HomeMy WebLinkAbout01-0250
BUILDING PERMITt42
.
0250
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
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BUILDING
Date --.i II 'lOt
ELECT~CAL
PLU~ING
MECHANt~AL
Sewer Conn
Property Owner: L'-'\Jc... f1#G..+e S
Job Address: ~ I. 3<) oS-,
Parcel I. D. # f 2 - Jb - :} ,- 0 0 q 0 - 0000 ()-
Water Conn:
q~
00-' 0
Av€l
Water Meter:
T .I.F.'s:
Zoning:
DescriDtion of Work
Energy Code:
9 I pA () .{
b r.l.
Radon Gas:
CJ-.c.',. L. '^ Ie
Fence
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
~/'i'...-cJ (
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
DATE
.::5'1C
Valuation or
Contract Price
1017.
0"
Permit Fee
".' Signature
Company
Address
- Telephone#
"2 s". ~
~'/A.-~
City License Registration #
State Certified License#
R,'1 7 Y ~ '-021...'7
L;4~dc. Fe~u G..
BUILDING ELECTRld AL PLUMBING MECHM ICAL
, ,
Ftr. Tp. Servo SLB Breakers
Pre SLB Rough In Tub Set Ducts Ins!. \
Lintel Meter Can Water Compressor
FRM. Const. Pole Sewer Final
Insul. CL Pool Final
WL Pre-Meter \
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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME
?-I ..v IJIi
.39c.s,
)'
J"V1 0 A Icz..,~
<?7A Au ~
PHONE /) R:2.. - r:P 1.J.~
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
I L-- 2b ~ 21- OOC?o - Oo~o ' 0070
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION [J REPAIR [J INSTALL
[J SIGN [JMOVE [J DEMOLISH
PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI-FAMILY [J# OF UNITS [J MOBILE HOME
[J COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL [J OTHER
I
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
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.
[J BUILDING
$
oC
/O/?-
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
[J ELECTRICAL
AMP SERVICE
[J FLORIDA POWER
[J W.R.E.C.
[J PLUMBING
[J MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
[J ROOFING
[J SPECIALTY
[J OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES
[J NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
**********~*******************************************************
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
SIGNATURE
r7"..uc-'L.
~~~
f
COMPANY L-/ A.A..JOt4 H'--vc ~ CO
STATE CERT OR REGIST #
CITY PROCESSING # ?-1J'f-,
OTHER
*****************************************************************
CONDITIONS O~ PERM!T AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
,The ul'ldersigned understands that this permit may be subject to "deed restrictions" wnich
may be more restrictive than City regulations. The undersigned 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 contract~ 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 "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 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 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-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 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
~-rzr-~ ./
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)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type
and whoO did Odid not
of identification)
take an oath.
(
Owho has produced ,(/,If,tV'rFl '-"c-7^>S,~
(type of identification)
and who Odid Diid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
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.parcel Information for: 122621 0090000000070 Card: 001
Page ! of I
Welcome: ,'(ecord Search: Parcel Search
Search Again ~how MCiQ Generalized Building Schematic Calculate Taxes
See Ta~J::ollector Information - Current/Delinquent Taxes
I ParcellD " 122621 0090000000070 (Card: 1 of 1) I
I Classification " 01 - SINGLE FAMILY ,
Mailing Address Assessment (totals)
MOATES JERRY H JR & LINDA Ag Land -
39059 9TH AVE Land $9,014
ZEPHYRHILLS, FL 335404417 Building $46,532
Physical Address Extra Features $1,304
390579 TH AV
ZEPHYRHILLS, FL 33540 Total Assessment $56,850
l..f:!a~LD~scriptiorl (First 4 Lines) Save Our Homes $48,404
HEATHER WOOD PB 24 PG 117 Homestead - $25,000
LOT 7 Taxable Value $23,404
OR 1754 PG 1968
I
I Land Detail (Card: 1 of 1) I
Line " Use II Description " Zoning I Units " Type II Price " Cond II Value I
I 01 " 0100 I SFR " - 00R2 16,934.0011 SF II 1.30 " 1,00 Ir $9,014
Additional Land Information
~cres 11 0.16 II Tax Area " 3QZH " Fema Code 100 Res Code llZ:ljl,GLp2
Building Information - Year Built 1988 USE SINGLE FAMILY (Card: 1 of 1)
Ext Wall 1 CB Stucco Ext Wall 2 None
Roof Str Gable or Hip RoofCov Asphalt or Composition Shingle
Int Wall 1 Drywall Int Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
AC Central Baths 2.00
Line Description I Sq. Feet II Rep!. Cost New I
1 BAS I 1,341 " $47,471/
2 FOP I 252 " $1,7701
3 FGR I 375 " $5,3101
Extra Features (Card: 1 of 1)
Line I Description II Year II Units II Value I
1 DWC 1988 714 $856
2 : CLFENCE 1989 - 640 I $4481
Sales History
Previous Owner MOATES JERRY H & SHIRLEY N
Year Month Book / Page Type I Amount ,
1988 I 10 I 1754/1968 - WD -
1988 I 03 I 1690 / 0088 WD $11,000
I 1986 " 08 /I 1530/1694 I WD -
Search Again ~1'19-"",Jv1aQ ~~Il~@li~..<:t~uilgj[lfLfu::h~rllC!tic Calculate_T~~~~
See Tax Collector Information - GurrenUpelinquentTaxes
http://appraiser.pascogov.com/searchlparcel.asp?Sec= 12&Twn=26&Rng=21 &Sbb=0090&J... 4/16/2001