HomeMy WebLinkAbout02-1615
1615
~
'1 :J- ·
3 BUILDING
'1s*tY0
(813) 780-0020
35"' tJ'O
PLUMBING
Date
ELECTRICAL
.~
So
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel 1.0, ,
Zoning:
oescriDtion of Work
tfJ~r5
'8'~ Av~.
Water Meter:
T,I.F.'s:
Energy Code:
Nel"J ~
I~
!'P~as:
l J.Q
I
A/~ p'Vrhbl~J ~
I /
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
FINAL
C.O.
'7- J'-- 'V 3
DATE
NO OCCUPANCY BEFORE C.O.
City License Registration #
State Certified License#
Permit Fee
)Signature
Company
Address
/CTelephone# 7~7~ fl,3r-.s-:3 73
DATE
RL r J jf,JD
Valuation or
Contract Price
~ _iA1k SRI!.
IJt'J1/fIt~ Glee. l7Y1f.
.
jJ: 34150
ELECTRICAL
(J;/hM'7 Jlr fy;..o/!hj ~ ~I( ~'zt.l.
'# . I=t= 3l>5J
PLUMBING ..2'97V'MECHANICAL
BUILDING
Tp. Servo SLB
Rough In ./.]..AI~oJ Ruu/Qc Tub Set
Meter Can Water
Const. pole./ 11-/J'lX2 RL-'lD Sewer
Pool 1'f'1 Final L/ r; - f-- ~o} /l L 7
Pre-Meytr fLt..,z 7 -p -; tf'-7
Final ~L '7-_- c 3 72...[ '1 '
fi'? ~ ,.;;( 7- 03 I ( :30 1111 ~j;tJ" ~
F f 1/-13 - O:J... 3' 0 5 A/r5J~" I:r
Breakers
~/ t- </-t.J RL't/' Ulbucts Insl. {/}~"I-03 R.t '(J-Wo
Compressor
Final \,.../ 7-Y- 0 3 Rc...~
Ftr,
Pre SLB
Lintel
FRM. ~/3A(-() 3 tL'HlFfo
Insul. CL j -/J/-p ~ !lJD
WL ~ -liI- tY-3
Shl"~u;5 - \t-1.1-~t. if'J'O
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,
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS ?;-!' II
s9 'i (j - a- ~
DATE
?-I-t!;
PERMIT ""
lta/:)
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
,
~~~ ~~ ,~~~_,~W~
~ ~ad;~
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, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0~TION
INSPECTOR
CITY OF
ZEPH.YRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
ADDRESS ,IL DATE PERMIT...
"3 q LI 4 4 ~ 8 - ~ },'O 1 " I 5
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections sholl be mode before the job
. will be accepted.
"cr~~~~
J{~.~~:;~ ~~~,:~ "ld>~ .
DO NOT REMOVE
It is unlawful for any Carpenter, Contractor, Builder, or other 0 s,
cover or cause to be covered, any part of the 'Work with floo' g. th
or other material, until the proper inspector has ,had ample time appr e
the installation,
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR 8
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI. -
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.IT'ON OR CORRECT'ON
BUILDING
DEPARTMENT
~~~ ~~#
"5 s~ A.v e I 11 V I I fc, (r
THIS JOB HAS NOT BEEN COMPlETED. The following additions or corrections shall be made before the job
wIll be accepted.
,
~r
/ ~~ 't7
--:
Wcx.\\
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR REaON
INSPECTOR~ '-p-.J {/
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, until the proper inspector has had ample time to approve
the installation,
~~~y OF ~EPHYRHILLS P~FM!T APPLICATION
~Ult.PING IHIPARTMENT 5335 ~th S'l'l'..:lill:l'r ZEI?HnHlt.LS. Ft. 33540
ihonel 613 -780 - 0,020 Fli'.xl 813 -7 80 - 00":1 1(2 - /l, ,'C_ Q' ;,
. DA'flll RBCEIVED ~~-~:../
, ._--::_ -"'--'T.:P"
l'hl>.NS REVIEW FBB_------
mINER I SHANE /~ h ,;vi I~ ~ S
JOB SITE ADDRESS ~7'/~V'.. a/A ,0-..________
l?H()NE CONTAC.T
-.........,......,.-----..--
LEGAL DESCRIPTION: LOT(S) 073 tJ Br.OCK
E'AR~EL ID # 5'-/.2 i-;2~ - ~ - ~I
WORK PROl'SED: ......~~W COJ:::!s'rRlJCTIQH QI 0 ADDI'rION
~17Jl.e V~M--iC PI '{ /14Are.
