HomeMy WebLinkAbout96-6351
BUILDING PERMIT N!
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
- 63518
Date
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Property Owner: .L .
Job Address: '--Sb O~I 7 . ~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: _. Energy Code:
Description of Work R ~ .Jl.<~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
2-23-
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Permit F e
Signature
Company
Address
Telephone#
LL
Valuation or
Contract Price ~ J..? 0 . c;"--O
City License Registration # c2 g-- d...._
State Certified License#
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
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.
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RESIDENTIAL & COMMERCIAL
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South Hlghway 98, Dade Clty,
F'j-, an i.::' # (352) 567-8580
Banded and Insured
Flat'ida
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TOTAL COST: $
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APPLICATION FOR PERMIT
CITY OF ZEPBYRBILLS
BUILDING DEPARTMENT
OWNER'S NAKE -n1~ $. CILQ~^O^
OWNER'S ADDRESS 5 (P D I / 7 fA S"t1 0.1' t
JOB ADDRESS Z.f{fJA:t~.1t I.j-I (J~)
PHONE
7g,:).- 0/37
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D.'
/1- J. (, -~/- 0010 - (/ '/00 - 005D
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair Install
_Sign _Hove _Deaolish tft-~i /1~/3 CJ~
5~ .
PROPOSED USE: _Single FOlily _H/F _' of Units _H/H
.
_C~ercial _Indust. _Swta. Pool ___Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF IiOR1(:~--1L>1 //-76J-A~ / So; ---/zrzeL d~
BUILDING SIZE: X 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
$
tj.. 00
,cJ-9 tJ.
Valuation of Total Construction
_ELEC'l'RICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _FrOle _Steel
Other
FDITSHED FLOOR ELEVATIONS:
FT.
IS PROJEC'l' IN FLOOD ZONE AREA?
YES NO
******************************************
BITTl.DER
CONTRACTOR SECTION
OOIfPANY ~ c $~CZo~k<.
State Cert. or Regist. t:{) -.5b
City License Registration . ~)P0l
***************************************
Signature
Rl.RC'l'RlCIAN
COMPANY
State Cert. or Regist. #
City License Registration t
******************************************
SiQOAture
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration f
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. f
City License Registration .
******************************************
Signature
OTRRR
COMPANY
State Cert. or 'Reg 1st . t
City License Registration'
*********************************..*******
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands tbat this perait lay be subject to 'deed restrictions" wbich lay be lOre restrictive than City
regulations. Tbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired 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 lilY be
cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
"Contractor Sections' of this application for wbich 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 be is not properly licensed and is not entitled to peraitting privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of DFlorida's Construction Lien Law - HOIeOIDer's Protection
Guide" prepared by tbe Florida Departlent of Agriculture . and Conslller Affairs. If the applicant is sOleDne other tban the
Downer", I certify that I bave obtained a copy of the above described docUleDt and prOlise in good faith to deliver it to the
"owner" prior to cOllenCelent.
E. CONTRACTOR'SjOWNER'S AFFIDAVIT
I certify that all tbe inforliltion 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 bas cOlleDced prior to issuance of a perait and that all work will be perfolled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDJental agencies laY apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in coapliance. Such agencies include but are not 11lited to:
* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
* Southwest Florida Water Managelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways
* Departlent of Health & Rehabilitative Services, BnvirDDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
* US BnviroDleDtal Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood tbat a drainage plan
addressing a 'cOlpensating volllle" will be sublitted wbich 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 alter, or
set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOla invalid
unless the work authorized by such perlit is cOlleDced within six IOnths of issuance, or if work authorized by the perait is
suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day utension of tile, laY be
allowed for the perait with fee charge of $15.00. The utension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each six IOntb period, or the project will be considered abandoned.
