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Home My WebLink About00-9141 t/Oe BUILDING BUILDING PERM!,! 09141 CITY OF ZEPHYRHILLS (813) 786-6611 DOl' 1/' /00 '3.5. ~ :2$.'~ PLUMBING MECHANICAL 3S..~ Property Owner: :zca. Sewer Conn I') 7 I) , Water Conn: 3:>o.-!- Water Meter: I "iO. ~ T.I.F.'s: /y,SO. ~ .-. , .J.. .1'." . 7"d) I :;,.- 1'1, o. ~ ELECTRICAL - 0020 Inspector / - / q - 00 2 f,L DATE It> CJD DATE ~ NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. A-c.~ [(Of Pe'm;t Feet};! 7 }[ O!; - Signature f 1 tI(;Jl& Company Address - Telephone# 1tz- lar flIIc, ~ k \I P lr' p~ A ~ J;! Me.Y f 1t2( Valuation or Contract Price City License Registration # State Certified License# f11w. S;.l.c.1l V ~ p~ BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SLB Lintel FRM. 'nsul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/1 00 Dollars ($ 25.00 I 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 DATE RECEIVED J 2l!>tJ 19 q. PLANS REVIEW FEE OWNER'S NAME I:; (lit N ~ I-~ FE \/GlL /\/6utofV\. j4-ve PHONE 7rz - I oto '-{ JOB ADDRESS 31 '752- LDr 2- SUBDIVISION (;/lIf/UO M41 z,of'/ LEGAL DESCRIPTION: LOT(S) J q - z S- ... ~ (- (Do 10 - BLOCK PARCEL ID # o ( "3 r.QO - ()Olf'}IOBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION [J REPAIR [J INSTALL [J SIGN PROPOSED USE: ~ FAMILY DWELLING [J COMMERCIAL ~VE [J DEMOLISH [JMULTI-FAMILY [J INDUSTRIAL [J# OF UNITS [J SWIMMING POOL ~ILE HOME [J OTHER DESCRIPTION OF WORK o RESTAURANT & HEALTH DEPARTMENT APPROVAL /Yl D t//~ 1-10 I1Il e- 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. / flA()ljf.- /tIwtt {~41~ [!f BUILDING $ 53'1)0. DO ~ PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION ~ELECTRICAL ~LUMBING ~ECHANICAL AMP SERVICE ~LORIDA POWER [J W.R.E.C. $ 5~.co VALUATION OF MECHANCIAL INSTALLATION [J GAS [J ROOFING [J SPECIALTY [J OTHER TYPE OF CONSTRUCTION: [J BLOCK [J FRAME [J STEEL [J OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES ~ SIGNATURE f)1Ui&~ COMPANY I'YJ 4Ilt;~(..L PHE<.-f$. STATE CERT OR REGIST # :s= Ii 0D00 50'7 CITY PROCESSING # BUILDER ****************************************************************** ELECTRICIAN d~ cJ3 ..ef{Jc-UrL- SIGNATURE 4Le I~(IL(C COMPANY 4-cC?- 4/( -4-2!Q J( STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** SIGNATURE ~ COMPANY fYJ AIlblfAO- pt-lG L/ s: STATE CERT OR REGIST # "1= J-I ()Ot)tJ""Jo'1 CITY PROCESSING # PLUMBER ..:... */ * * * * * * **.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *$t. * * * *JJ: 7<. * * * * *(!! ~*~ * MECHANICAL C/l ~ ciJ.R.k!t ~ COMPANY 02.- c.. ..