HomeMy WebLinkAbout02-1452
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~ 1452
(813) 780-0020 Date 9- /3 -Or/l
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn ~ /1. 78''' #0
Water Conn: 3,<;0' @O
Water Meter: / J1P" I"'D
T.I.F.'s: I.. ~ i-tJ. ~
J"rYJ " ~. - /Rt:7 ~ ,.0
fr'J' t!A-n11 . /75" or oiJ
Property Owner:
Job Address:
Parcel 1.0. ,
Zoning: Energy Code:
Description of Work ~ . s.a- ~
-'"
J (yV\ ~
31~~~
i<e1oc. ttA. :5 ch V .. +t~A
~ Ave.
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL 9'-23- 02-
DATE
/"(7.2.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
yo
City license Registration #
State Certified license#
Jf~
Permit Fee . 1.8'/8"' ~
~ignature (,J ~5~Y~
Company
Address
~elephone# 7 -;.J - ,s;-.... .s-d
Valuation or
Contract Price
--
t3r..Tttefh~d's
'B.,-n:~fl~d.I,
1ft!
PLUMBING
A~
#1 f..-.,
MECHANICAL
BUilDING
f1CL
~Y5
ELECTRICAL
Breakers
Ducts Insl.
Compressor
Final~ qr Z ~-O Z HTo
/1'.70
SlB
Tub Set
Water
Sewer
Final&-/ 1,23~O'L
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final../ '1' t 3 -0 l- I/:JIJ
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
Driveway
rP Cj_,;JJ(-CJ2 ?.-L/5 /1J.I.yj~ LY
REINSPECTlON 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.
, OWNER'S NAME -;::J, Wl ~ (2[ (? E Cc It .:;:(.-/-1 L/ I T ~/!2I:L
LTOB BITE ADDRESS :1.'75'"3 2-- LO~N'A IJv'E
CITY OF ZEPaYRHILLS PERMIT APPLICATION
BUILDING DBPART~BNT 5335 8th STREBT ZBPHYRHILLS, PL 33540
Phbrt.1813-780-0020 FaxI813-780~0021
DATa aBa.IvaD _______
PLAN'S RBVIaK rBI_____._.
PHONHI CONTACT 'J f 2-1 ~ l(
---------------
LEGAL DESCRIPTION I LOT(S) __/3S-_ BLOCK
PARCEL 10 # '3y -?-'5 - z..t --; (90 I D - ozro 0- 0 I :3 5
WORK PROPSED, [JNEW CONSTRUCTION
SUBDIVISION CRA#t? J..I..61l' ZM/
(OBTAIN F'ROM PROPERTY TAX NOTICE)
o COMMERCIAl,
[] ADDITION o ALTERATION DREPAIR f!:rfNS'I'AJ~lJ
~VE D DEMOLISH
OMULTI-F'AMILY On OF lINI'rs ~BILE Hor,un
o INDUSTRIAL o SWIMMING POOL [lOTHER
DSIGN
PROPOSED USE, ~~ FAMILY DWELLING
D RESTAURANT & HEALTH DEPARTMEN'r APPROVAL
DESCRIPTION OF WORK ... (Y108U I::
BUILDING SIEm 7'1 '1< S-t;""'
I-!Dff}/:: ~;:;T U/
SQUARE FOO'rAGE -...!..!hf'.~
HBlIGHT
RBlSIDENTIALI
COMMERCIAL I
ATTACH (:2) PLOT PLANS & (2) SETS OF BUIl,DING PLANS & (1) SET ENBlRGY FORMS.
ATTACH (3) SETS OF BUIJ,DING PLANS & (1 J SET ENERGY FORMS.
PROPER.TY SURVEY REQUIRED FOR ALl, NEW CONSTRUCTION.
~mRMITS RIOUmSTID
[!(Bl1IUJING
~EC'l'RICAL
$ (; 2- 00. 0 0
ISo
VALUATION OF TOTAL CdNS~RUCTION
AMP SERVICE
~JORIDA POWER
o W.R.E.C.
13'PLtJMB ING
~CHANICAL
$ (p 00 . .:>.0
VAr..,UATION OF MECHANCIAI~ INSTALI,ATION
o GAS
[] ROOFINC1
o SPECIALTY
[J OTHER
'l'YPE OF CONS'I'RUC'rION I 0 BLOCK
o FRAME
o 8'I'EEIJ
o o'rnER
FINISHED FL90R ELEVATIONS
IS PROJECT IN FLOOD ZONE ARmAo YES ~.
BUILDBR
lGNATURE . 0J~~7
COMPANY BurrEll-Pi Fl.-a {fJb01if !-/Dnt;; '>1f"/2V1CE INC.
STATE CERT OR REGIST # ~__
CITY PROCESSING # r'.g
******************.,.***.,..,.***************~**************************
PLUMBBa
JlLICTRIOIAN COMPANY 4c is' I-5'L~ C , ILL (, ~~_
-r:z. Jl f) f' STATE CER'r OR REGtST # 1Ji~--"
aIGNA'J'tlRB -/d<- ,~t"-" e11'Y PRtle.aaING # 7~ ~ ._'
./" / 't!-1=-'
* * * * * * * * * * * * * *.,..,. *.,. * * * * * * * * * * * * * * * * * * * * * * * *.,. * * * * * * * * '" * * * * * * "-<!....* *~;F;, ~b ....
COMPANY 13J rTeli.... r-lcLO mtB'Le jJDI1t: .5~{lVICf ~.
STATE CERT OR REGIST #
CITY PROCESSING #
B.ln..N.~..S E
(){~
MaJJANlcAL
SIGNATURE
*******************"'**************************************~*******
COMPANY IJL E. tit 12-' C.oNL/ j
STATE CERT OR REGIST #
CITY PROCESSING ~ ;&'7
~ Ac {0f~
*****************************************************************
OTHla
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CI'l'Y PROCESSING #
*"'***************************************************************
---L-_
CONDITIONS OF ?ERMI1' AFFIDAVIT
--A. ND'rICE OF DEED RESTRIC'rIONS
'rile undersigned understands that this peinnit may be .3\lbject to "deed restrictions" which
may be more restrictive than City reg\llaltions. The '.llldel'signed assumes responsib:\1.ity for
compU.anae Hith any applicable deedl'Bstrictionei.
B. UNLICENSED CON'l'RACTORS AND CON'l'HAC'l'OF. RES,?ONSIBI1JI'I'IES
If the owner has hired a contractor 01: ccntractors to undertake wor)" they may be requi.red
f to be licensed in accordance with state and local regulations. If the contractor 1s not
licensed as required by law, both the owner and contractor may be alted 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 \-.rork, they are advised to contact the
City of Zephyrhills Buildlng Department, 813-766-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advlsed to have the
oontraotor(s) sign portions of the "Contractor Sections" of this applioation 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 s1gn as contractor that may be an indicatlon that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRAHSPOR'l'A'l'ION IMPAc'r FEES Al~D U'1'ILITY CONNEC'nON FEES
D. CONBTRHC'fUION LIEN LAW (CHAP'I'ER '713, FLORIDA S'rA'1'UTES, AS AMENDED)
I certify that I, the appllcant, have been provided with a copy of "Florida's Construction
1 ten Law - Homeowner's Protection Guide" prepared by the E'lorida Department of Agriculture
and Consumer Affairs. If the applJcant is someone other that the "owner", I cerify that I
have obtailled a copy of the above described document and promise in good faith to deliv~r
it to the "owner" prlor to conunencement.
E. CON'l'RAC'rDR' a/OWNER' B AFFIDAVIT
1 certify that all the information in this application is accurate and tllat all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
AppHcation is hereby made to obtain a permit to do work and installation as indioated. I
cerU.fy that no work or installation has commenoed pripr 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 jurisdlction. I also
certify tl~t'r understand that the regulations of other governmental agenoies may apply to
the 1ntended work, and that it is my r~spons.!bility to identify what actions I must take to
be in compliance. Such agenc1es include but are not limited tOI *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 Wateroourses
*Army Corps of EngineerS-Seawalls, Docks, Navigable Waterways
"'Department of Health & Rehabilitative Services, EnVironmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U. s. Enviromnental ProtElOtion Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "AU or "A,eta.", it is
understood that a drainage plan addreSSing a "compensating volume" will be submitted which
is prepared I)y a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to pro~eed with ~he 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
con:eotion of errors in plans, construotion, or violations of any oode. Every permit
iUlled shall beoome invalid unless the work authorized by suoh permit is oonunenced witldn
8iH months of issuance, or if work authorized by the permit is suspended or abandoned for iI
period of slx months after the time the work is conunenced. One 90 day extension of thl1e
may be allowed for the permit with fee charge of $15.00. The extension shall be request ad
in writing to the Building Offioial. An approved inspection must be logged during eaah sil[
month period, or the project will be considered abandoned.
WARNING '1'0 OWNERI YOUR FAIWRE TO RECORD A NO'!'ICE OF COMMENCEMENT MAY REBUT,'I' IN YOUR
PAYING 'l'WICE B'OR IMPROVEMEN'rS TO YOUR PROPER'l'Y. IF YOU IN'1'END '1'0 OB'!'AIN FINANCING, CONSUL'l'
WI'rn YOUR I.ENDER OR AN A'l"l'ORNEY BEJfORE RECORDING YOUR NOTICE OJ.!' COMMENCEMEN'l'. JOBS UNnER
$2,500 IN VALUE no NO'l' NEED '1'0 RECORD AND POS'l' A "NO'l'ICE OF COMMENCEMEN'r".
SIGNATURE I OWNER OR AGENT
SIGNATURE I CONTRACTOR
S'l'A'l'E OF FLORIIJA
COUN'l'Y OF
'l'he foregoing instrument was
Before lIIe this _~___ day of
by
acknowledged
, lL-.
STA'l'E OF FLORIDA
COUN'rY OF
The foregoing instrument was
Before me this --Slay of
by
acknOWledged
19
(name of person acknoWledged)
lJ who is personally known to me, or
Dwho has produced
(type of identification)
and who[] did Ddid not take an oath.
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type of identification)
and who Odid OUd not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment I
Name typed, printed or stamped
Name typed, printed or stamped
.I ~
1<-
-,
. >1
7tJ I
h I,
;3 ,fVC-c
-
;'
33
I
33
'.
... 7.> ., <: I ;;. I'"" 7, -' ~ ,.
~ 05
, I II
J mo bile ;..lame II'
I I
)7 ;?
,It 1/
...I. :~ 1/1 V yt. "
'1\ C ::::.J
\ sH~d ,fOOm'
I?A/scd ;'
.1 IJ.
~ ~?~ 'II
JO
'+: ,
(!I+tf;o~ T , >1<
-- 13 lif 7.5- ~
lit .....
.
-
I
"
"
/ ;g
J()
" ;'
'rE. r- /IS .... .... ;'1 -
- ..... --
.
OIlILleCVAY'
\II I '1'X).(j~ ~ '" Ot:'E f' I ,; " w'" LK ,
/
l"tJ
t__
,
~L'
-......:1
I
jOe?
4J~
~ "
~
'\)
I......
f(-;
~ ~
'U v
~~
~
\A
~
~
\'\"
\.
-
~
~
~()
~~
~
~~
----- '\'( ~
'... ~ lYj:t I- ..J
..J
- ---.:..l: z iD
~, ::l
'~ ~ 0 Iii w
~ ~ ~
<C a::
" ~ Z <C ..J ~
::l l- I-
& ::r ~ u. in z U
L1J 0 0 ::l
~ ~ r Q. 0 ~ (j
ce ce r I- 0 W ~ ~
~ r L1J L1J m ~ C3 z 0 <C 0 ~
"- ~~ 3: ce l- i I I
'" d w L1J <C ::l I I I I '"
a; ~ en ~ a
~ )
0 Q 0 0 0 r
~ m
8 z ;;;-
~ C/J w
~
'" -' ~
;.:
.; ..Jet: ce
a; -0 L1J
:t:- 0 '\
d a: a:: ce
~ >9 a
i1 :t:U- ~
() a.ui
;:oIl!!.f ~ w:::l
Cl
0 N:i:
a: '':::
a. u.a::
~ o?c
w
z a. ,,-
iii >w l
~ I-N \
<Xl l
W (J \~ '~
()
~ ~
~ 0 0 0 0 ~l
a:
~
r
rn mo
oL1J
d rn wI-
Z W 1-L1J
a: L1J ~'- w..J
.-.: \. , () w ..Ja.
:1 Q :> () a.:::!;
U Q ce :> ce :::!;a
~ <( L1J ce L1J ce a()
'a: en w l- ce W ()L1J
Cl W en UJ UJ I- ~<
a: a:w u lJ.. :::!; I- UJ
WI- Z lJ.. Z UJ :::!; ceo
W Zz :J :; a a ..J :::!; ~olI
~ ..J ~ ce
S:w <( a: I- z ~ 0 () UJ
~ W ::l ce <C W J:
oa: :::JE J: ::l en
rn en I- ~ W J: b
ce ()
()(J ~ ..J
'" i I- ..J
E3 ~ z iD
::l
~ 0 I- w
c7 0 ~ ~ ~
z ct: ..J a:
"( ::l l- I- ~
& ')- u. in z ()
UJ r 0 0 ::l (j
'" ~ Q. 0 ~
... ce I- 0
~ I ce <C >- W ~ ~
w UJ m j C3 z 0 <C
;.: . \~ 3: ce ~I 0 ~
~ d w ~~ W <C I I I I I I
... ~ en ~
~ Q 0 0 >- "
... 0 't m
~ z
C/J UJ
~ ~ ..::
..J ~
"- ..Jet: 4
.; ce
....'Ki- a; -0
:t:- w
d a: a:: 0
ce
~ >9 ~ a
ui :t:U- ~
>-
() a.ui ""
=> w...J "-
0
0 N~
a: r
a. u.a:: ~
~ o?c
w \
~(' Z a. ,
iii >w
=> I-N ~
<Xl
W U
u
z ~
i<lillJ~J'" 3i )
~ 0 0 0 0 ~
a:
w
a.
>-
.... rn mo
d rn OW
~ wI-
Z W I-W
a: UJ w..J
;1 .-.: Q () UJ ..Ja.
U :> () a.:::!;
Q ce :> ce ~ :::!;a
u <( UJ ce UJ ce a()
<( 'a: en W l- ce UJ ()w
Cl W en W UJ l- X
a: a:w u lJ.. :::!; I- W ~<
W WI- Z lJ.. Z W :::!; ceo
~ Zz :J :; a a ..J :::!; ~ ~olI
a: I- z ..J ce f'..0,
S:w <( ::l ~ 0 () UJ 'J
~ W ce < w
oa: ~ J: ::l en J:
rn en I- ~ W J: l-
ce () a
11111111111111111111111111I111111111111111111111111111111111
2002144062
/?-~
I~~ ( ..
~- /~
/
Rcpl: 618855
DS: 0.00
09/11/02
Rec: 6.00
IT: 0.00
Dpt.y Clerk
J0ED PITTMAN~ PASCO COUNTY CLERK
9/17/02 1~:23pm 1 of 1
OR BK 5071 PG 412
S l " t e ,)!
FL 0 g( VI+-
HOTICE 0[1 C6~Hc;eM.CNT
Count)' 0 t Pf+~ <:.. 0
7Ua \lHnCr{SIC"H~D horeby 9iv.. notice th6t improvoment ....ill be nlildc to C'~rl~,r,
re.:ll pr"perty, 6nd in 6ccord6nce with Ch6pter 71), rlorido Stot\Jte~, the
rollol.'ln<) in(0C/:l6tion i. provided in thi. Hotice ot ConvnonC'~lnC'lIr,:
I , 0 e , c rip l i 0 Il 0 t Pro port YIP H C e 1 H 0 . '3 Lf - .2 5""- 2' - (00 I 0 ~ 0 UQO- 0 I 3 5
\,' ::. J.. 0 T I ;, 5
t e property 6n .treet 6
? '
Centf6l Description of Improvement {YItJ5U....f=
f-/D/VlE
C; Ct l./f
Ol/ncr IIl{orn'6tion: H6me ~ fV\ ~ IZ[,) CCL,4- &./~vIT{3:.,vl11-
(,duress"'$']'532- LOfll.:';V!f A"'~ City z/EPIIv/!..!fIU5 St<lt~ FL
555'+ (
In~ereSl .in Pr.operty:
t'/6lne ot fee Simple Titloholder:
(II other th6n o....ner)
City,
S t.:l t c
Address
n ~,~ ~on t r 6C lor: N.:lme J~L.JrTE lL H ELO tYJO/}t L-E ).lomE
l! t.^0dress3frl3D 'Bu,Tf;t?..HEUl L/Wf- CLty2EfJlfY!LI.f I L..L:>
SelZI/ I (E / /l/C- .
S t d t ~ FL. "13 5 40
), Su~cty: N.:llne
Address
City
Stote
M'OUflt 01 Bond: S
6. L..~nder: Nelme
Cit)'
~ t <.l t c
AdIJrcss
7 ,
Persons ....~thin the StAte ot FloridA
nOl ice s or other documents m6Y bo
71),:)(1)(6)(7), floridA St6tu!:es:
desi9nOlod by O....'n;:r ,-,p,:>n --c"^
served liS prOVIded u'/ Sec', ,C~
, ",) (TIO
City
S t J L '~
^c10(C60
8, In Additio,n to himselt, Ol,./ner oOliqnAtes
o ( lor 0 c e i ve " CO" )' c : " - e
Lienor', 1'I0tiCe AI prov1ded 1n Sect10n 71).1)(I)(b). flor.dll Slo~.,',,'~
'), r.p",nl.jrJn dn\.c oC H(,Il.ico .OL COfllmoncom:n;",tl.he explcotlCJn CJll.! L,; ),<,,~
lr?~ the UJlO u! rucordin9 unless 6 di!terent dele is speci!lec, J
""";:-'010""'" ~:-</~ J,.:iJ.-.-/
- i3 F G<..A ..s::~ 1-1 u { r;;:,.vz /'f
S--c ~ n l od!'\d subsc ribed be f ore me thi 5 17 da y of ~FJl{ePlIJ...f.J?::__
'J.o~'
HOLJrY!'lIblic:
~fl.~
hI Co""n, '; S Lon Expirc':
~.... '" Bruce A AsbeI
\. ~j My Comml5lllon 00116710
Of '" Expires June 22. 2006
, ~ , ).J l ; J. I