HomeMy WebLinkAbout02-1274
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1274
r/J
150'
BUILDING
(813) 780-0020
Date
1._ _ tOO _ tJ /J
If, , ""
_ #J
,).) .
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
:::::,~.:~e' 3~ if::1,~:" ~ (~/'
Water Meter:
T,I.F.'s:
Parcell.D. /I
Zoning:
Descriotion of Work
Energy Code: Radon Gas: 7. if r
eOllSe& 5CV~ ~ I C~f4- d- :5kLf)
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
-3~tJ~
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee
;Signature
Company
Address
,)delePhone#
~~iL.~
,
Valuation or
Contract Price
/S/ !?f/tJ. Or('
dfo
City license Registration #
State Certified license#
11/~- /60f
Ad- II C ;rw;;I.
/)tL #=- I;;' '7
BUILDING elECTRICAL
Ftr 4-11-(} /).. ItL[Jf[o Tp. Servo
p~sL1ri/'G . I g -09 RUt, ItibRough In
lintel Meter Can
FRM. Const. Pole
Insul. CL Pool
WL Pre-Meter
Final ,/ 7- )--0.2 ~'-Y
Driveway ~ -/ 3- t) :{ (?'~J #:10
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts In
Comp[ ssor
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.
/"
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR PUBLIC RECORD IN THIS OFFlcy'wJJNESS MY
H; AND OFFICIAL SEAL THIS ?) DAY OF
~ 't:-rLZ_ 2 a2.2
o P~~ERK ~F CIRCU. IT COURT
BY . .. 8"A'~--e~ DEPUTY CLFRK
~~~~~[~~J~II 11111 1111111111 1111/ 11111111I1 111I111I
Rcpt: 596918
DS: 0.00
06/18/02
Rec: 6.00
IT: 0 . 00
Dpt.y Ch,rk
~~91~~~~MA~9:f~;O fOUNToYf C1ERK
OR 8K 4980 PG 986
5 t <It e I' t F L Oll.( D.4
HOTICE OP COkxEHSEKCNT
County ot
PASCo
7ua IINnCRSICHCO horeby 9ive. notice that improvoment will be mllde to c~rtoJin
r.,)l pr"perty, and in accordanco with Chapter 713, rlorid.!l St.:ltute!l. the
(0110,-,in<;) intor/:lation it provided in thi. Notice of ConvnoncrnnCllr.:
I, oucription ot Proporty. Parcel No. 34-2r:>-71-{)UfO-02-8'uo-CJIO(
315)10 LA.N1J15 ' - L(). J 0 I
e.cr~pt~on 0 t e property an .treet II el
?, Centr.1 Description of Improvement IJlA/IY/{Nv/Yl PAcKrtc;e
).
O__no r In t ormat ion: Name Gll.lM/tJ !-lOll( 'Zo/v rVl '1-1 . f,
McJ res s 'l('LfF; r4tfiiV.5l.cf;J Of-. Ci ty 2Efli 'fl!-H- { L C5
State
FL . 5:f~-4-(-7'to
Interest in Pruperty:
NalAe of roe Sirnple Titloholderl
(It other thtn owner)
Address
City
StoJtc
Pi"""
/~.. ,
i:" hl\.
t.J .'....
...
Contractor: NoJrneJ3fl-l ccN>Tl-uc..r/wJ of CcA/r,A-L
^udress102~ m~21l.U Bllt J;r"t ~.cityz..[j?;-/yR./-l/u../
p'- .
State FL. ?,3s-'f:5
S. Surety: NoJme
Addross
City
StcH-=
!\l1Iount ot Bond: S
6. Lttnder: Name
Addross
Ci ty
StclCe
7 .
Persons within the State ot Florida
not ice s or other docurnents may bo
71),1)( 1)(05)(7), Florida Statute. I
desiqn.!lted by Owner upon ""r:C:1'.
served .!IS provided u~ Sec~~on
H ",n 0
M1dre.s
City
S t oJ l.'~
a. In additi.o;n to hirnult, Owner d'o.i9nat..
of to roeeive oS COpy o! t ."e
Lienor', Notlce a. provlded In Section 71J.1J(II(bl. flor.dll StOtli~O;>5,
V. t',~plrnl.~(Jn dnt.e ot NCltJ.co ot COJllmoncomon\.'.It.he expJ.cotl"n d.:lcU 1:s.1 year
tr?m the u~to uL rocordinq unless a diLferent d.!lte is specified. J
5 i C) n a t u reo t Ow n e r :
4GEtJr
.
Sworn to
.Za::>Z-,
NOC,)cy P'lblic:
8;U(Q /I. ~~
/1,,/ C om;n I 'i S ion E: x pic e s :
"., ~ Bruce A "~bel
;-li:ir *My commission CC74ll677
.,.WI ~ expires Jun. 22. 2002
~.,,......
'c' )0\ )0.,
ONNER'S NAME -~iZA-N~ l4/2-( CVII! 1Yl./1, p.
JOB SITE ADDRESS 3?~3fc LAIVI}15 fiVE LtJ-r 101 '
CITY OP ZBPSYRHILLS PBRMIT APPLICATION
BUILDING nBPARTKBHT 9335 8~ STaBBT ZBPRYRBXLLS. FL 335tO
Phon..813-780-0020 rax.813-780-0021' . 5- c;r A")~
bAT. lUICII:rvJID, .. - ~./(V ""-
PLUS .WID FRR ,
PHONE CONTACT 7f Z. - / ()G L(
LEGAL DBSCRIPTION. LOT(S)
SUBDIVISION &r;.t/t? )...k/l(cW /J1llrf.
PARCEL ID # 3i.f- J-5 - 2f ,- 0010 - D2rt/{) _ 0/ D I
NORK PROPSBD: ~W CONSTRUCTION ~DITIO~
BLOCK
(OBTAIN FROM PROPBRTY TAX NOTICE)
DSIGN
D MOVB
D ALTBRAT ION
o DBMOLISH
D REPAIR
o INSTALL
PROPOSBD USB: ~GL FAMiLY DWBLLING
D COMMERCIAL
OMULTI - FAMILY
0# OF UNITS
D SWIMMING. PboL
o MOBILIIl HOMB
mo:.r;ER
1:Jt-V/YlI/VU ItA
',<
o INDUSTRIAL
BUILDING SIZE
o . RESTAURANT & HEALTH DEPAR.~M . T APPROVA~)
(Jjij). . 'to ~
I L)(IL 12.A I ~E. 0 .5QlfEN' !2IJlJlY!. I ::Jo 'iI/ZIeJIl.TJ I f) X /2- b I-lEo
I . I
SQUARIIl FOOTAGB 1 Lf~ HBIGHT
QIISCRIPTION OF WORK
RIIlSIDENTIAL: J,\TTACH (2) ~LOT PLANS & (2) ,SBTS OF BUILDING PLANS & (1) SET BNBRGY FORMS.
COMMERCIAL. ATTACH (3) SBTS OF BUILDING PLANS & (1) SBT IIlNERGY FORMS.
PROPBRTY SURVEY RBQUIRBD FOR ALL NEW CONSTRUCTION.
g-1lliILDING
~ECTRICAL
PBRMITS RBaU.~TBD
$ 15R~o, of
VALUATION OP TOTAL CONSTRUCTION
AMP SRRVIeS
o FLORIDA POWER
o
W. R. B. C. fA) 11le.....sflUl
o PLUMBING
o MRCHANICAL
$
VALUATION OP MJilCHANCIAL INSTALLATION
~QU
D GAS
o ROOF;J:NG ,0 SPIIlCIALTY
o OTHBR
TYPB OF CONSTRUCTION: O. BI.,QCK
o FRAME
o STEBL
o OTHER
FINISHBD FLQoR BLBVATIONS
IS PROJBCT IN FLOOD ZONE ARRAO YES 0 NO
BUJ:Ln..
SIGNATURIIl ~ A l (kf~
.LRCTRJ:CIAH
~*******.**A**..****.*.*.****.***.....*..***.*.****.*...*.......*.
~
SIGNATURE
~. /1- oJu2
COMPANY If C-E e L-t: G T/l ( C
STATB CBRTOR RBGIST It
CITY PROCBSSING It , f>?
, PLUllBBR
**.********..*...****.*********..********.**.***..*...**......*.*.
COMPANY'
STATB CBRT OR,RBGIST #
CITYPROGESSH1G #' "
" '. '. SIGNATUlUll
IIBCIlAHICAL
.*...*.******~.*******.*..*********.**.***************************
COMPANY:
STATE CHRT OR ~aIST. #
CITY PROCBSSING #
SIGNATURIll
OTB.a ,
******.*.**********..**********.***.**.**************.**********.
SIGNATURB
COMPANY
STATE CKaT OR RBGIST #
CITY PROCBSSING #
****************************************************.************
~UNUITI0NS OF PERMIT AFFIDAVIT
A. NOTIC~ OF DBBD RESTRICTIONS
The und~rsigned understands t~at 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 Sect!ons" of this application for which they
will be responsible. If you, as the owner signs as the contr~ctor, 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 he 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 STATUTEtI, ASAHENDED)
.1 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 allap'plicable laws regUlating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indioated. I
certify that no work or installation has oommenoed prior to issuanoe 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
*S.outhwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Dooks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit~Wells,
Wastewater Treatment, Septic Tanks
*U.s. Environmental Proteotion Agency-Asbestos abatement
I also oertify that, if ;fill material is to be used in Flood Zone ~A" or ~A,etc."~ it is
understood that a drainage plan addressin~ a ucompensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to penmit
issuanoe.
A permit issued shall be construed to be a license to proceed with' the work ~nd not as
authority to violate, cancel, alter, or set aside any provisions of the teohnical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or Violation. of any code. Everyper:mit
issued shall become invalid unless the work authorized by suoh per:mit is commenced within
six months of issuance, or if'work authorized by the penmit 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 I YOUR FAILURJ: 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 LINDER OR AN ATTORNEY BEro~ RECORDING YOUR NOTICE OF COMMENCI!IMBNT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE Of COMMENCEMENT".
.(!l~2:Z-;;;& Sl2;L~~2l~
STATE Of FLORIDA b" r ~
COUNTY 01' en:..:> v 0 .
The foregoing instrument was acknowledged
Before me this~day of 1Vl1J.'I , ~2-
by Q.s:~ f?&:-/ZIZ
, (name of person aoknowledged)
'~o is personally known to me, or
o who has produced
(type of identification)
and whoO did QdtQ not take an oath.
~ A - f1d;~
.
Signature of person taking acknowledgement
f3{U/G.f' f). f+5!SE L
Name typed, printed or stamped
8nJC8AAsbel '
11 .... Commission CC748677
* *"" 2002.
:,I Expires June 22.
'\;..'" ,.- . . ...
STATE 01' rLORID~A Cc .
COUNTY OF ., -> 0_
The foregoing instr~ent was a~nowledged
Before me this LJay of fVlfJ. { , _2a1z.
by &;~G REc;pr--
(name of person acknowledged)
~ is personally known to me, or
r,")
o who' has produced
, itYPe of identification)
and who Ddid 8fid not take an oath
.~ A. U-d2
Signatu~e of person taking acknowledgment
Name
.13'WG~ A. f} S/)E L
typed, printed o~lstamped
.. 8nJC8AAS
"b' My commission CC748611
\...l Exl"res Jun~~~~2002
b-l~I'~ lid: 'SAM FRO-I!
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LEONARD G. "GEOFF" WOOD. P.E.
4034 THE FENW A Y
MULBERRY, FLORIDA 33860
(863) 646-5517
Date: 5-1-02
B & H Construction
Zephyrhills, Florida
Re:
Address
2002 Jacobsen
37536 Landis
Zephyrhills, FI. 33540
Mod #CL 44810 W
Lot # 101
Dear Sirs,
This letter is to certify that I have reviewed the above referenced project to
determine the structural adequacy of the existing structure to receive the attached
structure. The proposed structure is roughly a 12xl0 shed, a 12x12 Raised screen
room,and 20x24 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 ofthe 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.
~ere~/{U I
~A:\vo~
4034 The Fenway
Mulberry, Florida 33860
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