HomeMy WebLinkAbout02-1330
BUILDING PERMIT
Permit N!
CITY OF ZEPHYRHILLS
(813) 780-0020
1330
Date 7- e:2- () ~
1'1;2,50
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner: LJi (( l~ K~
Job Address: 50 <.[ ~ A~ 12,1.
Parcell.D. "
Zoning: Energy Code:
Descriotion of Work 5T ~ sT V vc:lv ~
Water Conn:
Water Meter:
T.I.F.'s:
Radon Gas:
/.....e ^""'"' \CI
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
City license Registration #
State Certified license#
Qf~~
Inspector
\ ~m;tFee /r,J ':0
)><SIgnature\" ~
Company
Address
~Telephone#..,gcq 4. - 4&:;"5"2-
Valuation or
Contract Price
iSoO
.~
(Y)~o ::rite.
Driveway
Tp. Servo
Rough In
Meter Can
'Const. Pole
Pool
Pre-Meter ;'
Final ;'
I
ElECTRICAL
/
/
/
PLUMBING
MECHANICAL
BUILDING
SLB
Tub Set
Water
Sewer
F;na/
Breakers
Ducts Insl
Compre sor
Final
Ftr.
Pre SLB
lintel
FRM.
Insul. CL
WL
I
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.
/'1)7 117
J L~ -1-(;'2 K:f
CITY OF ZEPHYRHILLS PERMIT APPLICATION (____
BUILDING DEPARTMENT 5335 8th STREET ZBPHYRHILLS, FL 33540
Phone:813-780-0020 Fax:813-780-0021 _ . _ ~
DATB RBCBIVED 6" ( ::> ' '0 -""-
PLANS REVIBW FEB
OWNER'S NAME ---LJ. I ~\P. i.:x -K ~ acs 'e:-\.l
JOB SITE ADDRESS sdcfB AI1Z:';>O\Z.-1 1?~ _ I
PHONE CONTACT ~~L -~D[)9
~'<~ll 1 ~ l~L .
I
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #/~-).('-~/-()OOO~o'-f?OO -oVID
/
WORK PROPSED: DNEW CONSTRUCTION XADDITION
DSIGN 0 MOVE
(OBTAIN FROM PROPERTY TAX NOTICE)
o ALTERATION
o REPAIR
o INSTALL
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
~OMMERCIAL
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
o MULTI - FAMILY
0# OF UNITS
o MOBILE HOME
o INDUSTRIAL
o SWIMMING POOL
o OTHER
DESCRIPTION OF WORK Lt:)i>-IC;-C~.vC1
~
OPeN STec::.L ~ ti?_vc....YJiCli.-
I
L~,p.N To
\ ~ l_ b Li
BUILDING SIZE
j- l \
'7 D ~ -z.,..,
SQUARE FOOTAGE ~
HEIGHT
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
ABUILDING
o ELECTRICAL
$
~ I; 00
00 VALUATION OF TOTAL CONSTRUCTION
~cY
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
o PLUMBING
o MECHANICAL $
VALUATION OF
() ()4P'
MECHANCIAL INSTALLATION ~ . if
t{5 ~ ~ ( &
o OTHER (8 I J) ;)
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
XSTEEL
IS PROJECT
IN FLOOD ZONE AREA 0 YES
o NO
FINISHED FLOOR ELEVATIONS
BUILDBR ~ COMPANY NAr.rD, .)::,,",0.. .,
STATE CERT OR REGIST # CP:>c. <:> i..,(~too
SIGNATUR ,;' - _ CITY PROCESSING # ;zqtJ;:J.
******************************************************************
BLBCTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBBR
COMPANY
STATE CERT OR REGIST #
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 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 ~ E OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
--._---._----~------
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 0 did not
of identification)
take an oath.
o who h~s produced
(type of identification)
and who Ddid Qiid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
I III/II 11111 11m 11/111111/111111111111111111I1111111111111/
2002101869
This Instrument Prepared By:
Name: Robert L. McLauclllin
Address: 8402 Shenandoah Run. Weslev Chapel. FL. 33544
Permit No.:
Rcpl: 60~1587
OS: 0.00
07/02/02
Rec: 6.00
IT: 0.00
Dpty Clerk
STATE OF FLORIDA
COUNTY OF PASCO
NOTICE OF COMMENCEMENT
JEO PITTMAN~ PASCO COUNTY CLERK
07/02/02 0" : 2~m 1 of 1
OR BK 499:) PG 1153
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713.13, Florida Statutes, the following information is provided in this Notice of Commencement:
I. Description of property: (legal description of property, and street address if available)
AIRPORTDRlVE,ZEPHYRHILLS, FLORIDA # I Z2~Z.\ ot!J(f)O c94k\oo oC)l.v
2. General description of improvement:
CONSTRUCTION OF A STEEL LEAN-TO BEHIND EXISTING METAL BUILDING
Owner information:
a. Name and address: Zephyr Development
712 S. Oregon
Tampa, Florida 33609
b. Phone Number: (813) 837-3009
c. Fax Number (optional):
3.
Contractor:
a. Name and address: MacCo, Inc.
S450 CR 581, #323, Wesley Chapel, Florida 33544
b. Phone Number: (813) 994-4532
c. Fax Number (optional): (813) 994-0723
... i::'f
5.
Lender:
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFV THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF rHE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFIC~ W!}NESS MY
HAND AND Q FICIAL SEAL THIS~~AY OF
2~
K OF CIRCUIT COURT
DEPUTY CLERK
4.
Surety
a. Name and address: Not Applicable
b. Amount of bond $
c. Phone Number:
d. Fax Number (optional):
a. Name and address: Owner
b. Phone Number:
c. Fax Number (optional):
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
in Section 713. 13 (l)(a)7, Florida Statutes: a. Name and address:
b. Phone Number:
b. Fax Number (optional):
6. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713. 13(l)(b), Florida Statutes: a. Name and address: Not Applicable
b. Phone Number:
c. Fax Number (optional)
7. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless a different date
is specified)
A-( /tl~~~
(:)CA.J ~ ewr..
Sworn 10 arnhubscnbed befure me by L:;.\\ 'CL,,- f\. V C ~H .~ . who is ~'t 1m""" 10 me or produced
as identification, and who did/did not take an oath., this .J .....,{ day of, __<..___ 2000.
Signature of Notary: fL-t..<...:u...' .' A " . "Lu'u.t Seal:
Printed Name of Notary: _ R~J., (\ ",,-.t'l_ Commission No./Expiration:
."'........... . DENISE L. RODRIGUEZ
LG)' ~\ MY COMMISSION' CC 859211
~ . EXPIRES: September 15, 2003
-111 " IlondIcI ThIU NoIIry PullIIc UIlCllrMiltll
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