HomeMy WebLinkAbout02-0881
-
BUILDING PERMIT~2
4\
0881
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
/4-;) ~5o :25' ,AJ
BUILDING ELECTRICAL ~G ME~L
Property Owner: C;hN\{O U-oR IWN M. tt. 'P .
Job Address: ~ }J .eLt /<-oM A \J~. J-...o---t- I 4 (
Date /~ ~ - 0 ~
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcell.D. #
~.. jergy C~e: .._~don Gas: k" 8V
')~ J L '<<Af'ovt I R.A l5 uY 5c rUA fYl ~
Zoning:
DescriDtion of Work
NO OCCUPANCY BEFORE C.O.
FINAL
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee J 7 '7 , .:3 V
~ignature ~ ,4, ~
Company
Address
"lelephone # '7 r;z. -I () f;, i
Valuation or L' I ;). { J 3 ~/j
Contract Price ., I . ( . y
City License Registration # ~ "
State Certified License#
.&-14
~5.1.
lice....
SLB
Tub Set
Water
Sewer
Final
BUILDING
Ftr. 1/1-1-02. flJo B(j
Pre SLB V 1-';1-0iJ- 'R,- y
Lintel
FRM.
Insul. CL
WL
ELECTRICAL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final .//~ 3/-()~
Breaker
Ducts Insl.
Compressor
Final
R.LI.(
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.
b.
C.
d.
e.
f.
g.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
Work not accessible.
~l <j)
1\ ~ S - K -Q.. c.v V 124"(
Re ~(O
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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CITY OF ZEPHYRHILLS PERMIT APPLICAT'ION
BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540
Phonet813-780-0020 Faxt813-780-0021
DATE Rll!:CEIVlID
PLANS :RBVIBW FEE
OWNER I S NAME GfZ/HJo 1+012-( Zf)JJ M~f/ / P .
JOB SITE ADDRESS sF? Sl1 /VbU/(cJnI\. J1 tic.
.
PHONE CONTACT 7fz-1 ore q
L-nr- IiI.
SUBDIVISION &fhvtl /-Id1Z12t1# ""'-I1.f'.
LEGAL DESCRIPTION: LOT(S}
BLOCK
PARCEL ID # 3lf -25- ?-I- 0010.- D2-6-00 -OJ'-ff
WORK PROPSED: ~W CONSTRUCTION o ADDITION
(OBTAIN FROM PROPERTY TAX NOTICE)
o ALTERATION
o REPAIR
I!2rfNSTALL
DSIGN
PROPOSED USE: . FAMILY DWELLING
o MOVE
o DEMOLISH
o MULT I - FAMILY
0# OF UNITS
o MOBILE HOME
~ER
/JW /I'll A./t/;V\
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
DESCRIPTION OF WORK
"..@ REST~T & HEALTH DEP~.rT APPROVAL
.<~~lf l'f~ ILf)<.2~ ~
,~;-J ~ (' fl.flIJb/LT/ J2A l.{ell SCae-Ov' /kals^
"f fD
SQUARE FOOTAGE
BUILDING SIZE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
[B"13UILDING
if'ELECTRICAL
$ J iff 2Jf'3 . ~ if
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D FLORIDA POWER
D
W. R . E . C . WI/lIE S f-J/3t?
D PLUMBING
D MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
D STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
BUILDER
SIGNATURE~ A. .~
COMPANyj54:H G9,11i~rl.JJc.i7 tl r/ IF CP;ur/ZA L f=..L.
STATE CERT OR REGIST #cg.f;o .s-7? r-z.
CITY PROCESSING # 2~
******************************************************************
SIGNATURE
~
A.
(kt.J2
COMPANY 1+c-E 6LeC nu. c-
STATE CERT OR REGIST #
CITY PROCESSING #
It~7
ELECTRICIAN
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
MBCRANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
'7.. ' NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsU 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 SectionsU 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 Guideu prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owneru, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owneru 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 "AU or "A,etc.u, it is
understood that a drainage plan addressing a "compensating volumeu will be submitted which
is prepared by a professional engine~~ 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 COMMENCEMENTu.
s~~~.1] :.~ sdL^JcoulZ::fl-e-
STATE OF FLORIDA PA~
COUNTY OF ..:> C. 0
The foregoing instrument was acknowl~dged
Before me this -tile day of nEr fP/llL8/t1- hfi!::!JO (
by (::R/Sc; N
. ~ame of person acknowledged)
~who is personally known to me, or
STATE OF FLORIDA n"SC b
COUNTY OF LN
The foregoing instrument w~ack~~ledged
Before me this ~ay of.J4:L1f/nIt F/I.., _ 2:J1.D (
by ~~ firfit?F
(name of person acknowledged)
[3ffi() is personally known to me, or
o who has produced
(type of identification)
~ not take an oath.
Dwho has produced
(type of identification)
and who Odid []d:1:Cf not take an oath
T3uu A . ClaW
Signature of person taking acknowledgment
and whoD did
8uu.t
4. ~O
Signature of person taking acknowledgement
~WCG It. {2J56E-L-
Name typed, printed or stamped
,..' '~ BruCe A AsbEll
;.:& *My commission CC748671
,\WI",. Expires June 22.2002
'l'",.....
f3 /lUc.P' {.J.. A ~ f3t~ L
Name typed, printed or s~mped
,.."'" BruCe A As , 71
~ b" M commisSIon CC7486
*~* Y . 002
. '\ WI ~ Expires June 22. 2
~'F~--'
:) .
1111111111111111I1111111111111111111I1111I111111111111111111
2001180438
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r't.,. .. _ .,~.('~~
Ree: 6.00
IT: 0.00
Dpty Clerk
i~92~~~I"AN2 : r~s;o fOUNT:, CLfRK
OR BK 4814 PG 860
Rept: 3!53682
DS: 0.00
12/27/01
.....-
StHe 1)[ _ j-LOIll Oft
.
NOTIce O~ C6~NSEHZNT
County ot PAX U
'";"U3 \lHnCkSIGHCO hereby 9,j,vcu notico that improvement \Jill bc "'ilde: to c::rt.::,n
ru.)l pCf)perty, and in accordllnce with Chapter 71), florido Stotute~. the
(ollo...,inC) intort:lation i. providlld in thi. Notico of ConvnQnC~I"Cllr,:
I.
parcol No.
e 1
1.
Central Description 0' Improvement
tJ.L-l/tYl (.v'vtYl P A-rKA~f
.
). Olmcr Infornllltion: NlImo C(214-j\Jt} flof..( cOtv t11 -/-1. j?
l,drJress'7'I/!((;{lCetv'~LdJE D(l.( City 2EfflV(lI+(~L5 StH!! FL. 3ss-/f(-7bfoO
Interest in Pr.operty:
Nc)l~e of fee Simple 'ritloholder:
(If other th~n o\Jnor)
City
5 t.:: t c
Address
'i- i1 .
:i 'b
Contractor: N::JmeJ3~flCoN?IJlUc.T{O;J of Ce-Nlfl-AL r-:(..,
^cJdresslfDlT:; /1tul./U..f f3llltJ6E 1ZiJ, City2F!IIVRf-l/{(,S StH!! FL, 55~L{-J
S. Surcty: N::Jrne
Addross
City
5 tcH ~
Mlount ol Bond: S
'.
6, L~(1der: NClme
AdlJress
City
'Stutc
7 .
Persons \Jithin the St.Clt.e of Florida
not ice s or other document.s mClY bo
71J. 1)( 1)(Cl)(7}, Florida Statutes:
designAtod by O",'n~r I.:pon .."c:r
served AS provided wI Sec:,or
. II ",nc
Ac10(C&O
City
S t u L .~
e. In additio.n t.o himself, O\Jner dosignates
of to roceive a cop}' 01 :,~e
Liel'\or'l Not1.ce al prov1.ded l.n Sect1.on 71J.1J(I)(b), flor,dll Stot,,:.:-$.
'J. r.plrnl.'~rJn On\.. oC NCJt..l.cc .ot CO/llmenComOOL..(i.he e).pL(Atlon C'.)tu i~ ! )'':0:
tr?~ the d~to ut rucordinq unless a ditferent date is speci!Led. I
S....een to 4nd
.... UJo( .
~II.W
l'Io(.)ry f'"blic:
,....{ Corn,. l ~ S ion E:" P i (. S :
~. ~ Bruce A Asbel
..& *My commissIon CC14aen
t-" expi18S June 22. 2002
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B&H CONSTRUCTION OF CENTRAL FL.)rNC.
402~ MorN Brid,e RoBd
Zephyrh.UJs. Pl. 33S43
.,AI .. 1'. ...... ,
y_~-v r
FREE ESTIMA T!S
1-800.224~ 1206
License4.Bonded.lnsutcd .Skittia2g.. Steps. 'Room Ac1ditioD5.Al~.Concretc ~
!Nt" 1'1/ ,SubcfMiioD J.''''~/'l A/6'uKI,.-? A~ w~""d ffi,..e12~~.S'
L&p CD.. W_~\T~ 1~1l u) Glass Room. W-.Ib
PaD Color Smp ~ Wmd0w3 _EAx_
Trim Color ~ ~~ "'.us. + + +.. UF x
8GIm Color ). "";;;-m~R;;i + -:- LJF ~ _
.eJ1 .lummum roo" it.elude: Pan!. Tri=. O=ct Ni:sc:
~. 3~ Poaa. 2xo4 baIIlu md ShUlsI' Flu!L
U-Pau.JJ:.~ Lct~Sq Ft x 2. 7' ~ .J./5 - ~ lApSidiAe ___UF )( 6.2" ~.~9
LP~a.Ft LanU!-Sc1 Ft:lt 2.1S. 3.15 :.~- , H~ RailiRs - __LIF x. 15.60
_P:ana_ft LonL-,Sq FI x 2.?S. J.JS Slep Railing , EA :( n.8o
__Pans_Tt L<lI.&_Sq Ft x 2.7S - 3.15 O-.noar ~'X ? EA)( I ~.A-
Valarace_f'rQCIl~Rect..!LUF x J.~ ..... D~ OanIe Doar ~ =...Lx-L-EA x_/ --;--~-~
GUUt!f on Herne .7D UF )( 3.7S !.~.~ Mise:
G.bll' Beam Work on Front Lotd -. 19.60 ALUMINUM TOTAL ~
2~7 SM Beam UFlC 4.6'
2",9 SM 8eaJIJ UF JC 6.7~ Co.QICmC aDd ~ Worle
Ac:ceu Door EA. x 62-40 Patio $,,17- '--'-x~ .A!..Sq Fl )( 2.00 ~",,~~
MilO(; P&tW SJ.b,- . ~x_ L- "S'LSq F' x 2.00 . .. .....
.. -..---
!'alioSJ.... ~~.LLL-.Sq ft It 2.00 =
SCREEN 'ROOM WALLS Side WllIk LL:i!:: -~sq ft x 2.00
Up KP 1!L + ~ _ + _ ".J:LUFx 2].92 r:al~ .,0. Orivewey ~'X "",jfLSq Ft)( Z.OO .~~ ." l;O')
s..reen Door InclU4hc;: Dri~Flain- _x_- _$q ft ~ 2.00 ~
Closer and Thte.:hold---. -'--EA x 1r.OO 711. tJo AirC~SJ.bL..)C~...LLSqFtll 2.00
c.~ Fill - one side --:- ----:.VF)( 12.4' ItaisedUtiLityA.aw-_l JIT" _3112" 30.00
lluulate Kick Plate- UF x 3.00 JtaiJed Parlo' CAune.L!L.x~_..QR..s,q fl1( 6. 7~
Fan Bcaa (NO( Wir.4~ ...L- x .52.00 -- -.. ~hao6eoun.~Jl._-_SqFI~ 6.75 ---
0".,6 per It per Cours-n:l'....I- '" ..I.ZLLIF x 1.10 ~
UTlUTY ROOM Pocar (hl% ~ ..2L..uP l( 3..50 - ,.".
P'2n Shed_ .;. _ ..,.~_... _ - _Llf x 21.01 footw ($JcirIklJ) -.~ . .aLLIF x 1.$0
With 2x7 Alwn ur Z;..4 Wood Sn4 16"" OC t Tread ~ _ EA ~ 58.00
i Lap E)(te\'!!I... .,. Ll... -+ .I!l" ~ ~ UF I( 21.03 II", qL. 2 n..tSlllp , _ EA x 116.00
Elj~i,. 00Qr and 1 Window--..l-.I( 124.10 I/~JIID )-Yriia Step '-L- EA :l'114.oo ~~.A
~ Elixir Door I Window_1/. 341.40 StlIp PIaIfGnD. TJ _EA x .-s.oo
Slider WiPdO"'" (F.ltlr.J)---- __ ~ 46.10 Brick SkirtiDa MP S Hi,b
8~ SIlidd-- - JJL LtF l\ 4.16. LIT ,_- CM:t, ,... ft per CowM daqe _ ur II 1.60
Mise --- . Sp1i~ Brick Air Stack LJF x S.OO
Spllc Brick $oUd--- --:iC.1..IF It 9.00 /~.. --~
VINYL ROOMWAl.LS o.u 5 pel' 1l per Counc cbarge ~l.If x 1.10 I L .-- .......
Vinyl Walts + + .. .;. l1Fx Fill ~ . _Loads x_
-----.......-- -
Itl~de Kick Platc:--...-- UFx 4.45 Ptchat . _....~ L.. /~~AO
M*: .It) , 111~IYe-~
l..4r.p Top wide:md O<.lt ~'---_.l.iFxI2.4g .17tJ-6D
Florid. a~--.----_ _ltF)( l.n ~
LnJUJate TOp and Bonon\_o__l.1F ~ 4.45 .s"V tV.: _ O. ~;V-~1l1 .. .... ConCt'ete 'U~'~
Ouors Iftclude (2) 2 T"",,* Unit.'" lM~ k' I~" (:J-Q I 'f" AJuminum ~~
Thn:snolc1 and CIOlft--~ _EA& 119.60 P~rmit
Mise rAj( TQ elf-~J:fF J't)~ Tax tzul,-......
- - . Tot III
. I!E~O~oIfJ~~~/;v6
AJI --....Ip aM ~ u"..,.-..c Dt..,....A~~., ''''~................-
"._11_14 _,,~ 1II11'f1a1L NOIU~ ,pCDftAOaM11l0P 1"'~Ne.-..,.'."'II~ ",,,,,UC'L
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LEONARD G. "GEOFF" WOOD. P.E.
4034 THE FENW A Y
MULBERRY, FLORIDA 33860
(863) 646-5517
Date: 9-26-01
B & H Construction
Zephyrhills, Florida
Re:
Address
2002 Jacobsen
NeukomAve
Zephyrhills, FI. 33540
Model # CL3-4687W
Lot # 141
Dear Sirs,
This letter is to certify that I have reviewed the above referenced project to
determine the structural adequacy of the existing structure to receive the attached
structure. The proposed structure is roughly a 14x20 raised screen room
a 14x12 shed, and 14x38 carport. The existing mobile home, to be considered
an adequate host structure, should be blocked and anchored in accordance with the
manufacturers suggested and permitted set-up permit.
Therefore, it is my opinion that the marriage of the proposed structure with the
addition will not compromise the structural integrity ofthe host structure, if the
addition is constructed as per the attached aluminum engineered drawings.
As always, should you have any questions, please feel free to call me at any time.
~~IyI cf~J
~~.I Wood
4034 The Fenway
Mulberry, Florida 33860
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