HomeMy WebLinkAbout01-0311
BUILDING PERMIT~~
0311
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
)<; ,~
BUILDING ELE~CAL PLU~G
Property Owner: 1-\::>1..,.) a.r of ~Cc.l4 j " t""\D..""
Job Address: SS" -, 7 ~ l , i? I v4
Parcell.D, # it - 2" - 2.' - 00 t 0 - -0(; S- 00- 0 ( 0 ()
Date S /IS /0'
MEC~NICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code:
fV~ /l-1 U>'\u__ ~+
Radon Gas:
,
S'. 5 n
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
City License Registration #
State Certified License#
Permit Fee
~ignature
Company
Address
~Iephone#
'0
8-1 J 9tf'{;
7 W .5 3 )"<rz.
Valuation or
Contract Price
L( () () 0 , OJ,).
IJ orJ{..
5";''; ~ S
BUILDING
ELEC RICAl
PL
MECHANICAL
Ftr. ;5"-/6-61 S'te
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
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.
I J\ (~d\
I uS 0\ ) CITY OF ZEPHYRHILLS PERMIT APPLICATION ~
)i:')' /,UILDING DEPARTMENT 5335 8th STREBT ZBPHYRHILLS, PL 33540
/~ Phone:813-780-0020 Pax:813-780-0021 ~//. ~
DATB RECBIVED -::::> I 0 () (_
PLANS REVIBW FEE
OWNER'S NAME ~~S'~tql0t,.~
JOB SITE ADDRESS S's- 3 7 ~ LI -g (v~
PHONE CONTACT 7~ · '1 SOt)
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # (/ ';2" ,C).../' ()O (D < 06 S-~ 'CJ Ie:> t9 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL
~IGN o MOVE 0 DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME
~OMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
Ne>w
!l10'lLlHA"J ~ (' ~
/
SQUARE FOOTAGE
36
HEIGHT
8/
BUILDING SIZE
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.
o BUILDING
$
7?t?a;1
I
t:Xf)
---
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
~THER
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
D STEEL
D OTHER
IS PROJECT IN FLOOD ZONE AREAD YES ~O
FINISHED FLOOR ELEVATIONS
BUILDER
COMPANY
STATE CERT OR REGIST #_
CITY PROCESSING #
SIGNATURE
******************************************************************
ELBCTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #_
CITY PROCESSING #
SIGNATURE -
******************************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHBR SI \:
SIGNATIJREdL/ ~J-
COMPANY ft,/'- f4 ~~ S:;l h'
STATE CERT OR REGI #
CITY PROCESSING # 5l 5"'5"""(
67~
/661
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'The undersigned understands that this permit lnay be subject to ~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.
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 NO NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
t9'p1&J1 s1lf~~~OS6?()1
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid [):lid not take an oath
Dwho has produced
(type
and whoD did Ddid not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
LEXiAL DESaUPl'ION
Lots 10, 11 and 12, Block 65, CITY
OF ZEPHYRHILLS, as recorded in Plat
Book 1, Page 54, Public Records of
Pas= County, Florida.
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SEC. II , TWP. 2<1 S.. RNG. ~/ E.
Pasce. County, Florida
.. FRED DEUEL & ASSOCIATES, INC.
5151 GALL BLVD.
ZEPHYRHILLS, FLORIDA 33St1
PHONE: 18131 782-6717
FAX: 18131 782-5426
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CnaJn unk fence
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ro.................., ;__
NOT VALID UNLESS
EMBOSSED WITH A SII'Alt valid without the signature and
THIS STAMP IS RE(P1e origina1 ra~ seal of a Florida
licensed sw:veyor and mapper.
FOR: HOWARD BAUGHMAN
SURVEY DATE: JANUARY 7, 1998
BOUNDARY SURVEY
c: Fred JJt'Uel and Assocz'ale9, /nc.
z.phyrhIUa '81. p~
Certit1cate of authorizatioD Dumber LB 107
SILCOX ENGINEERIN~, INC.
5409 Nebraska Avenue
TAMPA. FLORIDA 33604
~(813)2~9755
JOB BA()&11 JV\JHJ/~AM no!;) JAMe6 ZePI.J't-I/?..f"/ (0L~
SHEET NO. I OF I
CALCULATED BY e S 5 DATE 4 - 27 - 0 I
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SILCOX ENGINEERING, INC.
5409 Nebraska Avenue
TAMPA, FLORIlA 33604
Phone (813) 238-9755
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.Parcel Information for: 11 2621 0010065000100 Card: 001
Page 1. of 2
'[Ve!cornE' : r~ecQld ~,Q~roh : Parcel Search
Search AQain Show Map Generalized BuildinQ Schematic Calculate Taxes
See Tax Collector Information - CurrenUDelinauent Taxes
Parcel 10 112621 0010065000100 (Card: 1 of 1)
Classification 17 - 1 STORY OFFICE
Mailing Address Assessment (totals)
HOWARD S BAUGHMAN INC Ag Land --
5537 GALL BLVD
ZEPHYRHILLS, FL 335413931 Land $59,080
Physical Address Building $28,118
5537 GALL BLVD Extra Features $3,100
ZEPHYRHILLS, FL 33541
Lenal Description (First 4 Lines) Total Assessment $90,298
CITY OF ZEPHYRHILLS PB 1 PG 54 Save Our Homes $0
LOTS 10 11 & 12 BLOCK 65
OR 4067 PG 1461 Taxable Value $90,298
~use Land Detail (Card: 1 of 1)
Description ~ing Units Type Price I Cond " Value I
01 1700 1 STORY OFF C2 7,000.00 SF 7.69 1.00 $53,830
02 t 1700 1 STORY OFF 00C2 3,500.00 SF 1.50 1.00 $5,250
Additional Land Information
Acres " n ')" Tax Area I 30ZH I Fema Co Comm Code II C130184
Building Information - Year Built 1932 USE 1 STORY OFFICE (Card: 1 of 1)
Ext Wall 1 CB Stucco Ext Wall 2 None
Roof Str Gable or Hip Roof Cov Asphalt or Composition Shingle
Int Wall 1 Drywall Int Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
AC Central Baths 1.00
Line Description Sq. Feet Repl. Cost New
1 AOF 1,320 $50,820
2 FEP 45 $1,386
3 FOP 72 I $8471
Extra Features (Card: 1 of 1)
I Line I Description I Year II Units II Value I
I 1 I SPRNKPP I 1987 I 31 $130
I 2 I PAV CON 1987 2,000 $1,530
I 3 I SHED 1960 480 $1,440
http://appraisecpa,, jparceLasp?Sec=II&Twn=26&Rng=21&Sbb=00 1 0&Blk=06500&Lot=0 1 0 4/16/01
This instrument prepared by:
Name
Address
Permit #
Folio #
NOTICE OF COMMENCEMENT
State of Florida ()
County of, _ -y'~
The undersigned hereby gives notice that improvement will be made to
certain real property. and in accordance with Chapter 713. Florida Statutes.
the \,~~p~fornr~~~vi~~A~hM~ti~or~mencement:
1. Property ~~escriPtio~ L~nit_ 03lo~k'"Q3ldg
Subdivision/Condominium
W40f "Zhil~ p~~
( ) lengthy legal, please see. description attached hereto _ A~bove reserved for use of recorllmg office
2. General Description of ~
Improvement:
3. Pr~~erty Owner Name: ~~~ rct ~. ~vYY1.~ .
Mallmg Address: ~ ~-----El4i ::lh 1[5 F
and interest in property:
Namelmailing address of
fee simple title holder if
other than owner:
ABvct-l
4. Contractor name:
Address:
Phone Number:
~]t~ ~ SL~~ -~~~JL N\G~Slc,l
d t '!S/l.., 'C.-i ~".uV r-, tJ 'SJ/lfS.>'" PC "5 rS",z,
e I ~ ~ 9 :; I ~(. 9 FaX#: (optional- if service by fax is acceptable)
5. If Surety Bond, Name:
and address of Surety:
and amount of Bond: $
Phone Number:
(Copy of bond must be attached to this Notice at time of recording)
FaX#: (optional- if servk:e by fax is acceptable)
6. lender name:
Address:
Phone Number: FaX#: (optional- if service by fax is acceptable)
7 Persons within the State of Florida (names and addresses) designated by property owner upon whom Notices
. or other documents may be served as provided by Section 713.13(1)(A)7., Florida Statutes:
Name:
Address:
Phone Number: FaX#: (optional- if service by fax is acceptable)
8 In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as
. provided by Section 713.13(1)(B), Florida Statutes:
Name:
Address:
Phone Number: FaX#: (optional- if service by fax is acceptable)
(Expires one year from date recorded unless a different date is specified)
Owner signat
Printed name:
SWORN TO AND SUBSCRIBED before me
thi ..2
Owner signature:
Printed name:
200..L. by:
as identification,
//f/~.P~/
.. ......--.....". ...-..........
~'!3..I'
$""V'''!!t.
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1-800-3-NOTARY Fla. Notary Services &< Bonding Co,
PATRICIA A. PULK
MY COMMISSION (I CC 739452
EXPIRES: 06/2812002
.-..-.. ...... '.' .~p~~.~&;.W;ihis.ii~e-~~~~;iiOr.iise-oith~.;~oo;:di~g.c;ii;ce.-. .
Name
Return recorded document to:"""
Address
Baughman Financial Group
Howard S. Baughman
Financial Advisor
Support Services
April 25, 2001
To whom it may concern:
I Howard S, Baughman give Don Messick of North Tampa Sign the authorization to pull
a permit and provide the installation ofa sign for my property located at 5537 Gall Blvd"
Zephyrhills, and FL The parcel Id# is 11-26-21-0010-06500-0100.
Thank y,ou,
c:JJ ~
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'~Off\:
1-800-3-NOT ARY Fl., NOIary Services &: Bonding Co,
PATRICIA A. PULK
MY COMMISSION # CC 739452
EXPIRES: 0612812002
'Qe/C/# ~ ~~ ,
~~~'~)2-
RAYMOND JAMES,"
FINANCIAL SERVICES. INC.
Member NASD/SIPC
37800 State Road 54 West, Suite K, Zephyrhills FL 33541
813.788.7500 . Fax: 813,788.7504 . E-mail: hbaughman@rjfs.com
Securities offered exclusively through Raymond James Financial SeNices, Inc. Member NASD/SIPC