HomeMy WebLinkAbout01-0815
BUILDING PERMITN~
0815
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date /.,:} - '7-6 .I
r"'/"". ~I
~~
PLU~._-' ME~.'Sewer Conn
'Q--: ~ Water Conn:
::::~.:~e' ~ ~~11~~N ;~~e:.~ete'
ParceII.D.# /g~;2t.-,;21-0D?ZJ~09900 - OO/V
Zoning: Energy Code: !\ RadC}'\' Gas:
Description of Work J.f111' {! /l~../~J1~'1l .~-('~
ELEC.TRICAL
---
FINAL
C.O.
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.
DATE
Inspector
~~ ' () (./
Permit Fee -
QI~;~ % {1)lfijO/h
Company
Address
~~ ~(o3-(Q2J)~/1(9e.j
-
Valuation or " 3 6 f? '
Contract Price ,'.1
City License Registration # .2 7 t) ~
State Certified License#
{A)~.q/H?~ J~t!.L_ {~.
BUILDING
ELE CJ:.RtCAl"
--
PLU~G
r
~~
....
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 Ins!.
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
4236 20th St, Zeph FL
33540
aOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # 13-26-21-0070-08900-0010
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR"
o INSTALL
Os I GN
o MOVE 0 DEMOLISH X-Fence and gate installation
6Lh cll w 3 strand barbed wire
OMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME
PROPOSED USE: OSGL E'AMILY DWELLING
!XI COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Install 6'h chain link fence + 3 strand barbed wire
BUILDING SIZE
SQUARE FOOTAGE
& dbl swin~ gates
around ouse
HEIGHT6'h + 3 strand
barbed wire
ENERGY FORMS.
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
3,583.00
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORI DA POWER
o W.R.E.C.
o PLUMBING
o MECHAN I Cn.L
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
[]: OTHER Fence
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
CO~~CTOR:'.'SECTION
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
**********************k*****************~*************************
ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
SIGN~.TURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
COMPANY Jim Williams Fence Co
STATE CERT OR REGIST # GSP 92 10265
CITY PROCESSING #
OTHER
Pres ent, Jim Williams Fence Co.
*****************************************************~***********
CONDI';:'IONS OF PERMIT l',FTIDAVIT
A. 'l'-lOT.ICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "'deed J:e:::tLLctions" which
may be more restrictive than City regulations. 'l'h,,~ undersigned assumes responsibi lity [or
compliance with any applicable deed r.::strictioI1:3.
B. UNLICENSJW CONTRACTORS AND CC'NTRi\CTOR HESPONSIBILITIES
If the owner has hired a contrHctc~ 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 Lhe ClImer 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 (lie intended "Iork, t.hey 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 ~Co~tractor 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 l\ND UTILITY CONNr.~CTIO!f FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, !,'LORIDA STATUTES, AS k"1ENDED)
I certify that I, the applicant, .have been provided witlI a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the fTlorida 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 comnencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I c~rtify that all the information in this application is accurate and that all work will
be done in compliance with all appLi.cable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installi'ltion as indicated. I
certify that no work or installation has comnenced priol' to issuance of a permit and tha'c
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, Wet land Area~, and Environmentally ::;en~;i. t.i ve
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 Jl.gency-.I\sbestos aba tement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it 1S
understood that a .drainage plan ~ddressing a "comper-sating volume" ",lill be submit.ted vltllch
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 l.icer;se 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 plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is cormllenced \oJitbin
six months of issuance, or if work authorized by t1-,e permit is suspended or abandoned fO.t: a
period of six months after the time the work is cOHunenced. One 90 day extension of ti.me
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. ]In approved inspection must be logged during each six
month period, or the project wi.ll be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECOF<.D A NOTICE OF' COMJ.'1ENCEMENT HAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PHOPl'~HTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORr: RECORDING YOUH HOTICE OF COMMENCEMENT. ,JOBS UNDEE
$2.500 IN VALUE DO NOT NEED "0 RECORD AND POS,], " "NO'l'IC~~C:Ef~~_____'_____
SIGNATURE' OWNER OR AGENT SIGN-J: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was ac);no"JI(.C(1ged
Before me this ___ day of _____._, 1~__
by
(name of person acknow~edged)
o who is personally ~llown to me, or
STilT!': Of' fLORIOA
COUNTY OF ---Polk----- ----------------.-
Th(:':,.--t()r:~..:;<joj-.nl~ in;:>:~ r Lirnen '- ;,'id:;; z:t C1:1~;..,~.~~;J. t2:d9 ed
Before m.f:' th.is,L1;.tL.~jay cf-DQ.GQm~-, 200L_._
by __.,JaIII.ea---R..- W; 11; amf;, Pre!';; dent
(name of person acknowledged)
~h(l is personally ;.;,nown to me, or
of identificatjon)
take an oath.
- 0 who ha s p l:oduced_______~_.___._.___.___._______
[type of Identi.ficationl
lK}iid not taJ.:e an oat:h
Owho has produced
(type
and whoO did 0 did not
Name typed, prj
Signature of person taking acknowledgement
Name t.yped, printed or stdmped
.
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SHEET NO, 4 &~ I D ~ OUI\ St-
JIM WILLIAMS FENCE CO.
934 East Rose St.
Lakeland, Florida 33801
Phone 688.1194
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JIM WILLIAMS FENCE CO.
934 East Rose St.
Lakeland, Florida 33801
Phone 688.1194
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JIM WILLIAMS FENCE CO.
934 East Rose St.
Lake/and, Florida 33801
Phone 688-1194
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FROM WILLIAMS FENCE
FAX NO.
9416836402
Dec. 0S 2001 04:36RM P.3.
'tA. 'm ""_
.. PiL..
IPIt.AM De lnI"-,_1". .
Slatlt 01 Pforlda }
Co~mv ~ .
The undel'llillned "'rah'f lmolma eI. ClOI1C4h1Md thlllt ImpI'OVactll.a will be ",ad. to Certain ,.,., P'OD.~ and in .CCOrUftC:e
- -.... "..,. e'''' ..... ,..-.... ""....... ,........... I. ...... in .... NQTlC8 O~O"M"'C"""",
D_cn1pdon of property .,........;..........:.....................................:.............. , . . . . 1\0 "" . r. -A.
. ~ ....~~....;f.I;-........
. ... ...................... ':J.P.?!;;........ .0/L.....,s.tr:~...:.:. .?<p,h.Fe...... _ _. _... J3.;"!f;;!,(gnQ.i)7'/iJc'
"3 357/ 0 ....r-
.... .'......,..."... .....c..r.\l;x:;~n~~~4..p.l'..~~P.l)y.~P::I.,1,+:S!, ~~.t;~~. .~R~,'>...:,........, ;......... ............ ..... ..~o0
Gen....' descrtPtion o1h".ravem.mc . J~~.~?:~~..~ ~.~..l?h,~~.J:~~~:~~~~.c:~. .t:~. .~t,~~~~..l?~:~ed wire and dbl
-- . . :'1brr.(e,~. . . ~T.'RlW.. .~.. .~~... .... . . .. . " ". . .~~~~ ,~'.~~~. '~r.;.;md' 0.0.. .. . . ....
40..... ., .'f.1..1iP.tdwJ.m ....~ I. ..tJ.i!fJ.enMJ/(]Jr.. ,j!r_~{):.....:.:: .::::::::::: :::::::::
NOTICE OF COMMENCEMENT
S.....NOLlIIORM40.
Owner"I'"-t In II.. Of the Improvern.,n . . . . . . .. . . .. . . . .. . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . , . . . .. . . . . . . ..
F.. Slmal. Tltl. hold., (II 0I1t... 1tlan lnllmei) , . .. . . . . . . . . . . . . . . . . . .
Nam.
. . .. . .. . . . . . . . . . . ... .. . .,. . . .. -. . .. ... . .. .. . .. . '" , . .. . . . . " . . . . . . . . . . . . . . . . . . . . ' , . . . . . . . . . . .. . ". ... . ... . . . . . . ..... .. . ....
Add,... ,....,..............,...:.,.............. _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , .' , , . . . . . . . . . . . . . . . _ . . . . . . . ; . . . . . . . . . . . . . . . .
Can1nlc:tllr ' .. ........... .J.itIl. WilUi!IJIlA. ~t!;l)~~."C.QIAP{l.1}y'.............,............. ,..................................
", " 934 East Rose STreet: . Lklnd "FL 33801
Adclnt.. ....... ~~. '.,....,..... ...... ................... ...,.. ..... . . ,.... , . .... .. , . ..,... . .., .........,......... .. .............
SUtwIY (If any' .. ::r.. ..'~~ .. )..~~~~~. . ~l?~J:1!'!~ .... ..............,....................,............,.....................,:.....
Add,... .,'.............. .1.115. ,U.s..uWY..9.S..$.... .l-.1~J..QJl.."'..,...,., .:............... .Amount OfbO"d S
Any D.rsan nta.cing II I08n. for the con.tructlon of the ''''pray.montll
. N/A ,
Narne .............. .'.. . . . .. .. ... ..,... . . . '. ... . .,. . .. . . . .. . . . . . . . . . , , . . . . , . . . .. . . . . . . , . .. _ . . . . . . ... . ... .. . ..... . . . .. . .. , , . . .. , , .
,Nf.A
......,...... .
Addr... ............,...,..............,.......",...,........................ _. , . ,. . . . . . . .. .. . .. . . .. . . . . . . ..... . . . .. ..,... . ... . .
P.'.OIl within the State of Florida d..ICI"" by owner upon whom. notlcrea or oth.r dOC\l"'enta m.y b. lIW\IlId:
Nam. ...... _ . . . , . . .. . . . . N I A. .. . .. . . . . . . .. . . .. . .. , . , . . . . . .. . . .. .. . .. , . . . , . . .. . . . .. .. .. , . .. . .. .. . . . . . . .. . . . . . .. .. . . . . . .. . . . . . . , . .
. ,
Addle.. ......,........,.......... _ . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . , . . . . " ,..........,..
In edditllll'l to himeolf, ow.... d..19"a.. the foIh.wlrlg P....On Ie reCBi_ _ ooPy of the I.i.no~'& Notic. .. pl'Qvid~ in :Section..
713.13 I1J (h), Florida 8..";les. (Fib In .t Ow,.'.. outIont, ',~:
. N.m. . .." I,'.'..... .__...N.~a..~ I.".....-..~_.. I... ""'" _,"," "' I.
Add,... ...,........."..,.... I '. . . .. . . .. .. . . . . . . .. . .. . . . . . . . . . . . . t . . . , I .
THY. "Ael FOR ...t;:o"o.... UBI O~l'\'
11111111111111111111111111111111 111111111111111111I11111 1111
2001170259
Rcpl: 548922
DS: 0.00
12/07/01
JED PITTMAN PASCO COUNTY CLERK
12/07/01 12: 1pm 1. 10'7614
OR BK 479~ PG
Rec : 6 . 00
IT: 0.00
___ Dpty Cl."k
lP-V€..
S_m to ana .~c:rllMcI b.-lor. m. thi$ .... . . . . . . . . .. ;,.......,.....,
..b..~:........ of .....)) .~~~. ... 'lJ..'" a .-.doo/
..................~.~r... .~.......
N otal'"f Publlo
....~,~. R~th L GiH
forJJ;:.:~ MY"COMMlSSION # CC911597 EXPIRes
~~~~~..:~ April 13, 2004
't.~Rr..~if.:., BONDED THRU TROY FAIN INSURANCE,Ifjc.
Recieved Time Dee, 5. 5:02PM