HomeMy WebLinkAbout01-0113
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BUILDING PERMIT~2
, 13
01 f3~- "
~s.~
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 788~6611
QS.CJP
PLUMBING
Permit
IOS.~
BUILDING
Date
~~2/0(
MEC~NICAL
Sewl9r Conn
Property Owner: f V "e. s..\- .Ao( \d""J
Job Address: ~ S" 2 ..., A ~ v\ e.. I"Y\ a r : ~ v...c..y
Parcell,O. # 24 -;:)fo - J (. Dt) 20 - DOOoo - 0 I '20
Water Conn:
Water Meter:
T,I.F.'s:
vJl'~
Radon Gas: 5'. f2
""'"/\ Y I w: dow ~.
t:..<. rft/J I1l-t . oj, u +" (I ~
., ,
Zoning:
DescriPtion of Work
Energy Code:
Swee/' ("(!JQ-
e 00 I'Y'l .
FINAL S~26- e /
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O,
All work shall be performed in accordance with City Codes and Ordinances,
Inspector
DATE
SR..,
City license Registration #
State Certified license#
Pe.m;' Fee ~. ~
Signature ~ ~'14
,;
Company
Address
Telephone# 78 g- - S"3/ tf
Valuation or
Contract Price
q 'f <;; cJ, g.S!
-gd~
fV\: 'l~ (;J: \,~ "~S
BUILDING re, '2.
R.~ ~,d Lrr.. -'lei ~ l \
ELECTRICAL -, 1-
~I\; S W:\r.Cr~ {
PLUMBING to, l"J
MECHkNICAL
Ftr,
Pre SLB
lintel
FRM, ~
Insul. CL
WL
L
Tp. Servo
Rough In ~_'7-"1 J'~
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.
'.
"
Ml jl;b.- t"U lLLI ~~ C q~ )1.
352"1- A1ut\~Nb-
/1L; \.0{. ~
Jl~(ol
~
SQ. FEET PRICE '
MAIN OR LMNG AREA $
OTHER AREA UNDER ROOF $
OTHER
VALUATION $
BUILDING: $ IO~. <:::::.D
CREDIT: $ ~fr
ELECTRICAl.; $ /' c~
L").
PWIIBING: '$ Z:" ~y
'J"
IlIECHANICAl.: $ ri!tf7
551 5c;,J, RADON $ ~-51
~r
I
I
TIF'S:ls t-ljrr
, L;,l~~
$ I i\ .""' c.
I 'C.lJ. :::> (
APPLICATION FOR PBlUaT
CITY or ZBPBYRHILLS
BUILDING DBPAR'l'MBNT
OWNER'S NAME fUr, of mY5. Ernest Ho/lat1C1..
JOB ADDRESS 3!),;;.l/ 1t-13l{AMaflt?e W'1 ' Ze~hrrh/II~I
LEGAL DESCRIPTION: LOT(S) /~ BLOCK
PARCEL ID # cX1-,;!/,-,;;1/-/lO;.o..tfJl9CW-- Oldll/
SUBDIVISION V11era/d /-::;/nf
(OBTATN FROM PROPERTY TAX NOTTeR'
WORK PROPSED: []NEW CONSTRUCTION lB"ADDITION []ALTERATION [] REPAIR o INSTALL
,
o SIGN o MOVE 0 r
DEMOLISH
PROPOSED USE: []SGL FAMILY DWELLING []MULTI-FAMILY 0# OF UNITS [] MOBILE HOME
o COMMERCIAL o INDUSTRIAL [] SWIMMING POOL o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL ""
DESCRIPTION OF WORK -Scr~~ RPl iN/1/IV/''j1 tU/I;',dPtc.Js (!ttrptJrl-) ,~/!r'hj"'1f!rn. '
BUILDING SIZE fa ;<..'-13 SQUARE FOOTAGE S-61 'I HEIGHTS~~KJ/~,<-s
,
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAlJ: ATTACH ('3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
TY~E OF CONSTRUCTION: [] BLOCK
[] FRAME
[] STEEL
[] OTHER
FINISHED FLOOR ELEVATIONS
IS I?ROJECT IN FLOOD ZONE AREAD YES 0 NO
j ;,
IllllliliWW!!lllilllwwmmmmmmmmmmmmmmmmmmmmmmliil!mr - - - - i~illllllllliilllll.Wmmmmm!mmmmmmmmmmmlllilllll!IIII!1lljmmmml
BUILDER
SIGNATURE . ,~~ (~..-l~MV'
COMPANY rrh!<.e- Wil/,~0tisfrKc-f,ti.....
STATE CERT OR REGIST # .
CITY PROCESSING # .' "1" z..'
"
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v::-=~~~
COMPMY~ ~/H2.iJ C~1J ~ ~LG:<1.T;e; <
STATE CERT OR REGIST #
CITY I?ROCESSING # 0 72,.
******************************************************************
-....
/PLUIiIBBR
V SIGNATURE~ J_ ~
COMPANY. PeYlYH's Wd //d.....5 l1t.(u..hJ~
STATE CEo RT OR REGIST~. 00 '<. 7'iS::-
CITY PROCESSING # [( t.O .
SIGNATURE
***********~******************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
MBCBAHlCAL
*****************************************************************
OTRBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDr:':_'.'~'" OF PERM,IT l\'!E'IDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsib~~?ty for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor l~r 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, 813-188-6611.
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 permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 113, 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 document and promise 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-W~lls,
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 ipva~id 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".
~w~
SIGNATURE: OWNER OR AGENT
~&J~
SIGNATURE: CONTRACTOR
STATE OF FLORIDA -0
COUNTY OF ~~
The foregoing instrument was,_~~~nowledged
Before ~~ th:i".~day of rcbr'wLrlj, YfjPliXJI
by jYJf'~ W/~
.'
. (name of person acknowledged)
~ho is personally known to me, or
[] who has produced
(type
Q,Qi"d not
STATE OF FLORIDA I'~ /' /'
COUNTY OF a ='"L 0
The foregoing instrument was~a~ledged
Before me t:~s ~"tial,' of r-~~ , >>-i?:!!?1
by /71, , I. ~u...S
~~ (name of person acknowledged)
~o is personally known to me, or
of identification)
take an oath.
[] who has produced
(type of identification)
(3:l1d not
of person taking acknowledgement
Name typed,
~'''fJ ~bi1snne i3ahr-
printe~(5i<~~~~on # CC 790817
~'!!-!".A.~= Expires NOV. 15,2002
""~/i)Fi:;r:.::- . BONDED THRU
".,/n~""'" :'.'dLA;'.j1IC BO~DING co., INC.
Name type~ ';;....J::..~t07nt~'l\~~7
~;!.. ,ig Expires NOV. 15, 2002
""~i'iii\\.\s<...,'''' BONDED THRU
"'"11'\\ ATLANTIC BONDiNG CO,. INC,
state of
PApA ,'dA
COUJJ ty of
111I111111111I1111I111111111I111111I111111111111mlllllllll'
2001015169
f/lS(!t)
NO'l'ICE OF COMMENCI~MEN'l'
'1'Im \lNIH.mSIGNEU hereby givef1 noti~e that .improvement wIll be made to cC!rtaIn
real property, and ill accordance w.L Lit Chapter 713, Florida Statut.es, the
(0110wing information is proviup.tl in tlliA Notice of COllllnencCHllclIl::
1. Uer.cr.ipLion of Properly:, l'an.:cJ 110. ~t/-.;<&-~/- OO;)O-OOOOO'-O/;;J..O
.~f /3,-- E/11-~r~d flfhLli.v &sorf,-Ze-fhif{h/J/s. fJ' 335frO
(J.f!q::\l. dr!RCt'.1.ptl.on or tlle IH'olm,'l;y Hnd nl:.l:n.t . dd~ess/ i' Qvailab e)
:i. .
1:I'II('lnl Ih'~HI iI" 1011 01 I 1111'1 o V I! III I' II I
S" h ~J - e,41? pOAT... S(!REt=-,.,J RO(J-!tt
l/~ LJ~~
3.
ERAlE5 r
OWllcr" lllfollllatioll: flamc t171? <<i- M f?!; .~T I{ 01 / t91O~
lldtlress CJ 7 / . ~~~J;, ;2 ~pAo,//(h;/I<;. St.ate
..3S ;/.1 ~ UA-n-.a.r ,'n e-- ' ~ ' /
IIlL(~resL ill PfopeJ:Ly: / GO /1.J~R
. . - Rcpl: 472444
OS: 0,00
02/06/01
F J ,33$""YO
Nallle of Fee Si/llp L~~ Tilleholder:
(If other Lhan owner)
Rec: 6,00
IT: 0,00
____.u._ Dpty Clerk
J\ddreSA
CLly
state
=t :.
C (J III r ac L 01.-: N allle /11/ /( l!? U / I ~fn.> e fj /(.J:s./~ D c 7; C'.>~l z:- A:JC",
l\dtll~ess 7Gtt T~ f,sJ4 D~ city c;ey;AVR~;/I'S state F/'~
83Syo
tI..~.
5.
S 11 1. co l y: N iJ IIU.~
City
state
JEO PITTMAN PASCO COUNTY CLERK
02/06/01 08: 38am 1 0(6619
OR BK 4531 PG 1
l\ddress
J\1II0Ullt of Bond: $
(j .
Lende!': Name
C j,ty
state
l\ddress
7. Persons wilhin lhe Slale of FJor.i.da designated by Owner upon whom
nolices or allIer documents may be served as provided by section
713.13(1)(a)(7), Florida Statulos:
Name
Cily
state
J\ddress
O. In addition lo hlu19clf, Owner dcsiynnles
o ( Lo receive a copy of the
Lienor'sNoElce-as pr-ov.weu-IIlSec[loIlTl3 .13 (1) (b), Florida statutes.
9. l:~xplrnt.l'''1 dnl.lJ. of flol.l.ce of CnllllllfHICelllnlll (the explrllthm date 10 1 year
fr',)1II the date of recording unless a different daLe is specified.)
Slynalure of Owner :-~e~~
S\'I01'11 to and subscribed vefore llIe L11is
/sr day of rEBJeU/}tey
,. a()OI ()
Notary ,~U~liC' 0~ - ~/
Hy COIJIl".lss~on Exp~res: '-\lIt"~,. r- .
.,,'~~I!..r.(;&(,- aUzallllt:: Bdlll
g:r( tb.. ""{if;, CO!TI~ission # (( 790817
~~,.~lA~.= Fxptres NOV. 15, 2002
':-,;fOi"<;i.GS" "~"'()ED THRU
,"",,\ A( l.f""~ lli~ G'.J;'~DING co., fNC.
STATE OF pJ)':)lOA
COUNTY OF Pf,SGO
THIS IS TO CErrT1Fv TH/.T THF rf)R~~fl'l\I(~ l~ 11
TRUE ANU CORRECT COP" ef: ,;~ DOCciMEr{1 ON FILE
OR O~ PU"UC REC. 0.1'1:; 1.~II:j.<: ll'''i.C~NESS MY
~~n f\1 n 11 1\1 f1 Q~-r.:1 c: i "'. f;,'_'" ..:" ~' ,t/4 BA'.' ar
~ ,,""'" /
---- ,...._... to 6'-'-~
I ! r- f I; _ ~:- ", '_', _~. ' .., . ' ,~
JED !;;b~":: ';;;;!"" ""c"
BY ~T~--' D:.PUiY CLeB13053048
J/t/1c: Cd); 1(~,4ms eo/VSf(COc7:D/UZfl<!~ INVOICE
76 </1 n,..ss,9 J?/?, ~:/M_;'/' ,
Z- Hi \ / / s F h \ ~ 3:;- Y D
DATE
CUSTOMER'S ORDER NO,
"
SOLD TO: flJre. r m~5 cRe/VsT fI-~/I/9vJ,
. ~6>7; ~/;<'
.~P~
SHIPPED TO:
OUR ORDER NO,
SALESPERSON
TERMS
F.O,B,
DATE SHIPPED
QTY, ORDERED QTY. SHIPPED STOCK NUMBER/DESCRIPTION
iP~,
~,
Cles'e ~X 9 ~ ' (#?j:J~D,x.
r~ AO~ .3"~I(,.X'S "FJPf'~~
elM~,.,ef /~ r )(IS-/ ST/2\Jcf/91 rfl'9lve)
~ p~ 'Y- :Sh~, sr~0/.tl fJAft; I
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s/{/tQ (~4 f-07.
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8'X(?/)(/3/
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ORIGINAL
I SHIPPED VIA
PRICE
PER
AMOUNT
Jf/56
~
WilsonJones . Catbonleu. MADE IN USA
44-432 Quadruplicate. to WilsonJones. 1989
EMERALD POINT RV RESORT
LOT: 12
36'
.
5 '
~~
EXISTING SLAB
PROPOSED
UTILITY SHED 6 '
5' 13' X 8' - ..
- - -
- - -
PROPOSED
EXISTING SCREEN ROOM
PARK MODEL WI VINYL
12 X 36 WINDOWS
ON WOOD DECK
13' X 19'
PROPOSED
CARPORT
13' X 16'
~ ~DECK
ONLY
r-
--_.-- - f-
OIlERt-t....tJG 0"'...'( .~
EXISTING 20'
CONCRETE
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