HomeMy WebLinkAbout96-6288
BUILDING PERMIT N~
Permit
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CITY OF ZEPHYRHILLS
(813) 788-6611
6288 ;8
5ft
5~'
G~I~
Date - //-:;.5-7r
P~
~L
Sewer Conn
Water Conn:
P<O~~OWM~~~ ~
~:~;'~d~.'; _ -.:z _ -~-- -- - - '_ _ ~ _~~
...1.
Water Meter:
T.1.F.'s:
Zoning:
Description of Work
c:=-- E~ Code:
J.A_.#.iJ41.
~ Radon Ga.
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v'l
---
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
/2,. Zo- <r(J
DATE
NO OCCUPANCY BEFORE C.O.
Inspector
DATE
~/L
Valuation or
Contract Price
tW
Z, 511'-
if
Signa
Company
City License Registration # ;:('7 r Address
State Certified License# a 13 ~ O.s 6- /:3 r Telephone#
6tA>7~(}8z2~' ~ ~
- -- ~~ -~EC~RIC A - _ P NG
ME~-
Ftr,
Pre SLB
Lintel
FRM. J2"IO~9t, SO t3
Insul. CL
WL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In 1::J.'JO~9h f3eR
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
~~ I~-~-q~
51u-
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.
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
:rl ,'rib
t L -'
:
OWNER'S IIAHIl &:~~ \v.)e~ &<::ce
OWNER'S ADDRESS 3'1 L\ 1...\ 1'") ~ ~v..J.. ~ '
~
JOB ADDRESS S 1 <-\ '\ '6 - ~ ~ ~ J\ J\ -^-^ CJ:.
3' c)
LEGAL DESCRIPTION: LOT(S) ~ BLOCK
PHONE -, ~ '~ .~'l ~ y;
SUBDIVISION W (D <6e WOO D
PARCEL 1.D.# \ D -~ \0 ~ & \ - 6 \QO "OCbOC' 0 ~SO (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ~ddition _Alteration _Repair ____Install
_Sign
PROPOSED USE: ~le Fsaily
--1fove
_De.aolish
_M/F
_' of Units ____M/H
_ec-ercial
_Indus t.
_Swim. Pool _Other
_Restaurant & Health Departaent Approval
DESCIlIPTION OF ~: - ~ ~. <
BUILDING SIZE: -\!J- X 1D\ -:- ~ Square Feet, 5
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.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~WIRG
____ELECTRICAL
-KECllAlfICAL
PERMITS REOUESTED
$
& COO
Valuation of Total Construction
AHP Service
Florida Power Corp.
~R.E.C.
$
Valuation of Mechanical Installation
_PLUMBING GAS
ROOFING
b:sae _Steel
SPECIALTY
TYPE OF CONSTRUCTION: _Block.
Other
FDUSHED FLOOR ELEVAnONS: FT .
IS PROJECT IN FLOOD ZONE AREA?
~
YES NO
*************.......*....*.*.*...**.***..*
CONTRAGTOR SECTION
IllllL\lER ~ COKPANY 'K'1'fV\"'N COtVS~cV(jN
- \ ~ ' State Cert. or Regist. # C~C~o 3S134-
Signat~ - ..( City License Registration # 27
***************************************. 7<
ELECTRICIAN COMPANY 'iY\CA.A~ ~ ~
./:) . ~ .;-;:; State Cert. or Regist. # f tZ. -D01344ot
Signature I ~. C../ ~___' City License Registration # ~ \ \
***.****.******.*....****************.**..
PLUMBER
ru/k
,
COMPANY
State Cert. or Regist. ,
City License Registration f
************.....*.**.*****.*.*..*..******
Signature
MECHANICAL
Signature
N(A-
COMPANY
State Cert. or Regist. #
City License Registration .
*****....***********.********.****.*******
OTHRR COMPANY
State Cert. or Regist. #
Signature City License Registration #
*************.**.*****.***********..*.****
APPLICATION APPROVED BY PERKIT OFFICER.
.~ . CONDITIONS OF PERMIT AFFIDAVIT
.. A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peIlit lay be subject to 'deed restrictions" which lay be lOre restrictive th~ City
regulations. fhe undersigned assUles 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, 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 owner and contractor lay be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requiretents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 lay be an indication that he is not properly licensed and is not entitled to peIlitting 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 .Florida's Construction Lien Law _ HDleOlDer's Protection
Guide" pfepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
.owner", I certify that I have obtained a copy of the above described docUlent and prOlise in good faith to deliver it to the
"owner" prior to couenCetent.
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 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 cOllenced prior to issuance of a perlit and that all work will be perf oIled to teet standards of all laws
regulating construction, City codes, zoning regulations, and land developtent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governtental agencies laY apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
~ DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
~ Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* Departtent of Health & Rehabilitative Services, Environtental Health Unit - Wells, Wastewater Treatlent, Septic ranks
* US EnviroDlental Protection Agency - Asbestos abatetent
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 .cOlpensating volUle" will be subtitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per.it 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 perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every peIJit issued shall becOIe invalid
unless the work authorized by such perlit is couenced within six IOnths of issuance, or if work authorized by the peIlit is
suspended or abandoned for a period of six IOntbs after the tile the work is cOlleDced. One 90 day extension of tile, lay be
allowed for the peIlit 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 IOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IHPROVEHENfS TO YOUR
PROPERTY. IF YOU IH'l'END TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ArrORREY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCEHEH'l'".
