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HomeMy WebLinkAbout98-7632 BUILDING PE,RMIT 7632 15 BUILDING ,;l:.~ -: en) ELECTRICAL CITY OF ZEPHYRHILLS (813) 788~6611 2S - rD PLUMBING Permit Date _ <3 - d- ~ ~7 ~ " ;l 7 tJ . tJ1) 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# rr~~ 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. 1:) -AN S (\I\tl'T" vt ~.-r; ~~-r v~ ;::: 5c)tf5~e x ~ 'Sc}. F+ Sq. r:.t-. .. BLDG-. 2 7D.. be !: PLuw1 g" 2.5~ Q)~ I ; jV1 fLL-t. tJ{ A . C ICe ,... ~~ ii, ~I..--L . 2 ::>.. I , ,:'UE_l~)\T ~/h , CPNNlL.C../TlDN F&E- ~ Nllt :' RAlbN &AS ~ N/rfr ~1' F.-:- .: --rR:I1N ~ POr'L fA \( 0 N Ivvt pACI ,,- - r Ii: 12- S , , ., ,J /fl APPLICATION FOR PERMIT CITY OF ZEPHYRBILLS BUILDING DEPARTMENT ~ . IJ ~.,11'-c;( ! ~{J JtI- c;7- c, 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 ( / C.3 a -I ~ I? (I :z /~. '/ Ir , r / , Th If' I-< ..3 ~/~ tJ /S" -;-It IYu e. 7 f> ,.)- S ..5.- tJ b .s~S-.y / 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 . ~ "'~ ~ .,,., OF f\.a't' ~..,,'I '"#( ., :&: 1- ~.,: .,,., OF f\.a~ 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"'. .." 'u", 'i{io CASSONDRA F GOOLSBY * * MyOvlI.mlnlonCC561737 , Expne Apr. 30, 2000 '\ ~., 't8f"'~