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
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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
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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~
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