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Home My WebLink About01-0313 BUILDING PERMITN~ 0313 CITY OF ZEPHYRHILLS (813) 788~6611 Permit LJA. ~ J (lJ BUILDING PLU~ING D . /' (" ( . Property Owner: (I. (\o'\Ct/ 't LA. ,I"(! ":>0 U+ i C It .) Job Address: '-1:0 L./ 2 0 Frcz e ~ t I ~. lA.;q~J~ Wt ~ 1I,(lel MECHANICAL Date s-I/~/o , , ELECTRICAL Sewer Conn Water Conn: Water Meter: T,LF.'s: Parcell.D, # Zoning: Energy Code: Description of Work -5"" -4er', 0 I' Radon Gas: l? u.; (01 O..~ FINAL C.O. 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. DATE -0 ( DATE City License Registration # State Certified License# Permit Fee ySignature Company Address YTelephone# Valuation or Contract Price J {, I 1)00. ~l:! , 8/3/2i/f:f- ~ 0 3/ , , C. 6. /'1. StV II.'C~ I MECHANICAL 2DG 5' BUILDING 28 3 ~ ELECTRICAL '(Le. 11 PLUM ING Tp. Serv. Rough In ~,,(b -DI .3/C. Meter Can Const. Pole Pool Pre-Meter Final Driveway J4 <' /\ 1~A.rl;;:kA/'\ ~ - I y-- #/ /"C- ~ v .~-,.---,- REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 001100 Dollars ($25.00) shall be made for each trip for each trade: Ftr. Pre SLB Lintel FRM. ~,,( b- D/ :} fl.' InsuJ. CL WL j"_I?~ ( .5' R SLB Tub Set Water Sewer Final Breakers Ductslnsl. 5',,1'-"1 Sit! Compressor Final 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 inspeetion fees shall be made before any further permits will be issued to the person owning same. '. ~ J1I\~~1l.. _ c C>>~5r I,..J<:.-. 'tof 2~ ~ rf}LL- A'v, , I ~ ffit D(L ~t;.[ (t1{vr~ sa. FEET PRICS ' p . IIAIN OR LIVING ..... $ - 01lfER AREA UNDER ROOF $ -- VAUJATION $ ~ $ /U/A- . CREDIT: S ~ ELECTRICAl.; $ Pl..UIBNG: '$ IECHMICAL: $ RADON $ TIF'S: S C?, 1J ~ , , I ?~ \) ,iL- -r wrrth f\l CIT~ /f'J j)u)-11Lj~ pttrL) < Fu2;s !J~) !1ff u L~Lfi--- FROM ,g FAX NO. May. 02 2001 03:28PM P2 '...... '..,,. u._ ,fI ')1:l1.1~ State of F10ricfa } County of I The undersigned "'.roby informs aU ooncemed that imp",vemem. will b. mod. to Cltrtain real property. and in acool'danc( with seotion "3.13 of tit. FIQr;c:Ia SQl~te:ll. Ute followirtg in10rmaUen i:s !JtIlted In thia NeTIC!; OF COMMENceMeNT, ~ Oescription of property... ..~~~..~~~..?~. ~~..~.~!.. ~~~~? ..~~. .:r;~~ A~:, Unit 2, of the . . - .. .. ~ . . . .. . . . .. - . I . I . . . .. .. . . I . . I . _ . . . .. . .. . _ . . NOTICE OF COMMENCEMENT SEMINOL! I'ORM 40 _D_. IN DUJlUeA'r1:J ?:~PP.fl~JJ...Ei.. .~~9;i.~~J.... M~~. .:J:nst!JRP';.t.q+. .~g~. ,~. . ~~~~~. ?"f}. ~~~"t:-. Book 1, ~aqe 55 y .. . .. .... .. .. .. .. .. . . . . - - .. .. . .. .. . - .. . . . . .. .. . . inclusive, of the Pubh.c Records of Pasco Countv, Florida. . . . , , . . . . . . . . . . . . .. . . . . . . - . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . . .. . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . , . . . . . . . , , , . . . -- -pdQ. .........- ... .r#. .re- ~1~1.I:. .....~ fi:<'Cq Y.~(.~<<... ~;;:. . .W~. . .~A. ~.~. . ". . )( Addr." ..,.,. .l.~O.Q~; .Qn::t.e~ .1U.~ u. .13A9Q~vi.J..J-~,. .~.. ..4L,!p).;3. '" . " Owner......... ~~~~~,. ~~~~~~~. .~~~:.... , " ,.... . . '.., , . . ....,.. .. . /1111/111111 1111I1111111111 11111111111111I11111 1111111111111 2001059442 ~ Owner's intereft in sit. Of~. imprvvwtnent . .. . ... . .. . .. . .. .. . . '" .. .. .. .. .. .. . . . Rcpl: 495247 Rec : 6 . 