HomeMy WebLinkAbout02-1124
BUILDING PERMIT 0
CITY OF ZEPHYRHILLS Permit N_ 1124
(813) 780-0020 JJ -'J
Date ' r - ~ r 0 :2..
Sewer Conn
Water Conn:
1+\..1 SS/f!.l'~ Water Meter:
G,r~ 1Io~/~ T.I.F.'s:
fV\ H f?
MECHANICAL
BUilDING
ELECTRICAL
PLUMBING
Property Owner:
Job Address:
Parcel I. D. ,
~0/1~ f?hl1-~fS
.1 5/ r e-v\e... l ve,
Zoning:
DescriDtion of Work
Energy co~
Q.(J/~(e Y1W .
~
Radon G~s:
{,a..- LJ .-....cU-W 5
FINAL
DATE
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.
DATE
Inspector
p~rmit Fee ~5' n
YSlgnatu~~~
Company
Address
~elephone# fB(3. 01.4.."7 1.3 b 0
Valuation or
Contract Price
& I L( 5'y - ()O
;21/ V
City license Registration #
State Certified license#
7(rnA ~ sen/.
Ff
BUilDING
ICAL
PLUMBING
MECHANICAL
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SlB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compress r
Final
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 ZBPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTMBNT 5335 Sth STRBBT ZBPBTRB:ILLS. I'L 33540
PhoneIS13-780-0020 l'axI813-780-0021'
DATB ilJICBJ:VlID
PLUS RBVXBtf I'BB .
OWNER' S NAMB(,)~",,.t;; ~ Pt'rl]~ ,(" ~S' sl ~ ~
JOB SITE ADDRESS 37 ->l o Lap.. ~ 1'Jp, !r0...
PHONE CONTACT
SUBDIVISION &1A~ 0 M-6LJ'Z..~ ~ P.4,&E ~
LEGAL DESCRIPTION. LOT(S) ('3 S
PARCEL ID #
BLOCK
WORK PROPSED: DNEW CONSTRUCTION
(OBTAIN FROM PROPERTY TAX NOTICE)
DADDITIO~
DALTERATION
o REPAIR
o INSTALL
DSIGN
PROPOSED USE: DSGL FAMILY DWELLING
o MOVE
o DEMOLISH
o MULT I - FAMILY
0# OF UNITS
D SWIMMING mOL
D MOBILE HOME
o OTHER
o COMMERCIAL
o INDUSTRIAL
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~ .'
I?ESCRIPTION OF WORK ~'tM..A. 1:1 R€',B~~'.S( v>v.abl.lI.J'.J" >t24Z ~~/ ~
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
~TTACH (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.
PBRMITS REQU8STBD
Ip.-BUILDING
$ 6Lr.f"g.. 00
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
D PLUMBING
D MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
D GAS
D ROOFING . D SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLqCK
o FRAME
o STEEL
D OTHER
FINISHED FLQOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA DYES D NO
:_.1 :,: ,,:,' , ',' ,': :, C'. I , : I ,".', ~ _ . ,:' ""~":"~."<\.':
BUILDBll
SIGNATURE. ~B :
. .t?-
--
COMPANY /( "Y'L--A 1~'S~,hUz~ ~ e:.-
STATE CERT. OR REGIST # CRe 0.:>-8 $"6e
CITY PROCESSING # c:t C( I Lf.
************************************.******************.**.*******
BLBC'l'R.ICIAH
SIGNATURE
COMPANY
STATE CERTOR REGIST #
CITY PROCESSING #
**.*.*********.******.********************************************
PLUMBBR
COMPANY
STATE CERT OR,R8GIST #
CITY PROCESSING # .
'>.", SIGNATURE
IIBCRAHlCAL'
**.**********~**************.*********************.***************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
************************************************...*......****..*
O'l'BBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
..*.*****.******..***********************************************
r,',
CONDITI0NS OF PERMIT AFFIDAVIT
A. NOTIC~ OF DEED RESTRICTIONS
The undersigned underatands tljat thia permit may be eubject ',to 'deed reatrictiona- wbich"
may be more restrictive than City regulations. The undersigned assumes responsibility for
com,pliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner haa hired a contractor or cootractor. to undertake work, they..y 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, 813-188-66ll.
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 113, FLORIDA STATUTE~, ABAMENDED)
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 uowner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the uowner" prior to commencement.
E. CONTRACTOR' SimmER' S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all ap.plicable 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"r understand that the regulations of other governmental agencies may apply to
the intended Work, and that it 1s 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
*S.outhwest 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 flll material is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a ucompensating 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 00 NOT NUD TO RECORD ANO POST ~_'::F ~__"
SIGNATURE: OWNER OR AGENT ,....c' SrGN.ATURE: ~
STATE OF FLORIDA STATE OF FLORIDA (V 'e&
COUNTY OF COUNTY OF . ,,__ 6L-5l.
The foregoing instrument was acknowledged The foregoing instr ent was a
Before me this _ day of , 1~ Befo e me this ay 0
by by
(name of person acknowledged)
.0 who is personally known to me, or
Owho has produced
( type
and whoO did Odid not
of identification)
take an oath.
owl edged
, a~~
Signature of person taking acknowledgement
Signatu~o"of persQn takinci acknowledgment
"",.,.,v.r!% BObbleSwetlClfld
~~A'A MY COMMISSION #CC893160 EXPIRES
~~'. :;: Februnry 22 2004
Name t.;YP,~: I>>~i'i~RCl(ftIN I~WipIt!l'd
Name typed, printed or stamped
2
::
~
>
~
~
~
~
...
~
"
~
n
c
2
"
~
~
>
2
"
S
>
~
>
"
'"
~
>
~
'"
i
~
"
~
~
~
~
>
2
~
>
"
'"
>
"
~
~
~
in
~
~
Cl
>
n
n
'"
."
-i
'"
o
O:l
:'"
Vl tTl;xl > (j tD
c: ;:Q rT'l c: ,., -<:
~ b~~8::
=i ~~~~6
rri ZN-C:
o ~8~~
~ g8~a
R~~~
-<:::aoc
~5~~
Oomcc
,.,?,>~
~d~~
?;;<a~
tTl~~~
-l::;;mtTl
~~a~
;;laiii~
f~g~
>:::Q~
r"'" '"
~~~
C3::0):
~6~~
~~~~
::Q~E;
R2~F;
C -ltTl r'!"I
~~~~
a8Q~
~6~~
:::"",C
z~~~
> ><'l
to:> ~..,
~ ~=;;d
t ;:cIz tTl
~ ~~~~
-1m.. -
,~ ~a:;~
'.51 ~~~~
:'\) On tTls;:
z""o-<
~Q~g
;::r::l-!-l:::O
~
Ii'
~
~
~
~
~
I'
~
~ijf'..-
r) ().
"
N
co
,
C)
N
,
co
N
'"0
co
'"
'"
V<
~
~
=<
'"
"""
"'-<
ih:
~g
OC
~"
>"
<'lei
Oz
...>
-<....
OC
~"
....'"
"''''
Vim
85
z."
~~
nr.i
....>
>"
z"
"",
....'"
~i5
<'l'"
0'"
:::'"
...0
r"C
",z
....'"
"'",
"'-<
~~
-'"
r;;....
0'"
~~
'" '
",0
z'"
0::
"""'i=
():.Il
m<'l
00
."z
n-i
>"
z>
<'l<'l
"'-
r"_
r"_
>"
-lC'!'l
0>
zn
, '"
z
o
~
"
~
~~~
!: ~ :I
~~~
, .
~~~
.....
=: ::I iii"
. . -
;'oS ;:
~;-5l
..." .
~ ~ &.
~ g";
;;o~
- -"
[f.~
rH.
~;!:
':C ~ ~
~g:
g~
: =
. ..
~. ~
~..
, "
cr: ~.
,g e
!.~
-~
. "
,,::>
",.
~~
i~
; ~
tll ;ii'
,
i =
~~
..z
~~.
...
-, ,
. -
l~.~:l !":
_=:"""CI-O<2.
o "CI .., CI
- t;" 0' c c:: ...
;; t;' 1:1 ~ <II~'
IIIl . :II ., 1Ii'::I
~ C":~ ~ ~
!. ~ 1iQ':-' n
~~:a::~
"g,,!:~ :.:: ~
""c:rn=-::r-
g.==i':Ei'
~ il ~ ~ ~
~!g.a..a~
~.gQi:;
~~'~.g~~
eg~::;aF
g'a~<~C'
;; ;: 0 0 - Q
.., n ... = -..e ::I
[3~:~;.
a.a; a~.~
[~ a; ~ ~
:. ~ E ~ ~~
;~;.~.:::
g !-7r ri ~ ~
~~~gi~
:-a:~:f
;. ri 3 ~ F
~~"igg
Qa~~.~
i.~a;~
i';1!: ~ Co
:I "' e IJQ
ga:~:
~~. ~ ~ ~
~ 6'" :r e
;.a~; ~
~~; !i.~
=-0'",~1fQ
~:~e.~
:r::~"'~
"'.; ~~=.
~.E. ~~. ~
~agg~
ll~
~ ~
a ~
,,:0
. ;!
l~'
o.~
g 3
3 g
~~
;rc..
c..=.'
" .
~l
. 3
~ !:~
~ 0;.[
~ ~a
-i .g~"
~ ;~
c:: n'<
Fi ~ f
s: h
en . '"
r.rI ~.&l
'" '!l;;
2.3
.!I~
[8
...
-g g.
:1 .
~. ::r
.
-6
~
.
'"
I
..
~
E:ifd'
~~~
~i~
II!
d':r~
f=l n _.
:7'",-, 3
~ g. 3
~~~
~~s-
~ ?-.g
VI _.:1
0":1 '"
g-~~.
2:g.~
~~g
". ~
5..g ~
~ ~l
. .. 0
~~:~
=:o::r
'" 0 .
[=~
g: g-.~
0.....
~~~
~~[
~o..
~ Ii'"
g ~ ~
~l~
Q~
~. (')
!l
~~
~ a..
9.~
. n
=.;~
:r5.
"g~
~~
[~~
~i~
~.~ ~
o - .
o:"lolJl:l
~ g ~
~ 0' n
g. ~ 3
H~
!:!..c-::r
i.!~
?;~
>~
'" 3
;; .
Ii
~~:
~ .
;; 0
~i
. .
"''''
~ ;;
~ 3
~'a
~~
;=.
. 0.
u~
g' ~
~g'
!~
,,-g
n =;:
a 2..
Eo
~~
. .
,,~
. .
. :1
~ 8-
c..!!.
8,~
. '
Sa;
3 :1
~~
'"
> " n
,.. ~ - . c
> ~ =. ~ C 3
:z ~ ~ i!-
n- :z ;c
",0 =- ~ e. n'" > or.
=- !!~ >
0;:;" c> n ,..
~.. ;;:,.. -i ""
",;;; :~~ .,,> '" > >
,..:Z
c'" ~r~ ",n '" .. ;;:
:z~ -i'" ." 0 C
n3 :: a g -" c ~ ~
00: o~ en z z
;;:- :a~ :z'" =i -i -i
.,,;;: . - .
0. . .
,... . .. "
",=, III ~ Ff~
-i"
-=- ;'H
0."
:Zoo ~ a g.
"'~ .... ~ (J;.
'" :;..:g ::I .?\ ~ ....~
,.. i!. ~ . ~
c .,- -
::;: ~ ~ ~ ~
~::;;
[~
:i ~
~ ::l
o 0
o.~
~~
: ~
... ~
~~.
~~
~~
=3
. .
!I a
~O'
. -
3. ~
a ~
o~.
H
ig.
, "
~~
f:' ~
g'~
",n
:~
I
~
g:
0'
~
VI
KI"
t: <>0_
~~
~~tl~
~ ~
J ~
:;
t
..
;;
3'
.,.
~
If,
~
'"
i.~.<i
.;;:-
.. ~ i1" ~.
n 3" :::::
~ ] ~ ~
i ~ -.
~ r1.'\ f
~w~
~ > l.'
1 ~ .
i ! ~
Q
a. ~
.
"
I~
lk
~~
~a.
~~
H
.~_cnl
ill Hi
ce _ ;::;::T:;
=- ~., c.. -! 3
a.:.~ Ul ~ ~
-.-, Il __.
= "", r...... e
s-g.ii ~3:1
~ =_ r. n _
~~!~;H~
- e -. _~
~ ~~ ~;; ~
" ~~ ~i ~
H ~i~
a~ ] ~ ~
] ~ [~. a
[~ [~~
~ g !~.;
_., n Ilol 0
::T ~ O"::"C
~..!.. .., c..!:;
g-~ ~ ~.:;
~a g~ g
Q C;" e:.. n e:.
;~ ~ g>2.
~~ ~~:
;;.:. -g ~. if
~g. :1g,~
Q. ::T - 0
*;: ~ g.;i
i-~ ~ ~ ~
=~ ~ 5
COon :::l
~ ~ ~ ~
"'C 3 V1 ri
~~. ~ ~~
. ~"
E~
[~
~
~~
~6
;~
o ."
5>
Q ..:
z ~. ~
~' ~ ~
~ ~ ~
~ e.g
, :z
~Ul
~~
cr:::
: r [
g' ~ ~
~ g. fi
f: ~~,
~ n ~
~ l~ ~.~ ~
~ " "'
~ ~ . <:
~ ~;;
~ ,,~::;
c '"
~
;>
,..
,..
>:
C
2
'"
C
2
'"
;>
'"
--::e
~~~
"';J!
~
~
N
-5
.~
-J
Return to:
Name: RMA Home Services, Inc.
Add.ress: 3200 Cobb Galleria Pky. Ste.
200, Atlanta, GA 30339
,R;.
~~~~~~~~J~II 1111111/1/ 111I1 11111 '111111'" 11111111
This Instrument Prepared By:
Name: Peggy Payne
Address: 3200 Cobb Galleria Pky. Ste.
200, Atlanta, GA 30339
Rcpt: 574607
OS: 0.00
03/20/02
Ree: 6 0
IT: . 0
0.00
Dpty Clerk
~f92';~1"'RN PRSC
OR 81( 48904p", 0 POUN~~ ClERI(
3 PG 264
Property Appraisers Parcel
Identification:
,;:
NOTICE OF COMMENCEMENT
Permit No.
Folio No.
34-25-21-0090-00000-1380
STATE OF FLORIDA
COUNTY OF Pasco
The undersigned gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this NOTICE OF COMMENCEMENT.
Legal description of property (include street address, if available: Lot 138, Grand Horizons-Phase One, Plat
Book 34, Pa es 99-102, ublic records of Pasco Coun , FL NKJA 375/0 Lorena Aveune, Ze h rhills, FL 33541
General description of improvement: Installation of replacement windows
Owner Information - name and address: Wayne E. Husslein and Phyllis J. Husslein
375/0 Lorena Avenue, Zephyrhills, FL 33541
Interest in Property:
Name and address of fee simple titleholder (if other than Owner):
.' . ---'~, :'," Contractor - name and address: The Home Depot Installed Sales
8: , '.~ 1212 North 39th Street, Suite 402, Tampa, FL 33605
, : Phone Number: 813-247-1300 Fax Number:
~,~,!1 ;:; Surety - name and address:
Lender - name and address:
Phone
Number:
813-247-1313
Fax Number:
Amount of
Bond:
$
Persons within the State of Florida designated by Owner whom notices of other documents may be served as provided by Section
713.13(1 )(a)7., Florida Statues:
Name and address: Wayne E. Husslein and Phyllis J. Husslein
37510 Lorena Avenue, Zephyrhills, FL 33541
Phone Number: Fax Number:
In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13( I )(b), Florida Statures. (Fill in at Owner's option)
Phone Number: Fax Number:
Expiration date of Notice of Commencement (the expiration date is I year from t
01
Si~f wner
Ph~ 'J."Husslein
Printed Name of Owner
Printed Name of Notary:
Commission No.lExpiration:
........................"....................
III"'I.~ R. YVENPeI,.L ~KINNEY :
~RIm88103 :
· . EIlIIiret 1131/2008 i
iJCIF landed through i
~'''"'''' P1DrIda Notary Assn., Inc. :
.....TI.....................................
/-31-~
~~.'" /-\ ":-~.:- C;F~ F:.....~;,~ i :<~, ~\
OF pt'lSGO
- ".., Tel C:ZF:: 'i!.- lril\TTHE FOREGOING IS A
T, , L \',"'::i' II : hE OOCUMH.IT ON F'LE
~~2:,;'fl.", ::;:~~N~~~~;
':" ,'.,: , .: 1:...,/ ,I'J," , 3,:, ()f' WGUIT CURT
L J'_____ ___. dTY CLERK