HomeMy WebLinkAbout00-9420
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788.6611
09420
Date '-1/2 D / (b
Permit
/' ":JO
\):> .-
BUILDING
2<;,e
ELECTRICAL
2~~<.J
" :;..--
PLUMBING
MEC~NICAL
Sewer Conn
Water Conn:
P'ope"" Owne' -~en t
Job Address: ~ ~ T
rs o;-dan
1d1r S+.
Water Meter:
T,I.F.'s:
Parcell.D. /I
Zoning: Energy Code:
Descriotion of Work Poc \ ... D.e c.. k
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
5=-( 9- f)J
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration #
State Certified License#
P~rmit Fee~\ 5:.",' ~ \.,
--'Signature ~'- \(\1"\. -L.2 A
Company
Address
~elephone# J J J... '10 'lJ
Valuation or
Contract Price J L( I 000
Ib'-fl
BUILDING
ELECTRICAL
PLUMBING
ME HANICAL
Ftr. .s:..I..J-~O $;((
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB 5-4 -a>a> .2> 12..
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
8~ "'5-4 -00 1> /C..
~ y "" '2.4 -(YtfJ 5bR-
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 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.
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
?~oo
-~-Iq-
OWNER'S NAME QCi'" (<e-/I\./ 3;n JILl N
,
OWNER'S ADDRESS _'5"~3~ /O~ Slf?'e'r.::f
PHONE
2, i-IJII,>
33SYO
JOB ADDRESS 5" a. In l'"
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition ~lteration ~epair _Install
_Sign. _Move _Dea>lish
PROPOSED USE: _Single FalBily _M/F _' of Units _M/H
_eo..ercial _Indust. -X-swia. Pool _Other
DESCRIPTION OF WORK:
_Restaurant & Health Deparbaent Approval
f:,oJ- .J.. Vc:.<.J( ("C'XI67/,J;- t!-f//l/tJ,(/VI< FrA.i!.E )
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. . .
PERMITS REOUESTED
_BUILDING
$ 1'-1,00 0
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
_KECHAlfICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fr8lle _Steel
Other
IS PROJECT IN FLOOD ZONE AREA? 1
YES NO riO 1
, 1fJ-- fl _
CQ~ORSJJ:. ~ ~
L =~ to or\~~ . CYKO~>-
City License Registration .
***********************************
FINISHED FLOOR ELEVATIONS:
FT.
******************************************
BIITI.DER
~ :--. / I~ /Dr'
COMPANY 9 ../e_,-- \_, ( '(~ ( ."1'L{..., \.,.d;i ~ (Cc- L..~, '
-... - ;;" State Cert. or Regist.' "7 ~ 7
~~ 1'\..4./\ f L '/ City License Registration'
* **************************************
Signature
SiQllAture
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration t
******************************************
Signature
KECHAHICAL
COMPANY
State Cert. or Regist. ,
City License Registration t
***********~******************************
Signature
OTRRR
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this perlit lay be subject to Ddeed restrictionsD which lay be lOre restrictive than City'
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay 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 lay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requirelents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building Departlent, (813)
788-6611.
FurtheIlOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the
DContractor Sections. of this application for which they will be responsible. If you, as the owner sign 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of lIFlorida's Construction Lien Law - HOIeOWJler's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is SOEOne other than the
Downer", I certify that I have obtained a copy of the above described docUll!llt and prOlise in good faith to deliver it to the
"owner" prior to couencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to .eet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in tqe jurisdiction. I also
certify that I understand that the regulations of other goveIDJental agencies laY apply to the intended work, and that it is
If responsibility to identify what actions I lust take to be in cOlpHance. Such agencies include but are not liJited to:
* DepartJent of EnviroDJental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater TreatJent
* Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* Arl' Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rehabilitative Services, EnvirODJental Health Unit - Wells, Wastewater TreatJent, Septic Tanks
t US EnvironJental Protection Agency - Asbestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a UcOlpeDsating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit, issuance.
. A per.it 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 is~uance of a per.it prevent the Building Official frOJ thereafter
requiring a corr~ction of errors in plans, construction, or violations of any code. Every perlit issued shall becOle invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the per.it is
suspended or abandoned for a period of six IOntha after the tile the work is co.enced. One 90 day extension of tile, laY be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during each six IOnth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHMBNCEMEII1' MAY RESULT IN YOUR PAYING TWICK FOR IMPROVEMm'S TO YOUR
PROPERTY. IF YOU III1'BRD TO OBTAIN FINAJlCING, CONSULT WITH YOUR LENDER OR AN AnOIlRBY BEFORE RECORDING YOUR HO'rICE OF
COMMENCEMENT. JOBS URDER $2,500 IN VALUE DO NOT NEED TO RECORD AJID POST A "NOTICE OF COMMBNCEMEII1'''.
,.,
SIGNAtURE:
STATE OF FLO~A
COUM'l'Y OF ~ ~.A)
The for egoing inslt~t was acknowledged
before me this f~, ~~by
--- ' .
