HomeMy WebLinkAbout02-1554
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1554
Date
/O"/5-0,j
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Property Owner:
Job Address:
Parcell.D. /I
Water Conn:
~CIRlCAl
.atJM81N(f
Mi:CIIAI<JIGAL.Sewer Conn
Zoning:
DescriPtion of War
NO OCCUPANCY BEFORE C,O.
FINAL
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
C,Q.
DATE
Inspector
Valuation or
Contract Price
9, 3,~O
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Signatur$
Company
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~h;610-1'57-,~;30~
-~~U~G M~<';HANI<';AL -
City License Registration #
0-~~te Ce"it;ed License'
t[1;Yt
Ftr. Tp. Servo
Pre SlB Rough In
Lintel Meter Can
FRM. /ltJ-:l1.-OJ.. ~~ /ISO Const. Pole
Insul. Cl Pool
WL Pre-Meter
Final
A ,Lff
ELECIBlCAl-
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
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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2002160336
Rcpl: 625470
OS: 0.00
10/15/02
Rec: 6.00
IT: 0.00
Dpty Clerk
Permit No.
Tax Folio No. o a.. -~, - 'J.J - OOrO - 00/00 -OJ ~C>
NOTJCE OF COMMENCEMENT
. ~,I
STATE OF FLORlpA '
COUNTY OF ~o.s Q.o
.
JEO PIllMAN PASCO COUN~'(f CLfRK
10/15/0i. 0~:41pm 1 1909
OR BK ~101 PG
THE UNDERSIGNED hereby gives notice that improvement will be'made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice
of Commencement.
1.
Ik.
2.
3. Owner information:
a) Name and address: 1<e..V)YH~..+~ Y. Q ","cO r-l Y)Y)" jl'), Je..,., kin s
3 <KJ-j Jo I~ +h A lie 'Z:e.. hyr-h,Jls. I='L 33SLlY
b) Interest in property: Fe f' S I !:l1.,(J1 e
c) Name and address of fee simple title holder (if other than Owner): IV j 14
R4.
5.
Contractor (name and address): Home Safe. LLC
5914 Jet Port Industrial Blvd. Tamoa. FL 33634
Surety:
a) Name and address: Star Insurance Comoanv
7217 Beniamin Rd.. Tamoa. FL 33634
b) Amount of bond: $ 50.000
6. Lender (name and address):
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 (name and
address)
8. In addition to himself, Owner designates of
(address) to receive a copy of the Lienor's Notice as
provided in section 713.13(1)(b), Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is one year from the date
of recording unless a different date is specified):
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COpy OF THEilOCUMENT ON FILE
O~ QF PUBLIC RECORD IN THIS OFfICf' ~NESS MY
HAND AND OFFICIAL SEAL THIS 5 DAY OF
fX! -r 2, 00:;)"
JEO P. IT AN, CLERK OF CIR IT COURT
BY """ I DEPUTY CLERK
'.(!_J'\"'-t'~ \/ o...~ A-1'\.)\lI... ~. ~~~~ "'-5
(Ownpr<
By: \"Q~~ t't\.._ "'\~
Print Name: 4nn fA Nt. ~ n. \:::, V\ <;
Print Title: () "" I\. '4'
STATE OF ~. ?
COUNTY OF /~
SWORNTOandsubscribedb~foremethis l.30 day of , .u:~f ~d by !:2/J1...y7L){/ f;,/J(Af~
(who is personally known to me. or as p uced f1J?/lL'//7?r1!I p~ ~?u~
as identification. / ~' '. . , }-I--
~ ~ 4P/ J{l..f.s2l LO.,,"-C/:?
~.r;;.~''k:.'" Doris S~ns II 'I ~ c. (~nat~re)
W~f :"'f~ MYCOMMtSSlONI DOl~25 EXPIRES J;/c./I:.!, ] ,'5 1 ~ l ~,l/ S
f": : · September 10. 2lI06 (Printed Name) V, ~
:;.: . 8ONOEOlHRUl1lCIVFAlNlNSUllANCE,1NC. NOTARY PU~~IC S. TATE OF ~hAJ
'nIo.,' 9//~k'~ -
(C6mmission Expiration Date)
Address: 384/ D t 'b4-~ A v' e..
L-€-"?l'\~/ ~~ I \ s/ ~L 335 V 2.
-........ ...... ......... ....."'''''''.......,....101 ....&II.n..w.... 01. I\I:'I:'.......\,.A...-~U.L.. , /4---02-
BUIl.Q:t1fa 08PAJI:'rKBNT UU ftll STR..T ZBPHYRHILl.S, PI. 33540 (f. /0'/
PhOQ.I'13-780-~020 VaxIS13-780~OOal
DA'I'1l! ItBCBIVBD /bJ.- 9-=o~
PJ..A1fltl.V.ID_........____.~ -
...... . ----.
J/f]QC- }enk;",<; C _~9N' CONTACT f(~~-~~
lB-th flue.. Ze'fYtgr hi \\5, R. 335'10--- ~ ~"\)'ll~ p.)~_,~ al10
LEGAL DESCRIPTION: LOT(8) /5 BLOCK I SUBDIVISION TV~Qf\ 5ubd"lJi~/()Y\
PARCEL ID #_ OJ. 92 ~ d I OO~O QO j 00 Oleo (OBTAIN FROM PROPERTY TAX NOT~CB)
WORK PliOPSED: ONEW CONSTRUCTION 0 ADDITION ;6ALTSRATION D REPAIR 0 INSTALL
DSIGN D MOVE 0 DEMOLISH
OWNIilR t S NAME _~ efJ y'J e -&h &,
JOB SITE ADDRESS 36L/ /0
PROPOSED U6BlpQSGL FAM!LY DWBLLING
D COMMERCIAL
OMULTI - FAMILY
o INDUSTRIAL
0# OF UNITS
DSWIMMING POOl..
o MOBILE HOME
o 01'HIi:R
o RESTAURANT & .HEALTH OlilPARTMENT APPROVAL
DESCRIPTION OF WORK ~n:>.~-el ~+h(OQIVl -to::> ft"q\J;de ~bfG/Chc,,'( c(,~.ss;b"~'t;l'
BUILDING SIZE SQUARE FOOTAGE HiIG~T
RESIDENTIAL:
COMMlilRCIAL:
. ATTACH (2) PLOT PLANS" (2) SETS OF BUILDING PLANS & (1) SBT ENBlGY FORMS,
ATTACH ,( 3 ) Slil'I'S OF BUILDING PLANS & ( 1) SJilT ENERGY FORMS. . "".
PROPlilRTY SURVBY REQUIRED paR ALL NEW CONSTRUCTION. .c"<'-- ')
PBqUS ,BOOESTBD (/~~t--
VA4UATION O~ TOTAL CONSTRUCT~ ;v1
,_.,~"'"-'"'~'''''''
L:1.n5Q,oo
,
y.( BUILDING
o lllLlllCTRICAL
AMP ~lilRVICE
o FLORIDA POWER
D
W. R:m:e!.
o PLUMBING
o MECHANICAL
:;;
VALUATION OF MECHANCJ:AL INSTALLATION
o GAS
CJ ROOFING 0 SJ?ECIALTY
o O'l'HIilR
TYPE OF CONSTRUCTION; [] BLOCK
~FRAMi
o STEEL
D OTHER
FINISHSP FLQOR ELSVATIONS
IS PROJECT IN FLOOD ZONE AREAO Ylil8 0 NO
BUILOD ~' COMPANY /Jorrt~ Sw I~ LLC. .
(;) . . ~ STATE CERT' oa REGIST i CGr. 6$ ~::tE3 -~
SIGlIATmUo c?_JO!Y~~~ C~TY PROC'sarNa ~ ".Ot~
-----.,,'i,...... *......... *** *" *** * *t.".,,*.,. .'1..*...".".. *****,. *** * * ~ .. *t.. ..*
BL80TRICIAN COMPANY~
STATE CERT OR REGIST #
SIGNATURE CITy PROCESSING # .
*****...*t*......*******..**.******....****.....******.....**.*..**
P~UMBIa.
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING *
8 IG1~ATURE
MBCllAHlCAL
.***t..*...*****..,,**........**...*.*.,.....**....*.***t*t......***
COMPANY.
STATB CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***********.*.**.***.**********...**.*~*******...".~*******t,...**
OTBBJl.
SIGNATURE
COMP4WY
STATm CSRT OR REGIST #
C!TY PROCESSING #
****t*..***.*.,*...**.****.".......**.*.****..******.***.**~*.**
'd OSrj,?'ON
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CONOITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DE!:O RESTRICTIoNS
The undersigned understands that this permit may be subject to ~deed restrictionsU which
may be more restrictive than City regulations. The undersigned aSSWDes responsibility for
compliance with any applicable deed restrictions,
8. 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 a8 required by law, both the owner and contractor may be cited for a Ddsdemeanor
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 Zephyrhi1ls 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 SectionsN 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 - Homeowne4's Protection Guiden prepared by the Florida Department of Agriculture
and Consumer ALfairs. If the applicant 1s someone other that the "ownerN, I cerity that 1
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 perfor.med 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 re5ponsibility 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-Wella, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Wat*~waY$
*Department of Health & Rehabilitative Se~vic.s, E~v1ronmental 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 Zono ~A" or "A,etc.H, it is
understood that a d4ainage plan addressing a ~compensating volumeN will be aubmitted which
is prepared by a professional engineer registered in the State of Florida prior to permdt
issuanee.
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 per.mit 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 per.mit is commenced within
six months of issuance, or if work authorized by the penmit is suspended or abandoned for a
period of sig 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 IN'!'!:NO TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UND!R
$2,500 IN Vl\LUJ;: DO NO'r NEED TO RECORD AND POST ~ 'NO'rI:~
'"GNATO"" , OWN"" OR J\GEN'r ~.'~~
STATE OF FLORIDA STATE OF FLORIDA(~J' _ ..( "
COUNTY OF COUNTY OF . _ a -AG'1
The foregoing 1nst~ument was acknowledged The ~oregoing instrument was~c~wled~ed~~
Before me this ~ day of , l~ Beq6re m~ this ~ of 411':'.7/ , f;$ ~0-
by by\....=A_t../A?.A-7~_ :/J?'7J
(name of person acknowledged) (name of person acknowledged)
CJ who is perlSonally known to me,. or Gho is personally known to me, or
o who has produced
(type of identification)
and who[:J did Odid not take an oath.
o who has producedL'! j).(. 4/53- /if 77-.f?j(-O
........>-"~. .(.type of .identificatiOn)
(nd W~/did J~~~d not take an oath
-- ~;t<IrL l}j A~2j;~
signat~~~~~~ pers~bmHJe~stcfc~.~oWledgm.ent
~*: :*~ MY COMMISSION # CC89~160 r "'",
-:...~.. :<c:i
Signature of person taking acknowledgement
Name typed, printed or stamped
Z . d
OS9Z'ON
SillH~^~d3Z jO ^l[~
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zaGZ 'L 'PO
9/10/02
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Michael Cochran
38410 18th Ave
Zepherhllls, Florida 335< i 1
Ref.
ti2:
Scooe of Work
Proposal
September 2002
General description: Provide accessibility to home by installing barrier
free shower ADA toilet & barrier free vanity. Install new cement sidewalk at
rear entrance. Provide and install vertical 11ft in recreation room for dient.
1 Bathroom
~ demolition of bathroom remove tub, surround, toilet, two tiled shelves
- remove sink vanity and cabinet along with vinyl flooring
- r....frame closet and shOwer area (see diagrams)
- drywall (green board) closet area's on both sides of shower
. Durock shower area for-new tile
- cut cement floor to prepare for new shower pan
- move drain to center of new shower 1: 12 slope
- tile shower surround with 4" x 4" tile to ceiling approx. 70 square feet
(tile allowance ': $2.00 per square foot)
- tile .entire floor with 2" x 2" mosaic slip-resistant tile (tile allowance
= $3.00 per square foot.
- provide soap and shampoo shelf inside shower surround
- provide and install anti--scald valve
- install new ADA commode
~ install 30" barrier free '.A3nity; minimum clearance from floor = 29";
countertop maximum height = 34" from floor
- provide and installlavitory and faucet with lever handle
- install 24" grab bar at rear of commode (33" to 36" inches high)
~ install two 32" grab bars on sides of commode (33" to 36" high and
12" from wall)
- relocate toilet paper hotder 19" minimum height
- relocate mirror on wall aver sink, bottom edge 40" maximum from floor
~ provide a heavy--duty shGwer rod and curtain
- provide and install a ha'ld held shower wand with 84" hose and slide bar
- provide and install a fold-dQwn shower seat with front support leg
- tape, texture new areas
- paint entire bathroom wdh semi-gloss latex paint (2 coats)
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Prices quoted are estimates llased on our observations at the time and are valid for 30 days from the date of this
estimate.
Io-(~
1iomll ~efll
Michael Cochran
38410 18th Ave
Zepherhllls, Florida 33541
Proposal
September 2002
General description: Provide accessibility to home by installing barrier
free shower ADA toilet & barrier free vanity. Install new cement sidewalk at
rear entrance. Provide and install vertical lift in recreation room for client.
Ref.
No. Scooe of Work
2 Rear Entrance
- form and pour 16' by 42" sidewalk at rear of recreation room.
- sidewalk will be level with floor of recreation room
- install new low profile saddle on existing 36" door
4 IClean-up and dispose of debris
S 1 Permits, if required
Thank you for callng Home Safe.
9/1 0/02
$ 9,350.00
Prices quoted are estimates )ased on our observations at the time and are valid for 30 days from the date of this
estimate.
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Existing Bathroom ~ COCHRAN, Michael
38410 18th Ave, Zepherhi1ls, Fl33541
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HOI'1E SAFE
8138808818
Aut' 27 02 07:42p
REHAB EfiG TECH
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Proposed Bathroom - COCHRAN, Michael
38410 18th Ave, Zepherhills! FL 33541