o SIGN 0 MOVE
(Jodi) 0 SUBDIVISION
(OBTAIN !i'ROM 1?ROI?ERTY TAX ~n'l'+CE)
07/0
[] ALTERATION
~REPAIR
o IN6T~1,I,
o DEMOI,ISH
[] INDUS'l'R I AI.
0# OF UNITS
[] SWIMMING l?OOL
[J MOBIl,E HOME
IJ OTHEr<,
I?RO\?USED USE: ~GL FAMII,Y DWELI,INGJ
o ~OMMERCIAI,
OMUl/1'I - FAMILY
DESCRIPTION OF WORK
CJ RESTAURANT
A/EtU "7L1-t.~
&. HEAl,TH DEPARTMENT APPROVAL
..;- RNr ,. V/lY /</11-/( J IlIe. i ?/v~l~, . ~J6c.
, I ' // /,,-
BlJII,DING SIZE
SQUARE Ii'OOTAGE
BElLm'!'
RESIDEHTIAL:
COlvlIYlERCIAI. :
ATTACH (2) PLOT PI.ANS &. (2) SETS OF BUU,DING PLANS 6. (1) SE'f ENIilRqy i"ORMS,
A'!"l'ACH (3) SETS OF BUlI.DlNG PLANS & (1) SET ENERGY FORMS.
I?ROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUC'fION.
AMP ~ElRVICE
i'~1~
REQUESTED aJt.. h 1- &,,'1/ /
71~'- -
VALUATION Of? TOTAL CONS'fRlJC'rION . ,/ -- ~'.
~ '
o Fl,ORWA POWER 0 W .R,E. ~: ", 1) \,
1Y1.wJ fUDG)
VALUATION OF M'CHAl'CIAl. mS'I'AI.LA'!!:' ~~//
[] OTHER
[] E\IILDINCl
fJ ELECTRICAL
PERMIT~
7~33S,oS-
$
[] I?LUl'1BING
o I-1ECHA,H I CA1.
$---,
o GAS
o ROOFING
o SJ?ECIALTY
TYPE OF C(}N8'l'RUCTIOl~: pf BIJOCK 0 FRAME
FINISHEl1 FI,OOR EI.IlJVATIONS Vi'"5
I
[] STEEl.
o OTHER
IS PROe] ECT IN FLOOD ZONE AREA 0 YES
~ l~O
OI..CTRIC"~ ~ CO" PAl, ,diJJM,-/Cil/j p/t2:h-I'LFnf-T~
" ,_ 01 --../ STATE CERT OR REGIS'l' # ~C ~[)t!1g'1,G
Slm1ArURE-LL~~ ~l _ CITY PROCESSING # --::--- -~
/t ;;I/}-6 () ,
****...***.*.*.*********.**.**.**...........~~****.****t*...._
ilLUMSBR 4L COMPANY ~:/~.r'~f /f~t;.7/,$ 1':=Y6/
STATE CER'l' OR REGIST If l""1<="c'd??7F"/
SIGNATOR'. _ _ q / _~ CITY PROCESS;,l1't # :Ag~. _
.......*.*.*****..**...****.***************~~!~1~.~* **~~
MIIlCHAlUCAL 1 COMPANY-~ Sc?t.t/,cJS.4/c-
STJl.TE CERT OR REGIST # d,lJl~~ '1'lr---
SIGNATURE fdL.f.- ~ CITY PROCESSING # ," 05' l
~... ........................... ... ........ .... ..~~...........
OTHOR ~ ~ COMPANY
II STATE CERT OR REGIST #
SIGNATURE t/ , el'rY PROCESSING #-
. V:-3 tJ5"3 ,
.*..*****..************.****.******.***.***Q~*.********....*.*
CQtilPANY l3ttJt/lJ~ .-p..5'~JC. ..5'e~{//C "l..s
STATE CERT OR REGIST # ~ZosoCRoJ Y (.'C COS-l>7f
.::::::::::::::: CITY PROCESSING # gO?;Z
\ - 111.1...
