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Home My WebLink About00-9205 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit 09205 1()/2000 . Date J/O,~ BUILDING S- ~ V.....- ELECTRICAL 40,~ PLUMBING MEC~ICAL , Sewer Conn Water Conn: Pmperty Own" Ze1r ; k: \( '> 5/,,< ") 4kr (., ~( Job Address: 'i) j -,o1h 5.1. Parcel LD. # ("'\- )(.,,-2(- 00'; ". oSq DO. DOrO Zoning: Energy Code: Radon Gas: Descriotion of Work --1<e..... or! Cl.{ ; -"\ -\Qr ;0' 0 ( ~iV,') ~:"'j ill.(: lel ""J Water Meter: T.I.F.'s: NO OCCUPANCY BEFORE C.O. FINAL 5"- z: -cY t1 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. Inspector DATE ;JZ '+ (,C; Permit Fee 00.,_ - Signature ------'"/~ h/l. - Company Address ~ Telephone# ~l? - q f4 - 0'128 {~ f I /' Valuation or Contract Price ?~I 000. ~ . City License Registration # ! 6 State Certified License# F. "". C", e / ).... ~<... BUILDING . . r ~ W. t .&..vc 5 PLUMBING f1 2t> MEC ANICAL ELECTRICAL f 'fro Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Z- 'FJ-o~ Meter Can Const. Pole Pool Pre-Meter Final .9te - SLB Tub Set Z-a>-()O ~ 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 ($ 25.00) 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, APPLICATIOH FOR PERMIT@ d) lit 1<. CITY or ZEPHYRHILLS l t 9 (j BUILDING DEPARTMENT DATE RECEIVED () PLANS REVIEW DE OWNER'S NAME 2..E::.-ft\-(~ \L..L..~ ~p(2...l""'o, tAJ ~r~~G,.PHONE /~~ -,qt;~ JOB ADDREssA'2,..~ ~~\+--\ ~T' 2~p H\,,~ Hl L-LS ( fL.. -3~~ LEGAL DESCRIPTION: LOT (S) \ BLOCK ~4 SUBDIVISION ( ~~r~:!:yH \~. PARCEL ID # ,;- -z..(P-.z,. 00 1 () ..~~ ot::J /00 It:) {OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: oNEW CONSTRUCTION o ADDITION ~TERATION o REPAIR o INSTALL o SIGN o MOVE 0 DEMOLISH PROPOSED USE: oSGL FAMILY DWELLING oMULTI-FAMILY 0# OF UNITS o MOBI LE HOME ~OMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL BUILDING SIZE t-~t::>>~L,..... l tJfE.~\O ~ ~f e:.~ I c:,\II'-J~ ~ t.-~c-" . SQUARE FOOTAGE "! z.~ c::!' ~ HEIGHT ~ · - a fI DESCRIPTION OF WORK 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. "'fA.. BUILDING ~ ELECTRICAL ~ PLUMBING o MECHANICAL PERMITS REQUESTED $ ~ S. tJ)~O . ~t:' VALUATION OF TOTAL CONSTRUCTION ( AMP SERVICE ;Itl FLORIDA POWER o W.R,E.C. $ 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 AREAo YES 0 NO SIGNATURE ~ COMPANY-f' M. L.l~evL c.-A./ ~ . {~c:.... STATE CERT OR REGIST # (:..&<::.~ l \!> {~ CITY PROCESSING # BUILDER SIGNATURE ************************************************ ..r ! COMPANY ,h;"/jf~&j5 &c STATE CERT OR REGIST # CITY PROCESSING # (~~ ELEC'l'RICI ********************************************** PLUMBER SIGNATURE fi ~ f. €A ~;.SJ-- ---, COMPANY. pc--,tJA/ /$ L ( 10 ~ \ [{ / fr-CIV S STATE CERT OR REGIST # CITY PROCESSING # /q LD . * * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 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 ~ContractorSections" 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". ~(J/) ~ ttl t-- r. SIG TURE: OWNER OR AGFifT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF P;::I !":(""(") The foregoing instrument was acknowledged Before me this 17th day of Januarv , U---2000 by Francis M. Liner, Jr. (name of person acknowledged) XXwho is personally known to me, or STATE OF FLORIDA COUNTY OF Pasco The foregoing instrument was acknowledged Before me this ll..:tluiay of JaIL , ~ 2000 by Francis M_ Liner (name of person acknowledged) ~ho is personally known to me, or acknowledgement o who has produced (type of identification) ~}fJ;;;~ an oath Signature of person taking acknowledgment of identification) take an oath. R. Mark Willett Name typed, printed or stamped ..;:;r.~'Ht R Mark Willett [.,~'Ji.\:\ MY COMMISSION # CC880695 EXPIRES ~:~':Q'ff December 8, 2003 '~r.;;; ",Wo,- BONDED THRU TROY FAIN INSut!ANC~ INC. '11111'\ R. Mark Willett Name typed, p!;!nted or stamped r&'" ~" R. Marl( Willett 1:.: "-i'~ MY COMMISSION # CC880695 EXPIRES ~. iJ.€ December 8, 2003 ""''X........~...l 1lON000THllU TROY FAIN INSURANCE.INC. "Rt..".., FLA. 1977 LAWS Fa 713.13 SEMINOLE' FORM 408 NOTICE OF COMMENCEMENT ~::~t;f o~Iorida } C~R~~ARC IN DU~LICATKI 111111I1111I J!~U~~~ll~11I11111I11111I1111II 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. Description of property 4~~.. ~tl.. ST'.... .'?-.~~~M H..t..S,... .f~... g.~.S.4Q............ . ~~~.~.~... ~~..1...... ~U;:;t~~.. &1.... .~9..... .'1... .~~~.H..... ~.~.~~. .~~.............. ..( .1:>.. #. ~.. .~~ .":'. .~.~.~ .Z.\. ~.~.~.1.t;?. ~.q.&4.~a.. .':":'. .~~.lO....................................... ~General description of improvements .\.~~. ~l.~.~.. .e;:..~K~.t:?e:t-... ~F. .Te~\~,~ .~.~........... r ~c::., t...,..,..,- Owner .Z.~pH~.~.rt. ~.~GS.. ..<G.F~~.~~. ..~,~.L~te.~..c..a............................................ Address ~~a... .'2..~T\:t.. .ST... .Z.l!=.f>.t\:'!t..tl.L~~c::."r.<-. .~-36.~..... .....,................ Owner's ;1;;~~te of the improvement.. .a>.h!J:..).~.... PkfHt\N. .~.\. e:.e?.e~e............... Fee Simple Title holder (if other than owner) R cpt: 385552 Rec: 6.00 DS: 0.00 IT: 0 00 Name ........................................................................... 01/19/00 Dpt Y Clerk Address........................................................................... 0JE1D/19P/I0T0TMAN, 4PASCO COUNTY CLERK . 12:4 p. 1 of 1 .Rontractor. .r~ .M.... .k.l.~.~.~............................................. .~~. .~K. .~~.~.!....... .~~. .~.~ .~.~ ..r. ...a.:,. Address .t~~.. .L.fJI,./Y.b. .t;.?I. .LA~S.. ..~.t...V.1>.... .L~.-r:'a-.., r.t........ .~.3S~4................. Surety (if any) .................................................................................................................. Address ......~ I.~. . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . Amount of bond S . . f':J./ ~ . . . . Any person making a loan for the construction of the improvements: Name .................... ... .............................................................................................. ...... Address .. \J./ A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name .. .t:-.)! ^........... ..................................................... .. .............................................. Address ........................................................................................................................ 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 option). Name ............... ~. . . . . . . . ,. . . ...... '__ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address T~I~~~~~~'F'~R'~~~~~~'E'~'~'~~'~~'~~~""""""~".' .;1..........~...f). .)/... /J' .. yv.;a~..-JZ.I~.... Owner Sworn to and subscribed before me this . .........!9~.day of . 'r/};r~ )1.~y-t . -; / ..' ... ........K~...X. ...~'di Notary Public ....'~~:."'II,,, Ruth L SIll ~~{'~'} MY CllM.'tISSION , ~17401 EXPIRES ~~1~ April 13. 2000 ., ,'Rf..r:fJ...... BONDED 1lRJ TROY FAIN INSURANCE, INC. ~t>D. F.&tA. L I ~ &::f.JST. q. 2-3 b 2o..u-. sf.- b.M.C t) h....L. ~':.lt Nb- ,) W Ii: u.. iI-..G '70 '1 rzA II-.l (Nb- f!-"t-M SQ. FEET PRICE MAIN OR LIVING AREA OTHER AREA UNDER ROOF OTHER ~ \I~U AlleN "3~JOOQ BUILDING: 2JO.. ~ () ELECTRICAL: 57J, ~v PLUMBING: ~(). C b MECHANICAL: Arlit RADON: JJ/A CREDIT: JJIIt SEWER: PA'fftBU..- AT WATER: -rr fIIltl- C) F (Dt\fN~Ti.c~ ~ TOTAL: Ct t'/ WflTli'L ,5U,PPI..;\.J . . -t CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET /r ~ ORD. #395IRESOLUTIONS 3121372 \. WATER $1.75 GAL. \ SEWER $8.39/GAL RESIDENTIAL (Each Lot or Unit) '- ..-/ Residence $ 350.00 $ 1,278.00 Travel Trailer Park $ 131.25 $ 479.25 COMMERCIAL (Per fixture) Sinks $ 87.50 $ 319.50 Water Closet $ 131.25 $ 479.25 Urinal $ 87.50 $ 319.50 Lavatorv $ 43.75 $ 159.75 Tub/Shower $ 87.50 $ 319.50 Washing Machine-Commercial Size $ 350.00 $ 1,278.00 Washing Machine-Domestic Size $ 87.50 $ 319.50 Dishwasher-Limited Use $ 87.50 $ 319.50 Food Service-Dishwasher $ 700.00 $ 2,556.00 Sinks (3-Compartment) $ 175.00 $ 639.00 Car Wash (Per Stall) $ 1,000.00 $ 6,390.00 SINKS 50 2 $ 175.00 $ 175.00 WATER CLOSETS 75 4 $ 525.00 $ 525.00 URINALS 50 $ - $ - LAVATORIES 25 4 $ 175.00 $ 175.00 TUB/SHOWERS 50 3 $ 262.50 $ 262.50 WASH. MACH. COMM. 560 $ - $ - WASH. MACH DOM. 200 1 $ 87.50 $ 87.50 DISHWASHER COMM. 400 $ - $ - DISHWASHER LIMITED USE 60 1 $ 87.50 $ 87.50 SINKS-3 COMPARTMENT 100 $ - $ - CAR WASH PER/STALL 1000 $ - $ - IRRIGATION METER SUB-TOTAL $ 1,312.50 $ 1,312.50 WATER METER $ 180.00 IRRIGATION METER r')l~ ~1\-L~ LOd IRRIGATION CONNECTION FEE GRAND TOTAL $ 1,492.50 FIXTURE G.P.D. # WATER SEWER TOTAL PER FIXTURE & .Li72 b< - 7 .~.-..J '7 -- ~ <: .L /,. v=.-:>'. .---- 12123/99 CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET ~.~ ORD. #3951RESOLUTIONS 312/372 WATER $1.75 GAL / SewER $6.39/GAL ) RESIDENTIAL (Each Lot or Unit) '- .-/ Residence $ 350.00 $ 1,278.00 Travel Trailer Park $ 131.25 $ 479.25 COMMERCIAL (Per fixture) Sinks $ 87.50 $ 319.50 Water Closet $ 131.25 $ 479.25 Urinal $ 87.50 $ 319.50 Lavatory $ 43.75 $ 159.75 Tub/Shower $ 87.50 $ 319.50 Washina Machine-Commercial Size $ 350.00 $ 1,278.00 Washina Machine-Domestic Size $ 87.50 $ 319.50 Dishwasher-Limited Use $ 87.50 $ 319.50 Food Service-Dishwasher $ 700.00 $ 2,556.00 Sinks (3-ComDartment) $ 175.00 $ 639.00 Car WashlPer Stall) $ 1,000.00 $ 6,390.00 SINKS 50 2 $ 639.00 $ 639.00 WATER CLOSETS 75 4 $ 1,917.00 $ 1,917.00 URINALS 50 $ - $ - LAVATORIES 25 4 $ 639.00 $ 639.00 TUB/SHOWERS 50 3 $ 958.50 $ 958.50 WASH. MACH. COMM. 560 $ - $ - WASH. MACH DOM. 200 1 $ 319.50 $ 319.50 DISHWASHER COMM. 400 $ - $ - DISHWASHER LIMITED USE 60 1 $ 319.50 $ 319.50 SINKS-3 COMPARTMENT 100 $ - $ - CAR WASH PER/STALL 1000 $ - $ - IRRIGATION METER SUB-TOTAL $ 4,792.50 $ 4,792.50 WATER METER B D 1", L-i. IRRIGATION METER u.)Ar~ (-.... u, IRRIGATION CONNECTION FEE GRAND TOTAL $ 4,792.50 FIXTURE G.P.D. # WATER SewER TOTAL PER FIXTURE 12123/99 CITY OF ZEPHYRHILLS CONNECTION FEES TABLE A - WORKSHEET ORD. #3951RESOLUTIONS 312/372 WATER $1.75 GAL. SEWER $8.39IGAL RESIDENTIAL (Each Lot or Unit) Residence $ 350.00 $ 1,278.00 Travel Trailer Park $ 131.25 $ 479.25 COMMERCIAL (Per fixture) Sinks $ 87.50 $ 319.50 Water Closet $ 131.25 $ 479.25 Urinal $ 87.50 $ 319.50 Lavatory $ 43.75 $ 159.75 Tub/Shower $ 87.50 $ 319.50 Washina Machine-Commerdal Size $ 350.00 $ 1,278.00 Washina Machine-Domestic Size $ 87.50 $ 319.50 Dishwasher-Umited Use $ 87.50 $ 319.50 Food Service-Dishwasher $ 700.00 $ 2,556.00 Sinks (3-Comoartment) $ 175.00 $ 639.00 Car Wash (Per Stall) $ 1,000.00 $ 6,390.00 SINKS 50 2 $ 175.00 $ 639.00 $ 814.00 WATER CLOSETS 75 4 $ 525.00 $ 1,917.00 $ 2,442.00 URINALS 50 $ - $ - $ - LAVATORIES 25 4 $ 175.00 $ 639.00 $ 814.00 TUB/SHOWERS 50 3 $ 262.50 $ 958.50 $ 1,221.00 WASH. MACH. COMM. 560 $ - $ - $ - WASH. MACH DOM. 200 1 $ 87.50 $ 319.50 $ 407.00 DISHWASHER COMM. 400 $ - $ - $ - DISHWASHER LIMITED USE 60 1 $ 87.50 $ 319.50 $ 407.00 SINKS-3 COMPARTMENT 100 $ - $ - $ - CAR WASH PER/STALL 1000 $ - $ - $ - IRRIGATION METER SUB-TOTAL $ 1,312.50 $ 4,792.50 $ 6,105.00 1~1ILil.. 3/4" WATER METER $ 180.00 W~(C" 1" IRRIGATION METER IRRIGATION CONNECTION FEE GRAND TOTAL $ 6,285.00 FIXTURE G.P .D. # WATER SEWER TOTAL PER FIXTURE 12/22/99 I 1 I j 1i?1_'1lf ~ I I I I ----t- -------- ~..t:.X.I~T ~H '- ~'71- UqHT (f"-eMC>VE:') '. . fA. to t'.8 ~u _ .t --- ~ , -IJ-:I)~ ! ""~ ,', 1 ..p_~DI 0 ([) ALL, {i.UL"TlU~ i~~""l"~~Il~(.je> ~ .5 i~ ~ts. fci;,4A ~ AU- ~/ll (sllf i'\.. I q 4 1 ;U fr1{ 0 i\J rH- Ii- U-c ,rL l '- U 11i-~ (ff 'NS"7i\-~~(( ~N ~ r LI F~ St\.ft::r""-I I)riv/ c.~ 5 ~ H,4-LL 'DJi. !laCf?.J)lI'iG ~ Zi2i I l'f lJ~ L '-~ (I t<..h.. 0 tif r. - e.X~Tl~~ 0LA~r<o~ PLhJ ~AL-E..-:- ~/D" ~ll_Oll ---~'-- I i r I . -,~ i i I i -1 I ~ -(!)-.-_~ABl.--e. 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