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
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MECHANICAL, N.lC. AND CITY OF ZEPHYRHlllS
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MECHANICAl, N.tC. AND CITY Of ZEPHYRlflLLS
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