HomeMy WebLinkAbout02-0974
BUILDING PERMITN~
0974
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date
r2 - ?-o;)-
1/-;; .50
BUILDING
~s.~o
ELECTRICAL
PL~G
MECH~L
Sewer Conn
Water Conn:
::::::~.'37~-'):J' ~ !lv::II~d-5
Water Meter:
T,I.F.'s:
Parcell.D. #
Zoning:
Description of Work
Energy Code:
S (' AOC2A.-) ~)
RrnG" 4<(0
s ~ (t' C:' t<Yl~
NO OCCUPANCY BEFORE C.O.
FINAL
3 -~~ -O,;l
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
c.o.
DATE
City License Registration #
State Certified License#
Inspector
Permit Fee e5~ t>
;xSignature Il. ~t..c..P
Company
Address
;>t'"elephone# 71'2--1 o(~r
Valuation or
Contract Price
/(). if ~1.. :l V
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13/11 ~.
/}c-e
, ~ /1'7
ELECTRICAL
PLUMBING
MECHANICAL
BUILDING
Ftr. ./ ~I (-0"- tl50 (H,VTp. Servo
Pre SLB ~ l-o A. !-f.i'o, ~l. Y Rough In
Lintel Meter Can
FRM. Const. Pole
Insul. CL Pool
WL Pre-Meter
J Finalv' ":? - :>':2,02 f<.LY
Driveway L:(-tl-o~ tiJo,Rty
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
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.
******************************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
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 ~AH 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".
SId1~~ERll~ SId~oJlf.;~
STATE OF FLORIDA PAS-co
COUNTY OF -
The foregoing instrument was acknowledged
Before me this '2r day of }./DV~MAIi/l., .8~ (
by r;!lJ~t;; f3~ '
~ame of person acknowledged)
urwho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was ackn~ledged
Before me t~ _~da:i. oJ MvE/YL.~, >>~ (
by 'J-(;; Bf"Mc
(name of person acknowledged)
~is personally known to me, or
PASCO
Dwho has produced
~e of identific,atiOn)
and who Ddid Bfid not take an oath
B~ A- ()k~
Signature of person taking acknowledgment
o who has produced
(type of identification)
and whoD did [Btt'ld not take an oath.
3~L~
Signature of person taking acknowledgement
Name typed,
15f2.UC Y= ,4, {})IJ{[ L-
printed or stamped
... ~ Bruce A Asbel
#. Uu eommIasion CC74B677
* *....
,..,,~ expires June 22. 2002
-IJtwcr: A- l fJ SO {fL,
Name typed, printed or stamQ~,
~.... Bruce "'AS
#' b,""i> 'asion CC748677
~ *Mv CO",,",
t.J' Expires June 22, 2002
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11/19/01 MON 15:40 FAX
B&H CONSTRUCTION OF CENTRAL Fl.. INC,
4025 Moms Bridg. ~ad
FREE ESTIM...tts Zc~f1. 335.3 1-800-224-1206
~002 '
Licen5e.d--SOaded.~. SJcittioJ,.. Steps. Room AodditioAs.AJuminum-Collccete
Lolli ,~> ,Subctivision r1.1f,1~ Ntrc.lJfi.'" ~6. G~M// ~~/;'o~J
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Pa.o Color
iN:l Color ~ '2f7"
II8GmCOI~' ct.::=? 7 U2
AJlllIWflinYm roo& U\.:hsde'; PeM. TI"im. O\.lft..
I Do~ );"J p~ ZX04 ... ~ $!UaJlo Flub.
:t2..PIQJ..L!..ft l.on&4ll.Sq Pt x 2.15 - 3.15
LJ'&n$..1l..ft Lonl.tZSLSq PT l( 2.'S - ~.JS
L?a.ns.LiLFt Lon~..ti.-Sq Ft x 2,7S - 3,15 .
I ,"_rans..L12-Ft i.,.Qn~~~ Fnt 2.75. :U5 .(
V.llhce_Fron(__R.elv~LIf' ~ J.64
Qa~":; ;;<< Hc;r:ut_ ,p" l..'F 11; 3.1$
II Gabl~ 8a1tl Work 01'1 Front load -119.60
~J(1 $Ni ~_ I.If x 4.61
A9 SM Seem UF x: 6.76
i A~ Door - EA x 62.40
I Misc - '
SCREEN ROOM WAllS
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I Lap KP LJ..:" Cf.+ .0.....+_ -.!L..LJFx 23.92
Screer, ~ l:t~h.-d~:
CJOKT &rid ThtUhol<l-~..LEA 'l( 1&.00
<;i.~lt' fiU. on~ sid.. ,----- L1F:or; 12.41
Inrutltc Kkk PI't...-~-_. ~ l( 3.00
Fan Beam (NO( Wired)-- _ x 52.00
uml1'Y ROOM
hn Shed ... ... ... ,. \orj: lit 2a.O&
Wilh lx2 A1WT1 ~ h:4Wooc! ~I 16'" OC
W E,'\.u:. a.. ~ L. J.J...'" L - ~ ~ Z$.O!
Elixir Door lllld I Window---..L.. x 124,30
!)t..u~Jo: Eli.o:ir. 0t;0Qr. I Window .. 341.40
I Sli<!t-r Window (E~\t'll)----"- J ~ 46.80
I BUi Shicld..---------- _ Uf x 4.16
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VINYL '.OOM WALLS
Vinyl Walls ... 'r + - lIFll.
lr\Slde Kid t\ate=-== LJF1-.us
Lap Top inside ~d "VI -----~. l./fXl:.48
fl6riJ~ Gla,,-------- liF ~ 1.32
Insulate Top andBot~orn-- _l.IF x 4,4~
Door: }ncJlJde (2) Z Tf'6.~ l1Rit.~
Threshold ltnd Clc>Ser-----_EA.ll 119.60
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lAp $&4iaa- ..... .- ...LL.Z..1.IF x 6.24 L O$} IhfJ
, HPci biliDt ,no I..If x I ~.60
Step Rallih'---------- _..Z....J:A x 72. 10 ~u (:', L"
~Do- ..... _x_fA ~
0.,... Door He.der--_x_EA ll. .
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GJus Room Walls
SiDJla Hq 'WlAdowt _eA li'._
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Concrete IDd 5riclc Wotk
PatioSlab--- ._--..a....~...cL.-~Sq rt '( 2.00
htioSi..----...it.-Il-2........,U..5... Fl i< 2.CQ
htto SJ.t.---------.-Lx~ - ~Sq 'Ill 2.00
Side W.lk-......- ...L-x...f&... -1.2..-Sq J:~... 1.00
.~6(U' OriYeWll) ~x~.-1ff.SqFtx ,2,00
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. er SJab-1Z..~~ -~Sq Fe I(, 2,00
bis.ed " Ara-_l 112" -K....3 112" 30,00
'RWedP&tiO'~ieS_X_.._SqNX 6.75
R.aiad Pallo 6 Courses_x_ - _$q Ft ~ 6.75
Ova'6'*ftperCOW'S_~_ -~L/F ~ UU
F~ (':d2 Re:intorc.d)--:----- /,1" lJl::' " 3.:;0
f'o:t# (~ing) '-'-"-'-....--.-..---:::ir...VF., l.~O
1 TI"OIdSlcp .. .-----_ EA )\. .58.00
11#. ~~, 2 Trad Sccp----. EA )( 116.00
/~iI,60 ~Srcp '~.E^ )\ 1"4.00
Seep PlactCll1D _ CA ;x. IB.5.00
~,I'O Bricot Skirtinl ~ S HiJb
Ovtr 5 1* ft per COW-Ie chvSe _ LIF .. 1.60
. Split ~rid Air Slack' __L/F )(, g.OO
Split Brick Solid --~L1F l( 9.00
o..w~,,....3 fM' C~ch"'ae _UF Yo !30
rill Pi.r1 _L<lad.s '" _
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LEONARD G. "GEOFF" WOOD. P.E.
4034 THE FENW A Y
MULBERRY, FLORIDA 33860
(863) 646-5517
Date: 11-23-01
B&H Construction
Zephryhills, Florida
Re: 2002 Jacobsen
37526 Neukom Ave
Zephyrhills, Fl. 33541
Mod# CL 3-4487 W
Lot # 25
Dear Sirs,
This letter is to certifY that I have reviewed the above referenced project to determine
the structural adequacy ofthe existing structure to receive the attached structure. The
proposed structure is roughly a 12x14 screen roo~ a12x8 shed and a 12x48
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 alurninwn engineered drawings.
As always, should you have any quesgions. Please feel free to call me at ay time.
. eo nard G. Wood
4034 The Fenway
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CODES, SJAlDARD BUILDING, PLUMBING,
MECHANICAL, N.E.C. AND CiTY fF 7F.PHYPHll ~
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2002022554
Rept: 564775
DS: 0.00
02/11/02
Ree: 6.00
IT: 0.00
___ ~ Opty Clerk
~~91~~~~"AN3 : G~S~O fOUNT:f CL"ERK
OR BK 4857 PG 197
5 ( <1 t e ,~!
'C/A; ILt Of}-
NOTICE O~ COkxENSEKCHT
County ot YAS'"LO
7u3 lIHnekSICNCD hereby 9ivCla noticCl that improvement ,",ill be n'<ldo to c::rl~"n
re~l pr"perty, and in 4ccord4nce with Chapter 71), f'loridll Stlltute~, the
(ollo....inCJ in(orl:\ation i. provided in thi. Notico ot CommcncnlnCIlr.:
I,
De,crlptioll ot ProportYI
Nt uk () IV\.
ClSCr.Lptlon 0
Central DescriptIon o( Improvelllent I1LI//Vl11I/tlM
'!1~~
C' /
? ,
PfJ.rkAGE
), Oliner In(ocnlation: Nama c;lZl+A/~ I-/OJlfZON M.H.I/
l.dcJreu'7{,IfSCtu:e.J SLIJPL Dfl... City 2E'PI.f'1'fL/+/lA....f Stelte Ft I 31Sf/-'7tr-G.o
Interest in Pr.operty:
N61~e ot f'oe Simple Titloholder:
lit other th4n o,",nor)
Address
City
St.:ltc
R'
Contractor: N.:lme T34H (a;J5r{lUci{tJrv of CE/J,f44c /=-L l
Audress'folt{'htDlUl./j (J2(D6t 121). City 2-cfli'r/lHILl-? Stdte H. 3:JSLf}
S. Surety: NJ/ne
Addross
City
Stdt~
/Vl,ount ot Bond: S
6. Ltlnde r: Name
AdtJross
City
!:t<.ltc
7 .
Persons \.Iithin the State ot Florida
notices or other documents may bo
71J, 1)( II(a)(7). florida Statutes:
desi9natod by O'-'n;)r upon ""~c:T'
served os provided u, Sec::or
, /I.,me
Ac1d(cso
City
S t J l '~
8. In additio,n to himselt. O\oJner aOli9nctes
of to roceive a copr o! :~e
Lienor', NotJ.co 41 provJ.dod J.n SoctJ.on 71).lJ(1)(bl. flor.do St"tll:.;oL
'J. (~plrnl,';irJn dn\.. o{ NClt.ico ,oC COJllmOnCOmOnl',(\.h8 ellplrOllCln d.HU i~ ! ~'~,,~
/t?m the d~to ut rucordlnq unless c ditterent date is speci(le~. I
5 i CJ:l a t u r e ':) ( 0\.1 n e r :
R..L G 4 A-/l,...,p t- l
S~crn to ~nd subscri~ed belore me this
(k.CrJT
t/I1..l:L_
.; 2f){) l..,.-
NOLlCY Pub 1 ic:
~ 4 ruJ!
M,,/ Com;n, ~ S 10n E:xpi re.:
~ BlUCll A AIbeI
~ *My Commission CC748677
~''''''' Expires June 22, 2002
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