WARNING TO OWlfBR: YOUR FAILURE TO RBCORD A NOTICE OF COMMENCBIlBIf MAY RESULT IN YOUR PAYING twiCE FOR IMPROVBMDl'S TO YOUR
PROPBRTY. IF YOU Ilf'IEND TO OBTAIN FlIfANCING, CONSULT WITH YOUR LINDER OR AN AnORHBY BBFORE RECORDING YOUR NOTICE OF
COMMlNCBMEIf. JOBS UNDBR $2,500 IN VALUE 00 NOT NEBD TO RECORD AND POST A "NOTICE OF COHMD NT".
~ft~~
STATE OF FLORIDA~
COUlf'lY OF . ra.s c ~
The foregoing in~rument was acknowledged
before me thiskl /q , 19~ by
- (
~YlI/\/1 LS. LI;~~^-
who is personally known to 9r WBe lliUl
prgduGed.
as identification
t an oath
STATE OF FLORID~~~~
COUlf'lY OF LV
The foregoing instrument was acknowledged
before me this !rl - /Jf , 19 f b by
.
o
.
who i~~to me or who has
produc
as identification and who did/did not
take an o~th.~ .Q J11~
(Signature) ;v. ~ A}f /
~~\c . ~ody
(Name Typed, Printe or Stamped) I
NOTARY PUBLIC
(Name T
NOTARY P
J
Notary PutlIC. State d F/oIlda
Mv corrvn. &p..Mw 6. lW1
No. cc 29231)7
."\\.\I:;'t',,, Nancy A u....d.,
~,!!,..~~ . ntVV\I1
,:.~:*; /oM COMMISSION' CC534806 EXPIRES
-.\\ :"i February 21 2000
=!r,Rf.,: ~ 8ONOEOTHRUnIO'( FAIN INSURANCE, INC
Rcpt: 120553 Rec: 6.00
DS: 0.00 IT:", .0... 00
12/19/96 Dpty Clel
JED PITTKA., PASCO COUITY CLEf
12/19/96 02:44p. 1 of 1
OR BK 3673 PG ~9S0
,.--.. . NOTICE OF COMMENCEMENT ~
r I 0 ~ lcD 13- County of~F>r5 C C)
111111111111111111111111I11 1111I111111111I11111111
96133484
Permit No.
State Of
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 Notice of Commencement:
1 . Description of Property: Parcel No. /I - J...l..o - ~/- 00 f 0 - ((400 - ClJSD
(Legal description of the property and street address if available)
2. Genera I Oeser; ption of Improvement ;(; (ku R (9 D -3- 1+'"* ..,. A-(?~1M
;:].&2 ~cuJ) 41 ~ R()o.s- S'J2..~
I
r
Address SleD I //~ S~X
Interest in Propp.rty: fJt/~-
Name of Fee Simple Titleholder: r( / ri
( I f other than owner)
:D. Ckr/fY\- .
City c~f7h'?f' hcf! t,
State 72L
3. Owner Information: Name rX-l/U/JU ~
Address City
4. Contractor: Name
Address S-O
5. Surety: Name B~~d ~fl/}UU(AO/J/d-
,
Address /~Jtu:d City _ O~ ~
Amount of Bond: $ vi)
S; 000.
6. Lender: Name rl / 1"1
Address City
State
eo
State 1=-(
"53.nS-
State..:t13...JS:iS
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 11/ k
.
Address
City
State
8. In addition to himself, Owner designates ~I ~h~r-
of ....d:,ChtlJ::J.ir fool7Q:!/ to receive a copy of the Lienor's Notice
as provided"in Section 7V3.13(1)(b), Florida Statutes.
9.
Expiration dat~ of Notice of Commencement (the expiration date is 1 year from
the date of recording uniess a different date is specified.)
411- ~j)
Signature of Owner: :f ~~;.--'-" ;3, (
n1i"l1i e D C!1/~t:}r(()11 /
Sworn to and subscribed before me this /~ day of t:fJ#Lb7U fiLA--
19 cry .
#-
s"f 'f~D l.(p "Z,,_
Notary Public:
My Commission Expires: