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HomeMy WebLinkAbout00-9421 BUILDING PERMIT -J "2'5-:S' v BUILDING CITY OF ZEPHYRHILLS (813) 788~6611 09421 Dote t{ /z( !J 0 Permit ELE~ICAL ~BING MEC~CAL Sewer Conn Io~ L (...es.t" Water Conn: "f I.JJe ((I"\GW'\ {~(' rkw ater Meter: Property Owner: . ~ f;~ h.e r Job Address: O~ l:: GeS 1.- <: ",b . Parcel I. D. # 0 1 - .2 b ~ '), ~ 00' 0 - 0 (q 0 D T,I.F.'s: " 0000 Zoning: Descriotion of Work Energy Code: () >vi iV, /"0.... ",d Radon Gas: Lt.l;I.'t...'e s .,. S:.&e wo!" ~ J. ;:e.., (..(1 NO OCCUPANCY BEFORE C.O. FINAL C.O. & <)- OCJ DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, DATE City License Registration # State Certified License# 2701 Inspector P.,m;' Fee l ~ )I. Signature d Company Address :J.. Telephone# Klo ~ b3 to ;>;J (, 3 Valuation or Contract Price lfa. J~Y r C'-J J~~ (,,,e BUILDING EL CTRICAL PL BING MEC NICAL Ftr. Pre SLB Lintel FRM. Insul. 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 00/100 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. J - ~ 1:;-7, .5 0 j1" V /, J < J 20 L f 0 F rMJCII\llr BUILDING: 76" ,:."..,. Fi-N k I tJ /)+ ELECTRICAL: PLUMBING: I MECHANICAL: RADON: CREDIT: r SEWER: WATER: TOTAL: T.I.F'S ~v #:., . r SQ. FEET PRICE MAIN OR LIVING AREA OTHER AREA UNDER ROOF OTHER /qJ () yo ~- FI ~ 8~<L PfrVW&- ~ ,I}r2..ti.f\- [) A J.<u-c's I (A;'"Y'I<-{ pltt)s~ Ie .siT~ .^\~()*- AN. ~ fE;,V( II\\(. J(o I '8 if '" 0. V A LuI'Y Ti <>I\J ~" r: f\!&- M'& / ~D ~ r~1.-tlr =- 2- 33. sa APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED 9- =< 0-9 9 PLANS REVIEW FEE ~ OWNER'S NAME w,u.;.al<t} 1=i;k~"1 I i<-(4h~ 0~L"^ (~n"" 'J JOB ADDRESS VAI::.f!../<E5~ ::?U:tr~(~, t,u.zL( i0-\(I~ ,-''~'~~~_.:_-- Tz G:." ') K d I L ~ 2 '1 )'l(U:...::t l'i~ "C I{' ')' LEGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION C~'--I\ ( 1 ~. ':if I), ,. d- '\,u_ ' d \ U\"-;i th O",~ -,.)lc ',~) \-6C I L' c' '~"'~ () C . '<.,C,(',C' PARCEL ID # WORK PROPSED: OdNEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL Os I GN o MOVE 0 DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ij\(',- ":', { \ v ,. ' - 'L~\j \ , ~( :\ cS-.\ ' \ \ \, ---S' " ' ,)(tx '- '- ,:}{ ~~ 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 MECHANICAL $ 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 o NO SIGNATURE ~ ~-\~:'-''-- ~I ~J ,'\ d--;z LC\" \ I) --~ I BUILDER __t y",-C!. ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***********~****************************************************** MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER (~~ ~~, ... SIGNATURE ' COMPANY Flu.. C!<an3C;..J./XL STATE CERT OR REGIST # CITY PROCESSING # 10 'I ***************************************************************** CONDITIONS OF PERMIT AFl<"IDAVIT 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". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid []:lid not take an oath Dwho has produced (type and whoD did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped TOW~ON-ROGER~ ENGINEERING INC. ENGINEERING, PlANNING, ENVIRONMENTAL PERMITTING 5514 7th Street, Zephyrhills, Florida 33540 (813) 788-0400 FPC(: (813)782-4978 LETTER OF TRANSMITTAL TO: Date: Job #: RE: We are sending you: o Shop Drawings o Copy of Letter o Plans o Change Order o Specifications o Permits The? are Transmitted as checked bel,w: O/For Approval WFor Your Use 0 As Requested o For Signature 0 Revise and Resubmit o For Review and Comment 0 For Bids due by: Remarks: jlP1 ~ ,/I/,A.r/ ~ _/iAI' (j,,<I/-~ . Copy to: ~ r Signed: ~ Gulf Coast Boring and Pipeline, Inc. 1065 George Jenkins Blvd.. Lakeland. Florida 33801 · (941) 686-2263. Fax (941) 682-3651 NOVEMBER 1~, 1999 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 5335 8TH STREET ZEPHYRHILLS, FL 33540 ATTN: BOBBIE RE: OAK CREST PHASE 2 PLEASE FIND ATTACHED OUR RENEWAL FEE FOR REGESTRATION WITH CITY OF ZEPHYRHILLS. IF YOU HAVE ANY QUESTIONS CONTACT OUR OFFICE. VERY TRULY YOURS, GU, ~F COAST BOR. ING & PIPELINE, INC. ~~ -..:j ^ ~ SHERRY FRAZIERo-,." ESTIMATOR , dft1' 1;: "'--c .j-fiL<!.