HomeMy WebLinkAbout00-9912
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
09912
)~.;. &V ll'"
BUILDING ELECT n'(AL PLUM~G
Property Owner: UQ. ,- 1'-1 c..r t 5+0 r 4? > -:r "" c. .
Job Address: t'-{'2 S e:.~H (?\""l.
Parcell.D. # ']4-2')' 11- OOOv.- 00 100 ~ Oo~D
~3
oD
Date
MECH~ICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code:
DescriPtion of Work ((0 (;) ..( e e ~; r
Radon Gas:
NO OCCUPANCY BEFORE C,O.
FINAL
1--./ 5--7
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c,o,
DATE
Inspector
City License Registration #
State Certified License#
Permit Fee '1 SC_ ~
, Signature ,#~. ~
Company
Address
- Telephone# ?5'2, S'6v- -?5's1'9
t:n,--c,,-y-
t7
Valuation or
Contract Price
'-110 1 olff . ~
ELEC RICAL
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
ME
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.
JUL-13-'99 TUE 11: 19 ID:
TEL NO:
l:Ie59 P02 -- -..-
urWCUI. IW. R1IGI
ell'! 01' aPllDll1LL8
.uJt.DmG DII.U'JIIIIft
~D DCalWD
KM8 JlIIVDW ....
... OWNER'I IfAM& LJQ..l-...~~i- ~~
JOB ADDRESS ""7'-i 2 b, a.~lill"t"f
-
\ ~("
PH01fI .sol - 21 ~..... ,!;~6r
,
LZGAL DZ:JC!UITIOHI LOT (8) 1".>'-1 '-10 BLOCK bo ~ao SUBDIVISION CL"b C'
'MeEt. ID f .?i..f - l of) ~ l..i': 00(.')0 - OObCX...... cOLfe I~Jl'!'..nf I'DnM PlllUll!fllrIV 'l'U NM'T~Jr.1
WORK PltOPSED. CHIW CONSTRUCTION
CSIGN
[J ADDITION
C MOW
OAIITl!MTION
[J DJ!'.MOLISH
~'AIR
o INSTALL
PROPOSED USEICJ~L FAMILY DWELLING
, aCOMMliMCIAL
CJMULTI-rAMILY
Cl INDUSTRIAL
0, or UNITS
C SWIMMIM'G '001.
o MOBILE: 80HZ
C 0'1'H!l~
BUILDING SIZI
CJ RES'l'AUIWJ'I' , HE1U.TH DEPAR'I'M!JlT APPROVN.
f.~~ d,.\..~&,dU..:,},.v. <"IN ~. <;~S d:'i.4(.~ A:p~ . ~- ~~s
. q~ \) cU,...c,) ~sp ,)
SQUAJU!I E'OOTME HBIGJIlr /_0"
DESCRIPTIDN OF WORK
RES I DBN'l'IAL & ATfACH (2 I i'LOT PLANS & (2 I SETS or IUUDINCiI &lLANS , (1) SET ENERGY' FOAMIl.
COMMERCIAL: ATTACH (3) SITS or BUILDING PLANS, (1) SIT JtNE~Y roNlS.
PROPIm'l'Y' SURVEY REQUIRED FOR ALL NO CONSTRUCTION.
PDMI~8 RIQt1I8HD
CJ BUILDIKCiI
C ELECTRICAL
.$ ~t.,.,Joc.,~,,,e
VALUATION or TOTAL CONSTRUCTION
AMP sBRvtCE
[J rLORIDA 'OWIR
o ".R.E.C.
C i'LUMlllflj
[] MECHANICAL .
[] QAS ~rINCi C SPECIALTY
'1'YI'E or CONSTRUCTION I C BLOCK
PINISH!D FLOOR ELIY.ATIONS
VALUATION or MECHANCDU. INS'1'ALLA1'ION
CJ OTHER
o nwo:
o STREL
o O'1'HIR
IS PROJECT IN rLOOD ZONE ARlAC YES [J NO
.." " ". ';::;~~1~Tj~r1iifi:~ii~~~~~iJi~;~~~!~f~::;~:~~.
BVILDD.
SIGNATtIR!
fJ/A
{
COMiANY
!I'1'A'l'1l CIRT OR REGIST *
CITY' PROCESSING #
.....................*....*....~..................................
m.acntClD
SIGNATURE
fLYtt
1
COMPANY.
STAT! CERT OR REGIlT ~
CXTY r~CB8SIHG *
..................................................................
1'1"-
81 GNA'l'UR!
flV fr
I
**........~..****.**.*.**...********.*.*...*.**.******.*t....*....
COMPAKY
STATI CBM' 01\ gGIS'l' .,
CI'1'Y' .ROCIJIING I
-CllM'tCA%.
COM' ANY:
o~~m~ ~.~~ ~~ e~~T.~ M
~..L\:7.n^'LUn.l:l
-.... ...,.........---..".._ TT
.............****..................****..............********....
O'!HD ,~4~ +-m~
SIGNA'l'UR!i ,~ S.c2~~
COMlMY ~J..o., I'.-~ I,vc
STATE CERT OR R!lGIST . t!f" -(,.A'2.9',,'iI
CITY PRoCeSSING # 2f;,'7{'
.......*********.....********.*********....******.**.***......***
JUL-13-'9'~ TUE 11: 19 ID: TEL NO: l=!i::l:>::;. rU':'
- CONDITIONS OF ,mANIT Arrl~VIT
A, NOTICI or DIIO ft!STRICTIOH5
~h. und.r.igned unde~.tand. that this permdt m.y be .ubject to ~d.ed re.triction.- Which
may be more re.tr1ct1ve than City requlatlons. The under.1ined a..um.. :eaponoibility for
complian~. with any applicable deed :e.~~lct1on.,
8, UNLICENS!D CONTRACTOR! AND CONTRACTOR RESPONSIBILITIIS
If the owner ha. hi:ed a cont~aetor or contrlctor. to undertake work, they may be ~equired
to be 1ieen.ed in accordance with .tat. and local :egulation.. If the contraotor 18 not
licensed a. required by law, both the owner and contracto& m.y b. cited fo: a ~.domeanor
violation under .tate law. If the owne~ or intended contractor are unce~ain .. to What
licensin9 requlrem.nt. may apply for the intended work, they are advi.ed to contact the
C~ty of Zephyrhill. Building Dep.r~nt, 813-788-8511.
further.mo:e, if the owner ha. hired a contractor or coneractor., he 1. advised to have the
contractor(.) .iqn portions ot ~he .ContrActor Sec~1on.M of chi. .ppl~c.tlon fo~ wb10b they
will be re.pona1ble. If you, a. the owner .19n. al the contractor, you are 1ndicatin9 that
you, rather than the contractor, are reaponaible fo~ the work. It the contractor wi.hea
you to .iq.n .. contractor that may b. an indication that be 1. noe properly liceD.ed and 1a
not .n~itl.d to permitting privilege. in the City ot Zephyrhille.
C, TlWfSPOM'A'l'ION IMPACT nls AND UTILITY CONNECTION ruB
D. COHSTRUC'1't1IOH 1.II:H LAW (CHAPTER 713, FLORIDA STATUTES, AS AMEND!Dl
I certify that I, the applicant, have been provided with a copy of -Florida'. Con.t~uct1on
lien 1.aw - H~oWft.r" Protection ~u1deN prepared by the Florida Oepartment of Agriculture
and Con.~r Affair.. If the applicant ia someone other that the .owner-, I cer1fy that I
have obtained a copy of the above described document and prom1.e 1n 900d faith to deliver
it to the .ownerM prior to commencement.
B. CONTRACTOR' a/OWNER' 8 AtrIDAVIT
I certify that all the information in thi. application i. accurate and that all work will
be done in compliance with all applicable law. &equlat1ng construction, zoning, and land
development.
Application 1. hereby maae to ootain a p.~t to do work and 1n.tallation .. indicated. I
certify that no wo:k or installation ha. comm.nced prior to i.suance of a p.~t and that
all wo~k will be performed to m..t standards of all laws revulat1nv construction, City
codes, zon1n; re;ulationa, and land development requlation. in the jur1'd1ctLon. I also
certify that I understand that the regulations of other vovernmental agenc1es may apply to
the intended work, and that it i. my reaponsibility to identity what action. I mu.t take to
b. in oomplianoe. Such ageD~i.. 1nclud. but are not limited tOI *Departmant of
Environmental Regulation-Cypre.. Bayhead., Wetland ~e.. and Enviroftmentally Sensitive
Lane., Water/wa.tewater Treatment
.southwest flor1da Water ~nagement bistrict-Wella, Cypre.. aayheada, Wetland ~e.a,
Altering Waterco~r.e.
*Azmy Co~. 0: Bn9ineer.~Seawall., Docks, Navigable Waterways
*nepartment of Health , aehab11itativI Servic.., Environm.ntal Health Unit-Well.,
Wastewater Tr.atment, Septio Tanke
.U.S. inviro~ntal Protection AqenCY-ABbestos abatement
I also certify that, it till material 1s to b. ~..d in Flood Zone ~AM 0: ~A,.tc,., it 1.
understood that a dra1n.;e plan addrea.in9 & "campen.atin; volume- will be .ubm1tted which
1. prepaced by . profe..1onal eDviDBer re9i.te:ed ~n the State ot Florida pr10r to pecmit
ia8Wlnce.
A permit is.ued ahall b. conatrued to be . licen.e to proceed with the wor~ aDd not a.
authority to violate, cancel, alter, or aet ..ide any provision. of the technical code.,
nor shall 1..uance ot a perm1t prevent the Building Off1c1al from ther.afC.~ requiring.
correction of error. in plan., con.truotion, or violatlon. of any code, Ivery permit
issued .hall be~ invalid unle.. the work authorized by such permit 1. commenced within
six month. of i..uaDce, or if work authorized by the per.mit 1. .u.pended or abandoned tor a
period of aix months after the time the work 1. cOIlIIIlanced. one 90 day eateMien ot time
~y be allowed for the pe~t with f.. cha~ge of $15.00. Th. exten.ion ahall be requ..ted
in writing to the Building Offioial. An approved in.pect1on ~st be l09ged during each aix
month period, 0: the p~ject Will be eonaidered abandoned.
