HomeMy WebLinkAbout98-7715
BUILDING PERMIT 7715 ~
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
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Date
1f-~9-7~
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: ()_En,.g. V Code:--:7" Radon Gas:
DescriDtionofWork ~ - -4~/- ?L~ ~
NO OCCUPANCY BEFORE C.O.
FINAL 5 ~l> 'i&
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
7tJ
Permit Fee
Signature
Company
Address
Telephone#
(Ctf~
Valuation or
Contract Price
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-'
City License Registration #
State Certified License#
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BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM. 5/1 (;''j bDt
I nsu I. C L --::::T'"""I
WL 2.Ll.I1.l go G
Tp. Servo
Rough In 5/, ('1 i ((o(l.
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 ($+&-:e&) shall be made for each trip for each trade:
,1.S: (/V
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 ZEPHYRBILLS
BUILDING DEPARTMENT
V .Q~
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(T7~ ~~7 _~v
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7'n .~)V7
PHONE
4
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OWNER'S NAKE
KoO&eT
39 b 3 0
~T 7
G4ff11f!
CthhJ ct.! ,(.i>
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OWNER'S ADDRESS
JOB ADDRESS
F6 1/fJ-r-
(?~Ag /:I
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LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
aq. db c2- / 60 ~ 0 () 7) ) a()
WORK PROPOSED:_New Construction ~ddition ~teration
PARCEL I.D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
_Repair _Install
PROPOSED USE:
_Sign
~ngle
_Move
_DeJIOlish
Fallily
_M/F
_' of Units
_M/H
_ec-ercial
_Indust.
_Swia. Pool _Other
_Restaurant &: Health Departllent Approval
DESCRIPTION OF WORK: !.2ff;YO .oeG<""; 6"112-- Slfw d.l 102,//'8 6uss j;~()1-(
BUILDING SIZE: 1c2.. X 1:3 D, :3 b () 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
$
fO J ;). EO
,
Valuation of Total Construction
_ELEC'l'RICAL
AMP Service
Florida. Power Corp.
W.R.E.C.
---1IECllANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fralle _Steel
Other
FlBISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
RT.RCTRICIAN
CONTRACTOR SECTION ~
~ ~ ~AIfr 5"'OAJS~ /!L-(jH/-r}vll
-' -- State Cert. or Regist. .
Signat~" / .. City License Registration f 70
--~=_.. ....... *** ******* ***...... ....................**....**..* ...... *..*..*
~
BIITI.DER
COMPANY
State Cert. or Regist. t
City License Registration .
..****..**..******..********..*****..*..***..*..***
:z-z.~
PLUMBER COMPANY
State Cert. or Regist. t
Signature City License Registration ,
*......***..............**......***..*..****..********..***
MECHANICAL COMPANY
State Cert. or Regist. t
Signature City License Registration .
******************************************
OTIIRR COMPANY
State Cert. or Regist. f
Signature City License Registration f
***********************..******************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PEUMIT AFFIDAVIT
A~ NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per.it lay be subject to "deed restrictions" which .ay be lOre restrictive than City
. regulations. The undersigned assUles responsibility for cOlpliance with allY applicable deed restrictions.
B. UNLICENSED CONTMC1'ORS AND CON'l'RAC'l'On RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertale worl, they .ay be required to he 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 .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirBlents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
Further.ore, 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 OIfIler sign as the contractor,
you are indicating that you, rather Ulan the contractor, are responsible for the work. If tbe contractor wisbes you to sign
as contractor tbat .ay 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'I'ILI'rY CONNECTION FEES ",
D. CONS TRUC'l' I ON LIEN L'1\W (CHAPTER 713, FLORIDA STA'rUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOIBowoer's Protection
Guid~" prepared by the Florida Departlent of Agriculture and ConsUlBr Affairs. If the applicant is sOIeone other than the
"owner", I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the
"owner" prior to couencuenl.
E. CONTRACTORJS/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 developlent.
I
Application is hereby lade to obtain a perlit to do work and instailation as indicated. I certify that no wort or
installation bas cOllenced prior to issuance of a perlit and that all work will be perfofled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverlllental agencies .ay apply to the intended wort, and that it is
IY responsibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
I DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and Envirolllentally Sensitive Lands,
Water/Wastewater TreatJent
I Southwest Florida Water HanagBlent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
I Ar.y Corps of Engineers - Seawalls, Docks, Navigable Waterways
I DepartJent of Health & Rehabilitative Services, Envirolllental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
I US Envirolllental Protection Agency - Asbestos abatuent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volUle" will be sub.itted 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 tbe technical codes, nor shall issuance of a perlit prevent the Building Official frQl thereafter
requiring a correction of errors in plans, construction, or vioiations of any code. Ivery perlit issued shall beCOle invalid
unless the work authorized by such perlit is cOllenced within six 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, liy 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 IOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEHBNT HAY RESULT IN YOUR PAYING TInCH FOR IHPROVBllBIt'S TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LBNDBR OR AN ATTORNHY BEFORE RECORDING YOUR NorlCl OF
COHHBNCEHENT. JOBS UNDBR $2,500 IN VALUR DO NOT NBBD TO RECORD AND POST A "NOTICE OF COHMINCKHBNT".
~Q~~ ~~;;:,~
. RAnnii: -011II'0 OR AGIlIl'/ S I GIll
. I
STATE OF FLORIDA ;:J
COUNTY OF r 1/-5 c c)
The foregoing instrur.ent was acknowledged
before me this ~ ~0 , 19~ by
STATE OF FLORIDA t?
COUNTY OF f !fS CO
The foregoing instrument was acknowledged
before me this 3/;Lt:> , 19~ by
,
who is personally known to me or who has
produced
as identification and who did/did not
take an oath. 4f:f ~
(Signature)
who is personally known to me or who has
produced
as identif.ica~i~.. d wbo did/did Dot
take an oath. ;~ /1!. ~~c
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed,
NOTARY PUBL
KEITH CO IA
MY COMMISSION' cc 451416
~E EXPIRES: May 13. 1999
:/ BondId 11uu Ho\IIIY PublIc lJndeIwrlt8rI
KEITH CORREIA
MY COMMISSION It CC 451416
EXPIRES: May 13. 1999
Bonded Thru NolIIY PubIC UndeIWIItBII
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SITE PLA.N
(RESIDENTIAL USE ONLY)
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CURRENT OWNEHS
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All dra~ings sball be dra~n to scale for nIL parcels or lots five acres or less.
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M,Y BODIES Of \.i!,'1' EF: AND ROADWAYS (INCLUDING t~AI1ES) AD.J/,CENT TO THE r']WPEHTY. lUDIC/,TIc
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37528 State Road 54 West
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lime 'r~~.o5e herepYt~rnish material and I
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Payment to be made as follows:
\ complete in accordance with above sipecifica{ions, for the sum of:
"', (..,' \ ~
',..'\ \... ~) ~,. ",
, _.....1 I \ '.
,..--'-----.----..:-..-~ dollars ($ \..J 1.tJ\) ),
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices, Any alteration or deviation from 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, accidenfs
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance,
Authorized
Signature
,
Note: This proposai may be
withdrawn by us if not accepted within
Acceptance of 'roposal- The above prices, specifications
and conditions are satisfactory and are hereby accepted, You are authorized
to do the work as specified. Payment will be made as outlined above,
,1. I tj I'
t6; i"..-, Ii,
... ~ P '7' /'-'1-1 . A ~,_.J
Signature . ~L, ,; (/ -.A,~f, U CY-" r_
Date of Acceptance:
Signature /
\j
Permi t No.
NOTICB OP COMMENCEMENT
1111111111111111I11111 ""llmUIIIIII'" "'11111
98036282
State roof
Florida
County of Pasco
. ~ t
~UB UNOERSXGNRD hereby,gives notice thAt improvement will be'madft to oGrtain
real prC?perty, and in accordance with Chapter 713, Florida Statutes, the
fol~owin9 information is provided in this Notice o.f Conunencclnont:
1. , Description of Property: Parce 1 No. ;).. 'I '~ :t f ODDD OOIOD 00(/1
2.
(Lega escr~pt~on n t e property an
~/o~ ,
GC;ll;..r:Ll&l Dasc1:i1Jtion of Impro.....ement
e)
I AJ S77!-t--<- J r2 Y 3> 0 (,0 t!.- Ce
g If€. /) /L tJ- V 18. ~ qs S Rn41-( 4
('?> '/.X Cc)lfl'as II~ ~F
b 'y.(2-
3.
Owner Infornlation: Name ~t\~A ~8A. rI)
Jlddres. '3 '1t3o CtM11fP! r l):ity -zdHMl'as' State R 33SW
Interest in Property: ~I{el?- ~T 7. &-r~ 4A11 ·
~ .
Name of Fee Simple Titleholder:
.(If other thGn owner)
Address City
Rcpt: 226810 Rec: 6.00
DS: 0.00 IT: 0.00
03/31/98 Dpty Clerk
JED PITTftAN, PASCO COUNTY CLERK
03/31/98 08:39a. 1 of 1
OR OK 3906 PG 49a
40 Contractor: Name <::IlP <::t a h::>
1r~Address 37528 S.R. 54 West
lo]llrninllm.
Tn,.
City
Zephyrhills,
State FL
33541
s.
Surety: Name
The Ohio C~~alty Ins. Co.
Address P.O. Box 1209
Ci ty Inverness,
Stata FL
~nount of Bond: $ 5000.00
..
6. Lender: Name
Address
City
State
7.
Persons within the Stat.e 01': E'lorida designated by Owner upon whom
notices or other documents may bo served as provided by Section
713.13(1)(a)(7), Florida Statutes:
Name'
Addres.,.
City
State
f
/
,
J .
In addition to himself, Owner designates
;I
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
'.
1~)(pLl nL lUll uuLo or Nollt:o or c.:UlIlIIlOIIOOUlUIIL (Lho (,iJ(.pi.rl:llioll data' is 1
frQ~n the date of. recording unless a different date is specified.)
." /:()8Ur 4 (7~~ '
i9n~t;;re of owner:~..?!- fi'-ihl J 4<<
worn to and subscribed bofore me this 3() day of 1-(/I1eL;/I
YOllr
"
9.!i:[ .
~J &Jr:.P
,
..,-'
ota.ry Public:
Y <!oul\nission Expires:
. .
.f .,'
,......... KEITH CORREIA
lr~' . ..t~f~~ MY COMMISSION' CC 451418
~ -i\; EXPIRES M~y 13. 1999
"":;~ 0 ~ IIondfd Thru NoIIIY NlIIo UndeIWIlIn
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