HomeMy WebLinkAbout97-6928
BUILDING PERMIT
J I ~ ,..s-o
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N!
692873
Date
&'- () 8 - '1 ~
.;lS'~,~
~' PLUMBING
Property Owner: ~ ~ .J1A..A--f2.. :/!; P.a.A /,j~
Job Address: <.'? ~ 9 / ~~ - I ~ C~~
Parcell.D. # )1- ().. b -;)./- 0 ()/O - .J../~ .....00 - 00/ D
Zoning: Energy Code: ~ Radon Gas: {;. 7"6
De.e,;,,"n of Wori< (~b'l/ - _~ -+ A-<' ~.
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL /0- /.4/- 9
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
Valuation or
Contract Price
/ / o-z;Tz:J. u-i)
....
p~'mitFeep?lifj~~
SIgnature 1:7
Company
Address
City License Registration # ;; [)?;L
State Certified~Lice # , Telephone#
_ ~ R~- II'"
~/;:f;~t(, '~/~tJP~/Yh
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
~11177 ~
FRM.
Insul. CL
WL
Tp. Servo
Rough In 9-~9...c;lJ' 12.J1.t
Meter Can
Const. Pole
Pool
Pre-Meter
Final
uiveway IO-fa -9'1 t2.L~
S~"': ~ 4 /'1/~ 1 ' Bl\\
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
I:INSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
arge of ru _" _..d 88:188 I II .8 ($ ~I shall be made for each trip for each trade:
:l.t,s-; cro
Wrong Address
\ Condemned work resulting from faulty construction.
~ Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
~';)ermit not posted on job site.
. 'ans not at job site.
g. fork not accessible.
Th\ent of inspection fees shall be made before any further permits will be issued to the person owning
san
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
/./1"7 b y~/~1
g'''~ " )3,9 <g/~
<.;?-
~,
-;5 e h-/2 Do IV PHONE i 7 79 - 0 I 0 'f
2 y--i~~
OWNER'S NAME
L
OWER'S ADDRESS 3 K q I g
5 frn1 e
Aw~t:::NC~
IsTAL-e.
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.' /1-2 ~ -2/ -00/0 - 2/~oc)- DC), 0
(OBTAIN FROM PROPERTY TAX. NOTICE)
WORK PROPOSED:_New Construction --0ddition ----..Alteration __epair _Install
_Sign ---,,-ove _Deaolish
PROPOSED USE: -x-'Single Faaily _KIF _' of Units _K/B
_ec:-ercial _lndust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: A /)c! t2 2 c,' (X 21, ( (() r.(J D ;- I
, ,
BUILDING SIZE: 2 ~ X 2~, (, 76 Square Feet, <6 {b ' (Height
-l),;-!ue wo 19' <::(' ~ /'oc-fJ
G2.. l' S"/f- IN (,-- 1-1 () ~ f l:;::--
RESIDEBTlAL:
COHHERCIAL :
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 CORSTRUCTION.
~UlLDING
PERMITS REOUESTED
t l._'
$ , 1/.;00 0 ~ Valuation of Total Construction
_ELECTRICAL
AHP Service
Florida Power Corp.
W.R.E.C.
--1IECBANlCAL
$
Valuation of Kechanical Installation
~UKBING GAS ROOFING
TYPE OF CONSTRUCTION: _Block LFraae _Steel
SPECIALTY
Other
FIllISHED FLOOR ELEVAITONS:
PT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
COKPANY V~~-. ~~
u?~ J .f2-fl- State Cert. or Regist.' /C/lD D '-I,1f ~/ X-
(:7 City License Registration . 2 <:) '12-
*****************************:::*~******** , ,~ .--- ,~
COHPANY ~i'/6r ~7il; ,:::.[-e:cY
State Cert. or Regist.' /
City License Registration .
*********************************
Bml.DER
Signature
PLUKBER
Signature
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
MECHANICAL
Signature
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
OTRRR c&~
;' "
ignature' ~ ..
COMPANY' C-.I!f//~ ,!tJf).t:/;./6-
State Cert. or Regist.' R..CP/~6LCI/
City License Registration , ~
******************************************
IICATION APPROVED BY
PE1UIlT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. 'NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The 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 lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents lay apply for the inlended work, lhey are advised to contact the City of Zephyrhills Building Departlent, (8J3)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for which 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 worl. If the contractor wishes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entit~ed to perlitting priVileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES ~ ~
D. CONSTRUC'l'ION LIEN L..nW (CHAPTER 713, FLORIDA STATUTES" AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIIONDer's Protection
Guide" prepared by the Florida Deparblent of Agriculture and ConsUll!r Affairs. If the applicant is SOleOlle other than the
"owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
"owner" prior to COllenCelent.
E. CONTRACTOR' S/OWNER' S AFFIDAVl'l'
I certify that all the inforlation in this application is accurate and that all worl will be done in cOlpliance with all
applicable laws regulating construction, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do wort and instailation as indicated. I certify that no wort or
installation bas cOllenced prior to issuance of a perlit and that all worl will be perf oIled to lIet standards of all lawa
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDlental agencies lay apply to the intended wort, and tbat it is
IY responsibility to identify what actions I lust tale to be in cOlpliance. Such agencies include but are not 11lited to:
t Deparllent of BnvirODlental Regulation - Cypress Bayheads, Vetland Areas and BnviroDlentally Sensitive Lands,
Vater/Vastewater Treallent
t Southwest Florida Vater Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Arl' Corps of Engineers - SeawallB, Docls, Navigable Waterways
t De arllent of Health' Rehabilitative Services BnvirODlental Health Unit - Wells, Vastewater rreallent, Septic rants
t US EnviroRleRtal Protection Agency - Asbestos abatelent
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 ~OIpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit, issuance.
. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of tbe technical codes, nor shall is~u~ce of a per.it prevent the Building Official frUl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Sver, petlit issued shall becoIe iDvalid
unless the work authoriled by such per.it is co.anCed witbin sillOntbs of issuance, or if wort authorilec1 by the peDlit is
suspended or abandoned for a period of sillOntbs after the tile the wort is cOllenced. One 90 day eatension of tile, la' be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. AD
approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
WARMING TO OWNER: YOUR FA[LURB TO RBCORD A NOTICE OF COHHBlfCBHlNT HAY RESULT [N YOUR PAYING tvICE FOR IHPROVIIIBITS TO YOUR
PROPERTY. IF"YOU INTEND TO OBTAIN FIIfAICING, CONSULT WITH YOUR LEIDER OR AN ATTORMIY BEFORI RlCORDIIfG YOUR JOIICE OF
COHHENCBHBNT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHHBNCBHINT". '
SIGNATURE: OWNBR OR AGENT
" I
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregOing instrument
before me this
was acknowledged
, 19_ by
STATK OF FLORIDA
COUlTY OF
The foregoing instrument
before me this
was aCknowledged
, 19_ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who bas
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(N~e Typed, Printed or Stamped)
NOTARY PUBLIC
FLA. 1.77 LAW.
F.713.13
SEMINOLE FORM 408
NOTICE OF COMMENCEMENT
~:;~t;fo~lorlda } '~R~~AU IN DU~LICATEI "IIIIIIIIIII~~!!~IIIIIIIIIIIIIIII"III
The undersigned hereby informs aI/ concerned that improvements wi. be made to certain real property. and in accordance
with section 713.13 of the Florida Statutes, the fol/owlng informatfon is stated in this NOTICE OF COMMENCEMENT,
Description of property . ~;':',c..~ /.".., ,1Di"~'//.7'.?~..--:.?/.. :-:.~??.ip.. ::?I.?:??P.-::, .9.<? /..9.....
........3.&:.<3.1 fl........ Err.r, T ,A..'!.~. ~.... .?:t;;.p!J. J L-:.h.l:.I/s.. '/' .F? .',...........................
.......... ....... ........ ...... ... ....... ........... .................................. .... .......................................
Gono,.. do.e,lp,;on of 'mp,"vomont. 2.~, ~ i.;?4.. . ~Ca r. f?Q. r..t... ~l)t:, !,~'( , , ""/. , . ::-, , 1.'( .~. Rp. <>-:I?
Owner... .~.q..0.I.. .1:.~PJ..t;:, .f!:..".. ,8.-r;:q,r.-:-.4.e'!.?!-.... ............,..,.......,...,...... ......".......,...,...."..
Address ...3. %.9./ &:'. . , . . EI. ~>1. . , /1.,1.(, ~ . ( , . . , 2r j~~ I (.! &./ . .F (. ~ .......... . ,. . . . . . . . . . . . . . .
Owner's interest in site of the improvement, . , , . . . . . , . . . . . . . . . . . . , . . . . . . . . . . . . . . . . .
Fee Simple Title holder (if other than owner)
Name .... #p..................,...............,.,.......,.....................
Rcpt: 175955
DS: 0.00
08/20/97
Rec:
IT:
6.00
0.00
DptV Clerk
R
JED PITTMAN, PASCO COUNTY CLERK
08/20/97 01:16p. 1 of 1
Address .................................,.....,...."............................. OR BK 3792 P6 43
t.
Contractor.... ~.+~.r... .L. .!?.I. .c.A.I.~r.., .................. ,................ ,. ...............................
Address.., .e. Q... (jP.!... .I:?P.(.... ..S~.k., .A.I:Q.!'..(.~.I. .E.< .j....} 3. .~.7~......................
Surety (if any) ............................,...,',..."........,...........................................,.....................
Address ....,..,............................,....",.,.".".,..........,......,...,......". .Amount of bond $ ... . .. . . . . . . . . .
Any person making a loan for the construction of the improvements:
Name ...... .NI A. . . . . . . . . . . . . . ..... . . " . . . . ,.. . " . . . .. . ."............... .. . . . . . . .. . . . .. . . .. ................... . . . . . . . . . . .
Address .......................................,................................................................................
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name...... .I'I/A............................. ........... .... ....... ..... ...............,...... ...... ..... .................
Address ..........................................................,. .,... " .... . . . . . . . . . . . . . . . . . . . . . . . . ... .. . .. .. " . . . . . . . . . . . . . .
In addition to himself. owner designates the following person to receive a copy of the lienor's Notice as provided in Section
713,13 (1) (h), Florida Statutes, (Fill in at Owner's option).
Name.............. ;~... ...,......., .__'___................................................. .'.................................
Address ........................,. . . _
. n':lSSPACEFOR RECORDE~'S'~S~~'~~~""""""""""""~ ;;.... .......... 'j/j:7 ..;;;2............. .,..
'~~;';<:~~~i;,73:f0....... .
,( IX .!JL. ~,5'7' 751- 5<1-[
Sworn to and subscribed before me this ...................... . . . . . . . . .
OFFICIAL NOT SEA[
JANE A HUl.SE
NOI'ARY PUBUC STATE OF FLORIDA
COMMrS5rO~" NO. CC343866
MY COMMI55!O"J EXP Ffij. 131998
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