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HomeMy WebLinkAbout01-0734 BUILDING PERMITN~ 0734 CITY OF ZEPHYRHILLS (813) 788~6611 Permit Date j1- I 3 ~' 0 I BUilDING ELECTRICAL p~ ME~AL Sewer Conn Water Conn: Property Owner: Job Address: Parcell.D, # Zoning: DescriPtion of Work V. i 'l G 'W A. Iv rn-e..r 11,50 I :rt It (,.//1 iV Water Meter: T.I.F, 's: Energy Code: "0.oF OIllW" Radon Gas: YilT; b NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances, DATE Inspector Valuation or --3 Contract Price t 000 p~'m;tFee ~_ )dilgnature [, --? Company Address City license Registration # ,2 ~CJ ~ State Certified License' ~elephone# S-B3-2,3Q,5 WiTt , ~ E (tlL--r R~ AnclldsoY) RL'f BUilDING ELECTRICAL Tp. Servo Rough In t/l.2~().-c1 Meter Can Const. Pole Pool Pre-Meter Final Driveway ) rtJ07f~ pI! lJ5 (1/) OII..II-~O'-C)/I2.I,-'( (fl ,vI.) rI rg:/l. '?A/)J6711#~ ~ 61< /1- ;U-() 1)t<.L If 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: Ftr. Pre SlB Lintel FRM. V/2-J,Q--C/ ~L 1 Insul. Cl WL Breakers Ducts Insl. Compressor Final SlB Tub Set Water Sewer Final 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. ,1 CITY OF ZEPHYRHILLS PERMIT APPLICATION e::Ji~t fl-'tA:( BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRHILLS, FL 33540 Phone:S13-7S0-0020 Fax:S13-7S0-0021 DATB RECBIVED 1/ - 7-01 PLANS REVIEW FBE OWNER'S NAME Vie ~ l ~ \ l\ Tu R~ €l2.. JOB SITE ADDRESS c;... (, ~ PIS rA C H (0 PHONE CONTACT 7 7q - ~2S4 SUBDIVISION J)i< I f41UcoJ::> Prlfl6F. .JI--A LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # o~ 2.~ 21 0.24 a. 60000 0010 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION [J SIGN ~ ADDITION [JMOVE [JALTERATION [JREPAIR [J INSTALL o DEMOLISH PROPOSED USE:tiQSGL FAMILY DWELLING [J COMMERCIAL o MULTI - FAMILY 0# OF UNITS o MOBILE HOME o INDUSTRIAL [J SWIMMING POOL o OTHER DESCRIPTION OF WORK RODi':::. 0 1f61Zs 7;(,..2 7 ' BUILDING SIZE "-4? 1 ~ Vr c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~f10 SQUARE FOOTAGE I gq Sq F-t\ HEIGHT <g RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~ BUILDING ~LECTRICAL [J PLUMBING --- i/ $ '1. f300. GO , VALUATION OF TOTAL CONSTRUCTION AMP SERVICE [J FLORIDA POWER [J W.R.E.C. TYPE OF CONSTRUCTION: [J BLOCK ~ FRAME [J STEEL INSTALLATION ~. . n5q~ ,_ (jj'" t7- /(-2 . o MECHANICAL $ VALUATION OF MECHANCIAL [J GAS [J ROOFING [J SPECIALTY o OTHER o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT ~ NO BUILDER ****************************************************************** COMPANY S ^,"J'\,o1 ~ STATE CERT OR REGIST # C i2 CeJ -49 2.0 <i CITY PROCESS~' "Q.fJ 9 2 SIGNATURE tJ~~ ELECTRICIAN f ~ COMPANY IIp))6/J) <t-JKj (;' ~---c."r I (1/ STATE CERT OR REGIST 1t.~, 0 dO I ~.:s (~ SIGNATURE 1\..J2.^f-. . CITY PROCESS::"G ~ Z *****~**************************~*~f*~f~;;}tQ~ PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ********~******************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. N0TICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for d6mpliance with any applicable deed restrictions. ~. U~LICENSED 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 ~nd ConsumeL Affairs. If the applicant is son~one other that the ~owner", I cerify that I nave 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 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 abatemenL 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 COMMENCEM NT". ^?fLu~u ~ 7wlA1P1 SIGNATU : OWNER OR AGENT ~~~~~Y O~F FLORIDA rlo( I ri UL The foregoing i~strument was aCknq~~~~~ Before me this ~ day of NOv em:t2i:L, _DO / by ViCj;A[L L. T\J{I'I~ . (name of person acknowledged) ~ho is personally known to me, or o who has produced (type of identification) and ,t1'hoD did Ddid not take an oath. Y~~(^-cJlCD\U- Signature of person taking acknowledgement STATE OF FLORIDA ~ COUNTY OF ( YI?I...15t!.LJ The foregoing instrument was^,ck~wledged Before\me this /'f7lf d~ of . 0 ~;2(}ill by I~ lI..l..I A.M. ~ t::./-l"Jf5'1Z (name of person acknowledged) C1ho is personally known to me, or .\.~has producedR 7),1-.. E ~ls('-93:J-1/.f- ~hO 1 ~.(type of identification) an~~ _)l<ilid-# tak~n oatpt{--p ,~ulV~~ Signature of persgn taking acknowledgment .1Jr'-v, t~ Bobbie Swetland f:f :~ MY COMMISSION # CC893160 EXPIRES :.lIl:O . : , ennl Name typed, Ct 1f gg4 70 It> Canm -€kP 10-3\-03 NOTICE 1111/11111111111111111111111111111111 1111111111 1111111111111 2001150549 OF COMMBNCBHBNT ~ County of ?/'r:5 C 0 state of - tZ.o ei D,S TVB ImOERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. Oeser iption of Property: Parcel No. 02 -;:2G '2 I (Legal descr~pt~on 0 2. General Description of Improvement Rcpt: 539714 OS: 0,00 10/30/01 Rec: 6.00 IT : 0, 00 Dpty Clerk Owner Information: Name .j:~l.J~ {;., ~IA -rveAJ 6f< Z'f-I ILLS State fZ A 33Sy ( ;: ::->. 3. ~~i l~ddress b b .5Drrsmc H,C:-City Interest in Property: OlJ..J~ el? S~ c=: Name of Fee Simple Titleholder: (If other th~n owner) Address City State 4 . Contractor: Name ILJI L L b Lf) ~ J> Address f.. O. Sex 369 City br\:DE C,1L? State bJA 5. Surety: NLlme Address City State Amount of Bond: S JEO PITTMAN PASCO COUNTY CLERK 10/30/01 09: 12am 1 of 1 OR BK 4758 PG 1781 6 . Lender: Name Address City State 7. Persons within the State of Florida designated by Owner upon whcm notices or o~her documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: UClmc Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. lJ. r:xp.irnt..llJn d"t.e ot Uot.lce of Commencement. (the expiratIon d~te is 1 year fr?m the date of rucording unless a different date is specified.) Signature of Owner: 'I ~~:._-'.::; ~. Sworn to and subscribed before me this ~~\ . ~ \5 ~ day of C ( \C \-:ili \ NotLlry Publ ic :'"'"C ~ \ My C:):t1,Oli S 5 ion Expires :'. PC93053048 "';;'~~ VAlARIE M, WlWAMS {.~'I.2;.'l'f: ;,}i COMMi'3SI':-:;' . ~~~j: 146317 ~~~'il,' EXPIR~~ ~"il .;1, ;!uJ5 ~1.Rr:.i:.lf.'" Ilur.ue<l Thru N"""'I Puolo.:; u_ S J 'J'F. PI.AN PARCEL 1.D. 02 SEC 2,(. TWP (RESIDENTIAL USE ONLY) ~ ~~oob ~ Ill-A RNG SUBD BLOCK I LOT OATE: I~ - /5"'- 01 All drawings shall be drawn to scale or fully dimensioned for all parcels. PI STt\<:<:.,.n 0 S,\ J7' t I 2D ~ 15' ~ ./ ~3 } j6 --:7 5"8' I fOe) - . 51 . 32 /7' ::z. 7' PPA ;C- /8' 75{ SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE ANY BODIES OF WATER. TREES (INCLUDING SIZE. DIAMETER. TYPE). AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PROPERTY. INDICATE THE SIZE, YEAR. AND NAME OF MOBILE; SUCH AS 12' X 60'. 1981. FLEETWOOD. ALL "EASEMENTS". "PROPERTY LINES". "RIGHT-OF-WAY". and "JURISDICTIONAL LINES" must be shown on all site plans. DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE. I&l .. cr z: o cr o lIl: ~ ~ - 0 ~ ~ - - . ~ .'! .. '. NoelLlE HONE SET-UP rear (150' ) ~ 50' '0 ~ 8 III i III b. - - ..:: .... . . 215' 0--: Elliatin, . " " ~z .. '. '. Shed .. 50' ROAD MANE ROAO MANE HOUSE CONSTRUCTION rear (80') ROAD !'CANE PL PROPERTY LINE R/W = RIGHT-Of-WAY o TREES APPROVED SIn PLAN MUST BE POSTED AT JOB LOCATI<If. NOTICE 01 DEED RESTlUcrI(Jf THIS PKRHIT may be subject to "Deed Restrictions" which are 80re restrictive than County regulations. The permit holder as~ responsibility for c~lianc88 with any applicable deed restrictions. site05:ce PC95035005/A It W IlL-il-tvv1 fLD~ (bN~-rI.J(\.. 0Cp5c p 15TACJ710 '" . CC\J~ Yl'\1tu. , , .. . SQ. FE!ET .-.:& " , .. 'IIMICRU-~ ~ 0'1HI!!II.AIII!A r~I!R._ _ S ... . ,. .. YMJIA11I:IM S . J -- s 9J,5c s /JIlt s 25,;"0. . - .s tJ / (>r .' tJln , .'81 yt F-t. s I , 'be, 4t 12L{,3S .. , I Tl,,~f. tJlf1 CITY OF ZEPHYRHILLS "NOTICE" OF ADDITION OR CORRECTION BUILDING DEPARTMENT /ilft>'th, ADDRESS DATE :RM1 : -# I ,,~SO p~/~ ~ ~ . THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job . will be accepted, DO NOT REMOVE ~a7~ ?~__~A~A~_ QJW tl~~ #45 ~A ~W~ ---= L 4J'" -- 11 il unlawful for any Carpenter, Cantractor, Builder, or other pe/'lOnl, 10 cover or couse 10 be covered, any port of Ihe work wllh flooring, loth, earth or other material, untlllhe proper Inlpeclor hOI hod ample time 10 approve In. Inllollotlon. . AFTER CORRECTIONS ARE MADE CAlL 788~~ECTION INSPECTOR ~ OFFICE HOURS 8 - 5 MON.-FRI.