HomeMy WebLinkAbout97-7131
BUILDING PERMIT
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CITY OF ZEPHYRHILLS
(813) 788.6611
Permit
7131~
Date
/D - ~L/ -97'
,
Property Owner:
Job Address:
Parcel I. D. #
ELE~ PLU~
77!:4~0~};,1:/L0~
~L
Sewer Conn
BUILDING
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
ATE
NO OCCUPANCY BEFORE C.O.
DATE
Inspector
Perm " Fee ~ ~
Signature/V 1(J
Company
Address
Telephone#
Valuation or - ~ '
Contract Price .:-.9 S'TV
City Ucense Reg'...."on # c::?d
State Certified License# _I
B~-ti~ 1- ~~~
BUILDING EL ': ", - P'.!I - '"
~~'LAl
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Canst. 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 ($1+.00) shall be made for each trip for each trade:
;l!>-. r:.TO
a.
b.
c.
d.
e.
f.
g.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
CENTRAL PERMITTING OFFICES:
. Dade City (904) 521-4206 -
. 37918 Meridian 'we.. Rm 23<1, Dade City /'
. New POit Richey: (813) 8<17-8126 -?-_
. ~~~~ ~'~~:e~' R7B1231109~~~2~~rt Riche -- . .... ......]~j:~~<.,.,.. .
~;~ I;;~~~;;;~~~~;:;;~~~ INK _ _ _ ,iN:i.MJ&;%TI.L==_=r~~!~~l..
is THIS-APPLICATION THE RESULT OF~-STOP WORK ORDER OR NOTICE OF VIOLATION? Y_ N_
~ .0WNEn'sNAME: m,'KE O;rYl/-r~ I PHONE'( ). . "." .... ,.,
_ JOB LOCATION: .5 9' to S' I /~1l11 0 I{ I V~ Si I>>S'!~~~"!~!?~:...... ....,....:. E' ~ . .
;;; PARCElID":S~ T :7S' R~SUBPOI I:) BLK 1/. DOLOT bOO "ROJEeT'::i:::::::'::::"::.:::::i{::':::::::::~:!<fg~::::::!:::::"::'HlOT~IZ _X_
~ OWNER'S PRESENT ADDRESS: CITY: STA~: tip
~
o
. FEE SIMPLE TITLEHOLDER'S NAME (II other \h811 owner): -
lIddrM!; (II applicable): CITY . STATE ZIP ..
-------------------~~~~~-~-~~~'~.
~ESCR'PTION OF WORK: - 7! E' j(,b" ~
~ LIVING AREA: PATIO: GARAGE: ENTRY: TOtAL UNDER ROOF:
g , BEDRooMS , BATHROOMS: _'_ TYPE CONSTRUCTION: 0 BLOCK 0 FRAME 0 OTHER:
.J -
co FILL Y_ N_
~ . IF MOBILE HOME OR RV: MAKE
~
D-
c:
o
(/1
W
o
~....
. BONDING COMPANY:
ADDRESS:
CITY
STATE
ZIP
om::::}::;
~Ir~
':.:::::
.....,..
YEAR
SIZE
. WOnK CODE~*~*1t1m~'I PLANS ON FILE? 0 NO 0 YES
MODEL NAME
.... ..'.......-'...... ,....,. ','" '.' ."..,"
...."~~~~I6~LA~S FEES~rS ....: :...:::):.C,;:::;
..Il~i.~!~:\;iii.~!!~!!!
VALUATION $ S 6CJo. 0 (;)
-------------------------------~-~
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9 . ARCHITECTfENGINEER:
co
a: ADDRESS:
w
~
o
CITY
STATE
ZIP
. MORTGAGE LENDER:
ADDRESS:
CITY
STATE_ZIP
. CONTRACTOR: _.il:.~..LU)..~ A.~ ~ F/d t
SIGNATURE: ~~_ PHONE' (
ADDRESS: - CITY STATE
STATE lIC . (il applicable): PASCO CO COMPUTER 101:
1lC
o
9
co
~ . ELECTRICAL CONTRACTOR:
t> SIGNATURE:
: ADDRESS:
~ STATE lIC . (II applicable):
8 POWER CO:
ZIP
;l,s- ~
. . .... .',..::.
PHONE' (
CITY STATE
PASCO CO COMPUTER ID,:
SAWPOlE:
ZIP
AMPS:
. MECHANICAL CONTRACTOR:
SIGNATURE:
ADDRESS:
STATE L1C , (II applicable):
o NEW 0 ALTERATION VALUATION: S
PHONE' (
CITY STATE
PASCO CO COMPUTER ID':
(Required)
ZIP
.~.:;::. :::::.:.::;")\[/!U:~t:;:.;~.:..
':i::'.
.~ . ... -. ..., .
:'. ::',' .'. .....:.::::..:.<;;.~;.;:r:: '.' :':". ;:.(;><;. '. ):~ ..
. ...' .... '." ~ . ~
PHONE. (
STATE
PASCO CO COMPUTER ID':
SEWER:
: PLUMBiNG'
FEE: S
. PLUMBING CONTRACTOR:
SIGNATURE:
ADDRESS:
STATE L1C "(11 applicable):
, FIXTURES:
CITY
ZIP
- SEPTIC PER .:
WATER:
WELL:_..
. OTHER CONTRACTOR: OTHER
SIGNATURE: PHONE' ( ) ,BlDG.:,::
ADDRESS CITY STATE ZIP :FEE::'$
STATE lIC "(11 applicable): PASCO CO COMPUTER ID': . ... .......,..,,,....,'.:',.,::...
TYPE CONTRACTOR: VALUATION: $ ..... '.' \.:y.::i.;l.,l.:;:n:m\:'::?-::::,.':"':'., ..
."...,.,.,.,.... ....... ,,,.,:,...... ....;l~~~~..~l';.~'f~.:l
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~:.;:\)(:jf~{);ff{.t\f\~f~\:;:l:.:\.......
,.
,~,':.t:,:,':,,:: :
OTHER FEE TYPE:
A~UNT: S
. . RECelPTf:. .
RADON.' ,....\::::.\.:.:::: ::':" . ...
FEE:. :..$
----------------------------------
JOBS UNDER $2,500 IN VALUE DO NOT NEED TO
RECORD AND POST A "NOTICE OF COMMENCEMENT"
TOTAL BUILDING PERMIT FEE:
.
. . .. NOTiCE....
BOTH THE OWNER AND CONTRACTOR OF RECORD (license Holder) MUST READ AND
SIGN THE REVERSE SIDE OF THIS APPLICATION
(permit farm 10/91)
EDITIONS OF THIS FORM RELEASED BEFORE 1191 ARE OBSOLETE AND WILL NOT BE ACCEPTED BY CENTRAL PERMlmNG STAFF
PC930430321C
(OVER) .
CONDITIONS OF PERMIT AFFIDAVIT .,
A. NOTICE OF DFED RESTRICTIONS
The undersigned understand that this permit may be sub/ect 10 .deed resllictlons. which may be more restrlctlv. "8ft County tegUIa"'. 111.
undersigned ~umes responslblHty for compllano8 with any applicable deed reslrictions.
, ,).
B 1JNUCENSED CONTRACTORS AND CONTRACTOR RESPONSIBIUTIES
" the owner has hired a contractor or cOntractors to undertake work. they may be required to be licensed In aoeordance with ata. 8nd local regula-
bons. " the contractor Is not liOlInsod as required by law. both th8 owner and contractor may be cited for a mlademelll'1OF violation under atate law. If
the owner or Inlonded contractor are unoertaln lIS to whal lI09nslng requirements may apply lor the Intended wortl, Ih8V Ir. 8dYlud 10 contact the
Pasco County Building Division - LJoenslng Section at (8f3) 847-8000.
Furthermore, lithe owner has hired a contractor or contractors, he Is advised to hAVe the conlrllctor(s) sign portiona of the "Conlnlctor Block. of fhIt
application lor whlct1they will be responsible. "you. AS the owner sign lIS the contractor. you Ale indicating thaI you, rather Ih8n the oontrecfDr,...e
rm;ponslblo lor the work. "the contractor wlsh9tl you to sIgn as contractor, that may be an indication that he II nol propwly bnaed IInd II nol enllled
to permitting privileges In Pasco County. . .
C. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES
The Undersigned undorsland thaI Transportation Impact Fees and Resource Recovery Fees may apply 10 the conaln.lctlon of new bulfdlnOt, change of
use In existing buildings, or 8xpanslon 01 oxlsting buildings, as specified I" I='asco County Ordinance numbers 80~7 end~, III 8Inended. The
undersigned also undersland thaI suct1loos as may be due will be identified alth8 lime 0' permitting. It Is further understood thlt TrMlportallon Impact
Foos and Resource Recovery Foos m 1St be paid prIOr 10 recelvll1g a .certlflciIte 01 occupaney. or IIn81 power ,....... "the PfOIect dOH not Involve .
certifical8 of oocupancy or final power release, the 'ees must be pafd prior to permit Issuance,
Furthsrmore, If Pasco County Waler/Sewer Impact lees are due, they must be pald prIOr to permit Issuance. In accordMce with epplc8bte Pasco
County Ordinances.
D. CONSTRUCTION LIEN LAW (Chaplor 713, Florida Statutes, as amended)
" valuation of work Is $2500.00 or more, I certily that I, the IIppllCl!lnt, have been provided with a copy of "Florldll Construcllol\ LIen Lew - Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the appllCl!lnt I. IOmeone other than the .owner,. I certify thet I
have obtained a copy of the IIbove desaibed document and proml..1n good faith 10 deliver It to the "own.,. prior 10 commencement.
E. CONTRACTOR'SJOWNER'S AFFADAVIT
I cortify that all the Inlormation In this application is aocurate and that all work will be done In compliance with all appIlClIbIe laws regUlallng construe>
tion, zoning, and land development.
Application is hereby made 10 obtain a pormlt to do work and Installation as Indicated. I certlly Ihal no work or Installation h.. comniended prior to
issuance 01 a permit and fhat all work will be performed 10 meet standards of all laws regUlating conslnJction, County code', zoning regulallOns, Ind
land development regulations In thelurisdiction. I also certify that I understand that the regula lions 01 other government 198nC:I.. may apply to the
Inl8ndad work, and thaI It is my responsibility 10 identify what actions I must take 10 be In compliance. Such agencl8llnc1ude but.. ftOllmIttd "':
,,,
o Deoartment 0' Environmental Reoulation - Cypress Bayheads, Wetland Areas and Environmentally SenslllVe lands, W.l8rtW.""'...r Trealment
o Southwest Florida Water Manaoement Dislnct - Wells, Cypress Bayheads, Weiland Areas, Altering Watercourses
o Armv Corns 01 Enoin_rs. S03walls, Docks, Navigable Waterways
o Deoartment 01 Health & Rehabilitative Services Environmental Health Unit- Wells, Wastewlller Treatment, Sepllc Tanks
o US Environmental ProtectiO:l Aoency - Asbestos abatement
I undersland that the following restrictions apply to the use of fill:
o Use of fill is not allowed in Flood Zone 'V" unless expressly permitted.
o 11 lill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume. will ~ tubmitted at time of
permitting which is prepared by a professional engineer licensed by the State 01 Florida. . ,
o If IiII material is to be used in Flood Zone "A" in oonneclion with a permitted building using stem wall construcllon,l certify thaI fill wi. be used only
to fill the area within the stem wall
o "'iII material is to be used in ~"y area I certify that use of such lill will not adversely affect adjacent properties. " use of lill Is found to adversely affect
adjacent properties, the owner may be cited lor violating the conditiOn! 01 the building pennit i!lSued under the attached pennlt application, 'or lots less
than one (1) acre which are elevated by fill an engineered drainage plan is required,
" I am the AGENT FOR THE OWNER, I promise in good faith to infonn the owner 01 the permitting conditions sel lorth in this alfldavit prior to commencing
con slruction.
I understand that a separate permit may be required lor electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not
specilically included in the application.
^ permil issued shall be conslJued to be a lioonse to proceed with the work and not as authority to vlolal8, cancel, .'ter, or ..t Mlde any provision of
tile lBct1nical codes, nor shall issuance 01 a permil prevent the Building Offtciallrom thereafter requiring. .correcllon 01 errora In plant, conatruetlon, or
violalions 01 any code. Every permit issued shall become invalid unless the w~k authorized by suct1 permh Is commenced within alx mon"" 01 permit
issuance, or II work authorized by the permllls suspended or abandoned for a period 0' she months aher the lime the work Is commenced. On. or
more eJCtensions 01 time, lor periods not 10 exceed 90 days eact1, may be aflow9d for the permit. The eltlenslon aha. be requested In writing to "e
Building Offlclal. An approved inspecbon must be logged during each six.month period, or the project will be conSidered IIbandontd,
WARtJING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR,
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. .
SIGNA TURE
SIGNA TURE
CONTRACTOR
OWNER OR AGENT
DATE
DATE
NOTARY AS TO
OWNER OR AGENT
NOTARY AS TO
CONTRACTOR
MY COMMISSION
EXPIRES
MY COMMISSION
EXPIRES
1\. iSnrtlrtt iRnnfittg Ql)f Gtrutral1J1lnriila. 1Juc.
C/O Richard Bartlett
38408 3rd. Ave.
Zephyrhills I Florida 33541
One of the Largest, Oldest, Most Dependable
Roofing Companies in Central Florida
Specializing in Mobile Home Uniroyal White Rubber Roofs
& Insulated Aluminum Roof-Overs
OFFICE
PHONE
(813) 782-5585
RESIDENTIAL * COMMERCIAL * MOBILE HOME
LICENSED - INSURED - BONDED
* MEMBER OF THE CHAMBER OF COMMERCE *
Lic. # RC 0031769
Serving Zephyrhi1ls, Dade City, Ridge Manor, Quail Hollow, land 0' lakes and Surrounding Areas
We have reroofed or repaired over 8,000 Homes and Mobile Homes in the last 21 years.
Dete October 9, 1997
Neme
Mike Dimitri
Address
38651 Tarr Drive
Phone
zephyrhillsr Fl (813) 788-1205
DESCRIPTION
AMOUNT
Remove complete shingle roof and flat roof in sections.
Check wood, at cost of $25.00 per sheet of plywood,
cost of labor and materials. Replace where rotten.
nail down a 30 lb. base sheet. Install wide white drip
e. Seal erirneter before shingling.
Install new 20" alvanize valle metal in valle . Nail
on a 3Q Year Class A Fiber lass Shin Ie Dimensional
THANK YOU
Your Business is Appreciated
Payment upon completion unless previous arrangement made.
. Warranties pertain to original owner
All agr""m;mls conlln(lenl upon strikes, accidenls or delays beyond our control. Owner to carry fire. tornado and olher
necessary Insurance Our workers are fully covered hy Workmen's Compensation Insurance. Customer Is liable lor any Ct1f\ -
chargf!s Incurred In collecllng this bill Total .J 1 V
A. Bartlell Roofing 01 Central Florida's L1feUme leak WananIv appfi~s 10 any campi
Insulaled Aluminum rools The wallan\'{ applies to Ihe ariilirlal parlies olt~e canlr,
10 any lulure generations. lithe property is sold. lhe wallal1ly feverts to a lineen
President artlett
Sign:
\ 111\\1 \1\\\ ""I \\1111111\ 11111 tIIII tIIIIIIIIIIII-
97120331
state of
NOTICE OF COMMENCEMENT
t={~Vvv
County of
Pvtr Q)-
THB \mDERSIGNED 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:
2.
General Description of
Rept: 190605 Ree:
DS: 0.00 IT:
10/24/97
of the property and street address
Improvement ~
6.00
0.00
Dpt Y Clerk
if available)
1.
Descr iption of Property: Parcel No.
"(Legal description
Interest in Property:
r
3.
Owner Information: Name
~'
.
Address 3J1os/ TiM-,t ~ city
Name of Fee Simple Titleholder:
(If other th~n owner)
JED PITTMAN, PASCO COUNTY CLERK
10/24/97 11:56a. 1 of 1
OR BK 3825 PG 144-
City
State
Address
.. ..,..
,~
Contractor: Name
Address 3 jJV
State
5. Surety: N~me
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State.
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
City
State
Address
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.
p 0 E~pl'rnt..io!1 d~t.e ot No".lce of COPlmenc~ment.. (the 1!xplratlon date is 1 year
fr6m,the date of rec rdin unless a different 'date is specified.)
me this
day of
,
Signature of Owner:
Sworn to
19
Notary Public ~
My Commission Expires:
"'0' RiChar"
"1f.hI, .
")~..~ Exr
.. Richard C Bartlet.
.. *MY GOmmIISlon (:c'
\:.:.Y Expires July J 1
PC93053048