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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 Sc)\~*-~ c.o~~~~~~" I\"Z-~ S. ~i.""jt>).;~~~D1!~:~/5lQ'l-: ~. ~\4 R~~~\S 3~'1z..\ 9~ ~~. z\i '- ._''''': "-" n,". 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__________________ ..... .... .... '... ..'.....~-~... ...._. ... ..- ...--..-........-..-....-..-.... ... -. ......--.-_... ......... - . ..h..._..........._...._..........~...__....,_._......._..._._..__..__..___.._.__~_..___..h_..._... ';,_i' :, . :. .~::~k ijj L ' ~:~; C'; U .~ .c:~ ti :. E: U:,: C~ C:,D j:',,~ f"T F~ LJ C: T :r (]I t'..II il:~ 0 _ 'I :j '{ " ,j 'I ii II iI !I RESIDENTIAL & COMMERCIAL J :;:i t "~' l'c','U [L..J:L.I u ]. 1-, C, CC'f'1 t t' ;,,\,C t u ,'" F: I':;:' i; 10:; t (:;" 1,7eci' R u [., l' 1 n i~,1 CD ri t '"':", .:: t D I' , RB ()()325:~4 h'C 005676:::: 11250 South Highway 98~ Dade CIty, Florida 33525 Phone # (904)567-8580 il Bonded c.'ind I nSLlt'ed if,",~MI;=w;~ffi~~~l-fl:~~t~=::r~;~,~~,~s~tl(f-~~~~~~fcr . ,I 3 'b 7 t.. I '" q 11\ ~()e..... !I-~;~;:;:~~f~~,~~;y~~;":~~c;;::;:~::'~-=;~~~-~~;~:;;"Cf~~'" ;'RERDOF-------........ I, I, iI Ii :i 'I iI II :1 I, il 'I il 11 !I :1 'I ii It " ii II II I' I' ,I Ii 'I L iI II II I, I, II )! ! ;'I.i','-."/," l'> I::;l'll'~t.:l t~,I,1114'-.,Ll:::"". DI'\H' FDl:JC, Hi\lr,. D?~t1AGED WOLJ[" I\li I", l'II,II'J!) ,Ii L(,)llJP,I\lCE, _,~,i,~.._0_..?!?~~"~'^.r # J' -r' l...r"'7"'. f'".."""L....r ['"l",\.,\.'..,.. 'J.I",; Pr( ~e. ;U~'<J u.Joc::xL I. I\L;r {Ii.. L I\j L v.1 ..:::> L 0.;- 'r'." I :\I;:;'i"{\L,L NEW VALLEY METAL AND FLASHING l\i[:(<J,,"Lt2hl~__AL~.~".., DF\IP EDGE 11\1,; 1(il.I... J /\I::;;1"('/,L, NEw "..JENT BOUr~, r F-..S J :~~:;T{H"l",W/E':{\F\ 1'1,~~r\jlJF'ACTUF\EF\f:3 .. D F~ 1C11\1 IJ : ..__,G::.,tt,..C..,.._..,__,"""".. CTC TRASH REMOVAL WAF\RI::i1\JJ\)D F I BH-i:f:JLJ;SE; SH I NEIl COLlJ; , 1_",) kL 6-i':'.l--- ,L;. [. " " F'E:~R"'1 I T I ~-lC::LUDED , /, 11 :1 I, ill~ICCl::F'TEr! : 1 ~ li;,~.~:;:~-~::~::~~:::'~.";::=:=;.,:.'..:::::,::::~,:.....':::==:=:~"'.::~::,..::;..:,::.:':::::~:~~",~~":~~_~:~:~:..;~'.::,,;;;:~::~":~:=:=~:..~:,::"~::~::"~:~~::..:.""-'-~=:,:==::,..:...", {~VB', -G:'TRri:r A~~~ ~WI\f"Y~+ A-lll.( ~ I " 1"-" c:L &.-{ {: c:.->O 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 s~ ) 1 ' 1~ / ~:; 1 0;,1 I"i ,,:, t; U I' (':,L..;;..~~i",~" i) J // J 6 ~ ,.._.._....._.._.....__._........_.._..~..._.~____.._. /' ~I\li''''l\ I\\\I,\i" ii,,, 1\\" "'" "'II llIlllIl 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!>:'