HomeMy WebLinkAbout98-7709
BUILDING PE,RMIT
7709 /3
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date
'1-.29- :9r
~~ ELECTRICAL PLUMBING MECHANICAL
PwpertyOwne" f ~1.A' 'r~~jJ fJ.iA--IP-A
Job Address: 0~O~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: En:rg~
Descriotion of wo~ 0 ~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL (l
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
010
City License Registration #
State Certified License#
~ 3-S-~
Permit Fee
Signature
Company
Address
Telephone#
I~~_ OZ> .
1fJL 7Lirih1
po. S~ -50
(liL -~
~
lbf ~/<1 g
Valuation or ......
Contract Price / b.) '-I />..s. . ttV
C -of Jf.? ~ryaZ::~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. 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 00/1 00 Dollars ($ 'HT:OO I shall be made for each trip for each trade:
..2.-5 '; (J7)
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.
'LA. 1!177 L^WI
'I 713.13
NOTICE OF COMMENCEMENT
SEMINOLE FORM 408 ,
State of Florida }
County of PASeo \
The undersigned hereby informs all concerned that Improvements will be made to certain real property. and In accordance
with section 713.13 of the Florida Statutes, the following Information Is stated In this NOTICE OF COMMENCEMENT,
'P".~A"1t IN DUPLICATI:.
Rcpt: 234315 Rec+:' . . . . . . .
2~/:29/980.00 IT: &:::
-- Dpty Clerk'
General description of improvements.... .~~~f.I~4..................... ~2~}~If::~0~ASCO COURTY CLERK'"
ri-l"L,..MOOll 8)JT,=--e'i'~St:S :DJC,. OR BK 39238. IP8f 19~0
Owner. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1108 W, BeArJO~tJ I3LvO. i3~A,JOo~ I ~L. 335"/'
Address ........................................................................................................................
. . KFe. tiESTAl.tC2ArJT
Description of property ........................................................
. . .. . . . . . . . . . . . . . . . .. . . . . . . .?'~Q! . .~. '. .~A~. ~~Y~.: . . . . . . . . . . . . . . .: . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . .?~P.~!:~~~.' .~i:-.~~ . f"~:. . . . . . . . . . . . . . . . . . . . . . . . . . .
/IB/IIII/II !!"Jlnll 11111 11m "" 1111
Owner's interest in site of the improvement. . . . .~~.9.1,,: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fee Simple Title holder (if other than owner)
~
. tJA
Nalne . .......... ........... ...... ... .......... ......... .............. .... ...... ........... ......... ............................
tJA
Address ........................................................................................................................
~ ;: tJ RaJoVAT/oiJ rtJ (! .
Contractor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
'i1:> BOY 3ool,;. PL.A~T CIl'r I FL, 33S'L.{,.
Address ........................................................................................................................
Surety (if any) .......~~.......................................................................................................
NA ~A
Address ...................................................................................... Alnount of bond $ . . . . . . . . . . . . . . .
Any person making a loan for the construction of the improvements:
tJA .
Na,ne .. ......... .......... ................. ............... ..... ..... ...... ............ ...... ................... ......... .........
tJA
Address ........................................................................................................................
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
.JA
Name ..........................................................................................................................
tJA
Address ........................................................................................................................
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13 (1) (h), Florida Statutes. (Fill in at Owner's option).
1~.
Nallle ............. .~A. . . . . . . . . . . . . . . . ._.... p. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .
JA ./J. /J...
Add.... T~'~~;~~;F~~~;~~~~;~~ ~~; ~~;~............................ .~~~.................
Chns' MbOIL ~ O~l1er
'TATE OF FLORIDA
~ NTY OF PASCO
COU THAT THE fOREGOINf> 15 A
THIS IS TO CEo RTlfYy O~. TUr. r'''I~'ti;'nlT m.~ n.E
R"CT COP '...... l'", ",.
TRUE ANO COR l: ,~ ,.\ TH',,, GFm>. w~. 'ESS MY
OR" UBUC REC\Ii'lD.. no) ~ V'" C'f
.. m '....L T\-lIC)( "" J
'HA D FfII..1 L ::i!:" 1~:'::]. -.
AN, Cl.ER;,~CU!T COURT
, \ .c.
Sworn to and subscribed before me this. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
o ary
\j Si\ C, ANGEL
NOfary Public, State of Aorlda
My Corivn. ElCJliree J .pril 29, 1999
No. CC 447473
Bondild Thru .UICIaI .,IIr, >>.n1n
l-fSOOl?2'?, 0121 ;
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAHEJJ-IIL.Mootl aJ'reQPl2{SE<; J ~~ . PHONE ,813 - (,BI-l(8if/
OWNER'S ADDRESS "DB tJ. 8eArJDo~ BLvD.- BI2ArJO DN I Fe 3351/
JOB ADDRESS KF(!. 56"01 NO(tn..1 6ALL BLvD. - Zef)ttie..H1 Ll> I r-L.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition ~teration _Repair _Install
_Sign
-Hove
_DeJlolish
PROP9SED USE: _Single Faaily
/eo..ercial
_"'F _, of Units _"/H
_Indust. _Swia. Pool _Other
_Restaurant & Health Department Approval
flmOOFt,Ju - ,MOD/FlEa BfT('(M aJ
X 80 ,2800 Square Feet, / It; I
Height
DESCRIPTION OF WORK:
BUILDING SIZE: 30
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANs & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
/ IP,l/75-
.
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
--1IEGJlARICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS V ROOFING
SPECIALTY
TYPE OP CONSTRUCTION: _Bloclt _Fraae _Steel
Other
FDUSHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
V'
******************************************
YES NO
CONTRACTOR SECTION
BIITI.DER
COMPANY
State Cert. or Regist. ,
City License Registration .
******************************************
Signature
RT.J:CTRIGIAtf
COMPANY
State Cert. or Regist. #
City License Registration .
******************************************
Sismature
PLUMB~
COMPANY
State Cert. or Regist. ,
City License Registration t
******************************************
Signature
KECBANICAI.
COMPANY
State Cert. or Regist. ,
City License Registration .
******************************************
Signature
( OTRRR
Signature
COMPANY (!. ~ J RetJOvATlo,j J rtJ~.
-fki 7FtIJ!,o/ S..... Cert. or Regist.' Cc.e 05 t. '188
City License Registration ## tJ...3. L;- <j
******************************************
APPLICATION. APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTMC'l'Ons AND CON'I'UAC'I'OU RESPONSIBILI'!'IES
If the owner has hired a contractor or contractors to undertake work, they .ay 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 Jay be
cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirBlents lay apply for the intended work, they are advised to contacL the City of Zephyrhills Building Departlent, (813)
788-6611.
FurtberlOre, if the owner lIas 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, ratller 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 perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
t ~'
,
D. CONS 'l'RUC'l' I ON LIEN L'1\W (CHAPTER 713, FLORIDA STA'rUTES, AS AMENDED)
I certify tbat I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law _ BoIeowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConSUler Affairs. If tbe applicant is sOIBone other than the
"OIfIler", I certify that I have obtained a copy of the above described docu.ent and prolise in good faith to deliver it to the
"owner" prior to cOlIBnceaent.
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, loning, and land develop.ent.
I
Application is hereby lade to obtain a per.it to do work and instailation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perf OIled to lBet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify tbat I understand that the regulations of otber goveIDlental agencies .ay apply to the intended wort, and that it is
,y responsibility to identify what actions I .ust tale to be in co.pliance. Such agencies include but are not lilited to:
t DepactJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
, Water/Wastewater TreatJent
t Southwest Florida Water HanagBlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health' Rehabilitative Services, EnviroDlental Health Unit - Wells, Wastewater TreatJent, Septic lanks
t 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 "co.pensating voIUleN will be subJitted which is prepared by a professional engineer registered in the State of
Florida prior to per.it, issuance.
. A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a per.it prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or vioiations of any code. Every perlit issued shall beCOle invalid
unless the work authorized by such perlit is cOllBnced within six IOnths of issuance, or if work authorized by the peIlit is
suspended or abandoned for a period of six IOnths after the ti.e the work is cOllBDced. One 90 day eatension of tile, Jar 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 six IQntb period, or the project will be considered abandoned.
WARNIHG TO OWNER: YOUR FAILURE TO RECORD A NOTICI OF COHHINCEHKNT HAY RISULT IN YOUR PAYING TlUCK FOR IHPROVIIIDl'S TO YOUR
PROPERTY. IF YOU IHTEHD TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AnORIEY BEFORE RECORDING YOUR HorlCB OF
COHHENCEHENT. JO UNDER $2,5~ IN VALUE DO NOT NEID TO RECORD AND POST A "NOTICE OF COHHENCEHKHTw.
s:1r\,1 ~ ~
SIGNATURE: OVIIER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDAD/\
COUNTY OF rnSQ.O
The foregOing instrument was acknowledged
before me this 1.84 , 19 9$ by
. ,4PelL
(JJ-Il/5 MOOIL
who is personally known to me or who has
produced
as identi did not
take an 0
(Signature)
STATE OF FLORIDAr.:M <-
COUNTY OF r 1'\ J<!-O
The foregoing instrument was aCknowledged
before me this :J.:!3-f!.. , 19 7'8 by
. J AFett. -
RoB Nl)eTH~f
who is personally known to me or who has
produced
os i~ ~did not
take an C'I-
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
\J SANDRA C. ANGEL
MN~_Public, Staee of Aorida
Y ......"rn. Expires Apri/29 1999
No. CC ....7473 '
.. Bonded Thill .~cllJ ..." .,..,.
1-(800, 723-0121
(Name Typed, Pri
NOTARY PUBLIC