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HomeMy WebLinkAbout98-8029 /~p-iJ ~y BUILDING PE,RMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 8029 !3 Date 10 -13 -?<f- 'l~3-' tH) BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: :::::~,~,:~3 f/f!5;f:J:--J Parcell.D. # Water Meter: T.I.F.'s: Zoning: ~ zgy Code: DescriPtion of Work \. fP _ ~ 1.100 Gar . 4. d V ~-r~ NO OCCUPANCY BEFORE C.O. FINAL ~ DATE Complete Plans. Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector P~'mit Fee ~"'~ Signature & ~ Company ~o#eNk/ BC/~~$IJ Address Telephone# Valuation or Contract Price / t:72/# thJ7:> . vz) , City License Registration # J If ~~ State Certified License# {'J ~g~) I1~L~/~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr, I O/J3/~g $fJh Pre SLB Lintel FRM. Insul. CL WL Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer Final Tp. Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway ~. P~s,B I 0 lIe /a,& fSok . REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.00) shall be made for each trip for each trade: 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, APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED 9 - cJ-S-;7 g- PLANS REVIEW FEE /-..!:.-, CJ7J (r/~ d'S.s--cX~-r6 PHONE 7tJ -/0;70 OWNER'S NAME MCfil- s folA.Q 1lA. dLt.f'{v(fJJ . JOB ADDRESS ]ly9 C, f'~ \o.\AJ )" LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL rD # (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: ONEW CONSTRUCTION o ADDITION J8:Ar.TERATION o REPAIR o INSTALL Os I GN o MOVE o DEMOLI SH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY ~NDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ~VV\..we pt..!l-oJ Covtc, .5(0" r. I /IAJ~ {/ M.R. vV -floc ~ + ~lA. ",r/9\.^ ~ BUILDING SIZE SQUARE FOOTAGE 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 REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO SIGNATURE /~~t-- COMPANY /1 (!)!lev.. t.. Pie. l! 1.1. 6 tLr../ 11'1.. C. , STATE CERT OR REGIST # Cbc..C~J97~ CITY PROCESSING # I t.j ,j; r / ,/ v BUILDER ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # * ** * * * * * * * *.* * * * * * * * ** * * * * * * ** * * * * * * * * * * * ** ** * * * * ** *** ** * * * * * * * *** * MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be may be more restrictive than City regulations. The compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may 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 may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, 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 owner signs 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 may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. E. CONTRACTOR' S/OWNER' S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit 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 permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ......, s~c~- subject to "deed restrictions" which undersigned assumes responsibility for SIGNAT STATE OF FLORID~ COUNTY OF ~ The foregoing in~ument was;acknowledged ~ Before me this ~ day Of~ ' 19~ by (name of person acknowledged) Owho is personally known to me, or ~.. has produced l-(iJfJ- rJJ-S1-r1CfJ-o (type of identification) and whoO did Odid not take an oath. si~~~eE!n ??l::-~OWledgement ~ Y\ G V A- ;v/ozc/ V Name typed, pfinted or stampifd ~f!"~'" Nancy A. Moody ~*: ':*~ Mf CI:Io1MISSION , CC534808 EXPIRES ~. :..ff FeIIIIIIIy 21, 2000 '''-'f.iif.. BONDED lHRU TRO'I FAIN INSURANCE. INt STATE OF FLORIDA ~ COUNTY OF ~~ The foregoing instrument wa~cknowledged,o- Before me this :Zs day of- jC1r , 19& by (n.me~~f ~~n acknowledged) ~ is per~known to me, or o who has produced (type of identification) ~id not take oath taking ledgment C $bd,,- pri ted or stamped $?.f.';~~ Nancy A. Moody €*r~-" :*~ MY COMMISSION /I CC534806 EXPIRES -~~"o/ February 21. 2000 --~iif.,f\I,'" BONDED THIIU TROY FAIN INSURAHCE, INC III YlJ1~I~ 4:;-r0~ ? 7 '-11 lOl.)l<..-l(t rw~ 1 {~lli12-l0(L K~V"'Tj~~ pit- , ' !,: . Vr\Lu. {OOtGOD x ~. F+ '" 5q. r+. , I : :iBL.DG-. 70S: cD , I !i~~~'!\fR :'!~Lfc. : : (A E,p \ T -I!:>~ 0 ,'J CoNNli.C TlDN FtSE.. S , ~'S.:.: <~ AJ lit .~ 1 : .j .~ ,( ~ i i ;'; RA(b1'l &AS fJlf1 ~1. F-C !' I. i 1 i! llANspOr2-LA\(ON liMpAC-r f&:t2.-s , i i I 1 fJ If'r I ~ 1 i. . , , ; i! i , I ! ' Oct-02-9a 02:11P P.Q2 r . ~ PERMIT NR ~ NOTICE OF COMMENCEMENT PARCEL 10 NR ;JJf- ~b" )./00- oWo- 11111111111I111111111111111111111111111I111111111I 98119537 It'" .. STAT!:: OJ: FLORIDA The UNOEASIGNl;;O hsrebv' glv9S notlc. lhe! Improvemenl will be made IQ cerlAln reel properly IUld '" ~~ord8IlC' ~th CHAPT&A 713. Fl.ORIOA STPJ'UTeS, the I'''owlng Inlormation I. prQvided 11'1 l~l. Notice 01 Commencement. Fl LEGAL DeSCRIPTION 0' PROpeRTY (Stroet tddren If avalf~I,,) 3749 Copeland DrivQ ~ A tract of land lying in the N.W. 1/4 of Section 24, Tow~ship 265, Range 21E, Pasco County, FL and containing a. portion of Tracts 39 and 42 as per plat ther.aof, recorded in Plat Book 1, Page 55, Public Records Pasco County, FL OWNER IN'OAMAf'ON NAME Matt Stone Inc. ADDRESS 3749 Copeland Drive Zephyrhills 3 40 As Lessee und~r Lease with Fee Simple Title Holder INTEFleST IN PROPERTY NAME & ADORI;.SS or: FEE SIMPLE TITU!HOLDE~ (II othllr than 01"""") Jeffrey A. M~ttox. or successor. as trustee of Jeffr~y A. Mattox Revocable Family Trust dated November 23, 1988, Rcpt: 272806 Rec: DS: 0.00 IT: 10/02/98 (,.00 0.00 Dpty Cler I JED PITTMAN, PASCO COUNTY CLEf 10/02/~8 91:56p. 1 of 1 OR BK 40:1. 6 PG 65S GeNERAL DI!SCRIPfIOtf 0,. IJIllPflOVEMENT Construction of a Kiln Addition to manufact~1ng facility_ CONTRACTOR NAMe Bollenback Builders. Inc. ADOAESS 3784 Tampa Road, Oldsrnar, FL 346 " BONO AMOVNlS N1A NAME & ADDRESS OF SUReTY LENDING OFlClANrZATION N/A (Ham" 11M Addle,.,) Persont wilhin the Stare 0/ F'lof;l1a. C1..ionalltd by ownllr upon who noticelf or other documenllll'lGy be ..rwd .. prOVldtr;l by SECTION l13.13 ell (a) (7). FLOAIQA STATUTES. Jeff Dean NAME ADDRESS P.o. BOx 1929 Zephyrhills, F1.. 33539 In addalon 10 himstU. ow.'lG'r cs""gnll1es Soll~nb3ck Builde~s. Inc. ,., (N..m.) 10 rwcw;"" 1Il eQOy gl l..lwn9r'" NoliQil ilS pr4;lvIQ.d In SSCTION 713.13 (1) (bJ FLORID.-. STATUTES, of 378~ 1:~ Road..- 01dsmal;'. FT. (Addr4J!I') 34677 EXPIRATION DAre Nerrle!: OF COMMEref!MEN.T; .!ligntlur& 0' Ow....f -lrf', A /~(c':<:~-=-_ . .J . ~ l ~ Printed Name J -c.f-{,... "t I.. I "", (1)0<-) (Ono y..r 110m dale 01 r'COfd'"V. unless ~ocInedl Pr-e.:S I CERTIFICATION STATE. OF .....-I Th, 10rllgolnO' lnfl'......,.nl -.:1. ackno",",'edlled b.IOlo mw lnl$ ~ day 01 wtlo Is p'rson"'lt~~~~~_~o "". ~f-~1)f~ -.. ,_. .'-. .--"'..1 ,. ., " .~ --~',i":,...J.'-. .~........ ........, r lor: :t,., COUNTY OF OC~~.)'" .1gg~( by ').~H.,..~....,4. 1}\"~7"" ~~ and voho ~ (did nOI) lake an oalh. fA ~ ( 0 .- 4~ ,-. CommIssIon Nr "7 No. .:. e~ Thu ~ )IoU... it""n .__ _. _..HIOOI72~121 STATE OF FLORIDA COUNTY OF PASCO ,...:s I.S TO CERlfFY TJ.lAr THE FOPfGOItlG I S A rrili~ ,4!H CO~Rf.Cl r.~';f.'{ vF n!f. r'!JCU~A~!a ON FILE O!l OF FliE.L1t: R:-:~ill~() Ii'; nH~ Cf~r.~:i~ MY HMID A~&t.t~'!'L SEAL 1H;3 ~ DAY OF 42..-_ Ie :t.Jl J~O PIT MAN, Ci.tR - ClH"CUIT COURT 1 ~_ I BY _ D.C.