HomeMy WebLinkAbout98-7418
BUILDING PE.RMIT 7418
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
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P<opertyOwne, 0~~L---ti~~
Job Address: --:? ir ~
Parcell.D. # L~--;)6 -d-./-
Date / ,. ,;J.3 - 7 J""
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
o Ene,code:
~ I?~ -
--
Radon Gas: /.31.:,
~ J ~ .-;C-(J- "- ~
NO OCCUPANCY BEFORE C.O.
FINAL 1 6 ?
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
I cf-~
P~'m;tFee ~~~
SlgnatuO, --~
Company
Address
Telephone#
Valuation or
Contract Price
1./,3 t, $( dO
,
tl- I 67.....~-i ~
BUILDING ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
InsuJ. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ ts':'OO) shall be made for each trip for each trade:
~-'(/D
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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BLOCK ;;? ~ SUBDIVISION 2. J
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER' S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
PARCEL 1. D.'
5Jiep
A ition _Alteration _Repair _Install
-----'love _Deaolish
_KIF _' of Units ~/H
_Indust. _Swia. Pool _Other
WORK PROPOSED:_New Construction
_Sign
PROPOSED USE: _S~leF~ily
_ec-ercial
_Restaurant (( Health Departaent A~.rova~~ .A__V sr.lflY?~ >>,.~
i?uJJ..,Oy- CCMJ$lPeVCJl1 /1. ";XI? n..---r ~. ,. ~
DESCRIPTION OF WORK:~.J. &ctr-J'i,i)tp ~C6.T~J/29) AU- II}> M.Mr~IfId4/IfJ~.cx}I~
/ &J~':5,z.. 'J4,W'
BUILDING SIZE: ~ X /? Square Feet, Height
RESIDENTIAL:
COHKERCIAL
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.
_BUILDING
$
PERMITS REOUESTED
Valuation of Td{al Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_KECHAIUCAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fr~e _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUTT .DER.
.
COMPANY 4: .-./... ~bL.Jrjl /fl-t>>?! ,ULl.l{
~ ~ State Cert. or egist.' ~)<~C~b
<1. . City License Registration' .".
******************************************
Signature
F.T.F.CTRIClAR COMPANY
State Cert. or Regist. .
SianAture City License Registration f
******************************************
PLUMBER. COMPANY
State Cert. or Regist. .
Signature City License Registration f
******************************************
KEGllANIGAL COMPANY
State Cert. or Regist. .
Signature City License Registration .
************~*****************************
OTRF.R 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 perait laY be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assllles responsibility for COIpliance 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 is required by law, both the owner and contractor laY be
cited for a lisdeJeanor ,iolation under state'law. If the owner or intended contractor are uacertain as to what licensing
requireJents lay apply for the intended work, they are advised to contact the City of Zepbyrbills Bailding Departlent, (813)
788-6611.
FurtherlOre, if the owner bas hired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
"Contractor Sections. of this application for wbicb they will be responsible. If you, as the qamer 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 peraitting privileges in the
City of Zepbyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of IIFlorida's Construction Lien Law - HOIeOIIJler's Protection
Guide" prepared by the Florida Departlent of Agriculture and Conslller Affairs. If the applicant is soeone other than the
.owner", I certify tbat I bave obtained a copy of the above described dOCUJeDt and prOlise in good faith to deliver it to the
"owner II prior to cOlleDceJent.
. . ..
E. CONTRACTOR'S/eWNER'SAFFIDAVIT .
I certifjthat all the inforlation in tbis appli<:aUon isaceurate and that all work will be . done in cOlpliance with all
applicable laws regulating construction, loning, and land developllent.
\
Application is hereby aade to obtain a perait to do work and installation as indicated. I certify that no work or
installation has c~ced prior to issuance of a perait and that all work will be perforaed to Jeet standards of all laws
regulating construction, City codes, zoning regulations, and land developJent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governJental agencies JaY apply to the intended work, and that it is
IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
t DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater TreatJent
t Southwest Florida Water HanageJent District - Wetts, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Aray Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rebabilitative Services, EnvironJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
t US EnviroDlental Protection Agency - Asbestos abateJent
I also certify that, if fill laterial is to be used in Flood ZOne "AD or "A,etc.", it is understood that a drainage plan
addressing a .cOlpeDsating volllle" will be sublitted wbich is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
. A per.it 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 issuance of a peIlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued shall beCOle invalid
unless the work authorized by such perait is cOlleDced within six IOnths of issuance, or if work authorized by the peIlit is
suspended or abandoned for a period of six IOntbs after the tile the work is COIIenced. One 90 day eJ:tension of tile, lilY be
allowed for the perait with fee charge of $15.00. The extension sball 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.
