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HomeMy WebLinkAbout97-6918 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N! 69:1.Si5 Date J - I 7 - 1} ~~ ELECTRICAL PLUMBING Pmperty Owne" A::. 3fr 7 A L ~ ,., Job Address: ? ~ '7 I 7 /'~ -P 17-----.. Parcel I. D. # Zoning: Energy Code: Description of Wo;;- r( Cl .A ~ MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector DATE PI" p~'m;t Fee t::? ~ Signature ~ Company I Address Telephone# Valuation or Contract Price So? cf?l. L7V , City License Registration # 01. 7... if' State Certified License# c E-r //~ . - BUILDING ELECTRICAL PLUMBING MECHANICAL Breakers Ducts Ins!. 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 ($15.00) 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAME Kathryn perkins PHONE (813) 788-1108 OWNER'S ADDRESS 38719 Camden Ave. Zephyrhills, Fl. 33541 JOB ADDRESS Same LEGAL DESCRIPTION: LOT(S) BLO(;1L- SUBDIVISION PARCEL LD.' (OBTAIN FROM PR~ERTY TAX NOTICE) WORK PROPOSED:_New Construction -Addition ----Alteration \ //~epair _Install _Sign --..JIove _Deaolish P~POSED~E: ~S~eF~ily --..JII F _' of Units _M/H _ec-ercial _Indust. _Swia. Pool _Other --..Restaurant &: Health Departaent Approval DESCRIPTION OF WORK: Re-roof BUILDING SIZE: x Square Feet, 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. PERMITS REOUESTED _BUILDING $ Valoation of Total Construction _ELEC'l'RlCAL AHP Service Florida Power Corp. W.R.E.C. _HEClWfICAL $ Valuation of Kechanical Installation _PLUHBING GAS ROOFING TYPE OF CONSTRUcnON: _B1ock _Fr~e _Steel SPECIALTY Other FINISHED FLOOR ELEVAnONS: Fl. IS PROJEC'l IN FLOOD ZONE AREA? YES NO ....................................***.** CONTRAC'lOR SECTION BUILDER COMPANY State Cert. or Resist. . City License Registration f **.***...*****.*************************** Signature ELECTRICIAB COMPANY State Cert. or Regist. . City License Registration . **.*************************************** SionAture PLUMBER COMPANY S~~te C~r~. cr Regist. f City License Registration t ..............****.****..*...*.*.********* Signature KEGHANICAL COMPANY State Cert. or Regist. f City License Registration f *..*************************************** Signature 0TIgB ~ a>>WANYRyman Cons<ruction (Roofin~ . ,t.'" il State Cert. or Regist. t rc0061648 Signatur ;~.../..... / _ City License Registration t 275 ~ .*.*.*.....*****..**.*..*.**..***.****** Di v. ) APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF' PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peIlit lay be subject to "deed restrictions" wbich lay be lOre restrictive than City regulations. Tbe undersigned assOles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas 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 mmer and contractor lay be cited for a lisdeJeanor 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 Zepbyrbills Building DepartJent, (813) 788-6611. FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the IContractor Sections. of this application for wbieb they will be responsible. If you, as the mmer sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign as contractor that aay be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the City of Zepbyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided "it!! a copy of .Florida's Construction Lien Law - HOIeowner's Protection Guide" p{epared by the Florida DepartJent of Agriculture and ConsUIeI Affairs. If the applicant is SOHOne other than the .owner", I certify that I bave obtained a copy of the above described docuaent and prOlise in good faith to deliver it to the, "owner" prior to cOJleDcelent. E. CONTRACTOR' SlOWER'S AFFIDAVIT I certify that all the inforaation in this application is accurate and that all wort will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a peIlit and that all work will be perf OIled to leet standards of all laws regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goveIDIeDtal agencies aay apply to the intended work, and that it is .y responsibility to identify wbat actions I lUst take to be in cOlpliance. Such agencies include but are not luited to: t DepartJent of EnvirODlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater 'freatJent t Southwest Florida Water Hanagelent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIly Corps of Engineers - Seawalls, Docks, Havigable Waterways t DepartJent of Health & Rebabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater TreatJent, Septic Tanks t US EnvirODlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "AI or "A,etc.", it is understood that a drainage plan addressing a "cOlpensating volOle" will be sublitted whicb is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A perlit issued shall be construed to be a license to procned with 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 frOJ 'thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pmit issued shall beCOle invalid unless tbe work authorized by such peIlit is colleDced within sil IOnths of issuance, or if wort authorized by the-peIlit is suspended or abandoned for a period of Sil IOnths after the tHe the work is coaenced. One 90 day extension of tHe, JaY be allowed for the peIlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection lUst be logged during each sillOntb period, or the project will be considered abandoned. liARNING TO MER: YOUR FAILURE TO RECORD A NOTICE OF COHHEHCEHBHT HAY RESULT IH YOUR PAYIHG TWICE FOR IHPROVEHElft'S TO YOUR PROPERTY. IF YOU ID'EHD TO OBIAIJf FlKAlCIHG, COHSULT WIfH YOUR LEHDER OR All AnORm' BEFORE RECORDIlfG YOUR JfOTICE OF C.DHHEHC!HEH!. JOBS UHDER $2,500 IH VALU HOT HERD TO RECORD AJID P031' A "NOTICE OF COHHEHCEHm". i/' , ~ ~ . ~- . . SIGIIIllmif~. -- 3 51 ~~ STATE OF FLORIDA ~ COUH'fY OF tr ~ The foregoin~ inst~~> was aCknowledged h~fcre m~ thIS ~l~ , 19~ by ~~ .... no, i. J)~ who is p nally Jmo to me or who has produced ~ as identification and who did/~ ~~ take an oath f'- who is produced as identification and who did/~ take an oat (Signa (Name Typed, Printed 0 Stamped) NOTARY PUBLIC "...... ""4 .() ~ ('~ W~ ~EJBURKE MYCo~nCC~ ~ ~ Expires Mar. 31, 2000 ..,~ ~ ~ OF fl.\)~ (Namf! Typed, Printed r tamped) NOTARY PUBLIC "...,IY "(J4. +0,6(" ... BOBBIE J BURKE * * My Comml.sion CC543871 ~ ~~ Expires Mar. 31. 2000 ~ OF fl.\)"~ NOTICE OF COMMENCEMENT Rcpt: 175649 Rec: 6.00 DS: 0.00 IT: 0.00 08/19/97 Dpty Clerk JED PITTMAN, PASCO COUNTY CLERK 08/19/97 12:13p. 1 of 1 OR BK 3791 PG 699 11111111111I11111 1111111111 111111111111111111I1111 97092855 State of FT.()RTnA County of p~ TUB UNDERSIGNED hereby gives notice that improvement will be made to c~rtClin real property, and in accordance with Chapter 713, Florida Statutes, tho following information is provided in this Notice of Commonc('lIl(~IIL: 1. Oeser iption of Property: Parcel No. ..:IS .t..5' 2 1 eJ CooS A ~ D () " D I 2. 9..1) (Legal description of the property and street address Improvement fG, - if ~ if available) 2. General Description of 3 . O,mer Information I Name ;(~, ?~ l\ddress ~7(<j ~c&... 4VLCity 5 ~f"~ Interest in Property: ~ Name of Fee Simple Titleholder: (If other th~n owner) State '::;]I, _Address City State R. Contractor: Name RYMAN r.()NS'T'RTJr'T'TON . TNr. (ROOFING DJ:V.) Address 17i?E; ~ R E;.:1 wpc:rp Ci ty ZEPHYl:ll ILLS Stilte FL 33Stf ,- 5. Surety: Name Address City State Amount of Bond: $ 6. Lender: Name Address City State 7. Persons within the State of Florida designated by Owner upon whom noti~es or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: Name Addre~s City State 8. In addi tion to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section713.13(1)(b), Florlda'Statutes. 9. ExplrnLion d"t.e ot Not-lce or Commencement. (the explration date is 1 year fr0m the date of recording unless a different date is specified.) DRIV~RS LICEN~ ~TE' -:-- Signature of Owner: - . '~;.UAA '<t~~4l I?Rlt!lT : " .,' - ttr- Sworn to and su~scribed b~fore me this /~ day of ; . . NAME :k4fher1.n~ ~S ~~ 19~. Notclry Publi~~ MyCommi~sionExpires: