HomeMy WebLinkAbout02-1115
BUILDING PERMIT 0
CITY OF ZEPHYRHILLS Permit N_
1115
(813) 780-0020
Date 3- lJ.f'- tJ tz.
'75 ' 9:0-
BUILDING
3~'~
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
P'aperty Owne' )~~ft'fk4~
Job Address: <. ~ tp '-__ _ __ 7 5:._,
Parcel I. D. #
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
DescriDtion of Work
Energy Code: Radon Gas: Ii
r;lf (;) 5' 111' 5 CRwLJtriT. vJ ; % !;Jc~4~ II L.Jc..@.:;-
f ~
oJA y<j &(Y'
o
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or
Contract Price
5~ ";)6f) I ~)
/
Permit Fee
~.~
(. ^Ia,t)u~
City license Registration #
State Certified license#
kSignature
Company
Address .
,X'felePhone#lfI3) 71 S- D 7&2..
Dt...J j.~1'"
(JJ rJ211'
Ftr.
Pre SLB
lintel
FRM. /V~..J. JAJ ~ RL. r
#0'.
Insul. CL
WL
Tp. Servo
Rough In ';L./-/~- O'J..tL Lf
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final /
./
,.
Breakers
Ducts Insl.
Compres r
Final
BUILDING
ELECTRICAL
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.
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS
5L.~o
17~
).\-,
DATE PERMIT ."
'-IJJ~/OL IllS"
THIS JOB HAS NOT BEEN COMPLETED The following odditiqns or corrections shall be made before the job
. will be accepted.
L-Lt'~ (\e~(j ..J-v be ;"skJ'-ed un
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e cA. (.,\..." .\- /'u S ~
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of.
l (!~~tl 3~02~t'~U-j'
CITY OF ZEPHYRHILLS PERMIT APPLICATI(SN ~ _
BUILDING DBPARTMENT 5335 8~ STRBBT ZBPHYRHILLS, FL 33540
Phone:813-780-0020 Fax:813-780-0021
DATB RECBIVED 3 -c;2.b - tJ8--.
PLANS REVIEW FBB
OWNER'S NAME Lou)(Qnce h"ipJLr
JOB SITE ADDRESS SLR30 Ii \-ht)-t.
PHONE C()NTAC~l~) -7)3' -07~ C
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #~- ZLt .-2/- OO}O -J[J90D-DJ20 (OBTAIN
WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION ~LTERATION
DSIGN 0 MOVE 0 DEMOLISH
FROM PROPERTY TAX NOTICE)
o REPAIR
o INSTALL
PROPOSED USE;~SGL FAMILY DWELLING
o COMMERCIAL
DMULTI - FAMILY
0# OF UNITS
o MOBILE HOME
o OTHER
o INDUSTRIAL
o SWIMMING POOL
DESCRIPTION OF WORK
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
ffi~I,()~;{1j QtVp.or::!: i~~ rmnhal WaltoJi1a~.
c9a X f L SQUARE FOOTAGE 1 HEIGHT ti2.. ..['-1-,
BUILDING SIZE
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
~ BUILDING
~ ELECTRICAL
o PLUMBING
$
5,(!)OO
.
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
'N('
/' FLORIDA POWER
o
W.R.E.C.
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS 0 ROOFING 0 SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION~LOCK )X(FRAME
FINISHED FLOOR ELEVATIONS ~'~'(l~
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES ~O
BUILDBR t"'
SIGNATURE X7 flr~ y;J, KI.F
*********************************************
BLBCTRICIAN
S'GNATURJ<;0 Un];;; K ( l~
*****************************
COMP
ST E CERT OR REGIST #
TY PROCESSING #
***********************************
PLUMBBR
,/
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
..
" '''..
*****************.**********~*************************************
SIGNATURE
COMPANY
TATE CERT OR REGIST #
CI ROCESSING #
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
**********************************************
('
OTHBR
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The 4nders~gned understands that this permit may be subject to ~deed restrictions" whL~h
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 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type
and whoD did Ddid not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid Oiid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
'.
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SKETCH ADDENDUM
Borrower or Owner Kie r
Property Address 5630 17th Street
CUy Ze h hills
County
State FL
Zip Code 33540
Lender or Client
16'
Storage 12'
16' Carport '2'l.
Covered Patio ~
10'
17.4'
Open Patio Family Room
12'
9.3' 13.3'
WID
Dining Bedroom
Kitchen Area
28' 10 28'
Garage \
//:..
Living Room t
'X Bath -' Bedroom
0
14' 40'
SUMMARY SOFT
Living Area
First Floor 1329 160
Garage/Carport
Attached Garage 392 84
Carport 160 52
Storage
Storage 192 56
i!f.,,;,
First Floor
17.4 X 40.0-
9,3 X 28.0-
13,3 X 28,0-
Total
EA CALC:'
696,0
260.4
372.4
1328.8
Pardu. . Held Churc:hSm'ith & Iif.,..,. ., "ilrj1ic''./)~i1~.,\,. .
REAl EASY SKETCHES 1-803-967-2833
Pardue, Reid, Church, Smith & Waller
13.','12/<:)9
1():36
ASM 5~'EYIl.c ~ 9893647
r'~u. :':"l.;
U"u..
PLA T OF SURVEY
O~Ip-now. (AS f'URMIDtIi:O)
,.ens '2. , I AAO 14. B\.OOC 108, OIlY Of ZiJlH"HILLS. ACCQROINC TA fiiE Pl.AT nttRECW
AS Mr.OROm IN PLAT BOOK 1. PAGE 54. CI" ntE PUBUC ~C:OAOS Of FtASCO COUNTY, Jrl.OIUOA
E
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I. 'l1'lf. SURVEyOR H-'5 NOT -'\8STRACTtD 'HE
L~O S140WN tiM(()N "OR USt:NrNl$. 1'11\01'11'
Of WAV. ADlmlCllo-S Of AECORO_Oi
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2. Ill() UOfDCAOltOUHD "'''\IlO~NTS H"vt ea;1\I
LOCA1t'O iXCEPT AS 1ill4OfoN.
J. NOT "1lUII .1WI'llIT 1\lC llIGH..1UR( Nfl> not OA\CIJtAl
"",$tO SOl OF ... Fl.O~A UCBiSED !iIJIlIltTQIl.
AND ..APPER.
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County of
111111111111 1111I11111 11111 1111I111111111I11111111111111 ,~.
2002048429 . . .
y (l:,j) ~()
state of
-----
+-- ~C)/\" r\ ~
NOTICE OF COMMENCEMENT
THB tmnERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
follo~ing information is provided in this Notice of Commencement:
1.
Description of Property: Parcel No.
11- 26,-2 J - On J 0 - IDcfoD-{)/ZO
(Legal description
of the property and street address
& (' ) PDA~/ (L
fa- ({
if available)
2 .
General Description of Improvement
dd y:
~~D(C}---\-t
I
3. Owner Information: Name
R l~ddress S- (030
Interest in Property:
~ LCl- wr
City b pit \ lV-It I' US
I
(.
State -EL
Name of Fee Simple Titleholder:
(If other th~n owner)
Rcpt: 576801
DS: 0.00
03/28/02
Rec: 6.00
IT: 0.00
Dpty Clerk
Address
City
Stilte
'1 .
Contractor: Name
cO{ l \n,lr
Address
City
State
5. Surety: Name
Address
City
State
6.
Amount of Bond: $
Lender: Name '- <;---L.A/YL (C)f.i..A-I -j; rl/L/\. .cJ
~Ucf,'-+ (in,' ~.
Address
City
State
7 .
Persons within the State of Florida
notices or o~her documents may be
713.13(1) (a)(7), Florida Statutes:
designated by Owner upon whcm
served as provided by Section
~~~2~~~~tlArf/J: ~~:~O fOUNToYf C'iERK
OR BK 4901 PG 607
tJ~mc
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florlda Statutes.
<J. r:xp.irn1.l'Jn dnt.e of UCJt.lce of Commencement. (the explratic..n date is 1 yedr
fr~m the date of r~cording unless a different date is specified.)
Signature of Owner:
-tJ",
me this ~g.. day of '-n\(\J\1'.h.
"
Sworn to and subscribed
)..g, ;)/)lJ :h
Not.:lry Publ ic:
My C'J:t1iOlj ssion Expires:
lCl/\ L NOT/I I-:Y SEAL
V.I:":I.~jf~:S HART
r ~r ,
PC93053048
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