HomeMy WebLinkAbout02-1379
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1379
I ~ .' I elf-
BUI~DING
~
35' '7
ELECTRICAL
(813) 780-0020
Date
7-31- 0)
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Job Address:
Parcell.D. "
Zoning:
Descriotion of Work
Water Meter:
T.I.F.'s:
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
-~"2
DATE
NO OCCUPANCY BEFORE C.O.
DATE
Permit Fee
jSignature
Company
Address
}!elePhone# /l~ '7 oS Z::s
Valuation or
Contract Price
I~ S(}{)' (J'O
City License Registration #
State Certified License#
~ Efer.
Il-lo 2 /II V/1"lN.
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Ftr. / g~1 ~ -0)... #To Tp. Servo SLB
Pre SLB /i'~/?-o2 f/~ Rough In 1'1~2{-o'l ~U1,H:fDTub Set
Lintel Meter Can Water
FRM. .I 8-")...; -0'1 Jfro ~ii1 Const. Pole Sewer
. ,
Insul. CL ' Pool Final
WL ./ i~"J-'J .().1, R.i.1 Pre-Meter
! ,Final ../ 'J-11-02.Rl~ 10-0
Driveway I t~/:;-o2 H....JO
Breakers
Ducts Insl.
Compressor
Final
5 JvK(1,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.
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
1:te?
PERMIT .,. I
dJ-?-~4-- JJ 19
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections sholl be mode before the job
will be accepted.
~~<1 ~~d:6~i ~d~-'Jg
DO NOT REMOVE
htJ~7
~L-J5I<
DATE
ADDRESS
It il unlawful tor any Cor~nl.r, Contraclor, Bulld.r, or olh.r ~~nl, 10
cov.r or cauae to be cav.red. any port of Ih. work with flooring. lalh, .arth
or oth.r matef'lal, untllth. pro~r Inl~ctor hal hod ampl. 11m. to approve
Ih. Inltallallon.
. AFTER CORRECTIONS ARE MADE CALL
788-66~PECTION
INSPECTOR
OFFICE HOURS 8 - 5 MON.-FRI.
.CIT'f, OF
ZEPHYRHILLS
"NOTICE"
OF ADDITION OR CORRECTION
BUIL~INQ
,
DEPARTMENT
/tJ!.J/P'"
I ADDRESS DATE PERMIT ." I
6037 ~.tML $/- 9-/3-02- /3'19
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections sholl be mode before the job
will be accepted,
~ <4nvm- ~,~ a-Ll ,/)H~d- 6!f~ ~/<,,J.
~~. v.... ~ ~ &0 FRl\n)
DO NOT REMOVE
OFFICE HOURS 8 - 5 MON,-FRI.
. AFTER CORRECTIONS ARE MADE CAlL
788-66~~i:rECTION
INSPECTOR ~
It is unlawful for any Carpenter, Cantractor, Builder, or olher persons, to
cover or cau.. ta be covered, any part of the work with flooring, lath, earth
or other mateflal, unlllthe proper Inspector has had ample lime to approve
Ih. Inslallallon.
CITY,OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARtMENT
DO NOT REMOVE
ADDRESS DATE PERMIT ."
D<:~ S -\-. &J~ Icy 117 q
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
,
-4i, S., 'h I
~ . h,," \ c." ~ M. \ /: S' IA " V {~/ ).r bel r (' ; e r J-
-\- ~f "'".,\\: + :{ (., \ .....i'.') \. ( b 'i k- K I II c.! l.v. 1,00. r"f' ~ t... or r: ~ {!f /",f ~ L..
I ~ . ': I.., li'v A'\ (;. ~ ~ ..., 1 ~) ~/ P . ~ . l t f .r
(.'." S I -w ( \ +-. ."" ~ C' J '1'" 'j P e (.{.. u' -, ') \
~' _( ()Ll -W4' ~- "~e J " -lL.:, ( ken\-' (J .s I cJ] de.~. (\', \ ~ k.~ t ,\ J(;,-
u <, -t-t:) -> (I ~ So . l '< r,' f1 . (.J
I t..- f!"'-\ I ,- f', .
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSP~C~ION
INSPECTOR 1M-) j{ o~
J t/
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the worK with flooring, lath, earth
or other material, unlilthe proper inspector has had ample time to approve
the installation.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
~-.u -tJ:L.
OWNER'S NAME V;:1Iz/r} 111 CP_t!-ul,?5
JOB ADDRESS ;;;__ re'ar/ ~
PHONE
?I(3 --7~b-?17?
SUBDIVISION #t?~ -,ide )II #
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID #
WORK PROPSED: ~ CONSTRUCTION
(OBTAIN FROM PROPERTY TAX NOTICE)
~DITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBI LE HOME
o OTHER
BUILDING SIZE
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
ff~C>t?J ;/7 de! !;;, *
I D.. X /5+ 10 xl z.. SQUARE FOOTAGE
!/LJub/e ~61';-
4"j:)~rl
( ~,
HEI GHT -I-
DESCRIPTION OF WORK
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT
ATTACH (3) SETS
PROPERTY SURVEY
PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
OF BUILDING PLANS & (1) SET ENERGY FORMS.
REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED ~/~
$ ~SOO~VALUATION OF TOTAL CONSTRUCTION ~
AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C....... _1~:J-3 J
! (/1'$' 1(~ . ////
VALUATION OF MECHANCIAL INS~ALLATION .../
"-.- --_._---_._--_.-._~
~~DING
~RICAL
o PLUMBING
o MECHANICAL
$
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
ELECTRICIAN
SIGNATURE /"~.
*******************************************************
& / J1IIuT
COMPANY J!1tJ r fCJ Yl See.-
STATE CERT OR REGIST # .
CITY PROCESSING # -z. ~ ~
*************************************************************
PLUMBER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
* * * * * * * * * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
SIGNATURE
COMPANY ~/J?7 (!6n ere I--~
STATE CER OR REGIST # ,
CITY PROCESSING #
OTHER
!!.or; C-t&.
*****************************************************************
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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
1L-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid Odid not take an oath
o who has produced
(type
and whoD did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
I.
i (;Jft4 1-31ifJra.
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tit
A TO Z ALUMINUM, INC.
P.o. Box 192. ZEPHYRHILLS. FL. 33539
Z'HILLS(813)715-7523.HuDSONC727>857-1234
Other Address:
Material is quaranteed to be as specified, and the aboIIe work to be pe. f<llllleCl in dCCOIdallC& with the drawings and
. . submiIled fer aboIIe work and coo IpIeled in stmtantial wcrkmaIlIike manner fer the Slm cI
DoIlars($
. payments to be made as fcIIaNs:
_ or_tram _~. invoIving_CDIIIlI,....
8llIICUl8d only upon"'-' _. and will bealme en ..... cI1erge lIV8I'
_ thot __ AR agreem_ c:anIingenl upon -... _ or
Y. beyond OU" connI. Owner to cany f1nt, tomedo and_.-y
upon _ -. _s Com~ end PublIc UalliIIly
on__lDbetllk
This prcposaI may be withdrawn by US if not accepted
within days.
ACCEPTANCE OF PROPOSAL
\
Signature
Signature
The above prices, specifications and conditions are satisfactofy and are hereby accepted.
to do the work as specified. Payment will be made as outlined above.
Date 7-/1' -d ~
\
County of
~U~Y'l'!UWl~I' 111'11111111111 111I1 11I11 1111I ~IIIIIII
Asco
,
state of
,FL II
NOTICE OF COMMENCEMENT
TUB lmOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencemcnt:
Description of Property: Parcel No. (!) g- 2~'-2!-CJ02l!J -6 &5CO--Cl6(()
. 0"0' s 'if~_ /11;J,j/J
e property an street a, res~ ava~ a Ie)
1 D .. f I ~J./_,'u .;t( / U -., iV'l-() //:.../>
Genera escr1pt1on 0 mprovement I) ~C-'~F ~~, ~L_ ~
1.
2 .
Interest in Property:
3. Ovmcr Information:
'~ddress ' tJ 3 'I
Name of Fee Simple Titleholder:
(If other th~n owner)
Rcpl: 606849
DS: 0. 00
07/30/02
Rec: 6.00
IT: 0.00
Dpty Clerk
Address
City
State
4 .
Contractor: Name
Address A t:)( ,q t:' '>{'
I r
Surety: Name
b\
~J~i
5 ~
City
Address
City
State
Amount of Bond: $
JED PITTMAN~ PASCO COUNTY CLERK
07/30/02 0~:02pm 1 of 1
OR BK 5021 PG 799
6.
Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1) (a) (7), Florida Statutes:
tJC"lme ,.s;, I'12E?-
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), Florida Statutes.
(). rxp.lrntion dRt.e of Not.lce of Commencement (the expIratlon date is 1 year
fr0m the date of recording unless a different date is specified.)
I~
'I Signature of Owner: ~':<'~~'~J(j.<J e;. -.:
Sworn to and subscribed before me is ~~~day of
M aOU~
------
J:<1;
Notary Public:
OFflClAL NOTARY SEAL
S
NorARY PUBIJC sr ATE OF FLORIDA
COMMISSION NO. DD0322B6
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