HomeMy WebLinkAbout00-9953
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
09953
I~/I /00
6S.~
BUILDING
Date
ELEC~ICAL
PL~BING
MEC~NICAL
Sewer Conn
Water Conn:
Property Owner: J 0 h "" S1.ep h..e.., s ~,..,
Job Address: -r <; J 0 '-f '3 .g Ave.
ParceII.D.# 1'l-;lb,11- DOlO" 00'20.01(0
Water Meter;
T.I.F.'s:
Zoning:
Descriotion of Work
Energy Code;
~e - rook
Radon Gas:
FINAL
1- 0 If)
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Valuation or
Contract Price
~oo 0 .
,
00
IL
City License Registration #
State Certified License#
~-V- 7~t9l'
~+:O"A( l-\o~eLrc....c....
BUILDING ;r'l'6
ELEC
SLB
Tub Set
Water
Sewer
Final
ME
Ftr.
Pre SLB
Lintel
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 ($ 25.00) 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 roa PBRMIT
CITY OF ZBPBYRBILLS
BUILDING DBPAR'DmNT
~C;TJ)
~IVBD
b II jfJ7J
I I
PLANS uv:rn I'D
JOB ADDRESS
~f\
.3rNl
ft. ~p}... efi5l>l)
3d A-.tR. 2~Lr"i{{s I {{,r;}"
(
BLOCK d..
PHONE
OWNER'S NAME
LEGAL DESCRI PTION: LOT (S) II ~ I J..
33 s"q'1)
SUBDIVISION ~noLf~~f
PARCEL ID #
/...t -;lb ~:2.1 ~ Ill) '1) - O()i/f) - fj 110
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION
o SIGN
o ADDITION
OALTERATION
& REPAIR
o INSTALL
o MOVE
o D~OLISH
PROPOSED USE: ~GL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
-:z;:,./i;P MI ~f. Over / LAY#~ OF ~iMH- :'<k;':f&'
SQUARE FOOTAGE +"AtJ/) HEI~HT
DESCRIPTION OF WORK
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
o PLUMBING
o MECHANICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
DGAS
NROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 B~OCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
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COMPANY 1b,!.;'.tJlliIIl ~'~~~ ~
STATE CERT OR REG! ST # t!J
CITY PROCESSING #
BUJ:LDO
*********************************************
IlLBCTlUCIAH
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
I
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PLUMBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
**********~*******************************************************
COMPANY.
STATE CERT OR REGIST #
CITY PROCESSING #
MBCBAHJ:CAL
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OTBllR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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CONDITIONS OF PERMIT AFFIDAVIT
A.. .NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be sub:iect to ~deed restrictions" whidh
may be more restrictive than City regulations. The und.!rsigned 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 UContractor 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 uFlorida'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 Uowner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it.to the Uowner" 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 fi.ll material is to be used in Flood Zone UA" or uA, etc.", it is
understood that a drainage plan addressing a ucompensating 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 authori~ed 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 uNOTICE OF COMMENCEMENT".
SIGNATURE' OlIHER OR AGENT /~~'.7
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The foregoing instrument was ac~owledged The foregoing instrument was acknowledged
Before me this _ day of ,19_ Before me this --pay of , 19-:....
by by
,.
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[Lho is personally known to me, or
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid Dlid 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
After Recording
-Ret',,;rn. To:
National HomeCralt Of TamDa R
6409 North-50th Street #c
TamDa. Florida 33610
111111111111 1111I1111I11111111111111111111111111111111111111
2000141248
Permit No.
Tax Folio # /2.... 21---2..1- COle -ooze
State Of 1J!;rida
County Of co
Notice Of Commencement
FS 713.13
Rept: 453929
DS: 0.00
11/09/00
Ree: 6.00
IT: 0.00
~_ Dpty Clerk
-OliO
JE1D PITT"AN~ PASCO COUNTY CLERK
1 /09/00 lu: !Slam 1 of 1
OR BK 4478 PG 1049
THE UNDERSIGNED hereby give 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.
2. General description of improvement: Metal Shingle Re-Roof
3. Owner: Name and addressJa" I-l. ~~n ~"o~ 3niIJvL ~~rMIlJ Cc, 333'10- S2fo<./
a. Interest in property: Fee SimDle
b. Name and address of fee simple titleholder (if other than Owner)
4. Contractor: Name and address: Nationl HomeCraft 6409 N. 50th Street #C. TamDa. Florida 33610
a. Phone number: 813621-7489 Fax number (optional, if service by fax is acceptable): 813621-9228
5. Surety: Name and address:
a. Phone number: Fax number (optional, if service by fax is acceptable):
6. Lender: Name and addres:
a. Phone Number: Fax number (optional, if service by fax is acceptable):
7. Person within the Sate of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1) (a)., Florida Statutes: (name and address):
Fr;!lnk H McKinn",y R40g N ~Oth Str..",t ltC, T;!Irnp;!I, Flnrid;!l 33R1 n
a. Phone number: au &21 7488 Fax number (optional, if service by fax is acceptable): 813621-9228
8. In addition to hisself, Owner designates to receive a copy of the Leinor's Notice as provided
in Section 713.13(1) (b), Florida Statutes.
a. Phone number: Fax number (optional, if service by. fax is acceptable):
9. Expiration date of notice of commencement (the expiration date is one (1) year from the date of recording unless a
different date is ).
State of Florida
County of HiIIsborough /'"
The foregoing instrument was acknowledge before me this 3d day of Ifb"....~ _ '::.""" by
~4/1 1/ S~h f!I'I.$;")/1 . who is personally known to me or has produced ~ .ih~ 6~rL
as identification.
~ UIfJr!L-
Sign:fUre of owner
...~~ FRANK H. MCKINNEY
f.: ::.\ MY COMMISSION' CC 748201
. EXPIRES: June 3, 2002
80m/eel Thru NoI8ry PullIic llrIdInwriIm