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HomeMy WebLinkAbout97-6377 BUILDING PERMIT N~ Permit CITY OF ZEPHYRHILLS (813) 788-6611 637713 -3.s"(TO ~ Pmperty owne, ~~ j!7~i I~ Job Address: ~ ~ Parcell.D. # J Y-.;)..b -;)/ - b 0 /0..... /")/9' CJ 0 - 0/30 Date /-6-71 ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work ~ yl"'r1 t- Radon Gas: ~. 9' 9' . NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Po'mi.Feo ~'::~ ~ Signature _ ~ '/Yl~ ~ Company Address Telephone# Valuation or Contract Price 0. ~ 31. trD , City license Registration # d.. / / State Certified license# JJro )(d/ BUilDING ElECTRICAL Ftr. ~tAJ fYJ tJ. J I ~ Tp. Servo Pre SlB.J1l~ Rough In lintel Meter Can FRM. Const. Pole Insul. Cl Pool ~ Pre-Meter , I r.JiftV / (,,'7 Final Drive ay j71 ~ '-"'( PLUMBING MECHANICAL SlB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final 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 OWNER'S NAME fA-/M~r 4;vI;~r~~ PHONE 7~2-f?t5/fi OWNER'S ADDRESS Lf?i//6 q::e!-6Tr- :2~~/,,/rAj/~.4 &-?c..s--y.-o C;;~/J/~ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL LD.' /7' - ~ ~ f9- I -p tC' /P '-O,l9a> -l'k-~OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: ~New Construction _Addition _Alteration _Repair _Install _Sign _Move _Deaolish PROPOSED USE: v Single Faaily _M/F _' of Units _M/H _eo..ercial _Indust. _Swia. Pool _Other _Restaurant DESCRIPTION OF WORK: 6 lit/? & Health Deparbaent Approval /2)(/1' .1pd C4J?~P't-~~:J= 13j(8l. BUILDING SIZE: X. Square Feet, Height RESIDENTIAL: ATTA~LOT PLANS & (2) SETS 0; BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTA~ ;~TS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. _BUILDING $ 3?3~~ PERMITS REOUESTED Valuation of Total Construction _ELEC'J'RICAL AMP Service Florida Power Corp. W.R.E.C. _MEGHAlfICAL $ Valuation of Mechanical Installation _PLUKBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIlUSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** BUILDER /1 CONTRACTOR SECTION COMPANY ,;/.fl. /n ~L / , State Cert. or Regist~ . ~.~. CI2r:23~ .tJ -/11., ~/ City License Registration' 02/ / *****'**** ******************************* Signature -L~ ELECTRICIAN COMPANY State Cert. or Regist. # SiRnature City License Registration t ****************************************** PLUKBER COMPANY State Cert. or Regist. . Signature City License Registration t ****************************************** MECHANICAL COMPANY State Cert. or Regist. I Signature City License Registration , ***********~****************************** OTRF.R COMPANY State Cert. or Regist. I Signature City License Registration # ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perJit lay be subject to "deed 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 regu~ations. If the contractor is not licensed as required by law, both the owner and contractor laY be cited for a lisdeaeanor 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 Zephyrhills 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 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 "Florida's Construction Lien Law - HOIeOWDer's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOlleone other than the "owner", I certify that I have obtained a copy of the above described docuaent and prOllise in good faith to deliver it to the "owner" prior to cOllenceaent. E. CONTRACTOR'SjOWNER'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 perJit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a perJit and that all work will be perf oIled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in th~ jurisdiction. I also certify that I understand that the regulations of other goveI1llental agencies laY apply to the intended work, and that it is If responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to: * Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water ManageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways * Departlent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater rreatlent, Septic ranks * US EnvirODlental 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 that a drainage plan addressing a "cOlpeDsating 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 alter, or set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frOll thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is suspended or abandoned for a period of six IOnths after the tile the work is cOllellced. One 90 day extension of tile, laY be allowed for the perJit 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. WARMING TO OWNER: YOUR FAILURE TO RECORD A NorICE OF COMMEKCEHBNT MAY RESULT IN YOUR PAYING fWICE FOR IMPROVEHENTS TO YOUR PROPERTY. IF YOU INTEND TO OBrAIN FINANCING, CONSULT WITH YOUR LEtIDER OR All AnOmY BEFORE RECORDING YOUR NorICE OF COMMENCEMENT. JOBS UlfDER $2 00 IN VALUE 00 Nor NEED TO RECORD AlfD posr A "NorICE OF COMMENCEMENT". ~J!!lr~~~c SIGNATURE: CONrRAC'lO STArE OF FLORI~ COUNTY OF ~ The foregoing instrument was acknowledged before me this / -:;;L , 19~ by STATE OF FLORIDA r-;) COUmOF y~ The foregoing instrument was acknowledged before me this ) -.::2. , 19 9;7 by who is p~SO~allY~own to me or who has produced 'J...uJ..e-""<lf:. -~ fJ...3S3-66o -/1 -3'8'~o as identification and who did/did not take an oath. '-f1 () fJ1 ~ (Signature) A/~ ~ / c!l- h C \c' . I'J 0 ci-' (Name Typed, Printed er Stied 7 NOTARY PUBLIC who is ~ona~own to me or who has produced as identification and who did/did not take an oatb~ a JJ1".".4 (Signature) y ~A J1 J' A~Vtc...v {)o y (Name Typed, Printed/or Stamped) / NOTARY PUBLIC l$}~"""~~ Nancy A. Moody :*: :*i MY COf.MSSION * CC534806 EXPIRES ~"li. . . ~ February 21. 2OllO -'<;~ . 80NIlED 1IfIU TIlO'( FAIN INSURANCE. INC. ",'\';A~'lr~~1. Nancy A. Moody f.1'\"'is.~~ MY COMMISSION' CC534806 EXPIRES ~.~~: February 21.2001I "'1,~'",'~' BONDED l1iR\l TI\O'( FAIN 1NSUIWlCE.1~. ',Rf.,n< (RE.SruE]<TlAL USE ONLY) l'J..n:CtL I. 0 . /.'/ SEe .;26 T\i[' ~ IWC 1)0/1> SULlU ~..LYP IJLOCK ~ LOT I'ROrEItTY t1EASUHD1ENT ~ CUI(JlEf~T b\-lNE.HS /tIr. J.. (flr.s. . I. II Lf JJt/jJ9' 'rPP , . J' DHE /~/olI96 . All orll\.'ings Gunll be drllVo to Dcnle for lllljiurccls or lo.to five llcres or less. A ( :' r.:- ":/ /;-_./- rr/v'::. [ -. ~ IN[ " T I Ii( I" . I" ! ",: CY'IP' I '7 ' :: ~) p c... f'i'::t I':) ./ ['xl'::,J fouL ~fJ ~ LOS (,) {t f / ' (:-----11 ~ ~ EiIV', , . Ie-o/ole. .07 ,A..0 " ----.--r I . tiC\!-" I *-. Pi?Cp[{(iY uvf , II '- -.)1 -~I .?'- I i i. //If-l // I /5''' I . ":",4 f1 p.';'<. T I?> 'f:rY t..x{-ST I J'-1/ Ff f.}Cl. r , I ~I ' * G-AF-./rA r;' [ ': - -- -----I. 