The URL can be used to link to this page

Home My WebLink About01-0298 BUILDING PERMITN~ 0298 1(-0- ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 3~ PLUMBING Permit 5'0 / :J.1' BUILDING Date 5-7-rtJl d$ MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. , Water Meter: T.I.F.'s: Zoning: Description of Work En~y Code: , ~ ~ At-1N~~) Radon Gas: AP__ngbt~ FINAL C.O. DATE 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 Inspector Valuation or _ ~ / ~/ Contract Price T ~, .;;xpO - City License Registration # .;( 9 9 State Certified License# PJtrmiL~ ~ ~ :~ ~nature~ ~ ~t? Company AddfeST' ., ELECTRICAL /~ PLUMBING /~ Ftr. Pre SLB Lintel FRM. ~ _'9_6 I Insul. CL WL 'Yft... Tp. Serv. Rough In $- 9- ~ ( Meter Can Const. Pole Pool Pre-Meter Final SLB S' IC. Tub Set >-Cf-tJ I .5' R..... Water Sewer Final Breakers Ducts Insl. S - CY - "l 5'~_ 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 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. " " J ~~ 5tllltl ({v) L0f\!S'(. '~~b\..jj)rJ- 3jc'fL 1I.A~i', S10/Wl.,.: Drt-. I ~,J SQ. FEET PRICS . .. . IIAIN OR LivING .a._a $ 01J0fER AREA UNDER HOOF $ -. VAUJATION $ JL '';lW. o~ I . I BU~$ 4/ '2~L7, 5c CREDtT: $ /27"r 0 JJ!11 ELEC'1'RICAL; $ ~c' 7t3 TA- L-. PUr"~I_ 'S 3j~ ~u ~o .. I TIF'S:I S I /JIll CITY OFZEPHYRHILLS PERMIT APPLICATION BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, FL 33540 Phone:813-780-0020 Fax:813-780-0021 DATB RBCBIVED PLANS REVIEW FBB s-Izlo l . OWNER'S NAME C .'1 ~ u.( e &; I cd H c\ / Jt ~"C/ C t ~ /,8."// II)I~ PHONE CONTACT I JOB SITE ADDRESS ..?E>&1/cJtf~J?-t!J?lu- vw L /-. .r:? D It. < ::z I/-z . -/ ~ I ~~ J j..s-~ LJ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # c!J.:J. -.;; 6 -.1 / - (J (!J / " - d..5 ~ t1~ - {J 6J 40 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION ~ALTERATION o DEMOLISH o REPAIR o INSTALL DSIGN o MOVE PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME o OTHER lh.cOMMERCIAL o INDUSTRIAL o SWIMMING POOL c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK TN I~ C I"''' rC ;e e LA-r t! 01& /- J'-l q / BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. . COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ /d..} 6tJ 610 -=--- VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ " (J .1 ~t.1 - VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO BUILDBR COMPANY Jd IU-I L C S'I.-- ....f ~ Cd 1-1.(' >< /l r-"> # ~ STATE CERT OR REGIST # C.&C &.s:-~ s,-; 7' SIGNATURE~ ~ ~~ CITY PROCESSING # ,J 9 ~ ~ **************::************************************************** SIGNATURE COMPANY fJ it? ~ r- C i/t s; ~ t-;.G, c--1 < . r STATE CERT OR REGIST # ~// c:- / 7 CITY PROCESSING # /~& ' , BLBCTRICI ****************************************************** PLUMBBR ~ ~ COMPANY t!.Itlt''i MH~ fef1''-;j /l~- ./ 'L.# STATE CERT OR REGIST #. I( G W-------:fi..t_ .~ CITY PROCESSING # /6 ******* **************************~~~;;;;**~;***~~~*l~**~ STATE CERT OR RE6;sT #. CITY PROCESSING # /8 .2. SIGNATURE MECHANICAL ***************************************************** OTHBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged :;fO?(&t~~ift~~~() , {~ I ~ (name of person acknowledged) ~hO is personally known to me, or Owho has produced (type of identification) ~hODdid ~idf';;Jt an oath. D .J)~~. ... s~u~e of person taking acknowledgement . tGN\WL- ~V-L~ Name typed'Printe~~~~=tiuc.,anan . ~ . My COmrT1l$SlOl'l CC898050 ~~f\l E 'pll"es JanulIlY 31 2005 CONDITIONS OF PERMIT AFFIDAVI~ 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 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. Furthe~ore, 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 *A~y 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". ~-X~ V SIGNATURE: CONTRACTOR STATE OF FLORIDA r-J .~~ COUNTY OF ~ The foregoing instrument w~cknowled~4 J Before me t:J:l.;i..s ,.Qrvlday of ~ ~() , 1~.lX> by ~MI. STY\-- ~ (name of person acknowledged) ~.o is personally known to me, or o who has produced (type of identification) ~~J~~th Signature of person taking acknowledgment ~~OA- L. fllA (~/I~ Name typed, printed or stamped J>J'- BI8Ilda L Buchanan ..~ . My eonwn.s.on CC998050 ~~,..;I EwpnsJanu8ry31 2005 John L. Smith Construction 4240 Coats Rd. Zephyrhills, FL. 33541 (813) 782-0470 CBC059519 May 1, 2001 City of Zephyrhills Building Department 5335 8th. Street Zephyrhills,FL 33540 Mr. Bill Burgess Dear Bill, This letter is to authorize you to allow Mr. Norman Peeples to sign for and receive Building Permits under my license. This letter is to remain in effect until I notify you differently. Thank you. Sincerely, ~-/~ John L. Smith Zephyrhills Registration # 299 Sworn to and subscribed before me this ;)-1.-) day of May, 2001., I relied upon the following form of identification of the above named person) f.L.- f~L Jj i< ' ~)ru,{L J /., C& rJ S Q & /> /'"'I . /1 / .. >/\" - - ------..., M\ I ~L- Notary Public, State ofPlorida My Commission Expires: ~~f,~::~~~); y Paula M. flre:..':>l' ,~ Notary Public, State 0il~...'.;):'.'lcc "' 'A ..6 Commlaalon No. CC L"}(b..J3 ~ "'-t f\.# My Commllllon Exp. 11;;)5/2\\<)) " OF ... ......... Iervtce " 80' .,'r' Co i 1-8OC).J.N()TARY r.., '-'. .. ~;~.~-;'~:'J~Y Jot,n L Sm i"!"h Cons"!" 81:3 782 0470 05~01/01 10:04A p.0~2 Propo~J Date May 1, 200J CBC 059519 John L. Smitll ConstructiOn 4240 Coat.'l Rd. Zepbyrb ilk, Fl 33541 (813) 782-0470 Proposal Submitted To Work To Be Performed At Name Citrus Regional Blood Center Street 3200 Lakcland RiDs Blvd. City LakeJand, FL 33805-2271 Telephone # IM800-6838355 Fax 863-687-92] 8 Street 38040 & 38042 Market Square City Zephyrhills, FL 33541 Date of Plans N/A Architect We betcby propose to 1Urn.ish aU m$.tcrials and labor for the completion of interior remodeling to specs of attacbed planB. See attac.ed spec sheet. All material is guar.mteed to be as specified, and the above work to be completed in accordance with the drawings and ~<pecs submitted fOf above work. AU work and materials to meet local industry standards and existing codes in effect at date of this proposal. The above work to be performed for the sum of Twelve thousand. three hundred sixty and 00"/100 Dollars ($ 12;360,00 ) with paym.."'Jl1$ to be made as follows: See attached spee slaee.. Any alte1"cltioIlS or deviations from the above specifications inVOlving extra costs, win be executed only upon written orders" and will become an extra charge over and above tbe estimate. An agreements contingent upon stn"kes., accidents or delays beyond our control. Owner to carry fire, wind and all other necessary insurance required upon above work. Workers COmpensation and Public Liability Insurance to be taken out by builder. Cost of collection and attorney's tee8 in the event of any default by the Owner and in the event that the Builder must initiate any collection proceedings or must engage attorneys for any purpose whatsoever relating to this agreement, including but not limited to seeking the enforcement of its tcnns and conditions, the Owner acknowledges, agrees. confirms and warrants. that they are responsible for ail costs and attorney's fccs incurred by the Builder. Respectfully submitted ~ ~. Per John L. Smith Conb'&uction - This proposal may be withdravm by us ifnot accepted within 10 days -L~~---~--;;> Acceptance of Propo~al We, the undersigned have read this proposal and do agree to the terms and conditions a"l listed above and 10 any attachments, jf included. We authorize you to do the work as specified. Payment will be made as outlined in this proposal. ~ ~ Date _ , <h. -~~O...ML } NOTICE OF COMMENCEMENT 1111I111111I111111111111111111111111I111111111I1111I1111111I 2001057280 STATE OF FLORIDA COUNTY OF PASCO The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement : General description ofImprovements Interior remodeling Description of Property: Parcel No. 02-26-21-0010-03900-0050 Street Address: 38040 & 38042 Market Square Dr., Zephyrhills, FL 33540 Rcpl: 494232 OS: 0.00 05/02/01 ______ Rec: 6.00 IT: 0.00 Dpty Clerk Owner Information: Name William & Andrea Nye Street 4947 Coats Rd. Cny Zephyrhills,FL 33541 Interest in Property: Owners JEO PITT"AN~ PASCO COUNTY CLERK 05/02/01 11:42am 1 of 1 OR 8K 4598 PG 1802 Name of Fee Simple Titleholder ( If other than owner) Contractor: JOHN L. SMITH D/B/A JOHN L. SMITH CONSTRUCTION 4240 COATS RD. ZEPHYRHILLS, FL. 33541 R Persons within the State of Florida desigJllated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: Name Street City In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of Notice of Commencement to be 1 year from date of recording unless a different date is specified Signature ofOwner:- );")--(/1--1 ~ I~ Sworn to and sUbscr~. d be, fO, re ~ tllls IJC~ <~ . day of May, 200] Notary Public: Odi //.~ {l:f;~~ ',' .?I / .J I 1{;1 ~ /0 C2r:<.!r{rU!.t4... r:;1<-f7V'..,....;t;/(. 1/ '''''''; J My Commission Expires: ,~ Paula M Prel>\on. ~ #~, Notary Public, ~talc of Flonda '" ~. .. Commission!' o. CC 686903 "'I'tOf,,".~ My CommissionlExp. 11/05/2001 1~NOTARY F1L NcMIy SeMce & Bonding Co. STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERm:,; THAT THE FOREGOING IS A TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE OR OF PUbLIC RECORD IN THIS OFF~:~ESS MY HAND AND OFFiCiAL SEAL THIS DAY OF /J?4V 20..Q/ JED PI , CLERK OF CIRCU T ~OURT BY DEPUTY CLERK L I ~ ~ ---- I -- ____'"", ..:J ~. 10 \CJ ~~- - S'3"- \\ --- jg()lj{) yvllc 1 Sept Nt '~ I ''1// J(P / I' -J- C.'OI/\le, - -=~,- --- I -- - d ['je c. Pc I\i[} ! II II _ ~ ' ~ I.,) - I /1 .- / e 1// Seta / e ~ II - I ( ~ C\ ~ .,.... "" J ~ V\ ~ ~ ~ v Q "2 { ~ "3? ~~ j 0 \.~ "") ~ ~ j\ 1- '7 <-; .~ ~ /~ / ~ 3 - 0---=------"-' l' . AltJ f a,.1 Ex.'1- 8 /dl eI C tJ//ec f;~1'-1 f71't- e a @ ALL WORK SJIALL COMPLY \VlfH ALL PREVAILING CODES, S'r \1' r 1"', .~ '") J) [' 'n ...'fl\. TO P'" T TT\"['fNG ____. ;. \ I ..'.. '\ t.,,_ _ __..", ; ,:--,i_~, J. i 't , ,.__~ l.J . 1_') J, ~,'" \ T. -\ r p ("'. i\i~:) CITY l . f' ') C . 6 ,'.1\1 a +- .3g(jtjtJ yvJ Ie T S 40, Nt / J J(p''7/) J o I -----==C _ L '1~~1 kNee w#/If w I /~ "C~u~, le/C. ( I 0'/.3 /) lA..) a ,. f ,. /II f :r N. r;j: FPC f d r:~/~' .ptJ~. ; c.@ L-< ~c L .'/'ltE 'I- W H .3 E.- f ~ 10..1 I -0 - IJ I qc..1J I Vl Si6/C 5-'~ ~" I I> ,....:J I -:. ~ I r-~ I _ J ~ 'd'- . " :,) " I)D i~ I '\ 10 !~ .___ .~w I OO~.c.\ ~'/~" ~ o r r- v t .... \i ~ ~.- J ',r. , ~~ ~~ - 4,' ~ 1/_ /f,- S fd/~y /(w, , d f .J>- ~' -6-0 J 1.ft7 1I) HIe @ a-P p.'c e- fT,c e (y fc I I 9 i i <7) I , I I Ii' I :3?t)"I~ Mti. ~~. /v1\