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Home My WebLink About97-7259 BUILDING PE,RMIT 7259 /J CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date /;)-;}-<J'~ ~ ELECTRICAL PLUMBING ",operty Own.' . -?1'D A~ : ~ 1. . '.Lh., Job Address: 6 {) __ =------S[ ~2 . Parcell.D. # MECHANICAL Sewer Conn Water Conn: Water Meter: T,I.F.'s: Zoning: Ene~ DescriPtion of wo~ If .t.2 Radon Gas: FINAL DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, c.o. DATE Inspector Permit Fe~ - --ItA- Sign~. IJ V-Ltb ~ Company Address Telephone# Valuation or ~-- '" U'"1 - Contract Price , "/ r 01--. ct-V " City License Registration # J Y fj- State Certified License# a-J~ k~~<1 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 ($~) shall be made for each trip for each trade: 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. ~-:trlJ The payment of inspection fees shall be made before any further permits will be issued to the person owning same. llIL~/l~~1 1/:~~ ~lj-b~2-23~~ NOV, ~.; '97 (MeN) 16,42 '~~' ',;.. '''.) 11?--i . 'A..r.JI,J ~ ~~J.P niJ~ .. .....,___........." i'r.,fY" ....... ....... II!II., ' ~ A .... WIll"" ClIIMIIIP, ~jUNA I'W..HA"'DS~-"1 21? 586 21186 f-'t\Gl:. 1J1 "ACE 2 ftOOPING IYSTEU' Job N\i1nb4tr: g I (J f -'71' J~ Oa"~ ;1.1;. .1 ..,.....". ~........ MIMI re-.. '" ~ 1,1 0NP/lMr 'PWtIIIlI 0 ........ TIM. .... J vtfti,.,. --.. ' Q 0enNf file"''''' r ~"'" CI "*""' ;J ,....,.., , Q VdIy I'I""I~ Q OYtlftri ~ Q ...... Ctlllnp ~~ ~ ~ \IAIIf ............. iII'"" on ...... wi'" at! "1C", )IAMCND 1)CT...lO't',INC"...eft.~ OIl""'" ("QG~. """" "IMP " d "" fell--. ., .r' ' ~, - ~1'1': ............... tt ... ...~. ;2"'" ..."."" ... :=''::':'.-'-=_ C__::-.... ~ ......... GarItt Q .........'1i Low-..,. ...... ........ ~ LI "" 01"'-' .~., S~ a '"l" Q 0\,\';11' riG" a HIp Q --.... t . .' '.. CMwe", aGamlnl Q ~ a~ QT1It QA...... ...,.' ,I .' .. . .'. fill " ,.... 'J...,t1."'.l'....' Q\,OllI.... a,utII.", ... e>>.r . .'" ,. . , .. "I'" I' " . AIO'ff; " n ,. ~ "., tIllr ......, .,....... '" ...... ". <<lu.""" Il'lWf .".",. ,. . . . . ' . I, ,. . ..... ,." '., . ,.,. _MIff. 1lIllt...., "" ~ _m' _, It ..., ..." .... eM "....,...... . . . . . . . i, I ~ ' ' ; . .. '. o l""''''''<I''--.,,'-': - __ "'n'I', ., . ' . . . ., . . · . , . · · Q IuIWp (mull" ....." , " r _ "In 1", ~nDII: """ y.ntIdIIiI' ..... GI or. ...." fvOt Q Vtl/11N.. __ ' --; --__'" "'-.:=t __ ~.... open .... for.\IWt 150.... '"' Gf d~ "", .... ........ ,-.r...., Iav- GIt ~f ~ v.1Ot. ...~ 0 "* v.. ~ 'M V,,,. ......... ,T ,'...... a!S~~ 6 l\ItIM \iem 0 f'VWIf v,m Q ....lrId VtnW A/O,,~,"""1M ... ,.,., flI"" J.Y"'"h 1M .... M ..,.-.~ t:J 0Itltt VenIIIIIlIM ' ,~,.,II)IfI"'''''''._'''''') UIU - . ~ .~.""";ftA"WVI"'OIW.-o",,,,,," NO"/I; H......".... I/IIIIorMI..........!buM, - - '.,--, ~ at "I' .nd r... ~ .,. ".,.."., r;ftf", ."".. ""~''''''- IWm. ,- ....' 51- ~... ,_. ~ ...' . . ,... ~ tIl, ,.. , - ..", ,\, , ...,1&.""',...... ,.,,. tMn.,ly~, PIAMITS: U""" 0IMlW1.. IIMIlCtWCI. ~ e.;,~". .0Il: ~ ____. ,.......,... T' ca _ · . _' oen.,; ablaIn 1tlf ~ I'OCf 1*f/'lIlt. CtIartf .. ,...... -o'mN OR ri,.......,.. WOODl W... IIINII ~ "'rl~"", th4M1fI11'" ClEAIII.VP ANC....c:)V"~; VOQ, home *Ill hew ....... 11IM" ~ ....... un. ,-Ietllr "'"" II"" lPICIel ~. "0 ""'" or ..tima. ~ .- 1M Inll · ...I~, Nt ... mMt fer ...'" IlIIfI ""'" ....If "'. .,...... It .,. foUflt """0 ",.../I1t1Gn. ...eclA~ INtTtWCTIONI: ." ...,. ..... will lie "...,.,. MtlflO """ e ...... t""'~' , _nura NAn. OVIII...... ..IIL1f (Go~. c.... ""! a Applw eMf............. CAUTION: NM .....WII.......... _...._Gl__. ... .. ...,........' , CUt'''' MftALII Q Cl,lt ." I'" Mill ..",y'" .. ...... ."'" ~. It ~ . ."'....... "*' Mtl ........ ...... ...,.~ Q ....WtIIt UMM.~ Icl. .... Q ItftINum ,'" "'PI"- . .11.... W .. ... ,t, ..........: ,,.. .,......: a a...well """"" a yent fIIIII'"1'11 o CIIlMMr ~ a ... ......... l;I 0Nr ........ . ~~.. euTOK: ..... roo' ",..".""." IM/utdJfIf ,. ... WI.., pelf 01 fOII(tIlIOf .. ". ~. ~'" :-... ':-........;.[ .~..~' ._.--:~.7.~j"'~''''-:--.'''.-:.' '~. ; : . ~ . ; : ,,', . ~ : : :, : , ',I:. : : : : ~ : . , I - I . ~ .. ." , t. .,. . , .. , .. . .. ". . I '" ' ". .' .. j ,";:::.::!.~.~ ...1' ~.". ,..1(." ", , . . - . ~ .. , t .... ., ....... ,......,. ...... " .... ..' ..-.... I . .. ' . ' ~ .' .. i , I .. I' "... , ".' ~ . . . .. ' . ' . . . . .1 " . . ~ I. ' 0-' .'" · , . ' " ,...... " , , . . . " . ,... ..' .., . ' , '......' ,I, , " . , , .. ,. " ,. . " ." -''', . ' .. I A~ - '""~.""" e. ~ We, .. owner(.) ef ... ~ (ht~ ,.,.". _ .. "eueto~.)') ~ tt OOfttteef '*'" ~ ~. 10.. . ..... Aul'1Vt~ ~, 10 rum"". ~r end IIItMI' for IfllNrl1tOn ftf .. "".....,. Ncle-V, to ~ 11'1e premll.. eeotfJlrtO 10 '" ....~_ ~ TIM ITlClHt 01' TM" AOIIRMINT AN CCNT"- ON 10TH ItOEI Of nul 'OIW, I . J... ,~ ~ . -- I ~.. II"" ........ pltdt Iv flit .... ...... lit ....., ~ .1llI' .... !rclr IMonnIflOft '4I(III'dln, '1fNI ..... ., __eon .. t ::>TATE OF FLORIDA COUNTY Of PASCO . ~. -"'<:' 1(' "(". .'n-w'! tHAT THE f-ORr.GOING IS A In!" .... IV c~'''''_'., >'.. ",w r-nl'!]"[,"T ON FilE Tn. \" A'lf. cnmW;'" '::": ; ,}r ".,( ,,'';.., 1>' ,~. ) ",ut. ,"~ ,',~" _, . ", - "~~\rE \"'''~lr"s MY "0 O~ "II~' I,,.... ~),t::'''(~k'r~'' ;",\ 1 H~~,; -.It r L.. "1 n 11. (.:.> Uf~ ,. i'" ..,uL'\'" lr'.I.-,",U;~"~ ,-, . . c 'c" ,"',:;: P,II" f)~Y Of HAN,ANtl uFo'"~ ;."'''' ~~'r A CLERK OF C! un COllRT t i I .. - . 111111111111111I11111I1111111111111111111111111111 97134854 . Rcpt: 1986&4 Rec: DS: 0.00 IT: 12/01/97 &.00 0.00 DDtv Clerlt JED PITTMAN PASCO COUNTY CLERK 12/01197 01':~P. Ip~f i 445 OR BK 3a4~ 1-t 6. D.C Permit No. Key No. State of FT.m~ Tnn NOTICE OF COMMENCEMENT County of PASCO THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida State Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. 6040 16th Street (Legal description of the property and street address if available) 2. General Description of Improvement ~F ~()()F 3. Owner Information: Name HARRY R. HENDERSON Address6040 16th Street CityZephryhills Interest in Property: Name of Fee Simple Titleholder (If other than owner): Ad~ C~ NANNIE P. WERNICKE Contractor: Name WERWICKli' & Address: 11:) 71:)0 RT.A TR AVE City BROOKSVILLE State F 1 n r; r'I~ State Wli'~NIC~F n_l ~()()FTN~ State FL. 34609 TNC Surety: Name Address Amount of Bond: $ City State Lender: Name Ad~ C~ State 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be selVed as provided by Section 713.13(1)(a)(7), Florida Statutes: Name ~ Ad~ C~ State 8. In addition to himself, Owner designates ______. of to receive a copy of the lienor's Notiet: as provided in Section 713.13(1)(b), Horida Statutes. Expiration date of Notice 0f Commencement (the expiration date is 1 year from the date of recording unless a different date i'i specified) Signature of Owee" ~~R .1frn~. The foregoing instrument was acknowledged before me this 27 dayof November ,1997 by i It n A t1. .v Q e /I , 0 "" who is L) personally known to me or U produced r \) L as identification. 9. ;I~(((((((((" (((((<,,{Nt l,iI',,"''',',1 {,(tlfltt N{," 'It 1IIIt.l' :' ~t-"Y"II6. E::iw:lrd H, r:rekey ': .; ~'t> Not:L"Y l';;;.,lic. Sta!~ ,f Fl.~rida ( " ell: ... " _.. ( .' ~ ~ CommISSIon No, c..C ~5,,4 17 ( ': '}Off\.()>('MV COll1'T,is<;on Exp, r'\i/2~VWOI ( )' ( ) I Boaded rhrol!~:: FiJ. ,~ ;:;,..~'>..:t;: Cu. ( . ~)))))))}})})))))\)"~"~: ,-...,.... ,..;" ;)))))))) ( Notary Publi . Print Notary Name: APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S N~~ Itn"1 OWNER'S ADDRESS Ie, 0 C{. 0 ~O '1-0 IL H-t'AJ f) c (t ~O A/ I to TH S-r- jealH ST PHONE ~, ~ - ") rt -I 0 ~ I JOB ADDRESS LEGAL DESCRIPl'ION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.'D~...:;lC~-al4t)IAD"ODOOO - O&::qO (OBTAIN FROK PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition --Alteration ---.Jtepair _Install _Sign ~ove _Deaolish PROPOSED USE: ~Single Faaily _KIF _' of Units _K/H _ec:-ercial _Indust. _Swia. Pool _Other _Restaurant & Health Departaent Approval DESCRIPl'ION OF WORK: 72- i:r - (loar- BUILDING SIZE: x Square Feet. Height RESIDENTIAL : COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED _BUILDING $ --.!., -7 i ~ . u-v ,," Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W.R.E.C. --JECllANICA.L $ Valuation of tlecbanical Installation _PLUtlBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FDITSHED FLOOR ELEVATIONS: Fr. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** CONTRACTOR SECTION t.V c" "" c. K 1:" IU" P . BUILDER [2 COKPARY J9. - I (2. 0 tJ F I IV c.o III c... 11 ~ State Cert. or Reaist. . e c. c o~7 3 ft:/ .....-- Signatu~ ~ It City License Registration' _ < <.J X- I ********** ******************************* RT .RCTRICIAR COMPANY State Cert. or Regist. . SignAture City License Registration . ****************************************** PLUtlBER COMPANY State Cert. or Regist. t Signature City License Registration . ****************************************** tlECllANICAL COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** 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. rhe undersigned assWles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRAC'I'OR' RESPONSIBILITIES " '. If the-owner .bas bired 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 regujred by law, both the ONDer and contractor lay be cited for a lisdeteanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, tbey are advised to contact the City,of Zephyrhills Building Departlent, (813) 788-6611. Furtberlore, if the owner bas bired a contractor or contractors, be is advised to have the contractor(s) sign portions of the .Contractor Sections" of this application for which they will be,responsible.- If.yoa, as tbe'awner sign as ~e 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 U'l'ILITY CONNECTION FEES "" D. ~ONSTRUC'fION LIEN L1\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ Hoteowner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsWler Affairs. If tbe applicant is SOleODe other than the .owner", I certify that I have obtained a copy of the above described docWlent and prolise in good faith to deliver it to the "owner" prior to co..enCelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'f I certify that all the inforlation in this application is accurate and tbat all work will be done in cOlpliance with all applicable laws regulating construction, loning, and land developlent. I Application is bereby lade to obtain a perlit to do work and instailation as indicated. I certiff that no wort or installation bas 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, loning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other goverDlental agencies lay apply to the 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: t Deparllent of EnviroDlental Regulation - Cypress BsyheadS, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Nastewater rreallent t Southwest Florida Nater Hanagetent District - NeIls, Cypress Bayheads, Netland Areas, Altering Watercourses · ArlY Corps of Engineers - Seawalls, Docks, Navigable Naterways · De arllent of Health & Rehabilitative Services Environtental Healtb Unit - NeIls, Wastewater Treallent, Septic Tants · US Environtental Protection Agency - Asbestos abatelent 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 vol Ole" 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 shall is~u~nce of a perlit prevent the Building Official frUl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall beCOle iDvalid unless the work authorized by such per.it is cOllenced within six IOntha of issuance, or if lort authorized by the perlit is suspended or abandoned for a period of six IOntbs after the tile the wort is COllenced. One 90 day 81tension of tile, 181 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 IUS~ be logg~d during .each six IOntb period, or the project will be considered abandoned. NARNUG TO OWNER: YOUR FAILURB TO RBCORD A NOTICE OF COtIHKNCEHHlfr HAY RESULT IN YOUR PAYING 'fIfICE FOR IHPROVIIIIIIS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN .FIHANCII(G, CONSULr NJrH YOUR LENDBR OR AI AnORREY BBFORE RBCORDllfG YOUR 10'lICE 01 COHHBNCKHENT. JOBS U"DER $2,500 IN VALUE DO NOr NERD TO RRCOR · OTICE OF COHHINCEHHHT". 2-..~/rf~ 81 Am: -'-0 RNT . . - - . I STArK OF FLORIDA COUUY OF The foregOing instrument before me this was acknowledged , 19_ by STATR 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 oath. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC /