HomeMy WebLinkAbout97-7240
BUILDING PERMIT .7240
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
/4
q -.!:> 'Aft)
c:I-:.. ."..."""---"
BUILDING ~ PLUMBING
Property Owner: J11 tt/l ~ - j 0 - 2:JL. '
Job Address: 3 iia 1 ~~. a:::-:
Parcell.D. # / /-;16 ... ~/- & &;/0 - / 73 on - 0 iJ >- 0
.3 ...s'. fTiJ
~HAN~
Date
II -dJ - 7"~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
Description of Work e-y; ...1'.A..1.)' ~ L-
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Pe'm;t Fee ~. ~
Signature ~ >~ --AL-
Company
Address
Telephone#
Valuation or
Contract Price ~ 9- Y 6 r cr-o
City License Registration # :J- ~ /
State Certified License#
BUILDING
,-~A//4 ,;t~~3
ELECTRICAL PLUMBING
-~~~
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTJON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($1 S.Oot shall be made for each trip for each trade:
~'-;iJ?)
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.
HA. 1177 L^W.
F. 713.13
SEMINOLE FORM 408
NOTICE OF COMMENCEMENT
State of Florida } I~R.~ARE IN DU~LICATE' 11111111111111111111111111111111111111111111111111
County of 1/A-'5C.O \ 97132126
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 . .//!!~~IK . ~.~I. .q ~ .c:?/ c?<?/ q/?-f . t?<?t?Q. 2t2. . . . . . . . . . . ..
6..
8..
Dpty Clerk
Icpt: 197839
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . .. OS: 8. II
11/21/97
lee:
IT:
......................................... ......0..... .... ........... ......0...................0 ........ ............. ...... .......
General description of improvements..Ar 4.. ~y~(.q~-1(.. .~~.g:~.......................
Owner. .m(f7e~c;~/?~....??~dy../??~~. ............... ............... ..... .......
Address 3-rr;;?~"'~~~~..?~//Y.~/b~?g..~.~?Y6...........
O ,. .. f h . JED PITTIWI PASCO COURTY CLERK
wner s Interest In site 0 t e Improvement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ 1 f 1
Fee Simple Title holder (if other than owner) ~A/il/~J3i~P. p~ 500
Name ............................................................................................. .............................
Address .........................................................................................................................
Rontractor. ..$~/ /-5.... ~~~~.~. .... ............ ... ....... ... ....... ...... ........ ....
Add.e.. /L?/.g.k'I.dP~~~.~~.~4g:..?~6c??....
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 (1) (h), Florida Statutes. (Fill in at Owner's option). :'-
,"
Name
....................-....................-..........................................................................................
Address ........................................................................................................................
THIS SPACE FOR RECORDER'S USE ONLY
.\
..~..J}~~(~...............
Owner
mr+RGUERrrlE: D. mornS
Sworn to and subscribed fore me this .... . . . . . . . . . . . . . . . . . . . . . . . . . . .
3TATE OF PlORIOA
COUNTY OF PASCO
THIS IS TO CERTIF'YTHAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE OOCUMENT ON PILE
OR Of PUStlC !'ECCRD IN THIS OFFICE. WITNESS MY
HAND(1 OfFlCI~THi~. .... .OAY Of
\ (5\J.o 19
JED PtTTMAN. C) OF CI '.' COURT
Elvc')dLlt \ ~ D.C
....- -Notary-Public
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APPLICATION FOR PERKlT
CITY OF ZEPHYRHILLS
BUILDING DEPARTKENT - 177-1:,tl/
--
OIiIlER's NAIlE/0",w6""V'EA'/;'~ Lh/zy /11~s PII0NII ;:>:13- ;7/71"
OWNER'S ADDRESS 3~?.22 57?/k, ~~~~~~~ 335Y-O
~??7?7,L . /
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
PARCEL I.D.,//'z{;:?/c;O/O/;?7000C> ;/'C?
BLOCK
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition -..Alteration _Repair ~all
_Sign
---.JIove
_Deaolish
pmPOsmOOE: ~eFaailY
_KIF
-' of Units ----1'I/H
_<=<-ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESClUPTION OF WOIlK: Hie aA/4'/?~4/ ~~
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMKERClAL :
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.
PERKITS REOUESTm
_BUILDING
V;;;GTRICAL
~CAL
$
Valuation of Total Construction
AMP Service
Florida Power Corp.
W.R.E.C.
$ ~ 9 t.j b [rJ-V Valuation of Kechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fr_e _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS pmJECT IN FLOOD ZONE AREA'l
..........................................
YES NO
CONTRACTOR SECTION
BUTT .l)ER
RT.RCTRICIAN
COKPANY
State Cert. or Regist. .
City License Registration ,
..........................................
Signature
COMPANY G:t"1 L" f'o tf pi ;/1/
State Cert. or Regist. t ~ ~//'~~~
City License Registration . cf !)-.;}", <...
...........................
~
PLUMBER
COMPANY
State Cert. or Regist. f
City License Registration #
........................*.*.....*...*.*...
I
COMPANY --=S-~?75 ~4~a:6
State Cert. or Regist. ,
City License Registration' ':<.5?..::<,/
................*........*......*..*..*...
Signature
U~CAI. A // ~
Signature - ~/ h//:'
OTRRR COMPANY
State Cert. or Regist. ,
Signature City License Registration .
....................*..*..................
APPLICATION APPROVED BY PERMIT 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 assWles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRAC'l'OU 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 mmer and contractor lay be
cited for a lisdeaeanor violation under state law. If the ollner or intended contractor are uncertain as to what licensing
requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813)
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" Df 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 wisbes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in tbe
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
l' ~I
D. CONSTRUC'l'ION LIEN L1\W (CHAPTER 713, FLORIDA STA'rUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIeOlIDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone otber tban 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
"ollner" prior to couencelent.
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 developtent.
,
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 perf OIled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of otber goverDlental agencies aay apply to tbe intended wort, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
* Departlent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treatlent
I Southllest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
I DepartJent of Health' Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Environlental Protection Agency - Asbestos abatelent I
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 autbority to violate, cancel alter, or
Bet aside any provisions of tbe tecbnical codes, nor shall is~u~nce of a perlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOll invalid
unless the work authorized by such perlit is cOllenced within six tonths of issuance, or if work authorized by the peIllt is
suspended or abandoned for a period of six IOnths after the tile the work is cOIIeDced. One 90 day eatension of tite, IaJ be
allowed for the perlit with fee charge of $15.00. Tbe 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.
WARNING TO ONNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCEHKNT MAY RBSULT IN YOUR PAYING !NICK FOR IMPROVEHIIrS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNRY BEFORE RECORDING YOUR NOTICI OF
COIIIIEIICWIIT. JOIIS lJIIDER 12,500 II 'ILUK 00 IlOI KKKU ro IIIlC()II)J lito. po. SI~../..~~.~. F? C KlCKIIKIII'. /~/
-;/Iff#,/ ~;y -
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
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
(Name Typed, Printed or Stamped)
NOTARY PUBLIC