WARNING TO OWNERI YOUR FAI1.URE TO ReCORD A NOTICI or COMMENCItMDrT MAY RESU1.T IN YOUR
PAYING TWICE fOR IMPROVEMENTS TO YOUR PROPB:RTY. IF YOU INTUD TO OBTAIN rlHAHCING, CONSULT
WITH YOUR LJ:ND!:R OR A1I A'l'T EY asroJ\E RBCORDING YOUR NOTICE OF CCHDNCIMUT. JOBS UNDIR
$2, 500 IN DO NOT D '1'0 RiCORD AND POST A \\HO'1':tCIl or C016lEHCEMEN'l'M.
_~s.~j. ~
UGNATVRE, CQN'1'MC'1'OR
SIGNA'l'U OIIHER OR MINT
~~"'C"\5A~
STATE 01' ~
COUNTY OF nToi"\.
The toreoolng i~~nt w~owledged
eef~~ me t:bla~ day ot~ , ~
by ~ ~~ --')~...
ft ...'.. --~..'...- .._\.......""',.~)I., ,..'""I""'!"....,4,
STAT! Of FLORIDA C. '
COUlfTY 01' 1~"'5
The foregoing Inatrum.nt W~\r=~Wl'd9ed
Betore me th.:l.. \ 3 ~~t. I. u~u , M~C>
by ~~ 'S. 't
'nam. ~f oerson .oknowl.~q.dl
- "'....-.,.I ...... f:'w;,;;;"~'IJ..........x .......V"... ....... ......., ..._
,Cwho haa produced
(type of .identif:1cation)
'and whoCJ cI1d Cclid not take an oath.
S1gnatu~. ot per. on taking acknowledgement
r45vDOTf/
pl'1.nted or .t.~.d ~
-.,....... -- ..--~ -----------.
CJ who hu pz:oduc:ecI.
(type ot idantHil:ationl
and who Cc:l1d Oiid not tate an oath
819natuz:. of per.on tak1ng aakDcwledqrnent
~~ c.. &LflWtJ
Naru typed, printed or .tAq)ed
"\~"" Henry F Brown
*~ *My CommisSIon CC826255
....'1...,'0'. Expires April 12, 2003
111111111111111111111111111111111111111111111111111111111111
2000141796 .. .
Rept: 454185 Ree: 6.00
DS: 0.00 IT: 0.00
11/13/00 Dpty Cler-k
Permit No.
NOTICE OF COMMENCEMENT
Key No. PASCO COUNTY CLERK
{1~1~~~~I1A~9:07am 1 697
OR BK 4479 PG
Countyof PASCO
State of F1..ORIDA
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: Parcel No. WAL-MART STORE # 706, 7425 GALL BLVD. ZEPHYRHIllS, FL.
(Legal description of the property and street address if available) PROPERlY ID # 34-25-21-0000-00300-0040
2. General Description of Improvement ROOF REPAIRS AND MAINTENANCE
3.
Owner Information: Name WAL-MART STORES INC. Address:
City BEN'IDNVILlE State ARK. Interest in Property:
Name of Fee Simple Titleholder (If other than owner):
Address
2001 S.E. 10TH STREET
,tl
/5<',_ '
Contractor Name CEDAR COVE INC.
Surety Name N/ A
Amount of Band: $
City
Address P. O. BOX 1030 City CRYSTAL RIVER
State
Address
City
State
StateFL.
34423
6.
Lender Name
N/A
Address
7. Persons within the State of Florida designated by O\w.er upon whom notices or other documents may be served as
provided by Section 713.13 (lXaX7), Florida Statutes:
Name Address City State
City
State
8.
In addition to himself, O\w.er designates of
a copy of the Lienor's Notice as provided in Section 713.13 (l)(b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is I year from the date of recording tmless specified):
Signatureof<Jwne,,: .....te:-7 ~ '''to''" ~t-J CIll.. 01' ~"t.
The foregoing instrummt was acknowledged before me this ~ .=;;290c1 . by ~(~ T ..no is"f&-
personally kno me or U who pr as identification and who U did or U did not take
an oath.
to receive
STATE OF FLORIDA
COUNTY.OF PASCO
THIS IS TO CERTIFY THA T THE FOREGOING IS A
6~UE AND CORRECT COpy OF THE DOCUMENT ON FILE
OF PUBLIC RECORD IN THIS OFFIC~ ~NESS MY
HA NO OFFI AL SEAL TH/S~ DAY OF
2 .ttl!ZJ
ERK OF CIRCUIT COURT
DEPUTY CLERK
~#~D~
Print, Type, or Stamp Name of Notary
Signature of Notary
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