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Home My WebLink About01-0077 BUILDING PERMITN2 0077 CITY OF ZEPHYRHILLS (813) 788.6611 Permit Date~ r-,\ dO ~u.- BUilDING ElEC~CAL PLUMB~G ~ kra. {.(~U ~c? :c;"-t ~ Ave MEC\ANtCAL Sewer Coon Water Conn: Property Owner: L.v.. e U a. Job Address: -'3 q "J 1 0 Water Meter: r.I.F.'s: Parcel I. D. # Zoning: DescriPtion of Work Energy Code: ~~ - /,v ()~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector ......J' City license Registration # State Certified license# ",r-...... ~c. Permit Fee ~ ~ . - Signature ~<'HfL-.J Company V Address Telephone# (27,~) ~~,.... "1Q89 Valuation or Contract Price 52l.(l).~ I\h..u 1'1-" t'}, I -.~ (.rc..LJ.. BUilDING J/it ELECT ICAL PLUMBING MECHA~ ICAL Ftr. Tp.Serv. 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 J\:; Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five 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 FOR PBRYIT CITY OF ZBPHYRRILLS BUIlDING DEPARTMENT DATE RECEZVBD PLANS REVIEW FEE OWNER'S NAME '/-E./, /10 5 "mfAr r JOB ADDRESS d?.J~O ~7lh ~ ~~l,r~,/I~) LEGAL DESCRIPTION: LOT (S) ~ BLOCK fo PARCEL ID # tl2P:J~n ~~ ,;(h..;7') WORK PROPSED: ONEW CONSTRUCTION o SIGN PHONE 7.51 -1- t? f./ B~ ~r;~ ~~~ ::::::s:::~:~: ~t~F.1 PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL o ADDITION OALTERATION o REPAIR o INSTALL o MOVE 0 DEMOLISH OMULTI-FAMILY 0# OF UNITS o MOBILE HOME o INDUSTRIAL o SWIMMING POOL o OTHER DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL ~:41/ jJ&~/ p~)1 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 o BUILDING $ 5~7"o.6e VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING AMP SERVICE o FLORIDA POWER o W.R.E.C. o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 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 BUIlDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** BLBCTlUCIAN COMPANY STATE CERT OR REGIST #. CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL **********~******************************************************* COMPANY: STATE CERT OR REGIST # CITY PROC~SSING # SIGNATURE ***************************************************************** SIGNATURE COMPANY d~dl ~r4-1JrF ~? STATE CERT OR REGIST # (" C"CtP<7I~67~ CITY PROCESSING # , OTHER ************ ******************************************* CONDITIONS OF PERMIT AFFIDAVIT A. ~OTICE OF DEED RESTRICTIONS "The undersigned understands that this pe~t may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersi';Jned 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, 813-766-6611. 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 pe~tting 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 ~pplicant, 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 aocument and proInise 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 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 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. o who has produced (type of identification) and who Ddid Diid not take an oath o who has produced (type and whoD did Ddid not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped lr Recording Return To: R Nation~1 HomeCraft Of Tamoa . 6409 North 50th Street #C Tamoa. Florida 33610 1111111111111111111I1111111 II1I111I1I 111I1 1[111111111111111 200101~~617 . ~ Rcpl: 4'71198 DS: 0.00 01/31/01 Rec: 6.00 IT: 0.00 Dpty Cl.rk Pennit No. Tax Folio # 00 <40 <:10(.60 ocS-o State Of ~rida County Of ft..> (0 c.- .tfj Notice Of Commencement FS 713.13 JED PITTMANi PASCO COUNTY CLERk 01/31/01 0 : 21pm 1 of 1 OR Bk 4528 PG 159 THE UNDERSIGNED hereby give notice that improvement will be made to certain real property and in accordance with Chapter 713. Florida Statutes, the following information is provided in this Notice of Commencement. 1. Legal description of property: Z. ~ 1-1 T ~ I S.i- (.lJ.J. B g {J :;2 ( W 5 .g I It. t:, Lf:.~ 114 ~~IA ~ ~~c. I 2- T"",p z.Co ~ ,;z~o /fCf',. 'J t4,,~ z.,~tl'l.,'f/~ FUJ,,.t/. .7j'~~~i{, 7~ 2. General description of improvement: , Metal Shingle Re-Roof 3. Owner: Name and addresskt/ ~ .$ h .rt4t..c.'=jev sc, ).'30 a. Interest in property: Fee Simole b. Name and address of fee simple titleholder (if other than Owner) (t~ .~c 2{ /-k,lt La /Jv<.- 2~fh '{rh-.l (.1 ~_ -s 35-(0 - <.f "" 12- 4. Contractor: Name and address: Nationl HomeCraft 6409 N. 50th Street #C. Tamoa. 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 selVice by fax is acceptable): 6. Lender: Name and add res: a. Phone Number: Fax number (optional, if selVice by fax is acceptable): 7. Person within the Sate of Florida designated by Owner upon whom notices or other documents may be selVed as provided by Section 713.13(1) (a)., Florida Statutes: (name and address): Fr=ank.., MI!KinnlaY ~Q ~ ~~ ~tl"lalat tlr., T=arnp=a, Flnritl=a ~~61n a. Phone number: 812 621 7U~ 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 :ounty of HiIIsborough . rhe foregoing instrument was acknowledge before me this i ~ " day of .::z; UN At / tt~ 1/" S'~lIpr who is personally known to me or has produced IS identification. ~j,,)~ ture of 0 er . ..:;!(J{j I by YNa~ STATE OF FLORiDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT copy OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE. W~S MY HA AND OFFICIAL SEAL THIS~ DAY OF UR.L , Jf CIRCUIT COURT DEPUTY CLERK ....~\i\t~ FRANK H. MCKINNEY {,,,!./f;;.'1::~ MY COMMISSION' CC 7048201 ~~jif EXPIRES: June 3. 2C02 ..,1.Rr.,\i.~"- IIondId 1lllv NoWy PtmIic Undor.vnlars