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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... ...