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HomeMy WebLinkAbout97-6533 BUILDING PERMIT N! r If S'_ ~ CITY OF ZEPHYRHILLS (813) 788-6611 Permit 65336 ~-h-77 Date Property Owner: Job Address: Parcel I. D. # PL~ MfCUAtJIEAL Sewer Conn Water Conn: Water Meter: T,LF.'s: Zoning: Description of Work Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. .;;}c>-qrr DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or ~.l. ~ .i /0 . 0";:' Contract Price J 1 YL z..;. City License Registration # ?? g U State Certified License# Permit Fee Signature~ Compan ME Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul. CL WL 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. r ,)era( ,ng &- Rt:Pdli ~,Ice 1964 SUBM,' TO Or-9"!1' _~/o.sJon:! /{fJ~CJ... STRE r r <f(p /~- /J!pSSO~_ j]/l/tI, C~;; !tND '7;U~_.3 ~ S-~/_ V"ie ;".Ieby $,.._,"- Hit specIfications and t.:stlrYlates k 1 . 2, 3, 4 5, 6, 7. 8 9 10, 11. 12, 13, 14. 15, 16. 17. 18. 19, 20, I 21. 22 !r= t 11-- Il~aYr:1'" I I OUIHl~l I ~ h r C(;~.b U' i co~;l:-; (II " ~_I dr off old root I v___h, place all rotten lumber at ", V::_D'l in roof with__ L-_Ph c/ h.t .)lace all lead boots: Slze_ ~ __Fl, pJlace UI tl~u~allu I "'~~dL ~R, 1)lace_~__jn, Eav,; : h place valley nil:,,,, ,aiL ~q'y/" /s- 0/'_)4 ~ _/ ,~~~ l :dS~") /' -___~ ,Inglts Will be tJ ,.._dt(j to rli. V ("tholeandmstdii I~O t, _b .lIt up rooti~g _L i in with 43 Ib, L..be 51,det _I".t moo 3 ply fibtIUla~;; ic:lt" ._ 1 , .rch apply 1 ply Illuditlt~d r( I __h, ,.>Iac,-,___in. eave me'." __C ,at deck with alullIlnum rou; v ~ ~ X-i~:t~:; i f ~. <,,':'/ ---- l an up an 11iJul (j.lidY all trcL ,I ma;Jnet around Job to pic, :1~T8e and Ptl, I, ; IflLiudl. S ./ f /- l _/ y,;..;, './v, 1..:.il,..I1tj nit- 'fUt.I.I1il' htl'-_' ,,-I llH rlj , (0 be In" ie as tollows: C;L'j.)L):'it uf $ i.../h \l'-o,t) uf " '"vtil'; NlHlo. lilt {,I t" "I tftl!i .lsbt :dh; lil' Jut .1. ,Hloj 111:'1' I,', CIJ:,!ur[ Il ~I dylHtl~ II! ! .10 I':' Il~ dOt. .ldte [('tlf d~ "I'. ;, I:lUl trl..', II nUt!,:, d 10 ,.""d,,le 11 t!l"'~ uqlJ'. ! Anurrrci I Lu:,t:, .:un/ll'l lorl ''''''lffl eJli, II; , bt llltlllt, .[~, in, :,ailf)\::i IC.J~,"lidU; II"" ~~~- ' -= ~- :~f.- ~~d~~.'~Y~"~'~ f!~~J.ilhial r p~:m"'" ''" md," OUtlU1" dbu." b, d. i', ",,' Oat. " CI e ----3/-.1/97 ~."'~: it -IJ ...i.,. hi - Pi.o.;e Nu of Pages ""'~. ....ii.. 'S ih0t..,,'lNG \.. IJft;:.,:. :,"_cek Hvad 1 '-' L"ht'S, Fi." I'i, J4u39 ,~I..j94:' ...~,(,l ",.. :::." HAC ()UL~b 15 " ~ f t;;.^,/Iu hl ."-,:; h lONE 7ft. 000 '7 DATE jl- :<9- 9~ 1/v'.Jhf\... r'liONE JOB # .):-)[j AOUHl::::SS ___ _ __J~oN-TArnEAc .sc:~ de-Iou,) \ uT /, /'IJ __sq tt $ p,," J.>,:;.2 per full sheet <.It % inch plywo ,d lb. felt I 11- J'_ '.l.:iil ,---- / ,~);Lt; /?>.~ u____ ~~()-""^'!.Pdlntod Steel ,1~l(.li 1"0 t)y~~ _ Color_fo)~~-,J/c>~w.vl 'C.::, 1<.,1 ".,ind ul.." . P"'f!._I.<."..1 tt)! fJroper ventilation ,[ fJdinted steel A/J ~p .# - 11- 306J ^ - 9' $/'01 1- 71 ~6()6 ~ - 97 Tr" r!() ~s~ , ::'laPi"", tJA:, oS S () A'1 // t:1 ~ '~UI;'I""':' ~/ J/ 5- c', ,-},11,Jllce of :.,. Iii .:.LJf LJnce wIHI :J(jove Spt-('itlcdl~\ .. _ Juli,j[~ ($ ..s-.J $10 e.____ S-JYO ~ . . '--.. -~.____.__due upon complel,on. ) pit" clOy I,. "ber chart, ',ii', "th, sum of )", ;'.III',)l ; din Ij~"'11 (;Ompleltull ot job WIll be SUbWi t lu a 18'1i- !t!lytlJt'. I pt.:nCe ,J!I,PU'; I,Jt~,1 ~jo.:". All rnaterldllS !Juaranteed to be uS spectfi,~d.' All :\"Jlk to <lIT, .rdtng to st"',di:ll d ~Hdctlces_ AI.~' ,1;'eratloJ' <J[ de'~', ,. .r-: fru: :0, Will!),: t;X6cutcd orll,," upon writltm O(dt:I~" and wli: ltecol JI; t~).:t, All .1.,rl:t1rnents dr,~ '.;J'llul\J\~nt upon sl ,I\I~. dCLlfh,jlts OJ 1)0':, tlt~'. ,:[iV fUlfl<1Ih) cmd ottlt:r 11~Lt:~:ioary Jnsurance~, Our wor".~rs art: r,"iV COVt. ;'d by Worknl,;, "l!IUlI dnd Lliibrll!Y insurance '0'" "',," "" ",-",. w,""" J 0 ',,,,,00,, ""'"C"" ~'"" "' , u':::~a?!: I'd APR on un, cqlllpleted ill ,ll)ove specltl harge over .., i Id our contri\ ]t" A..;7. "ie_~L~ --~-~---..._-_.._.- ------- APPLICATION FOR PERMIT CITY OF ZEPllYRBILLS BUILDING DEPARTMENT OWNER'S NAKE (J''-tJI-4e::--- /J/O-S<;O/Y? If'OAJcJ. /'~/v4 PHONE 7Yff~ Ot:JO/ / OWNER t S ADDRESS V t:. / ~ /34:) 3.)(' ~)1 g)j,/ c( :z..tP a AI. /X .J J ~ '7/"/ ,. ,r JOB ADDRESS '/, (J 6 .lJ/o...s oS /) ""1 fJ /cf *' ...1 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D"' (OBTAIN FROM PROPERTY TAX NOTICE) ..., . WORK PROPOSED:_New Construction _Addition --Alteration --KRepair _Install ~ _Sign _Hove _DeJIOlish . ~H/F PROPOSED USE: _Single F8IIily _' of Units _H/H ,~ _~ercial _Indust. _Swia. Pool _Other _Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: BUILDING SIZE: x );XClO Square Feet, /V 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. _'BUILDING $ .:;-:] 5/0 tjf:1 PERMITS REOUESTEq Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECllAlfICAL $ Valuation of Hechanical Installation _PLUMBING GAS X ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FINISHED FLOOR ELEVATIONS: FT" IS PROJECT IN FLOOD ZONE AREA? .......................................... YES NO CONTRACTOR SECTION Bml.DER COMPANY State Cert. or Regist. . City License Registration . .......................................... Signature RT.RCTRICIAN COMPANY State Cert. or Regist. , City License Registration , .......................................... SiRnAture PLUMBq COMPANY State Cert. or Regist. , City License Registration . .......................................... Signature ,MECHANICAl. COMPANY State Cert. or Regist. f City License Registration . .......................................... Signature OTRF.R I?oo /,.... 7- COMPANY Jo~Ji J6we II 11j//J )GvIN 1/; "rOt' I;', "'/ State Cert. or Regist. , li'c ()();( ,c:S/S"" City License Registration # &' fJ 0 .......................................... Signature " PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peIlit laY be subject to "deed restrictions" which lay be lOre restrictive than City regulations. Tbe 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 laY be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents laY apply for tbe intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner has hired a contractor or contractors, be is advised to bave the contractor(s) sign portions uf 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 tbe contractor, are responsible for tbe work. If tbe contractor wisbes you to sign .., as contractor that lay be an indication that be is not properly licensed and is not entitled to perlitting privileges in the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D" CONSTRUCTION LIEN ~AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIe01fDer's Protection Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is sOleOne- ather than the "owner", I certify that I have obtained a copy of the above described docUllent and pro.ise in good faith to deliver it to the "owner" prior to couencelent. 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 perlit to do work and installation as indicated. I certify that no work or installation bas COIIeDced prior to issuance of a perlit and that all work will be perforaed 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 goveIDIental agencies laY apply to the intended wort, and that it is IY responsibility to identify what actions I lUst take to be in cOlpliance. Sucb agencies include but are not lilited to: * Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent * Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses * AIIY Corps of Engineers - Seawalls, Docks, Bavigable Waterways * Departlent of Health & Rehabilitative Services, EnvirODl8Dtal Health Unit - Wells, Wastewater Treatlent, Septic Tanks * US EnviroDlental Protection Agency - Asbestos abateleDt I also certify that, if fill laterial is to be used in Flood Zone "AU or "A,etc.", it is understood that a drainage plan addressing a Uco.pensating volllleu will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit, issuance. . A peIlit issued shall be construed to be a license to proceed witb the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a peIlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or VIolations of any code. Every peIlit issued &ball beCOle invalid unless the work authorized by such peIlit is cOllenced within six IOnths of issuance, or if work authorized. by the peIlit is suspended or abandoned for a period of six IOntbs after the tile the work is co.enced.. One 90 day I!ltension of tile, laY be allowed for tbe peIlit with fee charge of $15.00. Tbe extension sball 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. WARRIBG TO OIfRER: YOUR FAILURE TO RECQBIl..!;JOTICE OF COHMBBCEIlEtfl' MAY RESULT IR YOUR PAYIBG TWICE FOR IMPROVEIlEtft'S TO YOUR PROPERTY. .I.F YOU,. TO 9~cfNG, NSULT WITH YOUR LBNDER O.R..~AH... . A. no ,BEFORE~. ..1"UR BOTICE ..OF COMHENCEMEBT. . JOBS ~,~OO IN VAL REED TO RECORD AND POST A "NQfIC( ~CEIlENt..~.... . .' ,.~~ . ~/~. ~/ ~ 2.~ ~? , "') -",~./'" ::=--- . AT . C RAC'rOR Sr&!Jl~ FLORIDA ~ coum OF -JAt<; The foregoing i strument was acknowledged before me this ~~J.2~ , 19~ by J t) H,J C". ~ 11) ;=:-AL who is pers~llY kno ~e o( who has produced h//}J./~ j;- ~.P~ as. "fication and who didl .d not t'ke, an .t - C~ ~ (Name Typed, Printed or Stamped) NOTARY PUBLIC .:-~~~:, Bobble 8. Swetland [..(6Ci"i1 ~ COMMISSION' CC534927 EXPIRES ~.~~~ February 22, 2000 /,~1ff.,~.' BONDED THRU TROY FAIN INSURANCe.INC, i~~~~'" Bobble Sa Swetland ~..(~~):~ ~ COMMISSION # CC534927 EXPIRF:~ ~"~"~~ February 22. 2000 //~.<if.."f,.~' BONDED THRU TROY FAIN INSURANCE, INC .5TA TE OF FLGRID~' COUNTY OF PASCO THIS IS TO CG:TifY THAT THF. fr}l\'H;QING IS A TRUE AND CORfU?CI cory OF WE oorW,,:H:r ON fILE Oil OF PUBLIC REGORD IN TiilS orFiC~'l'JiWESS MY HAND ~ ,8fF1Cf!'L $?J\L THIS ,iflJ)~ DAY OF --UlL.UJ.I.UL__ Hi 'If.- JED P MAt-J, CLE Of CiRe IT COUf\f BY . '. NOTICE OF COMMENCEMENT , 1111111111111111111111111111111111111111I1 11111111 97024752 Rcpt: 137183 Ree: DS: 0.00 IT: 03/06/97 6.00 0.00 Dpty Clerlr County of )?9 J t2-{) TUB tmoBRSIGNBD hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: +1. Description of Property: Dh,1. .if'.J / "~/' -I~ 19 iJ ~ p 'IfDo,;'~ '/60'5- L/6/P- l ;t (Lega descrlptlon 0 t Parcel No. I.r-~~- ~/-OI11J- OO::J(),-tJt:JotJ- op/O ':4; SS In I) /~ / e property and street address lf avallable) 2. General Description of Improvement f( e If'oo ;: OJ3ED PITTftA., PASCO Coo.TY CLEftl /06/97 02:41p. 1 of 1 OR OK 3707 PG ~559 3. Owner Information: Name tJJ'/JA.I<l....... If/ P5~' (>'''1 ....f ~^-/,('.{ /l f 5,:)(' I / Address 'It, /~ Msso...., Il/v'; City 2e v~ l//'A,'I!J , / State i). "SJ,;-~/ Interest in Property: Name of Fee Simple Titleholder: (If other th~n owner) "A/ /9 Address , . N-9 City /Y/9 State 'tl );J ill ,/ 0 / I Contractor: Name 7(1'1/~ lis /lr:l~lff'''''''-J _ )01..., )llijt:;' /' Address ~A~O Ok( (~>prn)~X~ "f,./, City ) (?A.. / Surety: Name A-.. ~ Statel'Q' JY/,y/ 5. Address /)/~ City /L-/ /9 State /1//9 Amount of Bond: $ A//9 6. Lender: Name /}//Y Address /V/J City /2//9 State .A/~ 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 ~R /VI-} City /\/ /). State /1//9 8. In addition to himself, Owner designates - Nfl of /V '9 to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Exp.lrat.lon date ot Notice or Commencement. (the expiration date is 1 year fr~m the date of recording unless a different date is specified.) A./ A;! ~ 5 igna t ure of OWner 1,. Z#/.t/.w~. .d~t~ (i2p;-tt }(tIliCd ) Sworn to and subscribed before me this~)~ day of 1911 Y~/7A~/ Notary Public: OmclAL NO'FAR ~RY PIJDUC STATE OF FLoRm COMMISSION No A EXP. DOC, IB Jll9l1 My Commi.ssion Expires: