HomeMy WebLinkAbout00-9558
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
09558
b /26/00
q7.~U
BUILDING
Date
PLU~NG
Property Owner: ~.. ( M c. ~ 0.'\"- \d ~ J
Job Address: bO Y 2 6-4 l\ ~I vd .
7~,'~
ELECTRICAL
MECH~ICAL
Sewer Conn
Water Conn:
Water Meter:
T_I.F.'s:
Parcell.D. #
Zoning:
Descriotion of Work
Energy Code:
""0\;"'.'<1 )..;(\
,<~+:c...'l
Radon Gas:
j fr y~"" ~..fc-Lrl.;;." j
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J. /kC4 PI 4 5 &' S
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NO OCCUPANCY BEFORE C.O.
FINAL >>-l~ -$&
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
City License Registration #
State Certified License#
Inspector
.s-o
Permit Fee m.-
ISignature~~A/'
Company
Address
"j Telephone# 8 J.3 - ~ B 7- .7 .:{ 31
Valuation or
Contract Price
o OU
, ~ DOD. -
,
~~ Co
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BUILDING 190 ELECTRICAL JI2 PLU~ BING ME\ HANICAL
Ftr. Tp. Servo SlB Breakers
Pre SLB Rough In Tub Set Ducts Insl.
Lintel Meter Can Water Compressor
FRM. Const. Pole Sewer Final \
Insul. CL Pool Final '\
WL
Pre-Meter
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($ 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.
AUG-17-00 14,01 FROM,CASPERS COMPANY
City of Zephyrhills
Building Department
Permit Office
10,813 288 7850
/ '; f:"
,"*
~~
'Thmpe,. PIorida 33607
(813) 287-2231 Fax (813) 289-7850
August 17,2000
PAGE 1/1
Dear Sirs,
This letter is to confirm our decision, not to relocate our office
area in the kitchen. At this time,we feel that it is fine in it's present
location!
~.l.h~
Sincerely, / J
~P'~
Kenneth W Foster
Vice President
Me Donald's Caspers Company
1
~AWJo.tnRS
Nar.AR't1V~~IL1'! a: i1...oJmA '
~'N !..u.<:cms;s,
· SAP. .I. 21.
FLA. 1977 LAWS
';S 713.13
SEMINOLE FORM 408
NOTICE OF COMMENCEMENT
~:~~t:fo:lorida ~$t:.C) } .PR~PARE IN DUPLICATKI ~~~~~1~~~1~1II111111111111111111111111111111111111
The undersigned hereby informs all concerned that improvements will be made to certain real property. and in accordance
with section 713.13 of the Florida Statutes, the following infO\;\ation is stated in this NOTICE OF COMMENCEMENT.
Description of property .. .~).S..)).'?~.~J ~-S. ..,..~ ~6:+.f\.\J.!~}...~\.t............ ......... ..............
......................... .~.S?. ~.~.. ...~~A.J J..... ... ~.\ty.~:....... .""?:-~V'~'~l'~~ .I.J~..... .f.~.. .3~_$~.'-I.!
c .~ ~ --~ C_;( I - CC Ie' ~ I -~ See - cc Ie
.............. .0.._...................... ..0......................................... .eo.....................o...................
General des~ion of improvements M q ~ : .~~. . . .% f'.l. !. \. . . . 6t~t~~~ } 5.':1. f. ~. .~ t Af.)9NI~~~~"'~1l'~ . . .
Owner..... ~.~ .~.~.~.... .S.......C.~ l~. r.....~...... .C.~.~i'. ~-.S...... ~q..'..........................._
Address.. 4. S 9. ~.....~!..... .~. .I\$~ .~'\..... .S.t....... ~~~.~..... .f.k.......~ .39 ~.~ 7... _.
Owner's interest in site of the improvement. . . . . " .. . ., . .. . . . " . . . . . . .. . . . . . . . . . . . . .
Fee Simple Title holder (if other than owner)
Rcpl: 421969 Rec: 6.00
OS: 0.00 IT: 0.00
06/20/00 _______ Dpty Clerk
JEO PITTMAN. PASCO COUNTY CLERK
06/20/00 01:10pm 1 of 1
Address ................ - .. . .. .. .. ... .. .. .. . . . . . .. . . .. . ... .. . .. . .. .. .. .. . . .. .. .. - .. OR BK 4388 PG 357
. Ron"...o,. .~, ",Io",,~. PJ:?,,},,~,,:-:\\:\>P.......................................................................
. Address ..'7.4.9.~... ..... .~.,..... Jj.I\Sr5.~y.., .... .S"t.... ...r~~~.~....f .'-:-:._.... .q.y.~..~ l.. _.. _ _..._.
Surety (ifany) ..... .'~~ !.f-: . .. .. . .. . . . . . .. .. . .. .. . .. . .. .. . . .. .. . . . . . . .. .. . . . . . . . . _ . . . _ . _ . . _ . _ _ . . . .. . . _ . . .. .. _ .. .. .. . .. . . _ _ _ . . _ .
Name _....... .~.I A. . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . '" . . . . . . . . . . . . . . . . . . . .
Address..................................................................... ...... .......... _Amount of bond $ ... _ _.. _ _......
Any person making a laan for the construction of the improvements:
Name -...... ~ 1.1\. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . _ . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . _ _ . . . . _ . _
Address _....... _ . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . _ . . . _ . . . _ . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . _ .
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name. ...K ~..~.. .....f~~.t.~.Y:. .:-:-:-....~~$.~.~:.-?..... .~~.............. _...... ...... ..... ..... ....... _....._
Address... .4..4". .Q.~.......~ .!... ~.0\c$:). .A.~~..... .st....... .T~r.":.~.~......f.~....... ~3.(> ~.q"7
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 _.. _ . . . _ . . . . . . . ~ . . _ . . . ,. . , .... .__.~_ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . _ . . _ . . _ . . . . _ . . . _ _ _ . _ . _ _ . _ _ _ . _
Add,... T~'~ ~~~~,;O"~;.~~O;~'~~~; ~~~;..............;F'~ QZ.~............
Owner
Sworn to and subscribed before me this.. _. -q-;4..s:-~-.-
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT Copy Or- THE DOCUMENT ON FILE
OR UBlIC RECORD IN THIS OFFICE. I~S MY
H N AND OFFICIAL SE,A.L THIS ~y OF
.....ti?~.....day of . _~ .
...i&~~;..
- - ....., A4:::lc.
-4._~~
Notary Public
OFHCALNorARYSEAL
BARB4RAA WALTERS
NOTARY PUBUC STATE OF FLORIDA
COMMb'"SION NO. CCi73396
MY COM.\;HS5tON 8<1". 5EM' 272'XfZ
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\, 1~IY-"., {~((l\
, '\' f -\7;-P "
~f0",-~';) cO.
~)l/Y.L ~?Lij).
SQ. FEET PRICE
MAIN OR LIVING AREA
--
OTHER AREA UNDER ROOF
OTHER
'-
o
\[ f\lu~ l ~rJ C).DUU, ;:,-
BUILDING: C?7,50
ELECTRICAL: 75. e""
--
PLUMBING: tJJP-
MECHANICAL: 'AJ '1"-
\ I
RADON: tJ~
CREDIT: )J Irr
SEWER: ~l
I
WATER: J
TOTAL: 1.
T.IPsl JJA,. I
"c;V\"L- =$ 1/7 L S"
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
~-.- If D ()
DATE RECEIVED <d -
PLANS REVIEW FEE
OWNER'S NAME C ~s~e...r5
JOB ADDRESS Co () 4 d-.
c~.
~ G- ~/I
blue\.
PHONE ~)~,- ~'Bl- ;}~31
K~~~q-q3D7
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
D ADDITION
~ALTERATION
D DEMOLISH
D REPAIR
D INSTALL
D SIGN
D MOVE
PROPOSED USE: DSGL FAMILY DWELLING
D COMMERCIAL
DMULTI-FAMILY
D INDUSTRIAL
D# OF UNITS
D SWIMMING POOL
D MOBILE HOME
D OTHER
DESCRIPTION OF
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
WORK lYIO\.J I N~ ~I 1\ ~+c::0-IOI\.) I ~ ~rl f.. r
~V'\ ,\r-S -b '; c ~ /
SQUARE FOOTAGE
1
st~ t-} ~OJ
~N~
BUILDING SIZE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATT~CH (3) SETS OF BUILDING PLANS ~ ll) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~~ING
~;~~RICAL
D PLUMBING
D MECHANI CAL
$q/UC~U:J
I
/ ..' JOL')
PERMITS REQUESTED ( . b
VALUATION OF TOTAL CONSTRUCTION
",
\
AMP SERVICE
D
FLORIDA POWER D W.R.E.C.
/"il ~7)
(IF, />;; --- f/ LJil.,c I"
S-If>-"''- (,;7/' ~
6fT tJ F 7UJf-4;
<j?14.
$
VALUATION OF MECHANCIAL INSTALLATION
D GAS
D ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: D BLOCK
)qFRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
BUILDER --> ~ ./ ' }/J
SIGNATU~':~ kvz/'ifft4/F\!
SIGNATURE
********************************************************
COMPANyCt>...5~e ~ 5 CO. , ~
STATE CERT OR REGIS~- C (::) It 0 J .~-')
CITY PROCESSING # /}?Cl
, ~
ELECTRICIAN
COMPANY vA 'v:th /l- ft /;e;/ - .:r-..-L c...
STATE CERT OR REGIST # ~rtPoo 8"7 7~
CITY PROCESSING # 1/2--
******************************************************************
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 PERMlT A~F~DAVI~
A. DEED RESTRICTIONS
.Tl).e underslgned understands that this permit may be subject 1:0 "deed restrictions" which
may be more restrictive than City regulations. The und':H:signed assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSrBILITIES
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 GuideH prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerH, 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: CONTRACTOR
SIGNATURE: OWNER OR AGENT
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)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
Owho has produced
(type
and whoO did 0 did not
of identification)
take an oath.
o who has produced
(type of identification)
and who Odid Q:lid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped