HomeMy WebLinkAbout98-7632
BUILDING PE,RMIT
7632 15
BUILDING
,;l:.~ -: en)
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788~6611
2S - rD
PLUMBING
Permit
Date _
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MECHANICAL
Sewer Conn
Water Conn:
Property Owne' ).j q. /1 'fJ ~ ..~
Job Address: ~ ~I /; - .3 <f-/ ~CJ - ~ ...... . tI" ~
Parcell.D. # /1<,)1 -d.J- t) tJJ tJ - 6/;)LJ I? - D ;;l.,s--O
Water Meter:
T.I.F.'s:
Zoning: ~-E.y ~ode~ . R~do.(l Gas:
Oo,,,;p.;on of Wmk ,~ _ _ A.q-'\ ffq ~~
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.
DATE
Inspector
Permit Fe~ (;-iJ
Signature. ~ -~
compaf((
Address
Telephone#
~~
Valuation or
Contract Price ~ ~ t7z>v . i:r7'?
City License Registration # rl r I
State Certified License#
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BUILDING
/4MA-( I Y b
~" 154L Ib
ELECTRICAL
PLUMBING
MECHANICAL
Driveway
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
LJ~ 1I"22..q9~
1 h / /(11 tlU_
4- '2..z..-CY~ BlU-
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM. 4..'2.2.-~~ B. LL
Insul. CL
WL
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($1it:'OO) shall be made for each trip for each trade:
~--:UD
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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APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
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OWNER'S NAME II /V\ ,A J
OWNER'S ADDRESS 'Y7" ~ 7
JOB ADDRESS '-:S J> I tJ P-
F~ It t)-J ~ It-C h . l )::::. PHONE
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C.3 a -I ~ I? (I :z /~. '/ Ir , r /
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Th If' I-< ..3 ~/~ tJ /S" -;-It IYu e.
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LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL l.D.' /1-)6 -- t:3 / - d tJ I 0 - 6) I~ d ~ - &.J...[~D (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install
_Sign _Move _Deaolish
PROPOSED USE: _Single Faaily _KIF _' of Units _K/H
/ec:-ercial _Indust. _Swia. Pool _Other
_Restaurant & Health Department Approval
DESCRIPTION OF WORK:
r N Ie if I \ t! Ie.
N e 0"l t! elc> I, 'J..-l C1
./
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
$
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Kechanical Installation
_PLUKBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
,
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
..****************************************
Signature
CONTRACTOR SECTION
COMPANY Jd h N L, i:' ,,~ ,\
~ tate Cert. or Regist.' /:S ..k /,,:$ ~
City License Registration .
******************************************
COMPANY M:r~ -t- C1tL~ Zke--f-
State Cert. or Regist. .
City License Registration I ,/~~
*********************************
v..f'~ ~
RITII.DER
v
Signature
COMPANY (! { ( 1.3
~..,)? &.L-. State Cert. or Ilegist, .
., City License Registration #
******************************************
PLUKBER
Signature
AlA-
,
COMPANY
State Cert. or Regist. #
City License Registration .
******************************************
MECHANICAL
OTRRR COMPANY
State Cert. or Regist. f
Signature City License Registration f
******.***********************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. N.OTICE OF DEED RESTRICTIONS
rb. uoderoign.d UDd.ralaods Ibal thia ponoil lOr be aubJ,cI 10 'deed r.alrlcllona' obiOb lOy be lOr. restriclive lhao City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CON'l'RAC'l'ORS AND CON'l'RAC'l'OU RESPONSIBILITIES
If lbe ....r hoa bir.d a contractor or cootractoro 10 uod.rlal. worl, lbey..y be reguired to b. Ilceoeed io aceo...... ollb
alate oed local regulationa. If lb. COIItraclor Is oul Iiceoaed aa required i>y I.., oolb tIJe -. oed CllIIlr.Ictor IIOJ iJO
ciled fur a .ioleleanor ,Iolalion ond.r atal. lao. ff th. ....r or intended coolractor are uucerlaiu as to olot liceoelag
regulr....ts lOy apply fur th. inlended worl, th.y ar. ad,iaed 10 COIItacl tIo City uf lepbydbllla BUildlug Oeparlaeot, (813)
788-6611. .
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have tlle contractor(s) sign portions of the
'COolraclor S.cti..., of thl, applicallon for oblcb lbey 0111 be respon,ibl.. ff you, aa lb. OlDer sign as tIo contractor,
roo ar. indica ling Ibal roo, ratlor 110. the COIIlracl.r, ar. responsibl. f.r lb. worl. ff the CllIItractor oialo& you 10 algn
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'rILITY CONNECTION FEES ~ "
D. CONSTRUC'l'ION LIEN LllW (CHAPTER 713, FLOUIDA STA'rUTES1 AS AMENDED)
f cerlify 1101 I, tIo applicanl, ba,. bee. provided .Ith a c.py of 'Florida', Con'lroction Lien Lao _ HOoenonor', Froloetion
Gui~e" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOIeOne other than 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
"owner" prior to couenc8llent.
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.
,
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or
installation has COllenced prior to issuance of a perlit and that all work will be perf oIled to aeet standards of all law.
regulating construction, City codes, loning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governaental 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:
· Departlent of Environaental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
. Water/Wastewater Treattent
I Southwest Florida Water Hanag8llent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
· ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
· De arttent of Health & Rehabilitative Services Environaental Healtb Unit - Wells, Wastewater Treattent, Septic rants
I US Environaental 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 volUle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
, A perlit iSSued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
Bet aside any provisions of tbe technical codes, nor sball is~u~nce of a perlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued shall hecOle invalid
unless the work authoriled by such perlit is cOllenced witbin six IOntbs of issuance, or if work authoriled by the pellit is
suspended or abandoned for a period of six IOnths after tbe till the wort is cOllenced. One 90 day 8Itension of tile, IaJ be
allowed for the perlit with fee charge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
approved inspection lUSt be logged during each six tOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHBNCKHENT HAY RESULT IN YOUR PAYING TWICH FOR IHPROVIllm'S TO YOUR
PROPERTY. IF YOO INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDER OR AN ArrORIfEY BEFORE RIlCORDIlfG YOUR JurICH OF
COHHENCKHIlNT. JOBS UNDIlR $2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COHMENCKHElfl'".
~~R A.?~~ .1
IGNATURE: OWlfER OR AGBNT CONTRACTOR
STATE OF FLORIDA ()
COUNTY OF ra.s ~,f)
The foregoing instrument
before me this I4:lr /1
STATB OF FLORIDA /7
COUNTY OF US e 6
The foregoing inptrument was acknowledged
before me this flAtu/" I? , 19-YL by
,,:J;;A^-- l~< 5n-l~
who is personally known to me or who bas
produced
as identifica~i n and who did/d~id not
take an oath. , 1
~"I../JL~ ,'C n -t>d.J /4.- -
(Signature) )
.J5$
(Name Typed, Printed
NOTARY PUBLIC
Jihn, L. :sn",d-tr
who is personally known to me or who has
produced
as identificat.on and who did/did not
take an oath
~) d.b"l.~"'l~ \~ -i~:L
(Signature) ') . r- /:.
a SSondr/<.... r. C?t.X-:J!:jbi
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
was a~kllowledged
, 19~ by
",,'I '"#( ORA F QOOt.8BV
.,>>1- ~CC1561737
* * E>cpirN Apr. 30. 2000
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CASSONDRA F 000I.8BY
My CornIMeIon CC6&1737
ElcpIree Apr. 30, 2000
Proposal
Date Feb. 25, 1998
John L. Smith Construction
4240 Coats Rd.
Zephyrhills, FI. 33541
(813) 782-0470
RB 37321
Proposal Submitted To .
Name Bill Nye \ H M rJ Po(i ."er sA, 11
Street 4947 Coats Rd
City Zephyrhills, FL. 33541
Telephone # 782-5506
Work To Be Performed At
Street 38108 - 38120 15th. Ave.
City Zephyrhills, FL. 33540
Date of Plans
Architect
We hereby propose to furnish all materials and labor for the completion of Remodeling of above listed units to
specs of plans and attached spec. sheets.
All material is guaranteed to be as specified, and the above work to be completed in accordance with the
drawings and specs submitted for above work. All work and materials to meet local industry standards and
existing codes in effect at date of this proposal. The above work to be performed for the sum of
Forty nine thousand, nine hundred sixty one and 00/100 Dollars ($ 49,961.00 )
with payments to be made as follows: To be agreed upon by Builder, Owners and Lender at time of acceptance
of proposal.
Any alterations or deviations from the above specifications involving extra costs, will be executed only upon
written orders, and will become an extra charge over and above the estimate. All agreements contingent upon
strikes, accidents or delays beyond our control. Owner to carry fire, wind and all other necessary insurance
required upon a~ove work. Workers Compensation and Public Lia 'lity Insurance to be taken out by builder.
~/~
Respectfully submitted
Per John L. Smith Co ruction
This proposal may be withdrawn by us if not accepted within 10
days
Acceptance of Proposal
We, the undersigned have read this proposal and do agree to the terms and conditions as listed above and to any
attachments, if included. We authorize you to do the work as specified. Payment will be made as outlined in
this proposal.
7Vkd
52~
/;-' ---
Date
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF PASCO
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 Commencement :
Description of Property: Parcel No 11-26-21-0010-01200-0250.
Street Address: 38108 thru 38120 15th. Ave., Zephyrhills, FL. 33540
General description of Improvements Interior Remodeling
Owner Information:
Name HMN Partnership
Street 4947 Coats Rd.
City Zephyrhills, FL. 33541
Interest in Property: Owner
11111111111111111111111111111111111I11111111111111
qa032711
Rcpt: 224ql&
os: 0.00
03/23/Qa
Rec:
IT:
&.00
0.00
optv Clerk
JEO PITTMAN, PASCO COUNTY CLE.Rh
03/23/Qa 02:5&p. 1 of 1
OR BK 34301 PG 1387
Name of Fee Simple Titleholder ( If other than owner)
Contractor: JOHN L. SMITH D/B/A JOHN L. SMITH CONSTRUCTION ~
4240 COATS RD. . "
ZEPHYRHILLS, FL. 33541 .
N/A
Surety:
Name
Street
City
Amount of Bond
~T/\T[ O~': Ff.-J)R~DA
COUiHY 0'; F;,:\~;CC'
Lender:
Name
Street
City
Sun Trust Ban~ Nature Coast
5435 Gall Blvd.
Zepbyrhills, FL. 33541
7~<<:; L:l -;\.; t::~~.:!;y 'j';-;\T THr ;-OREClD1NG IS A
Tr\'L;C :~;~,::-~':'-:cc:r G~;P'/ l.r Tt'IL iL':'~.:UME)tT (}~~ F~LE
0f. C' :;._: ~._:::'~: J': "l:: :;<:-~'"n,t.:;:'I"iY
~l,.i.d~ ,f;:C,::" S;:A~ ;l);r D.~Y OF
_..JI.L~.__. _<np:_
JEO ;-lbH",Y;N, ERK Of ,CIRCUIT COURT
BY ..d' - . D.C.
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 William F. Nye
Street 4947 Coats Rd.
City Zephyrhills, FL. 33541
In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13 (I) (b), Florida Statutes.
Expiration date of Notice of Commencement to be 1 year from date of recording unless a different date is
specified
Signature of Owner: J,/.vt/ ~
Sworn to and subsc~;d before me this d3 day of .Ma~ C.J"-.
Notary Public: (~/.,ljJC<vi u-- <), "A,ty,tJ--
My Commission Expires: fl'/~ I 3{, ZlL'~'"
19 9 ri"'.
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'i{io CASSONDRA F GOOLSBY
* * MyOvlI.mlnlonCC561737
, Expne Apr. 30, 2000
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