HomeMy WebLinkAbout02-1674
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILlS
(813) 780-0020
1674
50
IJ1-
BUILDING
Date
/1- ~~- t7..2.
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
r2~ ~\
Property Owner: r ~ ~ fd ~ ; ,YAL~
Job Address: j.4ot -0 '). At Do s . '.
Parcel 1.0. #
Water Meter:
T.I.F.'s:
Zoning:
OescriDtion of Work
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Perm;' Fee ~ 8-a . ,
rignature ~ ~. y~L
Company
Address
\.?'elephone# 75tR- - _S- 31 (l
'(() 0 f). crP
{ ,DO
(
City License Registration # ,.g b(~l
State Certified License#
Valuation or
Contract Price
11ljh tJdl~ Cmtd-:
BUILDING
Ftr. / !{-'J....'7 - ();t
Pre SLB ./ ll-l1- () 1
Lintel
FRM.
Insul. CL
WL
{./JO
[!;yo
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Me r
Final
SLB
Tub Set
Water
Sewer
Final
MECHANICAL
Breakers
Ducts Insl.
Compres r
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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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBIi'ARTMBlNT 5335 ~~h Sll'RBlBl'l' ZBlPHYRHILI,S, Ji'L 33840
~hon.1813~780-~020 FaxI813-780-0021
nA'.rBl RBlUIIIIVIID
_.~-_. - ._".~._. ~-'-".'f._'._-
pr~ANS RBlIlIJllW rll___.___,~__
Ol<HmR' a HAM. -12eJ.::.A..!- ",-X r1 V e..st~",,, + L..__ PlloNm 'OO"'J'A"~ASC~:tl"a't~~~R\(lCE t'
,JOB B I'1'1il ADDRESS ,~_._______,_,___________,_,___________._.________._..____._.,.._.__,.
LEGAL n8lSCR 1 PTION I LOT (S) _ I 50 ___
BLOCK
SUBDIVISION
~.t~~~__
PARCElL If) #_~!:l::.';(lo- ~I :::M.,3Q- OOOOD- 1500_
WORK PROI?SSlIJ I l]NEW CONs'rRtJC'rION KJ ADDITION
(OBTAIN FROM PROPIilRTY TAX NUTJCE)
-_._._-----_..._._..__.~--..._...-
[JSHiN
Ll MOVE
o AUl'ERATlON
o DEMOI,ISH
o REPAIR
.
IJ lNS'rAl~I,
PROI?OSEIl liBEl JijSGL FAMII~Y DWELLING
rJ Cot~MBlRC TAl,
OMl1W'I - FAMn,y
0# OF ONI1'S
o SWIMMING POOl,
[] MOBH,Bl IIOME
lJOTflER
o INPlJS'l'RIAL
D RESTAURANT & HEAW'H DEPARTMENT APPROVAL,
DESCRIPTION OF WORK ._~lu..ml~yt~_~tt Sc..r-een eY\'1-t..6hed-+-~COV\ffet-e...
BUILnING SUE I ~x.. ~(e,___ SQUARE Foo'rAGE _ '-I3?- HIilHJH1r ...2cf~ p~
RES IDBlNTI AIJ/ A'I"I'ACH (:a) PL,OT PI.AllS & (J) SElTS OF BUrr ,DING PLANS & (1) SBlT B/NIl1JH~Y FORMS.
(;OI>1MBlRllIAI., A'I"l'AC1H (3) BEl'I'S OF BUIr~DING PLANS & (1) SET ENIilRGY FORMS,
PROPERTY SURVEY RIilQUIRED FOR ALL NEW CONSTRUCTION.
FERMI1'S RHlQUlfiTIm
~ BIIILDlNf3
L_,
VALUATWN OF TO'I'AI, CONS'l'RtJC'l'roN
IJ BlLBlC'I'RICAI.
-----
AMI? /3ElRVICE
o
Fl,ORrDA POWER
o
Ii.R,B.f1.
o PI,UMBING
o 1'1BlUHAJ:HCAI.
$--
VALUATION OF MElCllANCH1\I, INS'I'AI,LA'l'ION
o OAs
rJ ROOFING
[J SI?EOIA1,'I'Y
[J OTHBlR
'I'YPI:il OF CONSTRUCTION I [J BLOCK
o FRAlvl8
[J 8TBlBll.
[J OTHER
F'lNISHBljJ F1.(jOR ELEVATIONS
IS PRO':JECT IN l<'I,OOfJ ZONE ARElA 0 YEla l"J NO
BUILnlllR
SllJNA'fUREl ~W~L~~
CDtiJI?ANyj1 i ke tv illl aW,A~ C9r)~_~_____
STA'L'El CliIRT OR REGIST # _____'_.___.,_____
C I'I'Y PROCESS lNG 4L..,2~____._____._.__
***********.**.*.**.****.*****.******.******************.*....*.*.
II.IOTRICIAN
CDtIJPANY ____,
STATE CElRT OR REGrST #
CITY PROCESSING #
~--?-....--_.-
S] mm:rURBI _..~_'_________._________~_,
.~--........_--- -.-------.---.......---...-
**************************************************..*.********....
-~~_.-._-'----._. ..---.---..-................
i'LUMBliIR
COMPANY--_. '_____..____.___
STATE CIDR'I' OR jUilGIST # _______,________.
CITY PROCESSING #
SIGNA'l'IJREJ
MBJOHANICAr~
***'*.,*.*"*'**,****.,*,***..*",**."**,,*,*****,,,**'***"****'
---.--------.-
COMPANY____
STATEl C!ElR'f OR RElGIS'!' #
CITY PROCESSING #
-.-----..._--.~-_.._,-.._-~.-
SIGNATIIRE!
--~----------------------
*.*'.****.'********'*'**.***..***.****~*******~*********"*'*'***
---._---------
OTHia
-.-.-..-----------
cor"lPANY
STATE CERT OR REGIeT #
CITY PROCESSING #
-----..-----
S IlJlIATUREJ
-----~_..---..----_.......
**t.****t*****,****.*********,**,*,*,*,**.***,*****..*..*."'*.'*
--..--........---..----
CONDITIONS OF PERMIT AFFI~AVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this per:mi t: may be subj ect to "deed restrictions" which
may be more restrictive than City regulations. '],he l1l1dersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRAC'l'ORS AND CONTRACTOH 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 1s
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 prov1ded with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affa1rs. 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
*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
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 IMI'ROVEMENTS TO YOUR PROI'ERTY. 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".
~ W;~tJ~
IGNATUREI OWNER OR AGENT
~ {l//~~~
SIGNATURE: CONTRACTOR
STATE OF FLORIDA 1/
COUNTY OF .l-f'--~
The foregoing instrument was acknowledged
Before me this ~ day of r-JDve.....1>~,.-, ~;;l.
by Mike- \A i i \ 1.'t:llM-'7
~/' (name of person acknowledged)
~who is personally known to me, or
STATE OF FLORIDA B
COUNTY OF tA..!>CL>
The foregoing instrument wa~ acknowledged
Before me this ~ay of tJDve""ber , .~;L
by fJ\ ; k~ IA . . VIA S
~ (name of person acknowledged)
~ho is personally known to me, or
Dwho has produced
(type
o;rdid not
o who
S gnat re of person taking acknowledgment
,'~~::'III Suzanne Bahr
'~~-:. CQmmi.~innllnnlC;7nl
Name typ~, . j;~e~lllo'tt~6\
'\;~ OF ~o~", ~onded ,Thru
""" ,., Atlantle Bondmg Co., Jne,
Name typed,
person taking acknowledgement
,,\'~~~III Suzanne Bahr
~~~'-:' Commission #00157131
p#,p.t :;eBXW6li~~15, 2006
-:"';~Of~~", ~ ed,Thru
"'"11" AtlantIC Bondmg Co" Jne,
State of Bo,~id~
County of
1111I1111111111111111111111111111111111111111111111111111111
2002181764
Pasco.
NOTICE OF COMMENCEMENT
THE tffiOERSIGNEDhereby gives notice that improvement will be made to c2rtain
real property, and in accordance with Chapter 713, Florida Statutes the
following information is provided in this Notice of Commencement: '
1. Description of Property: Parcel No. ;:<L/--,-;20-c:;l...{-O(}:jC-7~tJOOOO_~S'OO
"S+' -)
descr~pt~on
2.
General Description of
Improvement (7aroooT,
'I I
( t?VLCr fj-e.,.
ava~lable)
r5c r'ef!~ ROO/'V1 ( iSh ed.!..
3. Owner Information: Name Apl-AI(-e..~Tnvesf-rA€Js
l~ddress ,~?CX II Cj1Ct'V)I'~ f2A,
Interest in Property:
C i t Y Z c ph Y. r 1,,- II <;
State Fl. 33-?Lf I
Name of Fee Simple Titleholder:
(If other th~n owner)
Rcpl: 634911
OS: 0.00
11/22/02
Rec: 6.00
IT: 0.00
Dpty Clerk
Address
City
State
4 t:~~ Contractor: Name j1t ,'Ii <:: Co'~ (1"/ A Wl,S'
~ ..-
Address J ,~03:J.. r O)(Sl.UC1-;~L- Ct.- City -1:.h.u1 son.
State El, 3Cj(007
5. Surety: Name
Address
City
State
Amount of Bond: $
JEO PITTMAN~ PASCO COUNTY CLERK
11/22/02 00:45am 1 of 1
OR BK 5143 PG 1314
6.
Lender: Name
Address
City
State
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
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Exp.lrl1t.ion d8te ot Notice or Commencement., (the expiration date is 1 year
fr?rnthe date of recording unless a different date is specified.)
Signature of Owner: ~ 4} ~ t/fJ
Sworn to and subscribed before me this 13+k day of NO\/P~e.Y
]fJ cJ..DO 2 . f
Notary Public: -I)~~~ <-(SA
My Commi.ssion Expires: -
,,1111111 Suzanne Babr
, ~Y"Ub'( .. 31
.:'~. '-':t->~ l-ommlsslon jj1:)1)157 1
H,~.:;~ Expires: Nov 15.2006
-:'~" ,'~.' RnndM Thru
((;~,~~,':-~". Atlantic Bonding Co,. Jnc,
PC93053048
NEW
SLAB
MAJESTIC OAKS
150
LOT:
40'
l~
12'
- ,
PROPOSED
SHED
12 x 6
PROPOSED EXISTING
SCREEN RM. PARK
12 x 10 MODEL
14 x 36
'--
6'
_ 8' _ - ..
- -
- . -
PROPOSED
CARPORT
12 x 20
EXISTING
SLAB
H
EXISTING
DRIVEWAY
12 x 24
/ \ ,~
STREET
72'
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