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HomeMy WebLinkAbout01-0478 ... BUILDING PERMIT~~ 0478 .---- cf2 ?__ /'~~ CITY OF ZEPHYRHILLS (813) 788~6611 Permit 7~ ~';~OING . Date q -9-0 / , PLU 'MEC~wer Conn Water Conn: Property Owne . Job Address: Parcel I. D. # Water Meter: T.I.F.'s: Zoning: NO OCCUPANCY BEFORE C.~ 6-~ OjL~, Complete Plans, Specifications and Fee Must Accompan~licati9'ltf- All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE BUILDING Permit Fee ~? Company c5< 9- / 7 Address t!"t )/~:::::Phon~ ~~;fl ~~~~ ELECTRI AL 17iJ PLUM~-"'. MEO:lANIC~L -- .- Valuation or .4. . -9 i/ '7 Contract Price r ~ J ". .? City License Registration # State Certified License# ~~ att~ Ftr. Pre SLB Lintel FRM. /1, Ii" -- 0 I ilL it Insul. CL WL J)/-/)f.r/l.JIII- 4-/-0:2... /lq Driveway <? dlS-o/5L Tp.Serv. ~ Rough In 11-110 -() I Meter Can Const. Pole Pool Pre-Meter Final ./ 5 -/3-1) ~ flub SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 001100 Dollars ($25.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. F~A. 1S77 LAWS FS 71~.13 SEMINOLE FORM 408 NOTICE OF COMMENCEMENT ~:a;~;f o:lorida } 'PR~PAR& IN DVP~ICAT&I ~~~ll~~I!~l~1111111II111111II11I11111111111II11111I1 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NQTICE OF COMMENCEMENT. Description of property . J.5:-:..;?.(#.~~!. -::. eN.?/!. -:. C?/ kP9~.t?('!.e. Q............................................... .......... .~.7.7~.'i.. .4.1.tq~'4.:-. .Or:. ~..Or:~~~C.. .13l1?~~9.r:J.. .C.90.4().~!-.Y).~IA~"J-"""""""" . . . . . . . . . . . . . <:.. ~f?h't r. b.l~ .u.? j' . . .FJ... . . . . ~.~ ~.'-:I. .l. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General description of improvements ...... C.l ~.~.e..... .;?:c..Cit ~~.~. t?:~.~..:\ VY T~... .<?J ~~.. ~.C?<?~ Owner .. . ..~ .~ ~ ~. ~ . .. ..~ .e.: ~ \' ~ ~o. N .. . . . .. . .. .. . .. .. .. .. . . . . . .. _ .. . . .. .. . .. . . . . .. . . . . . . .. .. . .. . . . . .. . . . . .. . .. Addres~ . 3.77~. ':t.. ..A.U~~~. . Dr: 'l..2~p~y:r..b i.ll.$l'''' .Ft.. ..?!.~.?~.l............................... Owner's interest in site of the improvement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee Simple Title holder (If other than owner) R Rcpt: e13812 Rec: 6.00 DS: 0.00 IT: 0.00 07/18/01 ___ Dpty Clerk Name ............................................................................... SCO COUNTY CLERK . .' ~;~ 1~,~I"Ar2 : ~r m 1 of 1 Address ................................................................... OR BK 4669 PG 649 Contractor. . . :i> '\\. v. . e......s. . . . . . . ~ . h u . ~. . \ .~. . u. . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . Address.......;?: g.O.\..... G..A.\ \.... E \.v.. Q.~... .?~.h.'l r. h.,:J.l~ .~.. F.l.... ..?~?~.1............ Surety (ifany) .SV.Re.'"'1y. ..:t>.\'.v'.is.~ Q~...o.t=:.... ~:I..\h..... .\.'N.,.s. V ~"'ru.e....C-................. .-..... Address .2 .0... .~oy. . ..,3q.~ '1... Pe~R.'~ .I.~L..l::t .\.b\a:-:.~ (Q.?. . . . . . . . Amount of bond $1 5l ~ ,.~..v Any person making a loan for the construction of the impr vementa: Name ........................................................................................................................... Address ......................................................................................................................... Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name .......................................................................................................................... Address ........................................................................................................................ 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) (h), Florida Statutes. (Fill in at Owner's option). Name ..... ... . . . . . . . . _ . . . . . ......... '_.' ..__.__ . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Add,es. T~'~~~~~~;~~~~~~~~~~'~~;~~~;;""''''''''''''''''''''.. 0.............. ~~.......~...................... tY~.I...!!i?!:r........ Sworn to and subscribed before me this. . ...??6-,ac.................. STATE OF FLORIDA COUNTY OF PASCO TH!S IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COpy OF THE DOCUMEf\; T ON FILE OR OF . ,L1G REGORD IN THIS OFFICE.)jYi)I'JESS MY HAN ADO ICIAL SEAL THIS...,tA:.. DAY OF 2l!2.Z J IT RK OF CIRCUIT COURT DEPUTY CLERK .........:..............day o~ .~............. 2.00./.. .'2f............ J..-{d/~./hl..~...... Notary Public "'U".,, ....~~~~'.ti'.o;:;___ Katherine M. Brewer t~'" C,;," d MY COMMISSION I CC6n55-4 EXPIRES -.:.:~~:..., September 26. 2001 "p.f..~;.." S()/'j{)fDTHIIU~OYFAlNINSURANa.INc: CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMBNT 5335 8th STREET ZEPHYRHILLS, PL 33540 Phone:813-780-0020 Pax:813-780-0021 /.1-/Yl d DATE RECEIVED C ~ PLANS REVIEW PBB . OWNER'S NAME ~~tt.l-S R.e..~ ~~'3\:'OY'J JOB SITE ADDRESS .3?? ~ r /1-1. i..ss~ .Dtc.~ PHONE CONTACT 'I j do -3 S'l:fS- 33~4/ LEGAL DESCRIPTION: LOT(S) t!J/7A Do B ("') BLOCK ()/ ~ Ilo SUBDIVISION (XJ130 PARCEL ID # /$ -hlh - al- 0/7/1- -Olfoot:/- ~OBTAIN FROM WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION ~RATION PROPERTY TAX NOTICE) o REPAIR o INSTALL DSIGN PROPOSED USE:~FAMILY DWELLING Dt;10VE o DEMOLISH DMULTI - FAMILY 0# OF UNITS o MOBILE HOME o OTHER o COMMERCIAL o INDUSTRIAL o SWIMMING POOL DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL Po \r'L~ . C, lo s ~ s <:'~~e. ~ SQUARE FOOTAGE I 35 l\AJ BUILDING SIZE Q'x . -1_15' HEIGHT ~EE PiAU 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. AMP SERVICE o FLORIDA POWER Pasco Permt f Servlc;; "7 8'~ - 5 ~L~."-,,). . M.'./~ /..//~// ..." / .R.E. . . .. ./ o PERMITS REQUESTED ~ILDING ~LECTRICAL $ '51'-13. {)O VALUATION OF TOTAL CONSTRUCTION o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION DGAS 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 AREA 0 YES 0 NO SIGNATURE ~ COMPANY .J)V\Uf"~\ At-v",,- t""v~ , STATE CERT OR REGIST #~ V~/'.k'/ ~ CITY PROCESSING # -:1.9. ~~ ' f 0( ******************************************************** * COMPANY qqtf ~ RJ'1t"v ~/s[;;f-; _ STATE CERT OR REGIST # CITY PROCESSING # ,11'~ ~ * * * * * * * * ** * * * * * * * * * * * ** * * * * ****:~',j,* * ** * * * * * 6 * BUILDER BLECTIUCIAN SIGNATURE PLUMBER COMPANY STATE CERT OR REGIST #. CITY PROCESSING # SIGNATURE ****************************************************************** KBCHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A.. 'NOTICE 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 ~hey 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 ~he 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 $~ IN VALUE DO NOT NEED TO ,::CORD AND POST A "NO CE OF CO NCEMENT". STATE OF FLORIDA COUNTY OF The foregoing inst Before e ~his by (name of person ~o is personally o who has produced (type of identification) and whoD did Qdid not take an oath. . /..~MJ~~ m. &.uIJ'et__ Signature of person taking acknowledgement Ka ther ine M. BreWelZ'u;;,;>, Katherine M. Brewer Name typed, printed or E$t~kif~I~~JUN# CC677554 EXPIRES <.i~'" ~ptember 26, 2001 , . ''''''.,JED '0' .OCCV FAIN INSURANCE, INC STATE OF FLORIDA R COUNTY OF a.S-CO The foregoing instrument was acknowledged Before me this rRfi:day of .or IA-1 ~ ' 1I9 .;;!Ct.'), by D~ve.. o...J~ . / (name of person acknowledged) ~ho is personally known to me, or o who has produced (type of identification) 9Hd~ ~ake an oath of person taking acknowledgment and Name "~t~~',, Suzanne Bahr t ~- @'~~rasslPrfo# aid YP~""~A ;",,::: 'Fj("pI,es If . ~)?f''''''''&~:: aONDED THAU ...."'/~~(\\\,...,' ATu\.:,nj"c BONDING co., INC. I. , I, ' .( (~~, /f <<I . ~_?~7 ~I ~-:'tr ~\J h.5 IlL '-~U/~' u A../, ~ ) 72, ItL~ ~);4 J(l i~4'u. .{ Of . sa. FeET PRI:2 '. .. . IIMI OR LivING --- t OlJiERAREA UlCER _ $ Il;1 fI'IIl:K YAL.IJATIDII $ ;';'f'+'J. eoO '7 . I ...~ t 7S. CO ~T: , IllI . , 2-';, '';::'' ~...;; pll-~l" " (\J J /1' $ ;J In ' s }J!H- . ~~ 1frc-- 1/(00, ".., A I TIF'S~_S N 1.'1; I CUSTOMER Tt;:LEPHONE Zll::] ~ _7:!/!L7 Y 3/6-1.23 -7/'/7 Change Order No. Contract Order No. ~IAILlNG ADDRESS DATE CERTIFICATE OF COMPETENCY 252 ~~~ WORK TO BE COMPLETED /-cl7'-c1 4...5~P , RX0052179 Hcm Amoullt ackl ~ cd/ ~I /.- acic/1 ad! Dcscription L/c9~~~ 12L~~ tJd/;, .:LY3" ~ad,.~~~~J , dd~~ud(W~4<7~/~ .~\ CA./if;; ~ _ ::J .~~ IJ~~ a~~;tL4f//~ cP ;(~ ~ ,~~ /I ;J~(lW'7 ~~..36)(63.-JI/I f?~-v~.LA$:-~kL- 36 'Ygt' "--711 tv ~~ cJl/1IJ/j"~ ~ ~)~ ~ 1/ /~ Y /0' l~dJ~4:zf;- Mo1 In event Seller has to sue for collection of all or part of contract price, purchaser agrees to pay collection costs inclu ing reasonable Attorney fees. t SUB TOTAL $ SALES TAX $ BUILDING PERMIT $ GRAND TOTAL $.....s'..9'~~ ~ Please make all check. pavable to Dave's Aluminum - - 0 C+-o 0 0 ~ - t"'- - (l) -- 01) t"'- ~ 0 ~ \0 \0 P' .... ~ \0 CO M - ~ " ~ ~ ~ 0 ~ 0 0 0 0 \0 1 - ~ ~ u.. ~ I{) t"'- ;! - 0 - ~ \0 ~ \I") - " ~ E-< 00 ~ 01) ... \I") ~ ". t"'- M - \0 \I") M - - - 0 0 ~ ~ II it :( i J2 ..e;; C1l 19 ~ IIlI W 0 ..... ~ .5 ~ N a.. (J) ~ ~ ..., ~ Qj <( :::> - ~ d C) '0 i ........ L. s::: .!!l ~ s::: IIlI ~ '2 e:; co m '0 W m ~ (I) m '3: ~ en LL ...J ~S LL ~ ~ "0 e ....... ~ ~ == 11II 1: t"'- .t: CD CI) ~ C'lI .!! 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