HomeMy WebLinkAbout02-0919
BUILDING PERMIT N~
0919'
c.I 0 eP
BUIL'DI~G
CITY OF ZEPHYRHILLS
(813) 788-6611
35'~
PLUMBING
Pmperty Owne' d, .!lCA./l^.rP ~41'" ~ ' \-1. p.
Job Address: 3r-1.c;l3 ~~l'~ A\J€....
Permit
~
3,.
ELECTRICAL
Date
fd3-t"J::2
,," ,AJ
t?) .
MECHANICAL
Sewer Conn ~ 2 7~ ~ &0.
Water Conn: 350" tyf)
Water Meter: I f-o . IVO
T,I.F.'s: j t/RtJ- e-o
~,;A;..Crn' flf'-
.JAp.-, ,.,z/;. I . , (}()
Parcel I. D. #
Zoning:
DescriDtion of Work
Energy Code:
M. \\. s-Ut ~.
Radon Gas:
City License Registration #
State Certified License#
~() 'II
FINAL ~ -;;2./-{1 ~
I')ATE
d- -~ I. /).4-
DATE
Inspector _ ~'-
p.'mitF~
~ignatur . ~~
Company
Address
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.
c.o.
Valuation or
Contract Price
)7elephone# ,f/.. ~-?S d-'~/rE~/.S-03
11 iv"", tl. Tecl1. 51 ~~ <;
BUILDING
lice
. #'$lS-
ELECTRICAL
IllvJo-..J,. tec~ 57ff-r
/:I:- :J.:2 V /
PLUMBING
/lce
<t:t y 5-
MECHANICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-MeJer
Final.!';>' - t '1_ ll~ !Z ll.f
SLB
Tub Set
Water
Sewer
Final ,f:J - ll)- D l. '(LtJ-{
Breakers
Ducts Insl.
com7sor
Final .2 - I. 'l- tJ?--
f!j..(f
Driveway
f P-.:?-d./-O,;!, Af.'3o J.o(IJ~ ICt
REINSPECTION FEES: When extra inspection trips are necessary due to any on~ of the following reasons, a
charge of Twenty Five and 001100 Dollars ($25.00) shall be made for each trip for each trade:
j?e5.
ReCV.. :P5c/~
a.
b.
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.
c.
d.
e.
f.
g.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
Clrv OF
ZEPHVRHILLS
"NOTICE"
OF ADD,ITION OR CORRECTION
BUILDII4G
DEPARTMENT
I 0 : cr'7 J9.'n,
ADDRESS DATE PERMIT.".
3'75/3 ~/Y\~"" a..x. 2-/9-02.. O?I,?
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
wall be accepted.
,
\\0 cu-l Ca-rn~Ot11 ~ ~~ Ao-b.n~...t ~ .~.AJ-:i.J.-
I'Lt -+ __ \>... 'i ~ AdO 0,... _ _b ...... ~ I ~"" OCl~ "-.1<1 _ _ __....~ ^ _ ...... L Q _I'{{) n
DO NOT REMOVE
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED / - :z 3-0;7..
PLANS REVIEW FEE
/5; t'lJLt:/ )ft.? i J ~ J )
JOB ADDRESS.. 375" J 3 JJJ/J/J)/~ I7vc-
7tf
PARCEL ID # 3l.f- /~,~- ;2/- {)()/(7 - 0 I ,~'" I)
OWNER'S NAME
PHONE ,1/3 - 7JJ;;Z - J R /-; I,
.
SUBDIVISION ~'-rd,/!1 !Io -0Z{)I)S j);j){?
(OBTAIN FROM PROPERTY TAX NOT~CEl
LEGAL DESCRIPTION: LOT(S)
BLOCK
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
If!. I NS TALL
/lIt~IL\Jk~
Os I GN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
'~OBILE HOME
o OTHER
D RESTAU~T _ & HEALTH ,?PARTMENT APPROVAL
DESCRIPTION~ WORK lru-lu, .. ~A < ~ Ii f/}
BUILDING SIZE ~ ?c'/S 2.- SQUARE FOOTAGE J'It c.j
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.
171 M.-k I/v,~ 'f
o BUILDING $
~LECTRICAL
~LUMBING
~ECHANICAL
C13tJ(J~
PERMITS REQUESTED
(jd -(f(3- df7 -/I f{)
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
>c-)tJ(). C7J
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 AREAO YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
ELECTRICIAN "00........ ~J;;"''''''''O;;;~;;:'ii~?~::;ii~
SIGNATURE' # A ; 4- iL~ CITY PROCESSING # 45 ,
******************************************~~:~~~~e,
,) COMPANy(1 ~~:fJ""7'
STATE CERT OR REGIST #
CITY PROCESSING # ?-.'d. L\ \
MECHANICAL
PLUMBER
SIGNATURE
***************************~********~**~****~**:f/ .
COMPANY /.~~- x:;jI.L/J A/71 ~<-et..r;.:;-.::J
I STATE CERT OR REGIST # (!/J(lO 397~ 6
~ CITY PROCESSING # 'Ie; .
*************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A.. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this 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 perm2t
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 CO ENCEMENT. JOBS UNDER
$2 500 IN YALUE DO NO NEED TO RECORD AND POST A "NOTICE OF COMME EM NT".
, ..'.
SIGNATURE: CONTRACTOR
~~~~~Y O~FFLORIDA -fhl/SKY>ttJI h
The foregoing instrument wa~~OWledged
Before me this ~day of , .J2 ~a
by (! J,J4I>Jp.c:, ~,/)?IJ/YI ( J I? ,
,~ (name of person acknowledged)
~ho is personally known to me, or
and whoO did
of identification)
take an oath.
Owho has produced
~(type of identification)
rvid not take an oath
Si
Sign
Name t
Na~'::"." . (;\VCcDMISP.dcat7D61is~ed
;*;:*i June 25, 2004
'-iJj"j;.....WI{ eONDED THRU TRm FAIN INSURANCE. IN<:
"..RF,,\'i.
PROPERTY O\VNERS
AUTHORIZATION FORPERl\1ITS
TO Whom It May Concern:
1?ohe~ 18~\ I
~C0
I,
, as owner of the property located in
County, Florida and more specifically described as:
1-01- 74-, G ~ J..!o-r-L ~2U11.5; S /1J I
-PeLs-co C-otJA-L.-..ty \ 1= L
herein grant permission to
to obtain all permits and utility taps necessary to expedite the delivery and set-up
of a manufactured hOV
owner's Signature ~-;--Il@. Date /2- -;2-7 -6/
Social Security Number ~ M- ;Z / ~
Drivers License Number Rif 06 - /7-z -3 L/-. - CJ 9,30
.
STATE OF F7cr/d ~
, H/115boY(J~h
Kober + 8a.l (
COUNTY
SIGNED AND AFFIRMED BEFORE ME
(affiant)
THIS ~ '1 DAY OF OUbnhev ,2001.
N~~
~~~\;r.~~~ B. P. Carpenter
MY COMMISSION EXPIRES~*f )*] MYCOMMtSSION# CC925616 EXPIRES
~~.:(l'f" ]o'RIl2S 2004
'. .iif.,r.."1$.~' BONDED THI!U TROY FAIN INSUIlANCf,INC.
(SEAL>
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This Inslnlment Prepared By:
DAVID DOWNER
111111111111111111111111111111111111111111111111111111111111
2001178884
Address:
T......land ......1lCl.. S_icet, Inc.
2700 WttUIIlI.... St.. 210
Maitland, Fl327111
Rept: 151529115
DS: e..
12/21/81
Ree: 6.ee
IT: e.ee
--- Dpty Clerk
JED PITTnANf: PASCO COUNTY CLERk
12/21/el : 24P1lI 1 0' 1
OR Bk 4 11 PG 417
Notice of Commencement
~"--,
To whom It may concern:
The undersigned hereby informs 8Il concerned that ImJlfO\lementl wit be mad. to C8ItaiII'8II property, and in acccrdance with
section 713.13 ot the Florida Statutes, the follOlllfng WormatIon fa stated In thl, NOnCE OF COMMENCEMENT,
Logal Description of pI'Opei1y (include SIrwt Ail1.ii.... if C"sl~~~~
7841 GReeN SLOPE DRIVE, ZEPHYRHILLs, FL 33141
LOT 7~ GRAND HORIZONS.LA~ TO THI! MAP THEREOF AS RECORDED IN PLAT BOOK 34, PAGE(S) Ill,
PUBU" RECORDS OF PA8"O COUNTY, FLORIDA. .
General dlllCl'iDtion _ 9tirnproyementl
SINGLE FAMILY OveulHG
Owner ROBERT L BAll AND RUTHE E. BALL. HUSBAND AND WIFE
Address 3510 MARUNE PIKE DR, TAMPA, FL 33718
Owner's Interest In site of the Improvements
Fee Simple nUe hokler (If 0'* thllll owner)
Name
Addresa
Contractor:
Address
STATE (;F F'_"riILA
COUNTY OF PASCO
THiS I~ TO CERf!FV THAT THE FOREGOING IS A
TRUE AND CORRECT Gap', O~ THE DOCUMENT ON FilE
OR OF PUBLIC RECORD Iiv !1-.ilS OFFICE..JJ'~SS MY
HA fvD OFFICIAl CI-',I rH/S~OAY OF
2 -/0/.
, AJRK OF CIRCUIT COURT
~-- fJEPU~ CLERK
Palm H.rbor Marketing, Inc., d... Pan Harbor Hom..
805S.F~~d
Plant City, Ff 33118
Surely (it any)
Addresa Amount of Bond: S
Any person making a loan for the conftucIIon of the Improvemenll:
Name TRANSUHD FINANCIAL SERVIce, IHe
Addresa 2700 WESTHAU. LAN!, SUITE 210,IIAITLAND, FL 321.1
Person within the, State ot Florida designated by owner upon whom notice. or other documents may be served:
Name
JE
BY
Address
Address
32711
0."" / ~.~ ~
Who ,is/are personally known to me I ~o hatlhave ........&.0-.1 Drivers U.t"~r"IAL t1l1cation and who' [I did
[ ) dip not fake a oath. ................ =-~ .
SUBSeR/SEDANO SVVORN BEFORE ME THIS 20th day otDecemb.r, 2001. .. i\~ O. ~
F1nocm.doc
KATHERINE A. WILLIAMS
Notary Public, State of Florida
My Commission expires, Dec. 6, 2004
Com. No. CC968627
05-15-01
Notary Public
9Z'd vQIR'ON
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CERTIFIED 'ID:
ROBERT L. BALL & RUTH E. BALL
TRANSLAND FINANCIAL SERVICES
ATIORNEYS TITLE INSURANCE FUND, INC,
GREENFErDER, MANDER, EI' AL
LEGAL DESCRIPI'ION: wr 74, GRAND HORIZOOS - PHASE I, AS RECORDED IN PLAT BCOK 34, PAGES
99 - 102, PUBLIC RECORDS OF PASOO COUNTY, FLORIDA.
Flood Zone Y
... As PerF.LR.M. Panel No, 1'20"2"30 - '2.9 0 D
NORTH POINT
I LAND SURVJMNG, INC.
1035 S. FLORIDA AVENUE, SUITE 215
LAKELAND, FLORIDA 33803
(863) 683-6353
FAX 683-5262 3'2-1
I hereby certify !hat the abo'Ie COtTeClIy reftects lhe results recent survey made under my d"rection and Ihat Ihe data
shown is true and COITIlct III the best of my knowledge ief. This survey meeIs lhe minlmum technical standards,
Florida Chapter 61-Gl '. Florida Statutes.
Lot Survey
Field
Date 1l-'2.B-ol
Field
Dale
Field
Date
Foundation
Anal
PATRICK J. O'LEARY, PROFESSIONAL SURVEYOR AND MAPPER PLS 415130
Florida Reg;stration No, LB 6892
NOT VALID WlTI-Iour TIiE SIGNATIJRE AND THE ORIGINAL RAISED SEAL OF A FLORIDA UCENSED SURVEYOR AND MAPPER.
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o 13'x21o' ABS PAD , 23'~ Lee, CAPACITY
~ STABILIZER SYSTEM KIT
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LEGEND , ~"'x~"'ABSPAD
~ .rJ; 13"x~6' ABS PAD
. CoALY 'l\NC~ PAD ASSEMBL Y
SINGLE STACK BLOCKS. MAX LOAD, 4800 LBS
DOJ8LE STACK BLOCKS. MAX LOAD, %00 LBS
~ STABILIZER PLATE 13'x~6' ABS PAD
~ ~ l 0 j i
OJ ~ ~ ~ ~ ! Model Number: 5203 ~t ^1lI",~,on
~ olPiIlm
r ~ z ~ i Ii 0 Serial Number: 913356 H""'"
0 ~ ~ S Homes
^ I\.) J ~ i ~ BUlL T BY '"'
~
I ~ ~ ~ Palm Harbor Homes Alummum Tt;ch Systems
~ n 605 South Frontage Road
~ '< Plant City, Florida Plant City, Flonda 33566
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Parcel Identification Number J.of7t/- P/M ~ Jt/-JO~ 19-/~"2-.
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Aluminum T ectI SystGmI. Inc.
ta) SouIh FronIIIgill fOld
PI!ft Cly. FL 3I3fieG
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2002024332
Rcpt: S6S679 R.c: 6.00
DS: 0.00 IT: 0.00
02/14/02_____ Opty CI.rk
'i~~ 1~~~~"Art : ,~:~O fOUNT:, C'iERK
OR BK 4860 PG 321
Prepared By,,"
NOTICE OF COMMENCEMENT
State of r/~ ~, oft
County of fl&...'D
The undersigned hereby gives notice that improvement(s) will be made to certain real property, and i~
a.;cordance with C1at-'ter 7~ 3, Flc:-ida St~:::te2, !~~ f0!!OWipg !n!0nTIation is !,Tovided in this Notice of
Commencement.
1. Description of property (legal description of the property, and st~;:t address if available)
31S/3 - ~/titJ v/ S /tve - i_~ I- 'J t/ - (;!rMtt/ /lOA!." Z-cIJS
, R.-e.p ..11 jAilA1.4J ('q{. :3.3 s'l /
2. General description of improvement(s) /1 J, A J.' tJ/',(CV(J.() E
;r/U#1, /1 aM t/- c.: (2P1t'r" ,e.. r" ~, /
3. Owner information
Name&:y~ hbrl).c#s Telephone Number r/3- 7J,7-3~61- E,cl-SO 3-
Address?t-~J-H'eeJ1 S/tfJe lJe, Fax Number
l "4Jtll",~.J/;..u., I W. :3 ~cf/
4. Fee Simple 'fftle Holder (if other than owner shown above)
Name Telephone Number
Address Fax Number
5. Contractor
Name
,A '.!~r~~c;
Aluminum rectl Syst8flll. Inc.
806 50IAh Fronlllge Aoed
Plait City. FL 336ee
Telephone Number
Fax Nu:nber
6. Surety (if any)
Name /.
Address Ai )1-
Telephone Number
Fax Number
Amount of bond $
7. Lender (if any)
Name /
Address V h-
Telephone Number
Fax Number
8. Persons within the State of Florida designated by Owner upon whom notice~ or other documents may
be served as provided by ~713.13(I)(a)7., Florida Statutes.
Name I )! Telephone Number
Address Iv fr Fax Number
9. In addition to himself, Owner designates the following to receive a copy of the Lienor's Notice as
provided in ~713.13(l)(b), Florida Statutes.
Name
Address
Telephone Number
Fax Number
~
L----
10. Expiration date of notice of commencement (the expiration
unless differe date is specified):
Signature
Sworn tS/"l~nd sUbSCribed~befO:j me this cg day of ~v ' 20~. by
()~' +- L . . who is person Iy'know to me OR v
produced .'( 64 .. r-:~;}. 34.. D93- 0 as identification.
SieO~ seal to appear below)
,"1!.:ii\li\Y:~ B. P. Carpenter
N :"\ MYCOMMISSIONI CC925616 EXPIRES
~~ ......~ June 25, 2004
'~I1r..r,.'lI'- .ONota THRU TROY FAIN INSURANCf,INe.