HomeMy WebLinkAbout98-7976
BUILDING PE<RMIT
7976/5
J;7s-: tro
BUILDING
J--S-'tTO
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788-6611
AFTER HOURS PHONE NUMBER
(813) 788-5262
PLUMBING
Permit
Date
j'-,{l '1-9~
MECHANICAL
Sewer Conn
Property owner:. ft! ~~ <_J~AL/nd4t
Job Address; .3 ~
Parcell.D. # ~-. ~- c::Ll_ - -
Water Conn:
Water Meter;
T.I.F.'s:
Zoning:
Description of Work
~y Code;
'~t:J. ~^~~
Rado~
_~ ;~/ If'L
FINAL
...y-
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or
Contract Price
Permit Fee / ~. c-v
Signature
Company
Address ...1 ~ \J ,c t.. ;
Telephone# 9Yj'" J.Q:-j- 652.,3
--6--; / ? ? , tJ-i)
,
City License Registration #
State Certified License#
~'tsa
aL~/~ ~
all 1k-7
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo i if
Rough In .2 1 '1 Cob
Meter Can
Con st. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
5J.3
qLJI"' b2 3 - 10 ,
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars (M-!t.'OOI shall be made for each trip for each trade:
~-, tJ'1)
a.
b.
C.
d.
e.
f.
g.
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,
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
~
~/'
~.J-
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
9'11- bJ'3-,6~~
DATE RECEIVED 9 - / / - r~
PLANS REVIEW FEE
JOB ADDRESS
MARl L.LlA ~AsSAN ftN
3~c;,/q TR.~LLlS Avt:.
PHONE
OWNER'S NAME
ZE?H'(R HILLS
F"1A
33.5)10
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
3S"-..2S--;2..1-s-!-l -0
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
]g(ALTERATION
o REPAIR
o INSTALL
o SIGN
PROPOSED USE:~SGL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
C ON V € ~ T ~c. R.~f N Roo M /0 G 1...A"55 ~ 00 fY\
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.
-0 BUILDING
$
PERMITS REQUESTED
S/97' ~b
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 AREAD YES
o NO
BUILDER
COMPANY A 1 u tn) N V 1>')
STATE CERT OR REGIST # .
CITY PROCESSING # .21./5:;"
************************************************
ELECTRICIAN d II ~
SIGNATURE ......---~t) ~ l- &-. " 0vL _
******************************************************************
COMPANy.Al!€.. g/EC7/?Je!..-
STATE CERT OR REGIST #
CITY PROCESSING # / ? 7
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 requi~ed 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 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19_
STATE OF FLORIDA
COUNTY 0:1'"
The foregoing instrument was
Before me this _____day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
Dwho has produced
(type
and whoD did Ddid not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid Diid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
11111111111111111111111111111111111I11111111111111
9811&503
Rcpt: 271194 Rec:
NOTICE OF COMMENCEMENT g~;24/98o. 00 IT:
A RECORDED COpy MUST DE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
&.00
0.00
Doty Clerk
PERMIT NO.
TAX FOLIO NO. /Jgllc r:..rf: (- ~ (.2 r-- (90.r.1f _ 4>000 c> - 13 'Z. 0
,4 {. #rl- 011 Af' ~ C:,Y Tfl r:;..5'
STATE OF, FLOAiDA:
COUNTY OF Pa-5C 0
~(jJfJ..e 1(1'\1 J)e > ca) r 71 <l ',..;
~HH~ e. 2. t::-, r 1:3 2-
lHE UNDERSIGNED hereby gl"8S nClUee tha' impro....m.n\t will be made 10 I:.rtain rnl property. a"d in accordance with
Chapler 713, Florida Slalules, the fOllowing in'Q(m~lion is Pfo~id.d in 1hili NQ\ice 01 Commencement
1, Ltgal dncription or S)rOPtlty Olnd s\feel addr..s: po All..Q - .3 S - J. 5' ~ C:6 6' It - 00000 - I ,~ d. Cl
A-JLpJ\.a. VlQ Olll~ F~/.) r h(L<.lf) d ) 0* \~J...