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TEXAS DEPARTllENT or INSURANCE WlNOSTORu RESISTANCE GUIDE &-SO -'I () :UOJ .0 ). O"' tII'" -I )> 12 02 \11 () ('. ;U ). <no o OZ Oz ZfT) 20 (T) -.. no =..1 ;u o Z " - . , !!. .~ ,.J. ~~ () . r. ? ~ ;;1 r- '" _I~ ~ ~~ ~ 1:, ~tl."9~ ~ n _:;.1:, ~_' ~ 2 ~~ ;u i . ~ c(;; i'l1!! - :J W ~~ 'i li - ;;1 ~ ~ l:J ~ Ill' 1 r'. 't'--'l ~~ rlT)1f ~g LL(\ \\ ~r LonwLo f,": ~ (~1() ",'OO~ <;"r... ,) 0 ". 2,_ . ". 0 -IZ 'Q~C. p" ~ r)lI) w" tlr ~ z m *' ;;l~ ~ ~~ ~ o ~;1! lJI r.J" 6 !; ~ r:.~ Z )( "It ~ <;J r, )-c~, ~ L\/ ~Ic:\ ~ ~ ~ q~~ o ~ r~~ ~ l ~I>" ~ ~ I-~ Ii, lJIQ (:, ~t ~~1 " " , ..~ ,:1 ~ ~ ~ III ~S "I,l ~ I '" aO ,/\ ;;i l~ ~ '"'80~ o i 0 ""1 t,') -I )> F VI ~'" z .., -0 I~qf.l 1 III " 2 - Q?!~ ! '~8 ::>...~ :J I ~al. ~ :.u .!.,,, ~ "S'~ ' . 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TEUI'IIOI<[: (90') 76 - fAX, (90') 16'1-6~~6 m IT1 )> ~ (/) 'U ,- n ,,) ~ i I~~ ~ ~ ~~~~~~b fTl ::IIlIAilll'a~ m Q ,1i:;:~X:;:>r ;U "I l( OlAoA )> ~ lil ~~ ." II ~ /.l ~~!.1~~:r.J b ~~~-;:;'f~~ -u 6>IA '20/.\ ~ af.l~h:::- ~ ~~~ ~~~~ ~ ~ ~~~r:l2 ~ ~ 2 . ~ ~ ... o ~ ~ ~ "1 ~ i.l ;; l~ ;::; ~I~Q ;;~~ H ~Q~ r ~\~~ -I~ "~r( ~ or~ ""'-f~ i;;~~M "',_, z -'g iO:l;jj ~Sl B O'Ll 00 65fT) r;;s: 01 t,;:J ). ' -< <Ll OZ ). fil ;u I" ;g ;00 ~I ;u ~ ~ Q ~ i ~ .\') ". f~ ; ~ i:l -, ": ~ < I., " ., c '" FREESTANDING COVER8 "" " "":,,' :.; ',:/,')-1 ~3 , '~ o o c (lJ r 1'1 o )> ;u -0 ~ -< " I :( ;) , o ;r BE AU sP)J~ l I ^Ol( 1 r ~~ l,----- Po ~"T~ c:~ =-----___0 5 i~ '<<m ~ ~. !~~~1: II ~~ ~ ~~-t--~_J.L- ~ ~ (/I z ~ o ?i, 1J o ;0 -, " I :( , '" + o >: SilO"'" ON TlI[S[ IS TilE OESIGNS Aim S~AI:;' OlE lOAD REOU,RElA(t< OIlA"""GSC:l.'if",,~~S~OOES: /APTER 16 ~~A~I~~I{O IlUILOING ~OI~fNJQ~~Afg E.o rnO"SION$ I. INCI VOII'G APPlICAOl or SOCCI ssm IO~93U1G CDOr 199J 7, "DCA '0. nONA\ ~~ \~. flISUnAtlC( ~uoS fonu J. ,~~~~1 A':f~~AI~~~)~ ^ -89 11111111111I11111 1111I1111I11111 1111111111111I1111 97000186 Rcpt: 122864 Rec: DS: 0.00 IT' 01/02/97 . 6.00 0.00 Dpty CierI Permi t No. JED PITTMAN, PASCO COUNTY CLERH 01/02/97 01:17p. 1 of 1 OR BK 3G79 PG 70G NOTICE OF COMMENCEMENT State of ~~:r/.f" County of PM ~tP THB 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. Parcel No. 2. Gt::l1~J.a.l Dascription of Improvement Cu- f 0 ~ II (U ~ J -J"<e'f. i Sf! YiJ ~ G\' ra3 C' . f 3 R'~, Owner Informa Hon: ,::ame _ Fa / I/JI1 C r 4 1/1 -r; ~ i'~ ~) Address4a 1-" 8 S / , City L~ jJll V r 'h I lis I / Interest in Property: () ~I J1 e .- . Name of Fee Simple Titleholder: (If other th~n owner) - State 1-1-, 33~~O 5. c/,. A /lte/~r) /~. /J1~~~ Address tJr,Yf! d~~~y City '2",~~//is Surety: Name ~..uT~"cJ .6~'Ir Address City ~-'~I'x FA-//t State Address 4. Contractor: Name State~~~ State b.)J Amount of Bond: $ ~,&,. ~j;> , 6 . Lender: Name 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 Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor'S Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. 1.';xph dl lUu unto of Notico of (;OllUIIOIlCOlllout (tho expiratioll date is 1 year frQm the date of recording unless a different date is specified.) Signature of Owner: day of ~OAD-I' Y k",,, ~I") e eerrt be.-- , Sworn to and subscribed before me this 1955L. ~ ';;/. OFfiCIAL NOT ARYSEAL DEBORAH L HIN~Z . r. - Notary Public: My Commi.ssion Expires: COMMiSSiON NO. CC59ti618 'OMM15510N EXP. NOV. 4.2000 ':; '!! /I/C.I\~! 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