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HomeMy WebLinkAbout01-0579 BUILDING PERMIT~~ 0579 1"'0 ''SL1. )/ BUILDING CITY OF ZEPHYRHILLS (813) 788~6611 Permit r .t'.J 1.'''' -" ELECTRICAL Date 9()(.; 10 L- " ,lo.._A ""\ .. ",..,... J- ..,. '2 S' . ,e MECHANICAL Sewer Conn Water Conn: PLUMBING Property Owner: _F'l1.; I ylz.ee,~e Job Address: S 00'-1 ;) 0 ~ $.;- . Parcel I. D. # I' -"2 (, :1 I - 0 V I () # ~, fo (.\ (.1 nO 0 ( 3 I Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Work J e ,- 0 c/ e ( b (... .f' Q ~ 'l Radon Gas: FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Valuation or , . Contract Price 'i S I 000. ~ City License Registration # State Certified License# ELECTRICAL Address ATelephone# ., 3/- r-?// /- --------- -- g.\.r i'\e t~ E".... k,r .....\c!.S' " L I, L< ( k s e/l.tI'I\ h PLUMBING 28, 7 MECHANICAL l~ 70 BUILDING J rlf1 Ft<. ID 6L~O( ') 12 Pre SLB I I) 2 0 l S f? Lintel J'tl.- /?Ol 8~ FRM. j;-i-/J/ ~A . Insul. CL //-J-n I AA . . WL .611F".4TlIIa;~Il- ~'1-0 I K I. tt Driveway SLB It) -,/-0/ 512.. TubSet /0'-31-0/ hy r . Water Sewer Final( /J.-JL{,.PI RL'1 Tp. Servo Rough In ! 0 - 3/-0/ eJ.. Lf Meter Can Canst. Pole Pool Pre-Meter Final ~ ~ 'f V;:;;/q-BII2Glf 6Vd.. c!;l6 /.1 -7-0/ ~LI/ Breakers Ducts Insl. /D-~ 1-01 R.l Lf Compressor Final /1.2-1</-'1 Rl ~ 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. . PASCO COUNTY BUILDING pl!RMrr.APPUCATION ~,z{)1 t- Z={); CENTRAL PERMITTING OFFICES: SHADED AREAS FOR O;~1E ~ · Dade City: (352) 521-5144 FAX (352) 521-5149 13852 17th St., Dade City · New Port Richey: (727) 847-8126 FAX (727) 847-8901 7530 Uttle Rd., Rm. 210 New Port Richey · Land O'Lakes: (813) 929-1266 FAX (813) 929-1307 4111 Land O'Lakes Blvd. (US 41), Land O'Lakes THIS APPLICATION MUST BE TYPED OR PRINTED IN INK AND IS VOID IF NOT PERMITTED WITHIN 6 MONniS --------------------------------------------------------------------------------....----------------------- IS THIS APPLICATION THE RESULT OF A STOP WORK ORDER OR NOTICE OF VIOLATION? Y _ N 4::::- ~ OWNER'S NAME: ,. A1 /Iy Ir .,,~,,~ PHONE # (_) __ _ 9 JOB LOCATION: S 00., - ..:lo 1".( ~r SUBDIVISION: CD PARCELlD#: s2L... T .3-'- R J.I SUB ClOjO BLK ~LOT'~PROJECT# TAl _ LOT SIZE _X_ ~ OWNER'S PRESENT ADDRESS: ("'60" ... ~ rV" CfI1fCITY:. l~~Y""~ STATE: " ZIP: ;c o FEE SIMPLE TITLEHOLDER'S NAME Of other than owner): address Of applicablef.-= CITY: STATE: ZIP: --------------------------------------------------------------------------------------------------------.- DESCRIPTION OF WORK: ~e."".eI ~ I (;.1I1i",.~ ~ L1VINGAREA: 'OCt ~PATlO: GARAGE: E~: 9 # BEDROOMS -'-- # BATHROOMS ~- _ TYPE CONSTRUCTION: ...aLOCK 0 FRAME CD FILL Y _N_ ~ IF MOBILE HOME OR RV: MAKE YEAR SIZE i= Q., ~ WORK CODE PLANS ON FILE? 0 NO 0 YES PRE-PAID PLANS FEES: $ m MODEL NAME o VALUATION $ ~~ coO RECEIPT #: TOTAL UNDER ROOF: t:.(H) o OTHER: --------------------------------------------------------------------------------- STATE: _ ZIP: BONDING COMPANY: ::.::: ADDRESS: CITY: ~ ARCHITECTIENGINEER: />/W/ ~. ~, Ie/I P. E: ffi ADDRESS: /:1/0 ~r4c., /JrJ~~ ~r:J CITY: bJN4tII"", ~ o MORTGAGE LENDER: ADDRESS: CITY: STATE: _ ZIP: --------------------------------------------------------------------------------- CONTRACTOR- ~~ ~~~ 0 J,,;, / /J "~ol ,;'c ~ ifL:.uehQ:U ';:~n::_. SIGNATURE: .~~ ~. A'_ ~ PHONE # (~) #lJ~/~#~// ::.::: ADDRESS: fIOUI N dlth. ,.,,f46,y CITY: ~*...jj~ STATE: .LJ::... ZIP: g STATEUC#Ofapplicable)~A'- Ob"S-~ PASCO CO COMPUTER 101: Oil f-.?~ ~ G (, t:G/r'/c Co"Z-: ;;9f!.,;p ~ ELECTRICAL C -=_. . o SIGNATURE: PHONE# (Z!aL) IJ"jj- ora's- ~ ADDRESS: ~" ~'o (;..1 CITY: ~.r.uss.. STATE: 1''- ZIP: J l.f"'" a.. ~ STATE UC # (if applicable) ~ , :'7 PASCO CO COMPUTER 10#: 00 S.;a., " <J POWER CO: SAWI'OlE: ::ld),tI-i€/~ .. Pt STATE: i!J... ZIP: Zvt:"Jv MECHANICAL SIGNATURE: ADDRESS: STATE UC # (if applicable) (I J..1flo2C1 ~/~ o NEW 0 ALTERATION VALUATION: $ (Required) C I L ( () ( L' / tl/t=,ElX 7lJ RI:&~ PLUMBING C : . ""- ~ (.. ~ ~ W' li\)'V'\ J? l V) ~ l! ~ . ' SIGNATURE: PHONE # ( ~ I J ) U '7 ~ 6 .~ 7 S")~6 . ADDRESS:? " 1 1/ ( CITY: t- crt...... STATE: & ZIP: lV'1: }~9 STATE UC # Of applicable) (' l:v '11" '1' PASCO CO COMPUTER 101: S'78' -z..... # FIXTURES: SEPTIC PER # SEWER: WATER: WELL: OTHER CONTRACTOR: SIGNATURE: ADDRESS: STATE UC # Of applicable) TYPE CONTRACTOR: PHONE# (_) CITY: STATE: _ ZIP: PASCO CO COMPUTER 101: VALUATION: $ --------------------------------------------------------------------------------- OTHER FEE TYPE: AMOUNT: $ RECEIPT#: --------------------------------------------------------------------------------- JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENr TOTAL BUILDING ....NOTlCE.... BOTH THE OWNER AND CONTRACTOR OF RECORD (Ucense Holder) MUST READ AND SIGN THE REVERSE SIDE OF THIS APPUCATION (pem1ilIOllll 10/91) EDITIONS OF THIS FORM RELEASED BEFORE 1/91 ARE OBSOLffi AND Will NOT BE ACCEPTED BY CENTRAL PERMITTING STAFF PC930430321G (OVER) '" A. NOTICE OF DEED RESTRICTIONS The undersigned understand that this permit may be subject to "deed restrictions" which may be more restrictive than County 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 t.J be licensed in accordance with state and local regu- lations. 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 Pasco County Building Division - Licensing Section at (727) 847-8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as th~ owner sign as the contractor, you are indicating that you, rather than the contrac- tor, are responsible for the work. If the contractor wishes you to sign as contractor, that may re an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. C. TRANSPORTATION IMPACT/UTILlTlESI~PACT A~D RESOLJRCE RECOVERY FEES The undersigned understand that Transportation impact Fees and Resource Recovery Fees may apply to the construction (If new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance numbers 89-07 and 90-07, as amended, The undersigned also understands, that such fees, as may be due, will be identified at the lime of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer Impact fees are due, they must be paid prior to permit issuance. In accordance with applicable Pasco County ordi- nances. D. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended) If valuation of work is $2500.00 or more, I certify that I, the applicant, have been provided with a copy of "Florida Ccnstruction Lien Law - Homeowner's Protection guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner," I certify 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. CONTAACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will pe done in compliance with all applicable laws regulating con- struction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certi,)' ~hat no work or installation has commended prior to issuance of a permit and that all work will be performed to meet standards of all laws red,~lating constriction. COUllty codes, zoning reg- ulations, and land development regulations in the jurisdiction. I also certify that I understand that the.regul&tions .of other government 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 Protection - Cypress Bayl,eads, We:land Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. . Southwest Florida Water Manaaemellt District - Welle;, Cypress Bayheads, Wetland Areas, Altering Watercources. . Armv COrPs of En<;lineers - Seawalls, Docks, Navigable Waterways. . Department of Health & Rehabilitative Services Environmental HealthVnit ~ Wells, Wastewater Treatment; Septic Tanks. . US Environmental Protection Aaencv - Asbestos abatement. . Federal Aviation Authoritv - Runways. I understand that the following restrictions apply io the LIse of fill: . Use of fill is not allowed in Flood Zone "V" unless expressly pEmnitted. . If fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. . If fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. . If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner ot the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing. signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cansel, alter, or set aside any provi- sions 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 codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit 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. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days. the job is 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. SIGNATURE SIGNATURE ~ ~ r OWNER OR AGENT I" CON CTOR 7/dY/O/ DATE DATE NOTARY AS TO OWNER OR AGENT NOTARY AS TO CONTRACTOR MY COMMISSION EXPIRES MY COMMISSION EXPIRES 1111111111111111I11111111111111111111111I111111111111111111/ ' 2001115224 NOTICE OF COMMENCEMENT State of r/o~/b,q County of f/lsc..o TUB lmOERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the (ollo~ing infor~ation is provided in this Notice of Commencement: 1. Oeser iption of Property: Parcel No. S"Q/l( ~ fit TJ... E,,~r Ji 04! "oT I~: 11e.. , 61ts"" ~~ ,,1' .(.rS I r. (Legal descrLptLon 2. General Description of Improvement R,,,.,,,.,..J.' ~"~,1 e. able) Rcpl: 522799 OS: 0. 00 08/22/01 Rec: 6.00 IT : 0. 00 Dpty Clerk 3. O\mcr Information: Name ,E"""lt k~~" ~ llddress rOCl4f, ~CJrJ.. ~ r City 2~{ yl#;/ft- State rc... Interest in Property: Ow,,~,e, llame of Fee Simple Titleholder: (If other th~n owner) JEO PITTI1ANft PASCO fOUNTYf CL1ERK 08/22/01 0~: 21am 10582 OR BK 4699 PG Address City State I 4. Contractor: N.::lme t!.,I}611;'~ t!.O^'Sr;~<:.~w J'/Vc. 501-fc ~1)1 L. State ,cL 33<C I Lf 5 . Address ,"001 N 61ft&:. "",lfJ,., City Surety: N.::lrne L)~..)~{ 1\ ~J( elll C:))\l) , l/h... /.J q Address City State i\mou n t 0 f Bond: S ...) CLC' . r'C., 6. Lender: l1ame Address City State 7. Persons within the State of Florida designated by Owner notices or other documents may be served ~s provided 71.3.1 J ( 1) (a) (7), ['lor ida Statutes: upon whcm by Section lJt;mc Address City State 8. In addition to hims€'lf, Owner designates of Lienor's rJotice as provided in to receive a copy of '-~0 Section 713.13(1) (b), Florida Statcte~. 9. r--xp.irl\1 .l'lIl df'lte of HCJt.i.ce of COnlm~ncement (t.he explrat.iGn c:L-::te is 1 yc.:.:.: fr~m the d.::ltc of recording unless a different date is specified.) Sigoa ture of Owner: f~ lLR.-e 1"'- Sworn to and subscribed be..fore me this 19th day of July 20 01 Notary Public: '~~ '0 r~C'\{!Q My C :':;;';1~;li s s ion Expires: September 5. 2004 Phyllis J. Carroll PC93053048/A ,'~~'f~ Phyllis J. Carr.1t :.f,"jJ:;~ MY COMMISSION' CC"57" EXPIRES .:., .il} September S. 20.. ..:~';.!~:,/ BONDED TH'U TROY FAIN /flSU,..NCllNC. p. .1 Transmission Result Report (MemoryTX) (Aug.28. 2001 10:01AM) CITY OF ZEPHYRHILLS F i I e No. Mode Destination P g (s) Result Page Not Sent - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .- - - - - - - - - - - - - - - - - - - - - - - - 0903 Memory TX 99337677 p. 2 OK - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _. - - - - - - - - - - - - - - - - - - - - - - - Reason for error E.ll Hang UP or line fai I E.3l No answer E.2l Busy E.4l No facsimi Ie connection 53315 - 8TH STFU;ET ZEP'HVRt-IILLB" FL 33!5040 CITV OF ZEPHVRHILLS BUILDING DEPARTIVIENT F~ ...... Caroline Construction. Inc. ........... Bobble S\Netiand Attn: Clncty ...... 813-933-7677 ~ 2 Including cover _ 813--931___.,., _ OBl28lO1 - VV__ Camp E>c",rnpt po-ocrf COCo Cl~ x Por ft. __flAIl o P...... C_.._--at Cl.-.-......... 0...._ __Ie _ CIndy. p. ..A......... ....... ct!.-I -A" ___k- . ........... .....~= vv_ ......t II---. ..... --...., ~ctIcM. .___........ ............. C......... ~ "'r ~-*1l ......--...- ... Inc..... &1lWIrn...... 'VW9MId .... J._'t II~ ~ ~ ...... 'hPr ....'t:K _Iecnlrtc:.e.e. -_t__ah_ .. -.y q..--......... p-- ....... .... _ ~.. 81S-'7tIO .......~ CYi: ~. 5335 - 8TH STREET ZEPHYRHILLS, FL 33540 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT Fax To: Caroline Construction, Inc. From: Bobbie Swetland Attn: Cindy Fax: 813-933-7677 Pages: 2 including cover Phone: 813-931-4611 Date: 08/28/01 Re: Worker's Comp Exempt proof CC: o Urgent x For Review o Please Comment 0 Please Reply o Please Recycle Dear Cindy, Paperwork received is o.k. except for the following: We must have the State ConstRiction Industries Worke"s Comp proof for "Barnett Ente.,.rises. Inc.". Example would be just like what was sent for Gratz Electric state exemption (see attachment). If any questions, please give me a call, 813-780-0020. .//7. '() 0 .> (~~ ~ AUH8-e~ ~ ~~A~ I N E P.01 CONSTRUCTION, INC. FACSIMILE TRANSMITTAL SHEET Tll.~ C;O;>.fl',\NY. l'IIOM: G~ ~- b/7-o/ Il,' II'.: /'.\30: ~Jl.:MllhRI l~o- CO~ I PIIO~I': NL:I\fJlI'.R: TOTAL NO. fW l'^C:I'.~: INl:J.l'PIN(: COVER: & ~EN1)gR'~ RHFHRI'.NCI'. NL'/dlmR: RI: "OL'R REFERI'.NCE Nl:Mllt(R: o lIIH:!.:N'l' o I,'OR. RI(VIl,\,X1 o I)J.((A!:E COMMJ.:N'I' 0 l'l.E.-\~I': RI.:Jll.Y o IIJ.EASF RIW'r'CI.I.: I'll' 11'.)i(I;I'MMI.:NT~: -r~~~~j~. HOUI NORTII DAI.1i MAURY, SUITI.! 501-1, TAMPA, 1-'1. HG14 (81 .)) . 9,) t .4 d 1 1. I I' ^ X (II I 3) - 9 H - 7 Ci 7 7 AUG-28-01 01:09 AM AUG-l~-el 0~:4~ PM u~ATZ ELECTRI~ B13 'jiB" Ele4~ P.02 fJ&li!tl 07-11$-21:'01 IT~TI OF rLORIDA. DEPAATMENT 0' LABOA AND iMPI.OYMENT SECURITV DIVISION or WORKI:"S' COMPENSA TIQN CONSl AUCTION lNOU$TI\V ClltTIFleA TE Oil eXEMPTION ,.ROM FLORIDA WORKE~S' COMr~NS"" TION LAW r.,:, clrtln.. thot the Individual 118tod b.,ow h.. tl.et.d te ... .~.",~t frOM 'Iorld. Welkels' . ol'l'lpel'l..tIOf1 Law. ~FFeCTlVre DATI! 07/1e/'OOl : ~PIA"'TION DATE 07/18/2003 ~ "( '!MPTEO INDIVIDUAL NAMa GR^TZ FtONA.tlO c .;,s, 27l-3S-2B61 ..,~ tt;/NE'SS NAME ORIITZ RONALD C 271382861 r'Sl~ : '.JSINE:SS ADOR~SS 10507 PHLOX ClL^tlE r~A.f\f~ N THONOTOSAS~ Ft. :HS92 ~OTE: pu;-.iJa", to Ch.pt., 4AC:'O(1),(I).2 F,S., . .01, proprl.tor, p.rtnor, or .n "o;rioer ' 0;""- ~~~po,..t1o" WMl:' eleot$ elO(,.mptlon ftQm the Florlde Work.r.' Com~..nl5ilt:on Lew m.y not rr"r;over -;.r,,'Rfits Of cornpenutlon under Chapter 440. ~L!AS! cur OUT T"C ~A.D efLOW ~g ~ITAIN 'OR 'UTU~I R[FI~tNCI t, ~ r"Ofl!li)'A ..--.____ .~.~I,'l r 01 l.~SOIl M~O EM"~::r~""[1I/ r m:UIlI IV ':.. r" WI'l"~~"S' r.OM"IN~411.)'" :~I./C'.'ON l/IIlySTlh !:tnTIFleMr o~ ~1l:eI\llI'T(Ufll . '.~ ".DPllnA WOIlk:e~~.. COMP;~JSMION L~\'V : 'iVi. DATE ..~, ..._..o1.!..~8l,200 l . ._._'. .,.tl(,'Ij U4T! ...:..... 01118/2003...-_ .~-,:~ P~lls()t~ lAST NA.V.r-GaA.t Z t:IR5 T NMt'E...ROIJAlD. .--.-.C :," S~Cl;"1 rv IIIIMBE".... ....21..1..J&....2 a a 1.. .____... .. ,m N""''''.. GRJ).Tl RONAlO C.. "I~.. IOtfvflill:AHllr4 rl:J-;m'::.2.113.8.2.&8.i~.:~~--~" "'~m A.OOqm_JU$07 PHlOX--Gu.o&...LANi...N -T~lQSAn______._, _" 1:1 ~~r;9z.......__ NO'~; I'ur'W1rl 10 ctll~lcr ".O,lOWW.1. F.S.. ~ l'l'f "rap'I~lor. lI,rll;el. ar Dr/,ur of ~ CO'Il"" .1(1111 ~llll elacll 1I.,mo!c/l" I rem ~Il. rtor IdOl W..r~~r!" ::;O":HI' :'J:'~II Law ~jy no. r.~()"'Il'H' ~el~f!l1 ,!, "r e"tI'rtl"'l:.'u;'1 v"f.!f!. Chlll~~r 410 ---."...... H E R ! "" .---...--.... ... -.-...............--- ---.------------ CUT HEAE C.rry bottom Dartlol"l an th. Job, ac..p up,.er f:l6ttlon for your r.C10'~.. .