HomeMy WebLinkAbout96-6362
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B"UILDING PERMIT N~
Permit
636~
CITY OF ZEPHYRHILLS
(813) 788-6611
Date /a.. ~3o-? ~
'12 ~-50
BUILDING
~ y.,S'V
ELECTRICAL
t,J. S[)
PLUMBING
30 - c'TV
MECHANICAL
Sewer Conn I,;L 7 IS, c.T2? __
Water Conn: 3~''tJ - t../D ~
I 6~':.PO~.
Water Meter: / 6-S;'~ov ~
-
.-
T.I.F.'s:
~ ft1t.l
Property Owner: I...) () .
JObAddress:-t?~~ . ~;;o JJ./1 tY~f
Parcell.D. # ~ ? -.:2 ( . .~/ - 01 to - 4f?O 000 - 6 7;;l ()
Zoning: Energy Code: RadornGas: :l.o2 ~-:i:
DescriPtionofwork'-:ll/.-.)...J'~b "~4 U.LA~
J-.-f'P~J-:u,-9? r/l~~ /O:'fO YlI11
FINAL
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application" C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
State Certified License#
/96/
Inspector
Perm;t~ "~'il "
Signatu ~n~
Company
Address
Telephone#
Valuation or ......~ ,--. -
Contract Price ...!;J 6 0 ~ c o--v
Ij~ 'j!~~
BUILDING
,4 ~".fI ?e>-t>
,9!~..,7Z~Bt;
fTf f- -;}?3
Tp. Servo I
Rough In :2 J 7/97 f1l)i~
Meter Can /;). dO -Y{,
Const. Pole
Pool
Pre-Meter. ~-:J.b-<f"! eL'!J
Final
t=o.:rl-er f>~ I I /) 2 fq 7 g: II
MECHANICAL
ELECTRICAL
Ftr. 11;).:).1 q 7 ~~JI
Pre SLB J h;J-/~, iUI_
Unt.1 J/"'~~ B~ t=
FRM. J./J~ 1 g-
Insul. CL
WL 3-~- 9'1 b2~1J
Driveway ~-Il-q'1 eL~
Sk.~l"'i 1/,<h7 ~B
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer 3-dS- '1ft; eL~
Final
;2 11"1 h 7 11aE
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 'A/~ ~,J~//C2~-9'-6
b. Condemned work resulting from faulty construction. ;J :) ~ "I L - 17
C. Repairs or corrections not made when inspection called. <-.s (::PV
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.
BUILDER: BAY VILLAGE BUILDERS
ADDRESS: 6901 NORTH LAKE DR"
OWNER:
SQ" FT" PRICE
LIVING OR MAIN AREA: I 1,450 I $ 35.00 ~
OTHER AREA UNDER ROOFT 805 I $ 11"00 l
OTHER' 0 I $ 11"00 l
SQUARE FEET UNDER ROOF: , 2,255 l
VALUA TIONT $ 59,605.00 l
ADDRESS: I $ 20"00 f
DRIVEWAY: I $ 20"00 f
FEES:L$ 305"00 I
BLDG. PLUMB" ELEC" MECH"
PERMIT FEES: I $ 427"50 I $ 62.50 J $ 68"50 I $30"00
3/4" 1" 2"
WATER METER SIZEl $ X 165"00 I $ 245"00 I $ 610"00 I $ 840"00 I
SEWER WATER METER
CONNECTION FEES:I $ 1,278"00 I $ 350"00 I $ 135"00 l
RADON GAS:I $
PERMIT FEES: I $
CONNECTION FEES:I $
WATER METERt $
TRANSPORTATION IMPACT FEES:I $
99%. $
1% $
22"551
588"50 I
1,628"00 I
135"00 I
: I
CREDIT: I $
70.00 I
2,374.051
SUB-TOTALr $
IRRIGATION METERI $
165"00 f
TOTAL I $
2,539.051
OWNER'S NAKE S Ar
OWNER'S ADDRESS / 'J b S I
JOB ADDRESS Lo T I~ (l{u;..;o~~ I-AKe LJ~ JV"e
~ P^AS~
LEGAL DESCRIPTION: LOT(S) I a BLOCK ::r:I SUBDIVISION :5/Lvp(J ( nAKS'
"
PARCEL 1.D.# 3-;1 C. -dll- 0 /bd ~ 00606'-O?~O(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED: )<New Construction _Addition -Alteration ~epair _Install
()fZ( i 1o'~ :J-",oVqb
U/ ~Clt (
../ J): f'! ~S
v"i,~cp RIA~~D!:::tJ PBONE&/~) 9'i/-?3t(
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
____Sign
--"ove
_DeIIOlish
PROPOSED USE: .Lsingle Fallily
____M/F _, of Units ____M/H
____<=<-ercial
____Indust. _Swia. Pool _Other
____Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: S I NJLe FA (\'\ fLy Re<;"
BUILDING SIZE: X , ~.2j'r Square Feet, Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUlIJ)ING PLANS & (1) SET ENERGY FORKS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
____BUILDING
$~~OOO
/5 (j AMP Service
Valuation of Total Construction
_ELECTRICAL
x
Florida Power Corp.