2, OC:c:'i;:tle~ el improvement: FNc1 0$24 5)(17='.(.'''-'7 ,SChl!!''V J? 00-.- W/']14 c: I ~!>>s. L(),I\) ~E)t..Us..
m ('it, ; Q,l~ Sn L)./;:)<M\tl.-.v 3 l?CSl jq U-(J, U ; -5
7..epJt^OAhilkJ FC 335Cfo -JoY~
A~ &7
3. Owner(s) name and addr.ss:
Inter.sl " propeny: (\ U) Y\o./\
Nam. and aCldreSl of Ie. 'imple titleholder:
1>
~..... . 'o't..'. '.. ., Conttadot's name and addreu: _fa. 11 0 12 . F ~ u c h +- ~5 ad,
~. L-Q~",c\ ),:: l. ,~3, 1: I ~
6. SloIr.ty:(Payment bond r.quired by owner (rom contractor, II any)
Name and address:
Amounl 01 bond $
i\J ,\N~~ {tV€.- I
JED PITTMAN, PASCO COUNTY CLERK
09/24/98 03:08p. 1 of 1
OR BK 4011 PG 1805
6. Linde", name .nd addrus:
7. P.raonJ wl\hit\ U'Ie Slatl 01 Florida duignat.d by Owner upon wMm nolle.. or Qther documents may 'oe served 1$ provided
by Slction 713.13(1 )(.~7.. Flo(i~ Slalul".
N.",I and addre..:
a. In,addtllon \0 naml.II, OWner deslgnatllllhe lollowl"i plIraon(.) 10 r.e.iv. . copy ollhe I.iencr'. NOlie. as prOVided in
Section 113.13(1 )(b). Florida SlaMel.
Name and address:
e. bpirallon .11 01 U"li. Nouce Of Comm.ncement (11'1I .1lplf.llon dalllls 1 y.ar hom the d.'e of r.~ordtng unllss .
dllf.,.nt dill II aPe-em.d)
{}:1/!:!~~. S;5S~N~~
Sworn 10 and subacribed before m. Ihis _day of
o N :ARYSEA
MAnIEW CJCEiO
NOrARY PUBUCSTATi OF FLORIDA
COMMliSlON NO. CC172116
MYCOMMlSSlON EXP. SEPI' 25
Prlpatecl by:
,19_.
Notary Publ~
Print Nnl.,.,,'. N.mll
lQ 39l:1d
a6ed
Addr"s:
.3Snld3J.~8S
SdlHS ~NI iN] "as ~ L9~8CLg WOJJ
L9~8ELS PP:El 866T/P0/Ea
wdzp:~e 86-P0-Jen pa^!a~aH
11111111111111111111111111111111111111111111111111
9811&503 .
Rcpt: 271194 Rec:
NOTICE OF COMMENCEMENT g~}24/980.00 IT:
A RECORDED COpy MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION
6.00
0.00
Dptv Clerk
PERMIT NO.
STATE OF. FLORIDA:
COUNTYOF PO-SCQ
TAXFOllONO.~(1"-(fc...-"~-:2}-- (!Jorrl- - 00000 - }5'Z.o
,4 (. /IIt1- Vj/I HI" ~ ~)' r;4 7;;.s
flz-t.?jJ-t?tl"l [Je s:c.-e, f 71 rJ ',...;
;JHH~ e..:z. ?, r I ~ Z.
THE UNOERSIGNEO hereby gll/8S noli~. \hat impro.,emenll win be mad. to certain real property. and in accordance wi\h
Chapter 713, Florida Statules, Vie following infOfmation is plovldad In this Notic. 01 Commencement
" L.gal d8lcriplion 01 property and $\r.., addrels:
A-,-O.pkrl VlQO~~ F~O/l
p-t'IAni - 3 S - ~ '5 - COD it
r nca /.."10 a ) OAd:- I~J...
- 00 OOG - 1.<. .;2 II
2. Oesc::'iptlon 01 improvement: ZN~I o~ 5)(1 ~4-''\J7 St'!':h~'f'\J 12 00.- w/tf4 C /A-!>>s. Lo'I\) ~E::>t.;
3. Own.t(l) name and address:
me) ,,: 010... So LY-JQA\n ftA.J 3 >?Co Jq in.>.U; j
:7.P(1I1A~"i/ki FC 335'-10 -JOY{o
All€- .df7
Ins.rtlt in propeny: () l1J h.O/!
Namt and addrlt" or ft. limpllt tllleholcler:
~
~.\. ;,:.~.. Conttactot't name and addreu: -fO. U 0 J2. r: ~uc.h+- ;:...'5 ad..
f'%~ l-o--ru(Ht.d ) p L ~ -?, ~ I ~
$. S~r.ry:(P.ym.nt bond required by owner 'rom contractor, U.ny)
Naml and Iddr...:
Amoun1 01 bOnd $
i\1 ,\Na..bd~ A-It-e-.
JED PITTMAN, PASCO COUNTY CLERK
09/24/98 03:08p. 1 of 1
OR BK 4011 PG 1805
6. Llnd.f. name and addr.ss:
7. Pt,aona wllNn &he Slat. 01 Florida dHignalld by Owner upon whom notiees or olhe, documents may be setved as provided
by SeC1ion 713. 13( 1 X.) 7.. FIo,ida SlaIults.
Nlml.nd ..ves.:
a, In,addlllOn \0 hIm'llI, Owner d~;ign.I..1he followi"i plrlOn{I) 10 receiv. a copy or the Lienee', Notice .s provided in
Stctlon 113.13(1)(b), Florida Sf.'ZJte..
Name and address:
g. Upirallon .'e 0' Ini. NOlice or Commencement: (tI'II expiration dale Is 1 y.a, from \he dall of r.cordlng unless a
cllff"tnt date II .p;ciflld)
git/Ji~L~"
----
~;9 SS,ef N Yr,...J
Sworn 10 and lubac:ribed before m. this _day or
o N :ARYSEAL
MAmEWacmto
N<7I'ARY PUBLlCSTATI OF FLORIDA
COMMESlON NO. a::77.ZJ16
MYOOMMlSlSlON EXP. 5EPI' 2S
Pr.pared by:
.1g_.
Notary Publle
"in! Nftl.I'V'A N.m.
U, 3El'o'd
aBed
Address:
3SI~d3J.N3ES
SdlHS ~NI iN] "as ~ L9~a€lS WOJJ
~9~8EL~ ~v:Et 866t/Pe/E~
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. ALL WORK. SHALL COMPLY
WITH AlL PREVAILING CODlS.
· STANDARD BUILDING, PLUMBING,
MECHANICAL, N.E.C. AND CITY
OF ZEPHYRHILLS ORrr:-" . ~\JCES.
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STRUCTURAL
(SIMPLE) SPAN TABLE
(L.L. == 20 P.S.F., lJ. = L/80)
THICK TYPE FT.
1--.
2- .024 10.51
.030 11.47
J'" .024 14.00
.030 15.00
4- .024 17.00
.030 18.31
6" .024 20.25
.030 22.50
8" .024 24.82
.030 27.83
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ROOF PANELS
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~ WALL HEADER
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I ACCORDANCE: W7H THE: '97 STANDARD BLDC., i ,
cooc Ml7H .ALL RCIASlONS 10
aMP.T. 16. 06 FOR 100 /;/PH VdND l.(l=+TY
loOD AF7FR 10-1-98
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RIDGE BEAM DETAIL
N. T.S.
ALUMINUM INC.
38619 TRELLIS
SQ. FEET PRICE
MAIN OR LIVING AREA $ 40.00
OTHER AREA UNDER ROOF $ 15,00
OTHER
VALUATION $ 5,197.00
FEE SHEET $ 50.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 75.00
ELECTRICAL: $ 25.00
PLUMBING:
MECHANICAL:
RADON: $ -
CREDIT:
TOTAL $ 100.00
SEWER I $
WATER: $
TOTAL: $
- I
3/4" WATER METER:I $
- I
T IF'S :1 $
99% $
1% $
: I
TOTAL: $
100.00