HomeMy WebLinkAbout02-1518
BUILDING PERMIT
Permit N2
C:;105'-
BUILDING
J'I~. O;r
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 780-0020
$5
PLUMBING
.
1518
-
.-
Date _
9- ~o-o~
lfD
MECHANICAL
=,.::,~:~' qg~i Q:t[1;1[' :ik"~; ~ -
Parcel 1.0. , 11- ~/;"-:.zl- OtJ/D "c2o'700- CJb] / 0
----
Zoning: U Energy Code: Radon Gas:
OescriDtion of Work lJ71v.iAf- 9 ../U.m/?~ ~/~~~. -~~J-'-Z;;
#LLJ _-iilo4A~'
- /Jo7E'; Do01~
NO OCCUPANCY BEFORE C.O. / tV. ~Ji;i ~o. ~~
Complete Plans, Specifications and Fee ~~t ~P~~PliC~
All work shall be performed in accordance with City Codes and Ordin~
Sewer Conn (J;}L.J-s1Jilf .
Wat.' CO"", @ $7fJO ~
Water Meter:(jj) .s.w ' ~~~
T.I.F.'s: pI;
Ga)
FINAL
C.O. 3--
-0]
DATE
Valuation or '> -'1J ;, ~-7. C~
Contract Price 0< v _ ~ ~
$003
Company
Address
~~e#,_)5\3 -9J-\9
- 2"10~
BUILDING
ELECTRICAL.-Sool
~, L
C>C.. t.e.. .
MECHANICAWO~
Ftr. ./I~-lj ,. O?.
Pre SLB
Lintel
FRM. ./1 - '7- () .:.~
Insul. CL
WL
!I:YtJ.I?!Jj Tp. Servo SLB Breakers
, Rough In //-7' -C'J 3 R (..7- Tub Set ,/l:"/?-O.:f 1{(.-'td"II..:k Ducts Insl. J/ / -'7-- 03 /::?( 't .1-/170
Meter Can Water (' I'" I J - 0 '3 -e. L~ r /I;JC Compressor
7(L4"d/lfcConst. Pole ,/ IP-I-OllZl..y Sewerl(-/3-o~ R.Ll(J-(t::JOFinal,/'f-I'I-<C.Y Ki'/I-/I-SO
Pool Final j,./ Q-/7-0? II,T'C
Pre-Meter 1/ 2 - 2 i - b'3 f2,( " I<.I--y
Final./' If -/4- () 3 t< '--1 4" 1;J"e
rP - ;J- -;; 5.-03 8': /9 ~
F fJ 10- f -tJ2- /I: I S 6flv, t:k
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the fOl"l"oWing reasons,~ a" '
charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each triP;r e~7Ch tra~e: ()1~ ( i2j~
a. Wrong Address / j I l '\ V
b. Condemned work resulting from faulty construction. G()(.IA ~
c. Repairs or corrections not made when inspection called, ('0
d. Work not ready for inspection when called'"J
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
Driveway
k-~
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
. City of Zephyrhills, Florida
5335 EIGHTH STREET
ZEPHYRHILLS, FLORIDA 33542 .
,
PURCHASE ORDER
SALES TAX EXEMPTION: 61-16-026071-54C
, ~umber:
To: Home Craft Builders, Inc. Date: 6/12/2003 1529
P.O. Box 2452 Ship Via: BEST WAY 6/27/2003
Lutz, FL 33548 I Delivery Date:
Terms: I Buyer: SWETLAND
Ship To: City of Zephyrhills Bill To: City of Zephyrhills
Building Department Building Department
5335 8th Street 5335 8th Street
Zephyrhills, FL 33542 Zephyrhills, FL 33542
Quantity I Description ,
~nit Price : Amount
1 '_lWATER CONNECTION FEE REFUND $350 I 350.00 350.00
1 WATER METER FEE REFUND $180 180.00 180.00
Total 530.00
~,
Cost Distribution
041-343.3500 350.00
041-343.3010 180.00
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Federal 10 #: 59-6000455
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I BY:S~ ~.
~ L- -:::;- l,..-. ~
I City Manager/Fina e
I
City'" of Zephyrhills
Receipt N ~
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/ -~--::-:
20 0,,;2.
5335 Eighth StTeet · Zephyrhills, Florida 33540
ISI3) 7S0-OO15 Date 9- g LJ
Physical Addr~ss
) Paving Assessment rax Parcel ill it
Other '.(I~/l1r,-4',~'r; \(c:i.)
Street No.
City, State, Zip
~CTICE: .\II assessments are due and payable 'vithin (30) thirty days after date and will
bear interest at :he rate 01'9% per annum thereall:er. Please send postage for:-et!riii~t. :.- :;C-'~;::1C~:;
City of Zephyrhills
Amount Due
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N_O
Receipt
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5335 Eighth Street · Zephyrhills, Florida 33540 9' _ h ',I
(SI3) 780-0015 Date _ ~
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Physical Addr~ss
) Paving ~:.\ssessment
Tax Parcel ID #
) Other
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Street No. t,'
C it:", Stat;.e, Zip
NOTICE: .\II assessments are due and payable within \ 30) thirty days after date and will
bear interest at the rate of90/o ger 3IlIlum thereafter. ?!ease send postage forretum ~_:::':! -: ,- :C -- ::':J:;:~
20 D:P-
Amount Due
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Home Craft Builders
5036 7th Street
SQ. FEET PRICE
MAIN OR LIVING: $ 50.00
OTHER AREA UNDER ROOF: $ 25.00
OTHER: $ -
VALUATION $ 23,257.00
FEE SHEET $ 150.00
ADDRESS $ 40.00 2-new addresses
DRIVEWAY $ - ,
BUILDING: $ 265.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 265.00 3 - 125 amp
ELECTRICAL: $ 142.05 servces
PLUMBING: $ 35.00
MECHANICAL: $ 40.00
RADON: $ -
TOTAL $ V482.05
SEWER: $ / -
WATER: $ V 700.00 . 1-existing meter t
IRRIGATION: $ - 2-new meters
TOTAL: $ 700.00
WATER METER: $
IRRIGATION METER $
L...--- 360.00
1-existing meter .
2-new meters
SUB-TOTAL'
1,542.05
')
......--
T IF'S: $
99% $
1% $
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TOT ~ . $ 1 '/5;~.,0~ .:,~ 1/ .
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CITY OF ZEPHY~HILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 Sth STREBT ZBPHYRHILLS, PL 33540 .
Phone:S13-780-0020 Fax:813-780-0021 (l'~~ . ",',
DATB RBCBIVED 0 ~_ - @..
PLANS REVIEW PBB 'ft
I "..."'..-
OWNER'S NAME C IV- '(, \'(\ 0'(" ~ ~ T ~\..) ':> t -Q. .Q.. PHONE CONT~ 1..\ ~.... <.y~
~l ~ ~ S -\- ? , ~ f ,,~ r h,\ \ \ s ~ \ -.-.-,----,
LEGAL DESCRIPTION: LOT(S)2..,.\}.2., '2.3.;?.Y BLOCK l...iYl
1 I 't. '-. , ~ \ ~ 0 \ C 'J.. () 100 1) 1.-\ 0
f
JOB SITE ADDRESS
5D3~
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
~ALTERATION
DSIGN
o MOVE
o DEMOLISH
#R q5 ~ I;9ALti
UNITS H 0 MOBILE HOME
PROPOSED USE: DSGL FAMILY DWELLING
DMULTI-FAMILY
0# OF
E-cOMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK <:'6"-Vlli' 1 ~ QQ~o~\ ~()\}i ~ t U
BUILDING SIZE t-J () --,,( LA u 'LO')l <-~ SQUARE FOOTAGE i lj6CJ tJ:r
a \.~ {c.~ S~().S_ ~
HEIGHT ) s to(' Y
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT
ATTACH@ SETS
PROPERTY SURVEY
o GAS
&ROOFING
o SPECIALTY
PLANS & (2) SETS OF BUILDING PLANS & ( 1) SET ENERGY FORMS. . "..
OF BUILDING PLANS & (1 J SET ENERGY FORMS, , ')
REQUIRED FOR ALL NEW CONSTRUCT::V-f). gUy ~
PERMITS REQUESTED ~/' '.-!.- =-'-/~ '
VALUATION OF TOTAL CONSTR~CTION --w: ~'5 /
AMP SERVICE ~ FWRIDA POWB~ -:U, E,;;- . ~
VALUATION OF MECHANCIAL
o OTHER
~ FRAME 0 STEEL 0 OTH R , ~ q-'};s,y
IS PROJECT IN FLOOD ZONE ~EAO YES' -l'NO
~ BUILDING
.~ ELECTRICAL
$ 2.0)O()()
3- I'2S
.Jg PLUMBING
~ MECHANICAL
$ 3$00
TYPE OF CONSTRUCTION: 0 BLOCK
FINISHED FLOOR ELEVATIONS
BUILDBR COMPANY "O~ Q... c.{"~~\ ~t\ ~'W,Jl ~~~
'\ STATE CERT OR REGIST c::: €> - <.oJ.5' ~~~~ ....------.
SIGNATURE~~ ~~ ~ITY OCESSING #. . -~
. 'W ,flO
\.N~'C''\::.,~~~ ~..:::~****************************** *ro 7.,]************** ..
BLBCTRICIAN COMPANY /11~__~~~
STATE CERT OR REGIS #
SIGNATURE CITY PROCESSING #
******************************************************************
PLUMB"" /.J. N. a A ;E~~ER\:>O:~~S~ ~~~\:t~ i',~3
SIGNATURB[~, f~~ ifD~ P CESSING # /$00/ ~~"b '
****************************~*****~* *** * ~~~~1)***~ ,~ '
MECHANICAL COMPANY ~<':"",""R.\\,,<j ~l<.. ~~.r'V,~
STATE CERT OR REGIST # Q.. 1::\ aD h~ ~ s.L
- . CITY PROCESS~ # 8 &()!l ~
**.........*.*....*.*..*........*.~D~~~.......*
OTHBR COMPANY
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING #
*****************************************************************
CONDITIONS OF PElli~IT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The unqersigned understands that this permit may be subject to "deed restrictions" ~which
may.be more restrictive than City regulations. The undersigned assumes responsibility for
.compllance 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
~o IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
&-~1~AG~ . SI~TU~O~~
STATE OF FLORIDA /7~CO
COUNTY OF LJ..:IU_
The foregoing i
Befor me this
by
(name of person a,~~:ledfA!H)wal1ace
@..wtrO"is personally ~m~\'3~flOtPi DD12536~
~0i J~g Expires July 16, 2006
o who has produced ~P''''' ....~;..,~~ Bonded Thru
(tYf!J,~\e'f ~'d~'it'i~~~itin)
not take an oath.
~
person taking acknowledgement
","'"ft",," Jean Wallace
",,~~y Pllb_~
:~ ~~Commission # DDU5362
Name typed, print'" .feit
""r,OF f\;,"'"
"11\\\
STATE OF FLORIDA p,.El ~...o
COUNTY OF rAJ-}.
The foregoin? i~nt wa~)1~nowled~e~_
Before kth~S TdAy of' f/, ~.L2PL
by rT'7' UfC rt
(name of person acknowledged)
~ personally known to me, or
and who g}d:ta
Sign
....-:,/
Name typed, printed or stamped
FROM
HOME CRRFT BUILDERS ~NC. PHONE NO. : 813 909 9141
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPART~NT 5335 8~ STREET ZBPBVRHILLS, FL 33540
Phone:813-780-0020 ~ax.A13-780 0021
D.IlTB RBCBXVlm
PI,AMa lUWZBW .U.
Rug. 06 2002 05:20RM P4
JOB SITE AODRess
OWNER'S NAME C '" '< \ \'f\ Q '('" ~" J 'C IV S t.Q., .Q..
.!:) D 3 6----1 -).. h s. -\-
l?HONE CONTACT 8)3-q4~'-<.y~
~\
LEGAL DESCRIPTION:
?~ rh'j rh~\ \.>
LOT ( S) <...\ 2. 2. 'U -z. U .BLOCK 1.. i) 1
) , ~
\ ~ol b ~C) 100 'b 1-\ D
SUBorvIsroN
PARCBL ID #
(OBTAIN FROM PROPEkTY 'l'AX NOTICE)
WOkK PkOPSED: ONEW r.OllTSTP.(1CTION
o ADDl:TIQ,L\l
~ALTERA'l'ION
.fS1 REPAIR
o INSTALL.
o SIGN
o MOW
o DEMOLISH
PROPOSED OSE: OSGL FAMXLY DWELLING
~Ot1MBRCI~
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MoBILE HOME
o OTHER
CJ Rli:STAURANT &: HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~"v.ttl'" 1: j- Q.g~I)~\ \.\ iH3i ~ + 0
13UILDJ.~G SIZE tt()~'-\t> '2..i)~Gl:) SQUARE FOOTAGE i'l6c>tJI
a \:\ {c..At. ~<t. ~ _
HEIGHT ~
& (I) SET ENER.GY FORMS.
FORMS.
~S1DENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS
A'l'TACa@ SETS OF BUILDING PLANS &: (1) saT ENERGY
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS RBOUBSTBD
'<J BUILDING
"f] E:LECTRJ:CAl..
$
3-
'::>"Oj07:> V
I '2:S
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
~ FLORIDA POWER
o
W.R.B.C.
.8l PLUMaING
oS MECHANICAL
o GAS .' &ROOFING
$ 3$00
VALUATION OF MECHM1CIAL INSTAI,LATl:ON
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
()il FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATl:O!'JS
IS PRo.mCT IN FLOOD ZOND AREAU Y!!lS ~ 1'IU
BUI:LDlIR
.IGNATURE~"-'-a
~~
-
COMPANY~~""" Q.. <:..~~~\ ~~'t\ a.~.Q, :Y.l--<:..,
S'.rATE caRT OR REG:rST .. ~ ~ - <.o~ ~~~~
CITY PROCESSING #
t?LTJHBBR.
***~*****************************************'*********************
~b"C"\-:,~~~ ~~~ .... _
~ VJVJ~ .~ -- - vCOl:/ /"A1c...--
BLBC'l'IlJ:CXAN. COMPANY .r~ /rr.U~ <<'e.. -1 ....). .
~ - ~ ~ STA.TB CRRT OR RElilIST 8. ,
SIGNATURE ~J4~' _ ~rNG # . .....
................:...............~.~~~................
COMl?ANY-
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MBCBAHJ:CAL
*******..********************..****************************...****
(!ONlPAlITY_."
STA'l':g CERT OR RBGl:ST. #
CITY PROCESSING #
.*..**********.*.*.*********.*~**********************************
OTRI!R
SIGNATURE
COMPANY
STATE CERT OR REGIST #
C~TY PROCESSING #
..*.~~~*..*..*..*..a*****~***_~.*..**..*****..~**~.~*********_.__
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE PERMIT",.
;-01 ~ 5 J 7~ S~ 12.!i)/Jl Il?7 -/S,g
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections sholl be mode before the job
will be accepted.
,
~f'(oved fiv;'\s ~"G\,LI hll Or>. j0~ SIte cZt fll..,e
Dr. :- f\ 50e<... +: ~;d'
,
II ia unlawful tar any Carpenter, Conlraclor, Builder, or other peraona, 10
cover or caUM 10 be covered, any part of Ihe work with flooring, lath, earth
or olher malerlal. unllllhe proper Inapector haa had ample lime 10 approve
Ihe Inatallallon.
. AFTER CORRECTIONS ARE MADE CAlL ~
78~ RE-INSPECTION
INSPECTOR It- ~,
OfFICE HOURS 8 - 5 MON.-FRI.
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