HomeMy WebLinkAbout02-0958
BUILDING PERMITN~
0958
,;/,5'0
12::;;~
6.1 ILDI~
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date
c:z -/j-O ~
d-)
~--~
Sewer Conn
ELECTRICAL
Zoning:
Description of Work
Water Conn:
Water Meter:
T,I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
:3 --t/r- C) :L
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
w (l~~. O/!.!..-
B~L~ . ELECTRICAL/ t 7
Ftr. II tJ. -5-0:;'" (lLLf, ItJb Tp. Servo
Pre SLB t/~ -"..-():}. ~~ I {-i7"JRough In
Lintel Meter Can
FRM. Const. Pole
Insul. CL Pool
WL Pre-Me~
/ Final r/ 3~ifrO~- 1IJO,f(lY
Driveway \ ?- - fo -0 J-12l ':f, f/'J{)
Permit Fee
~----
'- ~l'I::ltllrp. J
Company
Address
~'1,fZ-IO(P'f
t!uo
Valuation or 4t .;:, r-/ J
Contract Price tr ,I DJ ~J :> ,..,..
City License Registration # ~?
State Certified License#
Ib
PLU~"
.:;;.--
MECbl'ArJI(;~-'
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
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.
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTMENT 5335 Sth STRBBT ZBPHYRHILLS, PL 33540
Phone:S13-7S0-0020 Pax:813-780-0021
DATB RECEIVED _.-lJ- ;2f?-l) /
PLANS REVIBW PEE
OWNER'S NAME &/lIttJ1) /-IoI?t it1tJ jIJ1, /-/, p,
JOB SITE ADDRESS 373Lfo !\/F'u~M.. /J-\/t: ~r, L{ 3
PHONE CONTACT '75' z,- J ()0 t..{
SUBDIVISION GMNo /-k,V2t Z~~ /11# P
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID # '3lf-7--5.,?-/ - VO, 0- OzYOO _ 0 430 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~ CONSTRUCTION ~ITION o ALTERATION 0 REPAIR 0 INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o MULTI - FAMILY
0# OF UNITS
o MOBILE HOME
~HER
f) LA../,n I A-It./)V'.
0j)
(~c'o C412fJ~r
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
DESCRIPTION OF
@D RESTAURANT. & HEALTH DEPAATM~ROVAL
WORf~yI6 IA.tsl3o ->L//'Pl//J /4n;-?YI, Sfhi// ,
. . f I'
fp 2j-{
SQUARE FOOTAGE
HEIGHT
BUILDING SIZE
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
~LDING
$ I 0 I 35'-/'1 t,
I
VALUATION OF TOTAL CONSTRUCTION
~LECTRICAL
AMP SERVICE
o FLORIDA POWER
o
W . R . E . C . w IIl.f- S I....).I=-O
D PLUMBING
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
D STEEL
o OTHER
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
D GAS
o ROOFING
D SPECIALTY
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
SIGNATURE
~_.A IL fY~
COMPANY g 't(-t {'[)~T7ZJk./r/ ~ JJ Or if IJi1lliL FL-.
STATE CERT OR REGIST # L f3L6.S;- '7 70' L-
CITY PROCESSING # ~
BUILDER
******************************************************************
BLBCTRICIAN
SIGNATURE_~ ;l. ~
COMPANY fJcE- j;/..,(~c., T/L-L L
STATE CERT OR REGIST #
CITY PROCESSING # I fry
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REG 1ST #
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 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 requiEing 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".
SI~itL0WN~~
STATE OF FLORIDA PL:'.5-"
COUNTY OF 17 L'~
The foregoing instrument was acknowledged
Before me this z.Y day of AloV~Ei1..... ~ 'Zd:)'
/",,'1' ~.- .
by c ~/~ L r;, {ll-;.~C'r
~ame of person acknowledged)
~ho is personally known to me, or
A/I~ 11~
SIGNATURE:', ONTRACTOR
STATE OF FLORIDA ~/\5
COUNTY OF I; C.O
The foregoing instrument was acfino~ledged
Before me this ~day of ,MVPwlr./L, ~ 26f) (
by ~c sa;;?;::
(name of person acknowledged)
~is personally known to me, or
o who has produced
~e of identification)
and who Ddid aJIid not take an oath
13M<; 4. ~
Signature of person taking acknowledgment
o who has produced
(type of identification)
and whoD did [iJ.d'fd not take an oath.
~ Il.~
Signature of person taking acknowledgement
EWCE 14-, !+S{J6L-
Name typed, printed or stamped
, Bruce A Asbel
.J''b' miSsion CC748671
1iJiJ *My Com
t.J' Expires June 22. 2002
~I,t\:
B(6;Cf fJ, ,4-Sf36L
Name typed, printed or stamped
0)' .~ Bruce A AatJiE/o
, b My Commission cC748611
t.~ expires June 22, 2002
~lftt."-
...
O~\O~ G IS ~
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~;'"o~ ~~\'{ Or-()~C~'lr'! ,~~~C uocWl\j~~ ~t.ss W.~r
C ,\-lIS IS' eCI CO?'! O"'UIS orrlC " QIl-'!
co??'- Q I~ I~ S .
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O:.~~~.o olf' ::~~~O,~, "\::~~~Cl"~
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2002018541
Repl: 562918
DS: 0.00
02/04/02
Ree: 6.00
IT: 0.00
Dpty Clerk
JED PITTMAN PASCO COUNTY CLERK
02/04/02 0i : 3!rm 1 of 1
OR BK 484~ PG 1992
5 t 4t., I)! _ FL.-v (2 ( D fJ
NOTICE 0[' COkKeHC;EKCHT
County of ?It-Sc 0
7UB \1~nCRSICHC!O hereby 9ivea notice that improvoment \Jill be m~d~ to c::rl.J.n
r8.31 properlY, end in accordance \Jith Chapter 713, rlorido 5tot~te~. the
CollO'-'Lnl) intor/:lation i. provided in thi. Hotico of Convncnc""ocllt:
I.
Parcel No. ']If-z5 - 2-/ -OO{ 0 - 026'a:) -CJ'I J ()
e J
( .
Central Description of Improvement
IlLU/11ttVJM fACkA(,€
J.
Olmer In(ormation: N~mo Ci21HV1J J-IO~{ZtJN tn .1-1 ' P
I,d u res s1~ 1ft:) C./lff'tJ 5'(.oPt= lll, C i t Y "'2-i'flH'r'fl.(+( L L ~
5 t <It e R.. JJ5C.{/ -1fc1oo
In:erest in Pruperty:
N/l,"e of fee Simple Titleholder:
I (t other th~n o\Jner)
City
StJtc
Address
R~,
-
Contractor: NJme 1St (-I (o,vsrJ2.vc.--r 0111 tJr C{flJ/(lg3(. f::L.
^ud res sl!iJl.t)h/tJl2Jl.I S BE' DiE ~. City 2rPi-/'(/lJI-/LL 5 S t <It e J:L, 355</ J
S. Surety: NJlne
Address
City
Stclt~
Mlount of Bond: S
6. Lt!nder:Name
AdL!rcss
City
S tv t C
7 .
Persons ....ithin the State of F'loridA
not ice 5 or other documents may bo
71). I) (1) (a) (7), floridA Statutes:
designAted by O...'n~r -:pon ~~c:r
served ~s provijed ~j Sec::or
, 11,1mc
^r1d(C60
City
StJL~
8. In addition to himself, O....ner desiqnAtes
o ( tor c c e i v e cl cOli )' C ~ ~ ' e
Lienor's Hotlee as provided 1n Seet10n 71J.IJ(I)(b). flor,d..J StclC\l~C5.
'), rxpirnl.'jr;n dnl.e or N()llceoC CO/llmenCcrnOnL',(Lh8 expirotion CJtu i:l ! veo,
tr?~ the uuto ul rucordinq unless e di!terent dAte is speci!lec, J
SiC) :1a t u r e Q ( 0.... n e r
, C. 1+11114
S....crn tc dnd subscribed before me
~v..JlVelL fkoc/v I
FEl3il(/~.x__
~7COL;
~A
~
Not.Jry Public:
('1,/ Com,oJ:';s ion Expires:
, C' )C) )J.I
,,., .~ Bruce A Asbel
; & *M-I Commlssion CC748877
~WI; expires June 22. 2002
~"f'\"-
11/19/01 MON 16:07 FAX
;8i
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;';Cf.JJ 6"51, Mlf-1c
B&H CONSTRUCTION OF CENTRAL FL. INC.
402S Mom. Bridge Road
~ph)Thi.Ib. F1. 33543
e,L3 ,
5~c 1'111 (
1-800.:124-1206
FREE ESTIMATES
Liee~~.d.&Med.ln.1ured. Skin-iDI'" Steps · Rooco. Additiom.AJuminum.Concre~e ,
1..011# t'') Subdivisioo J 7 ~ ~LJ~~': livE, g.~"pd /ft1~ IZtJN
Lap!O . (\.. ~ W'f ~U) lli-,,",-',
PVI Color
TriID Col.
8ea= Color
~I d~ln\IID 1'00& illc;lu4~ ~ Trim. Oimw
Do~ 3~ PCML~ 2_ __ .ad SlUqJ. ft_
.J:1l...Pvtsl.1]( I..~Sq Fr x 2.7'. J,)~
_Pans_f~ Lot'l_Sq ftlt2.7S MJ,lS
_PIIIlS_Ft LIJII,'---Sq Ft J( 2,7$ - .:J.15
_PaM_Fe l..oa'IL.--Sq Ft .. 2.7S - US
VlLllltlQt_Frotlt__~aJ.lf x 3.64
Outter on Ho",r~ rD LIF x. 1.75
G.bJr 8aftI Work on Front f...oed --119.60
1.x.7 SM Beam LlF l( 4.61
2x9 SM Beam - Uf lC. 6.76
".:een Door eA j( 62.40
Mise
SCREEN ROOM \VALLS
I..ap ~p LJ. + L! + __ ~_ ..ll.UFx 23.92
$<;reen Door Includes:
Clost'\' V14 Thresh()ld~....-- I EA x 71.00
Cable fill . ont sjde ..--- ,=-LIF x J2,48
InJw.te Kick '11(0-'- L/F)( '.00
Fan 8aIn (Not Wirf!d)-..=-7"" l( 52.00 '
UTIU'T'Y ROOM
Pu Shed + .. + - Uf x 2&.0'
With l~fAiwn -;;2;;-w;;d Studs 16'"OC
lAp EllUl' ~+ IIJ.. + &+ _ · Jt..tlF x %&.0'
Eli..ir [)Qo, and I Willdow---- -'- x 124.10'
Double EliAir Door I Window ~ 3.8.40
Slider Window (UlTlI}-'.-:L.." 46.10
Blli Sh idd-..------. -----.. LI:L UF x 4.16
Mise
VINYL ROOM WAl.L.5
Vinyl Wa II s_ + _ +_ -to _- _L/P,,_
!nsicie Ki~ Pwt'--......-..-- Ufx 4.045
Lap Top insi<M and QlJt ...-.. LlFxI2."
florica OJaa..-.----~ 1.IF Jt 3.)Z
Lnsulllc TQp lInd'Bonom-...=UF x 4.45
Doors Includt (2) 2 Traek Units
TIlreshold and c.:1~":"--- _fA ll; 119.60
Misc.
Gws Room W.JJs
SiDPHunlWIzldoM _EA'1._
Wdls ... + ... · l.Jf It
...-. .....-- - - ----- -----
Il S)Ccm lP&Iated ~f_:t _. _UF oX _
Mile:
LIp Si4in&.. -a..t.LlF x 6,24
. Hand ~ . _L:f)\ 15.60
'~ep~i1ing~. , --~-L-F.^ )( 72.10
au.s.,t)oor. -_x~EA It
a.qc Door Hteder--_x_EA)(
MiK:~
ALUMlNUM TOTA!.
CotlC.rete Qnd Brick Work
PaUo Slabo--- .L3..-~" ...l!ar.Sq FI" 2.00
hOo Slab----.L.Ct-x -.t.1.Q.Sq Flll. 2.00
hQO Slab .____x -~Sq F(. 2.00
Si4e' W.Ot. .........tl-..:F · ..zz..Sq p, x 2.00
Dri"."..y- -4!L.. .~Sq Fr x 2,00
Dri~PIab-..L.x ,(, ..J!.L.Sq Ft l( J.oo
Air CoDditioner Slab x - Sq Ft" 2,00
R.aisod1EUry Arq-:=I1]Fr X J 1/2" 30,00
RaiMd.Palio6Counes.L.L.JIl&.-....tU.Sq Ft x 675
R.t.iJed Patio 6 Coursu_x_. _Sq Fr x 6.1S
OveT6 per tl,. C~..L..x~ - ~lJF ~ a.ao
Footer (Ix12 Reinforcedr- . .,I!!LJ../F.. 3 SO
ttooI... (StittiaJ) ----~LlF lit ~uo
, I Thael Step n____..._._ EA x 51.00
2 Tread Slcp----.--....:-..__ I fA ~ 116.00
rr...Step --:r.EA 1t 174.00
Seep PIal:forrIl~ .. - _ EA It 1'$.00
8ridt SkbtiDc Ma:x 5 Hip
Ow.r S per ft per COW" cb....c _ llF J( I .60
, Sp1i18riek Air ~ ~L.ff '" &.00
SplilBridtSoJid--. .--"2-UF x 9.00
Over S per t-per ~ cblrJc..l:t.-l.Jf x 1.80
Fill Dirt Loe<u x
,.,... . . -.-7
Mile: -
onerete
umj"um
Permi I
TIX
'TotaJ
AlJ ~~I,-'_W\abl.r~"_1WI,~~~O".(I.$~,. __will ""......
... .1I..._i4 _"'0 i.u.tWolS. ~t~AOB~ftO' J."',.". aUnM)o', _It.-..,y .......11"""
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LEONARD G. "GEOFF" WOOD. P.E.
4034 THE FENW A Y
MULBERRY, FLORIDA 33860
(863) 646-5517
l)ate: 11-23-01
B & H Construction
Zephyrhills, Florida
Re: 2002 Jacobsen
Address 37340 Neukom Ave
Zephyrhills, Fl. 33541
Mod# CL 3-Special
Lot # 43
l)ear Sirs,
This letter is to certify that I have reviewed the above referenced project to
detennine the structural adequacy of the existing structure to receive the attached
structure. The proposed structure is roughly a 12x16 screen room
a 12x10 shed, and 12x26 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 of the 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.
zt;((~
4034 The Fenway
Mulberry, Florida 33860
100
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ALL WORK SHALL l........ ...J \....; L, IT. vA;Lui;..
CODES, STANDARD BUlLiJING, PLUM
MECHANICAL. H.E.C. AND CITY OF ZfP
ORDINANCES.
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Note: FOR COMPOSITE PANELS USE Ii 10 SMS rN
LIEU OF Ii 8SMS
Ii8XII2 SMS @ EACH RJSER
& CAULK AT EACH RIB
,040Tl-OCK E.XTRUDED OR
BRAKE FORMED HEADER
CONNECT ROOF PANELS TO
BEAM WI(') UXII2 SMS &
)II DIA X ,016 WASKER
EACH 12" PANEL
3. nXIf2 5MS EACH 7
12 "PANEL AS AN
ALTERNATE
CONVERTION FOR
MASONRY WALLS
1-3/1 THRU BOLT OR
2-1/4 THRU BOLTS
1/4" PER IT MIN PITCH
CENTER KNOTCH
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1/4 Xl 1/4" DRIVE PIN FOR CONCRETE WALLS
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