HomeMy WebLinkAbout97-7183
BUILDING. PERMIT 7183
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CITY OF ZEPHYRHILLS
(813) 788~6611
'7().l/V
Permit
13
Date
J) - .s-- ?,
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner: ~ A.r~--,,-~
Job Add'... [;-3 90 r r -- - ; ~2;{ a,.>€..
Parcell.D, # /:J--0l6...-:2j -OOl/O.../j6Ct:)O - CJ 03 0
Water Meter:
T,I.F.'s:
Zoning: _Energy Sode: -.:;:z, Radon Gas: " . 1 /> _-
DescriPtionofWo;; ~~~/. J ~H ~~ ~~:'(~(j
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
1
Permit Fee / S 6 < 'I. .:t.
Signature
Company
Address
Telephone#
Valuation or
Contract Price
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City License Registration #
State Certified License#
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
SLB /)- G I - 97 f?L!::(,
Tub Set / }-2/- <? 7 1C.i...f4
VVater '
Sewer II (7/ ~ 7 f, 1(-
Final
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo
Rough In / / - 2/-C( 71!L:t
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM. j}-;J./-9'1 e<Jj
Insul. CL
VVL
Driveway
REINSPECTION FEES: VVhen extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($.16.Bel shall be made for each trip for each trade:
:L!>-:O-V
VVrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
VVork not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
VVork not accessible.
a.
b.
C.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
JANET L. RIDER
3904810th AVENUE
SQ. FEET PRICE
MAIN OR LIVING AREA - $ 40,00
OTHER AREA UNDER ROOF - $ 15,00
OTHER 0 $ 15,00
VALUATION $ -
FEE SHEET $ -
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 67,50
ELECTRICAL: $ 28,92
PLUMBING: $ 40,00
MECHANICAL: $ -
RADON: $ -
CREDIT: $ -
TOTAL $ 136.42
SEWER I $
WATER: $
TOTAL: $
. I
3/4" WATER METER: I $
- ~
TIF'Sr
99% $
1% $
: I
TOTAL: $
IRRIGATION METER: $
TOTAL: $
136.42
136.42
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
~ c(1
)1/3
PHONE 7/5 -3 Lf / '-f
OWNER" S NAME . TA We.. 1-
OWNER'S ADDRESS ~ Cj () '-I r
JOB ADDRESS S hrn ~
L k>/defL
I () 1Ii live-
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL I. D.' -' ~ -~ - ;U.... tJ () 7'0 - CJ D 00 0 - 0 u.3 0 (OBTAIN FROK PROPERTY TAX NOTICE)
------ .
WORK PROPOSED:_New Construction --.,.-Addition ~teration _Repair _Install
_Sign
-'love
_DeIIOlish
PROPOSED USE: _Single Faaily
_KIF
_' of Units -'lIB
_ec-ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:""""- 7<em<:'JeL Shed FO!J- PbbL BtliLol,'~~
BUILDING SIZE: ~ 0 x l~
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
~UlLDING
V ELECTRICAL
$ 6~ C/7)() - ch/
.
Valuation of Total Construction
AtIP Service
Florida Power Corp.
W.R.E.C.
---1IECllAllICAL
V~JDIB~NG
$
Valuation of Mechanical Installation
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUcnON: _Block _Fraae _Steel
Other
FlIUSBED FLOOR ELEVATIONS:
FT.
IS PROJECl' IN FLOOD ZONE AREA?
YES NO
******************************************
CORTRACl'OR SECTION
RUlI.DRR
Signature --/~i
COMPANY
~ State Cert. or Regist. .
City License Registration .
******************************************
F.T .RGTRICIAR
SifnaAture~J~
~
,:f~
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
PLUMBER
Signature
COMPANY
;1 .LJ '---/1 State Cert. or Regist. ·
V' ~1 r/...,. ~~.J City License Registration t
******************************************
KECBABICAI.
COMPANY
State Cert. or Regist. t
City License Registration f
******************************************
Signature
OTRRR
COMPANY
State Cert. or Regist. ,
City License Registration f
******************************************
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it .ay be subject to "deed restrictions" which .ay be lOre restrictive than City
regulations. The undersigned assUles responsibility Cor co.pliance with allY applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES,
If the owner has 'hired a contractor or contractors to undertake work, they.ay 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
requir8lents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Furtberlore, if the ONner has hired a contractor or contractors, he is advised to have tbe 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 work. If the contractor wiahes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to peIlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPAC'r FEES AND U'l'ILITY CONNECTION FEES ""
D. ~ONSTRUC'l'ION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law _ HOJeOIDer'. Protection
Guide" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If tbe applicant is BOIeODe other than the
"owner", I certify that I bave obtained a copy of the above described doeu.ent and pro.ise in good faith to deliver it to the
"owner" prior to COllenC8lent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all tbe infor.ation'in tbis .application is accurate and tbat all work will be done in cOlpliance with all
applicable laws regulating construction, laning, and land developlent.