W.R.E.C.
____MECBAlUCAL
$
3.300
,
Valuation of tlechanical Installation
_PLUMBING GAS sh, NJLe ROOFING
TYPE OF CONSTRUCTION: X Block _Fraae _Steel
SPECIALTY
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECI' IN FLOOD ZONE AREA?
YES NO
................***********.*******.*.****
B~ CORTRACI'OR SECTION , ~. /1/7_
BUTT.DER . -?n ... .. COMPANY ~ ~~ f/AJM!.. ~
~ "~/ State Cer67 or Re~i;;t: # -; . . ~.3 Cl:.c C1~ 13s~
Signature r ~~-;.--r-Ol . ~ . City License Registration # IQ~
- *** *.****************.**************** I I'
~- -
RT.RCTRICIAR COMPANY -.), 5 K / ~/: / ~ ~~ c
~ ,/lh :J_~~_/l State Cert. or Regist.' E'<~Z-" Y.f-
SiafUlture ~I'?"/f t1' ~ City License Registration' ,? ~
***.......*.**.*...**.***....*..*********.
PLUtlBER
COMPANY )(/" ~UL 'f- T~4
~ J ~ State Cert. or Regist.' /0' \-
U f) v/ City License Registration . I I?
.***......*****.*...****.**.....********** ~
COMP~ f. c~--A (C~ CO ,
State Cert. or Regist. . C-D Co '5'2-yt/j
City License Registration' '~cl~
...*.........**.**.*.*.*..**.*.**.********
Signature
Signature
OTRRR
COMPANY
State Cert. or Regist. ,
City License Registration ,
**.***.*..****.**.**********.**********.**
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. 'NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pemit lay be subject to Ideed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable ~eed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake wort, 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 lisd_anor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireJIents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
788-6611.
Furtbel'lOre, if the owner has hired 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 mmer 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 be is not properly licensed and is not entitled to peIlitting 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 IFlorida's Construction Lien Law - HOIeOImer's Protection
Guidel prepared by the Florida Departlent of Agriculture and Consuter Affairs. If the applicant is sOleone other than the
"owner", I certify that I bave obtained a copy of the above described dOCUll!llt and prOlise in good faith to deliver it to the
"owner" prior to cOllenceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developient.
Application is bereby lade to obtain a pemit to do work and installation as indicated. I certify that no wort or
installation has c~ced prior to issuance of a pemit and that all wort will be perforted to leet standards of all laws
regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other govl!I'lllental agencies laY apply to the intended wort, and that it is
IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not Iilited to:
· Deparuent of Envirol1lll!J\tal Regulation - Cypress Bayheads, Wetland Areas and EnviroI1lelJtally Sensitive Lands,
Water/Wastewater Treatlent
· Southwest Florida Water Manageaent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
· Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
· Departlent of Health & Rehabilitative Services, EnvirOJllental Health Unit - Wells, Wastewater Treatlent, Septic Tants
· US EnvirOJllental Protection Agency - Asbestos abateaent -
I also certify that, if fill laterial is to be used in Flood ZOne IAI or IA,etc.", it is understood that a drainage plan
addressing a .cOlpensating volUleu will be subtitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued sball 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 sball issuance of a pemit prevent the Building Official fIOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid
unless the IOrt authoriled by such perlit is COIIenced within sil IOnths of issuance, or if worl authoriled by the pemit is
suspended or abandoned for a period of sillOntbs after the tile the work is co.enced. One 90 day I!Itension of tile, llay be
allowed for the pemit with fee charge of $15.00. Tbe I!Itension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during each Sil IODth period, or the project will be considered abandoned.
WARRING TO OWNER: YOUR FAILURE TO RECORD A NorICE OF CCllMDCEIIII! MAY RESULT IN YOUR PAYING rwICE FOR IMPROVEIIBIft'S TO YOUR
PROPERlY. IF YOU IJiTDD TO OBtAIN FIIWlCING, CONSULT WIm YOUR LODER OR AN IftORDY BlFORE RICORI)IMG YOUR DICE OF
ClMICEIIBI!. JOIIS IIIIDIR 12,500 II YIWIl 00 lOr /11II) YO IIICOIID lID 1'llS! A 'JOI Of ~"
Slw~~~t SIW_: ro'M R -
STATE OF FLORIDA STATE OF FLORIDA
coum OF coum OF
The foregOing instrument was acknowledged The foregoing instrument was cknowledged
before me this ., 19____ by before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
RESIDENTIAL
CHECKLIST FOR NEW CONSTRUCTION PERMiTTING
~P1ication comp1eted in its ENTIRETY.
~tioe of c""""""o.......t oertified oopy 'I'~~ lJ-9-1t-
~Check if
~orida
contractors and subs are current1y registered.
Energy Efficiency For.m comp1eted.
_L::::-/~1ot P1an.
tt/ii
Property Survey.
_~ SETS of Engineered
mechanica1 diagrams.
Bui1ding Prints with e1ectrica1, p1umbing "
ttl'11- Homeowner, check for proper "Homeowner's Affidavi t" for.m.
"-" "-------"--~-"-"----"""--"----_."--------
--~- -- ------:---..
.....------------L7- Si1ver Oaks Subdivision - need camp1iance 1etter. "
<--
~ R-O-W Use Per.mit, if app1icab1e.
~ Give E1evation Certificate, if app1icab1e.
'--'""
~~ifY Water' Sewer Service.
P1ans Review Fee ($.03/sq. ft"- $15 min).
Amount Paid $ ~()" (;>~ Date /';;-..2- - 90
ReoeiV<><! ~~~,_'
~._-_//
~~iU~i~'j~~ U~:~~ bl~i'~~j3~1
:::; I L '',''EF:CiAVS
....
PERMITflNG APPROVAL FORM FOR SILVER OAKS
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
To whom It May Concern:
Pleaie be advised that tbe fullsct of Construction Planll Indudlnl .ite or plot plan bas been
lIubmltted and approved by tbe De~lgo Review Committe fot:
-r)O-t_/i l ) "lyLlo.-.o Q~ ":6l~~)
Builder \ -- 0 Phone
~B1-9 l(oldA ~ J)RItJ6
Home addreSl Lot 1#
~gpkjj!uJ.fJJ) FI R
JJJrn BOllEN!
Owrkn Name
Zip
Pbone
It;l-Lf -q(O
Date Submitted
,').-\-<1(;,
Date Appro..'ed
~~
/J1J R..J-
$~ -~Zj
APPROVED BY:
99/-7S~
7cZ
3351//
llu/ ~ q6
PAGE 01
\'
State ()f
FLORIDA
County of
11111111111111111111111111111111111I1111111111 RII
%128521
PASCO
NOTICE OF COMMENCEMENT
TIlB UNDeRSIGNED hereby gives notice that improvement will be made to c3rtllin
r~~l property, and in accordance with Chapter 713, Florida Statutes, the
f'C.)llowing information is provided in this Notice of Commencmncnt:
1. DescJ: iption of Property: Parcel No.
LOT #72, STEPHEN'S GLEN, SILVER OAKS, 6901 NORTH LAKE DR., ZEPHYRHILLS~ FL
(Le9a1 description of the property and street address if avail~bre)
2.
General Description of Improvement
NEW RESIDENTIAL HOME
Rcpt: 118105
OS: 0.00
12/09/96
Rec:
IT:
J
6.00
. 0.00
Dpt Y Clerk
Fii
O\,,"er Informa tion: f'lame
BAY VILLAGE BUILDERS, INC.
Address 19651 BRUCE B. DOWNS
City
TAMPA
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
SAME
State FL 33647
JED PITTMAN, PASCO COUNTY CLERK
12/09/96 11:02a. 1 af 1 .
OR BK 3606oa PG 424
Interest in Pr.operty:
OWNER
City
State
4.
Contractor: Name
Address
JOHN M. KELLY/BAY VILLAGE BUILDERS, INC.
City
State
5. Surety: Name RLI INSURANCE COMPANY
Address 9025 N. LINDBERGH DR. City PEORIA
Amount of Bond: $ 5,000.00
State IL 61615
AddresG
6.
LendeI:: Name
N/A
City
7.
Persons within the State of Fl"oX'ida
notices or other documents may be
71j.13(1)(a)(7), Florida statutes:
hddress.19651 BRUCE B. DOWNS
BAY VILLAGE BUILDERS, INC.
BY
Name
D.C"
City TAMPA
State FL 33647
8.
In addi.tion to himself, Owner dcaignates
of to receive a copy of the
'Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
E:xp.Lrl1t.lon dnt.e of NotJ.ce ol Commencement. (the eJlp.LL"~tJ.on date is 1 year
fr?m the date of recording unless a different date is specified.)
9.
Signature of Owner:
ROB RT A. KELLY, BAY
Sworn to and subscribed before me this
19 Q<o .
UILDERS, INC.
of l\~ ()~h..u--
I
Notary Public:
~A~"L.~
l'i"I~~~~-1
.;. :ommission Expires:
Pct~04C
. . .,....
PASCO C()lJNT\' FlJORII}A
__ "_ ~ __~_"_ - __" - ._..L... __ ..----.---.
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Builder Name/Owner
N /] ,J.... " ) / ;) Ii , r-")
,ame ~~-':~f--.......~t~
2-:: ~6 "-~ -:.2.l!!Y.._-' C C(;.'/,>','
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Us(" '----;?~4.L~/"-/ ~ ::
;::;7)(
County ParCl'l ,~,
Location ~ ~
bb
(,la~\lfiC,l!inn!l vpe'
'.,.....:
TRANSPORT.\TJON 1~'f'ACT FEE CALCUtA J '
f\\-\11'1
Rate j,
"
Sq PI Tn.: -
I"'p,r~"" q,
.--
Impall Ft'p Amnunl ~
The ,'oo\e "npact fee h t'n established purSUdl':
by the Board of C y Comml' .onC'f' Th,\ 3,1">(>( ,,'
,IIV': the perm' ...' , -',ilure
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RESOURCE RH (1\ ER Y ASSI
lENT
" ~. '\_' ~-i r
RFSt))FNTI A L
\.... i<' t. 'Ii! ',t- '<'T ,
No" Ullll~
_--L -
( ,'-1)'
"
H
.",..,
Rate/ERU
"5) ()()/Year
'" $0 ] 42 Dol)
i R\' "',..~r\ "\,,
4,,,,,"vnCI1!-- l","n Un,r~\ ~ ,~i
X I '\ n f)::l'
, '
....1
.... \
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HYL\L fEE 'S
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r ...
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T"T .~~",q~ d\<;(",,'ne nt ho" het"n l.'<;tabh"hc(l pu r;ll<.tnr {r." r","'
~lS rr.p:!tlt"ncled
1 r r, ~ 1...,
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C '."\9 :-;
THE- ASSESSMENT WILL BE CAt f",'LA fEr)
Dee t., r lI, l\;('Y
: t: Lf ,;\, :
\" ." '\ ~r
r l! ~
", '! \ IF-
~()CERT1FKATl:,OFOC('tJ>A:'iC\' OR FT\AI. P()\H.R RFLEA'~r. \\1 , !" .,'. I", \1 ! '!'
HAVE 8[[:\ PAID AND RECEIIYffD FOR BY \ ( I',! l< \1 ILK\lIl. , ";' t I ' ": ' \."
.11" '" 1 ~., l.bl !' .
'll'" I \
Acknil\A>l~dgt'fTlcm tlelow does nN Impl: d~'(eplar" e ,"1:(',,'.':0('.'" t>-.l'ln1ri" ft'U:lpt ()f a copy 0. :hlS form, placing
the buddmg permit owner on notice of this assessment and the conditions of pavm('nt for same"
Dale
ReCClved By
OFfiCE USE ONLY
TRAN~PORTAT10N REC" NO"
DATE
~.6 1 Qi::.z__ i 'An:
1~-31"'/~_
RY
BY
"=;;h
RESOURCE RECOVERY REC. NO
WIllIe
AppliClInl
Canary
T ranslfm."ee
c.nary
RFI/Finane.
Pi",k
')" -e
Gr,.n
~!rlgl''''p
f.acal:c.
I -_____
r ------.. ------
-----------.... --._------.
-----..- ------
-- ---..
--------. --- 138.78'
----- -----
--------.... ---
-----------.. ------
-----
---------- ------
----:I
----
30'
DRAINAGE
E;j,StMf T
---
--
---
---
----..
--
--
--
--
--
LOT 72
SILVER OAKS
PHASE III \
(BOLLENT RES.) 201'
\
.-- n'-cf __
r~
_3)
~
1
Y
U
CONCRETE
DRIVE
)~.
6:\'
LK
- --c----.
..-- - --- EDGE OF ROAD
~AY
l ~ILLAGE
~) B1JILDERS
. --- . -- ct
~JORTH LAKE DRIVE
--
.......-