HomeMy WebLinkAbout02-1667
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
35'@O ._
ELECTRICAL PL.YMSfNG
J
Property Owner:
Job Adme.., ~37 -, Idc~
/;2J" OV
BUILDING
MEC~L
Parcell.D. ,
1667
Date /1- c< 1- V 2...
.
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
., c=>- . ("~
Energy Code: Radon Gas: 0 . I a'
{'~~ /L/-/r'!VJ R~I !?ot15e~'/ 5cr~~Eh
/ - / f
Zoning:
Descriotion of Work
FINAL
C.O.
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,
Inspector
4.1;Y-I, t fe ( , r
Con~
(. - 7~ Z"3
DATE
DATE
Valuation or
Contract Price
/~ tJ-(}O . ~
22Y/
Permit Fee
;>8ignature
Company
Address
).l"elephone# I ~3 - J-j 7- /I! ()
City License Registration #
State Certified License#
I-~ ~u~ C~
/lCe
# /;17
BUILDING ELECTRICAL
;l . . Pi. '-I nUt.>
Ftr, ,/,' .~ft -(:15 Tp, Serv,
Pre SLB ,,/ 2 - z iI - C' "'$ {21.'1v Rough In
cTl/1l
Lintel Meter Can
FRM. Const. Pole
Insul. CL Pool
WL Pre-Meter ,
J ? ~ 2 it -v fLr Final I/Jt - 17- 0 3> (2. LJ
Driveway _
SLB
Tub Set
Water
Sewer
Final
5 J"e .:...-rh ,'",,). .~ -1;/-03 ;</;:)0
REINSPECflON 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
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS
"5752
pATE
2./2'5 0'; I" 7
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
-p,,:,;, \. . c,~J a. f f tc~eJ Sd
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L,^", J. s
PERMIT -#
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PI L1A .5
5t~ll
be
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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.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR 1/11 If ~
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
Peqnit NU~lber
II'"'' 11111 1111I111111"" 11111 ""11111111111 ""IIIIUIII
2002181426
Parcel Identification Number 31-~ J-j'- 2-/- {Jtj ItJ - 0 2-f'OO- 0 IJ J()3
Prepared By:
Rcpt: 634745 Rec: 6.00
OS: 0.00 IT: 0.00
11/21/02 _n.__ _.u__ Dpty Clerk
Palm Harbor Construction
605 South Frontage Road
Plant City, FL 33566
NOTICE OF COMMENCEMENT
Return to:
JEO PITTMAN~ PASCO COUNTY CLERK
11/21/02 1~:39pm 1 of 1
OR BK 5142 PG 1846
State of 91hl/(L.
County of j)?W-D
The undersigned hereby gives notice that improvement(s) 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. Description of property (legal d~~cription of the property, and street address if available)
ffi ttr!~ /"'';';'/212/lHY1./ '7J7 < #f)
J:lpy'/tl1J~i~ ~, t- (j"+- /C'3 _ . ..'
2.Ge~~16noflmprovement(s) yJ~~ -~~ -.I-- a.&-1~~
3. Owner informatio~J . . .
Name 4-t tJ./h.--tl ~ Z, VJt<J...-.1
Add a 7:5;1.. 1:!:rfJD /}v6 ,
ress 'J.. YJ't:r/l~ / 'cfl
4. Fee Simple Title Holder (if other than owner shown above)
Name Telephone Number
Address Fax Number
Telephone Number
Fax Numbet'
fdii\ 5. ContractorPalm Harbor Construction
r~i Name 605 South Frontage Road
Address . Plant City, FL 33566
6. Surety (if an~Yi)
Name
Address ~ /Ij--'
Telephone Number j 13 - '/J-:;Z-:3?G /- k'lJ- ~ )
Fax Number
Telephone Number
Fax Number
Amount of bond $
7. Lender (if any) ,
Name /
Address lU fr
Telephone Number
Fax Number
8. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as pro~ied by ~713.13(l)(a)7., Florida statu.tes.
Name. Telephone Number
Address /V jr Fax Number
9. In addition to himself, Owner designates the following to receive a copy of the Lienor's Notice as
provided in 9713.13(1)(b), Florida Statutes.
Name
Address
Telephone Number
Fax Number
10. Expiration date of notice of commencement (the expiration date is one year from the date of recording.
unless n difterent date is specified):
\ (- \~-~ 0 ~ .
Date Signed
~ t\.~~~~,
Sign, lure of~r
SWOI1l toan~subscribed bef~e me this k day of ..Aft;f/f?/J18,f/l. ,20 0;1.. , by
.. // N;J.}H ,4.//-9 rO!:,76,/,q , who is c15i!~sonalTl!now to me OR__
produced as identification,
~~~~~\.L~ y,-" LlCl J,..
Signature of Notary (not.arial seal to appear below)
" # CATHERINE PERHACS
~ NOTARY PUBLIC OF NEW JERSEY
My Commission Expires March 2'1, 2UC3
, 1
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BUILDING nSPARTMBNT 5335 ~th STREET ZBPHYRHILLS, ~L 33540
~bon_1813-7eO-0020 F~xle13-?eO-OOal ,
. W~'~'1lI RIlICJEIVilD __JL ~_L'l~-.-.~_,:s
i'J,lUH:l lUlIVnW JI.IiIiI______.,..,__~
:::::.:;':.":~~:R~~~ ~~i:::d!s l1UL=_______ _ "HnN.C:"'J~A"'[~~~~~~_~
J.,tilllAL DblSCRIlJTIOll: LOT (8) __LO L__.. Br,OCK ____.._ SlIBIHVrSJON G.f~~?{l1i.?_~_
~AIWb)L In #.J!i:::~-::...?-L-:_f2.Qll.::.._f) / )0 (j _
(OETAIH f'ROM I?RO];lERTV 'I'AX i'1lJ'J"Wlil)
'-_k___~_'~-"__W._."'~'_~"__""""'~"___'____"'r....
WORK PRO~Sti)Dl []NEW CONSTRUCTION
1\JIADDI'l'ION
[J AL'I'EJRA'rJ ON
o R&lI<lUR
[) Jli8'I'lU,I.
[J S Wll
Lllv'JOVE
[] DEI\101.ISIl
I?RO!?OStilf) USE: [lsw, FAMIL~ DWELLING
fJMTJI/]'I.. FAI>1nN
CJ# OF UNITS
o 8\-1 IMMING POOl,
IJ Mc.lantil lIollilll
IJ Cl'mER
[]CJOfvll>1illRCJAI,
o nWUS'l'RIAL
D R&J8'I'AURAWr I>< HEAW'1l fJEPARTMElNT APPROVAL
""."RH'm", OF liD", _CJJ&ftJki:::,M- R~ kJ! f /-_~,_~ S ~j)~_~
BUILDING SIZE _.___________ SQUARE B'OOTAGE _,f/I ___ !llilmH'l' '.__..._..'......,..____.._
RES IDEHTIAL I
COI1MHllWIJ\I,1
ATTACH (2) PLOT I?LANS & (2) 8ETS OF' BunDING PLANS & (1) tHil'r ~HJ.j)ftr;\' i,i'm'Wlfl,
A'l"l'ACH (3) SE'l'S OF BUlLDING PLANS 0: (1) Sli),I' EN IillHnr !t'ORMS,
I?RO!?liJR'rY SURVEY REQUIRED FOR ALL NEW CONS'l'RUCTION,
FERMlT~ REQum~TID
LL '" tI77J
,
_ 3J?) ~1L
VALlJATlON OF' TO'l'Al. CONS'l'RlJC~'jlTOH
AMI? ~ERVrcE
o FI,QRHJA POWER
[J
W. It, Ill, r~.
[J flLlJl'.1BING
'j'Yl-bl Of' C(jHSTRUCTWN: [I BLOCK
[l FRANE
IJ S'I'WE}'
[J O'I'H &J R
o l'lIilCHJUlrcJAr~
~--_.
VAl,DATION OF I>1ECIIANCIAI. INS'l'AI.IJA'l'HJj
[] (~AS
[J ROOF'lUG
[] 8 I?&:m AL'l':{
o O'l'HElR
FINHJHUlli b'I,OOR Ej,EVA'noNS
I S PROd Ee'l' IN !:1'LOOD ZONE ARBIA [J VlilS
n HO
aUILIUlR
liIlI'1ll01~'Rrc:rA~~ ~"""""""':;J::~,:fk:'~~:;::;~'~d/,_':_)
"> ~.. STA'J'~ CER'I' OR RElrHS'l' It .i!.s /i . /A 1~
S WIIATlJREl ,---. - . - .______ CJJTY PROCESS lNl: # --I-i.. i.-O.()()()tJ....((L-.'.'''.--...-
~ A :0 :0 I. · · 01 · .. · ;, /, I. * I. · .. · ~ . ;, /, . . . . * :0 ;. * * * * * * * ;, * * * I. ;, . . * .. . * -:. t * * -:-:-.~ ..~-:'-:-:--:-:.-.. -- - --._~.-
l'LUWl1iilk
-'_.,--~---------_._._---_._--_._---_.
(~OI>11? ANY ..-...--- -_ .__...____ ..'...'__,_...._.....__.
STATE CERT OR f<EGIS'l' II ____..________..,__,____
CITY PROCElSSINlI #
SIGNATURE
8IGHA'I'IJFdiJ
*.****~*1,*******1,*1,******************:o*****;,*******************,*.
CCJI"lPANY_______~...._._..._.._____..__...__...._
STATE eER'f OR RlJlGIS'l' it ______.__.__.__.__._,..._____,
CITY l?ROC&:SSIl~G #
..-..._--_.-._-_._---------,,--_....__._--~-
UlIlCUA1UCAJ,
_._._--------_._-_.~-
*A*A***A.*'********.*..,*********************,************."",*
._-~_._--,...._-~......- ....-.----.-
o'rUlllR
.-.------------
COI..IPANY
S']'A'l'El CER-TCiR- REmsT-#------.-.----.....,----~-
C l'I',/ PRClCElSS LNG # --.......----____.__.._____...._....,
~---------------_.-----.,---
SIfmATURE
********************************************.*********,**,*...,,*
--"~~---~---"'-~~~~'--"-"~-""'.""'.'O-"-'- ." _"_"" 'W~ _....._~._
CONDITIOl\'S OF ?SD.MI'.':' AFF-:'DAVIco:,
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject ":0 "deed restriction.s" which
may be more restrictive than City n!gulations, Th.! undl!rsiqned assumes responsibility for
compliance w~th any applicable deed rest:rictions,
B. UNLICENSED CONTRACTORS AND CONTRACTOH HESPONSIBILITIES
If the owner has hired a contractor or contractors to undert,:tke work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as requlred by law, both the owner and contractor ffi<3.Y 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
*Departnlent 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.N, 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 I.ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT EED TO RE~9RD AYD POST A "NOTIC.E OF COMMENCEMENT".
tr 6 y:.r:- 7 tfz- - ,/cP- S'J7J-{)
SIGNATURE: CONTRACTOR
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid QUd not take an oath
D who has produced
(type
and whoD did Ddid not
Signature of person taking acknowledgement
Signature of person .taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
November 18,2002
Palm Harbor Construction
605 South Frontage Road
Plant City, Florida 33566
Attention Jerry Herlong
Reference: Lot 103, Grand Horizons
Zephyrhills, Florida
After review of the host structure mobile home, it is my opinion that the tie downs and
piling requirements as set by the State of Florida will meet or exceed the uplift that the
addition being attached will add to the structure. The structure will be a 20' x 19' carport,
a 8' x 10' utility room, and a 13' x 12' screened room on a mobile home manufactured
on July, 7th of2002.
Should there be any questions, please feel free to call me at any time.
S1Jtw
Leonard G. Wood, P.E. #47377
4034 The Fenway
Mulberry, Florida 33860
(863) 646-5517
(863) 287-7073 cell
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LEONARD G. "GEOFf" '*'00.0
ENGINEf:R
L1K:rlW"d -G. ~od. pz.. 141377
4434 TM F'WIWl:l,)'
)Ul,1'I"'''Y. no.... 33W
T~Of!./F".x C8&3) '-'J6-:i511
Hcfaft:. (863) 287-7073
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