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HomeMy WebLinkAbout01-0776 BUILDING PERMIT N~ 0776 CITY OF ZEPHYRHILLS (813) 788~6611 Permit '1S'OO BUILDING Date -H -::l" - 0 ( ELEC~ PLU~' ME~AL Sewer Conn Water Conn: - . Property Owner: !- I r") r Job Address: 3 ~ ? 3/ 13Ap-f (~-t S~ I1v-e.. L.~VYL'" Water Meter: T,I.F.'s: Parcell.D. # Zoning: Energy Code: Radon Gas: Description of Work T",+~(o", ~~oIe(,~ ,.FRl'#fJtl/11) r t'//YW&'~ FINAL C.O. -();2 -/1 ~'tJ~ DATE NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector City License Registration # State Certified License# ~99 ~tPc) Permit Fee __~ ~---c! XSignature _ ,.. Company Address ~elephone# 7?J - d ~/? 0 Valuation or Contract Price S-tfoo I 'YoJ.. ~ S....., tiA ~sT AL;- /J'7'~ BUILDING L MECH AL Ftr. Pre SLB Lintel FRM. /,.j. - <"..0/ tu/U!, .. -- Insul. CL WL Tp. Serv Rough n Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final fD L/ - 'J- .;l -0 ;;J... ~ 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. l~~fed 11- ;;'0-01 q CITY OF ZEPHYRHILLS PERMIT APPLICATIO~ '. . ~__._ BUILDING DEPARTMENT 5335 8~ STREBT ZEPHYRHILLS, PL 33540 Phone:813-780-0020 Fax:813-780-0021 DATE RECBIVED 'I -15- () ( PLANS REVIEW FEB OWNER'S NAME r,' rt!' I- IS A ~ 7', c I C It ~ ~ c l~ JOB SITE ADD~&.~J ~ ~v--.J.!' ~ ;:,-f-lt: /lve, PHONE CONTACT 78 ol. - (!J 7" '7 t:? ;z~,o tl y/~ h :/ /~(' / ;C /' .t ~ -.e-..y / LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # 11- J 6 - J / - (} C1 / 0 - I,J' 6 d f/ - (J CfJ , 0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION ~ALTERATION 0 REPAIR 0 INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMILY 0# OF UNITS o MOBILE HOME ~COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK Lv;/ c:. If ,'Ji t:: ,f:>e iAA t ~ /N Q - h cI Pw , .,,(,,/ (l tL- ~ V v.> d / / d1 /v ~ /' '/" ,r BUILDING SIZE SQUARE FOOTAGE 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 o BUILDING . - tJ~ $ ..s / -Y&CJ .::.--- VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER , FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO COMPANY Jd i N i-. s: vI.? ' '/ /r (} t1 ,,~.c r: ~ ~ ~~ STATE CERT OR REGIST # elSe () s- '9..r 17' SIGNATURE - ---;c- ~~ CITY PROCESSING # "299 I ; V7 *****************************************~~~*~~**::*~l:~** BUILDER BLBCTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that th:ls 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 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 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 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 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 COMMENCEMENT". V-/ ---/~ ~~~% ~IGNATURE: OWNER OR AGENT ,Y'SIGNATURE: CONTRACTOR STATE OF FL~IDA COUNTY OF --1:t\.SCfJ The foregoing instrument was acknowl.ed~d , Before me this---15- day of Ne'v'. , ~ \ by -:)d'lf1 I. Sm,+i-l _ (name of person acknowledged) ~ho is personally known to me, or o who has produced (type of identification) and whoO did Odid not take an oath. ~on'-m .~{\ Signatu e of person taking acknowledgement .~'\ . ~Wi\gera Nf. My vVlnm. expo Nov. 30.2001 ~I\ ~~.. Commission No. CC699422 "" ,,,. STATE OF FLORIDA ~ COUNTY OF {'l.<.cO The foregoing instrument was ~c~nowledged Befnre me this .,\'=Lday of , ..... c J , ~ \ by ;:so hr'"\ L. SlY'>; .#...... . ~ (name of person acknowledged) ~o is personally known to me, or o who has produced (type of identification) and who Odid [Jiid not take an oath (L" ~ f-O 0 '-rn - ~~ Signature of person taking acknowled ent Name A Proposal Date Oct. 30,2001 John L. Smith Construction 4240 Coats Rd. Zephyrhills, FI. 33541 (813) 782-0470 CBC 059519 Proposal Submitted To Work To Be Performed At Name First Baptist Church Street 38300 Fifth Ave. City Zephyrhills, FL 33541 Telephone # 782-5574 Street Old Florida Power BId. City Date of Plans No Plans Architect We hereby propose to furnish all materials and labor for the completion of Interior remodeling, see attached sheet. All material is guaranteed to be as specified, and the above work to be completed in accordance with the drawings and specs submitted for above work. All work and materials to meet local industry standards and existing codes in effect at date of this proposal. The above work to be performed for the sum of Five thousand, four hundred and 00/ 100 Dollars ( $ 5,400.00 ) with payments to be made as follows: To be agreed upon acceptance of proposal. Any alterations or deviations from the above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, wind and all other necessary insurance required upon above work. Workers Compensation and Public Liability Insurance to be taken out by builder. Cost of collection and attorney's fees in the event of any default by the Owner and in the event that the Builder must initiate any collection proceedings or must engage attorneys for any purpose whatsoever relating to this agreement, including but not limited to seeking the enforcement of its terms and conditions, the Owner acknowledges, agrees, confirms and warrants, that they are responsible for all costs and attorney's fees incurred by the Builder. ./' Respectfully submitted ~ Per John L. Smith Cofutruction This proposal may be withdrawn by us if not accepted within 20 days ~.'-= /'? -;;;:- ~ ------- Acceptance of Proposal We, the undersigned have read this proposal and do agree to the terms and conditions as listed above and to any attachments, ifincluded. We authorize you to do the work as specified. Payment will be made as outlined in this proposal. Date 1 i J5~1 ~~J-7U~~ A ~f~, Xc Description of work to be done: Labor and materials to build approx. 120' steel stud walls as per sketch provided to me. Insulate 520 sq. ft. of new walls. Remove back doors ( Steve's Office), block in opening and install new 3' steel door. Option- Leave existing doors in place and frame and drywall over inactive door. Close off existing door to Steve's Office and safe opening. Cut new doorway to office where window opening is located. Cut and frame opening through storage room into electrical room. Close off existing doorway onto Dennis' Office. Large closet in Dennis' Office is included in proposal. Remove existing glass store front double doors on west side of building, block up and install window. Church to furnish window. Block up 3 AlC openings on south side of building. Option- Install sheet metal in opening and then frame and drywall openings. Hang, tape and texture approx. 70 sheets of 5/8" Type X drywall on new walls and other areas closed off Price does not include: Cost ofpennits Plans Any interior doors or labor to hang doors Electrical work Plumbing work Painting y~ NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF PASCO The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement : Description of Property: Parcel No. 11 26 21 0010 15600 0060 Street Address: 38231 5th Avenue I Zephyrhills, FL 33541 General description ofImprovements Interior Remodeling 111111111111111111111111111111111111111111111111111I11111111 2001158990 Owner Information: Name Street City Interest in Property: Trustee Corporation of the First Baptist Church of ZephyrhillsINC First Baptist Church 38300 Fifth Avenue Zephyrhills, FL 33541 Property will be used as Office space. Name of Fee Simple Titleholder ( If other than owner) ~ Contractor: JOHN L. SMITH D/B/A JOHN L. SMITH CONSTRUCTION .~ 4240 COATS RD. ;:1 '1 ZEPHYRHILLS, FL. 33541 Rcpt: 543890 DS: 0.00 11/15/01 Surety: Name Street City Amount of Bond Rec: 6.00 IT: 0.00 Dpty Clerk JED PITTMAN PASCO COUNTY CLERk 11/15/01 It : 33am 1 of 15 OR BK 4774 PG 150 Lender: Name Street City First National Bank of Pasco 13315 US Highway 301 Dade City, FL 33525 Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: Name Street City Norman G. Kline, Jr. 3946 Lanier Road Zephyrhills, FL 33541 In addition to himself, Owner designates First Baptist Church of Zephyrhills to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. Expiration date of Notice of Commencement to be 1 year from date of recording unless a different date is specified Signature of Owner: 9/ ~ ~ /(' ~ /1" Sworn to and subscribed before me this 1--5 day of N Q"~,"", be...r 2001 Notary Public: ~~ 'iY). C2l~ o~Cp :\...' "'" .' a 110 * lWr * Angela M. Bishop .,.~ ,. My COInm. expo Nov. 30,2001 "J-, ...~~.. Commission No. CC699422 "'\0'" My Commission Expires: I j 130 \ 0 I I' I! i' I' i I C) .p .p I'e e- /1 I I j I~ I I! I I' I I Ii _~ ~ II ~t!J'I&II':" ~, I I I f!~-- I I 11 Ii LUa.,'f;^'f II Ii' I~ e do I ' I! I I II I . I I I, ,o-p.p,'ce ! /~' I ~ P.) l / AI,L.. WpR~ SHAf,4COMPlY \1ITii tu PREVAlUNG o if J (J 0 FJ nB'Dts, ST<<DlRtf8ullDlNG, PlUMBING, MECHANICAL, N.lC. AND CITY OF ZEPHYRHlllS -----.-.-- --- _...=:._m'...________ ___._ OBDJNARCb. __ ___ i , I II ! j i i I j I I H II /~II ../ : j ,f- f) 6 kl-i " . 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