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HomeMy WebLinkAbout99-8818 BUILDING PE,RMIT CITY OF ZEPHYRHILLS (813) 788~6611 Permit 8818 BUILDING ~- J2.~ -"- ~ P~- /" /05' ~ Date ~-1!-7,J Sewer Conn Property Owner: Job Address: Parcell.D. # t ~ ?!r/~ ~12 _=5 i c2 1- 'T.t:! . Water Conn: Water Meter: T.I.F.'s: Zoning: NO OCCUPANCY BEFORE C.O. FINAL C.O. 9-- rJ- q DA Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or /7 Contract Price / /, I/tJo Permit Fee Inspector B~' ..,/ City License Registration # ~ 7/7 State Certified License# {! 17 C! {J.s-/P 7 !f1 Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Lii~~~~~ OZ 7/~ ~UMBlNG- SLB Tub Set Water Sewer Final ~~ Breakers Ducts Insl. Compressor Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($ 25.001 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. , < (Yt41j , /) rt~~ (p'L1 ;] ~~ ~ . APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS. REVIEW FEE OWNER'S NAME First Union Bank PHONE 813-783-6300 aOB ADDRESS 18.4.2l St:h Avenue, Zephyrhills LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID II (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION XXn..LT E RAT ION D'REPAIR o INSTALL Os I GN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING ~OMMERCIAL DMULTI - FAMI L Y o INDUSTF:IAL 0# OF UNITS o SWIMMING POOL o MOBI LE HOME o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL Remove and replace existing DX Split System 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. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION D ELECTRI Cl-.L AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ 17.000 VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE Or CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO L_____.__ coNTAAC'1'O;R !,:'SEC'1':t:ON .. -""': -/'< .c.::.>:.> '<:"'<_,_~,>,'<,.' -<,'/,'-':C"'_' x. _.\' ',.,,';.::; >.,.. ,. "'_". "",,;;:'~,>,,;'::',>__'_'/ :;:,'.. ,~:,;. SIGNATURE fVJ~ COMPANY STATE CERT OR REGIST # CITY PROCESSING # BUILD1!:R ******************* ********************************************* COMPANY Commercial Air Conditioning, rnc STATE CERT OR REGIST # EC0001707 . CITY PROCESSING # ~ '7 J~ 'Z. * * * * ". * * *.k * * * *k * * *" * * * * * * * * *-::: * * * ~ * * * Q ~ * * ELECTRICIAN ~ \" '"' SIGtlATURE '\--) Christian H. EngI PLUMBER N)P COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNA.TURE ***********k****** * ****k*************************************** COMPANY (:ommpr~i~l Air (:ondit:ioning: Tnc STATE CERT OR REGIST # CA C056719 CITY PROCESSING ~ d2 '117 0 JL S I GN),TU RE ctL~ Christian MECHANICAL ***********~***k*********k*~-***************** OTHER rvfp I COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *~k~k*AA~~.'*********j**A***.*******k****~:****'******************** CONDITIONS OF PEHMIT AFF'IDAVIl' A. .fiOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be may be more restrictive than City regulations. The compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND COHTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to ulldertake 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 ci t:ed for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to vlhat licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Departmen~, 813-788-6611. Furthermore, if the owner has hired a contractor or cOlltractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this ~pplication for whiel} they wLl] be resp'Hlslble. I.f YOll, as the owner :ngns as the, r::onLracLol, 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 UTII,ITY CONNECTION ;"EES 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 Flor~da Department of .I\gricuOlt:ur:e and Consumer Affairs. If the applicant": is someone other that the "owner", 1. cerify that I have obtained a copy of the above described document and promise in good faith to del.iver it to the "owner" prior to corrunencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information j n this applicaLion if; be done in compliance with all applicable laws regulating development. Application is hereby made to obta.in a permit to do work and installation as indicated. certify that no work or installation :JaS conunenced priol to issuance of a Dermit 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 jurisdictjon. 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 incl ucie buL are nat limi t:ed to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and EnvironmentaLly Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management Dlstrict-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seal-lalls, Docks, Navigable Waterways *Department of Health & HehabilU-.at:ive Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U. S. Environmental .Protection Agency-Asbestos abatement I also certify that, if fill material 1S to be used in Flood Zone "AU or "A, etc.", it is understood that a drainage plan addressing a "compensat.ing volume" '/\Till be submi tted 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 allY 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 comoenced within six months of issuance, or if work authorized by the permit is suspended or abandoi,eci 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 otficial. 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 PHOPERTY. IF YOU INTEN T OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF 'OMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED 1'0 RECORD AND POS~~OF 'OM ENCEMENT" '___ SIGNATURE: O'i'lNER OR AGENT STGNATU\~:F: subject to "deed restrictions" which undersigned assumes responsibil.ity for accurat.~ and that all work will construction, zoning, and land I ST1-\TE OF' E'LORI DA.~ . t COUNTY OF ___~~('v1.~.~---_._.__.- The foregoing instr'2ilent: \-Ias f;;flledg~d(1 q ~efore 111l^t;~<...aaH ~f1="v.. L -, ] '].1- ~,y .__-'- , a _~~ _______. (name of person acknow.Ledged) ~o is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _ day of ______, 19_ by (name of person acknowledged) Dwho is personally known to me, or Dwho has produced (type and whoD did 0 did not Dwho has produced (type of identification) and ".ho Ddid iZ6id not take an oath of identifi~ation) take an oOlth. Signature of person taking acknowledgement ;, "." :', . '.~', t.f;: ;'-"; . \liI!'f~~ '.'\"'.. - ~;~lt NO S;~SO\A G,,::~ ~~.M Namf~ typed, px:inted or stamped Name typed, printed or stamped ;t':,:l::. 4;, NOTIC~ OF COI\'lM~NC~MENT :\1111111I111111111 99067215 State of Florida County of Pasco TilE UNDEItSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: i. Description of Property: . Parcel No. \1 Z~ Z\ C::XJ\O \73C() 0\30 38421 5th Avenue. Zeohvrhills, FL (Legal description of the property and street address if available) 2. General Description ofJmprovement Interior Renovations / ADA Upgrades Rcptl 331076 Reel DSI 0.00 ITI OS/27/99 6.00 0.00 Opt, ChI" 3. Owner Information: Name First Union National Bank of Florida JED PITTMAN, PASCO COUNTY Q.E OS/27/99 11153.. 1 of 1 ' OR OK 4159 PG 104iE; State/Zip FL 32201 Address 225 Waters Street - 4th Floor City Jacksonville Interest in Property Fee Simple Name of Fee Simple Titleholder: (If other than owner) Address City State/Zip 4'fi; Contractor: Name Paris Contracting, Inc. Address 3755 W. Lake Hamilton Dr. City Winter Haven State/Zip FL 33881 State/Zip State/Zip 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 (I) (a) (7), Florida Statutes: Name Donald M. Paris, President. Paris Contracting, Inc. Address 3755 W. Lake Hamilton Dr. City Winter Haven State/Zip FL 33881 8. In addition to himself, Owner designates of To receive a copy of the Lienor's Notice provided in Section 713.13 (1) (b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified.) Signature of Owner: ~ (;D'b--- Sworn to and subscribed before me this Notary Public: ~ ~ C~~ day of 1999 My Commission Expires: \-\\Y PlIlfI. LEIGH J. CANT cS'&:~OMMIS$ION . CC6I 793.. .l'l: \1 ~ EXPIRES MAR 21, 2001 ".>. 80NDBl THROUGH ~'iOFf\: ATlANTIC aONDING CO~ ~c. .. ~ COMMERCIAL AIR CONDITIONING. INC. COMMERCIAL ELECTRIC 1616 CHERRYWOOO LANE. LONGWOOO. FLORIDA 32750 (407) 338-8559 . FAX (407) 830-7049 ~ Dme: July 22, 1999 To: City of Zephyrhills Buillding Dept RE:~Mechanical Permit X Electrical Permit Dear Building Official: I hereb; authorize_M, \ Cl..\.\ A. ~L ~ ~ ",-) to pull the subject permit on my behalf. The permit is for work being competed at: pi n::t: Uni on Rank 38421 5th Avenue Zephvrhills (Client Name and Project Address) If you have any questions with this request, do not hesitate to call. &\~~ Christian H. Engle Vice President Notary, state of Florida County of Seminole "~~"(~':'1~,~.,t~\':~~\ ~". :"".: _,Ai~,~. ,_;~: 0" \~);::. ~.";;;~~ ~ l~~ ()'Jo>'!f The foregoing instrument was acknowledged before me this 22nd day of July 1999 by Christian H. Engle who is personally Known to me and who did not take an oath. STATE CERTIFIED AIR CONDITIONING & ELECTRICAL CONTRACTOR CAC056719 ECD01707 ~~ Susan Grose Letter Auth