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HomeMy WebLinkAbout96-6307 ~ ilY (& ~O 1~ €J :31'7 BUILDING BUILDING PERMIT N! CITY OF ZEPHYRHILLS (813) 788-6611 Permit - 6307~ _f25! 7~ ELECTRICAL - Date I~- 3-7y. P~ .:;5 MECHANICAL Sewer Conn Water Conn~ Property Owner: O. T E /?J ~~t; Job Address: ~ 9....!JJ-Dg' ~. ,\ /J If Parcel J.D. # /1- ~ &->- .2../- 00/0- nJ'lOD-ODID Zoning: Energy Code.: ~ Radon Gas: ~, '- , Description of Work \:::::::>,IJ..m"--tRJJ1 B-1- ~41() ~);;-f:z 737V --:f-.(--P~ m~ ~ ,/ -.2~ - '77 .:1."0 ~- // f11 NO OCCUPANCY BEFORE C.O. Water Meter: T,I.F.'s: FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. 1- All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or ~ Contract Price 10:2, ~ 9f' .. . Permit Fee tll"k- Signature /%~_ , Company Address Telephone# City license Registration # 19"1&J--- ~~~~w:t~~~<j; BUILDING ELECTRICAL \ /' Q MECHANICAL P G Breakers Ducts Insl. / ~ -do.:!} - C?I; $dff Compressor Final SLB Tub Set Water Sewer Final Tp. Servo Rough In , /1'1/97 G.' II Meter Can Const. Pole Pool Pre-Meter Final Ftr. Pre SLB lintel FRM. VL-Z3-q ~J~iJ~ 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. APPLICATION FOR PERMIT CITY OF ZEPHYRIIILLS BUILDING DEPARTMENT r'i7 fR f ~o.; :9), /I PHONE /?a 3 - '3 72:9 OWNER'S NAKE . GTE Mobilnet OWNER'S ADDRESS 600 N. Westshore Blvd. Suite 204 Tampa, Fl. 33009 704 Avenue "A" 3 rr-:~'--t:;; g--- JOB ADDRESS LEGAL DESCRIPTION: LOT(S) 6,7 & 8 PARCEL 1.0..14-26-21-0010-01700-0010 BLOCK 17 SUBDIVISION Moore's First (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ~ddition ____Alteration ____Repair _Install ____Sign ----"ove _Deaolish Interior Renovation PROPOSED USE: _Single Faaily ~C~ercia1 ----"I F ____, of Units ----"/H ____Indus t. _Swim. Pool ___Other ____Restaurant & Health DeparbDent Approval DESCRIPTION OF WORK: BUILDING SIZE: 31.0 x41.0 ~ 1,271 Interior Renovation Square Feet, 16 ,~ 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 $ 62,698.00 200 Valuation of Total Construction ____ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. _MECHANICAL . $ 1,871.00 Valuation of Mechanical Installation D~Pi.UMBING DNA GAS $7,400. 00 ROOFING DNA SPECIALTY TYPE OF CONSTRUCTION: -K-Bloclt ____Pralle -LStee! Other FINISHED FLOOR ELEVATIONS: 84.53FT. IS PROJECT IN FLOOD ZONE AREA? Flood Zone "X" YES NO ****************************************** CONTRACTOR SECTION BIJIIJ)ER COMPANY E.M. Scott General Contractor. Inc. (2; -z::- / r-A--- State Cert. or Regist. t CGC-008~2 ( --"" ~C _ ...",.r/1--*'C><J City License Registration' 19 r ****************************************** v Signature :::~~ COMPANY 5D",,-rlluJ E~Ee.1'il'~ o,c: ~/A - ~ State Cert. or Regist. 41 ~OOO 1,/" S u e ~ City License Registration t I 94-1 .. ... .-- . ......................................... /.v-.. ~ PLUMBER Signature /) /f/ 4 COMPANY State Cert. or Regist. , City License Registration # ****************************************** ~ Signature APPLICATION APPROVED PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit lay be subject to Ideed restrictions. which lay be lOre restrictive than City regulations. The undersigned assUles responsibility for cOlpliance 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 JaY be cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requireJents lay apply for the intended work, they are advised to contact the CitY,of Zephyrbills Building DepartJent, (813) 788- 6611. Furtheraore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sectionsl 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 wisbes you to sign as contractor that lay be an indication that he 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 IFlorida's Construction Lien Law - HOJeowner's Protection Guide" prepared 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 dOCUJent and prolise in good faith to deliver it to the "ownern prior to COJJenCl!lent. 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. 1 certify that no work or installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in t4e jurisdiction. I also certify that I understand that the regulations of other governJental 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: t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater TreatJent * Southwest Florida Vater ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t DepartJent of Health << Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnviroDlental Protection Agency - Asbestos abateJent I also certify tbat, if ,fill laterial is to be used in Flood Zone IAI or "A,etc.", it is understood that a drainage plan addressing a .cOlpensating volUle' 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 ~lter, or set aside any provisions of the technical codes, nor shall is~uance of a perlit prevent the Building Official fro. luereafter requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball becOJe invalid unless the work authorized by such perlit is cOllenced 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 cOllenced. One 90 day extension of tile, aay be allowed for tbe perlit with fee charge of $15.00. The extension shall be requested in writing to tbe 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 HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER IF YOU INTEND TO OBTAIM FINAMCING, CONSULT WITH YOUR LBNDER OR AM ATTORMEY BEFORE R,KCORDING YOUR NOTICE OF COHMEN T. $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT". J T57~.~ SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF \-\ \ __v:.. 6::;.~ <:;,,-\-\ The foregoing instrument was acknowledged before me this~00.\~~ , 19q~ by STATE OF FLORIDA COUNTY OF Hillsborough The foregoing instrument was acknowledged before me this Nou. I~TJf, 19 9ro by '-P\u-..,.\~ Qt2'~ SIC-f who is personally known to me DC wha has ~gduced as.-identif-iGati-on--iHld who did/did net take an oath. ~ (~f51:~~~Na (Name Typed, Printed or Stamped) NOTARY PUBLIC Bruce E. Scott who is personally known to me or wha bas ~ as identification and who did/dill fldt. ::~~:~ ,~~~ (Name Typed, Pr1nted. or Stamped) NOTARY PUBLIC MAROARBT OBaOBN Ntllf' PIltIlc. Stlft III FI"lcla M, Coalll. Ellll'.. Ooe. So 1.17 No. CC 3201.1 MARGARBT OBRGBN NIlIf' PIltIlc, Stlft III FI"lcla M, COIIII. Ellll'.. Ooe. a. 1.17 No. CC 3101.. , ' i - f?4Ct<- t-O C l fC ., NOTICE OF COMMENCEMENT ,.. ~ ., PERMIT NR PARCEL 10 NR STATE OF FLORIDA The UNDERSIGNED hereby gives notice that improvement will be made to certain real property and in accordance with CHAPTER 713. FLORIDA STATUTES. the following information is provided in this NOIice of Commencement. LEGAL DESCRIPTION OF PROPERTY (Street address if available) ~e € ATTJ4c.HIJ1~NT /I .. II 111111111111111111111I111111111111I111111111I11111 96118333 OWNER INFORMATION > - t,oo IV, Wc.sT~J#(!"Z.~ /3.J..vo~ ~'.NT. .:zC1 ADDRESS 7"14""",/4. ,claRiON 33'-0"1 . NAME tTL mLJSiJ..Ne7' INTEREST IN PROPERTY OWN~1l Rcpt: 112478 Rec: 10.50 00: 0.00 IT: 0.00 11/12/96 Dpty Clerk JED PITTMAN, PASCO COUNTY CLERK 11/12/96 08:49a. 1 of 2 OR BK 3656 PG 619 GENERAL DESCRIPTION OF IMPROVEMENT NAME & ADDRESS OF FEE SIMPLE TITLEHOLDER (If other than owner) /'J1/NOR.. 7? EJ"11 0 0 E. L T" IN7trUCR,. 'Re- ROelF- ., , NAME E, Ml 5e-n ft CONTRACTOR ADDRESS I a.;J C/ eJt~t- M Q J, ~t'.1 <s+-..Jq, NAME1~~rss~~l-ETY BOND AMOUNTS LENDING ORGANIZATION: N/n (Name and Address) Persons within the State of Florida. designated by owner upon who notices or other documents may be served as provided by SECTION 713.13 (1) (a) (7). FLORIDA STATUTES. NAME ADDRESS In addition to himself, owner designates of (Name) to receive a copy of Lienor's Notice as provided in SECTION 713.13 (1) (b) FLORIDA STATUTES. (Address) EXPIRATION DATE NOTICE OF COMMENCEMENT: Signature of Owner ~ ~ Printed Name 4J..e)(;1Nn~1l.. EVaN c.5 1< 'r (One year from date of recording, unless specified) CERTIFICATION (Stamp) .;: I.aOO-J.NOTAllY. PIa. Notll"f Sc'Vio,.t BclldiD& Co. ~ ','((((.(<,(((((((((((((/((/!(((." " ','((((IN(lt/(llt( /; '."'_-' 't." ,.....l.... o..\.;\"'lIo<"..:~_'..'..-.....l)....."..I.." .." ~. i~ I ..' I / I / 40 , ~ .. " " ~ ...... ... "- ~ ti ~ ~ . Q5 ~ ..... Vj 0 c:: ~ 0 ~ ~ ~ ~ CI) 0 tt .Q .Q ..... c:: CI) 0 ~ ~ "" ~ lb ..c::. ..c:: c:: ..... 0 ~ "" lb "" 0 ~ lb ..c:: ..c:: CI)~ CI) ~ ~ ~ lb .S ~ 0 ..c:: , (f) (f) tt (f) (f) ~~ tt 10 I r GRAPHIC SCALE , " 2l' . 0 ~ 10 I 20 , ( IN FEET ) 1 inch - 20 fl : j I OR BK 3&5& 2 of 2 PG &20 LEGAL DESCRIPTION: Lots 6. 7 and 8. Block 17. of MOORE's FIRST ADDITION TO THE CITY OF ZEPHYRHILLS. as per plat ther"of recorded in Plat Book 1, pag" 57. of th" public records of Pasco County, Florida. Th" above described parc,,1 contains 0.455 acr" of land. more or I"ss. 0.0 SURVEYORS NOTES: BY ~ J_____.._J 1_.._"""_"':___ _...",...f,,"a~ ,'".,~~,..I!,..J.,'....,..C" ....,,. ,- , c, ""-'.i> ~.~. ........""'.".:.. . . ..... ZEPHYRHILLS FIRE DEPARTMENT 38410 SIXTH AVE PH. 813-782- 8184 ZEPHYRHILLS, FL. 33540 FAX 813-788-3293 Business Name GTe Address 3 8.S- 0 t' A Me- Bus. Phone?82 - 99'-/ / Emergency Phone OwnerlMgr. Alarm Company - Occupancy Load Posted yesD noD Date Posted Contact Person Phone # Type of Inspection Conducted Annual LReinspect _. Quarterly _ Final /Commercial Check _ APPROVED vN'OT APPROVED_ Other _ OK/NOT OK .k:: _ Exit Signs _ _ Emergency Lights ~ _ Heat Detectors _ ,_ Sprinkler System ~ _ Exits Window Size Control Valves _ Water Supply Duct Detectors _ Exposures OK~OTOK V. Fire Extinguishers ,/ ~moke Detectors _ _ Alarm Systems /~ Hood System _ Storage Pressure Test _ Fire Dampers Fire Walls _ Address posted _ Hydrants OK NOT OK _ _ HV AC Shutdown _ _ Smoke Doors _ _ Elevators _ _ Electrical Panels _ _ Tamper Switch _ _ Inspectors Test _ _ Smoke Separation _ _ Yard Trash _ _ Tenant Separation Smoke Evac. Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these violations shall be required, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code. . , Comments: A VA) tA. PI- L ~ 1\ ;:. I tV It (. ~ e. CJJ ",.s.,-e (). ~ II Dd C.rr7. s Co 17 C c/r}&l.H (. Co .'V -r-e ~c.l / ;V G:> - i ": " Inspection Date ([) I . 3 0 - Time of Inspection I () 0' Re-Inspection Date Inspectors Name ,... _'(L-" ' S Fire Department I. D.# -s-S- ~ Owners / Mgr Name Title Tbil buDding bas been.. .ed by tbe ZepbyrbUb Fire Department. Utilizing tbe Codes and Standard. or, NFPA Minimum Standard., tbe State Fire Manhalt Uniform Fire Salety Rules and other loc:aI fire .ale.,. code.. Revised 9\10\96 . White Copy - File Yellow Copy - Business