HomeMy WebLinkAbout02-1652
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1652
(813) 780-0020
Date /1- 19 - 0:;2
.
BUILDING
ElECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner:
Job Address:
Parcel I. D. ,
Zoning: Energy. Code:
Description of Work ~y~ I, ~-t, ~ h
hRSf
SZ3'1
e~lJ,ch
C-i-rL :') T.
% ('ffi-iJ
Water Conn:
Water Meter:
T,I.F.'s:
Radon Gas:
1?~~:do~5e., (Ju p/~
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
DATE
Inspector
City license Registration #
State Certified license#
~t'O 3-
p",m;tFee 7.s' H> ~ t. ~
A5;gna,",e 7 .-~,-~ '-...:t:.
Company
Address
.)r'elephone# kj~..- 7/4/- Zj():;l 9
Valuation or
Contract Price
CR05S ~f/ll/i~Ol7nu~.1 sRt/
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SlB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compres r
Final
BUilDING
ELECTRICAL
PLUMBING
/
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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LEGAL DblSCRlP'rION: LOT(S) -J~Jl.g__- BI,OCK ..J.Li1L.__._ SlIBlHVISlTJH ?!f2!:.yffb~II?,~.l/~____~_
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PROPOSED UBE: i [lar.H, FAI'HL'i DWELLING ~1JI/l'I" FAI>1n,y EU# OF lllUTS [] MOl'iJliBl lIot4E
LJ (](.>t4l>11ll RCI AI I [) lNPlJEI'!'R J AT.J [) 8\'ll/l1lYJING POOr. Il O'flUllR
D RIl:8'rAURAwr & UEAI/l'II fJl:ilPARTMElNT API?RDVAL
l)lllS(~RlI?TlON OF 1'10RK ~(l.IN1 ~L_h.ouse.. dou.J ~ _______________~~_____~_,__._.__...____
BIHLDlNG SIZE
SQUARE fj'OOTAGE ..l,~OO
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RESIDEUTIhL I
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A'f'fACH (2) PLOT I?T"A118 & (3) SElTS OF' BUILDING PLANS ~ (1 l SIiI'!' ii1tUilJtriV" J;j'ORI>1S.
A'I"I'ACH (3) EJalT6 OF BUILDmG I?LANS 6: (1) 8m'!' ElNIjJWJ~ FORMS,
I?ROI?EN.T1f SURVEY RElQUIRElD ll'OR ALL NEW CONS'l'RUCTWN.
FERMITg REQUE~TID
LJ blJll.lHNG
$________~..,..... VALljATW1~ OF TO'l'AL CON8'I'RlJC'l'TON
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FllHI::lHUllJ l1'LOOR EH,EVA'nONS
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BUILlJlilR
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COtlll?ANY _____.. ..__-.._..____.... ____._..__..,__
STATE CftlR'I' OR REGIS'!' # ~"'__ .____.__~_.-"_..__.__.___..
CITY PROCESSING H
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B] ()NA'I'IJRE
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CITY PROCESSING H .___n____._._~....._.__..__._......__"._
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STATE CERT OR FEG1S'!' H
CITY PROCESSING # ~-------'--.'-'--'----'-"'-
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SIGNA'l'IIRE
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SIGNAT[JREJ
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COlvJl?ANY __________~_...__..________.__._____
STATE CHlR'f OR R}jj(HS'l' #
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~I'l'Y PROCESSING #
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WlilCHAUICAI.
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o'rUlllR ~~' ~ -t--m ---.- "OMP~HY J,tOSS_.l:!~NI/l{JAJ fl/w:ha.! 6e.ev 1U:5 J;y~
S'I'ATE CBJRT OR Rjj)GlIST #I i. - ~--_..---.._--~
SH","'J'IJRE . _ . ..'.. ~ . fTry PRClCsssrH" # ___~~~~~_~..L=:.:::=
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CONDITIONS OF PERMIT 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 w~th 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 rnust 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
*Departrnent 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
WI T~. Y.OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2/5 ll\IN VALUE NOT ED TO RECORD AND POST A "N T E OF COMMENC NT".
7' f I
, '! ')
STATE OF FLORID~
COUNTY OF ' As.C'I(".
The foregoing in~trument w81 ackn~Wledg7d
:~f(\\~(~ t?t:J~sday ofll(uLVfl(.btr, r9.l!::Y)
~ (name of person acknowledged)
who is personally known to me, or
who has produced
(type of identification)
nvt take an oath.
acknowledgement
Name
1/11. LEN
rJr'-P1'l'J~~~gn~%f~lgA
.....~ EXPIRES, JUNE 27 2003
1II\1~
STATE OF FLORID~C!.O
COUNTY OF
The foregoing instrument W~~edged
Before me ~s ~ ' .;r-g2lL-
by c.. ~
~.. (name of person acknowledged)
~o is personally known to me, or
Owho has produced
(type of identification)
~id not take an oath
owledgment
Parcel Information for: 11-26-21-0010-16800-0150 Card: 001
Page 1 of2
Welcome : R~cord__Searc:l1 : Parcel Search
$eCl[gl,A,.--9.f!ll} $I1QwMClP G!lD~raJiz:~ctl3\Jj!QimL~chematic CaJcuIJ!~I~~~~
SeE:LTCl2L~OJ I~gor Info rrna1iQn--<~Y-rrenUDel inquenl Taxes
ParcellD 11-26-21-0010-16800-0150 (Carel: 1 of 1)
Classification 12 - Stores, Office, SFR
Mailing Address Assessment (totals)
FIRST CHURCH OF CHRISTIAN Ag Land --
SCIENTIST INC ZEPHVRHILLS FL
38543 4TH AVE Land $12,950
ZEPHYRHILLS, FL 335425009 Building $16,144
Pl1Y_~i~<<:\Lt\~c:tresJL$~~ AII_~~ctc:tJ~_!ises
5239 9 TH ST Extra Features $0
ZEPHYRHILLS, FL 33540
L~~De~criptiQ_n (First 4 Lines) Total Assessment $29,094
ZEPHVRHILLS PB 1 PG 54 LOTS Save Our Homes $0
15 & 16 BLK 168
OR 1298 PG 1090 Taxable Value $29,094
Land Detail (Card: 1 of 1)
Line Use Description Zoning Units Type Price Cond Value
01 1200 STORE QOMB OOOP 7,000.00 SF 1.85 1.00 $12,950
Additional Land Information
Acres II 0.16 ~ Tax Area II 30ZH II Fema Code II X I Comm Code n M9ST7 AA
t:3ytldiI19Jnf()I_ITIC!tiol'l - Vear Built 1950 USE 08 - Multi Family (4 or less Units per Building)
(Carel: 1 of 1)
Ext Wall 1 Average Ext Wall 2 None
Roof Str Gable or Hip Roof Cov Asphalt or Composition Shingle
Int Wall 1 Drywall Int Wall 2 None
Flooring 1 Pine or Soft Wood Flooring 2 Carpet
Fuel Oil Heat Convection
AC Window Unit Baths 2.00
Line Description Sq. Feet Repl. Cost New
1 BAS 880 $27,491
2 FSP 154 $2,405
Extra Features
No Extra Features
Sales History
Previous Owner --
Vear Month Book I Page Type Amou=;:;t=
1983 10 1298/1090 -- --
1970 03 0485 / 0204 -- $3,600
$~_C1J~tJffiCliD ShQ~ Map Gen~ralized Building ~QI1~~mCl!j~ Cal~Y-lc!t~ Taxe~
$e~LT a~ CoUectQfJD1Q!matioD_~~!J[[~D1LPeJloq uent Taxes
http://www.ap...Iparce1.asp?Sec= 11 &Twn=26&Rng=21 &Sbb=OO lO&Blk= 16800&Lot=0 15 11/14/2002