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
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lIl:
~ ~
-
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~
- -
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.'!
.. '.
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.
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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.