~ohn ~I \ \~
who is personally known t~_~~ or who has
produced '
as identification and who did/did not
take ~~DY) Y;Y8C0~
(Si4Dature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC L Ba be
~ '~'" Sharon r r
lJ :i:, MY COMMISSION # CC814789 EXPIRES
:, \ .: : March 7, 2003
:'~f'''' ,. BONDED THRU TROY FAIN INSURANCE, INC
. ,l?FIt~
STATE OF FLORIDA ~
COUII1'Y OF ' ~ C::f:./J
The foregoing iDstrum~t was acknowledged
before me this f';. /'1 , "2tJ2Q.. by
~}{;hn fnJ lis
who is pprRnn~11y known to me or who has
,~ ---"
produced
as identification and who did/did not
take ~h. ~~ J,
Q--L-L%7 c o"~A
( S :i.cfna ure)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
..",'1~U;'"" Sharon L Barber
f..~\'!';,&~~ MY COMMISSION # CC814789 EXPIRES
',,,,:.~.:~E March 7, 2003
'>" ;:? ',:.<f.."1 BONDED THRU TROY FAIN INSURANCE, INC
J; ~lZ -C<'~AJ ij.::>;:",-- ')
\ 1:, l\, \
--U '1. ,L.,.... +
z;''J.J'2 (~ /.
"
j w ' ~~t<--' V'{ ( 01:>>''--
SQ. FEET PRICE
MAIN OR LIVING AREA , ,
OTHER AREA UNDER ROOF
OTHER
BUILDING: I ?/<)_ o'D
ELECTRICAL: __ OV
'2.. J <'
,.
PLUMBING: ,- ~'O
ZJ.
MECHANICAL: tJ/3t
I
RADON:
CREDIT: ~
SEWER:
WATER:
TOTAL:
T.I.F',S
--ciirrflrL
-+-
~
,-3-
P-oy -r ~It~ Jorc:t1n
~632 10th 9teet
ze.p h '-{ r PH US I FL- 335tfO
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Florida
Power
CORPORATION
April 11 , 2000
Hometown Pools, Inc.
37008 Price Dr.
Zephyrhills, Fl 33541
SUBJECT:
PROPOSED SPA/SWIMMING POOL CONSTRUCTION AT:
5832 t(th STREET
ZEPHYRHILLS, FLORIDA
Thank you for notifying us of your proposed swimming pool construction at the above location.
The pool proposed for construction at the above address does conflict with Overhead facilities of Florida
Power Corporation.
Arrangements have been made with us for relocation of the facilities so as to clear the pool area shown on
the attached site plan.
Please call Sunshine State One Call of Florida (1-8Q0-432-4770) a minimum of 48 hours before you dig.
If you have any questions or require any additional infonnation, please call our office at (813) 783-6944.
Sincerely,
FLORIDA POWER CORPORATION
~~~ ~ /J ~?&?U~
~U~~ - /:P~~
S hen F. Bunner
Distribution Engineering
SFB:mw
ZEPHYRHILLS OPERATIONS CENTER: 36453 Eiland Boulevard · Zephyrhills, Florida 33541
A Rorida Progress Company
P-oy -r ~It~ JorLtln
5652 IOth~eet
Zeph"lrf\ll15. A- :33540
f-/~J~ p~~(
I <
1 (c fed-
. hQck '/Ud
oct -(r.:r;/d
Ro::rn Deck\
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LL '2.8 Fc e.-I-
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p,
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-
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NOTICE OF
Rcpl: 404953 Rec: 6.00
DS: 0.00 IT: 0.00
04/10/00 Dpty Clerk
JED PITT"AN PASCO COUNTY CLERK
04/10/00 08:28am 1 of 1
OR BK 4345 PG 504
COMMENCEMENT ~ )
County of ~~
111111111111111111111I11111111111111111111111111111111111111
2000044001
State of
I- jJ(/U i'P"" '
.
THB tmDERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. ~- OOIO-D~300- 0/30
r 't/ 5 36YO
e property and street address ~f ava~lable)
2.
Gerl.eral Desc!,~,ption of Improvement InetoJln-hCYl of
In- srollnd '5W I mml(\9-rOO I
A;
3.
Owner Information: Name P.p\1 \1. t- ~. 3D rdO-t)
Address 5~~~ 10'#\ Sf-. City '2eph\.jrhdl'S
Interest in Property: Ow ,,-e~S>
State PL
33':5 c..J- n
Name of Fee Simple Titleholder:
(If other th~n owner)
City
State
Address
4.
Contractor: Name~ \~ ~~r
Address 2>') 60<2 (k,ce f.k City Zrhy.ll~' l/r
Surety: Name (\1 l.A.. .
State F'-
3 3-7~J
5.
City
State
Address
Amount of Bond: $
tJlA
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, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Expl.rat..ion dat.e ot NotIce ot Commencement. (the expIratIon date is 1 year
fr0m the date of recording unless a different dat is specified.)
Signature of Owner:
Sworn to and subscribed before me t~is
~ (Xm.
Nota.ry Public:
MICHEllE VAH CUREH
~ .., Comm Ellp, 12/1!l,03
'"
My Commission Expires:
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HOMETOWN POOL, INC.
PHONE 813-782.7071
37008 PRICE DRIVE
ZEPHYRHllLS, Fl 33541
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