00 Fee Simple nUe holder (if Qtf1er 1ftan own8f') DS: 0.00 IT: 0.00 . " . 05/04/01 ___ Dpty Clerk Name .....'..'.............'....................'..................:.............,..............,....................'.... _ . JED PItTMAN2 PASCO COUNTY CLERK ''.t Add.................. ,................:........, '....... ~.,. ~~~~046002. ~G 555 R ' C.........M....... .1R.1.. .. ... Mhtt. . . .4A $.7"1(1/.<'.7'./ ON. ...;t.1!! r:;,.. . ...... .. .. . .. .. .. .. . . .. . . .. '" .. . "" . . . .. . .. . Addfess ,.. ...... ...17:1-.Q.. ,.W.....~.~.s.1....{;'h........ ..T~'r"F.~.... 33~.P~........... ........, Syrety (if any) .............. N I.A. . . . . , . , .. .:. .... . . . .. . . ,... . . . . . . "'" . . . ,'. . " .. " . . " . . ., ... .. . . . . . , "" . . . . . . . . "" . . . , Addretis ..............'".... N .I k . .. . . . . . . . . . . . .. . . . . . . . . .. , . . -- ..'. .. , . .. . .. . .. . '" '" . . . . ,Amount of bond $ , , . ~ / d: Any persm, making .a loan for the CDftStl'Uaon of f:h. improvements: Nom. ......".."...... J.:I! (A " .. . . .. .. . .... .. . .. ... . . .. .. . . .... " .. .. .. . . .. . " .. " " . . .. . ... . . .. . . . . . . .. . IA ' Addres$ .....,.,.,. '.' . . . . . & . n... . '.' . ...:~ . . .... . . . . , . , . . ,. . . . .. .. . . ..... .. . , . . . . , . . . . " . . . .. " . "" '" " .. , ,_. . . . .. . . . . . . Person within 1:he State of Florida designat6d by owner upon whom nO'tiC$s Or other documents may be served: -------.... -.-.P'.. "__.. f... Name ...............,.... _ . . . , . . . . . . . : . . . . . , . . . . . . . . . . . . . . . , . . . . , , . . , , _ . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . , . . . . Address ............,........,...................."..,................,..........,..,...,.":...........,,...,................. . In additton to hlmsetr. owner d..igrun_ tile fQUovving person to reo.i_.. oopy of the Uenor'S Notice .. provided in S~ion ' 713.13 (1) (h). Florida StatU~ (Fin in at Owner's .pUQn). '. ;_, ,Name... .~~~. C~~.,~+iI!~Q.~....... ......... """ ...........,. ............................,..."......,...... Address ..40.42.Q. txee.tall. Avenue.,. .Unit .2.~. -ZePhYrhills. FL.. 3354Q.....,................ ...........,._....,.. THISSPACI!FORRECORDEA'SUSliOIllLY - -- ~ .~ ........,....._....~.~ ....~...._..... Samuel R. Pearson Owner STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFV THAT THE fOREGOING IS A TRUE AND CORRECT copy OF THE DOCUMENT ~~SF~~ OR OF PUWC RECOPO IN THIS OFFICEj~IVJ HAND AND OFFiCy>' SEAL TH.IS~ DAY OF h1 /) 2 t2::2/ JED PITT CLEHK OF nlRc IT COURT 'DEPUTY CLERK BY . Sworn to and subscribed before m. this . . , , . . . . . . . . . . . , , . . , . . , . . . , ........._Jm......day of , . . . ..t/feJ..v. . , . . . . . . . . .. .. . , . , . . . __ . . . . . .. . , ~ () f1 , ~ .WTher&!i-oJ~:f. ...t~!€~~~....,..". esa . n.!. lIlO . ..'6," Theresa J RifIno . *~ *My Comm/lIion CC883333. ~.....,,:;, Expires August 18. 