HomeMy WebLinkAbout97-6429
BUILDING PERMIT Nl1
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
-- --6429A
Date
/-,]/-77
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Property Owner: 'I
Job Address: S a- L/d.-
Parcel J.D. #
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
av-z.
T.I.F.'s:
Zoning: Energy Code:
Description of wo;;- /r/\J2 A ~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
.' it
~,m;t Fee/]-':;>-f~
Slgnatur~---,---
Company
Address
Telephone#
Valuation or
Contract Price
3 ~. -S'-tJ . lru
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City License Registration # .2 ?-~
State Certified License#
--LIp f'P4. -
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
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.
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F~E: 00:::;;2524
F:C ()()567 6::,
1]250 South Hlghway 98, Dade Clty, Florida
Phone M (352)567-8580
Bonded and Insured
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APPLXCATXON FOR PERM1T
CITY OF ZBPIIYBHXLLS
BUILDING DEPARTMENT
ADDRESS
OWNER q / J 0 ~
JOB LOCATION 38 '-l &(p ~Qu) ~ 1 A-0L
LEGAL DESCRIPTION: LOT(S)~ BLOC~
PARCEL 1. D. 4~ :L -;1...-" -- - C50 r6 - 06 00-
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APPLICANT
......
LOT SIZE X
AREA
SUBDIVISION
.
G
"'t.
WORK PROPOSED :_New Construction -^ddition -^lteratiolitf" ~epair
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_Sign/Temp.
_Sign
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, _Move
PROPOSED USE: ____Single Family
.--.J'I/P
_~ ofUnit.,*,
,-. ........:
____commercial
......;..;..:.;In.ciu.~ i ~ . ,...........Swim . ~oo l,>
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~estaurant << Health'Deper,tJlen.tl -Approval \.' ~\."
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BUILDING SIZE: X Square Feet. .;
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RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLAN~<< (1)
'COHMtRCIAL : h ATTACH- (3) SETS. OF ..BUlLDJ:NGPLAIlS..4. {l)-SB't-.
**COpy OF CONTRACT REQUIRED.
_BUILDING.
$
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PF.1Pf'TTS RRQJ1~STED ,~
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Valuation of ,Total CQP,$~J.Mction
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~ECHAN~CAL
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AMP Service Florida pq~fj;,.~rp.
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GAS ROOF~~G tALTY
~ELECTRICAL
.
_PLUMBING
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TYf~ Of CONSTRUCTI9N:
,~ .
_f.li~e _Ste~l
FINISHED FLOOR ELEVATIONS:
FT.
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aU1TIDE~
?ign~~u~e
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Sign~t'H:e .
, COAlpany ..-
. p' . _ ~tat"_-P.~~~" ot'-RQ':t.>.~.:(
. City Lis:.nlieRe~U~$tctft 4t
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.., "';"" $.' ...; ("'f,'\l.t"l&~~ ""n
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companyp , , . , , ' .
sut~--Cett" or ~i.&:J,;. .
Ci~y Lice~se',-Rep~to~ 4)
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-,.;,,~pany
. , state Cert. or
CityLtcenseReg~,
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E1.ECTRTCIAN
Sillnar-ure
PT.1IMIW~
. MECHANICAl.
Signature
OTHER
. KDc7-h V'-O~ .
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Signature
,APPLICATION APPROVED BY
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CONDITI0NS,Q~~~~~11 AFFIDAVIT
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A. NOTIGg OF DEED Re;~TRICTIONS '",
.
The.undersigned understands that this perlit IIY b. IUb~.ct to .d.ed restrictionl' which lay be lore restrjctivI
reguhUons. Thl IIndlnignld 1I111111..l.....~b..Ut;f~r ,..,11.. wUb Iny app!ic$At.W4 .ultrictionl.
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B. UNLICENSED CONTRACTORS AND CQ~I~T9~ RESPONSIBJ~ITIES
If the owner has hired a contrlctor or contrlctorl to und.rtlke work, they .ay be requirtd to be licensed in acc~ with
,tatl and 10cIl regulations. Jf the contrlctor il not lie",'" .1 r.quired by llW, both-the own,r an4 c..tract f' I
cited for a lisdeleanor violation und.r itltl l.w,' If t., o...r or intended contr.ctor .r. uncertain ., to' wh.t iftt
requirelents IIY appJy for the intendtd work, tb.y If' .dvi~':'O contlct the City .f ...,rhUb 8IIil'iM ...IM3)
788-6611. " . ...
NOTARY AS TO
OWNER OR AGENT_____________~_____~~~~--~-
MY COMMISSION EXPIRES______________~-----
Furtherlore, if the owner h.s hired. contr.ctor or contr.ctorl, he is .dvised to have the contractor(s) sign p
'Contractor Sections' of this application for which they will be responsible. If you, IS the owner sign .s thl
you are indicating that you, r.tb.r thin thl contrlctor, Irt r"pon,ibl, for the Mork. If the contrlctor wishts
as contractor that ~ay be an indication thlt he il not properly licensed and is not Intitlld to perlitting privl.
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTI~ITY CONN~CTIQ~ FEES
D. CONSTRUCTION LIEN LAW CCHAPT.jR 713, FLORIDA STATUTES, AS
I certify that I, the applicant, blve been provided with a copy of 'Florida's Construction Lien Law - HOlfOWPl
Guide" prepared by the Florid. Dlplrtatnt of Agriculture Ind Consuatr Affairs. If the appJicant il s~..6nt ot
"oMner", I certify that I have obtaiatd I. c:opy of~"..U...p~ribtd docu.ent and proliie in good hUh to del
"~wner' prior to cOI.encelent. .
E. CONTRACTOR'S/OWNER'S AFFIDAV,T
I certify that all the infor.ation in this applicltion il tcClrlte and that all work ~J be done in c..,li
applicable lawI regulating construction, zoning, _1_)_'t,I,,'. ' '
Applicati~n is hereby lade to obtain a perlit to'do .0rk'lndiftStlll~tion as indicated.. I certify thlt no we
installation has C~llenced pri~r to issuance of I p.rlit Ind tbat all w~rk will be perf~rled to leet'standlrd
regulating construction, City codes, zoning regulations, and.land developtent regulati~ns in the jurisdiction.
certify thlt I understand that the regulltionl of other gDv,rnaentl1 agencies lay apply~to the intended .ork,'
'Y responsibility t~ identify wba~ actions I lUst tlke to be in cotpli.nce. Such agencies include bllt ile 110..
...
, DeDlrtle~t of Envir~nlental Reaul.tion - Cyprlls 8ayb.adl, Wtl1aa4 Are~5 and Envi{~~tlllY Sen5iti~t It
1 Ulter/UntlWiter Treltunt .t ."
. Southwest Florida,water'Kanlaelent District - Utili; Cyprlll aayltad5, Wetland Ar~AI~~ring ~I\~r~~~r~
. ArlY CorDS of EnQlneers - Selwlll$, Dockl, Naviglble \I.t,,"YI ;
, DeDartlent of Health L Rehabilitative Servic,~. Env~r,~\ Hellth Unit - Utll5 . r If
, US Environlental Protecti~n A~epcy - Albel~ol Ib.t....t ~1.'
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I als~.tertify that, if fill laterial h to be Uled inF1~\ZoPl .A. or 'A,etc.', it~i5 understo~d tlltt I
addressing a "colpensating volute..Nill h, ~uhlitttd wbie~"" ,rlplred by a profe5iiD~~ e~ineer re"f~itl
Floridl prior to penH issuance. . . , ~t,. ;'"+~;' ..
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A perlit issued shall be construed to be a licenle to ,rDc-.d witb the wor~ and not ~~uthority to vitlatei
set aside any provisions of the tecbnical codel, nor ~ll 'Isuance of a perlit preve.t the Building Qff\cit
requiring a correction of errors in plans; con5truct~.,.. .r~V'tlltiDnI of any code. i!ery perlit iS5~ .h.
unless tbe work authorized by su~b perai!h co........,nc....~~...,.1\y.it....IJ1..'....'iX tonths o! i5Sua.nce..,...o..r if work auth..rl;:~
suspended or abandoned for a penod of 511 lonthl J.~~h,~ hat the work 15 co.-enc~ Dne 90 day l!llt'inSl0
. allowed for the perlit with fer charge of $15.00. . TN,..ion shall be requested -'tlri ling to theBui leli
approved inspection lust be l09ged during 11th ~~x ~1~~~d, or the project will :~. considered ~bil~ontd
WARNING TO OWNER: YOUR FAILURE"':TOJRECORD A NOTICE"'OF COMMENCEM
RESULT IN YOUR PAYING TWICE FO~~.'~"fjlbvEMENTS TO YClUR PROPERTY.
INTEND TO OBTAIN FINANCING, CON.U~T WITH YOUR LENDER OR AN ATTO
BEFORE RECORDING YOUR NOTICE OF QMMENCEMENT. JOBi UNDER $2,50
DO NOT NEED TO Rt::COAP, ~tAl ~PO~. - '. 1'1 Ci OF C T" .
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SIGNATUR _ ____ ------ -------
OWNER OR AGENT
DATE____l_=--~-l-=j--J~-~--'-~
NOTICE OF COMMENCEMENT
Rcpt: 128926 Rec: 6.00
DS: 0.00 IT: 0.00
01/31/97 Dpty Clerk
JED PITTKAN, PASCO COUNTY CLERK
01131/97 10:24a. IpGof l aao
OR 8K 3690 ..
11111111111I11111111111111111I11111I11111111111111
97010595
State of Florida
County of Pasco
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. OZ -U - .2...1 - 00 8'0 -a::;>{qCJ _ OltC)
.
2. ~:~~=::=:;=dsk(;;f!;e)
:S00-
StatelZiP-F /..-
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
- Address City StateJZip'
1
\. R \ Contractor: Paul Schaper, 11250 S. Hwy 98, Dade City, FL 33525
. '........ ..' 5. Surety: Boyett Ins. 14114 7th St., Dade City, FL 33525
Amount of Bond: $ 5,000.00
6. Lender: Name
Address:
City
StatelZip'
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
StatelZip'
8. In addition to himself, Owner designates
of to receive a copy of the Leinor's Notice
as provided in Section 713.13 (1) (b), Florida Statutes
9. Expiration date of Notice of Commencement (the expiration date is 1 year from
. date of recording unless a different date is specified.)
P 3~ ~69~-J5--'rD"O
~
~_.'7 199~
t
Signature of Owner:
M,..
* * *
Sworn to and subscribed before me this~9'Cfay of
Personally known 10:
Notary Public: <;;l-) .//L
~
'lJJU~
JUDITH L. SCHAPER
No1ay PublIc. State d Ftodda
My Comm Ellp. June 6. 1997
No. cc 292357
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