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)