*******.********.***.*.*******************.*.~*~**********..**.
BUlt.DilR
IHGNATURE
CONDITIONS OF PERMIT AFFIDAVIT
A.. NO'rICE OF DEED RESTRICTInNS
Th. und.rBign.d und.rstands that this permit may be subject to "de.d restrictions" which
may be mars r.strictive t"an City r.gula'ions. The undersigned assumes responsibility fa,
compliance with any applicable deed re3trJctions.
B. UNLICENSED CONTRACTGRS AND CONTRACTOR RESPONSIBILITIES
If the O~e. has hired a coutractor o. cootrautors to undertake ~rk, they may be requi'ed
to be licensed in accord'noe with state and local regulations. If the cont.actor is not
licsnsed as required by l.w, both the owner .nd contr.ctor may b. cited for. mi..d.....nor
violation under atate law. If the owner or intended contractor are unc..tain as to what
licensing requirements may apply for the intended work, they are advised to contact ths
City of Zephyrhills Building Department, 813-788-6611.
Furth.rmore, if the owner bas bired a contractor or contr.ctors, be ie adviaed to have tbe
cont..cto.ls) sign po.tions of the "Contra eta. Sections" of this application for which the,
will be .esponsible. If you, as the owner signs as the contractor, you are indicaUng that
you, tather 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 i.
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 c..tify that I, the applicant, have been p'ovided with a copy of "Florida's Construction
lien Law - Ho"eo~e.'s Protection Guide" p.epa.ed by the Florida Depa.tment of Ag.iculture
snd Consume. Affairs. If the applicant ia someone other that the "o~er", I cerify that I
havo obtained a copy of the above desc.ibed document and P'omise in good faith to d.liver
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 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 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
slx 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregOing instrument was
Before me this _ day of
by
(name of person aoknowledged)
Dwho is personally known to me, or
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
19
Dwho has produced
(type
and whoD did Odid not
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid DUd not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Henle typed, printed or stamped
3utt.N~ IfWrttL S~J~UL5
. .~c; '-fllLf. ~ -+ ~.
. -f
_ i--
I
,
i
-I .
I. / -
~\r" 76:A'-/ ~t+tIVS
. 1 1 -
t r
- I ~
. J
I , . . I
1- -
j ...~ '~
- .
........ --
1
f.
;
j
I
j
i~ ~~~.......P:.
I
j
t
j-
j
f
1.
,. !~~-:$
Cii
,
72,;7)'
-
0.:>
C~ !O'J-P~
?
,
..-..-
i
r
j.
t
t
t
l-
~
~-
i
J
;..
~ - j
r
l.
.-t~
1
r
[
t
!
1
I
i
f
j
-
j
}~
4
j
r
1
I
j
1
1
1
- I
. j
1.
~
!
r
!
I
j
1
I
I
,
I
1
1
1
~-' l~ 3/2
~.~ J\jJ/)
c~
, I
---- --~~
7~~O~
<2. .- 00.
~ :::> .
,
,-
I
I
.
~l
}~
t
i
-1$
J
-3::':'
50." -
, - --
-=-is- N)~
'M.~ J~ N In
!
l ---rD'Ip,-L.-
! 4), 5'SZ.~ ·
-1
......,.
l
i -
, -
1
~
0" '. '. ~ '." .; . :.:_ ~"!;':-~ (;J;{~~:~;,:i~h1j.-k:..",::€.4:i~,;~.~k(~\~;:.iX,:::.:::;i..=",:;i:i;'"o:':i:!;~'~:>~1;;~&:~~1'~:;'~k"~:t;~,~.:,\~
NOn CE 0 F COMMi;.id~~iNi;i;C:':::;-~:~;::: ~~~'P 1111111111111111111I11111111111111111111111111111111111111:
, 2002168805
State of Florida
County of
/d- -dt; - c;:;/- 83/0 ~ 06000- 0 73f)
Rcpl: 629277
DS: 0.00
10/30/02
Permit No.
Parcel 1.0. No.
Rec: 6.00
IT: 0 . 00
____ Dpty Clerk
THE UNDERSIGNED hereby give notice that the improvement will
be made to certain real property in accordance--with O1apter 7 13, Rorida
Statues, the following information is provided in this notice of
commencement.
JED PITTMANi PASCO COUNTY CLER~i
10/30/02 0 : 33pm 1 of 1
OR BK 5118 PG 39
l.Description of property (~ga1 tkscripiWn of propaty and address if available) 3 9 '( L./ t( ,8 -n- 11 v.'
L-e. .. '-c.
2.Gener~' escription of improvements f" I ~.'e_ R.. e. s ro,.t:.A TI lJ) !<. Q ,0 t- AC. -e (<. 00 -F Dee 1< i' ','
. e' , " . I
C-e.. \ L \IV '1 -5 I I 1\.) .s. LA L lJ. T I D t-:> '- LA nI B; ...J i I E. Lee II!.. \ c.. A L
3.0~er information L '
a)Name and address \-\ e- L e.. ,J A , W A LTC: ~ S
b)lnterest in pro~rty (:) LU N e ft
c)Name and address of fee simple titleholder, (if other then owner)
R4.contractor (name and address) ~ \.A ~ N "S (.:c N sf A/<..
'~ A -f~ '\ '--' \A A R... ~ c {t- .+ L.. 3l.f Ie <1 $'"
5.Surety' \
a)Name and' address
b)Amount of bond
6.Lender (name and address)
1.../60 <1-r1-(~\J-e
S' 0 .
", '. ~
......
7.Person within the State of Rorida designated by owner upon who notices or other documents may be served a
provided by Section 713.13( 1 )(a)(7), Florida Statues.
Name and address
8.ln addition to him or herself, owner designates ."
of to receive a copy of '\he Lienor's 'Notice as provided in ~ection
713.13(1)(b), Florida Statues:
9.Expiration date of notice of commencement
rom t~e date of recording unless a different date is specified).
(the expiration date is one year
STATE OF FLORIDA
COUNTY OF fl1~-I(ftS
The following instrument was acknowledged before me this
who is personally known to me or who produced Si yo
_ ~~-L /1'. 5it~.{
Signature of Owner
~~ay of~,ar ,~t1~bY ItklJ td/~
(p () I as identification,~..." ",
. ;/. "1 ,,;
.~~ /,..., . ...,.!
After recording, return to:
Name .
Address
City
,"".......~".. ~0'tIAtI.0N t:"
f:;Q1') MY COMMISSION' DO 105700
\ : ; EXPIRES: June 4, 2006 -
. .Ri.~ BondId1lw~P\ilICUr-'M
If9~
BURNS
IN'TAK
SERVICES GROUP,NC
Nationwide Restoration & Reconstruction
October 9,2002
Burns Services, Inc.
400 9th Avenue 5., Safety Harbar, FL 34695, 1.800.446.1620
727.726.4245 FAX: 727.726.0697
TO: PASCO COUNTY
AUTHORIZATION LETTER
I, John P. D. Crist II, contractor license numbers,
CO C058601 and CC C057515
Hereby authorize the following to act as my agents in obtaining permits in the
Pasco County Building Dept.:
Ken Hemmings
Andy Shuhart
Jim Manning
Dino Cubero
This authorization is to remain in effect indefinitely, unless cancelled by me in writing.
This letter serves to cancel all other names from our list of qualified agents.
/r~L
Date
State of Florida
County of Pinellas
Sworn to and subscribed to before me this //IL
d)d' () ';)... by ~1O/.f1v p;). (1 y {j f- ::u:::-
to me or has produced
and who did (did not) take an oath.
day of t9t &6~y
, who is personally known
as identification
""-".....,.. KAREN Q1iAN.ON
f.n~>: MY COMMISSION # DO 105700c:.....
~~i EXPIRES: June 4, 2006
"1~iii.~....., Bonded ThN -.y PuIllic UndefWrlleI$
...~..__..../'. . ..()~ ~
;;:zL~~ (/ /;;
Notary Public
My Commission Expires:
Corporate Office. 7439 Pebble Drive. Fort Worth, TX 7611 B . B 17.595.99 BB . FAX B 17-5 9 5.9 9 B7
Nationwide 866-INSTAR-5
www.instorservices.com