HomeMy WebLinkAbout99-8818
BUILDING PE,RMIT
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
8818
BUILDING
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Date
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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.
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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
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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
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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"
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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