HomeMy WebLinkAbout01-0613
BUILDING PERMITN~
0613 '
CITY OF ZEPHYRHILLS
(813) 788.-6611
Permit
Date
10/03/01
$45.00
w BUILDING
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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
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NO OCCUPANCY BEFORE C.O.
FINAL
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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_
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