~ ~~.....~
. 8IGIIAtURE: OIIIIER SIGII;;; c~-
----....".,
STATE OF FLORIDA ~
COUNTY OF ,- ~
The foregoing instrpment was acknowledged
before me this I LLL c..{ , 19 74> by
&V('V\. ~M.~
who is personally known to me or W~g ~aH
pr.oQyeed.
as identification and who 811Ydid not
take an oath.
STATE OF FLORIDA ~
COUNTY OF ~
The foregoing instrument was aCknowledged
before me this II J J '-I , 19 ~ by
r(<e- U I' V\. f./t'~ ~
who is personally MOwn to me or w~o h~R
pr..educed
as identification and who tliYdid not
take an o~tb.
(Si
(Signa
(Nam~ Typed, Printe or Stamped)
NOTARY PUBLIC ~~~
~ ~ BOBBIE J BURKE
* ~ * My Com......ion CC543871
~ ~. ~ Expires Mar. 31, 2000
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(Name Typed, Printed
NOTARY PUBLIC , p
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BOBBIE J BURKE
My Commission CC543811
Expires Mar. 31, 2000
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JOB LOCATION SlL\~ <6 A::>1~c~ Q..k -' W~62~wo~
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PARCEL I.D, ij
SHOW ALL EXISTING & PROPOSED STRUCTURES gIVING DIMENSIONS & SETBACKS,
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STREET
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2 , SETBACKS FOR R3 ZONING
60'
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
HATION.
FRONT PROPERTY LINE
1, SETBACKS FOR R 1, R2 ZONING
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10'
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FRONT PROPERTY LINE
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961201943
Permit No.
Rcpt: 113456 Rec:
05: 0.00 IT:
11/15/96
6..
0..
Dpty Clerk
NOTICE OF COMMENCEMENT
State Of
FLORIDA
County of
PASCO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain
real property I and in accordance with Chapter 713. Florida Statutes, the followin~J
information i? provided in this Notice of Commencement:
1. Description of Property: Parcel No. \O)-~(o '3-- \- O\~O ~~O~~S?_~.'9Q
~"\ 44 ~. ~ v-c.Jk..
(Legal description of the propert
~-
nd street address if availabTer---'-
2. General Description of Improvement "S ~ ~,.-
~;
~~~
l'
"
JED PITTMAN, PASCO COUNTY CLERK
11/15/96 08:38a. 1 of 1
OR BK 3658 PG 646
3. Owner Information: Name ~~ L0e...~ ~~
Address.3]l\4'O ~0..~U~ c:J.: City ~~~StateF\
Inte~est in Property: ~ 3U~1
N"ame of Fee Simple Titleholder:
. (I f other than owner)
Address
R 4. Contractor: Name
City
RYMAN CONSTRUCTION, INC.
State
Address 37325 SR 54 WEST
City ZEPHYRHILLS
State FL.
3'3!f41
5. Surety: Name
Address
City
State
Amount of Bond:
6.
Lender:
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTFY THAT /HE FOREGOING IS A
mt/E AND CORf1(CT COpy OFTHE DOCUMOO ON,tIL1:
C t~ ~ PU8l1C RECORD N TH:~~IESS MY
'HAND AND OffICII( SEAl THIS e ::-BAf'-.Q:--
Persons within the State of Florida designated ;y1(1.,((;Jj upon Vi~ otices
or other documents may be served as provided ~ijD~1: ,7(t[E Gl(all)~Uf!lC(OlJ~{ Florida
Statutes:
$
Name
Address
7.
Name
BY
D,C.
Address
City
State
8. I n addition to himself I 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 year from'
the date of recording unless a different date is specified.)
19~.
Signature of Owner:
Sworn to and subscribed
Notary Pub!"
My Commission Expires:
* My Commission CC3201 ."'3
Expires Sep. 30,1997
------._--------.._-------._-~-_.
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JOB LOCATION Sl y ~ <0 ~I f:\.C~~ Q.k.... w ~62,~ L0 0 ~
\ D" Llo ' 'J.- \ - 6\ 'LO-06000 - os S 0
PARCEL I,D, #
SHOW ALL EXISTING & PROPOSED STRUCTURES gIVING DIMENSIONS & SETBACKS,
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UTILITY BUILDINGS
HUST SHOW SIZE &
FOUNDATION INFOR-
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(NOTE EXAMPLES 1 & 2)
STREET
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1. SETBACKS FOR R1, R2 ZONING
60'-
2, SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAH 30'DUPLEX
10'
~T~-
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10' P S 10'
o I ~ 1 0'
S I I
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0 G
20'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
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