HomeMy WebLinkAbout00-9542
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
09542
Date ~//<f /00
,
Permit
b 7.?J
BUILDING
ELEC~ICAL
PL~BING
MEC~NICAL
Sewer Conn
Property Owner: t?e.~ S#'\-\~.u..
Job Address: ?~70 .. 76)0 l ~ ~
Parcell.D. # J ,- ](, .. ~ i - 0010- /I to 00- 00 I \
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
DescriPtion of Work ~d d t' +~tll'" -f-o -e.iC,,"~ l-;.. ,
Radon Gas: ~.~
5o.r'-'j~
NO OCCUPANCY BEFORE C.O.
FINAl_
e.a.
/ a; - L~ .. .~-e>
-
UAIt:
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
,5/2
Permit Fee ~
~ (l ~ yJrLc.v.i.
/
Valuation or JtIS. '-.'7 2 r i f8
Contract Price ;S!"f I J
City License Registration #
State Certified License#
..,. Signature
Company
Address
'1" Telephone#
'? RO?- '1~11{ 0
G. L, S+eve Co'1~t
SlB
Tub Set
Water
Sewer
Final
MECH
BUILDING 3"0 ~
ELECT ICAl
FRM.
Insul. Cl
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
~ I \, 2l!)i)';J .
, de.J 1/
(.,P- 61 z 00
RECEIVED --
PLANS REVIEW I'EB
OWNER'S NAME
'B~71'1 P. ~ H ~ r1(
3!''1tJo -3g7o~ ~ AVEAJUe:
PHONE 7Ff-5?~tf
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # ,,~~(P-~J.OQJO- )J(P'OO- OOJJ
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ONEW CONSTRUCTION
flIADDITION
OALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLI SH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
AbDITION (0 E'I..I'sTO.)f, GARA6G'
J II 'O'l" _, I'I 'I
BUILDING SIZE '1 0 " 0< !e
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
~ BUILDING $ I~, gg$.OO VALUATION OF TOTAL CONSTRUCTION
~ ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C.
0 PLUMBING
o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
o GAS o ROOFING o SPECIALTY 0 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
~~
""~~~4tpl\l~E9~~._,
G. L. srelf: Qt)J,.JSTfG()CTt 0;.)
# C!-.6 - COOl:J./3 '1
~oS-
*********** * ******* * ***** *** ******** * ************ ***************** 1 ~l- q t..I ~ 1
BUILDER
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
ELECTlUCIAN
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
STATE CERT OR REGIST #
CITY PROCESSING #
.................................................................
CONDITIONS OF PERMIT AFFIDAVIT
~. NOrICE 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".
~d
SIGNATURE: OWNER OR AGENT
~ut~
SIGNATURE: CONTRACTOR
~~~~~yO~FFLORID~q ""C-O
The foregoing i~~ument was acknowledged
Before me this day of ~--, ~~
by
~.......----(name of person acknowledged)
~o is personally known to me, or
STATE OF FLORID~
COUNTY OF (L::::S:.
The foregoing instrument was~a~~o~ledged
Before me this ? qay of ~, 't'!;:U'po
by ~~~-->
(name of person acknowledged)
Dwho is personally known to me, or
~; has produced F J- ()~
(type of identification)
and whoD did Ddid not take an oath.
Signa~~~So~~Wledgement
~ncv Lorenz
Name typed, qtortlltissMlt~
'"'' ...~. Expires October 23, 2002
Dwho has produced
~e of identification)
and who Ddid [9:Ud not take an oath
~~~
Signa~ of pers~n t~ ~dgment
,,'~';;ff~', CYNTHIA C. GUEST
l~">%", N' CC lI30617
Name typ '. .- te~:~g
"~, :;f..\:~~.., 1!~'I(led ll1ru Notary PubIC Undllwllt9ll
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'~S'. 76 'L . =)"b'70? "bH", .+v.
SQ. FEET. PRICE
MAIN OR LIVING AREA 3/5 ,,..--~"";:::.
1'::;)-
..
OTHER AREA UNDER ROOF
OTHER
~ ----
wt(flc-~ '-172-5. >:;,V
BUILDING: 0? -s~
ELECTRICAL: IJ
PLUMBING: A1 itr
MECHANICAL: N/Jt
3/5 0 - P--. RADON: 3, Ie:;
CREDIT: IV If'
SEWER: ;J //+
WATER: 1
TOTAL: ~
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1-#5 REBAR
(SLAB TO BOND BEAM)
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(
IT Sl.I1TH
12887-ZH
, 12. 2000
C. Fred Deuel and Associates, Inc.
5151 Gall Blvd. .
Zephyrhills. Florida 33541
Phone: (81S) 782-6717
Fax: (813) 762-5426
ro
-
:'l"l'Y SMITH
~ CONSftUc.rION
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1111I1111111 1111I 1111I 1111I 11111111111111I IIIIIIft/IIIIIIIII'
2000069002
Permit No.
Rcpt: 417842
DS: 0.00
06/02/00
Rec: 6.00
IT: 0.00
Dpty Clerk
HOTZCB OF COMMBHCBMBHT
State of
S:;-L-01GlM
County of
fAseo
~BB UNDBRSZGNBD 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.
Descr iption of Property: Parcel No. I JJ _...2 (, - 02/ - 00/0 -If ",W - 0 Of I
.
(Lega
BR7D
escrl.ptl.on 0
street a
e)
2. Gt=H~ulll DascJ:i~ticn of ImprCV3J:lCnt 4oo,'-;o,v 7d EX(<;T7A<f Y;AR/1f~
JED PITTMAN. PASCO COUNTY CLERK
06/02/00 01: 16pm 1 of 1
OR BK 4378 PG 10
:6G-77'"lf' f? JH~nr
3.
Owner Information: Name
Address 5R1b~ eft/.. A,;elfid~
City ~P#~#/~s
State/:::L'
3.$S30
Interest in Property:
aSO?&
Oal A)F!R
Name of Fee Simple Titleholder:
(If other thgn owner)
Address
City
State
11 Contractor: Name ~.L .sTeil:. &tJsr~()C.flO~
Address .37~SI fT# AJ City ZEPf.-l'fl2f..J(1JJ
State ~l- .33:S'f/
5.
Surety: Name IIIoll1iC
Address
, City
,sYA I t:. Vi"" I-LUHIUA
COUNTY OF PASCO State
rillS 13115 e!"T,~t I "'/011 I nt rUNtG ING IS A
TRUE A CORRECT COpy OF THE' DDCUME ON FILE
OR OF P Blie RECORD IN THIS OFF E ESS MY
HAND f, D OFfiCIAL SEAL T I DAY OF
2
Amount of Bond: $
6.
Lender: Name t1 ~
Address
City
7. Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
7l3.13(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 Statute..
9. l~xlJh ilL LOU &.InLo oJ: Nol:.!uo oJ: COllullonoollluuL (Lhe ox[)!ration date i. 1 year
from the date of recording unless a different date is specified.)
d~~
Signature of OWner:
Sworn to and subscribed before me this
1
day of
~
,
u- ';?WO.
Notary Public:
My Commission Expires:
.)
4. .f)
J\~
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-.
y
,
,l'"
d-8994)
--
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rt"'L~rn lo:
back Con6~Iuct1on Co.
2016 C1rcle Dr.
Zepbyrb1l1a, Fl. 33S99
...c.o po.. o.
...J
.........,"1' 0&&.
--- .............
this lBamnty Bud "'oJr "" 14tb .10' of
PlWU1. B. BACX and WJ1 J. BACX, his wife.
AURuat
A D III 78 J"
I.....;"o/'rr ..011rJ lI.r gre...'or. '0
BET'1Y P. SHl"lH
~
u.I.o.r po,'of/.er 0.1.1.... i. '1 R. S. Pauling, 1104 Beech St, Zepbyrh11l.. Fl. 33 99
I....r."o/'rr ..ollrel ,lor 11'.""....-
,,,~... ..... ......... ..... ....... . ........... .... '..'..M'f'"' .....,. aU ... ...... .. .... ....~ ...
..., ......... ....., '.~.'.h."" ..... ...... .. 1.4......... .... ..... _""*'" .... ......_ .. ~.I_)
ltfitntsSdh: TI.o' ,,,,. II'o..lu,. /0' 0".1 i" ron.iJr,olion 0/ ,lor .um 0/ S ---10.00-- 0..J oil.....
,.o/UGI.I.. ro".iJ",,'ion.. .......ip' u.I."'I'O/ i. I...,rl., o"'nou./..J,,reI. I...,..by oron". ""rgol".. ..fl.. 0,...... ...
..u..... .../..0..... ..ono'"" ami ronfim.. u,,'o "... g'o",..... 01/ ,loa, ...."oi.. '0...1 .ilua'" In Pasco
Coun'" Flo'ida. ,.i.::
'!he Southwesterly 1/2 of IDts 1, 2, 3 and 4. Block 116,
CI'lY OF ZEPHYmm.IS, as per plat of the TcM1 of Zephyrhilla,
theTeof recorded in Plat Book 1, page 54, PtDlic Records of
Pasco Comty, Florida.
Subject to easements, restrlctims and reservations of
record.
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.. :.. " ~y~d ~._
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J I · PI.! . '....J.. . '. I,""" .... .,........oct ,Il.. 14th d., 01
~~~I; .~. ~ ~..;~ --:-AD 1978.
t ...... :'- - r.' '-1 ;....
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u."" 011 ,lor '..n..mr"II. I...,reI,'am..n" and oppu,'..nonu.
(l -~S:."C
Together
U"J" appnla.,..ng
To ltaut 2lnd tD Hold,
""''''0 ,,*long"'lI or In ...,.
.I.r .omr i" I.... .im"I. laH''''
Rnd II... gron'o, 1...,.1., ro,'..nonll u,;,1. .0iJ g'on'.... ,loa' ,I... g,o,,'or it lau./ull, Niwcl 01 ...ul land
'" 'r.. ,.mplr: ,1.01 ,I... gron'o, Iou good ngl., on.l lou'lu/ ou,I.oril, '0 ..11 0".1 ro....." .oid land: ,1.0, ,,,.
g'u..lo, I...,..". full, u'orTonl. ,I... "".. '0 .oid land and u.;/I J..I.."J ,I... .om.. ago;...' ,I._ 10",/..1 clol.... 0/
0/1 pc.roon. u.hom.or,'..,. olld 11,01 .Olel 10".1 i. ',.... of 0/1 ..nr..ml.'onr.... .....rp' '0... orcrulnll .u...f'Cl......
10 /)rc-..mlw, '" 10 77.
In ltfitness WhrrrDr, ".r ,,,,,I lI,o..r", loa. .illn..J onJ ..-olrd ".r... p,r...n" ,I... do" anJ "...,
',n' 01)01"" u".tI""
S;u,.rcl. ~;'GI'-f{ "nfl fi..I.. ,.,,.,/ III ul,," ,.".,ttl1CiI'"
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1\oQ WIn~SES
STATE or Florida
COl.:o.;T\ <>1 Pagrn
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I Hf_ktS't' ff.lll'" Ih..l' I~,:. .t.. . ....1"". "If', ..,. ..If....., Ii",,,
."thorl,rd In Ihf' !....,... "I rr......J ...nd .,., It.,. (.(1",'1" .1..,. ",.! tl. ,....
t I .f~now~.nwnh. pruc..J1....lh .PV" ,,,,,11
FlW'UJ.. B. ~ and UlllJ J, BACX, his wife.
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