HomeMy WebLinkAbout97-7212
BUILDING PE,RMIT 7212
-4
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date
/1-/,1-97
1.(0 . u-D
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
~opertyOwne' g~ JYlJ~
Job Address: --5...3 / ,6
Parcell.D. # /1-,{)6 -d.; - D D/ tJ ~ 1'/9 tJ t:J - OJ,;) D
Water Conn:
Water Meter:
T,I.F.'s:
Zoning: .~ Energr:te: . Radon Gas:
DescriDtion of Work ..h2. ,~ ,,;t.A'~~
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
:~;:~::./!~~
compan~ I
Address
Telephone#
Valuation or ::> tL ,'t--Yt . ~
Contract Price ~,7 V V
./
City License Registration # ::l ~ 'd-b
State Certified License#
Q' rY~~~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM. /1-/ ~-9 '1.81JtL
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($~ shall be made for each trip for each trade:
~-: tnJ
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.
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
('7
J 1 ,,3"!
'jjfJ1J ')Js ~ "/7
, .
OWNER'S ADDRESS
5c;{~
5~315
J. MUR.P~
SIT2U:\
ill.Q.\
11I"t"--
1(0 th
PHONE (&\~ ~lj. 03'+ I
· ~W\-\i(L\.l\LLS I FL 33540
, t..~i~ILLS I tL ')3540
,
LEGAL DESCRIPTION: LO;(S) ,~ ) \3 ~ \4 BLOCK 1~ SUBDIVISION
PARCEL I.D.' II. :;lCo'.;t\. 0010 'l~qO()'O\ac::> (OBTAIN FROM PROPERTY TAX NOTICE)
TO~tIJ
OWNER'S NAME
JOB ADDRESS
WORK PROPOSED:_New Construction _Addition ----.Alteration ~epair _Install
_Sign _Hove _Deaolish
PROPOSED USE: ~ingle F8Ilily _M/F _' of Units _M/B
_~ercial _Indust. _Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK: (-'>Jml.lAll~ OF ~'f"AB fiQf'A.~C[ ON l"'KY'LlqR.~ ~6W\E
BUILDING SIZE:
x
Square Feet,
Beight
RESIDENTIAL: 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.
~UILDING
PERMITS REOUESTED
$ 3'fcxJ. cr=
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
----KECHANlCAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel
Other
FDiISHED FLOOR ELEVATIONS:
Fr.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..........................................
BIITI.DRR
CONTRACTOR SECTION
, COMPANY A A..\)~ hQ[P~ ~tit) S'VPP\.,I~INc...
~ ~~ State Cert. or Resist. t (~.. R
/~ , 'or' City License Registration . ;:J:2~{D
/ ...... ...................................
tI
/
V
Signature
RI.RCTRICIAH
SianJlture
COMPANY
State Cert. or Regist. .
City License Registration .
.....................................*****
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration f
...........*.........*......*...........**
Signature
MECHANICAL
COMPANY
State Cert. or Regist. f
City License Registration *
**...*.....*..*....*..**...**..*..***...*.
Signature
OTRRR
COMPANY
State Cert. or Regist. .
City License Registration #
..*......................*......*......*..
Signature
. ....;
...... '
APPLICATION APPROVED BY
;(~ /.
.' PERKIT OFFICER.
)If!: ~.~.. ..
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands Lhat Lhis per.it .ay be subject Lo "deed restrictions" which .ay be lOre restrictive than City
regulations. The undersigned assUles responsibility for co.pliance wiLh any 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 OlDer and contractor lay be
cited for a .isde.eanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents .ay apply for the intended Nork, they are advised to contact the City of Zephyrbills Building Deparllent, (813)
788-6611.
Further.ore, 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 work. If the contractor wishes you 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 ~~
D. CONSTRUC'!'ION LIEN LnW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HoIeowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consu.er Affairs. If tbe applicant is sOleone other than the
"owner", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
"owner" prior to cOllenceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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, zoning, and land develop.ent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
installation has cOllenced prior to issuance of a perlit and that all work will be perfoIJed 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 otber governaental agencies laY apply to the intended worl, and that it is
,y responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
· Deparllent of HnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentall, Sensitive Lands,
Water/Nastewater Treallent
· Soutbwest Florida Water Manageaent District - Wells, Cypress Bayheads, Netland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treallent, Septic Tanks
· US InviroOleDtal Protection Agency - Asbestos abateaent
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 "colpensating 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 the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor sball is~u~nce of a perlit prevent the Building Official lrOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued sball heCOl8 invalid
unless the work authorized by such perlit is cOllenced within sil IOnths of issuance, or if work authoriled by the peIlit is
suspended or abandoned for a period of sil IOnths after the tile the work is cOllenced. One 90 day IItension of tile, Jar 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 .ust be logged during each sil IOnth period, or the project will be considered abandoned.
WARNING TO OIIHER: YOUR FAILURH TO RECORD A HOTICH OF COHHENCEHBHT HAY RESULT III YOUR PAYING NICE FOR IHPROVEIIDIS TO YOUR
PROPERTY. IF YOU INTBND TO OBTAIN FINANCING, CONSULT WITH YOUR LRHORR OR AH ATTORlBY BBFORE RiCORDING YOUR ROIICE OF
COfIMENCKHENT. JOBS UNDER $2,500 IN VALUE 00 Nor NElm TO RECORD AJlD POST A "NOTICE OF COHHBNCBHIIft'''.
"~W~ ~~d:.tJ~
STATE OF FLORIDA
COUNTY OF fJlIJe 0
The foregoing instrumorl}t was acknowledged
before me this ,?.r ~t/, 19-17 by
-
hhJt T- fi1~~
who is persoually kno t me or who has
produced ccJ ,~...>\\~ D,."';'-rf L te, l <''' C S 7fj Lf j 2. Y
as ide ification and who did/did not
take n oa
U",
"'., .. """'~s.'."~
"'. TImOthY 5CQtt
" '<;. riv COMMISSION /I CC511101
., .,' j IIllIIlEDdIIlOOtB! 21~..
'" "" !l<\"- 1lOHIlED'iilIIlJ'flllf{f.C\I( .
Ii...."
I
STATE OF FLORIDA ~
COUNTY OF j---'" ~
The foregoing instrument was ac~owledged
before me this II - ..3 , 19fL by
~/ -.S- ;)-1- ~/ 7 ~ (, '7 -.Do -0
who is pe>>,ona}.lY kn4 _ to me or who has
produced ~ L .tl.il~.A;2
as identification and who did/did not
take an oatbo'71 a J11=4
(Signature) /n rt /f 0 0"7-
(Name Typed, Printed o~Stamped)
NOTARY PUBLIC
.,~~'1'~, NancY A. Moody .T
l~i}":'''' ~ COMMISSION II CC534806 EXPIR,L
a*{:~ FebrUaIY 21. 2000 ,
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I I , " , ; : 1 1 I ! ' I ' , : , ;. I i I ! j. , 1 .
Spencer and Jonnatti Architects, Inc.
Architecture
SHEET NO.
t661 East Bay Drive
Largo. Florida 34641
813/585-ARCH
'FAX 813/586.2526
CALCULATED BY
111111111111111I1111111111111111111111111111111111
971C~4282
ALL. I:NJ'ORKATI:ON MUST BB TYPED OR PRI:NTED LEGI:BLY TO COMPLY WI:TB RECORDI:NG REQUI:REMENTS
NOTICE OF COMMENCEMENT
State of Florida
County of Pit "a.BP"".r~ C
Permit No.
Parcel I.D. No.J' J,C. (j\ ~IO 1~Cla):o
THE UNDERSIGNED 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 improvement IIIlS1~\..\.~\'~
3.
Owner information
a) Name and address lh~~
b) Interest in property
c) Name and address of fee
kif',),
r: t\f\ \Jl'..P\.l ~
~ I~
,
simple titleholder
Rcpt: 192&39
08: 0.00
11/03/97
other than owner)
Rec:
IT:
6.00
0.00
Dpty ClerJl
(if
~l
Contractor (
a) Name and address: ~ PUS fiQ.fP~~ ~~~PPLJCS1Jt>J '
b) Phone Number: ,. Otx). dO;2 . II ) ""'7
c) Fax number (optional, if service by fax is
s.
Surety
a) Name and address
b) Amount of bond $
d) Fax number (optional,
NJ{\
.
acceptable) :~~43,&141
JED PITTMAN, PASCO COUNTY CLERK
11/03/97 02:29p. 1 of 1
OR BK 3830 P6 193
c) Phone Number:
fax is acceptable) :
8/3 3 a.IO~E. eDQb . f()(lT (2.\ l(,~\?~ , F
HC,I,p,
if service by
6.
Lender
a) Name and address: 'N I A
b) Phone Number:
c) Fax number (optional, if service by fax is acceptable) :
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.
a) Name and address: N/~
b) Phone number:
c) Fax number (optional, if service by fax is acceptable) :
8.
the
In addition to himself, Owner designates the following person(s) to receive
Lienor's Notice as provided in Section/213.13 (1) (b), Florida Statutes:
a) Name and address: N _ ~
I
b) Phone number:
c) Fax number (optional, if service by fax is acceptable) :
a copy of
9. 'Expiration date of notice of commencement (the expira 'on date is
date of recording unless a different date is specified) N A
OWner's Name
Sworn t~d subscribed before mfo: 'oy ~ It\. T
, a; -.J.J" I who is personally known -to me c...' produced
rDl,,- C. __~ 124 as idenUfication, d who did _
take an oath. this ay ::tf e ' . 19~
Signature of Notary
Printed Name of Nota '" ""'" .
Commission No./Expiration ~ c~ ZI ,f~97
SEAL:
Title, if applicable (PRI:NT) i)\fJ Nt';"(t.
,,""''', -
I';\I{I'~ TImoIhy Scott WIn!INp
~*::&l:*~ MY ~3SI()N, ~'j1t01 EXPIRES
~ '''~ O1-__"u
......:#i'i.l '......,-- 21. 1999
!l\'(\" IIOMlEO nRI 1110\' FAIN INSlJWlCE.IIC.
AFTER RECORDI:NG RETURH TO:
A OlvS V,(2XPl~trs ~~ C;U'PL' () ) itJ C.
~133 elDb( ~o~'J
()tXlT eJ t t.4cf F L ~ Ca b &
)
6079/Rev. 10/96
DATE
1121/31/97
HOUSE ACCOUNTS
SALESMAN HOU
SOLD TO:
RETAIL CUSTOMER
,()
1 tYJ- ~
PAGE #
: ~A PLU!.< FIREPLAC~SAND::.
. , ~ " SUPPLIES, I .,..
Prompt Lasting Unique ~ervice
INVOICE #
ORDER #
51211719
21211385
8133 Ridge Road
Port Richey, FL 34668
(813) 847-6248
1-800-282-1117
Fax (813) 843-8141
TAX CODE: JCl
P.O.# VERBAL/JOHN
JOB ADDRESS:
JOHN MURPHY
5238 16th STREET
*M
ZEPHYRHILLS, FL 3354121
1 M-MBU36
1 M-BUA-36
1 M-HGD36
1 CC-DELUXE
1 M-SKC8L-42
3 M-SK84
FURNISH & INSTALL THE
FOLLOWING PACKAGE THROUGH
EXISTING CONSTRUCTION
(DRYWALLED CEILING AND
SHINGLED ROOF). FIREPLACE
TO SET BETWEEN 2 WINDOWS
INSIDE OF HOME; FRAMING
TO BE 2X4 WITH DRYWALL
(APPROX. SIZE 61" .WIDE X
23" DEEP X HEIGHT FROM
FLOOR TO CEILING).CHASE
ON ROOF TO BE 2X6 FRAME
WITH SIDING TO MATCH
EXISTING HOUSE SIDING.
A PLUS FIREPLACES TO PULL
ALL APPLICABLE PERMITS TO
COMPLETE WORK. PACKAGE TO
INCLUDE THE FOLLOWING:
MAJESTIC 36" BUILDERS FP
MAJESTIC OUTSIDE AIR FOR
MBU SERIES
MAJESTIC GLASS DOOR FOR
MBU/MBUC36
CUSTOM CAP DELUXE
MAJESTIC ROUND CONTEMP
LONG TOP
MAJESTIC 4' SECTION 8"
34121121.121121
. 121121
. 121 121
. 121 121
. 121 121
. 121 121
. 121 121
TERMS:
NET 20 DAYS from date of invoice.
(~.,'
Invoices 31 DAYS old will be considered PAST DUE.
NO further shipments will be made.
PLEASE REMIT ON THIS INVOICE. NO STATEMENT WILL BE SENT.
1 1/2% INTEREST PER MONTH ON ALL UNPAID BILLS, OR BALANCE.
TITLE TO THE ABOVE MERCHANDISE SHALL VEST IN THE VENDOR
UNTIL THE FULL PURCHASE PRICE THEREFORE SHALL HAVE BEEN
PAID, NO EXCEPTIONS,
/~ JtJ(/J~
I SIGNED
CUSTOMER COPY
. ,/
DATE
1121/31/97
.....~A PLU~': FIREPLACES AND:'..
. . ............... " SUPPLIES; I ....
Prompt lasting Unique ~ervice
PAGE #
2 If.-J-
SALESMAN HOUSE ACCOUNTS
HOU
INVOICE #
ORDER #
51211719
21211385
8133 Ridge Road
Port Richey, FL 34668
(813) 847-6248
1-800-282-1117
Fax (813) 843-8141
TAX CODE: JC1
P.O.# VERBAL/JOHN
SOLD TO:
RETAIL CUSTOMER
JOB ADDRESS:
JOHN MURPHY
5238 16th STREET
*M
ZEPHYRHILLS, FL 3354121
1
SKINNY PIPE
M-SKFS2A MAJESTIC FIRESTOP FOR
STRAIGHT-UP
FLEX-ALUM DEFLECT-O FLEX ALUMINUM
4" X 8' SECTION
I-COL-P-4838 INTERPHASE COLONY KEY PG
MANTEL 48 X 38 FOR 36" FP
MR-FIL-TRA-DAR FILLED TRAVERTINE - DARK
.121121
1
.121121
1
.121121
14.11
.121121
.121121
TERMS: ~/~-I-' .
NET 20 DAYS from date of invoice. CK::d:::- ~.30
/PL'-9h TOTAL
Invoices 31 DAYS old will be considered PAST DUV~17;tFlMT RECVD
NO further shipments will be made. BAL DUE
SUBTOTAL
34121121.121121
34121121.121121
25121.121121
315121.121121
PLEASE REMIT ON THIS INVOICE NO STATEMENT WILL BE SENT
1 1/2% INTEREST PER MONTH ON ALL UNPAID BILLS, OR BALANCE
TITLE TO THE ABOVE MERCHANDISE SHALL VEST IN THE VENDOR
UNTIL THE FULL PURCHASE PRICE THEREFORE SHALL HAVE BEEN
PAID, NO EXCEPTIONS,
~ ~N>lU4#fr
CUSTOMER COpy