HomeMy WebLinkAbout99-9035
BUILDING PERMIT
.
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
09035
"/lCj 19~
4S.~
BUILDING
Date
'JS. ii&
ELECTRICAL
:2S. ~
PLUMBING
MEC~ICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel I.D. #
~;",n4 ~<5
533 S- lo~ "+-,
t I.... :2 ~ - 1 , - Do i 0 .. l '"15 (> <J
Water Meter:
T,I.F.'s:
~ 00 ~ 0
Zoning:
Descriotion of Work
Energy Code:
""-d cI S~OWe.r
~
Radon Gas:
b~ cr- 2wo..lI{"
~~k
LA,; j!:J v1-
,
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
1'2-.- '2'2 - 5J 9
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
5o~.flt7r,,", fJ u: \de...-}
Fe~ fIe,.
Inspector
Pe,m;, Fee~
-Signature_' ~
Comp~
Address
---Telephone# 7 ""0'-/ 3 r9
g~( ( Plub-ob.
Valuation or
Contract Price
Lt/?o. 0rJ
,
City License Registration #
State Certified License#
,.~.~
BUILDING
ELECTRICAL
PLUMBING
ME
Ftr.
Pre SLB
Lintel
FRM. /Z-/<f", 9t:; @
Insul. CL
WL
Tp. Servo
Rough In IZ-N. 99 ~
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set J2-1't~9q~
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 DEPAR , J
(p-\\ ~ ' hr
OWNER'S NAME ~/~I N1>d ~N Ie .5 . PHONE. 7J'.1.- 9 cr I ~
JOB ADDRESS -5-33r- ~ 5"'( 2epJ,r-i t ffr. R/
LEGAL DESCRIPTION: LOT(S)
7~;5- (~~9 .
TE RECEIVED II P1 /9'
LANS REVIEW FEE
BLOCK
SUBDIVISION
PARCEL ID # _\ l - 2,(0 ~L( - do 10 - (7 S-06 -CJ'() 6 0
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: []NEW CONSTRUCTION
o ADDITION
o ALTERATION
o REPAIR
IE INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: ~GL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 11-,00 SM:k..<Je.R.1O ()ATH J- 4\00 2l.J'A-tl5 l.!). J/J-eI<. cAi:.fb;q---
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
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANI CAL
$
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
COMPANySO;)7'!fej?AJ (1 U1 L(J-eR-s
STATE CERT OR REGIST # R~ t'Ja 6'..c:..&:.?i ~
CITY PROCESSING # 6~
********************************************************
ELECTRICIAN
\G-n'Vl4L~ ~.
SIGNATURE
Ri
COMPANY \=€:.E:. 'bLE C-lll..\ Lc
STATE CERT OR REGIST # Ee.. OOO'-t\c:.4 D
CITY PROCESSING # ,~
PLUMBER /~~ // COMPANY
(~ATU~;V~~ ~~*~E P;~~~S~~N~;'S::tt/.z:
" * ** **** ** **.***** ******* * ***** * * ** *** ** **** ** * ********** ******* ** * *
MECHANICAL
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
'....,~ ::"W'."~'"
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".
~9d~ #~L.J
S GNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORID~
COUNTY OF ' tL--1 C4J
The foregoing inst~~ent as
Bef e thi~da of
by
~(name of person acknowledged)
urwho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
acknowledged
19
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type
Ddid not
of identification)
ake an oath.
Dwho has produced
(type of identification)
and who Ddid Odid not take an oath
Signature of person taking acknowledgment
Name typed, printed or stamped
Name
q,..;:r"c\)~ 'v
~\.)ltf-~ Dvi,UJtilb
,,'-2 .2 ')-- ,.,., -fJ... ':, 4-_,
J ';I') , ~.. ..$ ,
SQ. FEET PRICE
MAIN OR LIVING AREA
OTHER AREA UNDER ROOF
OTHER
H.liO VP\W.
,
BUILDING: . 4'5; v~
ELECTRICAL: 2-5'r c;:::.
PLUMBING: 2'5. 0 ~
MECHANICAL: jJ I/t
RADON: tv/It
CREDIT: J.1h
SEWER: rJ!h
WATER:
TOTAL: <."
I
T.I.F'.sl rJlw
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ALL VI;,. CUMPLY
WITH l\.LL .. iL,~ t '.__ING CODES,
ST' ^ l\. rn \,I~''\ -r .' ,', T ~ PLUMBING
J-\J'11 i jj L \' ," '<,J, ,
ME('-'" r- ,,"",, \L ", T I' r A 1\.TT"\ CITY
",:-11\1' '..r , ('i.,' .....,. I'li':U
OF Zl~">;'" .., v 1;1 1 p 0'-' ,? <"~,""'"TAlI..TCES
_' 1 ~ . , .. '-" ,l . J~ /1 I l'{ .
;<--
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FLA, '917 LAW.
F. 713,13
NOTICE OF COMMENCEMENT
SEMINOLE FORM 408
State of Florida }
County of \
The undersigned hereby informs all concerned that Improvements will be made to certain real property, and In accordance
with section 713.13 of the Florida Statutes, the following Information Is stated in this NOTICE OF COMMENCEMENT.
o.""pllon of pmp.rty .s.l.iY. !:9. ?.e. ~r.:7. J. ?t . . .d:P.~e., . , . . . . . . . . . , '1' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . .
,.....................~3.~r.~~....~.r.'....~.~.r:h..~..~~...E~........................
................... /1. .~.?-~.:-:-.. 2J.:-::-: .q.~ ./..~.... .1.1. -.S~. 9....0 .C>. .6. .0.........................
General description of improvements .. (\Q Q. . . :S. tiP ~. .'T"P. . ~l..r.n ~ . .~y 1-1... . . . . .. . . . . . . . ..
Owner . .~L,,/ #I1/.A. . . . C~.~ l<.S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , ,
Address S..J;;:$.~~...~. ~~... .~.C.. 2f:p/7.r./..~.1 (~.. .8:-........................................
lPIt.PAIt. IN DUPLICAT.'
R
Owner's interest in site of the improvement.... i:>.u...J .~f4..................................................................
Fee Simple Title holder (if other than owner)
Name . ~Lt. :N.NA. .. . . tD~ ks.. .. . ... . . .. .. .. . .. . . . . .. . . . .. . . . . . . . . . .. . . . . . . . . . ., . . . . . . . . . .. .. '" .. ~.. . .... ......
Address S 3. ::3>. ~ . .~ ~. . . . $. .r..... .. . .. " . . . . . .. . . . .. . . . . . . .. . .. . . . . . . " .. . . .. .. . . .. . . . . . . ... .............. ...:.
Con"...o,. ,5~~d. 8...,.I~:<c~........."......"..."..,.... .il'.........,......,......'.'.....,
Add,... . d6'i:1 (..., .S~(1"r'f.. .~..., 2 -epl'r: 1-, ft r...E t;., :.3..-J Pfl..,
Surety (if any) 2e. .. . . . . . .. . . . . . . . . . . . .. . . .. . . ... . . .. . . . . . " . . . . . . . . . . . . . . . . . .. . . . .. . . . . .. . . . . . . . . . .. . . .... . .... ... . .. . " . '"
... .... -..
Address..................................................................................... .Amount of bond $ ...............
Any person making a loan for the construction of the improvements:
Name ...........................................................................................................................
Address ........................................................................................................................
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name ..s;.O.v.TJf:f>/?t:J... ~.Y~.~el?s.......... ...................... ...... ..... ................... .... ....... ....
Address J.4>.9.J..1.. . . . J. .'.8:.c. .. r!i. ..W .. :-. . . . .. . ... . . . . ... . ... . . . . .. ... .. . . .. .. . . .. .. . . . ........... .. .. .........
In addition to himself, owner designates the following person to receive a copy of the lienor's Notice as provided in Section
713.13 (1) (hi, Florida Statutes. (Fill in at Owner's optionl.
Name .,...$q'~~'-'~'./" .A."-!:1._LJ2.'f?~r.......................................,.............. ... ......... .....
Add,... T2 ~%.~ ::.~~~;:::~~;~ ~;;Y.". W,....,....".. ~;;~~,.., ';;;:Z~.. ,'.,
'A... ......................................................
,
/1111111111111111 11111 1111111111 111111111I11111111
99148284
Rcpt: 373144
OS: 0.00
11/23/99
Rec:
IT:
6.00
0.00
Opty Clerk
Owner
Swo,n to and 'Ub'.'~.fO'. m. 'h" ,???'. ~.....,..,...,.,.....
........................dayof . ./c .~~.................. .19.9...~.
JEO PITTMAN, PASCO COUNTY CLERK
11/23/99 10:23a. 1 of 1
OR BK 4266 PG 553
.............................. .. ............ ..,.....
......",.....'....-.. ~8Et!Ul:Jlblic
!.,?Jrt). ~\ MY COMMISSION' CC 8,19340
1.:: ;. EXPIRES: April 3. 2003
~ ..... IlcndId 11vu HolIIry PubIc UndIrw!iIIls
Rt....
PROPOSAL
@@QDu!Xl@:wfm BUILDERS
~ S.R. 54 West. Zephyrhills, FL 33541 · (813) 788-1359
~3,,~. 0..:: J Lie. # RB0066683
Page No.
of
Pages
PROPOSAL SUBM.T.TED TO:
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PHONE,
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P' ',___~
JOB NAME,
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,
DATE:
NAME,
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STREET :
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STREET:
CITY,
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STATE: I
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CITY,
J STATE:
We hereby submit specifications and estimates for:
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~~e..~e~propose to. furnis.,~ ,Ia~r ,~~d ~:eri~'s - complete in accordance, with t~e-\above spe~if.~~ati~~s. for the sum of:
~, ,,' ,'- ~I I Ii, .5$;;,.';1;;;.",. t./ &-c;-~'J ./~) .."I., . , .
1'2 .I ,4it j <; "+,,-/0 ,~. dv..::.W-..i( .....;... ~''''/~~''''J;;iJ. ' dotrars ($ --;~"d!J;""/. ~with pi1\i1ent'lo 'De made as follows:
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All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according}o standard practices. Any alteration or deviation
fronvabove specifications involving extra costs, will be executed only upon wrilten orders, and will become an extra charge over and above the estimate. All
agreements contingent upon strikes, accidents or delays beyond our control. This proposal subiect to acceptance within
thereafter at the option of the undersigned.
/'
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Authorized Signature -::::-r;!;r~.-,~ /"<~t' ~/1
ACCEPT A~ OF PRop,6sA'L
days and is void
The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payment, will be made
as outlined above.
ACCEPTED:
Date
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Signature ~ <:
I~
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,Signature
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