HomeMy WebLinkAbout97-7203
BUILDING PERMIT
,
Property Owner:
Job Address:
Parcell.D, #
CITY OF ZEPHYRHILLS
(813) 788-6611 55'
~NI~
Permit
720311{
//---/0-97
, ..
BUILDING
~-
~5-
~_R~L
Date
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
/.;2... :210-':< 1- D()~ 0 - 00 ~OO - 003 '
Zoning:
DescriPtion of Work
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector 0
City License Registration #
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
1'--~I-"J. 105?. .Y-
Gfu1~'/
1
(~f~~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
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 ($1 S.e61 shall be made for each trip for each trade:
~crv
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 pers9Jl-~
same. / \.
, f"'.' '..~' ,..........'11':> i
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
{6/1eo.o
,
P/l~ 0/2. 7-B/h'-(;<i~#11s
pf}~ J)/2, 767lzrM.Its-
LEGAL DESCRIPTION: LOT(S) '3 BLOCK ~ SUBDIVISION ~-Ph7</) h ldlGA "?--
PARCEL I.D../:2- ,;2&:?-f [)r)3C> 6()~f)() rJt).s (5 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction -^ddition ----Alteration ~epair ~~
OWNER · S NAKE jA. )/ -;1/ /t-JYt
OWNER' S ADDRESS ,39/5 t/
JOB ADDRESS 6.,.:S 9/ if?
PHONE "9i' z - f?~~ c:.
91
_Sign -'lov"! _Deaolish
PROPOSED USE: ~le Faaily -'lIF _' of Units _M/H
_eo..ercial _Indust. _Swia. Pool _Other
Restaurant & Health Depar~ent Approval
DESCRIPTION OF WORK: ~ J/"~1Y ~ /~,l~~~~
BUILDING SIZE:
x
Square Feet,
Height
RESIDEBTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
_BUILDING
~F.C1'RIGAL
~CHANIGAL
PERMITS REOUESTED
$ I.;'; 2te. 2- ,31 Valuation of Total Construction
,
20-0 ~ Service VFi~rida Power Corp.
S ~ ,~t'lJ -07Va1uation of Mechanical Installation
GAS ROOFING SPECIALTY
W.R.E.C..
!;
--PLUMBING
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJEct IN FLOOD ZONE AREA?
YES NO
..............................************
CONTRActOR SECTION
BUILDER
SianAture
~
,/~
COMPANY
State Cert. or Regist. .
City License Registration .
.................:::~.~
~ State Gen. or Regist. . aa~{2-4>S>
City License Registration' 5'~
*.**************************************
=
Signature
F.T.F.C1'RIGIAN
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
******************************************
IIJQWIlCAL COHPAllY P-iILL ~~H~
~ ~ State Cert. or Reg st. ,Cf/AcO C~6) ~
Signature / ~ City License Registration I ,~..5:
{ ***************************************** '
OTRF.R COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
******************************************
I'
i.
!
APPLICATION APPROVED BY
PERKIT OFPICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'b, under'ignol undor'land, thai !hi, p'",11 oar be ,.bj,cI to 'dooi r'.lrlcli.... .bleb oar 10 war, r"lrlcll.. lhaa eltl
regulations. The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions.
f'"
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 II' be
cited C.r · .iol......r vl.l.tl.. und'r ,1'1. I... iC lb. ....r .r Intended conlractor are ....rtai. as to .Iot li....iag
requirOlents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (8Il)
788-6611.
FurtherlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
'C..lractor Secll.... .C this .pplicalloo Cor -hicIJ they -mile "_sibl.. If JIlU, as the -. alp as 1M -tor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes IOU to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
.'
l
D. CONSTRUC'l'ION LIEN L1\W (CHAPTER 713, FLOIUDA STATUTES" AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Plorida's Construction Lien Law _ HoIeoIner'. Protection
Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If the applicant is SOleODe other than the
"owner", I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the
"owner" prior to cOllenceaent.
E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
I certify that all the inforlation in this application is accurate and that all work 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 work and instailation as indicated. I certify that DO wor1 or
installation has cOllenced prior to issuance of a perlit and that all work will be perf OIled to leet standards of all 1118
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governtental agencies lay apply to the intended worl, and tbat it is
Iy responSibility to identify what actions I lust take to be in cOlpliance. Such agencies inClude but are not .ilited to:
I Deparllent of EnviroRleDtal Regulation - Cypress Barheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
I Southwest Florida Water "anagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
I De rblent of Healtb , Rehabilitative Services BnvirODlental Healtb Unit - Wells, Wastewater !reattent, Septic lanla
I US EnviroDlental Protection Agency - Asbestos abateaent
I also certify that, if fIll .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "co.pensating volUte" will be sub.itted 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 tbe work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes. nor shall is~u~nce of a per.it prevent the Building Official fIOl tbereafter
requiring a correction of errors in plans, construction, or violations of an, code. Svery per.it isaued &ball beCOll invalid
unless the .orl authoriled b, such perlit is cOllBnCed within six IODths of issuance, or if wor1 autboriled by the PBCllt is
suspended or abandoned for a period of six IOnths after the tile the worl is COMellCed. One 9(} da, llI,tension of u., ., be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to tbe Building Official. An
approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
WARJlIHG TO OIIRER: YOUR FAILURE TO RECORD A NOTICE OF COHHBRCKJlBfft' KAY RBBULT IN YOUR PAYING !IIICK FOR IHPROVIIIIO'S ro YOUR
PROPERTY. IF YOU IlfTiND TO OBTAIN PINANCING, CONSULT WiTH YOUR LODER OR AN AmHilEY BBFORE RICORDING YOUR HarlCE OF
COHHBlfCIHBHT. JOBS UNDER $2,500 IN VALOi DO HOT NIBD fa RICaRD AND POST A ~rICB OF Cf1IIBH ".
LlCOCO.1 ()4.?A 1- 0
Q~4 qlxx:o
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STATB OF FLONDA
COUlfTf OF -ill SC l ')
The foregOing instrument was aCknowledged
before me this bJo V 10 , 1901 by
STATB OF FLORIDA
COUNTY OF PAS CO
The foregOing instrumen~was aC~9wledged
before me this NOV 10th ..' 19~ by
who is personally known to me or who has
produced FL])L LlrF'~SE ~
as identification and who did,-1d n~
take a~ ~~~
(Signat~) ,
~~ '"S.. (Cb~-\-
(Name Typed, Printed or Stamped)
NOTARY PUBLIS
who is personally known to me or who bas
produced FLA DRIVERS LICENSE
as identification
t ~tb.
(Name Typed, Printed or St ped)
NOTARY PUBLIC 'iii: MARSHA L UNll5e'/
. * My commiuion CC04S1791
Expires April 9, 1999
'\;or fO.~
....... r1
! 1."
FLA. "77 l^WS
FII 713,13
SEMINOLE FORM 408
NOTICE OF COMMENCEMENT
State of Florida } 'PREPARE IN DUPLICATE' 11111111111I111I11111111111 1111111111111111111 1111
Cpunty of 97127479
The undersigned hereby informs all concerned that improvements will be made to certain real property, and In accordance
with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT.
Description of property . .~:f...~..... .B.(,p~f:::... .~...,' ko/!h.yR., , HA-.Ufh.-r.$., kg,... ,1?/3.~"..,
"P~,. ,s;:P..""",..""",.,.""..,."........",..,.,..""".,:"".,.""",.,..""..."."..."".."""".,.."".
. ,.!rh,. .~, .;2.1,...00 .~9,... 00. .(000... .003,9.",.,..."",...,."..,.".",......,..,..""........,.,.,.",
General description o~ improvements,.. {)./.!C.. .CJJdclt ~70././.?l2.",. /1'15,/4(/". .,1BAr/.(~f.)lJdtfa
R-.,... }J,ll MM... .ui/8.t!j).......................... .1.....................................................
Address" ,3,9/ SCf" ,Pf7l!.k" [)/2~", .74~r&h','/s;"". ,?C.".., ,dd~-fO".""""".",
Owner's interest in site of the improvement". . [))LlpGrR.. '" ,/,rt:t!.?~"., Rcpt: 194374 Rec: G.OO
Fee Simple Title holder (if other than owner) D1S1 I: 10 Cl.70.00 IT: 0.00,
17 Dpty Cler~
Name .... ,1:(/4.. ' .. .. .. .. .. , . , . .. , . . , . .. , . , . . .. . .. , . . . .. . .. . .. , . . .. .. . .. .. .. , JED PITTMAN, PASCO COUNTY CL!:"R"
Address, ,Y/if"""", ,."""" "." ,..,......"", ,..,...' ,...""" ,."", ,~,~~~,~~,~~~~pm 1pGf 163~ ~\
Contractor, . , , , , ,P P-Z7?~, , Z'(ec ,7l?-:-. (~, , , . " , , , , , , , , , , , , . , , , , , , , , , , . , , , , . , . , , , , , , . " , , , , " , , , , , , , , , , , , ,
Address, ,3911!." pg T7/~,t<D"., ,2epl.1yl<h,! ~I ($." ,;1("" ,d?~?(/."""",.,.,
Surety (if any) ,., ,Ifk""""..",.,.,."""..."""""".",."""."",.",."""".."" "',.,',.,.,"""':"',.,
Address",.", ~~"',.,.,.,.,"",.".,",.,..,..,',.".,"',..,""',.,""",.," ,Amount of bond $ . .#~
Any person making a ioan for the construction of the improvements:
Name" ,q~" ,'"""""",.,.".",.,."..""""",..""...""""""",."""""".,."",.,.""""""",...,
Address, 1':/ I~"",.""""""""".".""...".""."""""""""""",..,."",.,..""..."...".."""""..
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name., N/4"""""""""""",.."",."..."."""""""""",..""."."""""",.".",."",.""".""
~d~~~~:i~r~1Le~lf: '~~~~~ 'd~~i~~~'t~'~ th'~ 'f~'li~~i'~~ '~~~~~~ t~' ~~~'e'i~~' ~' ~'~~~'~; 'th~ . Li~~~~;~ 'N~t'i~~' ~~' ~'r~'~i~i~d 'i'~ 's~~~i~~
713.13 (1) (h). Florida Statutes. (Fill in at Owner's option).
Name ., .II/~ ' .- ,. """""",. ._, .' , , , , . , , , , . . , , , . . , , , , , , , . , , , , , , , , . , , , , . , . , , , . , , , , . . , , . , " "",.", ,',',' """",
Add,... T~I!;t~R;;~~;~;;~~~;~~~;HHHC~t:Z~~~~,E ..... ........ .............
ST~\'~~OrF!,()81[lA ........, " ,. 7'''~~~~~' .............,...'....,.
Cf, );,,~. or r:.'\,':::;'>:.)
j::,(~ J 'T, ~, ~', -r...}.-,_ _ r""
T;:,,: > ", ':" ' ,'"~'" I' ,,7>1:: r'0n::';OING IS A
_ .1......'\ .",',' I, ~" , , : ~',r: ')r~" -'I:':' .- r,' _,.-
UH l':~- ,'!' ,::~:'~ H' . U~''"L'_
:'r';~;:-.', I " .. ,.',;;.;~';$lj;'cSS l,iY
~'Z~' """: P~,"--"~".,-,,,' G
:k:q"~;' 'c;., .
J -.-1 \... ...~, ~ I "'''' I J l1
BY
DC
Sworn to and subscribed before me this . , . , , , , ' , . , ' , ' , ' , , , , , , . , . , , , , , .
