HomeMy WebLinkAbout00-9251
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
09251
c:l - jg- DC)
Date
If~
BUILDING
JS'
eLJJMSJNG--
M~AL
Sewer Conn
Water Conn:
Property Owner:
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
r3. ~4
NO OCCUPANCY BEFORE C.O.
FINAL .5--2..Cj>/"Ot!J>
DATE
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
~-*~lb
Company
Address
~ 7i?-o2e>S
tt } /1<:)
Valuation or
Contract Price
7, 6 t)()
City License Registration # r2 91/-
State Certified License#
Cf--.J ~-C
, BUILDING
~ 5{; (~~J
ELECTRICAL :1. 'I :Ji.f
PLUMBJ,N6" M E.Q-l.... ~J1CAI::
.-
Breakers
Ducts Insl.
Compressor
Final
Tp, Serv,
Rough In 8.. rt-(j)/) $12
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Ftr,
Pre SLB
Lintel
FRM, ,~ -l?..oO,.J R.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 25.001 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,
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f)yU
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1"YI-{,I\j)I\' (C(\i ':) , .
3 ~5~) 11 L~;.. i~d5/t2I',-
SQ. FEET PRICE
MAIN OR LIVING AREA
OTHER AREA UNDER ROOF ?;2-'-I /5. ~~
OTHER
$. - .;:,
'bb6. :>
BUILDING:
ELECTRICAL:
PLUMBING:
MECHANICAL:
'32.--J- CtJ", ('.J- RADON:
CREDIT:
-16: tv
-- 0';'
Z'?
I
N/A-
(
N Y'A-
2 ;!---t
~,
I
)Nit
SEWER: J\J il~
WATER: I)
TOT AL: j'
Tol.F'sl AlIA-
~ If'cL - t 73, 1-<1
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
;l-/~- .-- .'\
DATE RECEIVED: ( '0
PLANS REVIEW FEE
OWNER'S NAME ~ Prt2.. ~O(2. ,6 -\ t;l me e. Lu h~Jot0t/
JOB ADDRESS 3503 QQO\.'oa.-A'1::i:A.
PHONE f7 )S ';> -q 1 '1 ~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION~c9 p~
PARCEL ID # !t4. -2..~-2j _q,.,40-0~ - (I~O
WORK PROPSED: DNEW CONSTRUCTION ~TION
(ORTAIN FROM PROPERTY TAX NOTICE)
DALTERATION
o REPAIR
o INSTALL
DSIGN
PROPOSED USE: ~AMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
~
CJ
DESCRIPTION OF WORK \), (0~ \
BUILDING SIZE :J. (~t 'Z-
RESTAURANT & HEALTH DEPARTMENT APPROVAL
\200 I"Y\
SQUARE FOOTAGE ~Z L\
HEIGHT 2!) i
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~ING
PERMITS REQUESTED
$ ~~OOa-
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
~EL
~ GJlLu~\'Y'-..
~ OTHER ~-~&~,
IN FLOOD ZONE AREAD Y~ )?1 NO
'1f~-D~Q!)
FINISHED FLOOR ELEVATIONS
IS PROJECT
BU7LDER~~
SIGNATp ~
******************************************************************
BLBCTPJC~
SIGNATURi: - '.------
COMPAN~\- -rJ\5~O ~~.<:!......
STATE CERT OR REGIST # Z. (Z..-oo \4 "I ~ (
CITY PROCESSING #
******************************************************************
PLUMBER
SIGNATURE
f0 / f'c'
I
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
**********~*******************************************************
MECHANICAL
SIGNATURE
;1{) / Pr
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
OTHER fr
SIGNATU~ C(JI
I
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
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 OMMENCEMENT. JOBS UNDER
$ ,500~UE DO N~EED TO RECORD AND POST OF COMMEN ENT".
c--=
~RAG
<:.
