HomeMy WebLinkAbout01-0112
BUILDING PERMITN~
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0112'
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CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date
~-/:J-O/
.
BUILDING
E~"'-
M~-sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel 1.0. II .
Zoning: Energy Code:
~Pt;P~;6~-;5t/'YA
Water Meter:
T.I.F.'s:
Cji--
DO .
R'dP~. E~ .
\ -1t1-l~~4" t.L;)../2w~ "-"<.)~~,
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
3-2b-<!:J1
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
5>R.
Valuation or
Contract Price ~ Ozy{)
City License Registration # cS h 2..
State Certified License#
~'mlt Fee ~ :.:..~
,,--_..€gnat~';;-)4 . . ~.
Company
Address
ephone"' f'g- - ~S-3 /
ELEC~-.
.....
P~~
M ECiclAN1C"AL
~,-
Ftr.
Pre SLB
Lintel
FRM.
InsuJ. 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 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.
'.
"
IlJu~iL WtU.i~ ~.rr-
3526 W-y L L-tPrJk-
SQ. FEET PRICE '
IlIAIN OR UVlNG .De... $
OTHER AREA UNDER ROOF $
OTHER
VALUATION $ 5;ooc
CoNi/litf ( t2JcJL
BUILDING: $
~-;~
b .}c
CREDIT: $
7" ""62-
, / >
ELECTRICAl.; $
PWIBNG: '$
IlIECHANIcAt.: $
RADON $
4. ; 2-
I
TIF'S~ S
;v/tr
I
APPLICATION FOR PBmaT
CZTY or ZEPRYRHZLLS
BUILDING DBPARDamT
OWNER'S NAME III r. +- M 1"'5. If/I aft. Ka'j
JOB ADDRESS 3S~(~ 8er'j/ Lane____, Zephyrh/ll:s
LEGAL DESCRI I?TI ON: LOT ( S ) 77 BLOCK
PARCEL ID # 0?t./-d{p-.;l.I-M~O-CJ&CJOO-0770 '
SUBDIVISION Erneratd Po/nt-
(OBTAIN FROM PROPERTY TAX NOTICE\
WORK PROPSED: []NEW CONSTRUCTION
,
OSIGN
lR""ADDITION
[] MOVE
[]ALTERATION
[]REPAIR
[] INSTALL
,
[] DEMOLISH
PROPOSED USE: []SGL FAMILY DWELLING
o COMMERCIAL
[]MULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
tJ OTHER
..
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Po....ho Lover "I- Scre.er1 ;e~. w,/ 1/(';11 Wth.;,{t7tv:j. twr ved<.J SAd
'BUILDING SIZE ,I:?.'x.. 31€ SQUARE FOOTAGE 43;Z ;/'~ 'HEIGHT' Se~ blahS
. f
RESIDENTIAL:
, COHMERCIAlJ t
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. ; r
I ~- f I
I
~UILDiNG
[] ELECTRICAL
[] PLUMBI~G :
[] MECHANICAL
PERMITS REQUESTED
, :.l ;,.
$ StJOtJ. OC?
VALUATION OF TOTAL ~ONSTRUCTION
,,'
AMP SERVICE
[] FLORIDA POWER
[] W.R~E..c.
$
VALUATION OF MECHANCIAL INSTALLATION.!.,
[] ,
, ,GAS
P RqOFING
[] SPECIALTY
[] OTHER
~FRAME
. I \,~'
~ r ,f ~
i'. 0\' ~
TYPE OF CONSTRUCTION: tJ BLOCK
[] STEEL
.-./: Ll' '. I '
~OTHER /T1l<mlni..l~1
FINISHED FLOOR ELEVATIONS
, l,'
IS PROJECT IN FLOOD ZONE AREAD' YES D NO
,''II(' ',~ J ii',
\ f j '-'~' .
mmlilili!!!l!I!~W!li!:mmmmmmmmmmmmmm!mmmmm~:mmmmlmili - !liilmmml!!1!!:1::llm:!1:mWm!!!!I:mm~mmmm:mmmmmmmmmmmm
,l.'..,,l,.: ' \. ,
COMPANY (lIlike WNlia.Ms' (!t);tQfr~c-ho~,-
STATE CERT OR REGIST #
CITY PROCESSING It SbA . 1 I'" ,
BUILDER II .: " l(:) ,'.
SIGNATU~E'~ 0)~
**************************************************************t***
.i&C'.ImCull
COMPANY.
STATE CERT OR REGIST #
CITY PROCESSING #
!\". ..\;
SIGNATURE
******************************************************************
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PLt1MBIDl
COMPANY'
STATE CERT OR REGIST,#
CITY PROCESSING #
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SIGNATURE
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***********~******************************************************
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HIICBAHlCAL
.
COMPANY.
STATE CERT OR REGIST'#'
CITY PROCESSING #
SIGNATURE
**************~********..***************************************** i ,t! ,.i
OTRBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
i!
SIGNATURE
*****************************************************************
CONDI:..'.ONS OF PEP,M.T..p l\FFlDAVIT
A. NOTICE OF DEED RESTRICTIONS
.Th.. wad.~.i9n.d. under.tands that th:l:ll permit may be lSubject to "d.ed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsib!ltty 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 Depa.r:tment, 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 t:he 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 aocument and promise in good faith to deliver
it to the "owner" prior to conunencement.
E. CONTRACTOR' SlOWER' S AFFIDAVrr
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 conunenced prior to issuance of a permit and that
all work will be perfonned 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 inciude 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 Axeas,
Altering Watercourses
*Anny 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 t~e Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become iJlval,id unless the work authorized by such pe.tmit ia commttncedwithin
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 conunenced. 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 OWER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
I?AYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEND'BR OR 1\N ATTORNEY BEFORE RECORDING YOUR NOTICE 01' COMMEHCDlDT. JOBS UIIDBR
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTH.
~(p),~
IGNATURE: OWNER OR AGENT
~ (p)~~
SIGNATURE: CONTRACTOR
STATE OF FLORIDA /7/
COUNTY OF ~$CO
The foregoing instr~ent was acknowledged
Before me this dl~day of rebre.<t1-rj, ~41()OI
by mike W/[.fl;i~:;-
.'
. (name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type
(3'Cfid not
STATE OF FLORIDA
COUNTY OF
The foregoing instrument wa~cknoWledged
Before me this ifi.Jay of ~~ ' - 2.!!!1
by /J1iKL W' '_5
~ (name of person acknowledged)
~ho is personally known to me, or
ra5'CO
of identification)
take an oath.
o who has produced
(type of identification)
~d not take. an oath
Name typed, printed
or ~ed ~:iUl8iL1E; Gal'll"
:~" tb-"'~~ comm. ission #- CC 790817
~;'!',A~ig ExpirroS NOV, 15,2002
"-':1oi'<.\.<s<.,~ :<,'ED THRU
"'n1"'''\~ . ""...,:tG 1:0., INC
Name
. ",,,, B
,~pt!l, ~:~,Ulnnne ahr
t ..~~~~')~~:;~*~~.#~~~~I
yp~". .' _ oqJlr .,~ ".}~, .
""~~'oi'~\~'~~ .. . B~)I\;DED THRU .
'IIun'\.\ "I~ Ail~W,..iCll'~;)!HG(,o., INC
state of F LvI< I'd A
NO'l'ICE Oli' CUMMENCEMEN'!'
County of ~ /I- Sc!V
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII~ 111111111111I
2001015170
'rHE UNUERSIGNED hereby g.ivea notice that improvement will be made to c~rtain
real property, and 1n accordance w.Lth Chapter 713, Florida Statutes, the
following information 1s provldm] ill tllia Notice of COllunencOlllcnl::
1.
