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HomeMy WebLinkAbout01-0613 BUILDING PERMITN~ 0613 ' CITY OF ZEPHYRHILLS (813) 788.-6611 Permit Date 10/03/01 $45.00 w BUILDING -..0 0::. N () :r ~ o " o w ..... o ~ := o o -..) ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Elizabeth F. Sach 6133 Pleasant St. 02-26-21-0020-00300-0010 Water Meter: Job Address: T.I.F.'s: Parcell.D. # Zoning: DescriPtion of Work Energy Code: Radon Gas: Re-roof Single ply rubber membrane "'" ~ c..If . NO OCCUPANCY BEFORE C.O. FINAL 8 r. :z,. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. Inspector City license Registration # 309 State Certified license# CCC049367 Permit Fee $45.00 Signature ~ 1'1 tJ~ Company Invincible Assoc. Address Telephone# Valuation or Contract Price $4.359.78 Invincible Assoc. i/309 BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre 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, FL 33540 Phone:S13-7S0-0020 Fax:S13-7S0-0021 DATE RECBIVED PLANS REVIEW · .... . (lJ ~;';;" ~CJ OWNER'S NAME E};ZIl.bet~ r 51'1C~ JOB SITE ADDRESS (p/33 ?/t:'ASA-,(.J+ Sf. PHONE CONTACT ~/3. . LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION Q kKK I 'Je. PARCEL ID #Ct;:J- ~ QC,-,;;).!-c::>ec;)O -OO,3t::';;o -00 Ie; (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: []NEW CONSTRUCTION []ADDITION []ALTERATION []REPAIR [] INSTALL [] SIGN [] MOVE [] DEMOLISH PROPOSED USE: []SGL FAMILY DWELLING [] MULTI - FAMILY []# OF UNITS iii MOBILE HOME []OTHER []COMMERCIAL [] INDUSTRIAL [] SWIMMING POOL DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL k -I;~..p S/~'t:'- f'ly f'lv.i./,e/t, /"YJA'_6/ihVf2.. .:2 1(, () HEIGHT BUILDING SIZE SQUARE FOOTAGE 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 [] BUILDING $ L/359.7? VALUATION OF TOTAL CONSTRUCTION [] ELECTRICAL AMP SERVICE [] FLORIDA POWER [] W.R.E.C. [] PLUMBING [] MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [] GAS MROOFING [] SPECIALTY [] OTHER TYPE OF CONSTRUCTION: [] BLOCK [] FRAME FINISHED FLOOR ELEVATIONS ~;I~ [] STEEL [] OTHER IS PROJECT IN FLOOD ZONE AREA[] YES [] NO BUILDER COMPJ.WY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE PItT ****************************************************************** ELBCTRICIAN SIGNATURE A/ / /l.- COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER SIGNATURE ,u I' /J- COMPANY STATE CERT OR REGIST # CITY PROCESSING # MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE AliA- ***************************************************************** OTHER :LvviuCi6/ t:- 1I-5".$i?C . SIGNATURE .~.{ v{)"M. {t3I".A;P .<;;,.fov<<- J COMPANY :Z;,.ur;.v~./blp.. STATE CERT OR REGIST # CITY PROCESSING # !Js:s-cC CCCo tlJ(;' 7 ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT .mTICE OF DEED RESTRICTIONS undersigned understands that this permit may be subject: 1:0 "deed restrictions" which y be more restrictive than City regulations. The undersigned assumes responsibility for ompliance with any applicable deed rest:rictions. 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 "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 uevelopment 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". ~i 1U~~ SIGNATUR: OWNER OR AGENT f ~j 1A)phA SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing ins~ument wa~~cJnowledg~~~ :;fOl'~~~hiS~~~ \~~'T ,. t~( ~ (name o~person acknowledged) ~who is personally known to me, or o who has produced (type of identification) t1\~~i~~ oath. Signature of person taking acknowledgement P 1 f0 e-l \Ll-S STATE OF FLORIDA COUNTY OF The foregoing inst Before this by ~o (name 0 person acknowledged) is personally known to me, or o who has produced (type of identification) ~q~z;;n oath Signature of person taking acknowledgment Name t ~~rint_~B\!IlIi&ped * ,. * MY COMMISSION # CC 961647 "'-, "'~ EXPIRES: Augus116. 2004 ""COFflO~ (landed Thru Budget Notary Services Name t ,,'l' PIi. e"M' . i~MMlSSIOW~ * * EXPIRES: August 16. 2004 d'~r. o~<:)~ Bonded Tt-.rU Budget Notary Services ~OFf\': 1111111111111111111111111111111I111111111I111111111111111111- 2001137321 TO BE COMPLETED IF CONSR11JCTION VALUE EXCEEDS $2,500.00 Rcpl: 533165 OS: 0.00 10/03/01 Rec: 6.00 IT: 0.00 Dpty Clerk Permit # JEO PITTMAN~ PASCO COUNTY CLERK 10/03/01 1~:20am 1 of 1 OR BK 4736 PG 802 Tax Folio # OFFICIAL NOTICE OF COMMENCEMENT State of Florida County of P..4 S Co THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in the Notice of Commencement. 1. Description of property: h:,me. 4 + & 13:' PJ~IfAoJf Sf. ~ '1l!h; 1/ S fJ 3 35'16 PA~81::J:t od - ~(" -CCQo-oo 800 - OeJ/O 2. General description of improvement: t.e. - ~ S ; ~/e fIt r v.b~~ MPIoo1Iv,P'C 3. Owner Information: A. Name and address: E J ;'2t1l~ft" F..s Ifc.'-t B. Interest in property: UwpeL C. Name and address of fee simple titleholder (if other than owner): JJ;TJIJ- 4. Contractor name and address: I N V I N C I B L E /; S S <<:.. I N C . ] c; 9 J ,e, T H ST. L ..', R Ij C i- L 3 j7 7 7 TE'L:UC-S37 CE35 FAX;7:'7 5412618 ~~j 5. Surety (ifrequired) A. Name and address , )1.4 B. Amount of bond $ 6. Lcnder name and address: P 1ft 7. Persons within the Statc of Florida dcsignated by Owner upon notices or other documents may be served as providcd by section 713.13 (I) (a) Florida Statutes. Name and address: 'X/.JIJIP(!r'b1r- A.5.soc... /oCJ3/ 7$'t'L..s T' LIf-\)o FIa3777 8. In addition to himself, Owner designatcs P!1t Licnor's Notice as providcd in Section 713.13 ( I) (b) Florida Statutes. to receive a copy of the 9. Expiration date of Notice of Commencement (the expiration date is one (I) year from the date of re ording unless a di fferent date is specificd) ________.__._. ,20_ ~ I 1--;'- W'- ..:;);U4......., ...... v' "i..I<\ rJp{ 1-' Jt:r; i. 8Y _.. ':~!_tR~(