HomeMy WebLinkAbout97-6871
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BUILDING PERMIT Ii!
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CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
6871~
Date
7"'22- r;7
Property Owner:
Job Address:
Parcell.D, #
~- ~~CO""
~ ~ ~ Water Conn:
t.? ~ _ w.."' Wate, Mete"
___ _ _ ~ T.I.F,'s:
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application, C,Q,
All work shall be performed in accordance with City Codes and Ordinances.
Zoning:
Description of Work
DATE
Valuation or
Contract Price
Permit Fee
Signature
Company
Address
Telephone#
ELE
PLU
MCCIIArJICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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 ($15.001 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 N_ ~slr . ~ .
OWNER'S ADDRESS----,.5 (; 3 5' ,,-.5--: 5/ -:
JOB ADDRESS . ',)~
PHONE
~r:z-~'6?3
,
. .
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL 1.D.' /!-~-7j- CkJIO- J3~- 0610
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ----^ddition ~teration -.Jepair ~Install
_Sign ---1Iove ->>eaolish
.
PROPOSED USE: _Single Faaily ---111 F _' of Units ---1I/H
_ec-ercial _Indust. _Swia. Pool _Other
DESCRIPTION OF WORK:
'~~
& Health Departaent Approval
4r /rzovP dL.R~S/~<O
"
_Restaurant
BUILDING SIZE:
x
~'
Square Feet,
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OP BUILDING PLANS & (1) SET ENERGY PORMS.
PROPERTY SURVEY REQ~ POR ALL NEW CONSTRUCTION.
~NG
PERMITS REOUESTED
$ /(990'
Valuation of Total Construction
_ELEC'fRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
---1IECllAliICAL
$
Valuation of Kecbanical Installation
_PLUMBING GAS RooPING
SPECIALTY
TIPE OP CONSTRUCTION: _Block _Praae _Steel
Other
FIRISHED FLOOR ELEVATIONS:
PT.
IS 'PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
BUILDER
CONTRACTOR SECTION
OlIIPAIIY Pal/I.&~ ~~z "S'
State Cert. or, Regi t. . R. 00 h ~'
City License Registration' ;;L y~
*****************************************
Signature
C,
ELECTRICIAN
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
SiDnSlture
Signature
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
PLUMBER
MECHANICAL
Signature
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
COMPANY
State Cert. or Regist. .
City License Registration ,
******************************************
OTHER
Signature
APPLICATION APPROVED BY
PERKIT OPFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perait aay be subject to "deed restrictions" which laY be lOre restrictive than City
regulations. The undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake wort, 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 .y be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents aay 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, be is advised to bave the contractor(s) sign portia of 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 the contractor, are responsible for the wort. 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 pe1lIitting privilegu 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 'Plorida's Construction Lien Law - lfoIeoImer's Protection
GuideN prepared by the Florida Departlent of Agriculture and COnsUIeC Affairs. If the applicant is SOleODe other than the
"owner", I certify that I have obtained a copy of the above described docUIent and pr(llise in good faith to deliver it to the
Nowner" prior to cOllenCeJent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT .
I certify tbat all the inforlation in this application is accurate and that all wort will be done in CQlpliance with all
applicable laws regulating construction, loning, and land developleDt.
Application is bereby lade to obtain a perait to do wort and installation as indicated. I certify that DO wort or
installation bas COIIenced prior to issuance of a pe1lIit and that all wort will be perfoIled to Ie8t standards of all law.
regulating construction, City codes, loning regulations, and land develGplleJlt regulations in the jurisdictiOll. I also
certify that I understand that the regulations of other goverDlelltal agenciu laY apply to the'intended work, and that it is
IY responsibility to identify wbat actions I lust take to be in COIpliance. Such agencies include but are not lilited to:
t Deparl:lent of EnvirOllleJltal Requlation - Cypress Baybeads, IIetland Areas and Envirolllentally Sensitive Lauds,
IIater/llastewater 'I'reatlent
t Soutbwest Florida Nater ManageJent District - IIells, Cypress Baybeads, IIetland Areas, Altering IIatercourses
t ArlY Corps of Engineers - Seawalls, Docks, Kavigable IIaterways
t Departlent of Health' Rehabilitative Services, EnvirOlllental Health Unit - IIells, IfasteNter rreatlent, Septic ranks
t US EnviroDlental Protection Agency - Asbestos abateJent
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 "CQlpensating volllle" will be suhlitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
. A perlit issued sball be construed to be a license to proceed with the wort and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball issuance of a perait prevent the Building Official fr(ll thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery pemit i88ued sba11 becme iDvalid
unless tbe wort authorized by sucb perlit is co.enced within sizlOnths of issuance, or if wort authorized by the pemit is
suspended or abandoned for a period of sillODths after the tDe the wort is c~ced. One 90 day utension of tDe, laY be
allowed for the pellit with fee charge of $15.00. 'I'be extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each sil IOnth period, or the project will be considered abandoned.
NWIHG TO OWKER: YOUR FAILURE '1'0 RECORD A KO'I'ICB OF COIIIBICIlIIItI'I' lilY RESUL'I' 1M YOUR PAYDG '!'IIICB FOR DIPROVIIIIlKIS '1'0 YOUR
PROPERrY. IF YOU IK'I'EW '1'0 OB'l'AD FIWCIKG, COKSUL'I' III'I'H YOUR LIlIIDIlR OR AX A'I"I'ORKJlY BEPORIl RBCORDIKG YOUR KO'I'ICB OF
COMMEHCBMBH'I' . JO 2,500 IK B DO KO'I' KiED '1'0 RECORD AKD POS'I' A 'KO'I'ICB OF '
ar'"~~Ofk W(
STATE OF FLORIDA
COmy OF
The foregoing instrument was acknowledged
before me this , 19____ by
SfA'I'B OP FLORIDA
coum OF
The foregoing instrument was aCknowledged
before me this , 19_____ by
who is personally known to me or who bas
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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State of Florida
1111111111111111111111111111111I1111111111 11111111. .'
970813&3
Rcpt: 1G9255 Rec: G.OO
os: 0" 00 IT: 0.00
07/23/97 Dpty Clerk
NOTICE OF COM~~CEMENT JED PITTMAN, PASCO COIJ'lTV CLERK
/l~ 07/23/97 09:41a. 1 of 1
Permit #: OR BK 3777 PG 271
County of Pasoo
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. II - 2(0 - 2/- ODIC) - CJ8DOO - (X) 10
. (Legal description of the property and street address if available)
2. General Description of Improvement ~ ~ I- ~
3. Owner Information: Name M5~/ ~
Address 5'~"3 5 S-l:.s. 5.,L. City z...~ .. StatelZip
,
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address City
335 rl '
StatelZip
R
4. 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
State/Zip
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
8. In addition to him~lf.Ownet.designates 0 .
of /1)..5'65, HL<J 1~ l.M. ~tc 3352$'to receive a copy of
as provided in Section 71 .13(1) (b), Florida Statutes
9. Expiration date of Notice of Commencement (the expiration date is 1 year from
date of recording unless a differont date is specified.)
Signature ofOwnerj7 ~~ ~,,~
. * * -II.. QI
Sworn to and subscribed befon~, r~ riS [!..:jIay of i_LA~199~~
Personally known ; F!JL.# 10: II :~2(P'" 8!3 - Jf-2{p()-Q
Nom~pu~l~dd~~~
; itU(((UC(u(cc('a(cccc((c(C(rf~(ttC(((
>:a'-v Judith L. ~' , ' I
~ 'U ~ Notary PubJic;State ofPlodda ' :
)c ~ Cornmiaaioo No. CC 6413" .
)c 0' My Commissioa Exp. ~I'
>.C ............... PIL NoIIIy SIrwb" ~c..1 ·
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