HomeMy WebLinkAbout01-0768
BUILDING PERMITN~
0968 '
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
35'~
BUILDING
Date
il- ,;)t-rol
.
ELE~
PL~
MEC~L
Sewer Conn
Water Conn:
Property Owner: :so h. V) 12 ; I ~
Job Address: ~ tt :J. 5 120 It l~ s st .
Parcell.D, #
Zoning: Energy Code:
Descriotion of Work--=r ""KL. ~V\ J- 1(-ep/~.
Water Meter:
T.I.F.'s:
Radon Gas:
~~
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
-0 I
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
<].
DATE
City License Registration #
State Certified License#
33Y cT335
Pe.mit Fe. ~
r;ignature )
Company'
Address
)C1' elephone #7 ,f'f{ - S 3/ '/
Valuation or
Contract Price
~
RJ:, IIlv;o....,~v'-
BUILDING
ELECTRI~
./
P~
ME~AL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Serv.
Rough In
Meter Can
Canst. 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.
.,~
f ~"j~~}
rr
APPLICATION rOR PElUaT
CITY or ZEPHYRHILLS
BUILDING DEPARTMENT
( Cdf..tdl /1- .:20- C1/ /cfJ
DATE RECEIVED / / - / If-v /
PLANS lUWIEW FEE
OWNER'S NAME ':I~ h. ^-)
JOB ADDRESS 'Y I ;;1 ~-
LEGAL DESCRIPTION: LOT(S)
G ~
Ro/I/1lJ3 51-
PHONE 763 -- C]377
PASCO PERM'; SERVICE
819 76B~14
SUBDIVISION L0 int~r\5 PGtK""k
BLOCK
PARCEL ID #
WORK PROPSED: DNEW CONSTRUCTION
DSIGN
PROPOSED USE:ltSGL FAMILY DWELLING
o COMMERCIAL
(OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
o MOVE
DALTERATION
o DEMOLISH
a REPAIR
o INSTALL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
lA \( e d. () ( .u IQ ~ ~ C'" f ( A c.~ . P Cw
SQUARE FOOTAGE 31~
? -
Kl)(\ l-
DESCRIPTION OF WORK
HEIGHT
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
o ELECTRICAL
o PLUMBING
o MECHANICAL
$
~750./JO
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
~OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES ~NO
Illlllllli!!I!limmi!I!!l!!!!mml!!III!!il!!lIIlllmmllmmmllll!I!II!imml!!!il!l!iliilllf - - - -... mmmmmmmmmmmmmmmm!!!lllill!lll!!llmll!lmli!!!I!lli!II!!I!1111!!!!!I!!
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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BLBC'llUCIAR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***************~*****~**~*****************************************
"
PLtJMBB:R
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
***********~~*****************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
HBCHAHICAL
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0........ /fl.", hi l'pVh1 COMPANY 1:1'5 I)L(fM"~Z ; :1.*5..;'1
/f.j () "I - STATE C~ET 0 . REGIST # AI) -(){)~"J..
SIGNATURE ~. ,~v ., CITY PROCES L # 33 'I ..,. 33~S
***************************************** ***1******************
'... \fl.~1) -'_ '.I: J. VI,'! ::> V,~ 1::' to Kl'11 T f\..t~ l:! 1. JJ fW 1 T
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 undersigned 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 require~ents 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 nowner", I cerify that I
have obtained a copy of the above described aocument 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 perfonmed 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 ~vironmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Anmy 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 t~e Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become ipvalid 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
.ITR YOOR LUD&R OR I\H AT'fOlUl&Y BU'ORE RE.CQRDIHG YOUR HanCI!. OF CQMMIlHCIlMIl'RT. JOM URDU
$2,500 IN VALUE 00 NOT NEED 'l'O REmRD NID POST A ~NOTICE OF COMMENCEMENT".
~GNA~f1:fl^*1 SIE;l,~~
STATE OF FLORIDA ..-::> STATE OF FLORIDA a
COUNTY OF r::....~S'-O COUNTY OF ---C- ~sc.o
The foregoing inst~ument was acknowledged The foregoing instrument wa~ack~edged
Before me this ~day offJ{)tI~, 1II..6..~ I Before me 1j!is ~ay of tu O\ltf'IAAYZf, ..;><<11.
by ..Ton'" G:.. rLile.j by f(.J . v~ '
(name of person acknowledged) ~'- (name of person acknowledged)
Owho is personally known to me, or ~o is personally known to me, or
~ho has produced &Y'\\tUS h~(..,:_ Dwho has produced
(type ,of identificf' Ion) (type of identification)
'~d, not '.t.ak Ian oath. ~J: not ake an oath
Name
,\IU" S R h
....',\~'i P/~/~ \... u?annA A r
tyi~" i&..'.litiCY,ffi~O~ (s~:ed
~''',!..tE\.;'" 1< g :,!O\li 5 2002
~;~j:""'<, .. ',;f;'~g, !tJc
'\\Y'."'~,_ -:::1:-1:-"nnA Ki,hr
Name typed,=.~~p!..,'iJ;. .i1:.e....' dH).x;i~~~8;7
"'!?,...,JP!,, '.... '., . . ... ,,0\. 15, 200~
~~~t.f;;:,~'--~:~~:-' ..:1.' I ':-<~~-:\~;\'~~g., INC
DL. If. ^/tJo - '167 -.1~ -S'7L,- 6.
Rlf' ALUMINUM NAME: _.- r fj. I
S -\.(.)h. w ~ ~e.'
& STREET: ~
MASONRY CONTRACTOR J-r'1' ~s fZt,{ ( I vs st
CITY:
::i.-I).')' fi
STATE:
/tTllevL. 1912- C~c.-tl
PROPOSAL SUBMITTED TO:
379127thAveniJe
Zephyrhills, Fla. 33541
Phone: (813) 788-3741
t.J I.v/e K.J. jJ "'-K/C.
We hereby submit specifications and estimates for:
.--- cAo WI\). [Z 9f I !k.e par. ~oP
I A~e ~
Dl..\.:-e. &-0 Ha:./ cJu..~Q,e .
~~W-\ \ I~ k-t 1 I pc.tJ RooF '31( r<~..s c ~L. "..::.h r.
I'
I ;;( )( a.. 'I. / r c..1Il I ('00 F
~J/- 1~fe~. lAlhf.
J. '^1 {p C, t.L f}-(lL W h!.
J II (( ~ set{,
v;>ht.
Rc~ lftce.
l (
3-
3)C1
1/.; h.J..
post, vJW
().yy rre~<v-'"
3-
:1-
~-
]x\.f
(I I
It fo
I;.
~.x 'f j]c4 --- S (I, c..t"
co
/.3 75- a0v~ /..AI /77.5~
h ti/f do {A.i,u 011/ ~ h Jf rA I <yo 'II Lo ~ fie. fiJ.>"'- .
Authorized Signature ~ J, (f M~
ACCEPTANCE OFI PROPOSAL
The above prices. specfflcetlona and condttlor. .. hereby lICa.pted. You .. authorized to do the work .. apecIfled. Paymant wUl be made as
outlined above.
ACCEPTED:
Dale II-(,-DI.
-- 8~;t tPdll
Signeture
. WINTER'S MOBILE HOME PARK
48'
h
12'
"
EXISTING
EXISTING CARPORT
CARPORT 10 x 46
11 x 24
5' 9 '
- - - - -
- - -
I EXISTING
511"GLE
WIOE.
REPLACE OLD 12 X 46
PANS WITH -
NEW 3"x 12"
.026 PANS
.
14'
,
72'
4925 ROLLINS ST.
~
r"~Uftb
, r, ;..
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,,\.\. ~\}\\\~U~'U i\\\\.U~~' .: ~?\\'i\\\\'\.\.~
t\}U6." Lt. ~WJ \.~\:~
'AtC\\"'\~ \\. \}\\~...-
ALUMINUM CARPORT WALL SECTION
EAC.H PA"'"
3"x 12"):. 0 d. (p RISER PAN ROOf - FASTENED TO
BEAM V\I1TH THREE #8 SCREV'JS V\I1TH 3/4" WASHER
PER SCREVV
~ )(..1.{ TrLT BEAM FASTENED TO
POST V\I1TH
;).. THRU BOlTS
3X3 K060 FLUTED POST
EXTRUDED ALUMINUM BASE OR
/ BREAK FORMED U-CLIP
FASTENED V\I1TH CORROSION
RESISTANT THRU SOL T
"c<. ' <1 . . .. .
,.~. "'~ .. ~~N~ETE SLAB AND FOOTING
I I MINIMUM OF 2500 PSI V\I1TH 6x6-1 Ox1 0
8" \I\IIRE MESH OR FIBER MESH
~I
RECEIVING CHANNEL
FASTENED TO F ASaA
OF HOST STRUCTURE AT
EACH TRUSS \AI1TH ONE
1/4"x 1 1 fl" LAG AND 3/4"
WASHER
PANS SHALL BE FASTENED
THROUOH THE BACK PLATE
OF EACH PAN \AI1TH 1ttNM.JM
OF THREE # 8 SCREWS \AI1TH
3/4 "WASHER I.N)ER EACH
SCREVV
WINTER'S M
OBILE
HOME PARK
EXISTING
CARPORT
11 x 24
REPLACE
PANS OLD
WITH
NEW 3"x 1
2"
.026 PANS
48'
12'
EXISTING
CARPORT
10 x 46
4925 ROLLINS
ST.
EXISTING
51'....GLE
WIDE
12 X 46
72'
ALUMINUM CARPORT WALL SECTION
E AC.H P/"'v
3"x 12''):. Od.Vi RISER PAN ROOF - FASTENED TO
BEAM VV1TH TI-flEE #8 SCREVVS VV1TH 314" WASHER
PER SCREW
~ x-4 T,l.T BEAM FASTENED TO
POST VV1TH
;A THRU BOLTS
3X3 K060 FLUTED POST
~I
EXTRUDED ALUMINUM BASE OR
/ BREAK FORMED U-CLIP
FASTENED \AI1TH CORROSION
RESISTANT THRU BOLT
c.' " .. '
?~:~ : C~SlAB_FOO"'G
I I MINIMUM OF 2500 PSI VV1TH 6x6-1 Ox1 0
8" WRE MESH OR FIBER MESH
RECEMNO CHANNEL
FASTENED TO FASOA
OF HOST STRUCTURE AT
EACH TRUSS \AI1TH ONE
1/4"x 1 112" LAG AND 3/4"
WASHER
PANS SHALL BE FASTENED
THROOOH THE BACK PlATE
OF EACH PAN \AI1TH M1I11MUM
OF TI-flEE , 8 SCREWS VV1TH
3/4 "WASHER UNDER EACH
SCREW
NOTICE
OF COIIMI!NCIlMBHT UU~Q~~UfU'1/1I1/ 1II/IIIIII/IIIIIIIIIIIIil/IIIIIII
County of ~~C/)
State of Fl./) ,(/'/);<9
TUB tmnERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
follo~ing infor~ation is provided in this Notice of Commencement:
1" Oescr iption of Property: Parcel No.
2. General Description L>~UI~ ~ ~~~~~
?/h) AJI)"~.
Rcpt: 543512
DS: 0.00
11/14/01
Rec: 6.00
IT: 0.00
____ Dpty Clerk
3.
Owner Information: Name ~#N (j. t"L.€.r
l\ddress 49~S "eLL/NoS -fr. City kp~tJwtts
Interest in Property: 1)(IJAlNL
FL_,
State
Name of Fee Simple Titleholder:
(If other th~n owner)
~k
JED PITTI1AN PAscal COUNTYr CLfRK
11/14/01 10:05am 3017
OR BK 4773 PG
Address
City
State
5 .
Contractor: N.J.me .R.:J ~ /lJ.vM//II'Vm ; )y;I1S0AJ~ CIl/TItAC;:f(}1e..
AJdress S?Cf /;t.. 7!1 /lV/i City Z7.J1u;.f...~'/I$ State ;'="L .
,
Surety: N.J.rne h L S V /(!i:nj b /1/ I ',s I/.;;J
Address ?o. ~'L gl$";Z t.f CJ City DA-LLHS State Tv
Amount of Bond: $ /1).O()().fl)
.
R.
6. Lender: Name ~/9
Address
City
State
7. Persons within the State of Florida designated by Owner upon whcm
notices or other documents may be served as provided by Section
71J.IJ(1)(a)(7), Florida Statutes:
tJi:.me ~
Address
City
State
8. In addition to hims€'lf, Owner designates
of to receive a copy of the
Lienor's Notice as provided In Section 713.13(1)(b}, Florida Statutes.
I) .
f"xp.irni .L'J/l dMLe of r1ut..ice ("of Commencement. (t.he explrati0n date is 1 yedr
ir~m the d.J.tc of recording ~nless a different date is specified.)
,/'
(j IrfJ v':~
S ig:1a t u re of Owne r: .:L'-
'2
l I
2 () (J 1.--
Sworn to and subscribe
~...> ....
~it::eo
ClZm>
C:Ow <C
OJ- Q
~~Ol. , fl.
Notary .PUbliC: ~_ ~./
My CJ~1..11 SSl.on Explres:
c.:IP'lnne Bahr
I -
'1,15.2002
THRU
"Ir,CO" INC
PC93053048