....,..\Q~,daY of ". . \\()~'v\t\\-.).,\., ,:"-, . . . . , , , , , , ,
""',.,..,...~~;~\~.,
..19,Q,,!.
~. ..,:\'~:..;I:,.;:.,.
I_:::,::;~ ~, :-::
.. .', .-:.... _,,,, ".',.'. . .;:r-" <.;
."
,r.t' .-:~.:_~i__ :.....
'~'ii: ~:.~ ./'
"l Ii! & It
,., ~.r ;::::.:) I' ,;'.; ..;
;;.:..~j0t:~) :.,~ :~'-.."
t<;,......r,'71r: c~t::~;,F:. ,=':!.... he
F' ,,:"'3_ t:. t _'i t,""? F.,' -I f:-? (::',cJ:':i c~
Cert:.ified Electric & Nechanic,91 Contract:e,r
S'/:C~ 11 Fa. t tJ f:? f:,1(\~1(l
.?e,ph.'i/r/i i 11 s. Fi ,JI'ic'fa';','}.Ii4(i'
..e ~....-",
Bill LeHeup
:3 :~! ],':, <;, F' ark ~:; t
ZiI'r'h:rrhjlL:::;, Fl. 3:3,:,41
(\'31:3) 7e~>-4566
Ni)V,?mber ~,
.1:-:1 :~~ '7
At ~he ~i.ddress i)f 3814'7 Patti.8 E'leotric proprJses t.o pt'(lviije
lnat(:.r_1-~" ;J,nlj l~-3,bor fell'- the "instal1[;i.t.5.on ot' :3 ~~~; ton h,e;3.t plJrn[.J \~lI.th
1 D kwh e :, t :3 t r ~,p, T hi;:; ins tal 1. a t i i) n i n c 1 u des ,S c; e i :L i n g r ,I:; g; i s tel'S
::ind as requested by the cllstomer at.tic ducts wLLl be exteniJed
near the saeen porch for future access. Carpentry work ~or air
handler platform to be provided by others. In addition to the all'
conditioning system an electrical service upgrade will be
required, We propose to remove the exterior equipment panel and
meter and install in its place a new 200 amp service panel and
llleter, il"lstall existing !Jircuits into new pane.L and refeed
interior sub--parlel. 'fIlis lJpgrade also provides for C(IJl11et] (. !t)I1 to
new heat pump and air handler,
tT'otal G'Jst for,'. n18~teri:3_1 3.nd 1at),,)1' IS :'Bf32f3~=.Jl ;:,I>~ Tri(JtJ:,jAN[) T1/'~O
HUNDRED SIXTY TWO DOLLARS AND THIRTY ONE CENTS ,Payment to be
rnarje lJpOn completi.l~n of wl)rk.
~.. ,~ S D.l?1"" +- +" \1" " "
>~ "'" Lj~(,.l" ,
"ft
[fl,-,."-,,, . ,,',.......
l 'Ir::tg~
Contract Supervisor
F:' a. t t i eE 1 e (~: t. r t C;:
{::'CCEPf ANCE OF PRUPOSAL. -T he a b 0 v e p r- ,1 C e s ,
specIfIcations, and conditions are satIsfactory
and are hereby accepted. You are autorized to
do the wor-k as specified. Payment will be made
as outllned,
::::a ::r::cep~~~~\)~===;_=~=~-
, ~~~
<~f<iP{1,9... LEIGH J. CANr
~ )~'\'\ "~J~,,~.' "UION " cr'< I 'C1" ,
~ tf~-~~1 e-".....~'nl'...lL.}~. ~ ~._:<..:J.q
">. j~~t~L ~'" tXPIRES MAR 21. ",uOI
..,l.-Zt~~ BONDED THROUGH
'~Qff\; "TWille !lONDING CO~ lNC.