2003 STATE OF FLORIDA JE:l A~ T1~,= NT JFUS I NESS A\lO P RClF ESS I ONAL REGULATION ~ONST INDUSTRY LICENSING 30ARD 7960 ARLINGTON ~XPRESSWAY S TE 3 J 0 J A C K S J NY I LL = ;= L 322 11 - 746 7 (904) 727-6530 WAGNE~, WILLIAM J T~ IMAR CONSTRUCTION DIC POBOX 3052 TAMPA FL 33601-3052 ;fj~ STATE OF FLORIDA AC# ;: --: = . . - _ ~~DEPARTMENT OF BUSINESS AND ',,,..0/ PROFESSIONAL REGULATION CG -C034042 07/28/2000 0090030 CERTIFIED GENERAL CONTRACTOR ....AGNE~,tlILr.IAM J TRIMAR CONSTRUCTION INC IS CERTIFIED undertheprovisionsofCh 489 Expiration Date: AUG 31, 2002 l ~---------------------------------------------------------- ~: tJ :2 ~:' ~ -~ c~ .4.C# STATE OF FLORIDA OEPAR THENT JF BUSINESS AND PROFESSIONAL REGULATION CaNST INDUSTRY LICENSING BOARD L-ICENSE NBR . 7/28/2000 00900301 I CG -C034042 The GENERAL CONTRACTOR 14amed below IS CE RTI FI ED Under the provisions of Chapter ~ 8 9 FS. Expiration date: AU G 3 1, 2 002 DETACH HERE AAGNER, WILLIAM J TRI MAR CONSTRUCTION INC ? 0 BOX 3052 TAMPA FL 33501-3052 JEB BUSH GOVERNOR DISPLAY AS REQUIRED BY LAW CYNTHIA A. HENDERSON SECRETARY 05/03/2001 10:15 FAX 9045652440 BROWN & BROWN JAX 141 001/001 I Ai::ORD.. CERTIFICATE OF LIABILITY INSURANC~_~l I DATE IMMmOl'N) 05/03/01 PRQOUCER THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFO~11ON Brown &. B:owa.. IDe:. ONLY AND CONFERS NO RIGHTS UPON THE CI:RT1RCAll: Building 100. Suite 100 HOLDm 1HJS CCkIlI"ICATE DOes NOT AMeND. EXTEND OR 10151 ~88~od Pa~k Blvd ALlER THE COVERAGE AFFoRDED BYlHE POUCIES BELOW. Jac:kBDDvi1le FL 32256 INSURERS AFFORDING COVERAGE Phane:904-565-l952 Pax: 904-565-2440 INSUReD INSURER ~ AHBRI:smm DTstJRAHCli: COS INSUReR B: '1'ri - Mar COZUItrll.c:tiOA. me. INStJRlOR C; P.O. Box 3052 IN&UI'ER D: Tampa ~L 33601-3052 INSlJRIiR e I COVERAGes lliE POLICIES OF INSURANCE USTED BELOW~ve BeEN ISSUeD TO TliE INSURED NNotED MCVI!! FOR THE POUCY PERIOD INDICATE), NOTWITHSTANDING ANY REQUIREMeNT, TERM OR CONOITTON 0fI ANY CClN1'RACT OR 01l1!R DOCUMENTWlli RESPECT TO WHIQf THIS CERTIFICATE MAY BE ISSUeD OR MAY PERTAIN. THE INSlJRANCEAFFOROED BY 'nil!! PoUcES OI!SCRIEIED H5le1N IS SWJECTTO ALL 11'IE T'ERMS. EXCLUSIONS AND CONDITlONS OF SUCH POLICIES. AGGREGATE LIMiTs SHOWN MAY HAVI! BEEN R!DUCeD 8Y PAID aAHS. LTR T'I''' OF INSURANCII I"OIJeT NUMIIIiR GENIlItAL. UAalLlTY A X COMMeRCIAL IJENERAL LIABlUTY aJ\IMS MACE ~ OCCUR 08/0B/Ol EACH OCCURI'UiJIlCE FIRE DAMAGe (Any one fire) MED SCP (Any one f*8an) PER~L & ADV INJURY GENERA~AQQR~TE "~S'~PJO.GG CPP1303288 08/08/00 A BOCII.. Y IN.luFlY (Par _n) CPP13 03288 09/08/01 COMEIIN6D SINGLE LIMIT (Sa acddRllIj 08/08/00 X HIRED AUTOS X NONoOWNED AUTOS ElOClL Y INJURY (I"er 8CCl*"'1) GARAGE lJA8lUTY A~AUTO PROPICRTY DAMAGE (per ..aeidoqll AVTO ONLY - EA ACCIDENT $ I!olACC S 0TJ0t&R THAN AUTO ONLY: EXCESS LIABILITY A X OCCUR 0 Cl.AIMSMAOE Ctrl303289 08/08/00 eACH OCCURRbNCIij 08/08/01 AGGRE;GA'fE DEDUCmll..E RETENTlON ! WCRICERS COMF'I!NSATION AND A EMPLOYERS' 1JA8IU1Y WC'1303180 10/07/01 10/07/00 OTHER A Equ:Lpmen't: 0111303288 08/08/00 08/08/01 Ren't:/Leas Deduet:i.bl DESClaP110N OF OPERAT1ONS/U)CA1'1ONSN1H1I"\a""'~ 'J5IONS AElIEO BT ENOORSeMENDSPI!CIAl. PROVISIONS CERTlFlCATE HOLDER 11 ADCll~~ INSURER LalER: CANCEl..1..ATION UMITS 51,000.000 s 50. 