HomeMy WebLinkAbout02-1444
BUilDING
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
(813) 780-0020
1444
ELECTRICAL
PLUMBING
Property Owner:
Job Address;
Parcel 1.0. ,
Zoning:
Descriotion of Work
NO OCCUPANCY BEFORE C.
Complete Plans, Specifications an
All work shall be performed in ac
,
Valuation or
Contract Price
XI} v, ~ C .
BUilDING
MECHANICAL
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
Tp. Servo
Rough In
Meter Can
Const. P
Pool
Pre-
F' al
Breakers
Ducts Insl.
Compresso
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.
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CITY OF ZEPHYRH'ILLS
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REASON ?OR p~:
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APP.BCVED BY:
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Paid Dat:e:
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City of Zephyrhills
Receipt N~ 127098
9-/020 tJz
.so ., ~'
Amount Due
5335 Eighth Street . Zephyr hills, Florida 33540
(813) 780-0015 Date
(
(
) Paving Assessment Tax Parcel ID#
) Other
Physical Address
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Name
'7/7 0'n e /"6 Ie:.. /flss 0,<2-,
Street No.
City, State, Zip
NOTICE: AIl assessments are due and payable within (30) thirty days after date and will
bear interest at the rate of9% per annum thereafter. Please send postage for return receipt.
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INVINCIBLE ASSOCIATES, INC.
10931 75TH STREET
LARGO, FL 33777'
727-545-1800/800-937-6635
DATE: 101'1102
FRO.:\-l: BRIAN STOVER
TO: ~ 4L~~
RE:
PER#: I "'tit,{
.....
PLEASE CANCEL THE ABOVE-MENTIONED PERMIT AND
REFl..'ND ANY PERlVlIT FEES IF APPLICIBLE.
\VE HAVE NOT AND \VILL NOT BE DOING THE \-VORK AS
DESCRIBED ON THE PER!\tHT APPLICATION AT TillS TIlVIE.
IF YOU HAVE ANY QlIl~STIONS, I)LEASE CALL OUR OFFICE.
THA1'iK YOU FOR YOUR ATTENTION ro TillS ~IATTER.
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BRIAN STOVER
PRESIDENT
STATE LICENSE #CC049367
TO BE COMPLETED IF CONSRTUCTION
VALUE EXCEEDS $2,500.00
1111111111111111I11111111111111I11I111111I111111111111111111
2002138758
Rcpt: 616995 Rec: 6.00
DS: 0.00 IT: 0,00
09/10/02 Dpty Clerk
Permit #
Tax Folio #~~(J.ftJ";1} "'0010" 0 ~ 106 vO()(JO
OFFICIAL NOTICE
OF COMMENCEMENT
~~91~~~~MA~: Cr:;O fOUNToYf C\ERt<.
OR Bt<. 5062 PG 808
State of Florida
County of PAS~
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in
accord'lnce with Chapter 713, Florida Statutes, the following information is provided in the Notice of
Conllnencement.
1. Description of property: "...v A4- /.'..sle~oHol/tit..)) ~ Yf~/Cf
'-'u'L.'~ Ave.. 7.c.phyllb,:IIs.. ~.I ~~
2. General description of improvement: 4- (loo.('
3. Owner Infonnation:
A. Name and address: (Y\~Li~ E "'CI.-JJ 3Pf"Je:f Lope,''!l!1.- ~
B. Interest in property: OWAJ"e/t.. ~J.yp.(IIS Fl"03S'IO
C. Name and address of fee simple titleholder (if other than owner): p/;9.
14. Contractor name and address: .:r~vr~~:t;} Ie "q...$J"o~
' tDi31 I$~ $-#-- LvJ\!jo FI aJ'1'1'7
5. Surety (if required)
A. Name and address pll-J
B. Amount of bond $
6. Lender name and address: VIA
7. Persons within the State of Florida designated by Owner upon notices or other documents may be
served as provided by section 713,13 (1) (a) Florida Statutes,
Name and address: >>1Jtt.
8. In addition to himself, Owner designates ::J::>>JAAJtt/.bI,<! '</ssoC
Lienor's Notice as provided in Section 713.13 (1) (b) Florida Statutes~
to receive a copy of the
9, Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of
recording unless a different date is specified)
,20
Signature of Owner or Aothorized Agenl~~ 'c.,J). ~. .
.~- ODS' <~ ~ - 'tJ (J '1
Sworn and subscribed ~efore me this '" , r j b r " ~ L: ",,,''' J
S"- day of Sc.,te~~eL. .20 IYL
~&/4A
My conllnission expires:
~....y Pit&. ~
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~~~
... - -_. - ....--.
MONA L BUJ1.ER
MY COMMISSION' CC 961647
EXPIRES: AUjjust 16, 2004
Bonded Th/lJ 8UIIg<< Not.ry Servlc..
(.;.1.'1~. ;",ii.i' i""J!H~L,_,~dL.L.'] l?J:'.L_,_".'.1' AJ!PLICAT.IOI'oJ
BUILDING nBPARTKBNT 5335 Sth STRBBT ZKPHYRHILLS, FL 33540
Phone.813-780-0020 FaxI813-7S0-0021'
DATB RBCBIVlID
PLANS R:IIVIBIf JlBB .
OWNER'S NAME (Y1AljoliG tKJu,vd
,JOB srrE ADDRBSS 3~(p ICf ..J-v" I~O 5' !J.fle
LEGAl. DESCRIPTION I LOT(S) BLOCK
PHONE CONTACT ~ ....? ~~ -/~ 3:;
I . 1
,"- ~/1.s/"2f i lie.
SUBDIVISION
PARCEL ID # O~- ~(p..:;l'l -t:::Ja/(J - o~ 100.-0000 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
DADDITIO~
DALTERATION
D REPAIR
o INSTALL
DSIGN
o MOVE
[J DEMOLISH
PROPOSED USE:~SGL FAMILY DWELLING
[J COMMBRCIAL
[JMULTI-FAMILY
0# OJ? UNITS
o MOBILE HOMb:
o OTHER
[J INDUSTRIAL
o SWU1MING POOL
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIP'rION OF WORK f-e-lZc::Jt!J ~
.sl^'rJ/~ pl,,/ ~6t"~ ~64YA~~
I '
SQUARE FOOTAGB ~ 3 l HEIGHT
BUILDING SIZE
RBSIDENTIAL:
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 REQU.~TED
o BUILDING
$
38'71
00
---..
VALUATION OF 'rOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
[J FLORIDA POWER
[] W.R.E.C.
o PI,UMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
VROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
[] STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FI...oOD ZONE AREAD YES 0 NO
BUILDBR
COMPANYd I) LI : )'\ ~ t' b Ie. A s; 5 () L
STATE CER'J' OR R~GIST # C c c. 0 L( 9 3 b 7
CITY PROCESSING 4# -3 0 ~
SIGNATURE
***********.......**..*...........................................
BLBCTRICIAN
SIGNA'I'URE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*.*....**.*..*.*..*.*.*.*.**.*...*****.**********.**..***.***.**.*
PLUHBBR
COMPANY
STATE CERT OR RRGIST #
CITY PROCESSING # '
SIGNATURE
NBCHAHICAL
**..**..**..*..**..***************.**..**********..*********.***..
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****..****************..***.***.***********.****.*************** ' I
OTHBR fl.-n('j.pC'~J
Slc:JNA'!'URIil __.~ 'fV1 -G.J~
COMPANY -s.-,J1/fp~Ahlt!. ~<S::r~~
STATE CERT OR REGIST # ~~~~
CITY PROCESSING #
********************************.*********.******t,*.*************
CONDITIONS OF PEr~IT 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 requlrements 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 lndicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an lndication that he is not: properly licensed and :1.8
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 Gu.tde" prepared by the Florida Department of AgrlclIltlll:e
and Consumer Affairs. If the applicant is someone other that the "owner", T cer.lfy that I
have obtained a copy of the above described document and prom.tse 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 conslnwtlon, Clty
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 BenelU.va
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 till 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 Stal:e of Florlda prior to per.mit
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
elx months of issuance, or if work authorized by the pennit 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 pos'r A "NOTICE OF COMMENCEMENT".
g~( co(1cro1;J~
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
abknowledged
, 1~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
acknowledged
19
(name of person ackno~ledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type
and whoO d!d' odid not
of identification)
taJi:e an oath.
o who has produced iJ)'~ fUc{:k>-ll~" 7,;1- 7tfb-o
(type of identification)
and who odid DUd not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped