HomeMy WebLinkAbout98-8039
BUILDING PE,RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
8039 f3
Date
/6 - / ~ -7 r
BUILDING
ELECTRICAL
. PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
PmpertyOwne, ~14Y~ ~td
Job Address: "- S""" J. - / / . ,
Parcell.D. # /l- U .J/.... tJ 67/ tJ ~ CJSt... CJ 0 - tJ /J .f-O
Water Meter:
T.I.F.'s:
Zoning:
DescriPtion of Work
;1 jnergJCOde: Radon Gas:
~~ !,;L X ~l/
FINAL
NO OCCUPANCY BEFORE C.O.
Complete Plans. Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
130
City License Registration #
State Certified License#
po.
~;~===
Address
Telephone#
Valuation or
Contract Price
:1... <1 /3; a-o
./
~~7;~
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 Insi.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the followin9 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,
9, Work not accessible,
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same,
0' uNSifrT( ITLLlli-'\.
5<D/1 IIA sf
~ fu;~o
IN)~ttt~AJ
SQ. FEET PRICE
MAIN OR LIVING AREA
OTHER AREA UNDER ROOF
OTHER
\!ALv 2-q /3,?~
""
BUILDING: 3c o\-;
:L
ELECTRICAL:
PLUMBING:
MECHANICAL:
RADON:
CREDIT:
SEWER:
WATER:
TOT AL:
Tol.F'Sj
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
7g-f--I'.3o y
DATE RECEIVED / () ....) - 7 J.^
PLANS REVIEW FEE
OWNER'S NAME
11 ~ L v/,,)
~<iSI/
HoLZoAf
lIt<.... S r
PHONE ?f' ~
~~~Iffu...F
SUBDIVISION
93 f?)-'
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S) ~
PARCEL ID # I ( ,.J.. (, 2/ O{}JQ
BLOCK
o oS, 00
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
t1 t) ~()(OBTATN FROM PROPERTY TAX NOTICE)
OALTERATION 0 REPAIR ~NSTALL
o SIGN
o MOVE
o DEMOLI SH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 70 /A)S nk-I_ I ~ ~(? ;?~ ~ S~.
BUILDING SIZE (;J....y.. .:J.-If 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.
o BUILDING
$
,)-7/3 . aD
PERMITS REQUESTED
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
cx(Je ~~
COMPANY 5dAt S~
STATE CERT OR REGIST #
CITY PROCESSING #
k()~ I'~d"t
70
BUILDER
******************************************************************
ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
**********~*******************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
!rhe undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
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 indicati.on 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 i.n 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 DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
f~~
SIGNATURE: OWNER OR AGENT
~ ({tr~
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of 19_
by
_ ~ (name of person acknowledged)
~who is personally known to me, or
;?~U
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _day of 19
by
/' (name of person acknowledged)
~ho is personally known to me, or
/~.s-c-o
of identification)
take an oath.
o who has produced
(type of identification)
d not take an oath
Signature of perso taking
~. )?eS'(ekt /1 ()
Name typed, printed or stamped
C, DE STEFANO
MY COMMISSION,! CC 739300
EXPIRES: May 4. 2002
Bonded Thru NolaIy Public UnderWltllr8
.."";r.tt",,., C. DE STEFANO .
{.~'\";!~ MY COMMISSION 1/ CC 739300 I
~.~1 EXPIRES: May 4,2002
'If..iif..'f:,..,''' Bonded Thru NolaIy Public UndeIwrilfors
PARCEL 1.D.
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SITE PU~
(RESIDENTIAL USE ONLY)
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h 11 be drawn to Beale for all parcels or lots five acres or less.
All drawings B a
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(;HOW ALL D:ISTING AND PROPOSED STEUCTURES GIVn~G DIHENSlm~S AND SETBACKS. ;-LSO, J riD} UTE
.j,1' bODIES OF IN,TEi\ MiD J\OJJJI~AYS (ll~CLUDIl~G I~AHES) ADJACENT TO THE F1WPE1\T1', INUICIITE
THE SIZE, YE.AF-, A!~D N/01E OF HaElLE; SUCH AS 12' x 60'. 1981. FLEETI'.'OOD.
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CI\1L ENGINEER - OE~LOPIIENT CONSULTANT
P,Q. BCD: 4JII
$OJ1H D.\YTCItAr, nCIIIJ,A .1212\
~ (ICM) 7'i'-4n4 FAX: (904) ~-60049
'SIAN 6\f\'i1i:- AUA\1.0~/V\:
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11II1111111111111111111111111111111111111111111111
98123569
NOTICE OF COf~NCEMENT
state of
F<..a f< {Z>/J.
County of
j? ~ c.a
THB lrnDERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1.
Description of Property: Parcel No. /1,,2. C; 2/ (J'd/"O D3ht1'O
~d~
(Legal des~riptio~ of the pr?perty and street
2.
General Description of Improvement
% /N 57;/fe.L.-
address if available)
/ ~ Y. O-Y j?~,c;}tJ SH2J
DSRept I 27,486..4 Reel 6."
I . IT- , II
1'/12/98 - -
Dpty Clerk
3~
O\VJ1er Information: Name ~v'/~,Iff )fa 4, 2.-()~
Address ~II II~ 5 r City 2Uny,(l'{c.c.c. oS
StatePc:...
Interest in Property:
{j 4J1t./~.
Name of Fee Simple Titleholder:
(If other th~n owner)
JED PITTMAN, PASCO COUNTY CLERK
11/12/98 1312Sp. 1 of 1
OR BK 4021 P6 1103
Address
~ .,.,.... .,..:..."'1
City
State
4Rcontractor: Name
-- Address 37b":> fl'
l ~ fJ AJ oS 779--~ AL.tJl1l'" tllf ;Z:;:;c.
'f3 .e s-cI- C i t y ZUt,J../,eIlIU-S
I
Surety: Name Fe~~T~ /'1vrr//fC- -;z:i/s t:.f)
Address I'tJ ~()~ ~/71.h City V7I'1,t'~ Fe-
Amount of Bond: $ SO OD .~
State Pi, ~~s:JftI
5.
33.63/
State
6. Lender: Name
Address
City
f: ta t c
7. Persons within the State of Florida pesignated by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Exp.1rl1t.lon date ot NotIce or Commencement. (the expIratIon date is 1 year
fr~m the date of recording unless a different date is specified.)
~ Signature of Owner: ~ ct ~-/~
Sworn to and subscribed before me this ~ day of
19 q ( .
()c,,771.6 ~-e
__i_.
,
Notc'1ry Publ ic :
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THM THE FOREGOING IS A
OR OF PUBLIC RECQRD IN THIS OFFICE. 'V1Tf~ESS MY
.,....
19 J
JED PI~tt;:;r. 1
)I~ ~f) ~C93053048
BY , .. . .