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Home My WebLink About97-7299 BUILDING PE,RMIT 72996 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date /~- ~- 97 Q EL~ PL~. Property Owner: C...Ii ()/I.Le b ~ d.5 6-< 11'.J .5&:2 3 - /:3 erE c~ ParceII.D.# 11--;;;' -~ /- ~D/O -/O~oo-vO'7D M~ Sewer Conn Water Conn: Water Meter: T.I.F.'s: Job Address: Zoning: Description of Work Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. DATE Inspector 0 :;~~::,:e V- :J#' + Company Address Telephone# Valuation or r> v...52.. Contract Price c:? I" k"~' City License Registration # g ~J State Certified License# 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 ($ +5-:60) shall be made for each trip for each trade: ~--. iT'O 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. APPLICATION FOR PERKlT CITY OF ZEPBYRBILLS BUILDING DEPARTMENT d ,/ 1'1 I ~--I JOB ADDRESS C!JC{FleS $'023 ,%23 GrQ 5':;/ ~ / J;~ Sr/, /]dtSl. PHONE , 7g 2 - 2 'IO?, OWNER'S NAKE OWNER'S ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I.D.f ../j-- Z c; 2/-00/0- /O-,",oC'-~(OBTAIN FROM PROPERTY TAX NOTICE) 70 WORK PROPOSED:_New Construction _Addition _Alteration _Repair ~Install _Sign _Move _Deaolish BUILDING SIZE: x Square Feet, Height PROPOSED USE: _Single Faaily _M/F _' of Units _M/H _ec:-ercial _Indust. _Swia. Pool _Other ____Restaurant lie Health Departaent Approval DESCRIPTION OF WORK: RESIDENTIAL: ATTACH (2) PLOT PLANS lie (2) SETS OF BUILDING PLANS lie (1) SET ENERGY FO . COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS lie (1) SET ENERGY FORMS. ~ g PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~ r: PERMITS REOUESTED ____BUILDING $ ~& f:S."- ~ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. W.R.E.C. _MECIIAlflCAL $ Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Fr8lle _Steel Other FDfISBED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO ****************************************** Signature CONTRACTOR SECTION COKPANY f(J15 /)/UMr'r?VP1 f /YlQ 7tJ119/f t;~~ ~ ~. Sate Cert. or Regist.' C10 ,C'O 0/ 7 ~ y" City License Registration' ':J't **** *********************************** RllTl.DER Signature COMPANY State Cert. or Regist. f City License Registration . ****************************************** F.1.F.CTRICIAR COMPANY State Cert. or Regist. . City License Registration f ****************************************** PLUMBER Signature COMPANY State Cert. or Regist. f City License Registration , ****************************************** MECBAHICAL Signature COMPANY State Cert. or Regist. # . City License Registration # ******.***.******************************* nTRF.R Signature "7:'~:' , i ,. APPLICATION APPROVED BY PERHlT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Ilo und'rolgoed .od,r.l.nds !bal lbl. per.ll oay be .obJecl Lu 'deed r,.lrlellno.' wbleb 10, he .... reolrlcll" tban til, regulations. fhe undersigned assUles responsibility for co.pliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CON'l'RAC'l'On RESPONSIBILITIES If the ....r baG blred · COOlr'cLur Dr CUDlr,clor. 10 "d'rlal, warl, !bey.., he regulrei Lu be Ilcoooed 10 accordloce .111 .l.le and loc.1 regul.ll.... If the cootr.clor I. .01 llceo.ed .. reguired IT I.., boll the ..... and coolroclor 10, he cited for · .Ied......, viol.llno onder Slal, I.w. If lb, ....r or Isl..ded coolraclor are nocerlaio .. la oIot 11....lng regolr....l. .., appl, for lb. IOl'nded oor1, lb., .r. .dvlsed 10 coolact lb. CIl, of Zepbyrblll. Building Departoo,t, (811) 788-6611. Fortlor..r., if lb. ....r bas blred · coolr,cLur Dr ...tr.clor., b. I. advlood Lu ba,. lbe contraclar(s) .Igo porli... of tIo 'Cootraclor Socii.... of lbl. application for oblch lbey will he r"_lbl.. If JOU, .. tIo OlDer Gigo .. tIo cootr_, /OU are I.dlcaling !bal roo, rather thao the CDSlraclor, are re._Ibl. for lb. rorl. If 1Io cootr'Clar .iaheo you la .Iga a. COOireclor that 10, b. an ladic.ll.. lb.l b. I. 001 properl, IIC!OGed and I. 001 ..titled la P8C.lttiog prlvll.... 10 lb. City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES f ~' , D. .cONSTRUCTION LIEN LAW (ClfAPTER 713, FLORIDA STATUTES~ AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeOMDer's Protection Guide- prepared by the Florida DepartJent of Agriculture and Consuaer Affairs. If the applicant is SOIeDne other than the "owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the "owner" prior to co..enCelent. E. CONTRACTOR' S/OWNER' S AFFIDAVI'l' I certify that all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regUlating construction, laning, and land developlent. I Application is hereby .ade to obtain a per.it to do work and instailation as indicated. I certify that no wort or installation bas COllenced prior to issuance of a per.it and tbat all work will be perfor.ed to leet standards of all laws regUlating construction, City codes, loning regUlations, and land developlent regulations in the jurisdiction. I also certify tbat I understand that the regulations of other governaental agencies .ay apply to the intended wort, and that it is .y responsibility to identify what actions I .ust take to be in co.pliance. Sucb agencies include but are not li.ited to: · Deparllent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Hanage.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses · Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways · De arllent of Healtb , Rehabilitative Services Bnvironlental Health Unit - Wells, Wastewater Treatlent, Septic ranks t US InviroDlental Protection Agency - Asbestos abatelent 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 "clllpensating volUle" wiII be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it. issuance. . I per.it lsoued .b.11 be ....trued 10 b. . lice... to prooeed 11th !be rorl and 001 .. autburity to violate, caooeJ alter, or set aside any provisions of tbe 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, Bvery peIlit issued shall becoIe invalid unless tbe work authoriled by sucb perlit is cOllenced witbin sil IOntha of issuance, or if work authoriled by the peIlit is suspended or abandoned for a period of Sill IIOntbs after tbe tile the work is couenced. One 90 day I!Itension of tile, .y be allowed for the per.it 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 Sill IOntb period, or the project will be considered abandoned. WARNING TO OWNBR: YOUR FAILURE TO RBCORD A NOTICE OF COHHENCEHBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIlllftS TO YOOB PROPBRTY. IF YOU IJfTIND fa OBTAIN FINANCING, CONSULT WITH YOUR LINDER OR All ATTORIBY BIFORB RBCORDING YOUR MorICI OF COKMENCEHENT. JOBS UNDER $2,500 IN VALUE DO NOT NIBD TO RECORD AND POST A -NOTICE OF COHKENCIMEHr". XfJJJaJ<l//< #'~-L~-> s'IGNATURB: OWlfER OR AGENT ~~--- . I e In (Name Typed, Printed or NOTARY PUBLIC STATE OF FLERI~ STATE OF FLORI~A COUNTY OF ~S CO COUNTY OF . 'C 0 The foreqoin~ i~trument was acknowledged The foregoi ~ ~strume~~ was aCknowledged befor. me tb..~ <.!>..fIt, 19!17- by before .. tb'~<r J" HI , I9~ by CiJI) 1?J es W . G::>e4SS'1 c.. QONi4'-d ..j.. ,c..k::.ere < I who is peionallX-.V1own to m~ or who ha~ who is~sonally knolOl to m~'ln! who bas produc .--! D~ll:..~ fo::lo-ISq-~~.j(t;J-OJroduce as ident' ication 'and who did/did not as iden ification and who did/did not take a.' tb. tak. oatb. ill.. ,LL Stamped) 1~......y,y..w.YNN.w.y.\...\\y..\\\y.,\\\\\y..\'\\\\d"~~ ~ ': ~.,.y fIll 'Ibm H. Gill ( , ~ m.....:.._ ( . .. Noauy PlIIIIie, S.... of..__ ( : ' 'A ... ComIaiaiaa No. CC 317675 .: '!>,,;..~ Myo-iuloe ExpiJa 05123198 :' l..aGN-MnARV. PIa. ~ Service & llOIllIiIIa Co. . ~((((((((((<<(((((((((((((((("((((((((((("<<<o . L, (Name Typed, Printed or NOTARY PUBLIC , ~'WNt.'w.\\,\\\\,\w.,\\,,,,.,\\\\..w.\' '\\W"'..~ I""Y "Ill 10m H. Gill . I : ~ Hoe.y Public, Sta~ of flornl.. "~..I CGmmilSiooNo.CC31767S ~ :: '!>"';..~MY~MlooEXPim05ml9t1 ~ "I.a00.30N0TARV PIa. ~ SenIce a 80aIIlaa Co, ~ : ~((({(((((((((((<<((((((((((((((((((("(((((<(((((. l NOTICE OF COMMENCEMENT state of F~rnl9 . County of A.$C'CJ THE lmnERSIGNED hereby gives notice that improvement will be made to c2rtain real property, and in accordance with Chapt~r 713, Florida Statutes, the following information is provided in this Not1ce of Commencement: 1. Descr iption of Property: Parcel No. /1--- 2 ~ - 2/-0 C7/{') - /05'cJtY - GO/C) (Legal description of the property and street address if available) 2. General Description of Improvement ///.7/?// L//PtV/ U//j-l~PCV'J , 3. Owner Information: Name C J,C(/'le.J l~ddress 6hZ.3 / '} 1:.4- 5/~ City ~rq ~ .f/C Zr::4~/~h State r;: Interest in Property: Name of Fee Simple Titleholder: (If other th~n owner) Address City State 5. ~u!5 Address 371/2 ?t-!t/l~ Surety: Name ~ Lf. Sr/IeA"t ?tJZ5' /1/ ;:l7c1;~?f/;city Amount of Bond: $ !O;&tJtl.C!J2 / P /(j ( fA. State II 4 . Contractor: Name /f-lcJM'fJt/n r.f/14(>~/?(/t/y I' City ~1Y"r~/8 c'n /,r<?c/l7 r- State ~. Address 6. Lender: Name Address City State 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: Name City State 'Address 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expl.rnLi.on dftte of Notice of Commencement (the expiration date is 1 year fr0m the date of recording unless a different date is specified.) Signature of Owner: )2J~..~./6Lk~ q:[ D. k .:#-(1 ro;JO-~-9 ;,(;(~ -c;tI(Q-O Sworn to and subscribed before me thiS( (7ft day of :.D e c e f'V\.VJ e... (( 19 q 7 . loW\ JI L "'W,Y\\\YNNNN.YMW;",'NI\\'1 ,,~....,y.. M> . ' 'ii; ToIIl H. ow ~ : NoIIry Mlc, Sbt.: ,. f. :'~ . I ~Nl;t.I.; I .' .,p.tf ...yC'...........&pift: ...;o,~" . I.-.ulOTARY..... w..,..........c.. . '((((((((((t<<((tl(((((HU(mUNHUAV"HHNN. PC93053048 Notary Public: My Commission Expires: . . JOB LOCATION CITY OF ZEPHYRHILLS d41/~,~ 6"-4 $t;/'I!. !Jb 2.3 / 3 ilL Sf.., BUILDING DEPARTHENT OWNER PARCEL I.D.'# SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. (PO' I l~ /~f ~ ~ \j ~ .\J\ ~ .1.. ~ ~ ~ i{; ~ (\) ~ . - 4,... '"'" -i-. ~ ~ ~'" ~ 'K ~ '- ~ Q)i3_ v '- ~ ':0... ........ ALLEYWAY ACCESS FO~ GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. '\ - --:.f\_. ~\t~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. \)... ~ (NOTE EXAMPLES 1 & 2) STREET RONT PROPERTY LINE (,0' 13 ci 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30' DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE A I. iii 7y2 k RJ's ALU~NUM MASONRY CONTRACTOR - 2~fCJ If NAME: PROPOSAL SUBMITTED TO: 37912 7th Avenue Zephyrhills, Fla. 33541 Phone: (813) 788.3741 ./11('. STREET: 5t? 23 / 3 d- 5h CITY: 2e~Ay/4,'/0 STATE:;i:/ . 1/;1'111 RDO ~ ' . U/ll55/'C We hereby submit specifications and estimates for: h"lJ /0" Lu q 1/ LJ I '.LJ- /J j I< rrl /'7'1()11)///(/P1 S / '/J . ri'1 5 k II ) 2 / kJ4 / I VJ +J . , I ( J.. Yl51<L II I'r I 1 VI J1.,Y LvI" t4 IV 5' _ , 4./0( II 0t!t-1; I/,h)' / W,'".JCJl1/5 J /eve/t> r V i'(l5 01 q!-(d n Ct I- JI\o -" -,-- '- +0/ o,c 4/;;n/e, ev- ~ . hq './ T O{Q \ ~ Co 3 5, (J}(!J --- We hereby propose to furnish labor and materials - complete In accordance with the above specificatIons, for the sum of: ':<. C, 3 Z-- .~ dollars ($ ) J,.) with payment to be made as follows: A~.~S_'. ~~~ ACCEPTANCE OF; P POSAL The above prices, specifications and conditions are hereby accepted. You are authorized to do the worll. as specified. Payment wll be made as outHned above. ACCEPTED: Signature y (J/~~/L/I ~ ~-t(z. Date Signature