HomeMy WebLinkAbout01-0461
BUILDING PERMITN~
0461
~
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
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Date 7" 8/- {) I
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MEC'FtANiC A l
Sewer Conn
Property Owner:
Water Conn:
Zoning:
Job Address:
Parcell.D. # ~~ -~.s--",21 -6 /06 '. ~ D/:)l)Z> - {)~9 {J
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En.,., Code, ;r, :""on Ga.
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Description of Work
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
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Company. ,/
Atjl1r~
CT.'ep~ ')
Valuation or
Contract Price c:::;: 00 D
City License Registration # ~ t::,~_i
State Certified License#
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BUilDING
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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 001100 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.
120
20~
Mike Wells - Pasco County Property Appraiser - Building Schematic
Generalized BLildirg Schermtic for PalCel: 3425 21 01000??oo 0290
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INVOICE
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CUSTOMER'S ORDER NO.
SOLD TO:
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DATE SHIPPED
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WilsonJones . eo.-.. MADE IN U.S,A,
44-432 Quadruplicate ~ Cl WIIsonJones, 1989
Property Appraiser - Map
Pasco County, Florida ':~
Section: 34 Township: 25 Range: 21
Available Layers
P" Parcel Lines r Soils
P" Satellite Image r FEMA
r Topography r Land Use
r Group Parcels I Taxa rea .:1
Map Size I Quality
(Will Affect Download Speed 1 Applies to Satellite Images) <4
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IRedraw II HELP I
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APPLICATION I"OR PElUaT
CITY 01" ZEPRYRRILLS
BUILDING DEPARTMENT
DA,"""BCBIWD 7/ ill 0 i
PLANS RBVI:BW I'D
o.WNER' S NAME~ A? y-- m ff~' r~-#.;I .A) / ~ jU
Jo.B ADDRESS ~~ 7G./ &' 1;,14-0 ~C'? I jJ. r4M IY? ~cl..!.~vtl;> (
PHONE /'">.:.<.?'?; -;J.? c..... ;;
SUBDIVISIo.N
PASCO PERMIT SFfMCI
813.788-5314
LEGAL DESCRIPTIo.N: Lo.T(S)
BLo.CK
PARCEL ID # ..3lJ-d.5- o:tl -OLDO -DOO()() - O,a q 0 (o.BTAIN FROM PRo.PERTY TAX No.TICEl
WORK PRo.PSED: ~EW CONSTRUCTIo.N ciAoDITIo.N DALTERATIo.N 0 REPAIR 0 INSTALL
DSIGN 0 Mo.VE 0 DEMo.LISH
PRo.Po.SED USE: ~ FAMILY DWELLING DMULTI-FAMILY 0# o.F UNITS
o Co.MMERCIAL
o INDUSTRIAL
o SWIMMING Po.o.L
o Mo.BILE Ho.ME
o o.THER
DESCRIPTIo.N o.F WORK
CJ RESTAURANT & HEALTH DEPARTMENT APPRo.VAL
{C; ~ R E. ~ iV ,,~ ODrJ(
BUILDING SIZE
SQUARE Fo.OTAGE
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HEIGHT
7~
RESIDENTIAL:
Co.MMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY Fo.RMS.
ATTACH (3) SETS o.F BUILDING PLANS & (1) SET ENERGY FORMS.
PRo.PERTY SURVEY REQUIRED Fo.R ALL NEW CONSTRUCTIo.N.
~ILDING
$
r!J-.o~ ()
-:~
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL
o PLUMBING
D MECHANICAL
AMP SERVICE
D FLORIDA POWER
o W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
D GAS
o ROOFING
D SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
o STEEL
[!}-'6'rHER -4 L U M , AJ U M
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
D NO.
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SIGNATURE
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COMPANY M i kf IA) " IJ I a wtL"S
STATE CERT OR REGIST #
CITY PROCESSING # 3"~
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BUILDER
******************************************************************
BLBCTRICIAN
Co.MPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBJ:R
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
HBCHA1UCAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT o.R REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CU.\'L'.L'.l'J.UN~ OF .I:',P-:PNJ.'.p A~ f.l..l)}\vl'.l'
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may b<<! 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
~icensed 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 DepaJ:tment, 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 aocument 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 ipval~d 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
'{/jr.~ ~4- {lAiM-
SI NATURE: OWNER OR AGENT
~."J_
, ,,,; / ~.>
, ~,( Cj ~ t:(2A.J~.Y'h.--<;
SIGNATURE: CONTRACTOR
STATE OF FLORIDA -0
COUNTY OF r~~
The foregoing instr~ent was acknowledged
Before me this (~TftY of .:TI~ , ~ \
by 1fYl ; \u ., d IN-- a, \
_~ (name of person acknowledged)
~o is personally known to me, or
STATE OF FLORIDA fh
COUNTY OF ~
The foregoing instrument was acknowledged
Before~ this~ day of;T~,~1
by \ fC'..IM '-'^-'
(name of person acknowledged)
[]who is personally known to me, or
~o has produced J./u'(~ .P~L~..-'
_-r. (type of identification)
~did not ke an oath.
El who has produced
(~e of identification)
~d not take an oath
taking acknowledgment
Name typed,
person taking acknowledgement
,"~"~if", Suzanne Bahr
=*';i::\CommiSSion.~ c~ 790817
P~".h'.. ~rF.Yj~~~d..l, 7002
..-.....~,I~i}i\~~' AT~/"\'>-"" ':;~;-~~)I;.~:~~g. INC
Name ty:. ~, '_~o~#C~11."d
=",! i;= Exnir'u ','''\! l' 5 2002
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"Ir"\\ AllAN j !~# 1..~!IjG co., INt:
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Proposal
TYSON CONCRETE BY DUKE
6134 7th Street
Zephyrhills, FL 33540-2500
813-788-5500 · 813-783-3817 · Cell: 813-713-2732
Uc. # 08432 . Pasco # 009349 . Insured & Bonded
--1,....} i~ n./
Date: ./-,..L O_C,i:
~,
Proposal Submitted To
i , ,/ .....'jI )
/.,[:< .y7<,( j
Name
Street
City
State
TelephoneJ'~).unber~-______
-".'
We'''';reby propose to furnish and perlor " the labor necessary for the completion of
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All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings
and specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
With payments to be made as follows at completion: Dollars ($ ,$'~~l() cJ J),
Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders,
and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or
delays beyond our control. Owner to carry fire, tornado and other necessary insurance upon above work, Workmen's
Compensation and Public Liability on above work to be taken out by Duke.
Respectfully submitted
(--\ ijr--
(~/ .'_ </t
Duke Tyson
Please make checks payable to Duke Tyson.
Note-This proposal may be withdrawn by us if not accepted within days.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted, You are authorized to do
the work as specified. Payment will be made as outlined above,
ltccepted
Signature
Date
Signature