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HomeMy WebLinkAbout01-0275 BUILDING PERMIT~~ 0275 CITY OF ZEPHYRHILLS (813) 788-6611 Permit r OfD )~.- BUILDING Date '-1/2)/0 ; ELEC\RICAL PL~BING MECH~NICAL Sewer Conn Water Conn: Pmperty Own., ~....tL. r e -f.! ley Job Address: S C; 110 i~ 5)-. Parcel J.D. # I ( - .1 b ~ 2 ,. 0 0 I 0.. a 0 7 00 -. 0 (...., 0 Water Meter: T.I.F.'s: Zoning: Energy Code: U' /'" ~ Descriotion of Work J ~~ . ^ I i"" I:: Radon C\as: ( "2-3"'1') NO OCCUPANCY BEFORE C.O. FINAL C.O. DATE Complete Plans, Specifications and Fee! Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or Contract Price 1031. oc:.,; -- Permit Fee 3 s"". ~ Signature~ Company Address Telephone# cr I 3- 7t? f... j/' 6 s-c Z , City License Registration # State Certified License# Ec. $+ ec.. S <..0 Fe,., Cf BUILDING '7 EL TRICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final MEC ANICAL Breakers Ducts lnsl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trip~ are necessary due to anyone of the following reasons, a charge of Twenty Five and 001100 Dollars ($25.00l Shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from fautty construction. c. Repairs or corrections not made wh n 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. , PASCO FENCE COMPANY 4254 PLIJM STREET ZEPHYRIllLLS, FL. 33541 788-5642 LIC.# 693 NAME: RUTH PEFfLEY ADDRESS: 5916 8~. St. DATE: 4/19/01 ZEPHYRIllLLS. FL. WORK TO BE PEI~~FORMED: 234 FT. OF 4' CILVN LINK FENCING. 1 EA. 4' X 10' R LL GATE. 1 EA. 4' Xl' R LL GATE. We Propose hereby to f~rnish materials and labor. in accordance with the above s ecifica.ons for the sum of $1 081.00 ONE THOUSAND EIG TY ONE DOLLARS.................................. Terms: $1.081.00 PAYMENT,lN FULL ON DAY OF C01\1PLETION CHECKS TO BE MADlr PAYABLE TO TOMMY WILTON. AccelJtance: The above qrice. specifications. and conditions are satisfactor and ou areiauthorized to do the work s ecified. Pa ment wiD be made a outlined above. Date of acceptance: 4/19f..QL. Customer: ~~ Contractor: ~ . Note: Anv chanees mustlbein writin~ on a work chanee order. BUILDING DEPT. PARCEL I.D. # // - :<~ r 2/- 00/0 -- 00 700 _ 0/70 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT (). ~-uO~1h.. U}/if ~ OWNER · S NAMB Or-A"" I;>~ , !llo .sS", ~ ,fANe ~ C>c_do .4.F J. I J kei Jjvd 1- :1 PHONE ~/J -. 7l~- 0007 OWNER'Y"S-ADDKE5S'- $I~ 15- SUBDIVISION JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL I.D.' (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction ____Addition ----Alteration ~Repair ____Install ____Sign ____Hove ____Demolish , , PROPOSED USE: ____Single Family -K-H/F .!L.-, of Units ____H/H ____C~ercial ____lndust. ____Swim. Pool ___Other ____Restaurant & Health Department Approval DESCRIPTION OF WORK: Po .;.. rw- / /~ <' c.. 5 4" 'r /It" AJ DO ,c BUILDING SIZE: x . ..\YCJ,() Square Feet, Height RESIDENTIAL: COMMERCIAL ATTACH (2) PLOT PLAN~ & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF B~LDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQ~RBD FOR ALL NEW CONSTRUCTION. PERMITS REOUESTED ____BUILDING (, " $ {g;( ~J .- Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. W.R.E.c. ----1'IECBANlCAL $ Valuatioll of Hechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUGTION: ____Block ____FrUle ____S teel Other FINISHED FLOOR ELEVATIONS: FT. IS PROJEGT IN FLOOD ZONE AREA? -L YES NO .........~................................ CONTRACTOR SECTION BillJ.DER COMPANY State Cert. or Regist. , City License Registration , .........*................................ Signature ELECTRICIAN COMPANY State Cert. or Regist. , City License Registration , .........*................................ SiROature PLUMBER COMPANY State Cert. or Regist. , ~ City License Registration , .......... ............................... Signature HECHANICAL COMPANY State Cert. or Regist. t City License Registration t ..........~........................... .7 COMPANY )/W'(; (/; ~t'~7 4. State Cert. or Regist. , CC-co S'19 S-'- City License Registration' 8,.10 .......... ............................... ~ PERMIT OFFICER. Signature OTHER Signature APPLICA CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS .. The undersigned understands that this perlit lay be subject to Rdeed restrictions" which lay be lOre restrictive than City regulations. The undersigned assllles responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay 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 lay be cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrbills Building Departlent, (813) 788-6611. FurtberlOre, 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 tbey will be responsible. If you, as the owner sign as the contractor, you are indicating tbat you, rather than the contractor, are responsible for the work. If tbe contractor wisbes you to sign as contractor tbat lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES .~I t'" D. CONSTRUC'!'ION LIEN LftW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided witb a copy of "Florida's Construction Lien Law - HOIeONDer's Protection Guide~ prepared by the Florida Departlent of Agriculture and Conslller Affairs. If tbe applicant is sOIeOne other than the .owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the "owner" prior to co_encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. I \ Application is hereby lade to obtain a perlit to do work and instaifation as indicated. I certify that no worl or installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to l8et standards of all law8 regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govefDIental agencies laY apply to tbe intended worl, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not liJited to: * Departlent of EnviroDl8ntal Regulation - Cypress Bayheads, Wetland Areas and EnviroOlentally Sensitive Lands, Water/Wastewater Treatlent · Southwest Florida Water Hanagelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of Bngineers - Seawalls, Docks, Navigable Waterways * Departlent of Healtb , Rehabilitative Services, BnviroOlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US EnviroOlental Protection Agency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan addressing a "cOlpensating volllle" will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit. issuance. . A perlit issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall is~u~nce of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code, Ivery petlit issued sball beCOJe invalid unless the work authorized by such perlit is cOll8nced within Sil IOnths of issuance, or if work authoriled by the perJit is suspended or abandoned for a period of six IOntha after the tile the work is cOllenced, One 90 day 81tension of tile, iiI be allowed for the perlit with fee charge of $15.00. The extension sball be requested in writing to the Building Official. An approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned. WARNING TO OWNIlR: YOUR FAILURE TO RIlCORD A NOTICE OF COMHENCIDfRNT HAY RESULT IN YOUR PAYING T1UCK FOR IHPROVIllllftS TO YOUR PROPERTY. IF YOU IIflBND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORRBY BBFORE RBCORDING YOUR NOlICK OF COHMENCEHENT. JOBS UNDIlR $2,500 IN VALUIl DO NOT NIlIlD TO RIlCORD AND POST A "NOTICE OF COHKllNCIDfRHT". . I' SIGNATURB: OWNBR OR AGENT SIGNATURE: CONTRACTOR STATil OF FLORIDA COUNTY OF The foregoing instrument before me this was acknowledged , 19_ by STATK OF FLORIDA COUIflY OF The foregoing instrument before me this was acknowledged , 19_ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who bas produced as identification and wbo did/did not take an oatb. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC Of fLOR\O~ G IS ~ SI to. IE O~ p to.SC ,\,\1E fOREGOIN ~ fILE COU~I~ \S '\'0 CER'\'\r~ ~~~~E OOC~LlME~~~SS M'l '\'1-\ CORREe"'( C~P;N "'(\1IS OffICt:. O~'( Of "'(RUE. ~MO 'IC RECOil.')' , "'(I-\\S O\<. Of pl.lb.... H\CiP-L Sti'L gJ2/ H~NO {>.~O 'l II COUll.'\' CL'C.tl.\Z Or C\ ~\J OEP\'\1'1' CL~\\\<. :0--- 111111111111111111111111111111111111111111111111111111'"111 20010S4064 Rcpl: 492584 OS: 0.00 04/25/01 Rec: 6.00 IT: 0.00 Dpty Clerk ~592~~n"Ati : fCS;O fOUNToYf C~ERf< OR Sf< 4592 PG 1969 State of Florida County of II9'~. c The undersigned hereby gives notice:that improvements will be made to certain real property, and in accordance iNith section 713.13 of the Florida Statues, thel following information is provided in the NOTICE OF COMMENCEMENT. 1. U:J...l 2. - 1- tJ l?tJ- 1.//000 - ()Op(1 General description of improvements: 7? J; 7?ooP 3a. =~":..~: ifD~~~ tffrl! :z:~I'Jifi~~1. 335>1) 3b. Owner's inferest in site: :t4. 3c. Fee Simple Title holder (of other than owner) ~-9 Address: A/'" ~ ~,' ;:::~1~o1Jjjf#pJP6f:'lJjgF/( ..fa.' LQAlo' {J'JAK&;EJ, ~t.3~ Surety Name: A/ '" Amount of bond: J../ ~ Address: f/(/,.. ~ 5. 6. Lender Name: Address: N~ Contact: IVI'J /VA 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 113. 13(1 Xa)1. Fldrida Statues. Name: /V-9- Address: ).//1 8. In addition to himself, Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1 )(b), Florida Statutes. Name: VII Address: ;I-/,!J Expiration date of Notice of Commencement (expiration date is one (1) year from date of recording unless a different date is specified). '....~~ ~. &e4~ Pi~. Signature of Owner STATE OF FLORIDA COUNTY OF f~J~'o U The foregoing instrument was acknowledged before me this s: date of /J J? 1', J €,own to ~or produced Print Notary's Name .qoo/ .~~y who (is)(are).~ as identification. who did/did not !!1fM1MH,!th. I\.""'~ C. YO~"'II", ~,o~ ........Ct.( ~ ~ "..~y.\SSlON ~" ~ f . '1}:l ~'I\ \3, 2~~~.. \ - .~ ~ CP. :- =*: -... :*: ::. - ... ~z~ tCC7S9007 :~E ~o. ~.~~ ~ ~'.,\ ~~~!t." I ~ ~}-;;.~ Insu~' ~.,& ~"'# ~",,~iic'sl~~ ~,~ ~/"'''';''II''\''~ ~ ~ r'<. ') ."J m, I'J"~ I,' ommission Expires Commission Number (A copy of any bond must be attached at the time of recordation of this Notice of Commencement)