STATE OF FLORID~
COUNTY OF COUNTY OF
The foregoing in rument wa~cXnOWledged The foregoing instrument was~~,nOWledged C)
Before me this da of .-V ,!'9.d..C00 Before m~~s l..!::i-day of J:::> ,'1:-9
by by I 'J I vt.-- I, f~
(name of person ackn ledged) ~ (name of person ackn ledged)
~ho is personally known to me, or ~o is personally known to me, or
o who
Owho has produced
(type of identification)
not ta
lv'O
Si
Si
Name typed, printed or
sbnlped
'",n~ Angela L Helms
*_*MY Commission CC800247
'-:....~ Expirea January 3, 2003
Name typed,
printed or stamped
#"6' Angela L Helms
*iW *My Commission ccaOO247
'-:..~ Expirea Janu8Iy 3. 2003
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
OWNER \V\~OR-\~ "'NO ,(!mGfZ... Whe+sfdtlJ/:T
JOB LOCATION 3 So3 A{~A-S+~ ~('Y\ClZAl() PorN+ R.Vt
2..'-t - Zl# - Z \ .0040 -00000 - \ \ ~o _
PARCEL I.D, #~
SHOW ALL EXISTING & PROPOSED STRUCTURES 9IVING DIMENSIONS & SETBACKS,
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UTILITY BUILDINGS
HUST SHOW SIZE &
FOUNDATION INFOR-
HATION.
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T PROPERTY LINE
dD I
(NOTE EXAMPLES 1 & 2)
STREET
3/..'
1. SETBACKS FOR Rl, R2 ZONING
601
2. SETBACKS FOR R3 ZONING
60'
101
P E
R X
0 I
I 101 P S 101
0 T
S I
E N
D G
10'
10'
EXISTING
10'
1 0'
1 0'
I~ PROPOSED
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LINE
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~
20'
20'SGL fAH
30'OUPLEX
FRONT PROPERTY LINE
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2000014597
Kept: ~H~~~l Hee:
DS: 0.00 IT:
02/08/00
b.OO
0.00
Dpty 'Cle'rk
J~U ~lll~HN, ~HbLU LUUNIY LL~HK
02/08/00 08:32a. 1 of 1
OR BK 4307 PG 762
:to
NOTICE OF COMMENCEMENT
State of
0nr, da.
County of
to ~ CA... ')
,
THB IrnOERSIGNED hereby gives notice that improvement will be made to c3rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commonc0.tnClIl::
1.
Description of Property: Parcel No. ,:2.'-I-;J.h-;).j-()(Jt-/o-~-II6>o
35/)~ 04/0 Yn:5-kr-
(Legal description of the property and street address if available)
2. General Description of Improvement
3\ O\'mcr Informat~on: Name _W-A e-t-s-l-O-'Y'\ ~} hta...-rj 0 rt ~ I1r Qrnt!r
Address 3503 A~o....b q~~ty Z~ r t-u. <,;{.....r State Cl:..(,
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n o~ner)
Address
City
State
R'
Contractor: Name 2~~.r,t~~~)>l,- inG. .
Address S7?i).5 C),'Ii", 4JCity ?eph0fh'/6 state_'~1
SUl:ety: N.::ame
...
:J .
----_._.._._._.__._~---
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, O\vner designates
of to receive a copv of the
Lienor's Notice as provideUIn-Sectioii713 0 13(1) (b), Florida "Statutes.
9. I!:xp.lr12t.ion dn-t.e ot Notlce or Commencement. (the explratlon date is 1 year
fr~m the date of recording unless a different date is specified.)
Signature of Owner: '? ~,~ ,~^r-f-J. Jc.a ~ 0
Sworn to and SU~S~;1:ib~~:/~C_~,~e me this 0 c; day of fiJ?IZ-I./ll. /l/:.'/}
1'W)/Ot)d.:.;,:,".',.", ,"" ..,.,',.,',.':.',:.'.'".,i1,,',. d iJ~ (/
,,1 .(i 'n~' , .'.,. ~:./~}:'lJ/a
NotarY :$~~n"., . ~~~~ .
My Commission:Expires'::,~7~:-: ,~':~;:- '~.. AngeIeLHeImI ~ngelaLHe~
\, ( I . 1t:w7 *My COI1lmIISlor., *_ ~ c-,~iI'lQA (:!i:890i!47
, .. ..' -- . , '~""'ExplmJ8nu_,. _'_oJ 't.~Exp/relJanuary3.2003