{. y- STATE CERT OR REGIST # SIGNATURE ----/:!rLP 11-1 fl (OtJP , CITY PROCESSING # ***************************************************************** 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 $2,500 IN~:)1~~ TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT STATE OF FLORID~ AS (. 0 COUNTY OF The foregoing instrument wa~a~>>owledged~ :;fore ~~~~:- -2f:dA.<;1-:ff'~f7r:/l, 191ft ~~(name of person acknowledged) ~ho is personally known to me, or STATE OF FLORIDA ? fg l 0 COUNTY OF The foregoing instrument was acknowledged Befor:gme thjsodal o~ !ylP;JKl;fi~ 19.-fi by ~ 11 VC" r: '.. ~ 1ft- ~name of person acknowledged) DrWho is personally known to me, or Dwho has produced ~ype of identification) and Wh~~~:A ~d not take an oath ~ A. fl:A& Signature of person taking acknowledgment J3(LUGI~ Ii. IfSf>&{, Name typed, printed or stamped ,t" ~ BI\lC8 ^ Asbel ;i1I *~ Con'\I1li8IIO" CC748S77 e-, explrea June 22. 2002 Dwho has produced (type of identification) and Whn[]~d ~ not take,an oath. DAJU iI.~ Signature of person taking acknowledgement B1L()u~ It - f+s a& L Name typed, p~' t~amped * *Mv commission CC748877 ~ II Expires June 22, 2002 ""lff\.'- SQ. FEET PRICE MAIN OR LIVING AREA OTHER AREA UNDER ROOF OTHER 30--1+ Mvr-::>~l'l-i ?j-? 7? 2- N()UiL~ -1..:'-1. LU T "'2... _'7.--' ~\.,..-~, 0 -~t7 .'" <'""'\ ~" ,.~:y;v \~. BUILDING: ~O, v ~ ELECTRICAL: .~c;. :.JO PLUMBING: 36".. u ~ MECHANICAL: z-). "j"V RADON: }J/JIr ~10 CREDIT: tJ/fr ~ . , , Clh1 :r= .r /'. 'j cvr' SEWER: WATER: TOT AL: /275. ,:..'~ o I 7S Co..,"". .35D.~ D - ~ ~ -= .. Ii1L I io. ftJ.. ef.er ot>.~C ~9 T.I.F'SI 1,/j-gO.JD I ~ . 3, Of '2...:~. <:f<> I sr ATE OF FLORIDA COUNTY OF PASCO THlS IS TO CERTIFY THAT THE FOREGOING IS A TRUE t.ND CORRECT COpy OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE. ~S MY NO AND OFFICIAL SEAL THIS~AY OF ~ RCUIT COURT EPUTV CLERK .. 111111I1111I1111I1111I1111111111111111111111111111 00001795 Rcpt: 382427 Rec: DS: 0.00 IT: 01/05/00 6.00 0.00 Dpty Clerk JED PITTMAN, PASCO COUNTY CLERK 01/05/00 03:58p. 1 of 1 OR BK 429 1 PG 993 5 tat e " t FIAJIL l D fI1- NOTICE 011' COkKENC;!H.CHT County of Y A-$ C. 0 7UB lIl-lOeRSICNCD hereby ljIive. notice that improvoment will bet modo to c:lrt.:lin re.31 property, and in accordanoe with Chapter 713, rlorido StHuteD, the follo....i.ng intorrnation i. provided in thh Notice of Cornmoncrnncllt.: I. Oucription of Proportyr Parcel No. sL/- ZS- -21- OOr 0- tJ/?>CXJ- 002.-0 '3'7 52- N/3,uKoM. ve . J-o 2- ('9~ ..cr~pt~on 0 . proper y an .tre.t 0 e) mlJVIA/G f.laMJ~ (2~>~Trl #0 ," Central Description of Improve.ent DF- tJoM I~ 2. J. O\~n'or Infornlationl Name /J11L~, t::/2Af\Jk. Lt: ;:~(/I=IL MclreSl177~1- NWKoM. AVE City Z!;IHY/Wf(,l,$ stHe FL ' Interest in Pr.uperty: NalRe o.f re.e Simple Title~olderl I 100 Lo;:L k I Jt btJ r I J? I f II )t +1+7' I II.. stAh 11\/ y ,no h /L6" 1IoJ'H C J!I~c( /.21 \:.,.... ,..... , O~(/)~~ .on ~ ~ ~ 1.,< N()~~'- tn ~ rj '-, - ""d~/~ '"1'" ~-". '..... ,..~.. fl 6 - ,.....,. \,)0." t"' Z \', Vl ,... o tr: \2'" ~'09'~'; o ':P'. l"d () I- ~eror' ~n~g~ a~~!fl . 0 .. I tfS I II .27 / .2.. I ?/dG IUH-CK ct J}j ~/d ~oM ,:; ~/TA.JLf fAR I CO.v '<: _ V .s,Rc~AI /?tx> -"f '('IIf(f&tf.r ~1(;E4JAY ~(j ;" ~;f /5/ / /7 .29 / l:l / >i /" ItJO >/ B&H CONSTRUCTION OF CENTRAL FL, 4025 MORRIS BRIDGE ROAD ZEPHYRHll..LS, FL. 33543 Q.O patet 1-813-782-1064 / /' SUB}...1JTTED TO: DATE: 11- /1- 91 NAME: Mil ~ mIL; LeFev""E ~ STREET: CPttl/NP HOIL( 26N LDT 2- PHONE: STATE ZIP CITY: PRODUCT SIZE UNIT PRICE EXT 10 ~ ~ p~~;() ESTIMATE GOOD FOR 30 DAYS BALANCE DUE UPON COWLETION SUB TOTAL PERMIT FEE TAX TOT AL I Oc:alctlJn:ltAller fl)A~AJ..1... Pf.lEtPS Lio. " IN 000tJ3o-r .---..--.. ... ._~ CUSlOm.tr: ~&me:. .~Ic. Le Fr;vE,(l .'.ddtc:ss: 3'l?2'.?: f\/Eulc.clV\. /J-VL:: ----L.DT z.... Cit},. Serlte, 21p _ 'k:5fJ l-tYflIH lA. >, p-- ' I Pocket Penetrometer Test · TC5t the perimeter of the home it six (6) h"lcatinn.. · Take the reading at tbe d~pth of the: foot.!'. · t:tina SOO LB i~remcnt. take lowest readioa ilnd r.,aand down to tblt Ul(rfmol\f, 1- perimeter d to,t loeariofta fl..... ,'''14/J/f'lI'!'''' Wadi> tH-. ~~ .f, 0.:1..0.,. f. ,"" It'' ~ ,~tr 11" x \8" 20.1 X 21)" 26" x 26M .ljOO psi 3000 Pit J!OO psf Shlldtd areal ate at Ute muitT",u':l oisht flet sP~d~B. 10-d 1:z:90LL9 :z:18 ~3"~~SNI HW "~HS~~W W~ SZ=60 66-8Z-~3a Dcalcr/Jn:ttaller fY}AP5HAI..,,- f)flEI-PS Lie. " III tJOOtJj07 -~ ....-- CUS10m.U: r K L Address: 1 ~ _'1.'-_ 'LJV 61 J K-o M f+\J i: ~ ('if}', St4te, ZJp 2ERl:t!Jl~$ fA-.. ~&me:. . l-Dl' ~ Pocket Penetrometer Test · Teil the perimetcr of the home it six i6) h")cati.')n~. · Take the rcadit'l.g at tbe d~pth of th( foot'!. · t.:.ina SOO LB inc;rement. take lowest roadina 4nd r~_ down to tbat Ul(rfmel\t. l' perimeter tolt locations "ory. .,.""..,ron,,. ~."'.\ tH..., if ......"'.P .., l>f:t"'.~' 4. ,,,,, -- ,. -= ~~i . t.' .. 16" . UI" U" X IS" 20" X 21)" 26" X 26M 4' 'l" .' ,.,.. . 1';00 psf )1)00 pti! J!.OO pst "'6" Shuded area. are at the mUi:r',u'n oilhe f,et sp:adI'8. l0-d llE:90LL9 lE:lB ~3"~iSNI HW "~HS~~W W~ SZ:60 66-BZ-~3a Z00d ~ "'.. ~ -~ -0 ~~ ~ ~~ )("~ - ~\ C ~tb ~ '" :$> V'\ ~ ~ ~ t~90.L.L9 ~ta l)\ -. 4:- Oc) ~3"~iSNI HW "~HS~~W W~ 9Z=60 66-aZ-~3a