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Home My WebLink About93-3273 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 B/ PLUM~ MEC~ P,opertyOwne, ~~- ,Sf~ J"-+ gA~~ ~\l"'c-I-\. Job Address: --'- _ ..J _ _--L- .~/l2 - ~ Permit N~ 3273 c.. okro-/Q3 Date Sewer Conn Wate,r Conn: Water Meter: T.I.F.'s: Parcell.D. # Zoning: Description of Work Energy Code: /00 J}f"V\i) , Radon Gas: LOA P afi\ \,pL f"o~ 14/c... NO OCCUPANCY BEFORE C.O. FINAL 5"...2- ~ r-C,]; DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Valuation or J~ Contract Price A - t City License Registration # State Certified License# Inspector ~.~ ermlt Fee .L ./'! Signature 1 ~(---~~ Company Address Telephone# BUILDING Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway fZ.~1-D a-AN~U. #7-,-,/0 ELECTRICAL PLUMBING Breakers Ducts lnsl. Compress r Final a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICAnOl!ll FOR PERKIT CUT OF ZEPIIYKIlILI..S BllJIIJ)IIiG DEPARIIIEl!lIT / .. c-f1f~1. . OWER'S MAttE ~ !lUS /!Cg WK/'cfteA//tfAI tf r )2;;;Ys7 ~(i9 PuoIlE ~ 5- ?;;P:2- :S-~7Y OWNER'S ADDRlTSS '-.~ g-c~ 00 7I7'?11 At:/K/VJ!L _)/2 z- _51 X rt\ .A?I: .JOB ADDRESS LEGAL DESCIUPI'I01I: I.OI'(s),,) (:)?), 5-42 t/ BLOCK /f:r SOBDIVISIOIi PARCEL LD.,iec a~~l ~/e4VJ WORK PROPOSED:_lMev Construction .-.J\ddition _Alteration _Repair _Install _Sign _!!love _DeIlo1ish PROPOSED USE: Sing1e Faai1y _KIF _' of Units _K/H _~rcia1 _Indust. _Swa. P001 Other ~staurant &: Bea1t:h Departaent Approva1 BUILDIRG SIZE: x ~e Feet, Height RESIDENTIAL: eotmERCIAL : ATI'ACII (2) PLOI' PI.ANS &: (2) SEIS OF BUllDDIG PIAIIS &: (1) SEt ERERGY FORKS. ** AlTACH (3) SEI'S OF BUII.DUG PI.MiS &: (1) SEt ENERGY FORIIS... ..COPt" OF COJrrKAct KEQmlUlD. PERKITS RIDUESTED _BUILDIMG 1ELECfRICAL .-JIECIIAIilCAL $ Va1uation of Tot:a1 Construction ~b~~. 0 in X F10rida Power Corp. {} Jy'c' Va1uation of Kechanica1 Inst:a11at:ion W.R.E.C. s _PLUKBDiG GAS KOOFDiG SPECIALTY TYPE OF COMSTllUCTION: _B1oclt _Fraae _Stee1 Other FIlfiSBED FLOOR ELEVAfiONS: FI' . IS PKO.lEct IIi FLOOD ZOIlE AREA? YES NO .......................................... aJIIil'I'RACIOR. SECTION COIIPANY State Cert:. or Regist. f City License Registration , ~ .......................................... RmT.DER. Signature ~. / . ELECTRICL\N,/~.C aJIIPARY / l'le'! "",() (~C~ L '- f~7,,",' 1,<.1- ( o.v~;e>e State Cert:. or Regist. f 'FI!.. el 1/0 Si G!a~f ,Iu,{,<<vf {,c-?~ City Lic:eose llegistraUOIl . :3J t, 0 .......................................... COIIPANY State Cert. or Regist:. I City License Registration , .......................................... PLDlBER Signature COIIPMY State Ced. or Regist. , City License Registration , .......................................... MF...CBARICAL Signature COIIPABY State Cert. or Regist. , City License Registration , ...;::J............~~................ ~. LA f 0T1fII:R Signature APPLICAfiOR APPROVED BY PERIIIT OFFICER. . CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The und~rsigned understa~ds that this perlit lay be subject to "deed restrictions" which .ay be lore restrictive thanCi~y regulatIons. The undersIgned assu.es responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractorCs) sign portions of the "Contractor Sections" of this application for which they will 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 .ay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of ZephyrhilIs. 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 Construction Lien Law - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the "owner" prior to cOI.ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in co.pliance with all applicable laws regulating construction, zoning, and land develop.ent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation has cOI.enced prior to issuance of a perlit and that all work will be perfor.ed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies .ay apply to the intended work, and that it is .y responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not litited to: f Depart.ent of Environ.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.entally Sensitive Lands, Water/Wastewater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f Artv Corps of Enqineers - Seawalls, DOCKS, Navigable Waterways f Depart.ent of Health & Rehabilitative Services, Environ.ental Health Unit - Wells, Wastewater Treatlent, Septic Tanks f US Environ.ental Protection AQencv - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "co.pensating volu.e" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official fro. thereafter requiring a correction of errors in plans, construction, or violations of any code. Every per.it issued shall beco.e invalid unless the work authorized by such per.it is co..eneed within six .onths of issuance, or if work authorized by the pertit is suspended or abandoned for a period of six lonths after the ti.e the work is cO.lenced. One 90 day extension of ti.e, lay be allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR F~ILURE TO RECORD A NOTICE OF CO""ENCE"ENT HAY RESULT IN YOUR P~YIN6 TWICE FOR IHPROVE"ENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COKKENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POS A .NOTICE OF C~HENCE"ENT". ~~ /. 4~~ SIGNATURE: OWNER OR AGENT ,;/ ,f~f~ SIGNATURE: CONTRACTOR STATE OF FlORID~ ~ / L" COUNTY OF :2J.J. _1~A-( ~i The foregoing instrument w acknowledged before me this'1'J.vr :1(... , 19R by . 5" -It:> /J h e". f 7: (1hJ'.YJ who is personally known to me or who has produced as identification and whc, did/did n~t take~ oath. __ /. . WfL(1/A X l-lP~ (Signa, e) STATE OF FLORIDA COUNTY OF The foregoing instrument wa acknowledged befcI,-e me this "fivjy ~ , 19~ by /(/d,O.Qd.. (!~FJAJrlA / I who is personally known to me or who has prctduced as identification and who did/did not ta~ke n 9ath. . ~.... / . . Il...L.lJ.. ~~ Ii ~ { ~ (j (Sign ture) NotaryPublk,S .ofFlelida . My Commission bt*aOd.. I. 19ft' (Name Typed, Ifl'MM~ef~~l!'I~d) NOTARY PUBLIC Ire..he e e.~ L. VINiNG- (Name Typed, Pr i nted or ,;~It'i dJfFlorida NOTARY PUBLIC Notary . Expll" IS Oct I 1991 My CommisSIOn . , """,.d ThN Troy fain' ......r....... Ino. o DR-504 A. 06/88 AD VALOREM TAX EXEMPTION APPLICATION AND RETURN RETURN/APPLICATION NUMBER For use of organizations applying for exempt status under Chapter 196, Florida Statutes which are organized and operated for one or more of the following purpose(s): (Check one or more) :B Religious 0 Literary 0 Charitable 0 Scientific 0 lIospltals, Nursing lIomes, lIomes for Special Services, 1I0mes for Aged o (Other) IKJ GENERAL INFORMATION I. Full Name of Organization: I Trustee Corporation of First Baptist CblU'chof Zephyrhills,Inc 2. (',olllplete A(ldress: County Where Property is Located: Pasco Business Phone: 38300 Fifth Avenue 78Z-5574 3 Address of Property if Different From 2: 51 ZZ Sixth Street 4. List All Owners of the Property and Their Proportionate Interest: 5. Legal Description (Appraiser's R.E., Parcel No. etc. may be substituted): The West 90 feet of Lots ZI, ZZ, Z3, & Z4 Block 185, City of Zephyrhills, as recorded in Plat Book 1, PaRe 54, Public Records of Pascou County, Florida. 6a. Is the Organization Incorporated? ~ Yes 0 No 7a. Is any of this property rented or leased? 6b. If not incorporated, what is forlll of organization? o Yes :XX No 17b. If yes attach a copy of all active rental and/or lease contracts last year. 8. Owner's statement of full value: Heal Property Improvements............"............,..............,..,....... Heal Property Land...........,............,.,................................... Tangible "ersonal Property.....,...,....",.....,.",........",.,...."..."... 9. What is the property lIsed for? s......................................... S.. ..... ....... .... .................. ..... S......................................... Shelter for abused women & their families 10. Is any portion of the ahove desf'I"lhed property used for non-exempt purposes? o Yes Xi No (H yes attach detailed explanation) Attach Extra Sheet if Necessary