HomeMy WebLinkAbout02-1662
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1662
(813) 780-0020
Date
il- ~,- 0 ~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner: r~ p ~I.Y
Job Address: 5'1 ~ L../ J- 5" J :l U //,.,I, 5/.
Water Meter:
T.I.F.'s:
Parcell.D. ,
Zoning:
Descriotion of Work
E~de:
Re-
Radon Gas:
FINAL
C.O.
.- 0 2.
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
City License Registration #
State Certified License#
~1<6
Pe,m;' Fe1j ~ ~
~~::::: - =- -Lu _-_
Address ~ 7
>f~lePhone#{- 0 .G1,1- ~lJtf?
Valuation or
Contract Price
tl-L~
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BUILDING
MECHANICAL
Breakers
Ducts Ins!.
Compres or
Final
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,
;".
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
MCI 3027
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME FRANCIS PANZER
PHONE 813/629-4041
JOB ADDRESS 5124-5126 16TH STREET, ZEPHYRHILLS, FL
LEGAL DESCRIPTION: LOT(S) BLOCK
SUBDIVISION
PARCEL 10 # -LI ,:ita /1/0010 :JDECfJ 0/70
{OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: [JNEWCONSTRUCTION
[JADDITION
[JALTERATION
[J REPAIR
o INSTALL
OSIGN 0 MOVE 0 DEMOLISH CROOFIND
PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
~ OTHER DUPLEX
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
SHINGLE RE-ROOF
BUILDING SIZE
SQUARE FOOTAGE
3:700
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
(t S'~
PERMITS REQUESTED
o BUILDING
$ 4,900.00
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
[J PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
IX! ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
'COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
ELECTRICIAN
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
* ** * ***** **.**** ** **** * ** ******* *** *** * ** ***** ** ** ********* ***** ** *
MECHANICAL
COMPANY.
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
SIGNATURE
nh
COMPANY MILBAR ~STRucrION, INC.
STATE CERT OR REGIST # acc 051562
CITY PROCESSING # 218
OTHER
*****************************************************************
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An)' rotbn'or d..egedyooddClCk, l..cla, 'trill, ir'uing; ~{c. np!ace..nt or
r~-n.ilina of tho .~1.~1nft rn~f ri.Mk wi" h. ~~NA1...~ ~n a ~A_.__t.._ ~_.._
.......-..-
CONDl'l'lONS 01" P~l{MIT AI"I"lDAV1'l'
A. N,OTICE OF DEED RESTRICTIONS
The unders'lgned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility fo~
compliance 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 pronlise 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
, C!C!ll!:1ln__
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@J Builder 1C1COa221
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1!1811 US Hw)t 301 North. Dade City. Florida 33823 C> RCI FbIt......
352/567-6047 · 800/662-2393 · FAX: 3521567.4464 "ouf ~ fHI14.
e!J/19/12
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I P iNZER, FRANC IS
'I STIIEET
5381 EAST 1315T A~ENUE
i, CITY. STm aN ZIP
I. TAftPA, fL 33617
, NOIT~
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w. ';';;l:ly ""bft,k IpI<ificlllion.'1nd nlimllll..tor:
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Mem", uf t"- ...,leI.
Roonng .ftCI f1llt1l MItII
AItOCII1Ion
OAT!:
PANZER RENTAL DUPLKl
JOlI LOCIITION
~12~-~126 16TH STREEt
~, O~ PLANII
ZEPHYRHtLLS, FLORIDA
-- _._..~.._._,. ,., ,'."--'.
"ilB.~ COQ.tr~atlan, Inc. ta p~QY1de 5-year warranty Qn vork~.n.hipJ .Kal~.1Qn.l
stor. da..ge. work done or da.ag~ by others, tree da..;e. and/or .tr~et~r.l d...ae
t.o roof deok.
Owner to pr~,,_~d!.,....ct:e'.1!I
..t..rial..
11llln Con.tructi.on,.' Inc;' to provid. o.rutral Lfab1Ilty" andWorkl!r' 8 'cowip.msaUi:in
In8\lrBnce ($2,....... Uldt) and r!:r~.1l!1~g p.~n1t.~_
'_.'- . .......~- ..."~~". .. ',. ...,
te reof for delivery truck for loading/unloading for rDofing
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NOTICE OIf' COMMENCEMENT
MCI # 3027
Pemtit No.
Parcel LD/FOLIO U I :J {; a' COI () :'JD'~on 011 ()
State of Florida
County of PASm
1111I" 11111111111111111111111111111111111111I11111111111111
2002180752
THE UNDERSIGNED hereby give notice that the improvement will
be made to certain real property in accordance with Chapter 713, Florida
Statues, the following information is provided in this notice of
:::ommencement.
Rept: 634426
DS: 0.00
11/20/02
Ree: 6.00
IT: 0.00
Dpty Clerk
JED PITT"AN~ PASCO COUNTY CLERK
11/20/02 0~:08pm 1 of 1
OR BK 5141 PG 1346
I.Description of property (legal tkscriplion of property and address if available) 5124-5126 16TH STREEr
Section ~, fuwnshio .al.c . Ranqe,~ J nIl/ /J ~ D~(n 017/) ZEPHYRHILLS, FLORIDA
2.General description of improvements . SHINGLE RE-ROOF
3.0wner information
a)Name and address FRANCIS PANZER - ~3QI f. I~\ s,t AV~nu..~ leY'rtpl(1 T~rrt1l'e t=l '~3(.,r1
b)Interest in property 100% / OWNER
c)Name and address of fee simple titleholder (if other then owner)
~.Contractor (name and address) MILBAR CONSTRUCTION INC
15911 US 301, DADE CITY, FL
DAVID R. ABLA
33523
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5.Surety
a)Name and address
b)Amount of bond
S.Lender (name and address)
7.Person within the State of Florida designated by owner upon who notices or other documents may be served as
)rovided by Section 713.13( I )(a)(7), Florida Statues.
Name and address
Un addition to him or herself, owner designates
)f to receive a copy of the Lienor's Notice as provided in Section
, 13.13(1)(b), Florida Statues.
'.Expiration date of notice of conunencement
'om the date of recording unless a different date is specified).
(the expiration date is one year
~TATE OF FLORIDA
:OUNTY OF
CMNER I S SIrnAWRE
PRINTED NAME & TITLE
~ ' Q
~ c:! p~W\-u;~
Lhe followi~~knowledged before me t.his~day of
who is~ny kt~6r who produced
<::..----
,
"-fier recording, retum to:
~~ne MILBARCONSTRUGTION, INC.
"-ddress 1 5911 US 301
::::ity DADE CITY, FL 33523
NcJ--
, 2@2...by k-~l ,'!. ~"~vr
as identification.
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