HomeMy WebLinkAbout99-8832
tJ.D,P
BUILDING PE,RMIT, 8832
CITY OF ZEPHYRHILLS Permit
(813) 788-6611 Date ~//l /~9
,
BUILDING
ELE~CAL
"\. L'
Property Owner: ..J Ok", . '" ""
Job Address: 5" J i , 8~ Sf.
Parcell.D. # ,,- 1b - 11- (Joto". l'-{)OU
PLUM~
MECH~AL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
- 0'20 I
Zoning:
DescriPtion of Work
Energy Code:
Il.~ - roo.(
Radon Gas:
FINAL ~ ""z..
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
State Certified License#
)74
Inspector
Valuation or 1/ 7 c...J 70 6lII>
Contract Price oJ / -, J .
S'
Telephone#
f'l-'"" f.\t'\ Co", SJ..
.-.
.l4c..
I
BUILDING ELECTF ICAl PLUI\ BING MEC l-1ANICAL
Ftr. Tp. Servo SLB Breakers
Pre SLB Rough In Tub Set Ducts Insl.
Lintel Meter Can Water Compress r
FRM. Const. Pole Sewer Final
Insul. CL Pool Final
WL Pre-Meter
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 ($ 25.001 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.
11111111111111111/11/11111I111/11111I1111111/11111
99104040
NOTICE OF COMMENC Efvll'; tn.'
State of
pi.. 0 /(1 a A
County of
;:;/1~c~
TilE lmDERSIGNED hereby gives notice that improvement will be made to c2rtQin
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this NoticrJ of Comrn(~nC('lIll'll f::
1 . Description of Pro pc r t y : Pat" eel No. Ll~.z~-~Z.L.~l:!_L_~_-:!2~5L~-2...r:..3...~
'i' 'f .3 Y I Y rt'f 5 r Z-I!!" r',y. y~ t7-1IJ..S
(Legal description of th~ property and sT;::(:~ct addres::i I"r~1v~:llTQbi~'-
2 .
General Description of Improvement
/1lE GJ
..s hi /AI '4r
t1f"( 0 l:; /--
-.--. H~~t: 3S:?ai
08/17/99
Rec:
IT:
6.00
0.N
Dpty Clerk
3 .
O\.;ncr Information: Name
. - ----.---.---.---------
J Vjl,J
A.t ,vJ
5Y3Y
~-------
Ilddress
/&7#
s 0 C i t y Z-J~#y~/t I VS'
C>(,(/",;&~
State
Interest in Property:
--
/=<-.
Name of Fee Simple Ti tlcholder:
.( If other thgn owner)
JED PITTMAN, PASCO COUNTY CLERK
08/17/99 08:32a. 1 of 17~7
.----- OR BK 4208 P6 ~
Address
City
---- --..---.----------
~3 Lu te
rl.
Contractor: Name
RYMA.N ('()N!=:'T'R[J(,'T'T()N.TN(,
Address 171?c; ~ R <;.::1 wP~rr
City ZEPI-lYRIIILLS
State PI,
5. Surety: Name
---------.-----.-.--.------.-.--------
Address
City
Amount of Bond: $
------ '----.---~.._-------_.__.__..
~) L ,I t.:~
------..
6. Lender: Name
City
Address
State
7 .
Persons within the State of Florida
notices or other documents .fT1ClY be
713.13(1)(21)(7), FloricLl StCltutes:
dr' ~'. 1 q!J2l Lc'd
~.; f_' r ....' L' d a ~3
by O"'lII e r
pr.oviderl
llpon wLc.;lI
by Section
Name
---.---
Address
City __.n
8. In addi tion to himsel f, ()\.mer des igna to s
~; La te
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1) (b), Florida Stattltes.
9. Explrntion dnte ot Notice of Commencement (the expiration date is 1 year
fr0m the date of recording unless a different date is specified.)
SignatureOfowner:~~_ ~~ ,<
Sworn to and subscribed before me this t.j/l1. day of
19!1i-.
~'(MT
Notary Public:
"'6'. Angela l Helme
*~*MY COmmission CC800247
';Y~~'!J~ Ci M~~fk.)
MyCommi.ssionExpires:
APPLICATION FOR PERKIT
CITY OF ZEPBYRHILLS
BUILDINGDEPARTKENT
OWNER'S NAKE '- 1m fl Cl'rJ fl
OWNER'S ADDRESS .5L/3 c? / j?m,,--S7Y~~+
JOB ADDRESS ~Am ~
LEGAL DESCRIPTION: LOT(S) ();)..Q( BLOCK 1L/50~UBDIVISION 00/ 0
PARCEL 1.D.' II-Jl~-:J.I --(Y)J () -/L/ScX:) -rnu I (OBTAIN FROM PROPEaTY TAX NOTICE)
PHONE
313- 7&1-9/0]
WORK PROPOSED:_New Construction -Addition ---..A1teration ~epair _Install
_Sign -Jove -Deaolish
PROPOSED USE: ~SiDgle Faaily -J/F _, of Units --J{/H
_eo..ercial _Indust. _Swia. Pool _Other
--Restaurant & Health Department Approval
DESCRIPTION OF WORK: if /- rtrzrb
BUILDING SIZE:
x
Square Feet,
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.
~UILDING
$ ~ ',lr~0. DO
PERMITS REOUESTED
Valuation of Total Construction
_ELEcnuCAL
-KECHAIIICAL
AMP Service
Florida Power Corp.
W.R.E.C.
$
Valuation'of Mechanical Installation
_PLUKBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: -Block _Fraae _Steel
Other
FINISHED FLOOR ELEVAnONS:
Fr.
IS PROJECl IN FLOOD ZONE AREA?
******************************************
YES NO
ELECTRIC~
CONTRACTOR SECTIO~
BUlLDEIl
COMPANY ru
State Cert. or Regist. .
City License Registration .
**************************************
COMPANY
State Cert. or Regist. #
City License Registration ,
******************************************
PLUMB~
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
Signature
HECHANTCAl.t
COMPANY
State Cert. or Regist. t
City License Registration f
******************************************
Signature
COIIPANY '?1~ !VltJ/l') ~~~ /'?LJ
State Cert. . r Regist. . .- ( , Lf~ '
City License Registration #
************************************
APPLICATION APPRO
. ,
..,~.,,-. .
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pertit lay be subject to 'deed restrictions" wbich lay be lOre restrictive than City
regulations. tbe undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has bired a contractor or contractors to undertake wori, they lay 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 lay be
cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireraents lay apply for the intended work, they are advised to contact the City of Zepbyrhills Building Deparuent, (813)
788-6611.
Furthermore, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
nContractor Sections" of this application for wbieb they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeowner's Protection
Guide" p~epared by the Florida Deparl:lent of Agriculture and ConsUler Affairs. If the applicant is sOleone other than the
nowner", I certify that I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
"owner" prior to couencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforaation in this application is accurate and that all work will be done in compliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOIIenced prior to issuance of a perlit and that all work will be perforted to leet standards of all laws
regulating construction, City codes, zoning requlations, and land develop.ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDIental agencies lay apply to the intended work, and that it is
IY responsibility to identify what actions I .ust take to be in cOlpliance. Such agencies include but are not lilited to:
* DepartJent of EnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater Treauent
t Southwest Florida Water Kanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Deparl:lent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater treatJent, Septic 'ranks
* US EnvirODlental Protection Agency - Asbestos abateJent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A, etc. ", it is understood that a drainage plan
addressing a "cOlpensating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A per.it issued shall be construed to be a license to procned 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 per.it prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall becOIe invalid
unless the work authorized by such pertit is cOllenced within six IOnths of issuance, or if work authorized by the perJit is
suspended or abandoned for a period of six IOntha after the tile the work is couenced. One 90 day extension of tile, laY be
allowed for the perJit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR PAl LURE TO RECORD A HOTlCE OF COKKBNCKKENT HAY RESULT IN YOUR PAYING TWICE FOR IKPROVKKEHTS TO YOUR
PROPERTY. IF YOU Iln'END TO OBTAIN PlHAHCING, COlfSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIHG YOUR NO'rICE OF
C.DKKEHCRKKNr. JOBS UNDER $2,500 IN VALUE 00 HO! HEED '1'0 RECORD AND POST A "HOT ICE OP COKHKNCKKElfT".
~I~ . ~~/
STATE OF FLORID~~~
COUH'1'Y OF
The foregoing if7t~~e .c~~ledged
before me this , 19~ by
rfL- G
who 1S personally known 0 or who has
produce
as identificatio
take an oath.
(Signature
(Nam~ Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC~HeIma
--. \ ". . 1t7
"" ~.2003
,ngela L Helms
Commission CC800247
mes January 3. 2003