HomeMy WebLinkAbout97-6819
BUILDING PERMIT N!
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
',.
6819/3
Date
e: ".31/ -'17
~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner:
Job Address:
Parcel I. D. #
~~-?f:~;L~P4
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: oy Code:
Description of Wor--;-- ~ ' .x:L(i.A.-I? V'~
Radon Gas:
~AA-ff/~
NO OCCUPANCY BEFORE C.O.
FINAL
/0 - ?
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
~
City License Registration #
State Certified License#
;Lo 99
,
Permit Fee 3~--. CJ-u'
Signatu7e ~ ~
Company
Address
Telephone#
'~T
Valuation or
Contract Price c]. ~6 --0 - C/'iJ
rfl ~~-t. J ~ J .ol
I
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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.
fr ~'I'LH:ATIUN FOR PBIUUT / ~
" \ CITY Of ZBPBYRlIILLS VT1 (J _ tJ 1.7 . . "
BUILDING DRrAlTHBNT Dr f
.---. Ii. ~~4,q7
tJ1iNU'6 "Milt .J...~~_'".B.ilgJ~f.D.g_.~_ ..." ..__ "'_'''___'''_'N__tHONR"..",<~_..".._"~,.........
'JllRRR' 6 ^UltRB.,~....~l3 ~{_..firtk@.f;"t!..S./z.1r ]7i_~.~._.... --._.._.....~..~~._..___.__...u ~~_. .
..fOR ^()J)Il~!Js_.._.. ..._".._-:-:~._~?' ~..@:"..._... . "........ ....... ...,. .. .....__.... _ ._...._.. .. ...~_...~....._~.'""......,..~..... '__'. .....
,
I.lQM. llBSC1U~Frlf)N: LOT{S) -5..5 ower\- SImDIV1510N.. sJ1;Plft;IJ"5 ~c.eN Itl SiLIk~o fllc5
- ~ -- .-.....~.._--.... .....-...-.--...-... PH~ "fWO
fARCEL J.IJ.t~_ CQ8IAllLtlUIJ llWu.&:a TA,110ugal
WORk PROPOSEDf--"~W Cowltructlon bddiUon --.....-Alterathm ._..Jepaf.r ___IMt..ll
..~6iln
"OM---'1ove
--.-IJ~.,l ish
nWl'OSP'D USE: ._~5 io.gle tawUy
---1t/F ___.f of Unit.. .-.._"/D
~....__C~eccial
_lndust. _.Swi.. Pool ....._Other
.~~J~.taura1\t , lJealth Del'art..lllent Approval
URGCRIPt'iON OF WORK:.~_~.._.~...~.L....&_aJ=-_..._@dtJ5!!.~.",_
nUILUlIO 5IZRr . ){ ,--1..5"11 Sq...are Feet.,__.JIeisbt
RBSIDEMTIAL: ArrAGII (2) ptor PLANS Ii (2) SETS OF BUILDING PLANS & (1) SIT RNBROY POJUiS.
(;OttUE.RCJAL: ATlACII (3) SBTS OF BUILDING PLANS' (1) SET . ENERGY fORMS.
l'ROPERTY SURVEY REQUlRIU) FOR ALl. HEM CONSTRUCT1'UN.
~.X'..JlUllJJl"t;
$
fElU11l.S_BIOQISUU
190
3t35q ~ _. Valuat:lou of TotalCon~t.:t'..et1on
_--..RLBCl'JUCAl
AHP Serv 1 ce
Florida Power (:t~t,..
~._...__w ...1. O.
___.Jl8GUAJfU~I,
$-
VAluaHon of Kech~Qlc.l IO"'t.~l...tiOll
~.__.tLVttRIN~
GAS
,. ROOfING __~_.-:.;;;.. nn:(aALTY
SCJz.e3J /'i7oJ l>
_,..__Fn.e .._.__Steel -AtJl~i!!P..''.:1.__0th8r
lIPE OP OOISlllUf.:TION: _____lock
f''lJUSPlro Fl.oo"Q J(UItVAl'10NS t
..FT.
IS PROJP.cr 18 FLOOD 7.0NF. AREAt
.......*..............**...........~.~*~~~
Yll'S NO
J,;QHIR&CmlL SECT1Wi
nUl UJA . '. . '. ~... ~MPAMY~qJ!~....N,....~~~rb..-.......- ._.~
. Stat('\ Pert. or Regbt:. '..-,f;:MfJ...J"t6Cr.._..__
SiRUl\t.\I ._.....:.-._..... _ __ City Licel1.58 .eg1stutioo . ~CLI..:.L.-...___
..........................................
