HomeMy WebLinkAbout97-6533
BUILDING PERMIT N!
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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
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C~;; !tND '7;U~_.3 ~ S-~/_
V"ie ;".Ieby $,.._,"- Hit specIfications and t.:stlrYlates k
1 .
2,
3,
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5,
6,
7.
8
9
10,
11.
12,
13,
14.
15,
16.
17.
18.
19,
20,
I 21.
22
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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/"
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-___~ ,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 ~. <,,':'/
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an up an 11iJul (j.lidY all trcL
,I ma;Jnet around Job to pic,
:1~T8e and Ptl, I, ; IflLiudl.
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C;L'j.)L):'it uf $
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of Pages
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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' $/'01
1- 71 ~6()6
~ - 97 Tr" r!()
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Iii .:.LJf LJnce wIHI :J(jove Spt-('itlcdl~\
.. _ Juli,j[~ ($ ..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\
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--~-~---..._-_.._.-
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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: