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Home My WebLink About01-0378 BUILDING PERMIT~~ 0378 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date 6./6'-0/ . BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D. # .5i~. W:u.~ + E\~ Water Meter: T.I.F.'s: Zoning: DescriPtion of Work Energy Code: Radon Gas: /8fa C~~~F~ FINAL 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. C.O. DATE City License Registration # State Certified License# Inspector Permit Fee) Ii .30. (!) ("') SignaturrAL Company Address Telephone# Valuation or Contract Price ~').sLJ G1'i<".....J~~IA~ f~ I ' BUILDING ELEC ICAL PLUMBING MECHANICAL Ftr. pie 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. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 Sth STREET ZEPHYRHILLS, PL 33540 Phone:S13-7S0-0020 Fax:S13-7S0-0021 DATE RBCEIVED PLANS REVIEW PBE OWNER'S NAME \,Al \ 1\ I (AM I E f(tJ~ UCAP<:>€:. I O~ JOB SITE ADDRESS Il""\1-; -)+ ~ NCr~ P-vE, PHONE CONTACT LEGAL DESCRIPTION: LOT (S) Un 17 I ''(.) I I BLOCK y~ SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: []NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR JZ1 INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME J1 OTHER o COMMERCIAL o INDUSTRIAL o SWIMMING POOL c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK y t="\ (, \....c, 1 j", , 10' {, ( ,. '-' \- \ 1 ~(:S--- SQUARE FOOTAGE HEIGHT I-/r--r 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. PERMITS REQUESTED o BUILDING $ $>')5t5~ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER [] W.R.E.C. o PLUMBING o MECHANICAL $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION y1 OTHER ~_J--'::' ('_I r"'J TYPE OF CONSTRUCTION: 0 BLOCK [] FRAME o STEEL pOTHER q (;. k._ A !.,\.Nl. FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE **************************************************~*************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE HBCHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER ~'k..,--c c. I,\.) 31 ^ J \ , : /' Ii SIGNAT~_')~ !.U COMPANY ;J! (~C ~.l \!)LCS. STATE CERT OR REGIST # CITY PROCESSING # ..-- ,: '"v /' < ,'- '"" , x... c... _ ,_./;1 'T ...L" ( ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A.. NOT+CE OF DEED RESTRICTIONS The undersigned understands that this permit may 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 Uowner" 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 UA" or UA,etc.", it is understood that a drainage plan addressing a ucompensating 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". \. "- ~. ( ') Li -- J / ," ',.'. /.........'....-- ..:../" . : SIGNATURE: CONTRACTOR ---.... SIGNATURE: OWNER OR AGENT 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) C1ho is personally known to me, or o who has produced (type and whoD did 0 did not of identification) take an oath. o who has produced (type of identification) and who Ddid [}:lid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped BOUNDARY SURVEY Final Survey Date: May 7, 2001 Client: PAlL ROSE ENTERPRISES Work order number: 12948-ZH Date of Sur!eY: JULY 14, 2000 - . . - . . - Foundation SUrvey: September 22, 2000 N OR T H ,- - ~ r.:;-tt . / ~~ ~ 30.00' ~ ~ I~ ~ I~ ~ L~ 'I! o ci 110 I ~ "fo,."l l'.. .,.,. NORTH UNE OF 51 -"-')-" --I 8 ~ I~ ~. A VENUE ~- 60.0' R/WAY - 20' ASPHALT PAVING o ..;. N ~ - _33':t:_-r;1. ~ . d o o 0 8 ~ LOT 15 --13- J-----____ ~ -------; b !tt j"o:J ~ 8 i Ii 19.8' ..;. N .0' 0 10 ;t ~i IaI ~ ~.O' ------- 45.3' --- o o :2 (.!) z . ~ D.. . b -re' 'CONl/: DRM: d -:-- - .4 ("f o . ql ~I 20.00' LOT 18 ----------- 66.7' ------------- -------- ~~ ~ i3.lf' ~ b ;,; 10.0', ....... "' :::IE o ~ 3- s !< o -J o a.. ci -------_Cl>- m LOT 17 ii:i .....J .....J <( o 140.00'(R&M)---Y- '-WOF" o o C'.l LOT 14 Ih LOT 13 ------- ~~ "--~ .. ~ -------- ..... :2 g . -'2~ g ~, ---o0y----~ ~)i7 ~ o ~ 3- oj: ~~ ----1- ~~"--~ ~ 20.00' 140.00' ----- ;;; LOT 12 30.00' I L__ ~ 12 th. ~ AVENUE , ,+ ~~.~. ~ I NW CORNER BlOCK <4S PASCO COUNTY OCCUPATIONAL LICENSE 2000-01 Issued pursuant and subject to Florida Statutes and Pasco County Ordinances. Issuance does not certify compliance with zoning or other laws. This license must be posted conspicuously in place of business. Expires September 30. .CCOUNT NO: 31564 ;IC CODE: 1799.05 Mike Olson T.AX COLLECIDR PASCO COUNIY FLORIDA . 1..11...11..1.1..1..11.1..1111...11.1..1...11.111.11..1.1.1111 ALEXANDER BROTHERS FENCING INC 24928 JOINER CT LUTZ FL 33549-3383 TYPE OF BUSINESS: FENCE INSTALLATION LOCATION ADDRESS: MOBILE DATE RECEIPT 08/07/00 371822 AMOUNT 13.75 ACORD.. CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIOOIYYI , 5/25"/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CAROL LEE HAT JIOANNOU ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE EXClUSIVE AGENT HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALLSTATE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 14001 N.DALEMABRYHWY. INSURERS AFFORDING COVERAGE . TAMPA. FL 33818 INSURED gfEfi ",", ( . THE HARTFORD INSURER A: ALEXANDER BROTHERS INSURER B. FENCING INSURER c: 24928 JOINER CT . INSURER 0: LUTZ FL 33549 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IssueD TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS S1JBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDmONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~~ T'I'PI OF lNSURANC! POLICY NUMllIA P~~ EFFECTIVE ~~ EXPIRATION UIII1'S A GENERAl. LlAIIIUTY EACH OCCURRENCE 5 300 ,000 kMMERClAI.. GENERAl. LIABIlJ1Y . APPLIED FOR 5/25/01 5/25/02 FIRE DAMAGE IAny..... ..., 5 - - ClAIMS MADE - OCCUR MED EXP (Any..... __, 5 - PERSONAl.. & AOV INJUAv S ; GENERAL AGGREGATE 5 600.000 - GEN"L.AGGR~ LIMIT A~ PER:: PRODUCTS . COMP/OP AGG ,5 POUCV ':..".Qr . I LOC ; AUTOMOelU UABlUTY COMBINED SINGLE LIMIT 5 ANY AUTO lea_I - - ALL OWNED AUTOS : BOOlL V INJURY 5 SCHEDULED AUTOS (Per perIGIl' - - HIRED AUTOS BODIl V INJURV S NQN.OWNED AUTOS 'Per 8CCIlIIIIllI - - PROPERTY DAMAGE S 'Per 8CCIlIIIIll1 ~AGE LIABILITY AUTO ONL V . EA ACCIDENT S - ANVAUTO OTHER THAN EA ACC 5 ; AUTO ONL V: AGG 5 EXCESS LIAIIlITY EACH OCCURRENCE 5 - OCCUR CLAIMS MADE AGGREGATE S - - - S - DEDUCTIBlE 5 RETENTION S S WORKERS COMPENSATION AND T~;r~I'fS Oe; EMPLOYERS' UABlUTY E.L EACH ACCIDENT S E.L DISEASE. EA EMPLOYee 5 , E.L. DISEASE. POLICY LIMIT 5 OTHER DlSCRII'TION OF OPERAnONSlLOCATlONSIYEHlCLESII!XCLUSIONS ADDlED BY ENDORSEMENTISPEClAL PROVISIONS CERTIFICATE HOLDER ADOIT1ONAL INSURED: INSURER LETTER: CANCELLATION SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLI!D BE'ORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ DAYS WRmEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. IUT FAILURE TO DO so SHALL IMPOSE NO OBLIGATION OR UAIIL/TY OF ANY KIND UPON THE INSURIA. rrs AGENTS OR ACORD 25-S (7197) ;:::---- (j ACORD CORPORATION 1988 04-27-20,00 STATE OF FLORIDA DEPARTMENT OF LABOR AND EMPLOYMENT SECURITY DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION FROM FLORIDA WORKERS' COMPENSATION LAW This certifies that the individual IIsttad below has elected to be exempt from Florida Workers' Compensation Law. EFFECTIVE DATE EXPIRATION DATE EXEMPTED INDIVIDUAL NAME S.S. BUSINESS NAME 03/10/2000 03/10/2002 ALEXANDER 594-64-3031 TIMOTHY B ALEXANDER BROTHERS FENCING INC FEIN BUSINESS ADDRESS 593589534 24928 JOINER CT LUTZ FL 33549 NOTE: Pursuant to. Chapter 44O.10(1t,{g),2 F.S., . sole proprietor, partner, or an offlc_ of. corporation who elects ,.-xemption from the Florida Workers' Compensation Law may not recover benefits or compensation under Chapter 440. PLEASE' CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA OEPARTMENT OF LABOR AND EMPLOYMENT SECURITY DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF EXEMPTION FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE DATE 03'10/2000 EXPIRATION OATE 03'10/2002 EXEMPTED PERSON LAST NAME ALEXANDER FIRST NAME nMOntY B SOCIAL SECURITY NUMBER 594 64-3031 BUSINESS NAME ALEXANDER BR01lfERS FENCING INt FEDERAL IDENTIFICATION NUMBER 593689534 BUSINESS ADDRESS 24928 101_ CT NOTE: Pursuant to chapter 440.10(1).(91.2. F.S.. a sole proprietor. pa-tner. or officer of a corporlltion who elec:u exem!ltion from the Florida Workers' Compenslltion Law may not recover benefits or compensation under Chapter 440. H E R E CUT HERE * Carry bottom portion on the job, keep upper ponion for your recorda.