HomeMy WebLinkAbout00-9990
BUILDING PERMIT
"--.
1E-__
~ E~ P~G
Pmp'rty Owne' ~4~ (ff!~.
Job Address: _ __----:4A_ _~,
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
09990
Date
I~-/;-o a
M~AL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning:
Descriotion of Work
Radon Gas:
FINAL
12... I~_(!)t)
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
Inspector .::y
Valuation or
Contract Price
-<d
~,j;- 77.~
City License Registration # c3 0 <1
State Certified License#
C-ompany
Address.
CelePh;;) 800
Pl~
ext-
9..3 ) - tot, 35" - 1--0 ~
~~~~~~?~ ~
~ ~ - OlNG ~lE ~~l
ME~L
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
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 00/1 00 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.
LEGAL DESClUPI'.Ila: wr(S)
&J:? 7&-F- tetet{
;;f fj#---
OIftfD.S lWIR El eltAJor- tv /tLIJ...er .fU01IB.. 6J 3 - } g. .l-?C:z.S.~
lIIlIIllR'S -.. (p / ijo - Pea..-,-L 'Sfl ZI':I1J...~hd\S/ p-~ :3 3~'IO =
JOB AIIDRJlss (0 ill 0 ~r.... /' L Sf ;z t':.- ; J..y ;;"'1.. _ _ _ _ .
Z /tc-IIt:5 .
SlIIII>In5IOlI 0 J'l 119,.ve "'>.sA I-(
APPLlCAnoll FOll .PERfUy
CllT OF UIPBID.IU-S
8VILD.l.lIG DEPAltIftElfr
.1.0(3:
PARCELI.D.' J ~ ~~ - tJ - 1...
.... -
3
J
IiURJC l"KOPOSItU =_.ew Ooostl1JCUoo -...A*li.tiOll --..Alteratioo. ----..RePair _XQstall
_Si8Q _lIove ---..>>e-olish Re-~oF-
l'1lOPOSED USE: 'f Sin&1e YaaU,. ---.JJJI' _, of Units -/-Jt/S
.
_c.-ercial -J,odusl:.. _S.d.... Pool Other
---Jlesblonmt a Beu.th Depart.ent Approval
BUILDING SIZE:
Jt
Square Feet.
Be:J.aht
RESI.DENTIAL:
ootmtItCIAL :
AnAat (2) PLOr PLAlIS 6: (2) SKIS 01" BUIl.DIIIG .PL\IIS 6: (1) SET DERGY FOJIfS. *.
AnAaI (3) sns OF BUIl.DI1IG 1'IARs 6: (1) Sirr ElIERGY FOIUIS...
..OOPr OF CUlIlllAcr 1lllqU1JUID.
-BUILDllfG
$.
3 5 7 7~~
J
PIlJUIIIS 1I1Ul0E.'i1lll
ValWltiOll of Total Coost:ruct.ion
F.J.RCTlUGAL
AIIP Sexvice
Florida ~r Corp.
W.R~E.c.
--.JIEClL\NICAL
s
Valaati.OIl oJ: llecbanical Inst.allatiOll
----PLUIlBIRa
GAS
ROo"IIIG
SPECIALTY
tn'E OF OOIlSI1WC'.tIOII: _Blod. _Fnme -5teel
111/ H
,
Other
f'lIJlSHED .FLOOB .8t.IWAnOllS r
fT.
IS PlIOJEcr III FLOOD ZOIfa AREA!
-
YES NO
..........................................
Dlnl.ng
aJmJIAcmR SJtCI'l9.1
OOIfPAlfr J IV -U 1 N G 'Y h J-e-- A- s S cn:.-- J:;-,fJ-G
Sl:ate Oed:. or Regut. . C Co CO "'/ Cf 3 fa 7
Cit:;y License Registr*tion. -;!#: tJ7 _
.......................................... ~.
Signature
RI..F.cnn (;1 AN
aJtIPMI'
State Cert. 0(" .R.eg:lst. .
CitT License Regi61:ratiou f
..........................................
5f-t.ure
PlDlBq
aJIIPMr
State Cert. or Regist. .
Gl~ LIcense Registration ,
..........................................
5igoat.w:e
~"CAI,
WU'MI'
State Cert. 0[' Resist;. ,
City License Registration .
..........................................
il8nature
mm!
WlfPMrJ-1J V) vG/ })J€ I~soc-
~- ~ State Cert. or Reei.s~. . G Ceo
~ ::...L-... Cit:y License Reglstr..tlon t
..........................................
r~c..
Q93Ci.:?
i 1.gnat.ure
oPPLlCAYlOll APfIlOVIIu 8Y
I'ERIIIT OFFICER.
CUNIH I lI./t-n" UF F'EHI'Ilr nr:r:: J.l)(:jV.J: l
(). U.b!L!k~_gf..._,QgJ&tLri~qlf.t.!J~IJ..Q!~.s~
Ihp und@rsignrd understands that this prrtit May be !ub;rct to "d,rd r~gtrictions' "hich ..ay be .ore restrictive than City
(e9ulati~ns. The undrf9igned aSgUles resp~nsibjlity for co~pli~nte Mith 3ny arplicablr detd restriction!.
f.l . Yltb...I ~s!'!ils_~L,.g,lliiT ~L~J~J]JIi~..tllJQ_..!;,qt!.IB.f!~Iq!L [ts.E$LQ~?I?J ~,LU..s~
If the ~"n!t ha~ hired 8 tontractDr or contractors to undrrtR~e work, th,y .ay br rlqulrrd to b~ licensed in acc~fdancl "Iih
stltp and local rlgulltions. If thr contTlrtor is not licensed as required by l~H, both the ONner and contract,r .ay be
cited for a lisde'ean~r violation under state IaN. If the OHner or Intended contractor .rt untertain as tD Hhat liten'lng
rrquirr,pn~s lay Bpply for the intrndrd "ork, they arp advised to contact the City of lephyrhills Building Drpart.ent, IQ131
7911-(,(,11.
Furth@r~~te, If the o"ner hiS hirrd , contractor ~r contract-ors, he is Idvis~d t~ h~vl tbv contractor(l) 519" pprtl~n! ~f the
'Contrlclor Sections" vf this application for "hieh lh!y "ill b. responsible. If you, as the O"OPt 'ign 15 .the contract~T,
you Ir@ indiratlng that YDU, rather thin the contractor, ~re r~sponslble f~r the work. If lh. contr~ttof "ishes you to sign
ft5 contractor thlt 111 br an inditatlon that he i, n~t properJy licensed and is not entitled to ptt.ittinq privilpgls in th!
City of lephyrhills.
C. IRI"N6U1I\TA;r~1 Q!'LU:JPACT f::'sJ~.~...t)N.J~_lJ.L!!:-...uXJ;'h!.ljH~4I) Q!:L..E..I;E~
n. ~UN6 TRUG.I.!.Q!~:Lb-.!..E!LI"...B.H (CI-"~f~rER '71:3 ~ F!..Of'\.I Dr) ST':HUTES ~ ns AI'1ENIJEI>)
J ttrtify that I, the applicant, have b@rn provided "ith a COpy p( 'fl~rjda's Construction lien LaN . ~o.!o"npr's Protection
Guidr" pr.par.d by the Floridl Dlp,rtl,n' of Agricutturl Ind tonSU~~r Aff,irs. If thl applicant is 50'.onr oth.r than the
'oN~er", I c~rtify thit I have ~btained I copy ~r the ~~oYe describrd dQcQ~ent and pt~.is. in 9Qod faith to deliy!t it to the
"~~n~r" prior \Q [o~.~n[rlent,
I=:. . G!:lN'fJ..nC TQB..~I (JI:-J~!Lf1":"l:?_J.~fl':J_QD.Y.J...L
I errtJfy that all the in(onal/oh in tlth appHCittl!ln is ICnrah. and thllt all "or~ "iJl bl! dllllP in to.pliilnte "itb all
~pplicBbJr la"5 rrqulating [Qnstrutti~nf loning, and land develop.vnl.
Aprlie.lien is hlr.by lade t~ obtain I p.r.it 10 do "or. Ind Instl)lati~n as Inditltld. r c'rtify that no wnrt or
in!ltallatil'Q has cu.lrnrrd prittr t~ iSSuance or a Pl!t.it and that all !lbr. IIi II be pl!rfllTled to aut standards Df all IlNs
regulating tonshuttilm, City CIldps, uninq rerjUlatlons, and land d!V!If.lpllll!nt rf!gulations In the JUthdiction, J also
(~rtify thai I undvrstand lhat the regulations of ~thel' 9~Yl!rn_eotal avp.ncies .ay apply to thp intended "Pft, and t~~t it is
Ily responsibiJity h identify IIl1at attions I lust tate tn be in [o.pliance. Elich agentiu includll but are n(lt 1.I'ibd tor
' lkI!.ilrt'l!nt of Envir(ln'I!Rta!J'l!QIlJalion - Cyprus lIayheads, Hetland Ar'il; and ErIYiron.enhlJy Spnsitive landS,
Wall!rlllilstf!"atrr Trest$rnt
I SDuthwtst FIDrida Nater nan.Qtlr"' Dislrict - H911s, Cypress ~ayheids, Hetland AriiS, Altering "atercour&@s
~ Ar.y Corps Df Enginee~ - SeaNalls, Docts, "avigable Water".vs
· D!p.rt.ent pf Health L Rlhabilitative Services. EnvirQn.eotal Hl!.lth Unit ~ Hells, Waltt"ater Trlal.ent, Septit ranks
· US Environ~!ntal PrDt~ttiDn AGintv ~ Asbestos abltr~ent
I Blso t.rtiry tha~~ jf fill .aterj~1 15 to br vsrd In FI~~d lone 'A" Qr "A,etc.'~ it il und,rstood that a ~r.i~a9' plAn
addr~ssjn9 a 't~.pensltjng vDlu..," "ill be sub.lttrd "hich is prrplrld by a pr&fessi~nal engjne~r rlglstered in lhr Sl,t, of
rJ~rida prior to perAit i!5U~Ote.
A rrr.it ilsued shall be c~n5trued to be . licl!"s. to prot,.d with the wor~ 'nd not .s authority to violatt, clocpl aJter, ~r
set asidl any provisions or the t,chnital cbdes, nor shall Issij~nce of , pf!r~Jt prpvent the Building Offi[i.1 fro. thereafl'r
t!quiring I corrlction I1f !rrol" in pltns, tI1nstru[t1t>ll, or violation!! of any todt. Evuy p!Tllt i!Ilued shafJ b'ctIl!e inva)Jd
u'll!ss the Kork .uthorized by ~Uth per.it is cPI,enced HJlhin si~ Ronths of issu~ncp, or if MQrk auth~rized by the rer.it Is
suspendrd ~r abandonrd for a period of six 'onths aft~r the tile the Mork ;5 (ORiented. One 90 dilY e.tension of ti.e, I'y br
all~"ed for thl! prr.it "ith ree charge of '1'.00. The eJtpnSIDn shall b! rrqllPsted in wriling to the Building Orficlal. An
~pp'oyed insprction .ust be Jogged durinq rich li~ ~onth period, or thr project Nill be considered abandontd.
WARNING TO OWNER: YOUR FAilURE TO RECORD A NUTICE OF CO""ENCEnEHT nAY RE9ULT IN YOUR PAYING THICE FOR IHPROVe"EHTS TO YOUR
PRPPERTY. IF YOU '"lEND TO DarAI" FI"ANG1R5, CONSULT NITH YOlm tEMPER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. J SUNDER fe,500 IN VALUE DD HUT NEEU TO RECORD AND POST A ~NUTJCE OF CDnftENCEnENT".
~-SiG"AiURE:~CT~
SlAlE or FLORIDA r::> ! I
ramIfY or r We .. /~
lh~ fDregoing instrument "~S ~cknDwl~dged
b"!fr.'n~ me thi9 Ll. i)GL.. , }Sf>~bY
I
I~ ev~ t::Le-.e L . ".___
\-/ho i $ pen;crnall y I:nOl'm tCl me C.r whQ has
Pl"c.tlllced _
~s identific~tio
ta.e a h.
STAlE OF nOlllDfl ~ //
COU"TY OF _ INCf/~ _
The fDregoing instrumentlwas ~cknowledged
befc're me this Ul DEG, l ~~ by .
1 f-(!jC?JCJ
f6~~ hi slover
"'ho AS pe'-5t,r1a 11 y knDwn to me err whet has
prcrdl.lt:f?d
as en 1 i:\
til~(li1 a oath.
(Name Typl!d,
NO
- "., l'.~" ARRELJOHN80N
l~Wl :~~ MY COMMISSION # CC 654912
~ .0:;. EXPIRES: June 11. 2001
.~ Bonded lhru Notary PubUc Underwri\erS
)
.. , ".
TO BE COMPLETED IF CONSRTUCTION
VALUE EXCEEDS $2,500.00
Pennit #
1111111111111111I1111I1111111111111111111111I111111111I11111
2000156303
Rcpt: 461168
DS: 0.00
12/13/00
Rec: 6.00
IT: 0.00
Dpty CI.rk
Tax Folio #
i~91~~~~f'I'3: fI.S;O fOUNToYf CL"ERK
OR BK 4499 PG 429
OFFICIAL NOTICE
OF COMMENCEMENT
State of Florida
County of Yn.s c:.. c...
TIlE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in
accordance with Chapter 713, Florida Statutes, the following infonnation is provided in the Notice of
Commencement.
1. D;?cril}tionof2ro;.'~:th()iJIL -J~ - ")'AGJA~ OI1ASj./J,&' )~fJ){
~ le ~/- E.k ?ia~ C 0 1.. 1-~ I.) fd."~Q QQ.loo 00/0
2, General description ofimprovement: ~c-ACK::>;c .<:/ NO/ e J-i y /j?1C:::fr1./);/CRA/
, t1'./
O I ~ . . I ~Le.D-/Jor UJ ~ l )~~r
3. wner nlonnatlon:
A. Name and address: (oJ'Ic;- /)C!e...,/L Sa: 2e;JAYJ---.AJILr; /-"L 3.l5~/
. ./
B. Interest In property: 0 Iv k.e '.
C, Name and address of fee simple titleholder (ifother than owner):
4. Contractor name and address:
INVINCIBLE ASSOC.
10931 75TH 51.
~~~~~B~~9~~J~~j5
FAXi727 541 2618
INC.
'--to
-:
S. Surety (if required)
A. Name and address
B. Amount of bond $
N/^
I
R~
..
.~~_... -
6, Lender name and address:
N}~
I
7. Persons within the State of Florida designated by Owner upon noticf~ ff ~~~t ~O~~~I@"~S tfOO' .be
served as provided by section 713.13 (I) (a) Florida Statutes. 10931 75 T H ST.
Name and address: LA R G 0 I=" I 1 3 7 7 7
TEL: 800-937 6635
8. In addition to himself, Owner designates }J I A FAX ; 7 2W tett:i~~ &opy of the
Lienor's Notice as provided in Section 713.13 (I) (t) Florida Statutes.
9, Expiration date of Notice of Commencement (the expiration date is one (I) year from the date of
recording unless a different date is spcci lied)
2,. ~po..l'cO;t b'~ - )~ ed I)J )'1. c ef-
Signature of Owner or Authorized Agent:
--.--- -------~-- --..-.- -----.- -- -
{{I'du
Notary Public
My commission expires:
"'"\''~''''' DARREl JOHNSON II
/1~''',!:'ti;~ ~1Y COt-.1MISSION # CC 65~912
~::' . :~g EXPIRES June 11, 200 i
V!~;"'/ 80nuPd 1 nrll Non" p",,',c U,.k I,' ,''',.. \
",,'lft.f::.--- _ ~... , - _________,:;;:;::;..