HomeMy WebLinkAbout02-1686
BUILDING PERMIT
Permit N!
_'So
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 780-0020
Jfg
PLUMBING
1686
-
i9S
BUILDING
Date
/ .:; - ;2 - D 2.....
Job Address:
Parcell.D. ,
~sewerconn
Water Conn:
Water Meter:
T,I.F.'s;
Zoning:
DescriDtion of Work
~ode:
IJ ~ ..LJfJ1t;.
,
qL Rad7JZ;:-1t v;;/
NO OCCUPANCY BEFORE C.O.
tIf/iIJ -?- 3-03
DATE
:2- - 0 '3
r DATE IItJO
FINAL
C.O.
RUf
Inspector
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price
r:2 D, DD tJ -
,
Permit Fee
G~~~~;;' - /?
Company
~rA'S
~~,~Phone~.~ ~.-- 7/.5" - oo!)'Z-
City License Registration #
State Certified License#
PLUMBING M~
. ---- -----
Ftr. _/1;2- {q-O"-- j.fJq~lfrp. Servo SLB ,,/ /2--3 -&2.I<.L'1:I+:5'O Breakers
Pre SLB c//Q..-~ -() ~ Irs'~ at-TRough In .//-10-0'3 12l).(j/l:Jdfub Set 1/'(-10 -o? fi'Lf.lhOBucts Insl.
Lintel Meter Can Water Compressor
FRM. ./ /-/0 -03 RL L/ 4 lira Const. Pole Sewer Final
Insul. CL Pool FinalV'I ... 3' -03-..-R..1.I(
WL Pre-Meter
Final #/ ~ -3-rJJ3 Nl Lf
BUILDING
ELECTRICAL
Driveway
.5hc...1-h I;" y - / 'J- - sz1- CJ:L IIJ'LI
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.
, OWNER'S NAME G n
,lOB BITE ADDRBlSS ,,?,cq Z::Ll/ G ~iz__J:2c~__
LBlGAL DBlSCRIPTIONr LOT(S) ILo4 BLOCK
/' A
CITY OF ZEPMYRHILLS PERMIT APPLICATION( C4~~(~-~~
BUILI>INCl DBPARTttBN'f 5335 8th STRHlBl'f ZBPHYRHILLS, PL 33!~____ _
Phbrt.,813-7BO-0020 FaxI813-780-0021
DATS RBORIVaD -11- 2€J -€>?..... _
PLANS RRVIRIf "B.__
PHONI1l CONTACT 1 IS- - mS-;;t
WORK PROPSBlDI
SUBDIVISION
Eme.rnOA RLJ
o
(OB'rAIN B'ROM PROPERTY TAX NOTICE)
o ADDITION
o AurERATION
o DEMOLISH
o REPAIR
I] INSTALIJ
DSIGN
o MOVE
PROPOSED USEIPQ.SGL FAMILY DWELLING
[] COMMERCIAl.
OMtJLTI -F'AMILY
0# OF UNI'fS
o SWIMMING POOL
C]MOBILE HOME
DOTIIER
o INDUSTRIAl,
CJ tUllSTAURANT & HEALTH DEPARTMEN'r APPROVAL
DESCRIPTIoN OF WORK ~-h~ r 'fb,r? L1 ~Il i *-1 Shed
BUILIJING SIZE :26:, t( Lit! SQUARE FOO'rAGE lIt/if
RESIDENTIAL I
COMMERCIAL I
HBlIGHT See.... PI4A<.5
A'1'TACH (J) PLOT PLANS & (J) SETS OF BUIlJDING PLANs & (1) SET ENERGY FORMS,
ATTACH (3) SETS OF BUnJDING PLANS & (1.) SET ENERGY FORMS.
PROPERTY StJitVEY REQUIRED FOR ALl, NEW CONSTRUCTION.
~ BUII.IJING
~EIJEC'lIR ICAL
1](" PLUMB ING
$
PERMITS REOUmSTBD
~,p.<)t), {;Jt) VALUATION OF To'rAI, C()NS'1'RUCTION
AMP SERVICE
o FI.ORIDA POWER
[J
W,R.E.C.
[] MECHAN WAL
$
VAl,UATION OF MECHANCIAI~ IU9TAI,l,ATION
o GAS
[] ROOFINl1
o SPECIALTY
[J OTHER
'I'YPBl OF CONS'l'RUeTION I L1 BLOCK
o FRAME
o 8'1'EEIJ
o O'rHER
FINISHED FLQOR ELEVATIONS
IS PROJECT IN FLOOD ZONE ARIllAO YIllS 0 NO
BUILDBR COMPANY t7bV~
() fL- /J j2 -'" A'l STATE CERT OR REGIBT #
~ SIGNATURI!l ~ ~7~ ~ CITY PROCESSING #
...........~...................................................
BLICTRIUIAN COMPANY Ow~
-0-IJ- J fZ., _ A7/' STATE CER'r OR REGrST #
/ BlONA'I'IIR" ,-",:x~,."A ~~ CITY PROC'SSING #
.............. :..................................................
"--.-
PLUMBIR
MRCHANICAL
COMPANY G7~~
STATE CERT OR REGIST #
CI'I'Y PROCESSING #
- SIGNATURE
*****************************************~*******
COMPANy
STATE CERT OR RBlGI8T #
CITY PROCESSING #
SIGNATURBl
*****************************************************************
OTHBlR
COMPANY
STATE CERT OR REGlST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CON!J::':'l'IONS OF ?EPMI'l' AFF::':DAVI'r
A. NOTICE OF DEED RESTRICTIONS
Il'h~ unde.rsigned understands that thJ.s pennlt may be suh:)ec.:t to "deed restrictions" whloh
Illay be more restrictive than City rf~gulat:lons. 'I'he und'3rsJ.gned assumes responsibllity for
aompU,anae lfith any applicable deedt:est:l:ictL>n~I.
B. UNLICENSED CONTRACTORS AND CON'l'HAC'l'OH RElSI?ONSIBILI'I'IES
If the owner has hlred a contractor or contractors to undertake worJt, they may be requLred
J to be licensed in accordanoe with state and local regulations. If the contraotor is not
liaensed as required by law, both the owner and contractor may be clted for a misdemeanor
violation Ullder state law. If the owner or intended contractor are uncertain as ta what
.licensing requirements may apply fOJ: the intended \'/ork, they are advised to contact the
City of Zephyrhills Buildlng Departlnent, 813-766-6611.
Furthermore, if the owner has hired a contractor or contractors, he is adv:i.sed to have the
oont.raotor(s) sign portions of the "Contractor Sections" of this applioation for whioh they
will be responsible. If you, as the owner signs as the contraotor, you are indicating that
you, rather than the contractor, ara responsible for the work. If the contraotor wishes
you to sign as contractor that may be an indication that he is not properly lioensed and is
not entitled to permitting privileges ln the City of Zephyrhills.
C. TAANBPOR'!'A'rION IMPAC'!' FEES AND U'l'ILITY CONNEC'l'ION FEES
D. CONBTRlJC'l'UION MEN LAW (CHAP'l'ER 713, FLORIDA SlrA'rUTES, AS AMENDED)
I certify that I, the appllcant, have bean provi~ed wlth a copy of "Florida's Construotion
1hm Law - Homeowner's Protection Guide" prepared by the J!'lorida 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 desaribed aocument and promise in good faith to deliver
it to the "owner" prior to conunencement.
E. CON'l'RACll'OR' a/oWNER'S AFI!'IDAVI'f
I oertify tllat all the information in this application is accurate and that all work will
be done in oompliance with all applioable laws regulating construction, zoning, and land
development.
AppUoation is hereby made to obtain a permit to do work and installation as indiaated. I
certlfy that no work or installation has oommenced pripr to iSlin~ano8 of a permit and that
all work will be performed to meet stan~ards of all laws regulating construation, City
codes, zoning regulations, and land development regulations in the jurisdlctjon. I also
certify that 'I understand that the regulations of other governmental agenoies may apply to
the intended work, and that it is my r~spDnsibiHty to identify what actions I lIIust take to
be in complhnoe. Such agencies include but are not limited tal *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater '.rreatment
*Bouthwest FloriQa Water Management District-Wella, CYPEess Bayheads, Wetland Areas,
Altering Wateroourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterwaya
*Uepartment of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Waatewater Il'reatment, Beptic 'ranks
*u.S. Env1ronmental froteotiol1 Agency-Asbestos abatement
I also aertify that, if fill material 1s to be used in Flood Zone "A" or "A,eta.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted whioh
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit lasued shall be construed to be a license to proceed with ~he work and not as
autllority to violate, aancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
con:eation of errors in plans, oonstruotiol1, or violations of any code. Every permit
181ued shall become invalid un1e.. the wO,t:,k' authorized by suoh permit is commenced within
8iK months of issuance, or if work authorlzed by the permit is suspended or abandoned for a
period of six months after the time the work is commenced,. One 90 day extensioll of thlle
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Offioial. An approved inspection must be logged during eaah six
month period, or the project will be oonsidered abandoned.
WARNING '1'0 OWNER I YOUR li'AII.URE TO RECORD A NO'l'ICE OF COMMENCEMENT MAY REBUJ.'!' IH YOUR
fAYUm 'rWICE B'OR IMPROVEMEN'rs TO YOUR PROfER'l'Y. IF YOU IM'l'END 'l'O OB'l'AIN FINANCING, CONSUL'l'
WI'l'fI YOUR I.ENUER OR AN A'l"l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCI&MEWl'. ,JOB8 UNOER
$2,500 IN VAI.UE DO NO'l' NEED '1'0 RECORD AND POS'l' A "NOTICE OF COMMENCEMENT".
f~~
BII'A'l'E OF FI.ORIUA Pa SC 0
COUN'I'Y OF
'l'he foregoing instrument was
Bafore me this __ day of
by
acknowledged
, 1 !L-.
STA'l'E OF FLORIDA
COUWry OF
The foregoing instrument was
Before me this -----Pay of
by
~5cO
acknowledged
19
(name of person acknoWledged)
o who is personally known to me, or
LJ who has produced
(type
and who!] did Odid not
of identification)
take an oath.
(name of person aoknowledged)
C1ho is personally known to me, or
o who has produced
(type of identification)
and who Ddid OUd not take an oath
Signature of person taking aoknowledgement
Signature of person taking acknowledgment I
Name typed, printed or stamped
Name typed, printed or stamped
State of
F lor t.del...-
County of
111111111111111111111111111111111111111111111111111111111111
2002181762
'1-11 SW
NOTICE OF COMMENCEMENT
TUB ImDERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following infor~ation is provided in this Notice of Commencement:
1. Oeser iption of Property: Parcel No.
I nf' Rv
property an
2 .
General Description of Improvement
Motor Horne gl-t-. L1+;li~ Shed
Rcpl: 634911
os: 0.00
11/22/02
Rec: 6.00
IT: 0.00
Dpty Clerk
3 r..".~,~,:;,') Owner Information: Name
~:.,)..~
" 'l~ddress 3Cf 54 I Duv..r+~
,-S1-uart
Dr.
G,'nge-! I
City Zephyr hi lis
State Fl. 335'40
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
Stilte
i'92~~~~MA~8 : f~:;O fOUNT:f C~ERK
OR BK 5143 PG 1312
4 .
Contractor: N.:1me Owner
Address
City
State
5. Surety: N.:1me
Address
City
State
Amount of Bond: $
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(l)(a) (7), Florida Statutes:
N~me
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.
<J, [:xp..i.rnt,.1IJn dftte 01 rlot.lce of Commencement. (t.he expiration date is 1 yea.r
fr~m the d.:1tc of r~cording unless a different date is specified.)
Slgnature of Owner:
-R
13 day of
lJovewJoer
Sworn to and subscribed
. ~ClO;)...
Noto.ry Public:
\lllt
......~ ~
i~~ '., \ Commission NOD 157131
:::,:. \fj:;= EXDires: Nov 15 200/';
~';~O;f\.~" Bonded Thru
",,,,,,,, Atlantic Bonding Co.,lnc,
PC93053048