HomeMy WebLinkAbout01-0345
BUILDING PERMIT ~~
0345
Property Owner:
Job Address:
Parcel I. D. #
Zoning: Energy Code:
Descriotion of Work C::> d --416-&.'-~ _ (I)
CITY OF ZEPHYRHILLS
(813)~ goo
Q PLUM?'=:-OO:~~
Aifi:t~:/J i Jr:::~/da.
Permit
-
Date
..s: ~$'-D I
BUilDING
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
..3o';;-="filC!. ~~
. . {
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans. Specifications and Fee Must Accompany Application. C,Q.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or
Contract Price
City license Registration # ~61/
State Certified license#
Address
CelePhone0'1;l.7) t/47-i/(JJ \ 7"q)if':l3-o;2S~Ce.J1
~?~
~~cu~{jf~LA''':
ijUl ElECT~
Tp. Servo
Rough In
Meter Can
Const, Pole
Pool
Pre-Meter
Final
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
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.
OWNER'S NAME J~z:O~ ot-fLo~dPl-
JOB SITE ADDRESS :3 650e "A" Ave
,1. ~'l\Z. e
LEGAL DESCRIPTION: LOT (S) l2.. ~~~ \Lo
CITY OFZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, FL 33540
Phone:S13-7S0-0020 Fax:S13-7S0-0021
DATB RBCBIVED
PLANS REVIEW FEB
PHONE CONTACT CR \ ~ ) 4~- :2.2.10
Sj;)!d/
BLOCK
\('
SUBDIVISION
PARCEL ID #
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
(OBTAIN FROM PROPERTY TAX NOTICE)
o ALTERATION 0 REPAIR ~INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
~COMMERCIAL
DMULTI - FAMILY
0# OF UNITS
o MOBILE HOME
o OTHER
o INDUSTRIAL
o SWIMMING POOL
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~c;;,,--JA.u" l \ '\ &,)~"Tht-1 A/r. s.'1 ~ p...~ -pen., ~ p..~
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
rt ELECTRICAL
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W,R.E,C.
o PLUMBING
rlMECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
BLBCTR'C'~ ~
SIGNATURE; '- j~ . ~
~'
COMPANY vO.<',--#E~,J
STATE CERT OR REGIST #
CITY PROCESSING # I <? '-I (
?:e-C77!'t: 0;-- 7A-.,tdJ,1-
CeOOc.l l' <-/0 S
O,Y,
******************************************************************
PLDHBER
COMPANY
STATE CERT OR REG 1ST #
CITY PROCESSING #
SIGNATURE
************************************************************1*****
MECHANICAL . COMPANY .::JAC~ SC'l'~ ~ '"7' fi./c..
~ STATE eBRT OR RBG'ST # CA<:oO
SIGNATURE CITY PR NG # '~
2 - 7- 00
********************************* ********:l****************(*
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF ~ERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The" undersigned understands that this permit may be subject 1:0 "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restricti:ms,
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: OWNER OR AGENT
~-----.
SIGNAT : CONTRACTOR
acknowledged
, 19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this ~day of """"'~ ' ~ ~C)O \
by
~ (name of person acknowledged)
~ho is personally known to me, or
~lQ~~~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
(name of person acknowledged)
Owho is personally known to me, or
Owho has produced
(type
and whoO did 0 did not
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid [):iid not take an oath
~ ~~
~~..........a "--
Signature of person kin acknowledgment
N\o...~\ ~
Signature of person taking acknowledgement
Name typed,
'., -
~",: -
Name typed, printed or stamped
CGIJ\MIISlElJR~C787881
EXPIRES NOV 27 2002
aO~IOEO THItOVGH
AD, ...NT....GE NOTARy
"
"
r
Le..} led
, 5/zs/o (
J,cJ~ -b"fXiO-- Hl~G d A-C .
