HomeMy WebLinkAbout99-8932
BUILDING PE,RMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
8932
Date /o/lJ/9<1
7).~
BUILDING
~.~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner: ~d 15 0..: .ro/
Job Address: ')tf1'Y, Mo.... ( n c..J/l " ~ Dr.
Parcell.D. # 1'1-;)' ,.. II ~ 00'10 '" 60000 ,. D(?~
Water Meter:
T.I.F.'s:
Zoning:
DescriPtion of Work
Energy Code:
Gur-ft':~ J R.,,-~ stto/
Radon Gas:
9 (ct S.s rar,A-,
.$. ~
) ok U+:r.Ly ~
FINAL 1-7.2-t!J 0
DATE
C.O.
DATE
Inspector ~
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or J /) ~
Contract Price I lJ.2 J. .
,
City License Registration # :2 Go
State Certified License#
Signature
Company
Address
Telephone#
/3. 1+ (p~S 1-.
A-,-~
tIeL
BUILDING
ELECTRICAL I ~ 1
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp.SeN. SLB
Rough In J 0 w J tr w 99 /5,1...'- Tub Set
Meter Can Water
Const. Pole Sewer
Pool Final
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM. /t:J-J~w q~ bl "-'-.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25.00) 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,
APPLICATION FOR PERMI
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
~B 2~ (CJ' 'f"
RECEIVED 'f/t7/l~
PLANS REVIEW FEE
I'
OWNER'S NAME 1-1 {f /2.01- () lJ A' Jlo
JOB ADDRESS 11./ '3 t fY1 ALJ~C{-I (IF J){l,
PHONE
1-.oT 13'1
SUBDIVISION I;""/~~(,O POl/'tlt
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL 10 # 1Jf-1&- ~l - .00 I.fD - 00000 -- 0 I :5'1
{OBTAIN FROM PROPERTY TAX NOTICE}
WORK PROPSED: DNEW CONSTRUCTION
~ITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLI SH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER ~/A.UPl
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF~K C4/lPlJIL;r . 1'lA' sep 61--1%5 ~ ,) -llooM.
I {fio>',2. U> ~:1 I
BUILDING SIZEf,( 1/-/lf}Cfvl I~ Gt.NI,flI>>tw S~UARE FOOTAGE 5sCc
HEIGHT.5Ec Pa~";>
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~DING
PERMITS REQUESTED
$ Jo.D1-1.f5
f
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER COMPANY {3 ~ If C~T72uG-n ot-l ~ C(3'f./T(lIK Ft,
. M --17 fJ STATE CERT OR REGIST # Cl3co ~'77 rz...
SIGNATURE -d J ---L::L ~ CITY PROCESSING # '24
******************************************************************
ELECTRICIAN \ cl~' )Q
SIGNATURE0Gche &-c !DR-
COMPANY /iCE &LEC.~
STATE CERT OR REGIST # G:. 0/
CITY PROCESSING # If? ?
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***********,*******************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
J4~ Z3~
SIGNATURE: W ER OR AGENT
K 73~
SIGNATURE~NTRACTOR
STATE OF FLORIDAj)A S;
COUNTY OF t L ()
The foregoing i~ument was acknowledge1&
Be~ this day of~prl'!hII!Ht. 19...u
by :: tJ ASOG(.,
~(name of person acknowledged)
~who is personally known to me, or
STATE OF FLORIDA i) /\ ~
COUNTY OF I ,....J~ G b
The foregoing in~~rument was aC$n9wledge~c
Before me this 7T day of g.Prhl1tliNl.-, 1971-
by P.tWuC A-:7Jsfi.6i-
(name of person acknowledged)
C1ho is personally known to me, or
and ~o 0 did
~/L
Signature of person taking acknowledgment
---VtlJC( t+< 1J5~tt /.t
Name typed, printed or stamped
Dwho has produced
(type of identification)
~id not take an oath
~
o who has produced
(type
and whoD did 0 did not
6~ A. (}UZ
Signature of person taking acknowledgement
~(l)JCr 4-.. /tSl7F,t
Name typed, printed or stamped
;; ~ Broce AAsbel .,."
*111 *tI'I eommi$liOl1 CC'f.
",WI; Elq)ires June 22. 2002
~....."
of identification)
take an oath.
....... Bruce A AsbeI
11 __.-1.oolnft CC74f!1lff7
* *My """,.,--
'l;.",~ Expire& June 22, 2002
'"': r'}'~" oJ..
~ ""- '\ i. ~
P !L,;~C :;; .
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,,';';;<:":"" . ..,' ;j~,,1nLt.
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fiftH) p'~.,..",~:_. ,:;~~ ' .~ -,
:P~N~':'~ l:h' DC
\\11 \11\ M~ \\1\11\ \I M~ m\ ~~
99129828
Rcpt:-36395B Rec: 6.00
DS: 0.00 IT: 0.00
10/13/99 Dpty Clerk
JED PITTMAN, PASCO' C(DITY CLERK.
10/13/99 03:09p. Ipsof i. 321
OR BK 4242
StAt~ l)t Yl.-o/llOA-
NOTICE Ot" COi-u.mNC;EKCNT :p,
County of 'fJ S( t:J
TUB uNn~ASICHeO hereby qlve. notice that improvement will be mAde to c~rt~in
r'eol1 pr/)perty, and in accordance with Chapter 713, Florida Statute!!, the
follO\o,/ing intor/:latlon 11 provLded in this Notlco ot COmmOnCl'llnCIlt.:
Parcel No. 24-2{o- 2/- 00 LfO - 00000- 0/3 r
/-0..,.-
street a
I.
e)
2. Ceneral DescriptIon of Improvement
J.
Olln'er Information: Nama ~/J EAr 120
Mclress 3V],fh1RlActlI7~DH !;ity "ZOIf'f'llHtu ~
State rc-.
Interest in Pr.operty:
Nam. of Fe. Simple TltlohQlder:
(If other th9n owner)
City
St.:lte
Address
.,.-~..
;('.
IC.- .
t. .
W
Contractor: Hume [J} /+ rDN~rfl,(/Crf()r/
^t1dres s I/L/ii.( ~O/IrE Sr
a=- c/..#TIlfiL ~...
City T?Jl-oofC>. VI t.,U3 '. 5 tate /=l. '
3t/6/1
S. Surety: Nutne
City
StIH.e
Address
flJ1Iount ot Bond: S
6. Lunder: Name
City
Stelte
Aduross
7 .
Persons within the Stat, of Florida
notices or other documont. may bo
71J.1J(I)(4)(7), Florida Statut..:
desi9na ted by Owne r upon ....r.c:n
served as p~ovided by Sec~lon
N.,mo
City
St..:lL~
lIc1drel.
8, In additi~.n to himself, Owner d'o.i9nates
of to roceive a copy of t~e
Lienor', Not1.ce 4S prov1.d.d .1.n Sect.1.on 71J,13(I)(bl. floridll Statll~cs.
t~plrnLlQn dn~. ot Notice QC Commoncomen~.(the
tr?m the u~to of rocordin9 unless a different
.Si9natuu of Own", ~
Swo'n to and 'Ob,e,_. JJ ,tit. ~ day 0/
19.!li.
') .
explclltlon d~tu is 1 year
date is specifled.)
oc(D t5€(l.
NOl,)ry Pllblic:
~A. aJxi2
. M.,/ Com;nl !l s ion Expires:
. BruceAAsbeI
* *Vt ComI1'1iSSiOI\ lili I 4t1O I I
...."'l '/ expires June 22. 2002
.......
'C9IOIJO. ,
I
/
~
8--,2,5- -91
Licensed · Bonded
Insure(j,
F.-ee E$lln1111.::>
B & H CONSTRUCTION
Room Additions
Aluminum
Cdncr818
-f I~O
.5b{/c!
t!..f> / c.K
~Olll
Subdivision
lit 800-~~4-1 ~6 - cI
A:POt.d ~/R
Brick Skirting
Steps
.~p 10 GLASS ROOM WALLS:
~ In COIOI AM\1ng Of Slngl. H~ WW\dow,.ln$ullled &I'ld Cowed INid. ;2o~~
J'IfT\ COIOI Wall. .LS::..~._+_' J7 llF I I~CO ?
Slim COIOI Pasco 000." ..;............,.................,.....,::......,...,...., (11 2~CO
~lIllvm"\vm lools II'\clvO': Pans, Trim, Guller, Downspouls, 3 x 3 Posts, 'R' Syslam Insulal.d Root ----.:. 'x _ . _ Sq.fll llS
? I j Bt lms. 1M Sl1,nQlt FII sl1. WIr. 10 EIectr1c Cod. (Mnmum) ...,:.................,..........,.."..",..,...". moo
.:1./ PillS /~ FI.lon9 rt?3 sq. Il150 us /f;Kl ro Misc. 7"'5#11 ~Jbcfl tVl;'~ $06
Pins FI.Lon9 sq. Il150 1&S
PIn! FI.Lon9 sq. Il 2.50 1&S " ~ap Sklr1i19 UF I 5,00
..........................................................
PIn! FI.Long sq. Il 2.50 2.&S Flu Sklr1lnO UF I 4.50
.........................................................
'. r."c I Flo"l RUI lIE I 1.0 Hand Aa/llng /h 22'1" all
......................................................... UF'1<.OO
j""n., Of\ f"iomt . .... .................... llF I 150 Slip Ranng (npludu 2 pOsts,
1/ t;"; OD ........................... EI.'6~.oo
::'1011 Bllm WJ'~ on Flo"l LOld .......................,..................... tl~OO . X 7 Oa/ao~ 0001
l/f 1 (.2S .......................'..'...;;;......""....'."'..""""'..'."
? I 6 811m ... . ....... ...................... IS 1 7 0"'0' Ooor H€.6.rlEB......J.rD..a,Q,.........,..".... p-~"
1 I 9 Bllm .....,......:.......... ~_ lIE I &25 /.m,ot'J MI..c.
'R'Syl1lm InsvllllO Rool _ I _' __lq.1l1 2.15 Aluminum Total "3~~
"'C(/II 0001 3 -/9' ;5[..3........../3.............. (1 I 3i00 1/3.. (,5.5'0
""'IS( .5Tkoe r uJ(A L IAIlJ ~ 4:J g. t.. t'), 111") Concrete and ~ Wor~ ~1t) lq.h, x ..hl!t:J '7t>J', t'O
P,lIo Slab . 1 / .
11..:z., ~() .
SCREEN ROOM WALLS: rA-AJ d(;AI'1 Pallo Slab .-L.x /9, . /t,I~ Iq.h,l ../LPc) J~~,;(j
J( 0('1. 1'1111' 6vlllln Scr,w,d On VS O/S' . Sid, walk
_I . sq.I\,x_
'6 KiP 0ruy - - . - , - . lIE 1 2n00 Sld.walk
, ----..:. x . sq.h,l_
I .j? I"iP - - . - , - . l/f 1 2200 ~x /:1. ..2 Y () lq,h,x~ ~t)~OC
OrtvtwlY .
I >CIH" vOOI(lIlroCIVOII:
<Iy '.CC'. CIOH/. TNIll'oO~ O/lv. WI Y _I . Iq,I\.I_
......................................... lea 00 .........t."6........4-,ET......",.............. h::b ...? ~ ,2/)
Orlv,way Flairs
:'1:" Fill ..................................... l/f 1 In50
I ; U\ Bum (1'oC1 ,^Ied) U 1 '5.00 ~ Condition" Slab ...............................................'..,...,........,..
... .'. .................................. -
l.o(lSC RaIsed UUBIy Aua _"n' _3 In' SQ.". ,.t;1iJ
I Aalsed Patio -L5::.. x /2 . /30 ~9&,,~
I UTILITY ROOM: Raised Pallo SQ,I\,I_
'In $/'\tQ UF X 25.00 _x .
i - . -- - . - . UFx.iJ!?
HIif' ? I ? AlVIn 01 ? , << Wood SludS on IS' C,nl'rs, ~OOI" (8 X 16 R.nlorc.cl) ........................."......... ~
"hlrTnOOII 1 Trud SliP, ..................................................., EI,I_
I .10 Erlt('OI.JL ..iZ.L.L2.... f:S.... lIE I ~OO / / ?t"'J ,'^"" .3 EI.l~CO -?~~
2 Tread SI'p ....................................................
~ \.. II Doc., 1/'lO ! 1'1 flO?.. ...........,:.....................,.........- 1 JJ~CO ~ Trud Slip .........................r-........................ EI.'_
):>"011 Ehlll 0001 aM 1 't{l(Yjow ................................ 132i00 SI.p PlATFORM ...i.l.'.f..........?~~.J...... ,Z EI, Ias;.~~ :? !II), tJCJ
~Iil'f 0001 (H1tI) ...... ...................................... 1 135.00 SpUt BIode }J( Sladl SkIr1in9 - -..... -.....- ~.-. Vl'x_
51.011 V1.t'i()Ow (tl'll) . ............................"............. 14400 Max HIgI......................,...........................,........,. UFx_
3~SI . " ..... ........................................ - l/f 1 17S Spat BIodc Ski11ng Soud ...................;.................... UFx_
I/o~b 'l,!Jh .r -ut;I7.1/A.;P / 99~ 9~ Slucco SldI1lr9 WI" Vlnls ..................................... UFI
lo\'l~ ~ -
VINYl ROOM WALLS: Plant.r. (4' .old .plfts) ..........................,.............. UFx_
~oO PI~II BVIIi In ~c"w.d On VS OIS Plant.... Badc-up WaI ..........................................., LJf 1
FlIOIr1 ~ ~Ad 6";;T .,f'M;,()C) - :fL()/06
I ( tJ? ()nly -- - . - . lIF 1 52.00 ..J6..e
l C) E c"!"O' Too & Bonom P-tf~'T"'EA T , .........
...................................._l/f 17,00 MIsc. 'ls,r~
In\vll:t & O::ovtl vs rC\o and 80nom ..................... liE 1 7.00
Coo'IIf'(j'.m l'j TllCk Un.l11. ~--qf;t'lf Concrete , /'{7, bO
:::(~~O~I~' ....ftt/~'...." Aluminum 6.~n,t95
,
, Permit i-
t ~' "V' -v .- ~ ] -
~.I '1I0"mln\f,,0 1f\0 m~III,'11 9vlllnllld 101 on. yiu. A FINANCe CHARGE 0/1.5,., pet monlll will b, Iccesud on.1I Tax -I-
.n~I,C 1((~lInll,n 11:1111 ANNUJ.L PERCENTAGE RATE OF II,., Plus allorney', 'u.1I n.cesSlry 10 colleel, Total /02:17, 8:5'
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KENNETH C, ZECHIEL, PE
CONSULTING ENGINEER
8766 BARCIN CIRCLE
~IVERVIEW, FL 33569.4950 .
MA,)C. WI~O :: Ilo 1o..\.P.1-l
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FOR:
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KENNETH c. ZECHIEl., P.E. 09931
. KENNETH' ZECHIEL. PA
EHClINEEI\8" lUlCHITECT8
KENNEn4 C, ZECHIEL, P.E. OH:tl
17" BARCIN CIRCLE
RIVER VIEW, FL. Ian.
TELEPHONE: ('11) .n-7882
FAX:('1I) .n.711.
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