The URL can be used to link to this page

Home My WebLink About94-4222 BUILDING PERMIT Permit N! CiTY OF ZEPHYRHILLS (813) 788-6611 4222t:: ?-/fJ-9~ ",....... cP.D ~ ~~L ~G. M~L ~ .. {J1, Wate, COM PmpertyOwoe' f:J.'; (!~ }i!tf/~ _~Jd ~kVate:M..e' Job Address: ( " t:, I T.I,F, s, Date Sewer Conn Parcell.D, # Zoning: Description of Work -nnergy~oje: ~don Gal/. ~ D 6~-&~h/~-.e ~~tH'-'P' -:l;j,/;~ _MP-O/J /lftCl FINAL t/; 2 -1 DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordarr:-e with City Codes and Ordinances. C,Q, DATE Valuation or ~ Contract Pric C;ty Ucense Reg;s".t;on . ~~ ----, State Certified License# ~ -' u:i,n;>..,~ ~CTRI~ Company Address Telephone#c.--- 9"f s.- )~7~. '6r7 0 BUI~ ~ PLU~ MEP:I.^,r~l~ ---- Breakers Ducts Insl. Compressor Final Tp. Servo Rough In Meter Can ti --1-71(8..5 Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Ftr, Pre SLB Lintel FRM. Insul. CL WL Driveway 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: 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, The payment of inspection fees shall be made before any further permits will be issued to the person owning same. DISCLOSURE STATEHElff FOR. OWNER. CITY OF ZEPIIYlUII.u.s BUILDING DEPARTMENT I, :~~.v" (!JA-ft./ ( ?-~..9... t~ jl,'c ~ / G I~ave read and fully understand and agree to the provisions of this instrument." The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupy, or will occupy by <;L/T / said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction, 2, That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building, 3, That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work, 4, That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building, 5, That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department, 6, That prior to final inspection any additional fees, including reinspection fees, must be paid in full, A written request from this office shall constitute an official notice to pay additional fees, 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc" where applicable, 8, That the owner shall comply with all the safety codes issued by the Florida Industrial Commission, 9, State law requires construction to be done by licensed contractors, You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license, You must supervise the construction yourself, You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25,000 or less. The building must be for your own use and occupancy, It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption, You may not hire an unlicensed person as your contractor. Your construction must be done according to building codes and zoning regulations, It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances, DATE: -((5) ,- rrJ DATE: OWNER:/!/~~; ADDRESS: =?~~ d~ I-&-........ e. ~~ €:/( WITNESS: WITNESS: PERMIT ~; 7if~v/l< ~L PH: f J - "") Y' J -f"97 d ~. . JULY 07, 1994 LOAN NO, 940-455637 . . . GAUSE, JASON COLE, RICHARD 38606 FERM CIRCLE ZEPHYR HILLS, FL 33540 Dear Borrower: Thank you for choosing AMERICAN RESIDENTIAL MORTGAGE CORPORATION as your mortgage lender. In compliance with applicable Federal and/or State Regulatory Requirements, enclosed are the following items for your review and/or signature: G\J D Good Faith Estimate of Settlement Charges, o Consumer Handbook on Adjustable Rate Mortgages. (If you are obtaining an Adjustable Rate Loan, read this booklet prior to signing any document,) HUD Booklet n A Homebuyer's Guide to Settlement Costs, II m Program Disclosure, (Describes type of loan you have selBcted,) o Uniform Mortgage Loan Cost Worksheet. (Massachusetts only.) [JJ Initial Regulation Z Disclosure D State of California Fair Lending Notice. (California only.) The information provided in the disclosure is based on estimated figures at a note rate of and a loan amount of $ 35,150.00. o Consumer Guide to Obtaining a Mortgage, (Massachusetts only,) 8.750 % Annual Percentage Rate (APR) - This is not the same as the interest rate (Note Rate) on the loan, The Note Rate describes only interest, The APR, which is usually higher, includes other amounts such as origination points, fees, finance charges and certain other charges you are required to pay, Amount Financed - This is the full loan amount less the prepaid finance charges, as estimated, Finance Charges - This is the amount of interest, prepaid finance charges and the mortgage insurance premiums, if any, which you will be expected to pay if the loan is held to maturity, Total of Payments - This is the total of all the finance charges and the loan amount, figured by adding the Amount Financed and the Finance Charges, Please remember that at this stage all figures are estimates and your application is still pending approval. At the time of loan closing, you will be provided with a final Regulation Z Disclosure based on the actual amount of your loan. If you have any questions pertinent to any of the items enclosed or any aspect of your loan application process, ' .'". \ t please feel free to contact the undersigned. '. ,', Sincerely, A copy of this letter, acknowledging receipt of the enclosed documents, along with a signed copy of each of the documents, should be returned to this office in the self-addressed envelope provided within 10 days, 5:t.' L1 :d- BY: ~1:'J1.[ ";1,< &-' RES, 1.4'-5 .610 (11/91) AcosT610 1111.11111111.111111 Received by: Date: JUL-14-94 THU lo:bU '_,' 07/14/94 18:30 FI/{ST AMt/{ICAN TITLt FAX NO, jUb4Hl9jb~ 0813 983 2$18" PREHIEJm ENG,INC p, U~ raJ 002 MAP 011 DOOMDUt SURVIn DBSCIUJi!TIOlf~ toot.. 14 .. H. ~lQQ):, 4~, A M:P Of' !rim 'lOHN OF Z.InlYRBIr.r.S, as; recor~.1.'1 .1n. Plat BpOk ~, '''9- 5., Public Recox48 of Pe$ao COQn~y, ~oriaa. SURVJJ'YOIUI Il10nlS I , ~- 56 un~r,rOQDa In.tallatiQn. or'impr~~men~. h.ue been loea~.~, e~e~ .g not~d. .2. 110 ln8truonts of record :r9fh1c:t.l 129 ea.wlnants. right$-af-wBY, end/Dr O1mIlll~.htp tRereo fu~nlshe4 thl8 .ur~; A~eept <<S _hown. ' 3. enless othell:'w1e. .a-own btlXClIPl1" .-no jurh,,:tict;1on.l ve~l.nd 'are... OX oU(~r phYlJ!c:csl ~opo.raphlo laatur.$ have been lcca~ed. ' ,4. .olmenstoI)S S!l~ .n p@~ 1'1Q1; . Fiela. ".etr:l.fl~C!,~u:nle$$ tlt:.her"';'~llI $bown. ' 5. &ased on FlOOd In~~~.ne@ ..t. -'p. p~nit:y Panel No. 120335-0005,-0, 4ated 12-~7~91. the propert:.y shown h$~aon 8p~e.~. ~o l~e w1e~Jn ZOD~ .XH. , Lor ,. " /"'i:)vnd t.tt. .",.,.,' (''''If> Clip) t.or 14. '('\ ~~ ~~ ~~ ~ ,... lot'{' "..., (,.,., c"'.J .'.... .1 lcr t)., L ~ eo' AII.r:y ~or ~. ~ .... t (.~r la. I I -~ .~ ft.O' "'Lo~.Jh"' {.()T I -l.OT '~ ~ 14 c::w6 em"v WDCv.) ADt:"""OW' lat' . ... ~ '- CE"'-II"'IGO n:> ~ . ~ CArI~..un ( . "'ch.,.,J.. C"oI6 · ,o;(r81 Amvlan nntr f~~ ~hfINI1Y . . AI1'NrYQm ""~(~7"'4Iv' 110. "'--t'n~ ~~_ IffF ~~~ IIn"''''' .....r#' .,-.. -'''I''Q;.nu( '3( . In CQnc. h'-~' . ~~ ~~ ~~ ..... lor I~, lur 4'hL er"..w ~~~~~ ,~,ll3. ~~' )1:1' f "'. " --- +- -... " ~ tIt)' (I:J) (jb,/(J' (,..) , , : ~ , A....,.cv'I....t ~"'e:~" €. ~ R ,. ", SrREEr RMIIONI , ~d.h.f'W .. Gb/e ~ IlIIC':IWfION 0' womc 0II0$t NO. llWN 1;X'l) Tlllt OIIn'IIY NQTVM.IDUIIUI8IMMt1fD Mm "'" I"'*-m SURVEYOR" ~ H:t111'&\n~l:~~'1SiL;rI:.O'Oh"'lWlt""'"' PlOflIM IVG'tTllfm lAM)) SUIlV!YU,. I!NGiINEEAING. 1Ne. OlVll SNOINI:ERING LAND SURveytNG 18'3J ....'7W1 PIUC1 ..1. S?80 GlUNN HWY, BUJTI1-C, TAMPA, FL S3S24 IlM\'N I.If1.. 0l(1CIUlDB'(; ~I'f' .." 1/ TWP, e. .. MI. el K, IeALIl r,. eg' 0.+.1'1: "/",~,, gnrlIflNO.:~'.' ~5 APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT OWNER'S NAME j ~ ') 0 ;J Cr(t-v..5Q; ~ ~; 0h Itt. J ~o I ~ OWNER'S ADDRESS '~, (p Ol,p r e- (l ,,;. C ~ /l..vl e.. JOB ADDRESS 5 <6 l\ \0 I ~ 1j. S '\ ' LEGAL DESCRIPl'ION: LOT(S) fL.{~ IS PHONE ~13-7'i3- ~i'fO BLOCK L/ ~ SUBDIVISION C.;f7 o~ 2}/J:/ls r/~ 6K J f(.. ~~ PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition v' Alteration ____Repair ____Install ____Sign -.JIove ____Deaolish PROPOSED USE: ~Siogle Faaily -.JI/F ____, of Units ____M/H ____~ercial ____Indust. ____Swim, Pool ___Other ____Restaurant & Health Department Approval t-1il.,-TIl,'od fwvtJO .~. (~OO~7 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ____BUILDING ~ELECTRlCAL $ AttP Service Valuation of Total Construction V Florida Power Corp, W.R.E,C, -.MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Fraae ____Steel Other FlNlSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION COKPANY State Cert. or Regist. . City License Registration . .......................................... BUTI.DER Signature F.l,F.CTRICIAN SianAture ~'t IF COMPANY State Cert. or Regist. . City License Registration . .......................................... PLUMBER COMPANY State Cert. or Regist. . Signature City License Registration , ............*.....*.*...*.......******.... MECHANICAL COMPANY State Cert. or Regist. . Signature City License Registration . ..*......*.............*....*............. OTRRR COMPANY State Cert. or Regist. I Signature City License Registration . .......................................... APPLICATION APPROVED BY PERMIT OFFICER, " . CONDITIONS OF PERMIT AFFIDAVIT" h. NbTICE OF DEED RESTRICTIONS The undersigned understands that this perJit lay be subject to Rdeed restrictions" whieb lay be lOre restrictive than City regulations, tbe undersigned assUJes responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, tbey 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 owner and contractor laY be cited for a lisdeJeanor violation under state law, If the owner or intended contractor are uncertain as to wbat licensing requirBlents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building DepartJent, (813) 188-6611, FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to bave tbe contractor(s) sign portions of the "Contractor SectionsR of this application for whieb 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 tbe contractor wisbes you to sign as contractor that laY be an indication that be is not properly licensed and is not entitled to perJitting 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 RFlorida's Construction Lien Law - HOJeOWDer's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs, If the applicant is sOJeOne other than the "owner", I certify that I bave obtained a copy of the above described docUJent and prOlise in good faith to deliver it to tbe "owner" prior to coaencBlent, E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a perlit to do work and installation as indicated, I certify that no work or installation has cOlleDced prior to issuance of a perlit and tbat all work will be perforJed to aeet standards of all laws regulating construction, City codes, zoning regulations, and land developlBDt regulations in the jurisdiction. I also certify that I understand that the regulations of otber govefDIeDtal agencies laY apply to the intended work, and that it is IY responsibility to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to: t DepartJent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater treatJent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abateJeDt I also certify that, if fill laterial is to be used in Flood ZOne "A" or "A,etc.", it is understood that a drainage plan addressing a RcOJpeDsating volUleR will be sublitted whicb is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued sball 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 perlit prevent the Building Official frOJ thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall bBCOle invalid unless the work authorized by such perlit is coaenced within six IOnths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOnths after the tile the work is co.enced. One 90 day l!Itension of tile, lilY 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 eaeb sil IOnth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF C<JIIENCEHENT HAY RESULT IN YOUR PAYING twiCE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, COMSULT WITH YOUR LINDER OR AN ArTOIlBBY BEFORB RBCORDING YOUR NOTICE OF COHHENCEHBNT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A RNOTICE OF COMMENCEMENT", SIGNAtURE: OWNER OR AGENT SIGNATURB: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA coum OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an oath. (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC