HomeMy WebLinkAbout95-5216
BUILDING PERMIT~-
CITY OF ZEPHYRHILLS Permit N ·
(813) 788-6611
{~5216A
Date
r-~9-9.s-
~v ELECTRICAL PLUMBING
p,"pertvQwn.'Ii-ri6- !JL~
Job Address: ,=?_~_~ O~
Parcel I. D. #
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
Description of Work~~..tJ ..My
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
5'
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit FeiO r ~
Slgnetur. _ 0{, ~
Company _ (Y
Address
Telephone#
Valuation or
Contract Price
~9 ~tJ. ~
.1/~
./
City License Registration #
State Certified License#
-~/r/A t~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
-
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
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 ($15.001 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.
AFPLtCATI0N FOR PERMIT
. , .CITY OF ZEPHYRHILLS
BUILDtNG DEPARTMENT
.'- ;
-.. ....,--".'
'.~ ,'r::/;,.~j:',.. j r .
ADDRESS
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I\"Z-~ S. ~i.""jt>).;~~~D1!~:~/5lQ'l-: ~.
~\4 R~~~\S
3~'1z..\ 9~ ~~. z\i
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APPLICANT
"
OWNER
._~. --. - -
: ;.' ~': '..-
AREA SQ. FT~- - ..--- ".
LOT SIZE
x
JOB LOCATION
. ',~ ;: ~
LEGAL DESCRIPTIO~: LOT(S)
BLOCIC '
SUBDIVISION
. ' ,
PARCEL 1. D. ~~
WORK PROPOSED:____New Construction ~ddition ~lteration -Repair _Install
-..,. ':
. . ~
____Sign/Temp. ____Sign ____Move -DelDolish
PROPOSED USE: ____Single Family ..-JII F _~~ of Units ' .---n/H
____Commercial ~Indust.:. _Swim. , Pool Other
\\- 2k-2.\-~\~- O<e:.~--~~-
_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 FORMS.**
**COPY OF CONTRACT REQUIRED.
pF.RMTTS RF.OllF.STED
____BUILDING
$' ~ , ::>4(:) . ~
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
~ECHANICAL
$
Valuation of Mechanical Installation
GAS
~ ROOFING
SPE((IALTY
.
____PLUMBING
.#' .
TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
~ONTRACTOR ~ECTTON
Company
State Cert. or Regist. #
City License Regis~ration
******************************************
Company
State Cert. or Regist.
City License Registra 10n ~~
************************************ ****
:~::::~:: AN
/
/
/
Company
State Cert. or R~gist. #
City License Registratia
*************************************** *
Signature
Company
State Cert. or Regist. #
City License Registrati
************************************** **
Signat~re
Signature
Company S~~t... -('"' ~~~~~~
State Cert. or Regist. 4~ ~ccSt.1(d~
City License Registration # ~
******************************************
"
PERMIT OFFICER.
APPLICATION APPROVED BY
CONDITIONS O~ PERMIT AfFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The und~nigned undenti~ds thit this plrait liY bl subilCt to .d"d rntrictionl" Nhich .iY be .Cln'ustr.ictiv. thin City
r.gulltlonl. Th. und.rslgnld ilSutl1 rllponlibility"for co.,lianel Nith any ipplicabll dlld r.strictions.
, ' .
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES .
If the o..ner hiS hired a cClntr~ctor or contractorl to undertakl Nork, they .ay be required to b. licens,d in accordlnt; with
1~lt. '~d loc~l regulatio~l. ~f th. contrlctor il not licRnsld al required by Ii.., both th. ONner and contrlctor .iy be
clt~d for i 'llde.einor vlolitlon under statl IaN. If thl ONnlr Dr intended contractor are uncertiin il to whit licenlinq
require.ents .iy ipply for the intlnded work, thlY art Idvis.d to contict the City of Zephyrhilll Building D.pirt..nt 1813)
788-6611. '
Further.ore, if the ONner hal hired a contrlctor Dr contrlctors, he is advised to hive the contractorls) sign portions of the
"Contrlctor S.ctionl" of thil Ipplication for Nhich they will be relponsible. If you, is the ONner lign is the contrictor
you are indiclting thit you, rather thin thl contrlctor, are responsible for the Nork. If the contractor wish,s you to si~n
as contractor that .ay be an indication that he il not properly licenled and il 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 ipplicint, hive beln provided with I copy of .Floridi's Construction Lien La. - HOleowner's Protection
Suidl. pr.par.d by the Florida Depart..nt of Agriculturl and Consu.er Affiirl. If th, applicant il lo..one othlr than the
.0Nner., J c,rtify thlt J hiVI obtlined I, copy' of 'hi IboVI dllcribtd docu.ent and pro.isl in good faith to dlliv.r it to the
.0Nner. prior to cO'lence.ent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that ill the infor'ition in tbis Ipplicition is accurat, ind that ill Nork ..ill be done in cOlplianee witb ill
applicable laws regulating construction, zoning, Ind Ilnd dlv,lopaent. '
Applicition is hereby .ade to obtain a per.it to do lork Ind. instlll~tion is indiCited. I certify that nCl ..ork Dr
instillltion biS COI.enced prior to issuantl of I plrlit Ind tbit all work will be perforled to .e,t stindardl of all I...,
regulating construc tion, City codes, zoning ngullthnl, Ind llnd developaent regulationl in tbe jurisdiction. I Ilso
certify that I understand that the regulations of other governlental agencies .iY ipply'to the intended ..ork, Ind tbat it is
IY responsibility to identify ..hit utions J lust take tD be in cOlpliinee. Such igencies include but .Ie 1I0t lilited tCl:
'*'
I DeDart.e~t of Envir~n.enial Reaulition - Cypress Bayhelds, Wetland Areas ind EnviroRlentilly Sensitive linds,
, Watrr/WisttWater Trelt.ent
I South..est Florida Water' "anaae.ent District - Wells; Cyprlss 8iyhlads, Wetlind Areis. Altering Watercourses
I ArlY CorDS of Enaineers - Seilalls, Dockl, Niviglble Wattr.aYI
I DeDirtlent of Health L Rehibilitative Services. Environlentil Health Unit - Wells,' Wiste.ater Treit.ent. Septic Tanks
I US Environ.ental Protection Aaency - Asbestos ibatel.nt
I ilso certify that, if fill laterial is to be used in Flood Zone .A. or .A,etc.", it is understood tliat i driinage plan
addr'ising a "co.pensating volule. will be sVblitt.d wbicb il prepired by i professional engineer regist~ied in the Stite Clf
Florida prior to per.it issuance.
A perlit issued shall be construed to be a license to proceed .ith the wDrk ind not as authority to yiol~te, cancel alter, or
set aside any provisions of the technicil codes, nor shall issUince of a per.it prevent the Building Official fro. thereafter
requiring a correction of errClrs in plansi construction, or violations of any code. Every perlit iS5U~d ihall becCl.e invalId
unless the. work author i zed by such peuit is co..eneed within six .onths of issuanct, or if work authollZed by tb. perai tis
suspen4ed or abandoned for a period of sil lontbs after tbe tiae the work is co..enced. One 90 day e=t~"5ioll of tile, lay b~
allo..ed for the per.it ..iih fee cbarge of tI5.00. Tb. .xt.nsion sball be requesied in writing to the Building Official. An
approv,d inspection lusi be logged during each lix .ontb p.riod, or the project ..ill be considered jb...dClned.
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
DD NOT NE~CORD AND POST A "NOTICE OF CD~E~r'~
SIGNATURE__~_~w~~--------- SIGNATURE~_~~-----
, -
DATE___~___________________________________
NOTARY AS TO .
OWNER OR AGENT_____________~_____________~-
DATE___________________________________
NOTARY AS TO
CONTRACTOR_____________________________
MY COMMISSION EXPIRES______________________
...
MY COMMISSION EXPIRES__________________
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005676::::
11250 South Highway 98~ Dade CIty, Florida 33525
Phone # (904)567-8580
il Bonded c.'ind I nSLlt'ed
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NEW VALLEY METAL AND FLASHING
l\i[:(<J,,"Lt2hl~__AL~.~".., DF\IP EDGE
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CTC TRASH REMOVAL
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TOTAL COST: . $ Z\ i '-[ 0 -
----......-.....-- !
l/.;:':::.,.;rr (JUt "tEt.l€-E~"', BAL.ANCE AT, CO'....,PLE:T J OJ\!
p . i..l.''-
D. SCHAPER~ CONTRACTOR
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95293486
JED PITTMAN, PASCO COUNTY CLERI\
08/23/95 01 :39p. 1pGof loJ::!l. 14
OR BK 3464 ~
Rec:
IT:
6.08
0.00
Dpty Clerk NOTICB OF COHHBNCBHBNT
Rcpt: 22845
DS: 0.00
08/23/95
County of
?~tr
state of ~I ~cJ...4,..
THB UNDERSIGNBD hereby gives notice that improvement will be made to cartain
real' property, and in accordance with Chapter 713, Florida Statutes, the
fo~lowing information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. \\-a.tG-~,- 0010- OB30D-DD'H)
2.
3.
4.
,R~
'":' -s.
(Legal description of the property and street address if available)
General Description of Improvement "7 .fl- ""'1
6.
Owner Information: Name -.IkI:2 IAAD~ (tnl:\.....IS)
Address ~ 'b 7 & I 'I 'K ;tJe.... city J.ili ~ State .E.L.
Interest in Property: Dwv.. II /' ST^Ti OF FI QRtDA
_ J COUNTY Of PASCO . ,r- .. .
Name of Fee Simple Titleholder: ''l I A- lMl~ l<i Tn r.FRTll'1' THAT THt: rof<fGfJI.." 1" ,\
( I f other th~n owner) TRUE ANi) COR~ECT COpy OF THE[;(X;tll(oi:~1 1~IIl,r III
OR OF I"tIBUC r.F.CORO IN THIS Off ~ WI f1.....~;,. 1.'
Address City Hi;i AND OFr:C\i.Lsttat'if U)\'1 L
_~l~ 19
JEO PI'Ff'MAN, CLERK Of ClWCUIT COURl
Contractor: Name ~C-'~ ~ BY ~(\. \ ('\ ru ~ 'rfl'rv--.,. D.C
Address .ll?S?> So ~ ~ ~ City ~C' l State ~
Surety. Name ~'F ~~ 1
Address-HIIL\ .,tj..~ City ~d..L~ state,1 33S4S
Amount of Bond: $ S.<>OQ. t)o
Lender: Name ~ I A-
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
Name ^II A-
Address
City
State
8. In addition to himself, Owner designates ~ ~('~.u-
o~ "-- ~~r C01,t..J-II\.~v-- to receive a copy of the
L1.enor's otice as prov1.ded in Section 713.13(1)(b),Florida Statutes.
9. Exp~ratlon date ot Notice oi Commencement (the expiration date is 1 ye~r
frQm the date of recording unless a different date is specified.)
-IIA-
Signature of Owner: <:f1:~1/ P h~~
/torch 7), M. Drr c.~
Sworn to and subscribed before me this I~~ day of
~~-H- A'c130a. a./~
a~I~~
19 qS" .
Notary Public:
My Commission Expires:
PC930!>:'