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HomeMy WebLinkAbout01-0681 BUILDING PERMITN~ 0681 ELECT~CAL CITY OF ZEPHYRHILLS (813) y88~G611~ 78o-eo'lo PLU~G MECH~ICAL Permit Y'5. ~ BUILDING Date l,o ~ 'Z~ '" I Sewer Conn Water Conn: P'aperty Owne" (....J """,C:J k A!€.- ~ Job Address: 51 'Z 'l. ~ Parcell.D. # 11-2,4 - 2. ~ (!JQfO. 20000 Water Meter: T.I.F.'s: 00 GO Zoning: DescriPtion of Work Energy Code: Ile - /'~O 1- Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL -30'0 DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. Inspector City License Registration # State Certified License# Permit Fee LI..f:. ~ r Signature -rY/alJ.{.J' "RA &'1till:!5" Company Address .xTelephone# 35~ 6f&.1 ~o47 Valuation or Contract Price '-127 7. ~6 ,M. lba.... ~-5+. BUILDING ~, 1 ELEC SLB Tub Set Water Sewer Final Breake Ducts In Compress r Final Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter 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. APPLICATION FOR PERMIT CITY OF ZEPHYIUIILLS BUILDING DEPARTMENT Mcr 2822 DATE .RECEIVED PLANS REVIEW FEE OWNER'S NAME AYERS, WENDY PHONE 813/788-4129 JOB ADDRESS 5122 19TH STREEI', ZEPHYRHILLS, FL 33540 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # -1\- ~lo- 9...1-=-.0.0-10- PJ)OOD-OOw 0 (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: [JNEWCONSTRUCTION [JADDITION [JALTERATION Ii2f' REP AI R [J INSTALL [J SIGN [J MOVE [J DEMOLISH PROPOSED USE: Ik1'SGL FAMILY DWELLING [JMUL'rr-FAMILY [J1t OF UNITS [J MOBILE HOME [J COMMERCIAL [J INDUSTRIAL [J SWIMMING POOL [J OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL SHINGLE RE-ROOF BUILDING SIZE SQUARE FOOTAGE 2700 HEI GH'l' 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. [J BUILDING $ 4,277.00 PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION [J ELECTRICAL [J PLUMBING [J MECHANICAL AMP SERVICE [J FLORIDA POWER [J W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION [J GAS KI ROOFING [J SPECIALTY [J OTHER 'l'YPE OF CONSTRUCTION: [J BLOCK [J FRAME [J STEEL [J OTHER FINISHED FLOOR ELEVATIONS IS PROJEC'r IN FLOOD ZONE AREA[J YES [J NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING It SIGNATURE ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST It CITY PROCESSING It SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST It CITY PROCESSING It SIGNATURE MECHANICAL **********~*********J********************************************* COMPANY STATE CERT OR REGIST It CITY PROCESSING It 218 SIGNATURE OTHER ~~(j1 SIGNATURE ~ ~ ***************************************************************** COMPANY MILBAR cnlSTRUcrION, INC. STATE CERT OR REGIST It OOC 051562 / DAVID R. ABLA CITY PROCESSING # 218 ***************************************************************** CON U1'1' 1 ON::; OJ!' I:' E1U'11 '1' Ai"/'1lJAV L '1.' 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 undersi.gned 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 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 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 lilnited 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 ~ngineer registered in the State of Florida prior to permit issuance. A permit issued shall be const~ued 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 perlut 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 LEND OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE 0 OMMENCEMENT. JOBS UNDER $2,500 V E 0 NOT NEE TO RECORD AND POST A "NOTI C ENCEMEN" STATE OF FLORIDA COUNTY OF PASCO The foregoing instrument was acknowledged Before ~ this ~ day of 0'"* }{)g -zoo \ by ~"\I! ~\~ (name of person acknowledged) ~who is personally known to me, or STATE OF FLORIDA COUNTY OF PASCO The foregoing instrument was acknowledq~p Before me thj.s 2~ day of (k..~ , ~.zg~\ by .J)~y rL\<" p<b\d. (name of person acknowledged) K1ho is personally known to me, or of identification) take an oath. o who Name Name NOTICE Oli' COMMENCEMENT MCI /I 2822 l'cmut No. Parcel I.D/FOLIO Lll- ~ It, - ~ J - (Y) I 0 :... 2 noon - 00 to 0 Slale of Florida Cowlty of PASCO 111111111111111111111111111111111111111111111111111I111111II 2001148787 THli UNOUltSIONllO hereby givc noticc that the improvemcnt will be made to certnin reall>ropcrty in accordance with Chapter 713, Florida Statues, the follpwlng information is provided in this noticc of COllUllCJlCClIlcnl. Rcpl: 538803 DS: 0.00 10/25/01 Rec: 6.00 IT: 0.00 Dpty Clerk 5122 19TH STREET I.Description,. qf propcrty (ksul Jucriplioll of I11V}1Crly and addrcss if available) Section U-. 'lbwnshllJ 2ft; . Ranqe ~ L ZEPHYRHILLS, FL 33540 . 2.Gcllcral descriptiun of improvemcnts 'SHINGLE RE-ROOF 3.0wner information.' \ a)N.IIIC.lld.ddrCSS\~~'~'''') ~\~~ \a.~ ~t:':l- ?el(~\~~, b)lnterr.st in property _ =_ _ _ __ c)Namc Wid address of fee simple titleholder (if other thell owner) 15911 US 301 n. 33523 4.Contraclor (name and address) VANCE L. MI 5.Surety a)Nwllc and address b)Amount of bond 6.Lender (name and uddress) " o ., ~. ~ ,. . JED PITT"A~ PASCO COUNTY CLERK 10/25/01 0~: l!pm 1 of 1 OR BK 475t) PG 171 7.Pcrsoll within the Statc of Florida dcsiguutcd by owncr upon who noliccs or othcr documcnts may be scrvcu as provided by Section 713.13( 1 )(a)(7), Florida Statues. Nwnc and address tUn addition to him or herself, owncr designates of to reccivc a copy of lhe' Licnor's Notice as provided ill Section 713.13(1 )(b), Florida Stutucs. 9.Expiration date of notice of cOllullcnccmcnt from the dale of recording unlcss a different dale is specified). STATE OP FLOIUDA COUNTY OF PASCO i ~ CMNER I S SIQJA'l'UM PIWfl'ED Nl\ME & '!'I'J:ill TIle following inslrumenl was acknowledged before me lbis..u:day of Ot..~j,er , 2.aJ-L. by JJ,.ndrt Ayel'S who is personally known to me or whe produccd Dr,u#J'-r (I"d.,,,., ~ as idcnlificalion. ..,\ ; , , Namc(prinl) Title or lank Scrialu\1l11bcr, if any 7 Ancr recording, return to: Name MILB1\R a:N~Tm~'Trn, Address 15911 us 301 Cily DADE CI'l'Y, FL 33523 TN~ ::::.; E F' -:2 4- - ~ ~ \:;.r .1. ~'\ "'+ : -:;":.1 j-_. I I I I A. '- J.... H 1-. '_' '.1, t ....' If.. !_,~. . .. . I , u.& .,.. CIItIIM PIIIlIiIIlIlft __ .... i 'ropolal A . 282."2... mI MII~.~~I~",,,,nc. 1.11 US......, ...... DIlII ClIr. ...... __ <:> ..-r41M7 . _1 UJ . f'IUt.:~....... ..... ..... 1 01 2 "'-. fr ~:.: ......... ....... ........ ........ J\.u II'" I n .~JA':I'.l ....~ ...... <<lCCDI.. ~~S IIQ Alii..... 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".......-................-........,-........... , ....--. ..-.-.....-...-... ....-.................,..... . ''''''M.'." ........_ .... ........._ ..". '.. .. _ .........._._ _. _._......................... .....~. .y....~.~.. .'-...-....................... .I! 'nap.., "'....by 10 furr'llsh lDateriaJ and lebo.. - 00I1\p(1iIte in accordance wlft't abo~ 8peCiflcat/oos. for the 141m of: THIEli: - ~'GHT - _n-TIIO AlIJ) ../1..--=--______=_.--.. 3..72._ , "ey..... 10 /lOt nIliM.. faIo",r DUE UP08 COIPLETIOtl. I",,"" _ _ "....In -..-- __--., _.... Ie -........ .... -_lloAr --.....- at_ _~.-. 1ilPII'IilrIIh, 0..,.,..-.. per at t'<IItS ~ - .. ~..... ~ -. _.... .... 1Dr~ of.......- It__ ~ ....... 0IIi00w Ie -.y.... _ _ ~ ~ '-_.o....__~__by____..Qompe...,.~ ~ ~ Nwlc<< TIIIit ~ /nay... wiIfIlIlr--. By us. _~ WftNn _ 3e Acre-pillnn- Df 'roposal _ T1w.-.- Dfb$. ~. - ~~ all! ..~ Md .. ~ aecepflld, 'lbu .. .~ to do 1N - "" sp<<ifieof. P....-,e will ~ ..... ., 0IIIlInwJ ~. 8~.. 0.. ~ ~18nr:e: ~