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BUILDING
BUILDING PERMITN~
Permit
Q!11!OI
Date I
0565
CITY OF ZEPHYRHILLS
(813) 788~6611
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ELECTRICAL
PL~NG
MEC~CAL
Sewer Conn
Water Conn:
Property Owner:
75 ~
"?4 ~ '1 \) * '). j - 00,0 - 0 J f! DC
Water Meter:
Job Address:
Parcel I. D. #
T.I.F.'s:
Zoning:
Descriotion of Work
Energy Code: Radon Gas:
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NO OCCUPANCY BEFORE C.O.
FINAL 1:1. -11- t)
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Permit Fee
Signature
Company
Address
Telephone#
.5
Valuation or
Contract Price
10 q~'r 50
~i 8b
4~ I4Jl~
City License Registration #
State Certified License#
tS" ~ ~ (un )t
Ale
E" lee
BUILDING 2~ ELECTRICAL PLUMk ING MECH~NICAL
Ftr. :j-;, J ''I 0. J I/ID Tp. Servo SLB Breakers
Pre SLB '/-/ ...'( f Rough In Tub Set Ducts Insl.
Lintel Meter Can Water Compressor
FRM. Const. Pole Sewer Final
Insul. CL Pool Final \,
WL Pre-Meter \
Final
Driveway /(-1'1-01 ftl2)
-R. -c HJ-O'
Vi lIJ(n 5LI113 FOoy!0 /1 / -01
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.
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f'J r; u 1t:rM !}It-. Li) { I Lf L
1 I
SQ. FEET PRICS .
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..... OR LivING ...._.a
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01J0ER.AREA UMER
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--
VAl.JJATIDN $
.... .-.a:: s 1/2 )0
alENT: $
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540
PhoneI813-780-0020 FaxI813-780-0021 -, J /.
DATE RECEIVED 1. U fa _ Q (
PLANS REVIEW FEE'
OWNER'S NAME &RAAlO ;J fZI7 g;./ /Yl-j-l ,p ,
JOB SITE ADDRESS IV8JKo/VI.. J) liE
.
Ll9r
PHONE CONTACT f]rrz - /()01
I'-I-~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
C RANk? f..I~lZfZf)Ai /filii',
PARCEL ID # ]4-- :2-5- 21 - DOlO
WORK PROPSED: ~W CONSTRUCTION
o zr 00 - 0 J I.fb(OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
Os IGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
OMULTI - FAMILY
0# OF UNITS
o MOBILE HOME
o COMMERCIAL
~ER
/J L c./qt J N~
CJ RESTAURANT & HEALTH DEP~TENT APPROVAL /:)
tfiilO) .0 /Fi"d ({}:1Y
JO)(IL( ~,SC/l~aJ P-IJcW\.; 16)({ C41l/Mr; {fJy'-r(SH/eo jIUJJUl/JMr
SQUARE FOOTAGE f 3 ~ HEIGHT \.
o INDUSTRIAL
o SWIMMING POOL
DESCRIPTION OF WORK
BUILDING SIZE
'"
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
[M"'BUILDING
r:ErELECTRI CAL
$ IDQ9j. b'O
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C. w/~ SH~
o PLUMBING
o MECHANICAL
$
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 AREA 0 YES 0 NO
SIGNATURE
~ II, f1M
COMPANY iW ({)N~nl(X-n I IV t)F {"CtVi/"M<... FL,
STATE CERT OR REGIST # ('Bco J:;?'7J'-L
CITY PROCESSING # ~~
BUILDER
******************************************************************
ELECTRICIAN
SIGNATURE ~ 1+, ~
COMPANY /k..c t:U;Cn21 c
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
MECHANICAL
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
**********~******************************************************
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
viol~tion 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 ~ 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. I
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 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
J1. ("/
/1~ fe' "Lp~
SIG ATU: E OR AGENT
STATE OF FLORIDA ni\\ .
COUNTY OF ~~
The fOregOing~in trum ent was acknowledged
Before me this I. day oflU(....-V, ,~(
by $/Lt;; ,;;QI!
~name of person ackno~ledged)
DtWho is personally known to me, or
df~
-z;~
CONTRACTOR
STATE OF F~ORID~p AS;
COUNTY OF L 0
The foregoing ins~fument was acknowledged
Before me this ~ay of :J1/l-Y ," 210 {
by c$!ZIf<;; Me-/J12
~~(name of person acknowledged)
~o is personally known to me, or
Dwho has produced
(type of identification)
and whoD did 0<fid not take an oath.
~ f+. OJd[
Signature of person taking acknowledgement
Dwho has produced
(~pe of identification)
and who Ddid [g:lld not take an oath
SAY fJ. aJJ
Signature of person taking acknowledgment
Name
(?eJCE A. ftSi3pL
typed, printed or stamped
Bruce A Astlel
1i commiSsion CC748677
.. *tAY "'002
~ '/ ExPires June 22, '"
~.."
Name
GJW~ 4, {J5I3EL
typed, printed or 'stamped
. eruce A p$8\
~'> tAY~on CC748677
t.; expires June 22, 2002
...."
B&H CONSTRUCTION OF CENTRAL FL, INC,
4025 Morris Bridge Road
FREE ESTIMATES Zephyrhills, Fl. 33543 1-800-224-1206
Licensed-Bonded*Insured - Skirting.* Steps · Room Additions- Aluminurn*Concrete .
LDt # J <f~ Subdivision Nc5"u~.M Iflb'~- GJf>/.1vd ;!0if12tJlUf
LapID Glass Room Walls
Pan Color Single Hung Windows EA x -
Trim Color Wall,_+_+_+_- _ L/F x -
Beam Color R System Insulated Roof_ + _- _ L/F x -
AJI aluminum roo61 include: Pans, Trim, Gutter Mise:
Downspouts, 3x3 Posts, 2x4 beams and Shinglo Flash.
JLpans.lk]t Long~Sq Ft x 2.75 - 3.15 '1~:J (JO Lap Siding--------------------m--m-----..m!i LIF x 6.24 h lfk. 16
-${LPans..LLFt Longa,rSq Ft x 2.75 - 3.15 lAG ~,7) . Hand Railing------------------------~-----__ LlFx 15.60
LL'-Pans.J..LFt Long...,lKSq Ft x 2.75 - 3.15 "'0. ,-,., Step Railing-------------------------m---__ EA x 72.80
Pans _Ft Long_Sq Ft x 2.75 - 3.15 Garage Door--------mm----- _ x__ EA x
Valance_Front_Rear~LIF x 3:64 ;.... ~ ?I'l Garage Door Header---------_x__ EAx
Gutter on Home IJf LIF x 3.75 .~ ~.nP'" Misc:
Gable Beam Work on Front Load -------119.60 II < ,t.! :> ALUMINUM TOTAL ~:2s9 S).
2x7 SM Beam .Jt.f L/F x 4.68 IIJ :t~
2x9 SM Beam .:1.'1 LIF x 6.76 JL :1'-1 Concrete and Brick Work
Access Door EA x 62.40 Patio Slab-------------..1.L..x~ = ...L.Jt2Sq Ft x 2.00 .t Y'I1J~~
Misc Patio Slab-------mm.LL x ~ = ~ Sq Ft x 2.00 7~.2 ,at>
Patio Slab------------- _x_=_SqFtx 2.00
SCREEN ROOM WALLS Side Walk-------------~x~ = ~Sq Ft x 2.00 J.. 'I, ()(J
Lap KP .1Q.. + J..!:t+ ~ + _ = .3:LUFx 23.92 JH ,J.8- Driveway-------------- ~ x.$./L = $!ilL Sq Ft x 2.00 UIO/\ <'6
Screen Door Includes: Driveway.:--Flairs----~x_ = __Sq Ft x 2.00
Closer and Threshold-------- I EA x 78.00 78. DO Air COI.!.~itioner Slab_x_ = Sq Ft x 2.00
Gable Fill. one side -------- L/Fx 12.48 Raised Utility Area--_1 1/2" ~1/2" 30.00 .qO "D
- Raised Patio 6 Courses~x /'1 = BfLSq Ft x 9lfS'; 00
Insulate Kick Plate---m-- UFx 3.00 6.75
Fan Beam (Not Wired)-m_ x 52.00 Raised Patio 6 Courses_x_ =__Sq Ft x 6.75
Over 6 per ft per Cours;J!Lx....:L. =~L/F x 1.80 IP ,1. 0
UTILITY ROOM Footer (8xI2 Reinforced)------------~L/F 3.50 I .. ;0
X
Pan Shed + + + = UF x 28.08 Footer (Skirting) _____n_______________ _'Z _ L/F x 2.)\.1 ? (if.)
- ----
With 2x2 Alum or 2x4 Wood Studs 16" OC I Tread Step--------------------------- EA x 58.00
Lap Exter~ + & + L2.... + _ =.3!LLIF x 28.08 fin I 72- 2 Tread Step--------------------------- ~: EA x 116.00 _1 :j :JdJ6
Elixir Door and I Window--m-1- x 124.80 J "liJ ~^ j'rreail Step---------------------m--- _ EA x 174.00
Double Elixir Door I Window-,- x 348.40 Step Platform----------------m---. _ EA x 165.00
Slider Window (Extra)-----------_ x 46.80 ~~/8b Brick Skirting Max 5 High
Bug Shield--m-mmm----n--~ L/F x 4.16 uf. LI-I Over 5 per ft per Course charge _ LIF x 1.60
Mise . Split Brick Air Stack--------m--m-_L/F x 8.00
Split Brick Solid-----------m-------- d- L/F x 9.00 J'u,OO
VINYL ROOM WALLS Over 5 per ft per Course charge ~ UF x 1.80 C/ ~,:J /)
Vinyl Walls_+_+_+_=_LlFx_ Fill Dirt -------------------------------- Loads x
_. -
Inside Kiek Plate-------------m - LlFx 4.45 Pretreat --------------'--'-------------------------- ----- - - - - - L- /;I.,,,,,, "'0
Lap Top inside and out -m---_LlFx I 2.48 Misc:
Florida G lass--m--m--------- - L/Fx 8.32
( Concrete I~ l:J.tf9.fJ8
Insulate Top and Bottomnm_LIF x 4.45 3/9}f k Aluminum ~~5"J..
Doors Include (2) 2 Track Units OFt Ie X'
Threshold and Closer------- EA x 119.60 Permit ~5l}j ()O
-
Mise rIIX 10 ?/-F-?.Fef> /OR Tax
C.IV() /)JC b...f / /U 9- TotaJ If) C69,5()
All wor'ulUanship and matcrialJ at I'W'lJltocd t>r OM year, ~ FINANCB CHARGB or I.~% pCll" month will be.cocaed
00 .11 un~id a.ccounb in llT"e&l1. ANNUAL PBRCBNTAOB,RATB OP l'%plu, attornoy'.1bcI [[ooccssary to collclCt.
LEONARD G. "GEOFF" WOOD. P.E.
4034 TIlE FENW A Y
MULBERRY, FLORIDA 33860
(863) 646-5517
Date: 7-2-01
B & H Construction
Zephyrhills, Florida
p-" "ED
"'~TE LA:' ~l~_.~
IoIf'" EPT pp;;OVED
BUlLOlNG
Re: 2002 Jacobsen
NeukomAve
Zephyrhills, Fl. 33541
Mod# Custom
Lot # 146
Dear Sirs,
This letter is to certify that I have reviewed the above referenced project to determine
the structural adequacy of the existing structure to receive the attached structure. The
proposed structure is roughly a 10x14 raised screen room a 12xl0 shed, and 12x33
carport The existing mobile home, to be considered an adequate host structure, should be
blocked and anchored in accordance with the manufacturers suggested and permitted
set-up permit.
Therefore, it is my opinion that the marriage of the proposed structure with the
addition will not compromise the structural integrity of the host structure, if the
addition is constructed as per the attached aluminum engineered drawings.
As always, should you have any questions, Please feel free to call me at any time.
S,y, /
~'(ff~
4034 The Fenway
Mulberry, Florida, 33860
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NOTE:
FOR COMPOSITE PANEL~ USE #10 SMS IN
LIEU OF 1/ 8 SMS.
~Ec;r R:lOF PNa.S
TO BEAM WI (04) faxll2 SMS
~ 3Ir 0VJ.l )(,016 WASHER
EACH 12'" PANEl.
.040 THK:X EXTRuOED OR
BRAKE FORMED I-EAOER
V~ MIN PITCH
NOTCH 3X:l POST
TO ACCePT ~ SMa
1/4)(1.1/4- DRIVE PIN FOR CONCRE'l'e WAI.l.S
EACH ,r PANa OR '10XZ' we SCReW INTO WOOD S'TU) PI.A're
A~ A.H A.l..~P.AA.. OR FASCIA 0 12" O.C.
~"~lOA ~
M.UQ~1I,,( ~S , I
1 S' 0- MAX..
CASTlNG INsERT MAY
R.EP~e ANGLES
. ' 3- 11'Z' min.
1"
A6t4 fli$ 1$ ,.bar 0Qflt.
I ... prNeU,. " '-...
bin 2000 p51"
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., OONT,
LAP 2(1' INN.
THlCI<ENED SlAB ~TTACHEOCMPukI $ ClNl Y)
. NOT REOUlRED IF CARPORr NVEA IS 400 saFT. OR LESS.
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1111111111111111I111111111111111 1111111111 11111 1111111111111
2001142429
Rcpt: 535601
OS: 0.00
10/12/01
Rec: 6.00
IT: 0. 00
Dpty Clerk
;:; A
:':iLE
i~91~~~IMAri : ~C:;O fOUNTo"r C1ERK
OR BK 4745 PG 875
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NOTICB O~ COKHENCEM2NT
count'y of J A Seo
5 t ~ tel' [
7U3 1II"n~nSIGIICD hereby 9ives notice thAt improvement will be mo)d~ to c::rt.1i.n
re..11 pr.?~.ertYt and in accordAnce with ChApter 71J, f'loridc Stlltute~. the
(ollo...,inCj informAtion is provided in this Notico of Convncncc:",,"r.:
I. Deqc;:-iptioll of ProportYI PArcel No. -sl.f- ")5- 2.1 - 0010- ozS"oD-/'-f6o
175'i!J. /II.PACon/\ IJVE. Lor ,L/ ~
ILQ9j1 e9cr~ptlon of the property And street Address If ~v~~l~cle)
2. CcrerJI Description of Improvement A-WM{ /VUfJ1. plJc.. !rRGE
). Olmo r r II f OCnlat ion: NAmo ~(lAtvtJ fI-()12f caN /Yl-l-t, p. I #C .
'.dd res s '7" 'is' &/1:7.111 Suf~ Pf!, Ci ty ZEf7I-1'(etf/I..l5 5 t cH e Fc t 335'f1- 16{ 0
Interest in Pruperty:
Nalne of fee Simple Titleholder:
(If other th~n owner)
City
St.:ltc
Address
~"'"r,t~
H~'
;:or,t,actor: NJmeB~-;.1 CoN5r!ZUcrjtJ{J nF C,:JVT?-IIL FL,
^ucrds '-lOLL, Il1tJ(lIUf Bf.{OfPf RP. Citya/,l!yfltl!L.(..5 StOle EL ( 13$'1.5
S. Sure:y: NJlne
City
Stdt~
Adcr"ss
,\."ou n tot Bond: S
6. Lt!nder: Name
City
~toJte
AdtJrcss
7 .
Persons within the State of f'lorida
notices or other documents mAY bo
71). :)( 1) (~)(7), FloridA StAtutes:
desi9nated by Own~r L:por' "',.c:r.
served as providcc u, S~c~,or
. N,unc
City
S t..J L'~
^<1d,e69
8. In addition to himself, O....ner oesi9nAtes
of to receive ~ COpy c: ~.~e
L ~ e n c , 'll tI 0 t 1 C e ASp r 0 v ~ d e d 1 n S e c t J. 0 n 7 1 J . 1 J ( 1 ) ( b ) t f: 0 r . d oJ S t~ : \I : c' 5 .
'), r.plr.,I...(.Jn dnt.e ot N"t.J.Cll ot COJllmOnComonl..(l.he expl.cllll.vn d.)tu i" I y",,'
tr?~ :he tJ~to uf rucordin9 unless A different date is spcci!lcd. I
Io//=I!- 11(;./::Nr
beT () fJ ft;/L
~ "2&:> (.
Not.:lry rutllC:
T3vuu II. a~
M.,/ C om:n J ,. S . on E:" P i. r e 9 :
, ~ Bruce A AsbeI
~W.o My commission CC748671
* * 2002
"" :I Expires June 22.
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