J.L.lWl'.lU.GJAti
COHJ>ANY__ r_~'_"'" ~"'....' _. .............H___..._.__
State Cert. or Resist:. f_...._..~..~__.__....__.___
City LicelUle ReBistraUc)U f .~..__.._._--._.._w___
.......................................... .
s..t\UIAt.~e
r.UJMNL
(;()ftpANY_ ..............,,_...._.-_......_.T.--..."'~....-..~..........fl_ 'II.
State Cel't. or RetiaL ._____~_..,__
City License Registration t ----IJ N' ___
......................*................*..
Slftl18tnre _~.___.
lttWANlCAL
5lgo-.turo _~_...._
.COHl'ANY . __.__.....,,___._,._._...._..__~___
State Cert. or lteg1st. '___. __ _______.
. city LlcenaeReBietration . ___~__
..........................................
u'mta
r,1.vU\ture ._-_..~~'"--
(~OHPANY_____.___...... .......... '''__._m...__~_____
State Cert.. or Rests t. f.... _....~... ._~._....".~.__._..... _...
T (;fty License ReallltraUon , --'-~O'-_""M__'A
...........................*..............
ArrI.H:Al'J.QtI AP.PROVEl) BY
rf:IU1IT OFFIOER.
,:,!~ . A.A. t i\~. _,'.Li......... J.~
i\. !!Qll<Jf..Q!':" VEJiU UES'!'JUC'.lfIO.NS ' , .
the IJndeClIVlllJd Ullll"ttllandilliil thin pei.U .ar be 8ubj8cl. lo -dll8d reltricUOIla. "b1eh 'tll' be lOr, I8ltdcUfP I h"n Cltr
[!guJatlonl. the under81gned 888U1e8 reRponlibllily for cUlpllallce ,ltb any applicable deea ~eltrlctlon..
D. UNLICENSED CONTnACTOns ANU CONTlmCTOIl ImSPONSIOILITI8S '
If lhe owner bf. hirfd a contractor Or contractors to undlrtaln ~Q[', they .ar be regulrtd to be llcenlea In .ccoldllcl with
etate Bnd locll rlvul.tlont~ If the conlrattor 18 not licensed as requirea br Ja", both lb' OIDlr inG COfttr.ctor .., ..
. clled (Ot a .Itdeltsnor violation under 8tate Is". If the owner or Intended contractor are uncertain I. to ,bit l1C1111ng
rtguir,.ent, ~J arply [or the Jnlended Nurk, they ale advl8ed to contact the City of Zupbrrbllls Bullftlng Dlpartllnt, (113)
788-6611,
l'ultl,ellOll!, if lhe (lwner has hhed a conbaclor or eonllllclolR, be 1s advised t,Q haye tho contrlll:llor(.) .lga POIUoetor tilt
'Contractor Section,' of lhl. application for whlch lhey will be reaponsible. If rou, II the OWDIt llga II tb8 caDtr.CtDr,
YOII are lnc1lcating that Jou, lither, trian lhe conllaclo(, iue re8ponsible {or the IIOd. If the contrador w..... fOIl to....
18 contractor that .~, be an Indlcati~n that he Is not properly licensed and IR not entItled to ptrllttlng prl'!l.... In t..
CllV of IepbrrhlllR.
C. 'l'lWiBPOUTA'l'ION IMPACT FEES ANU U'.l'.Il.ITY CONNBC'.l'lOlf rHEB (i
-------..---. ----"--- -. .---~,----...-,---...-----~~- ~-_....
IJ" gONJfl'R'y.Cl'lOff LIEN LAW (Cllnp1'EJl 713, l'r..ORIOA S'l'I\"rUTES.I AS nHBMDBU)
I ,tartUr lbet 1, lbe eppllcaiit,.b.ve fit.n plovldea "ith a copy of "Florida's Construction Lien Law - IIoIeoIlaIrf. 'ruttcUOO
Gulllu" prepared by lhe Florida DeputJent of I\grlcullure am' ConS\lQr ArfalE,. If the applicant II ..... otlter tItu tilt
.uwner", 1 certlfr that 1 hlle obtained 8 copy of the abovp. dn8crib~d docutenl and pro.J8ft tn good f.lth to dell,er It \0 t~
'owner<< prior tn l~..once'8nt.
F.. cor!,.l'R.l\~]'Q!!.:~Lo.~It' S AFfIOl\V.tr.
I certlfr that all the In(orlltlon In this .~plleallon 18,~ccur8le end that eil wOlk wIll ba doni In cOIpllaaCl wltb .11
8ppllcable 1,.. Ilgulatlng construction, lonlng, and land de,e'op.ent.
Application Is hOlebr lade to obtain B plr.it to do work and instailation a. indicated. I certifr thet no IOrk Dr
Iftltal1atlon bas COIIIACtd prior to IRluence of a per.it ana that all worl ,III be perforJld to ...t ItlDllr4t of .11 1...
rftgulltlng eon.truellOft, C~tr codel, lonlng regulltlon" and land deytlopllnt I"ulltlon. In the 'url.tlallon. I 1110
celtlf, that I under_t,nd thlt the [egulltlone of otber govltu.enlll Igenelet '1' appl, Lo t~1 IntlDGlI vorl, ana talt It I.
., r.lponllblUtr Lo identify "hat Bctions 1 .Ult take to be in COIpllantt, 8uch agencle. Include bit are not Jilin.. to:
· Deparllent of In,lrORleRtal Regulation - Cypree8 Bayhtad8, Wetland Arl.s and In,lronaentallr 88D81tlvl LIDdI,
Vate[/Ma8lew,tlr treatlenl
t Southwell Florldl Water ~nag..entUllttlct - Velie, C,prele Ba,beaa., Wetland,Areal, Altering W.tefcourl81
· Atl' CO{PI of ~IPlirl - .e,wllll, Doel', .avlgable Waterway.
· De~rlfent of Hpalth , Rlbabl11t1tl'e Serfle.., Bn,IIODlBntal Healtb Unit ~ MellI, Maetewaler III.blBnt, Slpllc IIdlI
· US Indr....tal 'Iollctlou AgenCI ~ bbeRtOS abatell811t I
I al.o CArtlfr thei, if fill I.terlal Is to be ueed In Flood Eone BA" or 'A,ttc.., It 18 vnderltood that I dtllDlgl pllD
addres.lng a 'cOIPftQ.atlng YOIUIB' .111 be .ublitte4 which 18 preparld bv a profel'ional ~n9Jneer [lvI'tered 18 tbI 8tat, of
Florida prior to per.lt, ISluance.
. l pelllt tlsued shall be con.trued to be a license to proceed with the wor. and not .1 aulborltl to 'lol.t., gaaQll .lter, or
.,t 11141 anr pro,lllone ~f lb. technical' cOOee, nor Bhall l.~u~ee of . plr.it prevent the Bulldlog Offlclll flGl ~ltlt
requiring I correction of 8rrors in plans, con8truction, or ,iolatloni of anr coa.. ."11 peralt I..... ....1 becDIe !Dralll
unI..1 the work lutborhed by hch perIIt.lIeo.encI4 within all IOhtbt of tsl1llRCl, or if 11011 IlItIIorl.1l1 br U. plnlt II
11I8pended or abanaonl!c1 for 8 periOc1 of .Il IOnths after lb, U.I the work II .:oiiencec1. on. 90 11e, attalloa Df u., ii, lie
allowed (or tbt per.1t with fee. cbuV' of U5.00. tile utenlion ,hall be (equeatec1 In IrlUng to tM BuIlIl89 Offlolll. In
IIppro,ed in8pectlon .UlJt be logged eluting eacb sll IOnth pedoc1, or the ploJecl ,Ill b, cooelc1l.rll 1ItIaI1aDtIl!.
"WI.; TO WIER: YOUR FAlLURI TO RBCORD A JOlICB 0' CtltltlRCIIIIIII ItAY a.I II lOUR PAIlIIS f1Ilt1 roIlIIPIIOVMIII8 10 mil
PlIOI'lm, IF IOU InlJID 10 0111'" PUlAICIMG, CONSULt WITH tOUR LUDIR OR II A11OII1I11 IBPOU RICORDIIQ lOUR IIOIICI 0'
ctmllC!HBft' . J08S UIIDBR t2, 500 1" VALUI DO NUl lEBO 10 RICOIID AIID POST A "IIOIICI ur COI1KltKCBHlJlt'.
. t;;?~ //
_.._---~_.-.--, ,.~, -_._---"._~-
SlUM^lURI!: CUR RACTnn
~g~. ~~, 0_ (\
... 9i(;,,~:~~f.t lln 4G8Mfl~---~. -..
iTA'. Of fLORlO~ '
coon, OF _.~.__tll L__~~O i<.. 0 () ~. H
TII9 foregoing In.tnunent...,Jf8e ac)mo"ledged
before lie thla .. 023 P- b.:IyfJa:9_11. by'
..:::r It VVf ~ S L. f3 v f<. tJS ( b 'E.
.1;u'-iapeiiiollaliyknoMn to me or Mhu haD
produced . 'p R.. I vt:" I<'S L I C. t N S E
ft8 id~'ti(l~Tion Bnd who dididld nol
l8~en oatil. n () ~ . (
~a.....'~
fSfg;;"tui:e.j- ".., ,d',"__,,~~__~~._.u'_,.~.__
. --'~-_._."-'U--.l. .. .,..,._.,,'u,___..___~_____~_~
(li"..o '1'YP9U, l'dnted OJ: Stamped)
.,or^RY I' FFICIAL NOTARY SEAL
."-.--.. ,. "'~DIANAMDADDARIO
NOTARY PUBUC STATE OF FLORIDA
COMMISSION NO. CC625202
MY COMMISSION EXP. FEB. 272001
SIArl OF FLORIDA
COUNn Of II I, L ~S 7? 6 1<-0 ~ Ai
Tbu foregOing inetnUlellt wae acknowledged
befors me this :2:?p!.~."LF!f 19_,...i-2. by
_ ' A;'VI A Q C) "!? LA f.J c;..H fc i<-<:J
who is perBonally )Uto"" to me or who b..
produced I ~_~-.". .
a.~entifica,\ion 8ml "hO.. did/did not.
tak {\II oCltb.. ~ ~
'..- ._.._._-~........._.. ,". ..,.....,:...,-~~~._...._-...----
(alYIIRture) ,
(tfame 'l'yped, Pdl".fo"J O(".'iifMped)
~O'l'^.!t'L P,!BLt~
OFFICIAL NOTARY SEAL
DIANA M DADDARIO
NOTARY PUBUCSTATEOF FLORIDA
COMMISSION NO. CC625202
MY COMMISSION EXP. FEB. 27.2001
11111111111111111111111111I11111111111111111111111
97064739
Rcpt: 159720 Rec:
DS: 0.00 IT:
06/10/97
6.00
0.00
Dpty Clerk
NO'l'ICB OF COMMENCEMEN'!'
State of ~""~\ ~_~_
County of
PA-SCQ
THE UNDERSIGNED hCl:eby gives notice that improvement will be made to certain
real property, and in accordance with Chapter 713, Florida Statutes, the
following informati on is provided in this Notice of Commcnc~mcIlt:
1. Description of Property: Parcel No.
I
lot:..5'5 I S$PHeJJS ~lEiJJltrS;Ltlt;RoAkS ~~51 .f~ (5/
(Legal descrllltion of the property and street address lf avallable)
2. Gt::l1~.Lal Dt35~j.ii-.IL.ioil 0f IIllIjro\,"cmcnt
!Jc~J f'OoL eudnSu/"tB
3.
O"...ncr Information: Name ~ ~ ~ M BuM SI PE
Aduress22JOSl!~ lltUl! City ZE'p1iE12HilJ_~
Interest in Pl,operty: OCJ..JJ.JG12-
State :PL.
Name of Fee Simple 'ri t1eholder:
(If other I.hOIl owner)
~f~1~}~ft~~~1~:~01~?-rY CLERK____
OR HK 3756 PG 303
"- State
Address City
4Qcontractor: Na..c_/fJ.I1/z'fi~-s;4-~$} -
~~ddress _4-21~& /L~A- Sf City /~Pft
,
5 . Surety: Name,_ "_,________-=-_..___
~ .. .7':::1
~LaLe , L-
33,,/ Y
Address
City
State
Amount of Bond: $
6. Lender: Name
----
City
State ..-
Address
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. l~xpL1t1t.i()1I uttLo of NuLluo of CUlIIlIIOIlCOIllOIIL (Lllo expiration date is 1 year
fr0m the date of recording unless a different date is specified.)
Signature of Ow~er: ~ ~_
Sworn to and subscribed before me
~~
this
:'~~~"1;~~;y~,"~t,..,~~"~.._,~,,,_,...,.~,;.
,
1999 ~
Notary Public: _"'-.~~~)J7/14d~ f.f
)............"""...................................................,...,,,.........,...............
>: ~~"y ~u~ Ana A. Machin .
~: ~ " ~ ~~ary ~U?lic. Slale of Florida
>.4 on...(j t :.., COilimission Exp, 1119/2001 .
4 .
) Bonded ~sh Fb, NO/lry ServICe &. Boudin, Co,
i
(rr~i
My Commission Expires; ___
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SURVEYOR'S NOTES I
I. nit If . ~ svw,. .... .. ~ ~ ~ N ,~1JM r1 -
, ~ ~..,.-.II.AM ~ror. FJa,;4 .lIVe, lirOIt ~J.tM He .,., y, ~ i
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