HomeMy WebLinkAbout98-7375
BUILDING PE^RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
7375
13
Date
J - rf- - 7.R-'
, ,
@
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s;
DO
Zoning: Energy Code:
De,criPt;on of W",. J?'ld ,:" - 4' L ()
Ra1 Gas:
/),~ ~./- _~-.-LR~
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.
Inspector
DATE
;/(
Valuation or
Contract Price ,--r 3 Yo. ~)
3-.$<-(
City License Registration #
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
~~~
fh~z~~
'J?7/2 7~~#~
$/J/ 7FJ=>-;J? y /
.- /(ffi 0 ~j
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Con st. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 1-5-:601 shall be made for each trip for each trade:
,)..,j ": tr1J
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 ZEPHYRHlLLS
BUILDING DEPARTMENT
OWNER t S NAME
[0// flee! /lek/I-
(h/?~~ 5"~
PHONE
/7,,1'0-- 77~~
OWNER'S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK SUBDIVISION C"'!4 ~ //'9 ,,;{...--- A__<
&;C'oo
-- 0 0 Z /}; - c) (;; .5-0 C/ - BTAIN FROH PROPERTY TAX NOTICE)
PARCEL 1. D.'
WORK PROPOSED:_New Construction -Addition -...Alteration 'x"Repair _Install
_Sign
_Hove
_DeJIOlish
PROPOSED USE: _Single FSIIily
_H/F
_' of Units ....2S:--H/H
_eo..ercial
_Indust.
_Swia. Pool _Other
_Restaurant &: Health Departaent Approval
DESCRIPTION OF WORK: J1-e'pCI. /r ()q/l1t1~ec! 5r'J. ;~'1 j Akl/t'~, A 5'e<2 /
BUILDING SIZE: II X '1 J t t) 1 it Square Feet, % I 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 FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
_BUILDING
$
J ,1D
7
PERMITS REOUESTED
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
-'lECHANlCAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _FrSlle _Steel
Other
FlRISBED FLOOR ELEVATIONS:
F1' .
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
BUTT .om
CONTRACTOR SECTION
) COIIPAIIY I 4L .
~ ~ State Cert. or Regist. .
;f~.{ City License Registration t
************ ****************************
Signature
F.1.RCTRIClAN
COMPANY
State Cert. or Regist. ,
City License Registration .
******************************************
SilmAture
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
MECHANICAL
COMPANY
State Cert. or Regist. ,
City License Registration .
******************************************
Signature
OTIIRR
COMPANY
State Cert. or Regist. f
City License Registration f
******-*****************************.,****
,i ;.
."':;'...
Signature
.',>l\.,;~
APPLICATION APPROVED BY
PERtJIT PFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject Lo "deed restrictions" which aay be lOre restrictive than City
regulations. The undersigned assuaes respoJlsibility for cOlpliance with any applicable deed restrictions.
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 laY be
cited for a lisde.eanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requireaents 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" 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 wisbes you to sign
as contractor that lay be an indication that he is not properly licensed and Is not entitled to per.itting priVileges in the
City of Zephyrhills.
(,'-'
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUC'I'ION LIEN U\W (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that 1, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOI8OWDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuaer Affairs. If tbe applicant is soaeone 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 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, loning, and land developlent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no worl or
installation bas cOllenced prior to issuance of a perlit and that all work will be perfoCled 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 goverDlental agencies lay apply to tbe intended wort, and that it is
Iy responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
· Deparllent of EnviroDlental Regulation - Cypress Bayheads, Vetland Areas and BnviroDlentally Sensitive Lands,
Vater/Vastewater Treallent
· Soutbwest Florida Vater Hanageaent District - VeIls, Cypress Baybeads, Vetland Areas, Altering Vatercourses
· ArlY Corps of Bngineers - Seawalls, Docks, Havigable Vaterways
· Departlent of Health' Rehabilitative Services, Bnvironaental Healtb Unit - VeIls, Vastewater Treatlent, Septic rants
· US EnviroDlental 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 volOle" will be sublitted wbicb 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 witb tbe work and not as authority to violate, cancel alter, or
Bet aside any provisions of tbe technical codes, nor shall is~u~ce of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perJit issued shall beCOle invalid
unless the work authorized by sucb per.it is cOllenced within Sll IOnths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six IOnths after the tile the work is cOllenced. One 90 day eltension of tile, l8y 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 lust be logged during each six IOntb period, or tbe project will be considered abandoned.
VARlfIHG TO OIfHER: YOUR FAILURE TO RECORD A HOTlCE OF COIfHBHCEHENT MAY RESULT IN YOUR PAYlHG niCE FOR IMPROVEllBOS ro YOUR
PROPERTY. IF YOU IHTBHD TO OBTAIH FIHAHCIHG, CONSULT VITH YOUR LEHDER OR AH ATTORREY BEFORE RECORDING YOUR HOIICI OF
COHHEHCRHEHT. JOBS UNDER $2,500 IH VALUE DO HOT HEED TO RECORD AHD POST A "HOTICE OF COHMKHCIMIO".
%~4 J(/~'3-- ~ ~ if ~
~SIGIIlI~r lHl AGJlIl'l '.. SIOO_: ~ - ))
STAll OF FJ.OIlI'" n r- 0 SIAII OF FLORUIILl.
COUHTY OF ~ '-' COUHTY OF -rB:.seo
The foregoing io.tr~t wa. ~~ledged The foregoing iOS!rwoent wa. acknowledged
be:~ me tbi. ,; 'L . 19 l5 by before .e this It:. 7 -:-~ 19-2.8.. by
'YJtL{.-2e..CJ J-1ebeT;?1 RotJf:iL U. Ulcke..e
who is p r o~n llY. ~~n to me or who has who is personal Iv known to me or who s
produce '-.--!- <LL ~ Lf9-S .... / e 9 - \.s 00 produced
as iden fi tion an~ rho did did not as ident fication and who 'd/did not
an ath. ~ take ath. ~
H. eM H
(Name Typed, Printed or Stamped) ..' .
NOTARY PUBLICI :.~@~=.\
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(Name Typed, Printed
NOTARY PUBLIC
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"~",.'~ TOIDH....UI. (
. Ntluy PuNc. SIIII of Florida (
: c-.iuioaMo.CC3n67) ~
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JOB LOCATION
CITY OF ZEPHYRHILLS BUILDING DEPARTMBNT
{(JJ/~rtk/ &~C'~I-
S~~b e-/?/l/l/C S~.
/ 2- 2~' - 2/ - Go 2 (3 .-- 6c");)Cc) r GOc.;Jc.7
OWNER
PARCEL I.D." #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHBNSIONS & SBTBACKS.
qr
~
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et5/-lj ey live; eX; V-r'/!J
(t(r/'r//1-- IOX/O (J7 ;/-1
! 2 )(i'j
/3 ;r 35
ex 5/1<, JI
fCA<j? ~
j
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
---
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"
FRONT PROPERTY LINE
STREET
- Lf&
U f?/?/7/' ~ . F
(NOTE EXAMPLES 1 & 2)
1. SETBACKS FOR Rlf R2 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
2. SETBACKS FOR R3 ZONING
60'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINB
FRONT PROPERTY LINE
I?~ CI)kr.' ~j A i1 /?t'jl0-L7~('
-II 2J6- ?9o?
PROPOSAL
'770- 77YY
RJ's
ALUMINUM
&
MASONRY CONTRACTOR
PROPOSAL SUBMITTED TO
NAME,
37912 7th Avenue
Zephyrhills, Fla. 3424B
Phone: (8131788-3741
/*~e /1-
STREET, - L..../ --
.5) - /t: ue /} /J /C
CITY 2 ) J . / /.
~(t'/A///3
STATE /----/
to Nu 1-0
I? efJ'1/r It; / 0 -f 2,A' 7' 0<( II fI--//15vA-/"
~ /O~
PI f /eve ) U /7/1-.
'3 /1/3 (J j f / /Ylf:
f< L b (JI l:l p /q /? !C,-
~ff< /0)( /2 ,felC);:
f<rfl{, C.OJ1Crrf-k s~s
f?c4/jlJ ("c,b,/-;ef-..5'
fr:I/h;;/ -ree
/?!/;
We hereby submit specifications and estimates for: OC( I11ttj e OVC'
R.. ~ 10/ sA {vel II tf- <S1c/lly
Rc pltr{ e ! 2 ' {; l-/ ffe,--
Rtf /q, e '-to I f/q jJ,'''j
ReI /c( ( e y C) I !j ~ 101
Pe f7/q (( l-f 0 'Vy :~f.f' '~~//i . / r;;,
R.;.-.J _'1 (J C1llfr ;J!t:'1-)
p ^ ,5 LA/I 'I? C!CJ 4/ j
:i~-~ ! t)OC)r
,\1- rz. 2 /J \
p" ' ' /Y. (..(//1 / 11J .f
CJIJ1~ .51<./1/ 1-0 P1Q/L;( eJ-r'f,-L/~ qy
- (}5 f' q;; r (J .f ~;'6 /-c.-._
((Pf-q/
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----,-
We hereby propose to furnish labor and materials.. complete in accordance with the above specifications, for the sum of:
"? J 4 I G/ ,:
_____~__________dollars (S // /'V. -) with payment to be made as follows:
TO 6~ /Ort1c! 0)/ (>e~c/e///-I4f 2;//~: '_~~_'/--?~~~~
All material is guaranteed to be as specified. All work to be completed in a work manlike manner according to standard practices. Any alteration or deviation
from above spec.ficatoons InvolVing extra costs, will be executed only upon wflllen orders, and will become an extra charge over and above the estomate All
agreements contongent upon stflkes, aCCidents or delays beyond our control This proposal subiecl to acceptance Within Yd days and IS void
thereafter at the optIon of the undersIgned /../
/t:~
Authoflzed Signature
ACCEPTANCE OF
-----------------
- ------~----_._-- -~_.-
The above prices, specifications and conditions are hereby accepted You are authorized to do the work as specified Payment will be made
as outlined above. Jf ) ~ //' /~ -,
ACCEPTE'7 /.. S;g,,'"" 'f-. ~. _ 4; if" /1<' fe/~ . __.
Date / /7 / )':/ Signature , _~
" , . ~
State of
;::-Lo /l.. I j) ..9
County of
Rcpt: 207008 Rec: 6.00
DS: 0.00 IT: 0.00
01/08/98 Dpty Clerk
JED PITTMAN, PASCO COUNTY CLERK
01/08/98 10:47a. 1 of 1
OR BK 3863 PG 440
12.s('L;J
11111111111111111111111111111111111111111111111111
98002200
NOTICE OF COMMENCEMENT
THE ImOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in,this Notice of Commencement:
1. Description of Property: Parcel No. /2- ZIf --2/- 002b--OOJO{/-d()OC)
/r~-lf& rXlll1itJj, ,
(Legal description/of the property and street address if available)
2 . General Description of Improvament ~ /'" /r a~~C./ 57 0-!!-
A [red J f!eYr< / P
3.
Owner Information: Name t(//lf<<c1 ~/I
Address ~Pf~ c:br Y City o/~/"';h
Interest in Property:
State ~ /
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
R4.
~-~
Contractor: Name ~~
Address S7QJd. 194vE
/lL/Lffl,......V /l1 { !J//lSOA)J'i
City Zepj~rhl'//~
StateR. ~2Jl1
5. Surety: Name
Address
City
State
Amount of Bond: $ /t /Jf)P, ~tJ
.
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
Address
City
State
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. Exp~ratlon date'ot Notice or Commencement (the expiration date is 1 year
fr0rn the date of recording unless a different date is specified.)
Signatureofowner:~_~~) r//I~~L
Sworn to and subscribed be 0 -~ "': this 7-rtr day of <..J.4~~.,A-~.. '
190Q ,.. '-j' ,
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Notary Public: ~. :::.J:' ~> :.. ~.~} .... '.,
My Commission Expires:
o~
. . ...... :
. . IPr.:, Vr<r t "'-in.. l
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