HomeMy WebLinkAbout00-9878
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
09878
Date 11/ 21fJD
,
,- 29
(0) .
BUILDING
'40. C2Y-
ELECTRICAL
PLU~ING
MECHAN~AL
Sewer Conn
Water Conn:
Property Owner:
l)~^ IA
Water Meter:
T,I.F.'s:
R'M ""l( n
Job Address: 5CQ21 f1 '- ( 0'1 Cl-.
Parcell.D,# '2.~c.~2'- Cj'/O- OOOOc).... c;::)~c..(O
Zoning: Energy Code: Radon Gas: 6. ~
DescriDtionofWork_~q-rtO py;S+:'''s ffYc1. J {O^ ~~u.cl-
.A~4/
t? Q/ c.-t,
,
FINAL
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
P~rmit Fee ~~ 1 17)1 ~
Signature I' ~
Company :YR;+-H-~ C:'~Aj~n~vc-rIC~.N b..c
Address
Telephone # 3 ~-'2 - lflYI- 0 S , 0
Valuation or
Contract Price
9 1"0 ..~
~ '
,
City License Registration #
State Certified License#
0r(" h,,~ {O""' Sf.
BUILDING 6 <;
M.w..t-:.'"\ f' (@ <-
ELECTRICAL q 7
PLUM ING
ANICAL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl
Compres r
Final
Ftr. J / ~ IIf ~ ~o S' e
Pre SLB
Lintel Meter Can
FRM, II~ I $ '1-6-o/~onst. Pole
Insul. CL Pool
WL Pre-Meter
Final
Tp. Servo
Rough In 0-I'9Y! >><-
Driveway
~ 1c.--13-tJl:> sR,
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 PEmaT
CITY OF ZEPHYRRILLS
BUILDING DEPARTMENT
ItJ-.E/-OD
.
OWNER'S NAME OliN/! PItTmAN PHONE
JOB ADDRESS 5(023 ff}C.CDY CDU12r ZEfJlIYRHILLSJ FL 335L/O
LEGAL DESCRIPTION: LOT (S) 91/ BLOCK SUBDIVISION .sUNSET ES774~
PARCEL ID # /22{p. 2./ tJ310 OOO()O /Jqt/O {OBTAIN FROM PROPERTY TAX NOTICE}
PROPOSED
OSIGN
USE: o(SGL FAMILY
o COMMERCIAL
~ ADDITION
o MOVE
OALTERATION
o REPAIR
o INSTALL
WORK PROPSED: ONEW CONSTRUCTION
o DEMOLI SH
DWELLING
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
!JC/J]I} /Jt')/UJ/- C'bN<r!<var NeW h/2.~1I
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
I) BUILDING
~ ELECTRICAL
o PLUMBING
o MECHANICAL
$
/5/5iJD
,
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
TYPE OF CONSTRUCTION: 0 BLOCK
~ FRAME
o STEEL
o OTHER
gfP-;:OP/O
- 1/ 1J'1
o GAS
o ROOFING
o SPECIALTY
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT
o NO
SIGNATURE
~/
COMPANY ({; .l!ANAn1 CI)N~r I? uc no^,
STATE CERT OR REGIST # ~- C./JE 777D
CITY PROCESSING # /;,711/[),(
BUILDER
******************************************************************
-~._+._._"..~
ELECTRICIAN
(
SIGNAT~
COMPANY Na.r+~h ~kG+r:L-l ~c.
STATE CERT OR REGIST # 15R..OO/3'1'-{ 9
CITY PROCESSING # 97 rill..
* ********************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**********~*******************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
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 i~valid 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 0 did [}:lid not take an oath
o who 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
state of
Pi (Jill tJA
County of
~!~~ll~~~lWIIIIII 111111111I1111111111 11111 11111111
!JASCD
NOTICE OF COMMENCEMENT
TUB tmOERSIGNBD 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 Commencement:
1.
2. General Description of Improvement .f)EmotJ 5# ~/..L) EXI..5T/Al?:. /JO/<!C'1f
CO/l/<;neUC T ftlE"1AJ EAlc/ /1<'G'/) jJ/),€.C# As PE1l PtAN~
3. O\vner Information: Name PAr LANIJ/ZerH /IJAVNA fJl'TTTnI1A1
l\ddress 5toZ31l1eCIJ'/ (!'T City 7~/JIIY~JlILL5 State FL..
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Rcpt: 452068
DS: 0.00
11/02/00
Rec: 6.00
IT: 0.00
__ Dpty CI.rk
Address
City
State
R4.
Contractor: Nilme fJlllt..tlP G~AJlAn1 / G,eAlIl:Jm CtJ/J5T~ V(!''77bN
/
Address 1'7'152 IltuV 3~1 City /)/JP€ (! ny
State
FL
335G/3
5 .
Surety: N<lrne
Address
City
State
Amount of Bond: $
ii90~~~~f'lANft. PASCO COUNTY CLERK
0b.!54am 1 0' 1
OR 8K 4473 PG 947
6.
Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whcm
notices or other documents may be served as provided by Section
713.lJ(l)(a)(7), Florida Statutes:
tJC1me
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.
<J. ~xp.irnt .i.tJr: dnt.e of U0t.ic.e of Commencem~nt. (the explrat10n date is 1 year
rr?m the Gilte of record~ng unless a d~fferent date is specified.)
this SO~day 0; Oc.-roBQ......
Signature of Owner.
Sworn to and
~~lIbliC: ~ >>wJJ
My CJiT1inj ssion Expires: ~ I "'2..00 \
PC93053048
fa'. ~ Dana M. Ward
.*: :*i MY COMMISSION' CC821410 EXPlIlES
:. :. . i July 14, 2001
~-r t!;....~ "r-,r;r~c'TI-lPlJTI10YFAlNINSORANCf, INe.
'.
~~ (ON~rl~;J
5~L-~ MLL~'1 ct.
SQ. FEET PRICE '
MAIN OR LMNG AREA lD2-'f $ J5 <::.C
OTHER AREA UNDER ROOF $
OTHER
VALUATION $ q 3CoO. \;~)
I
BUILDING: $ l /' v'J
OJ, __r''''
f~L~; 5/7.-'1
CREDIT: $ ~Pr
ELECTRICAL: $ .~
,
PLUMBING: '$
MECHANICAL.: $ rJ{)r
61--f . F-~ RADON $ '2..-f
T I F'S ,I $ ~/r:r I
G;<IIIIAI11 Ct,NSr~ t/C176A/ PROPOSAL
17~t:;'2 I-IwlI a~1
f)/lIJE C/'rl/, t:"L- 335Z3
No,
Date ./) - ,1~, (: c_
Sheet No,
Name [J//'fNA Ptrr/n/}N
Street 5't.oZ3 Me. Coy CDU~r
City ZE,t:i.{ Y,(!.H ILLS State F L-
Work To Be Performed At:
Proposal Submitted To:
Street 51'q ,.-1 (;:,
City State
,--Phone
\.. Date of Plans Arcllitect
We hereby propose to furnish the materials and perform the labor necessary for ~ completion of
fi IZ (:;-,;- ,,<.J J2 0 W I/'-^o.. A-f) f) I 'II O"A./ I.IJ c ,,"u D /.J-J t:7." 1ft"""""" 0 L/ ~ t.
ij)=- C;{ 15' rlAJ <::1
R"D~
~'^"' D Z>lfPOSt+ L
i'~
VcO'R '5
;f/V~
If' ,;J101.l-19
~ Re--SiDE
r;e VS..) E J
O./'....J
F,R~e
I!'{ n: H Ii: ..-J
(..VA c. (.. S
Do D R. () t/ I=.-R..
tll1-C U;:-f
..Jr /'o-J I<..
e!}r
~J(lJT/~~ /fo'-"E
Ci~o/'-> 2 6 )
..k /Utw son=j r """'-'D ~,r> ~
7r ". I' "'- I ~ .
* j?Wrl.--u6; i?V cJr~"7? 5
-!-,DOVRJ.../ ~/.A-JL>'Dl.I-'..s } fC:(yJt:e';u "c1.kJlffhr7) P8'",k> $LI../E PKI-^'T.5
*' Cy',.o,REfS LY-r>*RO ~^"D d,9/7-z::,u 's1.P1.N9
'* t".~,- Krl-rc --' I?<H. J-~____
.x h.e-cTRIC Ttf.> co De Pete. D;e~,.Nc\
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and
specifications s~l]itted for ~bove work and completed in a substantial workmanlike manner for the sum of
C-lf /"i ~ZJo/ AFn;-c,/'J "T?/i:Ju,j~P,;hClt: /ftI..-vO;?1;;j) Dollars [$ /5) S"OC ],
with payments to be made as follows: Zfe~..5' reS .--uce:..--ot:<)
Any alteration or deViation from above specifications Involving extra
costs, Will be executed only upon written orders, and Will become an
extra charge over Ernd above the estimate, All agreements contingent
upon strikes, accidents or delays beyond our control. Owner to carry
fll'e, tornado and other necessary Insuracce upon above work, Work-
men's Compensation and PubliC Liability Insurance on above work to be
taken out by
Respectfully submitted
7?L/ 4/
Per
Note-This proposal may be withdrawn by us If 11Dt accepted
within30 days
----....
ACCEPTANCE OF PROPOS
The above prices, specificatiDns and conditions are satisfactory a<1c1 al'e h y
Payment will be made as outlined auove,
Signature
.,9Jops cORM ~'8tJO
ORIGINAL
MADE IN USA.
CITY OF ZBPHYRHILLS BUILDING OBPARTHBNr
OWNER PA~ LIINtJI!.ETJI,/ LJAI/NA P/7Tm~NA.I
JOB LOCATION 5"fp23 IYJc.CIJI/ C'T, ZEPIIVR.1I1L.l.5 FL
/2- 26:;.-2/-0310 - tJOOOO-094/0
PARCEL I.D,'#
SHOIf ALL EXISTING & PROPOSED STRUCTURES GIVING OIHBHSIOHS & SB'l"BACKS.
/'
/
UTILITY BQILDINGS
MUST SHOW SIZE &
Fo.UNDATION INFOR-
MATION.
/
,-
// --;/2
/
//
/"
/
//
...
11),-
77/..10 I
DALIIM
SIlEL> - SLAB
- - !!'RONT PROPERTY LINB - -
7.&.1 lIT/LIT'{ EAsE""
(No.TE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
10'
.p E-
R X
0. I
. 10' P S 10'
0. T
S I
B N
D G
20'
FRONT PROPBRTY LINE
2. SETBACKS FOR R3 ZONING
60'
10' .
10' BXISTING 10'
1. 0
PRo.POSED
20'SGL FAM 30 'DUPLEX
1 0'
FRONT PROPBRTY LINB