HomeMy WebLinkAbout01-0814
BUILDING PERMITN~
0814
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date
/ ~ - 1-0 /
~
ELEC~"'
PL~-'
-MECHANICAL
Sewer Conn
~:::~~~.;~e~ itf?t~~/~~ _ ;~::
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code:
/39 J [!.4,,-<~~
R4n Gas:
\:.' -,.-:- ./.A? fU--
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or 11 ~ oS: . .~
Contract Price ~ I /0
Permit Fee
C~~atlJr~
Company
~ ' ~(J
-fp l~ (;J;;Pl0JlD
City License Registration # c:2 9 t) ~
State Certified License#
.IA ) ~ -d..4?2-5 ~ It-LAl--'lI
BUILDING
~.
Address
.~~~ $?(03-~~/Iq<-(
~
ELECTB.lGAL
-
PLU~'"
MEC~AL
-
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. 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.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
Zephyrhills Water
PHONE
813-783-1959 x-247
OWNER'S NAME
JOB ADDRESS
4330 20th St
Zeph, FL
33540
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
13-26-21-0070-07400-0000
(OBTAIN FROM PROPRRTY TAX NOTICRI
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
.
OALTERATION
o RE'PAIR.
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
GtCOMMERC IAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF
x- 12'h cl1 fence w gates
adn grey PDS fillerstrips
UNITS OMOBILE HOME
o SWIMMING POOL
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
Install 12'h c/l fence with gate and PDS filler strips around cooling
t6'Wero
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 FOaMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
5,510.00
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
BOTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
CO'/';j'h,ffi'1~~TOEt~ECTI6N
""'i;~',C"'~"""''''''''''''''''''''''''
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
_:w
ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
,
******************************************************************
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************
OTHER
J
COMPANY Jim Williams Fence Company
STATE CERT OR REGIST # GSP-92-10265
CITY PROCESSING #
*****************************************************.~***********
CONDI':'IONS OF E'ERMIT J'.FFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "dee~ restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed r~strictions.
B. UNLICENS~D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contracto~ or contractors to undertake work, they may be required
to be licensed in accordance with state and loc~l regulations. If the contractor is not
licensed as required by law, both the owner and contractor Inay 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 contr~ctor, you a~e indicating that
you, rather than the contractor, are responsible for the wor~. 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 .~D UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, .have bee~ 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 tha1: I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to corrunencement.
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 corrunenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating co~struction, City
codes, zoning regulations, and land development regulations in the juri.sdiction. I al~Q
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 rnust tak~ 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-We:ls,
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 wh.ich
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 w~rk 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 pJ.ans, 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 corrunenced. 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 IMPROVEMENT~ .:J YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE 0 OMNENCEMEN'l"'.
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 19_
STJl.TE OF FLORIDA
Polk
COUNTY OF ________
The foregoing instrument was acknowled~tfRl
Before me this 2~_day of Decem~er_, 1'9"__
by Jame~ W. Will1ams, Pres1dent
(name of person acknowledged)
aho is personally Known to me, or
(name of person acknOWLedged)
o who is personally ~l1own to me, or
o who has produced .___
(type of identification)
and whoD did Ddid not . take an oath.
.Dwho has produced
(type of identification)
Ddid ~id not take ai: oat:h
Name typed, printed or stdmped
Signature of person taking acknowledgement
;~,~.-,.
-'
JIM WILLIAMS FENCE CO.
934 East Rose St.
Lakeland, Florida 33801
Phone (863) 688-1194
\
~l
JOB HA~"'LL Co, I-2-ePl'1'r~(L~ \".O=--""l-dL
SHEET N01?~ tl ~ (OF \
CALCULATED BY "i(l;...., DATE' , I ~<.-I OJ
CHECKED BY DATE
SCALE N.-rs
r2>L-DV- - ilph7r J, "[ Ik ~V~
woL()9 h\fUS
ett
rJ(,.P-: ~a.
(0 0L,1~/
\
+
f It'
\~\h chuV\ L~K~U\Q Q
~(~ YDS" -h\\eJ S-W-IPS
4- NM111
'lbx~ ~~
JIM WILLIAMS FENCE CO.
934 East Rose St.
Lake/and, Florida 33801
Phone (863) 688-1194
." t-1A."""LL DJJ:J. ....Pt>~(l~ W"-""'""'-
SHEET NO 12 ~ r\ ) ~ _ ( _ OF 1
CALCULATED BY ~ DATE III "l.c-I 0)
CHECKED BY DATE
SCALE f\J-f$
/?>(,f)/ - il~jh!rl\ i Il \'Vt~
\
~I
tooLrt9 h\fUS
eJi-e:f t
(O~ C;.~
r It'
I~\h chu~ L~KfU\Q Q
~rMJ t'DS -h\\QJ S,-W1pS
\
+-
.4-- MOIL1H
Lb~~ ~~
"'..........n' ,,_ __
JIM WILLIAMS FENCE CO.
934 East Rose St.
Lakeland, Florida 33801
Phone (863) 688-1194
\
~I
.-
"" "''''''''"''- ~ ......""~lL~ ""...""'-"'-
SHEET No.1B f\ ) - _ ( _ OF \
CALCULATED BY ~ DATE III ~<.o 10J
CHECKED BY DATE
SCALE f\/ -r$
BL-cYr - llf)h7( II i lis. ~Vc~
e.ooL()9 -h\fUS
IL
rJ(.,~a.
(0 '.:>l,I~/
\
..
r If
I~\h ~~ l~K~U\Q Q
~(eAj '"PDS +,\\Q1 S-hrlpS
4" NOQ'f11
1-b~~ ~K
~t>.....,", ~_ .,__
FROM.: WILLIAMS FENCE
FAX NO.
9416836402
Dec. 05 2001 04: 37PM P4
JlA ,,,,. w_
. "1,11
~,,- Do 11II"'""......
State of lIIorld. }
COk~ ~ I ,
... ......'~.n... ......, _ ... ..- _ ....__ .... .. ...e.. '" c..."'" _'_ ... In _...
~ Me1Ion "3.13 ef the r:lo,'d. 'tetutu. thtI f~JoWl"e h'fanft.1iolt f. 'lilted In tfll. IVQnCE OF CO....MflNCEMS;....T."CC
a"vrlpdon 0' Property...,..,. ~epWlr.b;f.U~. .Rf.h~.J;. .9~'!Ip.~p'y....,. , . , , .;, , ...
. . . , . . . , , . . . , . . . ., . .. . . .... . . .. . . . . . , . . ... . .'
. 4330 20th St Zeph. FL' 33540
... .................... ,...................... ............. .......... "?;;';;;" 'iI.; i'":J~'"'''''''''''''''''' .....
.... .... .....".. ............. ........... .... ............. .,............:......... ....... , . UJ;;)./ 00700 7yOJ _ ()OOL'
. '. . I . .........................................
. '0,
Genere' <<f.acnptlon oflmlt'o"...nu ......lm;~f.).~..~.~.'.I;t...~.q~,~R.;~;!.~~..f.~~.~~..~I,1~ gates with PDS filler str1
~ I a around w~ter cooling towers . ' ................,..................
......... ..el't Itw.... .rtMfl....M'....R:hte(IJ::4),................,..,............... ............................
"''''1 I. , ""f) I .A... . ~. .' .
~- .: ./. r. '" U/,... .1:1d:bJ/J,((1.mH:-, ..+.... ....r:ec..lIW1eh'J (!r Li6~.. ...................... ......
NOTICE OF COMMENCEMENT
llA.tlNOLI JOJlM 601
~.". '1ftItresC In lit. of th. Imlt'OWlftettl . . . , . . . . . . . . . . . . . . . . . . , . . . . . , . . . . , . . . . . . . , , , . . . , . . .
Pee 81m.... TltI. holde, fIP other dI_" 0""".1" .
., ...............................,.
Nam.
. , .. . . . . ,. .. . . . '. .. .. . . .,. .. . ... . . . .. . . .. .. . .. . ... . . . " . . . .. . . . . , . . . . . ... . : . :. . . . . . , . . , . . . . . . . .. . ... .. . . '" . . . . . . . .. .... . ". .
Addre.s ,.:...,......".........:....... _ . . . . ...... ~ . . .... . . . . . . , . . . . . . . . . . . . . . . . . . . . , . , , , . . , . . , . . . . . , . . _. . . . . . .;. . . . . . . . .. . . .. . .
R~ .
CCJll1nlD10r.,..,... .... ......, ''':.... ..I1,t11. .W).U;f,~~~. ,:f~~,~~" ~<?~p~~y'.....,'.,.."... ................ ...'..".......
~..
Add,... '..,............................. .934..E.as.t. .Rase. St.re.et..... ,Lkl,IJA. r.t...... .:p~~n......,.,..............
SUrwrv (If lInVI ...,...........:.. '. .. .. . . " .~~~.:1:~.r. .l.!p.~~~~. , . . . . . . . .. . .. ... . . . . . . . . ... . . . . . . . ~ .. . .. .......... . . . . . . . . . :. .. . .
Add".. '.".....,. ............... ........ .l.1.!~. .lJ~."VY..,9.fJ.. ~.. .~~.l..q~:.fJ;............ .Amount otbond S
An~ PM'lon malting . 'oan. fo, "- eonauuedolt Of VI. Imp,onmel1'bt
. N/A .
N-.ne ...... .... .... ..........,.. ....... ..... ". ..................... ..,... .....,...... ......., ........ ..........., ......... ....
N/A
. ~ . , . . . - . . . , . .
Addr... ,.............................,........,................,.....,...,.............................,..................,....
P""on within die 8tllle of Florid. d..lg"lItIId by own... upon Whom. ".ti... or 01he, dOCUMent. ma., ~ .."".d:
Name .....................,..............: N /.A. . . . , ... . .. . . . . . . . . . . , . . . . . . . , . . . . . . . :. . . . . . . . . .. . . . .. . . . . . . . ... . . , ..,. .. . ... , . .
. .
Add.... ...,............................................,...............................,........................ ..,.....,...,.
In addition to him.elf, owner dMlg".I" 1he follOWing ~e"'on to ..c:ei.,. _ oqpy 04 the li.~...c Netice .. proyided in :se.:lion,.
713.13 111 (hI, Plorlda at8lUtes. IFill In ., Owner'.' 9IJtiont. ::
Acld,.s~ ....,......."""..".... _ .. _ I . . . . .. _ . .. . . . . . . . . . . . . . . . I . . . . . . . . . ,
mt. "ASiI FOR IIlI~O"OI"" U.. OIlfLV
,Name '............... _...... ....~ ........._J3./.~..,.............. ...........
Rcpl: 548922
DS: 0.00
12/07/01
JED PITTMAN PASCO COUNT~C~ERK
12/07/01 12: 1iPm 1 10762
OR BK 479'1 PG
Rec: 6.00
IT: 0.00
.--_ '_... Dpty Clerk
. ... " .~.~~...;..M.... ,
~ Cal~~~ ow-, r~ ~
Swam to ana aUbaetibad befere me this ...... . , . . , , . . . ; , . . . . . . . .' "..
.,... . a
.._..~.::...~ of ....... ~"'.<:.Ilt\th~.... N '. .. . ". ~__~I
.,.............~.~...~~....,.....
Notory Public
111111111111 1111I111111111I 11111 1111I111111111/11111 111I1111
20011702!57
~,"If'JlI
~~;&ifI'\r~ Ruth L GiH
~( }j MYCOMMISSlO~.# CC911S97 EXPIRES
~1~ ...~ Apnl'13.2004
' 'I!f.,~'[....,,- EONI>fLl TH.u TlOY FAtN INSUtANCf, we.
Recieved Time Dec. 5.
5:02PM