HomeMy WebLinkAbout98-7910
BUILDING PE,RMIT
BUILDING
CITY OF ZEPHYRHILLS
(813) 788-6611
') (..... I'm AFTER HOURS PHONE NUMBER .. ......,
~ , ~---. (813) 788-5262 ~, (/ tI
CELECTRICAV PLUMBING FN~
Permit
7910 ;1
Date
~-I?-rr-
P,"p,rty Own" '~f)~~ -P-
Job Address: ~ r
Parcell.D. # ~-~- a-/- ~/6o - 00/ t) 0- () 0 ~ 0
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
DescriPtion of Work '-fl ~ )J-- F
Radon Gas:
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.
DATE
Inspector
0/0
City License Registration #
State Certified License#
t2./J~-
P.,m;tFee ~~
Signature c:....~'=~
Company
Address
Telephone#
Valuation or Co
Contract Price ~q;L /. cr-o
BUILDING
70 :lo~
ELECTRICAL
PLUMBING
~! d--D~-
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 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 ($~) shall be made for each trip for each trade:
~-:gt)
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.
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME ~<1- ~ PHONE
JOB ADORESS &0 - -- - ~ f~ --A- ~l L
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
7~2.-J93D
, ~
PARCEL ID # ~2."",.2.tf -2..1 ~ C)t &CJ--6Jt)! 00 -00'70 (OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
iJ...!NSTALL
Os I GN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
DMULTI-FAMILY
0# OF UNITS
o MOBILE HOME
DESCRIPTION OF
o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL 0 OTHER _ /
",,~5/~yf../
\) ~R~4A~~ & HEALTH DEPARTMEN:LP}ROVAL ,TTJlt-;J ~
WOR~//y~ ~J(7... '1/(" t/1ar- Tu/G-o 71-
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 & (I) 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
$
2sr2/. ~ 0 VALUATION
o SPECIALTY 0 OTHER
OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
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
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*************************************************;*******~:*******~
ELECTRICIAN COMPAN" j)_AA1~ J)l..d.-"-'~ _'
~~ ~.A STATE ;;-~R"l.;IST # ~R I!JOfJ :.g~2-?
SIGNATUREL7)" r(l'./- - CITY PROCESSING # .2D~
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**********~********************************
MECHANICAL
COMPAN
~ .~ STATE CERT OR EGIST #
.-~ CITY PROCESSING #
/
*********** *****************************************************
SIGNATURE
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCES$ING #
. ~
*** H * H H H H ~ :H_' *** * H H * H* ** H*** H ** H ~:"'.,':'''''''''' " ", ~~.~
r,.'I ~:1:' /:~ _ . ,:"'~,;-"''t.'"'i _ .~.,~~"'#y..,~ .'._
SIGNATURE
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, ..- -,;.
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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. CONTRACT0R'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 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".
se~
accurate and that all work will
constru~t~on; zoning, and land
.~/~
~TURE' OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing ~~. ~rument was acknowledged[,r
Before me this day of .IO~ , 19_11
by
'(name of. person acknowledged)
Dwho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing i~t~ument was~;rOWledged~
Before me this ~ day of , 19~
by
(name of person acknowledged)
is personally known to me, or
.wledgement
nowledgment
o who
o who
~lic~llfft. or
My Comm. expires June 23. 2001
My Comm. No. CC627276
-
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SONNY'S DISCOUNT APPLIANCES, INC.
10L S'I South Highway 301
IJAUE. CITY, FLORIDA 33525
V.~.1) 567.6224
PItONE
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III, P 'u 1"'"' '"'0''' '0 f",,,'~m"m:'.. :'d ~'~"'-..".~P~olo~"~~;<~;.';;...~;II~'::~:t~=/~' ;"
I~; t1(;inilde as fo[iows: ~O-'"""" lP
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.------------.-.---.---.--.--.-.--.----.---.----
All lIl.ttcli.tl IS guaraflteed tu be as specified. All work to be cOIllplcted in a workmanlike
III.UlIlf'r an:oHlillg to s.t.Hldard p,adices Any alteratiun or deviation from above specifir.a
tlollS IIlVO\"'tng extra co!>ts will he ex<<~clllcd ollfy upon wfltten Oflte.s, and will hecome an
t!1ttta lh(ltgt! over and abuve the estunate All agle-eflu.'llh coutlllgeltt upon stfikes. an:idents
or dt:lays beY~lId Ollr (.('Ilhul. OWller to carry file, tmnado and other necessary itlstlfal1r.e
0111 \I\{')f~t~rs a',e '"tly (I'VeltH' by WOIknll''''S CUlIIpensatiQn lusurance. '
AlllhoriZ~ j_
Sigllall'~
Nole: Ihis propusal " he
wilhdrawlI hy liS if 1101 "uP,,"'d Wllhill....
ddY",
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:(
!\rrtptnurt III Jlrl1l1l1unl The ahove prir.es, spenftc"'Olls
arlit conditions are s;ltl~hHJorv and ale 11f..:leby atu~plcd. You are (tllthOflLt~d
'u do Ihe work as specified. Paymellt Will be made 'IS ollthllecl ahove.
Siglla''''" ..._..
1)"le 01 Acceptanr.e:
Sillllalwe ..._.___..
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State of
1111111111111111I 11111 11111 11I11 Ifill 11111 1111111I
98099719
NOTICE OF COMMENCEMENT
~~, County of
Rcpt: 262204 Rec: 6. 00 .
DS: 0.00 IT: 0.00
08/18/98 Dpty Clerk
JED PITTftAN. PASCO COUNTY CLERK
08/18/98 02:17p. 1 o~ 1 '
OR BK 3990 PG aGG
f2 ~~'-:
THn UNDERSIGNED hereby gives notice that improvement will ~e made to c~rtain
real property, and in accordance with Chapter 713, Florlda Statutes, the
following information is provided in thi'!, Notice of Conunenccmcnt:
1. Parcel No. ~ ~C; ~-z( - 0/ ~ (J ~"('):f) 0 _ 11620
.,
A;/c~ ~
~
2.
General Description of
3. O\mer Information: Name
1\ddresst:{)~ i~- f:~ h) Ci ty ....2"-:-... 2t't'&.
Interest in Property: ('; Jl.Al~
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
R4.
City
State
Contractor: Name
.
.... :........
Address~ .
5.
Surety: Name
Address
Amount of Bond: $
-
j- IJntJ. 0 lJ
6. Lender: Name
7. Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
City
State
Address
Name
Address
City
State
8. In addition to himself, Owner designates
of
Lienor's Notice as provided
.
~n
to receive a copy of the
Se~tion 713.13(1)(b), Florida Statutes.
9. Expiration date ot Notice ot Con~encement (the expiration date is i year
fr?m the date of recording unless a different date is specified.)
~
/ r day of
d
Q
Signature of Owner:
:;worn to
.9 '1r .
otclry Public:
Y Commission Expires:
O>-~c.>s~
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