;J.t./ - ~~ .- ;;../- ()O~O - 00000 - () 7 7 D
. Lof- 7.4-t::~e,.ald._ ..&_~f jftLLfeSl2-rf 7~i#e'f/''"hllls. ~' 33.5",/0
(l~~T(]nRGrJ.pLlolI of tlle pn'lwrl:y alld nl:rn;{t'Qd~ re s i' QvaJ. able)
d~ -M-u~~-;- ~~
':('11('1'111 I/('~H" i pi i Oil of IlIIplovl'III('1I1
V~y~.
Descr iptioll of ProperLy: Parcel Ho.
'2 .
3.
(MY)
O\...lIcr III[Or:tlon: Namcr#J'tf~u,{' oS /l//#p 17'
l\duresskl. ?'7~~,b'~ityZ-~~~~
35~4' Beryl La.ne..
InLerest ill Properly: _
state P/(
Ni1l11e of Fee Silllple '1'i Lleholcler:
(If other tllall owner)
Repl: 472444
DS: 0,00
02/06/01
Ree: 6.00
IT: 0,00
__~_____ Dpty Clerk
l\ddress
City
State
R. R.eYurn 10:
1. COlltractor: Ni1me~('fr(c Gz..')j ((;~m6 CotV5T~0CJ;rf)P1Y ~~,.
~ l\duress _?~ W /::::SS t9 D(? C.ity Z - Af///S State y0. t t
~ .
SIlJ. C ty: Na/lle>
.3 3..s;~o
J\ddress
City
state
JED PITT"AN PASCO COUNTYr CLfRK
02/06/01 08:38am 1 1067'"
OR BK 4531 PG U
l\moullt of Bond: $
6 .
Lemler:: Name
l\ddress
City
State
7. Persons within the state of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
71J.13(1)(a)(7), Florida Statutes:
Name
J\ddress
City
State
8. In addition to himself, Owner desitjuntes
of Lo receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. r:xplrntiofl dute of tlotJ.ce of Commencement (the expIratIon date is 1 year
fr'.)lII the dute of recording unless a different date is specified.)
/ Sf day of reb1'E:...a_/'v:...
STATE OF FLC '~A
COUNTY OF PI},?CO
THIS IS TO CFFiTIf-"::-~
1 RUE Ar~[) CORRFe'" e;-,'J'.
-. I I
Sitjna ture of Owner:
Sworn to and subscribed before me
'tJ ~t%J I . jJ
Notary ,PU~liC~ . '/~~ "
My COlllillJ.SSl.On Expl.res: < ,"'11',., ... ~
'b@;'~'=- a r
ff'f'r ~ "~~ C~l'I1rris~;I)" ~,I r( 790817
;~"'~:07.:'" " .S, iOOZ
",~di'f;'~~' . ' ,DW THRU
.""" ATLANTIC BONDING CO,. INe,
/1I'J~e w: J(~'l1m s CDNSTR\Jc~r1J ~i INVOlrCE
II . N U M B E R
7fs,i!1 ~SS,/9- VR,
G e/<J!1y /(h ('( Is FJ. ( ~3S-f/O
DATE
SOLD TO:
)1//?<i-//?/25 ;r//~N K/l-/
~D7 77
~ Pc> ("/tiT:
CUSTOMER'S ORDER NO,
SHIPPED TO:
-FOlD OUR ORDER NO. ~ SALESPERSON I TERMS
QTY, ORDERED QTY, SHIPPED STOCK NUMBER/DESCRIPTION
I EO,B,
I DATE SHIPPED
~HrpPED VIA
I()ID_
3/I.P~(f~,
~ W~ y~
PRICE
PER
AMOUNT
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~
R
;)X~ F--AooR. ,j ~: 1"1? X/I
j;h 'f
62
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rOLD --.....
:>RIGINAl
WUsonJone~ . c.rbonlesa. MADE IN U.S.A
44-432 Quadruplicate. to WilsonJones, 1989