\
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no worl or
installation has cOIIenced prior to issuance of a perlit and that all work will be perforled to Jeet standards of all law.
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber goveInlental agencies aay apply to the intended worl, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies lflclude but are not 11lited to:
t Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treallent
I Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering.Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater rreatJent, Septic rants
I US EnviroDlental Protection Agency - Asbestos abateaent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,ete.", it is understood that a drainage plan
addressing a "co.pensating volUle" will be sub.itted wbicb 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 ,iolate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frUl thereafter
requiring a correction of errors in plans, construction, or ,ioiations of any code. Ivery peIlit issued shall beCOll invalid
unless the work authorized by such per.it is cOllenced within six IOnths of issuance, or if worl authoriled by the peIlit is
suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day extension of tile, I8r be
allowed for the perlit 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 six IOnth period, or the project will be considered abandoned.
WARlfING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COIOIEICKHHlf1' HAY RESULT II YOUR PAYING 'DICE FOR IHPROVRIIDl'S TO YOUR
PROPERTY. IF YOU Ilf1'EID TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnOllHEY BlFOKI KlCOHDING YOUR NorICI OF
COHHENCBHENT. JOBS UNDER '2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COHHENCHIIElf1'".
, I
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 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 o~th.
(Signature)
(~ignature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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State of Florida }
County of \
The undersigned hereby informs all concerned that improvements will be made to certain real property. and In accordance
with section 713.13 of the Florida Statutes. the following information Is stated In this NOTICE OF COMMENCEMENT,
CPR.PARE IN DU.-1..ICATK.
COMMENCEMENT
11111111111I111111111111111111I1111111111I11111111
97125&87
SEMINOLE'FOAM 4"8
FLA. '877 L^W8
FI "3,"
NOTICE OF
Description of property.., /~. -:-..?..,. -:.~I:-::. ~.~ 9.9:::-: ,t?,~~. :~..'? .e:.-$9....,....".....,.....,.................
Rcpt: 193337 Rec: &.00
DS: 0.00 IT: 0.00
11/05/97 Dpty Clerk
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owner""~~"'~,~,..........."..,..,....,.,.,.,,.......,.,..,........"..,..,.,."...,.""...',.
Add'... ... S 9t;1~...I ~:4.~... .~. .~dd4 .'-:f..t... S;$fi. i?')...............
Owner's interest in site of the improvement, . . . . . . . . . . . , , . . . , . . , . . , . , . . , , . , . , , , ., fED PITTMAN, PASCO COUNTY CLERK
Fee Simple Title holder (if other than owner) o~/g~/~aO~5Sp. 1 of 1
~ ~2 P6 156.
Name "",."'.,.""",..""".,."...,.,.',..,.,....,.,,.....'",..,."",.,.".."".."..,...'".."...",'..."..""....
Address ,.",'.",.."."""""""""....""........."..,.....,..,.,.",.."..."."".."...,.,.....,...",...,'.....,..,
::::::'O':.:::~::.::::::::..:.::...:::.:....::::...::....:...:...:..:::.:::.:..::.:::..:..::.:::..::.::::::::...::.. :
Surety (if any) .".."",."""."."'....",.........'".,...,.,'...',.".,'.",...."."...'.'..",...,..,.",...,,...,..,...,
Address",...,....""",."""..",....,.",..",....."......"".,..."."....",.".., ,.Amount of bond $ ...",'.....',.
Any person making a loan for the construction of the improvements:
Name ".'"", """'.,.""""""..".,.,..."..",..,.."",.,,...""'.""""."..,."",.,...,.",."..."",.,.,,......
Address ,...""""",.,.""".,.,.,.,'..,.,...".,."..,..."""....".".",...".,.......,..",..,....,.,....,.,..,.",...
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name "."".."""",'."""..,.,.,.".,.."...,..",..,,.,.",....,.",..",..""",..."."",...,.,.,.,..,""..".,..."
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 (11 (h), Florida Statutes, (Fill in ,at ('''''OAr's option).
Name
Address ',.,"",.,"',.,""""',."""."..,."."..""""""""."",.",.""""""""""""""""",..""""
THIS SPACE FOR RECORDER'S USE ONLY
::iTA T[ OF FLORIDA
COUNTY OF f\J\SGO
nr r: ;~s IS Tn eEl:, n.::'/(..;,:: r TI'!;: IS A
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H,~:4~_ ;~'"ij)L. ;1';1 OF
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Sworn to and subscribed before me this, . .I / ' ~, ~~,-:, ,cr., ,?, , , , , . , , '
D.C,
.........................dayof "''.""". . , , , , , , , , , , , , , , ' , ' , , , , , , , , , , . ,19..P..'/.
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i.: ~.\ ~ IDMSSION , CC5348lII EXPIRES
~. "i FtlbnBy 21.2000
"'~Rii . IlllIIlED lHRU 1llO'I we IIIIUWICE. 11I:,