WARHING TO OIfIER: YOUR FAILURE TO RECORD A NOTICE OF COHHEKCEJlElft' HAY RESULr IN YOUR PAYING TWICE FOR IMPROVEIIEIft'S TO YOUR
PROPERTY. IF YOU 'Ilft'END TO OBTAIN FINANCING, COHSULr WITH YOUR LINDER OR AN A'lTORMEY BEFORE RECORDING YOUR NOTICE OF
COHHENCEJlElft'. JOBS UNDER $i,sOO IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMEIfclMm".
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SIGlA'l' : OWNER OR AGE1ft'
ailu'~
SI Arm: COlft'RACTOR
srArE OF FLORIDA
coum OF PASCO
The foregoing instrumentfwas acknowledged
before me this I ~r..JII;Jupt.. , 19 tJ't by
I -
srArE OF FLORIDA
coum OF PAS eD
The foregoing instrument was acknowledged
before me this /S1/ MNuflR..Y, 19~ by
to me or who has
who is Dersonally known to me or who has
produced
as identificati and who did[did not
ta e .t .
who is personally known
produced
as identifi
t ke n a
t" n and who didLdid not
t~~
(Sig ure Ih.
/iJ/}f(~ K ' 6,JbE:flSlS,J
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
.~
(Si a re Jh J
IYJ~~<( f(. . QJ.iJtJlS{i
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
#'^...'" Mary K Henderson
*W *My Commission CC705964
".." ".,- Expires February 6. 2002
t1>"... Mary K Henderson
#'t"<r.'"
*~*My Commission CC705964
...~..., Expires February 6,2002
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crry OF ZEPIIYIUIILLS BUILDING DEPAR'rHEN'!'
OYlNER CJ Qr-) e.s t....r u...,~ U a: l
JOB LOCATION 38603 G):J~ U:€w Ly0 7-y^yrA://5) FL :fY5Y'LJ
15~ db ~ ;).(
P ARCE L I. D, #
SHOW ALL EXISTING & PROPOSED STRUCTURES-GIVING DIHENSIONS & SETBACKS.
,
Q
\:
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
/7
~rot: oS, J
M;J: +:o~
UTILITY BUILDINGS
HUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
EX:~f" hj.
1>1/ I/O' /#l -{
FRONT PROPERTY LINE
(NOTE EXAHPLES 1 & 2 ) STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
10'
P E
R :~
0 I
. 10' P S 10'
0 T 1 0'
S I
E N
.D G
20'
FRONT PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
,
E?ROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
FOR CARPORTS OR LIKE STRUCTURES PLEASE COMPLETE THE FOLLOWING:
( 1 ) DESCRIBE WHAT TYPE: FREE STANDING OR ATrACHED (CIRCLE ONE).
(2) IF ATTACHED, HOW IS IT TO BE FASTENED TO STRUCTURE?
(3) DESCRIBE POST SPACING & FASTENING (IF TO CONCRETE, IN WHAT MANNER?)
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CITY OF ZEPHYRHILLS BUILDING DEPARTHENT
OWNER [.J CLf') e.s i '--<; GV-€- U a: \
JOB LOCATION 3g603 U):J-e u:evJ LyV 7-.~A..yrJ.'jI.s) FL 3J5'7!J
/..5~db~ ;;1(
PARCEL 1. D. #
SHOW ALL EXISTn~G & PROPOSED STRUCTURES-GIVING DIMENSIONS & SETBACKS.
/? ;:::>,t? ..f:::' 4/
/-vt/~ 7<1'
~"
ALLEYWAY ACCESS FOR
GARAGE OR CARPORT -
15 FOOT SETBACK
REQUIRED.
/'
"""
8/ fro!:osuJ
~ M;J: +:Ol')
tJ.o
,,'
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
E X':;J; J'\ ~
fJ1 / ;7'0' r,N\ ~
~' ')-
11-
FRONT PROPERTY LINE
'}O
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, 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'
,
l?ROPOSED
20'SGL FAM 30'DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
FOR CARPORTS OR LIKE STRUCTURES PLEASE COMPLETE THE FOLLOWING:
( I)
( 2 )
DESCRIBE WHJ\T TYPE: FREE STANDING OR ATTACHED (CIRCLE ONE).
IF ATTACHED, HOW IS IT TO BE FASTENED TO STRUCTURE? ~~
W tf ~ ~ g~c.~ "" ~~r;eD M 5 L<. A-ff",__ ~Ii""
( 3 )
DESCRIBE POST SPACING & FASTENING (IF TO CONCRETE, IN WHAT HANNER?)
( 4 )
( 5 )
(6 )
GIVE DIMENSIONS OF CARPORT LENGTH, WIDTH, & HEIGHT:
GIVE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT:
COMPLY WITH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT
PLAN.
sumUT DETAILED DRAWING_
(7 )
(8)
FIBERMESH CONCRETE IN DRIVEWAYS ONLY - EXCLUDING R.O.W.'S.
~
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"-.
...
...
Permi t No.
