HomeMy WebLinkAbout98-8143
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
8143
Ill'z.5/Qg
Date
, ~$ ,00
BUILDING
ELECT~AL
PLUM~
MECH~CAL
Sewer Conn
Water Conn:
?mp.rty Own", ('H?; ff\ ~
Job Address: to ~S <.0 -.3 -~
~.
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning:
Descriotion of Work
Energy Code: Radon Gas:
"?oo ~ Olt€.A. "ThS~ l \ fL-6:D~
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
~b
~'m;t F'~~ -~
~~ -=~
Company
Address
J.elephone# (~:-1~t?\
Valuation or .,
Contract Price ::l/l (JO<... ') . 0'-.)
City License Registration # ~
State Certified License#
BUILDING
AL
Ftr.
Pre SLB
Lintel
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
FRM. /3.//1 Ilf 1. g: IL
Insul. CL
WL
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 ($ 25.00 I 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.
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o :"",'f\...),5 I /"1 ( I.... I '- \,., ,c.I\..
<'0 s 3 ~ ~=::, U-" t> l vi "- I~ fl .
/1/2'7/Li J
SQ. FEET PRICE
MAIN OR LIVING AREA
OTHER AREA UNDER ROOF
OTHER 14
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J
T .I.F'~V tJ III
P~avtIT '7ST/IL q /250t
BUILDING:
ELECTRICAL:
PLUMBING:
MECHANICAL:
RADON:
CREDIT:
SEWER:
WATER:
TOT AL:
I
/25,0C
tJ
I
'roposal
SUN STATE ALUMINUM, INC.
37528 State Road 54 West
ZEPHYRHILLS, FL 33541
(813) 788-7308
Page No.
of
Pages
STREET
~
S\C5:0\~ <<\ ~
~\\~ ~- ~~~qJV
PHONE
~
JOB NAME
JOB LOCATION
ARCHITECT
DATE OF PLANS
JOB PHONE
~~e hereby submit specifications and e~
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bor - complete in accordance with above specifications, for the sum of:
...~ JJ ()j) <J9
--=.:::::,. _ dollars ($ . ==-sz.).
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.
Authorized
Signature
Date of Acceptance:
Signature
Acceptance of 'ropo5al- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
t
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S NAME f1 L
JOB ADDRESS fb D") (0
If /11.1]) t- ~.
S77!-'?>) U If ~ .
LEGAL DESCRIPTION: LOT(S)
PARCEL ID #
() 62. :2 G:> ;:L( 001?J (5(j()(J()
WORK PROPSED: [JNEW CONSTRUCTION
[J ADDITION
[J SIGN
[JMOVE
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
DATE RECEIVED
PLANS REVIEW FEE
PHONE
BLOCK
SUBDIVISION
oolt(; (OBTAIN FROM PROPERTY TAX NOTTCF.)
[JALTERATION
[J REPAIR
~ INSTALL
[J DEMOLISH
[JMULTI-FAMILY
[J INDUSTRIAL
[J MOBILE HOME
[JOTHER
[J# OF UNITS
[J SWIMMING POOL
DESCRIPTION OF WORK
10
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
(AJS77f-c-C- !!.&oF t?>,JEilZ..
SQUARE FOOTAGE <i?C( 03
RESIDENTIAL:
COMMERCIAL:
cd9'r
t
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.
BUILDING SIZE
HEIGHT
[J BUILDING
$ r)-(/ dOO
PERMITS REQUESTED
[J ELECTRICAL
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
[J W.R.E.C.
[J PLUMBING
n ....T':1........TT'J\...TT,-.7\T
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ONY:l3.LS 30 .~ '~*"i.:;''';!-~
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[J FLORIDA POWER
V2H,IJATTON OF MECHANCIAL INSTALLATION
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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 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 VA~E DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
a~L ~~ff? C~L
~~~RE: OWNER O~GENT SIGNATURE: CONTRACTOR
Permit No.
11111111111111111111111111I11111111111111111111111
981433&0
County of
Rcpt: 285375
00: 0.00
11/25/98
kLO
Re~:
IT:
€I. 00'
0.00 .
Dpty Clerk
RClLt r:> /f-
NOTICB OF COHHBNCBHBNT
State.of
TUB UNDeRSIGNED hereby gives notice that improvement will be made to cGrtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Conunanccmcnt:
1. Description of PropGrty: Parcel No. 07. 2(;, ~I 00/ S Ooaoo 00 <tD
(Legal description of the property and street address if available)
2.
GCllnu.t&l Dasc1:.iiJtion of Improvement ~o F
JED PITTMAN, PASCO COUNTY CLERk
11/25/98 OB:38a. 1 of 1
OR BK 4047 PG 13ga 4
3.
O\.,rncr Information: Name
AR
~ ~ANCR.5 7J /'tNJ)€ R.
.
City ])ItDL cty
Address ?tJB(J~ 1/:'1./
5.
State FL.
3Tf\ TE OF FLORIDA
('01 il\jTY Or- ?ASCO
THIS is TO CE!lTlFY THAT THE FOREGOING IS A
fRilE A~1fI CORRFrr l'OPY n. 1101. M('IlMl'Wl QN FILE
o:{ CF PU2UC RECORD IN THiS ~FFf(; .. S MY
I-L~NI P W OFF' iAl SEAL THI DAY Of
- @j
JED Pi Ef!1< OF CIRCUIT COURT
Contractor: Name 5uAJ SlA.t~ Alu~ 1)1 u~V1 ["hi. BY A.v..~~ D.C.
Address 3> 75) g-' S ~ S-~ City "':2F~IIy.12 )/1u....5 State FL ~35"<;t/
SurC!ty: N~llle Fa~~__ )jU77.J1k.- ~ Gt:!>
Address 'pO !!>ofC ~/7/p City -r-/fff/".
'Ej 5ODo . c'o
Interest in Pr.operty:
OuJNtza.
Name of Fee Simple Titleholder:
(If other th~n owner) --
Address
City
R
Amount of Bond: $
Stata F(......
336 ~J
6.
Lender: Nama
AddrC!ss
City
State
7. Persons within the Stat.e of Florida designated by Owner. upon whom
notices or other documents lIlay be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
Name
Address
City
State
B. 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.
). :~^p 11 ri L i Ujl Uti Lu UL NuLJl:O ut <":UIIIIIIUIICOJllOllL (LJao expIratIon data is 1 Y6b.r
fr')jfi the date 0:: recording unless a different date is specifi.ed.)
. //. niJ'
ignature of O\mer f X/')::!..;. /. . _ Ii.!} Ii Ai',1 j-
c,/orn to and subscri~ed before me this ~~day of
9 q f? """~"~":"" /J _
otl1ry_:~_l~:~~~ /~, I~ (e;f.,.". ~ _~ ')
Y COIJHriiss:ibn Expires ~ _ ~-d.;t _~ I
'1V~~h)
,
.;~
Pus':.. \
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SVlVlAA.1AICER
Notary PubIo . Irate 01 FIorIdo
~ ~. EllpINe.k.n 22. mo,
CoIn......, CC657167
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