HomeMy WebLinkAbout99-9009
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
9009
,,-/
JfO
Date
11- /7- ?<;
Property OwnerC-'
Job Address:
Parcell.D. #
ELE~AL ~
Jj/(tol.~ ~~.->~
. /J In /,:J. - I ~ u 6-"""L-
p.~~-~~;~
Sewer Conn
Water Conn:
B~'
Water Meter:
T,I.F.'s:
Zoning:
DescriPtion of Work
f!)~{l COde) . Radon Gas:
, C A~- 'Yv-C-
NO OCCUPANCY BEFORE C.O.
FINAL /z~"~- 9'7
DATE
Complete Plans. Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
ELECT~
~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Permit Fee
~~-~~~-~
Company
Address
~p~on~7$7-.s3{P- 303.~
fl---&~ ;te~.
.--- .-.-. -I-- .<..t:.
C:;r.HANI~ .
---.........
Inspector
Valuation or ~ ,,;;z I <1 0 ()
Contract Price ~} '.:2, ,-
City License Registration # ,;2 5"'11
State Certified License# t!.../I t!.O ....~/f ..1::2-
BU~'
/'
PLU~.
~
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons. a
charge of Fifteen and 00/100 Dollars ($ 25.001 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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
(!f::f~. /f~'~; PH~NE//3-~rro~~~
/ /-& e#~:/./"--1//k /-L' ~ ?
/'
OWNER'S NAME
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
PARCEL ID # //-07 c,. - c:!P /-
//- /'1-99
DATE RECEIVED _ ____
PLANS REVIEW FEE
BLOCK
SUBDIVISION
WORK PROPSED: DNEW CONSTRUCTION
tJ tJ / {) - // L.jc:JtJ - (OBTATN FROM PROPERTY TAX NOTTCF.1
C' 6/.00
D ADDITION DALTERATION D REPAIR D INSTALL
D SIGN
PROPOSED USE: ~ FAMILY DWELLING
D COMMERCIAL
DMOVE
D DEMOLISH
DMULTI-FAMILY
D INDUSTRIAL
D# OF UNITS
D SWIMMING POOL
D MOBILE HOME
DOTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK t!-4//~t!., t?V r:& k./7 /tl,)"..e- e-r S/ Cc,/:J/S';;/s" k.r;n '?~/79e..2
,/ g'........-?'-~e.rS',
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
D BUILDING
n li'Tli'f"''T'QTrll.T.
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
D W.R.E.C.
padmE~S JO pa~uTJd 'padA~ amEN
~uam6paTMou~~E DUT~e~ uOsJad 10 aJn~euDTS
q~EO UE a~E~ ~OU PTI={] PTPD OqM pue
(UOT~E~T1T~uapT 10 adh~)
pa~npoJd SEq OqM 0
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(paDpaTMou~~E uOsJad 10 amEuj
-:- 61 I
paDpaTMou~~e
Aq
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seM ~uawnJ~SUT DUToDaJ01 aq~
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VaIMO~~ ~O 3~V~s
MO~JVM~NOJ :3Mn~VN~IS
D FLORIDA POWER
padme~s JO pa~uTJd 'padA~ ameN
~uamaDpaTMOU~~e fiuT~e~ uOsJad 10 a~n~euDTS
.q~eo ue a:lfe~ ~OU PTPD PTP DoqM pue
(UoT~e~T]T4UapT ]0 adA4)
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~o 'am o~ UMou:lf ATTeuosJad sT OqMO
(pafipaTMoU:lf~e Uos~ad ]0 ameu)
61 I Aq
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CONDITIONS OF PEI~IT AFFIDAVIT
~. 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 portiorrs 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".
r^- t,) /.2 /0 Il
1111111111111111111111 11111111111111I1111' 11111111
99145802
NOTICE OF COMMENCEMENT Rcpt: 371884 Rec:
OS: 0.00 IT:
County of 11/17/99
6.00
0.00
Dpty Clerk
State of
TUB tmoERSIGNBD hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following infor~ation is provided in this Notice of Commencement:
1. Description of Property: Parcel No. //-f,..:2 t,-c? /-()G,//~) -- // ~CJO-r7c2.oo
(Legal descr~pt~on of the property an street a ava~ able)
2. General Description of Improvement I-/~/l T //1/ C Y {!OOL /N (;.. ~S'7 c.'/VJ
JED PITTMAN, PASCO COUNTY CLERK
11/17/99 12:24p. 1 of 1 '
OR BK 4263 P6 634
3 .
( 3 L.1J rs )
?; .L___~
O"ncr Information: Name,&dr ,~A~ I
llddress ,~-0/~ /~~ ~r: City ?~/-~
State rk
I nterest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
Stilte
\J\
Contractor:
Name /7- /..-51::/};<" IJ{J,/3d)< It'L/.5"3 /~4, ;:-L/? 3 3 ~ f'?
Address
City
State
5. Surety: Name
Address
City
State
Amount of Bond: S
6 .
.L"
Lender: Name .:;JE/'l ~S
3 ! :2!J- /-eJ R S Y T/-I /?D. UJ //1/ 7E R RJ/Z K' ~M .3;2 7512.
,
Address
City
State
7 .
Persons within the State of Florida
notices or o~her documents may be
713.13(1)(a)(7}, Florida Statutes:
City
designated by Owner upon whcm
se~Y~-?E o'f~l(jRfeA'ided by Section
:OUNTY OF F!1SCC
r;~ls IS Te' Cf2~!'Y r~''''.1 THE FOREGOING IS A
m'l~ AN!, (:':,';";:("'.,'",' ,1; ThO i)'1CIIMFNT ON FII F
I'il OF pur,"''::. ::C,'-",<, ':,: "LS~ u' FFIC TNESS MY
':m' H!, ""-'- '~.' Till or,'y 0<
' ;!~" '-V," r
"-' "-'" .---- ..19
JED P1TPIiAN, CLERK Or CIRCUIT COllRT
tJ~mc
Address
8 .
In addition to himself, Owner designates
of
Lienor's Notice as provided
qV t ~ D.Gf the
~n Section 713.13(1)(b), Florida Statutes.
'). f'xpirn1 .l.'Jn dnt.e of 1lotice of Commencement. (the expiration datei:3 1 year
ir-:>m the clate of recording unless a different date is specified.)
SignatureofOwner:)( ~~/l ~~Jh
, if - "
Sworn to and subscribed before me this ~t?
19#-. ~ A/
Notury Public, ~. ~4"
-...,...,-
....
day of
, !
/t t7Y~;IY /~""""7L
t-l Y C:.l on ..li s s ion Ex p ire s :
PC93053048
'0' Robert L VIIIrtz
*~ *My Commission CC6871129
"'.....:Y Expires October 12, 2001
~,.,-d vz.-kc L'r / / // 8
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