000 s 5, 000 s 1..000.000 52,000.000 $2.000,000 51.000,000 s s 5 AGG s 55.000.000 s 5.000,000 s $ S s 1. ODD, 000 s 1.000,000 51,000.000 100,000 1.000 ~ C.i. t:y of Zephyr Hill. Buil.cl1J:1g DeparbaeDt 5335 Bt:h St:reet Zep~ ~lls PL 33540 ZI:PBY1l- SHOULD",.., W' nt& AIICMi llUQU8EC POLICIES BE CANC8LI.ED BEFORe THE EXPIAATI DAn l1tER&aI<, THE IUUlNa lNSUIU:R WILL DlDeAVOR To IIIAIL ~ DAYS WRmEN NOT1CEToTHf~~ mEDTo THEI.S'T. BUT FAILURE TO 00 SO SHALl. I~NQ~~'JM'i'.ur;.ol'l ICIN U RER AG TS Oft ~A1PII!lIt' ACORD 2SoS (7/87) J- 'riMar CONSTRUCTION, INC. May 3, 2001 City of Zephyrhills Building Department 5335 8th Street Zephyrhills, F133540 To whom it may concern; William W. Pepper, drivers license # P160 93 963 310 is authorized to sign and secure Building Permits on my behalf Sincerely, :;:;~~ William J. Wagner, SSN 264-354242 President License CGC034042 State of Florida County of HiIIsborough Sworn to and subscribed before me this 3rd day of May 2001, by William J. Wagner, who is personally known to me. ~};~.ik ~"}~6 MARSHA MANDOLINI, NOTARY PUBLIC STATE OF FLORIDA AT LARGE MARSHA MANDOLlNI MY COMMISSION EXPIRES: Notary Public, StIlI of Florida My comm. expo Oct. 31. 2004 Comm. No. CC 978707 1720 W. (as5 Street · Tampa, Fl 33606 P.O. Box 3052. Tampa, Fl33601.3052 · 813.258.5524. FAX 813.258.4743 C6C034042 OWNER'S NAME !k(~ CMt7 JOB SITE ADDRESS '10 tfz 0 Fr: CITY OFZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 Phone:813-780-0020 Fax:813-780-0021 DATE RBCBIVBD PLANS P LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: (JNEW CONSTRUCTION (J ADDITION (OBTAIN FROM PROPERTY TAX NOTICE) ~TION (J REPAIR (J INSTALL (J SIGN (JMOVE (J DEMOLISH PROPOSED USE: (JSGL FAMILY DWELLING ~ERCIAL (JMULTI-FAMILY (J # OF UNITS (J MOBILE HOME (] OTHER (] INDUSTRIAL (] SWIMMING POOL c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK 7:.{.. <r.'4r' gu'/I~.Jf 2-000 s.F. SQUARE FOOTAGE BUILDING SIZE 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. ~DING ~TRICAL PERMITS REQUESTED $ ~I DUO. .. E;/}'T(~Cr- VALUATION OF TOTAL CONSTRUCTION AMP SERVICE (J FLORIDA POWER (J W.R.E.C. (] PLUMBING ~HANICAL $ S LJ 0 0. .:.:- VALUATION OF MECHANCIAL INSTALLATION (J GAS (] ROOFING (] SPECIALTY (] OTHER TYPE OF CONSTRUCTION: (J BLOCK (] FRAME ~L (] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA(] YES (] NO BUILDBR U, f11A-1( STATE CERT OR REGIST CITY PROCESSING # PLUMBBR ~/.; / ~Vt/~ **********************************************;:**;******:;* J ~ ~ BLBCTRICIAN COMPANY /5t::tf-e5 t-1e-<7i r'c, IN'C. ~ . STATE CERT OR REGIST # Ot'?O I ~OS- SIGNATUR~~ .;:>-~ CITY PROCESSING # 12.3. I{ ********************************************************~~****** COMPANY 4-,0- STATE CERT OR R~UT # <-I CITY PROCESSING # COMPANY SIGNATURE ;JrA- SIGNATURE SIGNATURE MECHANICAL ************************************ COMPANY C. .M, STATE CERT OR REGIST # CJ\C.C2.~ '-l '-\ CITY PROCESSING # 20~ ******************************************************* **tr**** 1.,.t'- ;v'lk COMPANY STATE CERT OR REGIST # CITY PROCESSING # OTHER SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT 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 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, 813-788-6611. 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: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged 19_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrlment was Before me this _____ day of by acknowledged 19 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type and whoO did 0 did not of identification) take an oath. o who has produced (type of identification) and who Odid [):iid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped