HomeMy WebLinkAbout98-7988
BUILDING PERMIT
Property Owner:
Job Address:
Parcell.D. #
CITY OF ZEPHYRHILLS
(813) 788-6611
AFTER HOURS PHONE NUMBER
(813) 788-5202
PL~-
Permit
.798~
10 -.;2. - 'lr;J
,
Date
C:::"J~:~'I~~
~sewer Conn
Water Conn:
6
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code:
lf ,~ ~gtJ'
,
~ Radon Gas: ~
l -l/~ ~-1
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration # '7(>
State Certified License#
Permit Fee
Signature
Company
Address
Telephone# V-
.;>
Valuation or
Contract Price
)/, :87h" o~
/
7 <K 7?O~
V;//J1;/d~ IJ~.LL~
BUILDING ~~
PLUMB~-
---
MECHANIC~
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Canst. 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 ($1''tt:001 shall be made for each trip for each trade:
~-;tJt)
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.
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(R.F.SIDENTlAL USE ONLY)
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PARCEL I.D.
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CURJlI-xr OWNEHS
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All drawings shall be drawn to Beale for all parcels or lots five acres or less.
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CI\1l ENGINEER - or-.rlOP,",rNT CONSULTANT
P.o.IIOIUlI
SOJ1H0J,Y1'~n..(J.J;)I.12121
lJl'k:n (104) 717.4n4 fAX: (904) ~-604t
SIAN 61,.^K..- AL.uLtI\)~Iv\ i
S'l'5 2:i1~ 'S.I~. t? 4-
.:t: ~'PH \<. Y 1+ IL1../ ,--..e. 3 ~ $'
i
'roposal
SUN STATE ALUMINUM, INC.
37528 State Road 54 West
ZEPHYRHlllS, Fl 33541
(813) 788.7308
Page No.
of
.Pages
PROPOSAL SUBMI~
~~ ~,~
STREET
~~
JOB LOCATION
We hereby s
.~~-
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JOB PHONE
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Payment to be made as follows:
nish material and lab~(~OmP.lete.in ~coc;;;;, an~"Yith above specifications, for the-. s.tll1i"I., Qf..:. <
\. :;r--... "~~ \ ..::t I \....7? '"'it-."
\ ,) ~,' " """-'11;
c~ ~!, ~ dollars ($ '6r lo ~.
<........) ~)" ~
Date of Acceptance:
8~'
-..
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, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance.
Acceptance of ~ropollal- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specified. Payment will be made as outlined above,
Signature
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED 7' -;l Y -If' '.
PLANS REVIEW FEE
JOB ADDRESS
SdA../
Cf~31
f Iff7f ~ 'h U C-75
S'K'/JJII/L ~~
(
PHONE
9/ ;)-1/ cP 1
OWNER'S NAME
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
}Si! INSTALL
Os I GN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
76 Ia) S 'TJtLL I cf7' 3 l) f'~Rrt5
IVY ~ 0 SQUARE FOOTAGE c;~
s~
BUILDING SIZE
;. ,.~
"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
057' .d'O
0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C.
0 PLUMBING
o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
o GAS o ROOFING o SPECIALTY 0 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
P(~K ~
COMPANY gOt.!:;!T?(-r ~ Ifcd K lid rJ fI' ~
STATE CERT OR REGIST #
CITY PROCESSING # 70
BUILDER
******************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
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 ~he 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
be done in compliance with all applicable laws regulating
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 Bayheadsr 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 FINANCINGr CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2 500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
'1---- . .tf
SIGNATURE'~OR
accurate and that all work will
constru~t~on; zoning, and land
~
~DA
COUNTY OF O~7/C.tC/
The foregoing instr~ent w~:ck~wledg~~ C/
Before me this~day of. ./.7/ , 19~
by I
(name of person acknowledged)
Dwho is personally known to me, or
STATE OF FLORIDA
COUNTY or"
The foregoing instrument was acknowledged
~;fore m)f'l~// ~~ldJ;:::,,!nl>~ 19 ~
(name of person acknowledged)
~ho is personally known to me, or
f/lI15cc>
of identification)
take an oath.
and who
"?
{.
o who has produced
(type of identification)
}d not take an oath
I
L
o who
acknowledgement
Signature
Name
Name ty
m ed
/~~~:'fil!t;(~ c, DE STEFANO
, ri "~'~i:~ MY COMMISSION 1/ CC 7;;,'300
I' ti~~~.; EXPIRES: May4 ~trj~
1.._",;>".f},~~ Bonded Thru Not~w, Pub!!" .y riters
~,~" .
....... ';. -.'. -
C, FANO
MY COMMISSION 1/ CC 739300
E./PIRES: May 4,2002
aQ",:$d Tn,u Nolary Ptmlic unde1wrilers
,., "
11111111111111111 11111 11111 11I11 "'" 11111 111I I11I
98118347
NOTICE OF COMHENCEMENT
Rcpt: 272227 Rec:
DS: 0.00 IT:
09/30/98
6.00
0.00
Dpty Clerk
~tate of r Co R.. (011-
"\*' f
JUB UNDERSIGNED hereby gives notice ~hat improvement will ~e made to c~rtain
~eal property, and in accordance w~th Chapter 713, Flor~da Statutes, the
t.following information is provided in this Notice of Conunenccmcnt:
'f:' ' .
))1. Description of Property: Parcel No. (15;20 ~ 0010 tf3700 0000'
J'
County of
f? ,lfS CO
...
.
J,"
').'
(Legal des~ription of the property and street address if available)
2.
General Description of Improvement
'"Y b / I() 5 /',tk-L
./c;Y-.? 0
~ 1f2~ '
3 ~
JED PITTMAN, PASCO COUNTY CLERK
09/30/98 04:0~p. 1 of 1
OR BK 4014 PG 1391
O\'lncr Information: Name ~ JA-J:.E, 8J(kE..
Address Llef.3 r ,c;.<;v2>/tlt!: ~~ity 2 €/1f,Y,((IILLS
Interest in Property: ...... ", .~.(.. 7~N/I1rf~
State ~C
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
4 R Contractor: Name S; diU 577fr ~ RL.{) t1--( /1() ()y( ~ c:.
'- Address .5 7;-~~ SJ2- sCf City Z-&!fy/-IfICL-S
5. Surety: Name F/Z.hl4e~!) I1rIlut'JL c;t:;Js f:D
Address P (}. Bvt 3/'/p City ~/f141;> ~ , Fc..
Amount of Bond: $ 56 OD . cu
State R- S 3S-VI
~:tate '3=3 63(
6. Lender: Name
Address
City
State
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
o~ ,. .. to receive a copy of the
L~enor s Not~ce as prov~ded ~n Section 713.13(1)(b), Florida Statutes.
9.
Expl.rl1t.lon d:,'le of NotIce or Commencement. (the
fr0m the date of recording unless a different
;:Tit-teE !3RIIKE..,
J-
expIratIon date is 1 year
date is specified.)
'~
Signature of Owner:
--
Sworn to and subscribed
19 c;<i .
30
Notary Public:
r>t<</P
a.
I
. -, .-.....~. . . X.' .
. . "'4
. ~~
My Commi.ssion Expires:
P9!l@P.53048