\ f ,',
'3~?o 0 A- - f\-..f t
, ':?t> ,'lo~ /fIe S0\ 7rrfjfV\,
t
SQ. FEET PRICS
"
-
.. . MAIN OR LivING .a.ac.a $
OTHER.AREA UNDER ROOF $
,
,
VAUlATIDN $
BUIl..D8R $
GMDrr: $
a.EC'TRIC.AL: $ ~C;. ,~~
PUJIBNG: '$
~
RECHAMcAL: $ 300., 0~
$ fJ)A
I
TI F'S :1' tJ/ f'r
I
, ,
~1)5 G~
NOTICE OF COMMENCEMENT
111111111111111111111111111 111111111111111 111111111111111111
2001064756
Permit No.
Parcel I.D. No. \ '+ ;u.... 2_\ oc, 10 (;) l, CO 0 a ) 0
Rcpt: 497772
DS: 0,00
05/15/01
Rec: 6,00
IT : 0 , 00
Dpty Clerk
State of Florida
County of Pinellas
JED PITTMA~ PASCO COUNTY CLERK
05/15/01 0,,: 55pm 1 of 1
OR BK 4611 PG 421
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in
accordance with Chapter 713, Florida Statues, the following information is provided in this notice of commencement.
l.Description of property (legal description of property and address if available) ~BSIC\ "1\" Ave. 'Z:.€ph'1l<:.-14; 1\:
(Y\Do~E.'S ,^~, Aoo ~ C 'Z-\+~\\' 5, l.4TS 1-' c' ~- ~ ~ I -\_ '..~,~s~.,- ..Jo....J'
2.General description ofimprovementsI.cv......~.... J ~E.w 60--'ThU )..Ie S'J ~^"^
\
3. Owner information
J r- v, 0 V'L~"
a)Name and address ~-z..c.t.{ 0'1 \"\L'\n:~,... I:::;x;Jr
b )Interest in property
c)Name and address offee simple titleholder (if other then owner)
~Contractor (name and address) :T",,-\. :JO'(\l"~ \~ I; "'it
r, \ ~ Gc::. ~, f-iE:(Lc::.i.)\e~ ' ~ i-J ~
..... .
5.Surety
a)Name and address
b )Amount of bond
6.Lender (name and address)
'S ')..)..cCc, I..(l..\)"kiJ, \1 lSOISJ.).,cx
~\..~Fl-n\A&~ ~ '33.1 (p ~
7.Person within the State of Florida designated by owner upon who notices or other documents may be served as
provided by Section 713. 13 (1)(a)(7), Florida Statues.
Name and address
8.In addition to him or herself, owner designates
of to receive a copy of the Lienor's Notice as provided in Section
713. 13 (1){b), Florida Statues.
9.Expiration date of notice of commencement (the expiration date is one year from
the date of recording unless a different date is specified).
~L~~-
Signature of Owner bN6...1 N~
r-4l 1. () OJ
The following instrument was acknowledged before me this I ~ '-day of MlA-Y .199 --,by ~ri I;.), / If o..mf'
who is personally known t~me or who produced as identification,
STATE OF FLORIDA
COUNTY OF PINELLAS
0e,
After recording, return to:
Name
Address
City
STATE OF FLORIDA
COUNTY OF PASCO
THlei lei I U l,;tH I in I Mil' I I1t FO"~GOING IS A
TRUE AND CORRECT C:)?Y OF THE DOCUMENT ON FILE
OR OF PUhi..lC ,flECOf'iO ii\l THiS O~F~~4:ESS MY
HAND AND OFFi~L SUL lWS/ DAY OF
m/J . .~2t.2Q/
JED PI . M LERK OF CIRC I!T'\:OURT
BY DEPUTY CLERK
Notary Si~ture
Name(print) A () n Gl H OJ d I ()
Title or rank Sf-rt.Fr /-Us I s-i-zuL-+
Serial number, if any
. ,',......,.. Anna E. Harctia
i~' , \CollllDlaioD # 00 a23~2
; . 'tIo!Kpl.... .. ... 2003
~ B.cIIiil ThftI
"~ ..., ." AUanu. Baa.u.. 0... ...