1111111111111111I1111I1111111I11111111111111111111
98003202
Rcpt: 207613 Rec: 6.00'
DS: 0.00 IT: 0.00
01112/98 _____ Dpty Clerk
JED PITTMAN, PASCO COUNTY CLERK
01/12/98 10:05am 1 of 1
OR BK 38&4 P6 1147
NOTICE OF COMMENCEMENT
state of -EI t) ,,; J Q
Ptt.sco
County of
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 Conunencemcnt:
"
1. Description of Property: Parcel No.
2.
Gt:::neLal Descri1>tion of Improvement
~a~ S-eJ Je-c \.( .ri-~rf13e
Roo v1A
",,-
3.
O\vner Information: Name c..Aat'/-e j Ua-r I
Address 38:00.3 10'.~. \);ew L'l City 2Y'^Y '" ,{ .'( U
Int~st in Property: I) It) v1 -f>/'V"'
State fLJ'S5'-1CJ
Name of Fee Simple Titleholder:
(If other th~n owner)
-=::0.
Address
~
City
State
Contractor: Name...&:! <.i..l!oL\t'\.} Alu~i"Y\.\A.flI\
I
Address 38831 mar-~~ City Z~Ay1"A.; IJS
State rL .1..,/,1)'10
5. Surety: Name
r
--
~
State
6.
Addres.s
City
Amount of Bond: $
--
Lender: Name
..-/
Address
~
State ~
City
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:
l.':xphI1L.ioll u<<to or Notice or COlll1110UC01ll0uL (Lhe expiration date is 1 year
fr~m the date~rding unless a different date is specified.)
SignatureOf~;ner;':s. ~J--l- C ii:t
l/'
Sworn to and subscribea before me this /~(IJ day of -J'AtJUAI<)1
8.
9.
19 18
Name
~
Address
City
State
In addition to himself, Owner designates
---
- ~ .
ox: , to rece~ ve a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
,
Notary Public:
MARY K HENDERSON
My Commission CC348785 .
E . es Feb.
Bonded by ANB
800-852-5878
LAKELAND
PLANT CI.:rV
A-1 Quality Aluminum Improvements, Inc.
5050 Gall Boulevard
Zephyrhills, Florida 33543
Fiorida State License No RXOOS908S (813) 782-5946
a~als fS th fOI~~ i;rove
WHEREAS, Owner wishes to retain the services of Contractor to provide the malerials and workmanship more specifically
described below, and
WHEREAS the parties wish to reduce to writing the terms of their agreement.
NOW, TH EREFORE, in consideration of the promises and mutual covenants contained herein, the parties agree as
follows:
CASH SALES
THIS AGREEMENT is made 800 entered into this
and between "",."'"
nts to be made at the premises located at:
~
~ _ -:-:J..~ ~'{I,.a, ~
(!-~ II-~o, ui/
13 J ,~- I ( s-o It ~
2. Work Wil~ approximately after credit is approved if any amount of this contract
is to be financed. Otherwise, work will begin within approximately of signing this contract. Work will be
completed within approximately working days. Contractor will not be liable for delays beyond his control.
3. It is agreed that this contract shall not become binding upon the Contractor until it is approved by an officer of the
company.
4. Any representations or agreements not contained herein shall not be binding on either party. All of the agreements and
understandings of each party are contained herein.
5. In the event it becomes necessary for the Contractor to employ an attorney to recover monies due under this agreement, or to
enforce any of the terms and provisions hereof. Owner(s) will be liable for, and agree(s) to pay, all costs and expenses, including
reasonable attorney's fees, necessarily incurred by Contractor as a result, regardless of whether suit is med or not.
6. All unused materials shall, under any conditions, remain the property ot the Contractor.
7. The undersigned warrant(s) that he is (they are) the owner(s) of the above mentioned premises and the legal title thereto
stands of record in his (their) name(s).
8. "BUVER'S RIGHT TO CANCEL": This is a home solicitation sale, and it you do not want the goods or services. you may
cancel this agreement by providing written notice to the seller in person, by telegram, or by mail. This notice must indicate that
you do not want the goods or services and must be delivered or postmarked betore midnight of the third business day after you
Sign lhis agreement. It you cancel thiS agreement, the seller may not keep all or part of any cash down payment.
9. In the event Owner attempts to cancel this agreement atter the date and time allowed for cancellation under paragraph 8 of this
agreement, Owner(s) will be liable for, and agree(s) to pay Contractor, all damages which Contractor sustains as a result of such
cancellation, including loss of profit, C tractor's cost of any materials specially fabricated, and a 15% re-stocking charge for all
materiais r u' for he specifi ab e
CK
~
19~ 8~~ ~~~E: S
Lffi'DOWN r6AVMENT: S
~3bCf.,
-;;2.0 6 q,
?....300 ,.
c;;v-
0-=0
BALANCE DUE ON COMPLETION: $
C()
APPRO'>ED 8Y
EC IPT OF A COMPLETELY EXECUTED COpy OF THIS
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