HomeMy WebLinkAbout98-8078
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788.6611
Permit
8078
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ELECT'CAL PLUM~G
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Parcell.D. # ~_ ___
Zoning: Energy Code: Radon Gas: I;;) ~ fJJO
Descriotion of Work -SJ.orl. - 3.cA.o 0 1\ ~ C-O/'- YJPr1.;I-
r ,-.-
MECHAfCAL
~~
Sewer Conn
Water Conn:
BUILDING
Water Meter:
T.I.F.'s:
FINAL
C.O.
y
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
State Certified License#
Inspector
Permit Fee ~ I R5 ~
~gnature? -;:;:. _.....--
Company
Address
v'Telephone# 1~7-8o% -5'"l:.'F
Valuation or
Contract Price
18{Qu\J .00
d LjCj 0
tu~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
ltlSlfl &b-
' I I
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway ~
S~~..'\~ l/!IO{qi I~;q
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25.001 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.
INSPECTION REQUEST
PERMIT # :
(5)07 @
TYPE OF
INSPECTION:
~ 7Mb!-
DATE REQUESTED: / / - )0 -<;>f(
SIGNATURE :;;r~ C -
/ -rJ.- i
~
~ Check if contractors and subs are currently registered.
-f
~
t
\
~
-\
-\
Florida Energy Efficiency Form completed.
Plot Plan.
Property Survey.
TWO SETS of Engineered Building Prints with electrical, plumbing &
mechanical diagrams.
Homeowner, check for proper "Homeowner's Affidavit" form.
Subdivision Design Review Compliance Letter
R-O-W Use Permit, if applicable.
Give Elevation Certificate, if applicable.
Verify Water & Sewer Service.
Plans Review Fee
- $15 min) .
Amount Paid $
Date
Received by:
.John Curran
ALUMINUM & MOBILE SET-UP
13626 Arden Drive
Hudson, FL 34667
(727) 868-1460
JOB NAME/LOCATION
Licence Numbers: LA07634-00004444
DATE OF ORDER
NAME:
ADDRESS:
QTY.
DESCRIPTION
3 SLOes
AMOUNT
j. ~O
. (JeJ
,00
o u C1I.. I#f1J.
eAcH
TOTAL
PlA. '!l77 LAW.
F. ,,,.,,
NOTICE OF COMMENCEMENT
.",'
SEMINOLE t.~ 40B
. ..
.-,
State of Florida }
County of t
The undersigned hereby informs 011 ooncerned thot hnprovoments will be mode to certeln real property. end In ecoordance
with section 713.13 of the Florlde Stetutes. the following Informotlon Is steted In this NOTICE OF COMMENCEMENT.
'''".PA"e IN DUP'LICATIU
-
Description of property .. ~'T . . l.l.k ~. . . ~. f. . .~. . . ~~ .\.N. ~. . ~:. (>. :. . ~';:>.c,)~:r:-. .. . . . ... .. .. . .. ..
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I1111111111111111111111111111111111111111111111111
98134319
.......0 ........... ............. ........0......................0............. ............... .....................................
General description of improvements . ~~:r.qR(j~~T./~(?,.-r.I$.<,..r~~. ~r;~/~ TL ~ J:t':}. {l.JtJ~~,/ ~
rlner .Th.<;'. .~J. .(?D.,,~k"~I"'..p..~.................. :................
Cltress .3~w.~. ~~'T.#f1~ C.. .W~... r.:.. ~}+.... .f?:L:,.. 3 3. .>.'I:~...
O ,. t "t f I I Fe e.
wner s In erest 111 51 e 0 t le Inprovement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fee Simple Title holder (If other than owner)
Rcpt: 280377 Rec: 6.00
DS: 0.00 IT: 0.00
11/04/98 Dpty Clet
.lED PITTMAN, PASCO COUNTY elf
11/04/98 12:50p. 1 of 1
OR BK 4035 PG 1 32~
Nanle ................. .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .., . . .. .
Address ........................................................................................................................
Contractor . .~~~. . . #4. ~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . " . . .. . . . .. . . . .. . . . . ... .
Address.. /$~~.~. .~~. .~..... .d'?~.. ./.?f.... .3.4.~~. 7.......................... ...............
Surety (if any) ..................................................................................................................
Address ...................................................................................... Alnount of bond S . . . . . . . . . . . . . . .
Any person Illaking a loan for the construction of the improvements:
Nanle .............. ..... . . . . . . . . . . . . . . ... . .. . . . . . . . . . . . . . . . . . .. .. . . . .. . ... . . . . . . . . . . . . . . . . . . .... .. . . .. ...... ............... ......
Address ........................................................................................................................
Person within the State of Florida designated by owner upon ~hom notices or other documents may be served:
.
Name . .~){).. ~?~~l)N. :-:-.P0:e5.l.Qt..,.".T............................................... ...................... ......
Address .'3>.~.bO.2-.. ~'\(\.e..'T.\:\'i~:r... W.~...:,:,: 2.<H .'. .P\....)...J. l.>.'f..~.........................................
In addition to himself. owner designates the f~.liJwing ,Jerson to receive 0 CO,JY of the Lienor's Notice as provided in Section
713.13 (1) (h), Florida Statutes. (Fill in ot Owner's option).
Nalne .......... ..... ........ ....... ............-.............. ..... ....... ..... .... ..... ................ ........................;..
Add,... ';;,~~~~~;;~~~;~~~~;~.; ~~; ~~:~..................... ~~ Q~:.:::.::
Sworn to And subscribed before me this ...............................
OM OF
.F.),~.~......dAY of '" .CC;. ~-~~~. . . . . . . . . . . . . . . . . . . . .19...9.R'
... ...... .~~r::~. LQ\~.......... ....... .....
Notarv Public
, , .:i
1:--:';.
BY
D.C
Curran Aluminum
39602 Amethyst Way
SQ. FEET PRICE
MAIN OR LIVING AREA $ 40.00
OTHER AREA UNDER ROOF 1,260 $ 15.00
OTHER
VALUATION $ 18,900.00
FEE SHEET $ 115.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 172.50
CREDIT:
BUILDING LESS CREDIT: $ 172.50
ELECTRICAL:
PLUMBING:
MECHANICAL:
RADON: $ 12.60
TOTAL $ 185.10
SEWERI $
WATER: $
TOTAL: $
3/4" WATER METER: I $
T IF'S 'I $
99% $
1% $
TOTAL: $
185.10 I
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED /
PLANS REVIEW FEE
,.
PHONE7$Y- Z/4S-
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: 9lNEW CONSTRUCTION
D SIGN
DADDITION
DALTERATION
D REPAIR
D INSTALL
DMOVE
D DEMOLI SH
PROPOSED USE: DSGL FAMILY DWELLING
D COMMERCIAL
DMULTI-FAMILY
D INDUSTRIAL
D# OF UNITS
D SWIMMING POOL
D MOBILE HOME
DOTHER
DESCRIPTION OF WORK
D RESTAURANT & HEALTH DEPART~MENT APPROVAL
.5/IeJ(). ~f~1 (l1lt{JtJU"- <I- _~
"
SQUARE FOOTAGE HEIGHT
BUILDING SIZE
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. ti'~\'
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. \ )~
PERMITS REQUESTED
~ BUILDING
D ELECTRICAL
$J 0 ~~1.. ~C)
I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D FLORIDA POWER
D W.R.E.C.
D PLUMBING
D MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
D GAS
D ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
D NO
BUILDER COMPANY-
I /J A /1_ . _ STATE CERT OR REGIST
SIGNATURE~~ ~ ~~ CITY PROCESSING
******************************************************************
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 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 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
$2,500 IN VALUE DO Ji-OT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~6~~(>~ ~ ~-
SIGNATURE: OW R OR A~ GNATURE: CONTRACTOR
STATE OF FLORIDA STATE OF FLORIDA .~ .
COUNTY OF ~('~A: rJ COUNTY OF \~~ ("7
The foregoing instrument was acknowledged The foregoing instrument was acknowledged.. )
Before me this~~ day of C'C'<:.~~.r, 19'1", Before me this ~day of ::.// , 19 t]k'
by '<~y, ," c\ k'-,.,c........"-~ ~~~'-"::>A--.- by ~rlN "7YJ Cl:..tl7Z.i3_.
(name of person acknowledged) (name of person acknowledged)
o who is personally known to me, or Gho is personally knoW:1) , S9 ,~e, or ''7
. ..:3.:r-Y/7 7..5'.;t;$'7W-~'lo-'/,JJ-
~who has produced \0Cj_~_c\ ~\.~ ~ ~. has produced N~ld9i)/1 :j;), J-.- I I/)~';~
(type of identification) (type of identification)
and~ \:i~n~ake an oath. an?;:~d ;r c;r~J~
Signature of person taking aBk:ri,~wied<;JerJJ;nt' :hgna ure of person taking acknowledgment
'4 ;:::' I, ~ r /l~
:,ij.~e tY~rI~rint~.~ed
h )1 MY COMMISSION' CC534927 EX":'"
~:r",,'(f;~ FebIU8lY 22, 2000
'..P.f,,{S.-- BONO€O THRU TROY FAIN INSURANC~. "lC
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Name typed, printed or stampet.l"Ur:;'C:"
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