-- (] 4 (1D (]#" 4i &Lf Nov-11-99 09:48A Gulf Coast Boring & Pipel 19416823651 P.Ol , '---- --c:!-.. ~ - -------4~\ Ll ;1 , !...~'\, ~ \ Gulf Coast Boring and Pipeline, Inc. 1065 George Jenkins Blvd. · Lakeland, Florida 33801 · (941) 686.2263 . Fax (941) 682-3651 NOVEMBER 11, 1999 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 5335 8TH STREET ZEPHYRHILLS, FL 33540 ATTN: BOBBIE RE: OAK CREST PHASE 2 PLEASE FIND ATTACHED COPY OF NOTICE OF COMMENCEMENT FOR THE ABOVE CAPTIONED PROJECT, AT YOUR CONVENI2NCE C~T YOU FORWARD THE PERMIT FOR THIS CONSTRUCTION. VERY TRULY YOURS, GULF COAST BORING & PIPELINE, INC. ~~"-^1 J I~~ ~,'-- SHERRY FRAZIER j EST If-.'T.ATOR Gulf Coast Boring and Pipeline, Inc. 1065 George Jenkins Blvd.. Lakeland, Florida 33801 · (941) 686-2263. Fax (941) 682-3651 AUGUST 31, 1999 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 5335 8TH STREET ZEPHYRHILLS, FL 33540 ATTN: BOBBIE RE: OAK CREST PHASE 2 PLEASE FIND ATTACHED APPLICATION FOR RIGHT OF WAY USE PERMIT AND NOTICE OF COMMENCEMENT FOR THE ABOVE CAPTIONED PROJECT. IF YOU NEED FURTHER INFORMATION CONTACT OUR OFFICE. THANK YOU FOR ALL YOUR HELP WITH THIS PROJECT. VERY TRULY YOURS, GULF COAST BORING & PIPELINE, INC. ~14~~ SHEiRY F~~'i1R PROJECT MANAGER Aug-31-99 09:23A K~1th & Morgan, Inc. 941-9&9-0152 P.Ol I NOTICE OF COMMENCEMENT Tax Folio No..O.2-26-21-0010- I 01900-0000 ~~ ;;V- Penn It No... I I I I I I I I I I I I I I I I I I STATE OF... FLORIDA COUNTY OFl'.ASCO THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property. and in accordance with Chapter 713. Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property... OAK CREST ESTATES PHASE 11 TRACT 19, SECTION 2, TOWNSHIP 26 S, RANGE 21 E, NUMBERED DESCRIBED AND SHOWN IN PLAT BOOK 1, 2. General description of improvement... PAGE 55, OF THE PUBIC RECORDS OF PASCO SITE WORK, UNDERGROUND UTILITIES, PAVING CO. 3. Owner infor:mation... WILLIAM FISHER AND WAYNE WELLMAN 1065 GEORGE JENKINS BLVD LAKELAND, FLORIDA 33815 4. Contractor:.. GULF COAST BORING & PIPELINE, INC. 1065 GEORGE JENKINS BLVD LAKELAND, FL 33815 5. Surety... _ N/A 6. Lender.. .... N/A 7. Persons within thtjState 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 and address)... 8. In addition to himself, Owner designates of to receive a copy of the Uenors Notice as provided in Section 713.13 (1) (b). Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified)... tJ~~~Lv ...(Signature of Owner)... WILLIAM FISHER THE FOREGOING instrument was acknowledged before me this 31 st, AUGUST 19-22.... by WTT.T.T llM FT!=:H'R'R ,whoispersonallyknowntomeor who has produced as loenuncatlbn and Who did take an oath. Prepared by: SHERRY L. FRAZIER ~~ J J''-6-'e' NOTARY PUBUC. STATE OF FLORIDA My Commission Expires: 8 r.t~~ W SHERRY L. FRAZIER Notary Public, State .1 Florida My comm, expires Aug. 16.2003 Comm, No. CC861515 AUG-23-'99 NON 11:05 !D: TEL NO: 1*262 P02 OAT.!: 6/ ~bJ1) CITY or ZEPHYRHJLLS - 8UJWING DUARTMINT RlGIlT.QIl'-WAY UIlIt.P.DlM1T PUlMI1W Ne _1_..... ~ II'-' w.......- 0#...,...., ...... _.........., ClIJ...,. .,WfIf.........-........... .. CII.J................IwIJ.........,. ..._.. 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