1:l~J------------
NOTARY AS TO .~. ~' , . .
OWNER OR AGENT . .
---- - ---;'~;y pu~~- te 0 Florld~ ~
MY COMM 1 S3 ION EX P I RES ___~~C~~~i.:.S.!.9.::~x.E~e!.~~e_2.!~~~
NOTARY AS TO~
CONTRACTOR_ __ ----- -~- -- -----
_, Notary pu Ie. St te of Florida.
MY COMM I 55 I ON EX P RES My commission Expires June 21. 1993
, ------------------
".
Permit No.
NOTICE OF COMMENCEMENT
State of
rLo~~
County of
,i~~~O
THE UNDERSIGNED hereby gives notice that improvement will be made to certain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Conunoncomont:
1.
Description of Property: Parcel No.
/ /- 2~ '-dl- 001 b- oq/OO-
2.
30 - ?>c) z-H
(Legal escrlptlon of the property and street ad ress lf avallable)
General Description of Improvement 1# b!e~K ~~~/~ ~vI'~c-"
/l.l>,{) d!~~f.-, ~'7h-'</-frl4.j C!..~y~ /0 ~/A/.i1t? c.u
/JPiP RI9.?/~ C5~~'c;/C.; v'-~~.p,4/ ~ALJA..J7- ~A/ncHft/~7
1S1G)ft?J /-/ - ~ PA-u.-h- IIE5/~l
City c:2rd'IfyRt'~//:!>
Owner Information: Name
3.
;,
Address ,?-y.~ (;( tS'1-
State
lL(
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
7. Persons within the State of Florida' designated by Owner upon whom
notices ~r other documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a . copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year
from the date of recording unless a different date is specified.)
Signature of Owner: IIJ:r::: 4 $d~ ~~
Sworn to and subscribed ~fo~~ me this 3/-sJ- day of ~ g~
19 q/ .
,otary Public: ~ ~)"-f~ f2A-.
.. '. otary Public, State of Florida
1y COmmlsslOn EXplres. MvCommisslon F.nlrP< /"no 11, 111l1J
,
)
)
5ftfl 0 Lt D(V.'
Hou~ing Rehabilitation Project
Community Development Block Grant Program
City of Zephyrhills, Florida
,
Unit: 5426 5th Street
Zephyrhills, FL 33541
Project Number: ZH-5.48-6
OWner: Brian and Paula Heston
Proposed Improvements:
.1. Replace windows (3) in front two bedrooms,
and 4 windows in front room Cost $ 895.00
2. Replace front screen door/door jam Cost $ 280.00
3. Install handicapped ramp at front Cost $ 785.00
4. Re-wire complete house w/ minimum of
150 amps.
Cost $ 2. 675 .00
Cost $ 2.368.00
5. Install CHA with heat pump
6. Install handicapped access shower, replace
hardware in second bathroom Cost $ 625.00
TOTAL BID:
$7,628.00
..
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F' 02
see
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SANDY DEVELOPMENT COMPANY, INC. 1723 North Highway 301. Dado Clly. FL 33525 . (904) 5G7,7992
Fax 5G7.SGHil
CHANGE ORDER
C-J
ORDER.. # I
JOB NAME: Hes~
f&hab
~~J
DATE: J2~ / '-~ -q '-__
Sq.~ S:Jd-.. .:sirrd__
add, "-d.i2~
CHANGE SPECIFICATIONS;
wl) nd.Du )6-
.
MATERIAL; 'r
!.AllOR; ...-J
~~s-. vV
LESS ALLOWANCll;;
. f
o
SUB TOTAL:
o
CON'l'RACTOR FEE ' ~
.' .
COST CHANGE:
Dilte:
OWNER:. ..
CON'I'fu.\CTOR : ~_._.___.. _ ___
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