HomeMy WebLinkAbout02-1720
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1720
Date
1<52-/1- {} ::>..
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner:
Job Address:
Parcell.D. "
Ho~- ~
38-70.;2 ,L.~~ 4v-'2-.
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Radon Gas:
Valuation or
Contract Price
00- f f 7- 6'6 .15 &,-;Yr ;;"0...]
MECHANICAL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compress
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.
\
INVINCIBLE ASSOCIATES, INC.
10931 75TH STREET
LARGO, FL 33777
, 727-545-1800/800_937_6635
DATE: -[;)l_~lo~
FROM: BRIAN STOVER
TO.: ... CI~ ()-P ~~thjlls..I<:;
RE. llindj &n6>t-U .:::
PER#: ..Jtd_
PLEASE CANCEL THE ABOVE-MENTIONED PERMIT AND
REFUND ANY PERlYUT FEES IF APPLICIBLE.
WE HA VE NOT AND WILL NOT BE DOING THE WORK AS
DESCRIBED ON THE PERMIT APPLICATION AT THIS TIME.
IF YOU HA VE ANY QUESTIONS, I'LEASE CALL OtJROFFICE.
THANK YOU FOR YOUR ATTENTION 1'0 THIS MATTER.
-
BRIAN S'tOV~.R
PRESIDENT
~V;
STATE LICENSE #CC049367
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+o'.;.~ :~'<"" MONA L. BUTlEfl _
*..b.iL * MYCOMMISSION#CC961647
"'~~ EXPIRES: August 16, 2004
"~op"dI" Bonded Thru Budg81 Norery ServICes
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BUILDINQ
'-'1M ~....- - ~.U.u1..U..L~ .. ....~.';;u:T APltLICATION
nBPARTHmft 5335 8Ua STaallT ZBPHYRJ~ILLS. I'L 33540
Phon..813-780-0020 l'ax.813-780-0021.
DATa UCllZVBD
PLAHS RWI... na .
..
OWNER'S NAME t-\ c.... l' "I
.TOB SITB ADDRBSS :3 ~.
SUBDIVISION S} e ~ ~ y
PARCEL ID # 'G J.. - :{ b- :2 J ... .D ~ i> GoO a ~~(J-I Vl./O(OBTAIN FROM PROPBRTY TAX NOTICB)
L~ (1e,Y\ s ~ .J
c;).. L
J Lt '-I
LBGAL DBSCRIPTION: LOT(S)
A v-<.-.
PHONB CONTACT / <\ t; - ;2 7 '-/5
\)w
BLOCK
WORK PROPSBD: [JNEW CONSTRUCTION
[Jsrcm
[JADDITIO~
o MOVE
o ALTERATION
o DEMOLISH
o RBPAIR
.8 INSTALL
PROPOSED USE: [JSGl. FAMILY DWELLING
[JMUJ~TI - FAMILY
0# OL<' UNITS
[J SWIMMING rooL
QtMOBILE 1I0M'~
[JOTHER
o COMMERCIAL
o INDUSTRIAL
~ESCRIPTION OF WORK
o RBSTAURANT & HEALTH DBPARTMENT APPROVAL
~ ~ri ~/f;;'q 4- fiv k:,'-4~ /I1c4&1'4~
" '" "
SQUARE FOOTAGE /6S HEIGHT
BUILDING SIZE
RESIDENTIAL~
COMMERCIAI~ :
~1~ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
A1~ACH (3) SETS OP BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NBW CONSTRUCTION.
[] BUILDING
PBRMITS RBQU.~TBD
$ '3 Lj oo~
VALUATION OF TOTAL CONSTRUCTION
D ELBC'l'RICAL
AMP SERVICE
o FLORIDA POH~R
o H.R.B.C.
[] PI.UMBING
o MECHANICAL
$
VALUATION OF MECIIANCIAI.. INSTALI.i\.TION
o GAS ~ROOFING
o SPECIALTY
[] OTHER
TYPE OF CONSTRUCTION: D BLqCK
o FRAME
D STEEL
o 01'HER
l"lNTSIIED FI.C;>OR EI.EVA'rrONS
IS PROJEC'r IN FLOOD ZONE AREAD YES 0 NO
BUILDBa
~.................................................................
COMPANy;r /Ill,' n~" b/e. A S" 5 () C
STATE CERT OR REGIST # C <:. c. 0 I.{ 9 3 b 7
CI'l'Y PROCBSSING # -3 0 CJ
B IGNA'rURE
BLBCTRICIAN
SIGNA1'URE
COMPANY
STATE CERT OR RBGIST #
CITY PROCESSING #
..................................................................
PLUllBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #. .
SIGNATURE
MBCHANICAL
.............................................................~....
COMPANY
STATE CERT OR RBGIST #
CITY PROCESSING #
SIGNA'I'URE
.................................................................
OTHBa
SIGNA'l'URE
COMPANY
STATE CHRT OR REGIST #
CITY PROCESSING #
...........................................~~~...................
CONDI'l'!0NS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subJect .to "deed restd_ctiollS" whlch
_may be Illore restrictive than City regulations. 'fhe undersigned al!Jsumes responsibility for
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 ~ay be required
to be licens'ed 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 al!l contractor that may be an indication that he is not properly licensed and 1..
not entitled to permitting privileges in the City of 2',ephyrhills.
C. TRANSPOR'fA'rION IMPAC1' FEES ANn U'rII.I'fY CONNECTION FEES
D. CONS'fRUC'fUION LIEN LAW (CHAPTER 113, FLORIDA S'fATUTES, 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", T eerify 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 per.mit 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 t:he Jur.tsdlctlon. 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 lake to
be in cOlnplJ.ance. 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, Cypxess 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. Envj_J':"onmental Protection Agency-Asbestos abatement
I also certify that, if ;fill material is to be used in Flood Zone "A" or "A,etc.", .it 1.8
understood that a drainage plan addresl!ling a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to pennit
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 Bet 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 perml t 1s cOIIRnenced wilh! n
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 extenslon 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 '1'0 OWNER: YOUR FAII.URE 'fO RECORD A NOTICE OF COMMENCEMEN'f MAY RESUL'l' IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS DER
$2,500 IN V UE DO NOT NEED TO RECORD AND POST A "NOTICE 0 CO ENCFMENT".
STA'fE OF FLORIDA ~ I ~/ r
COUNTY OF 'J /1~ /9 ~
The foregoing inst~ent wa~cknowledged
Befor~. this / 9/~ da~ o~ ~e. , ~O,2...
by ::> r4""~~?/t:---~
(name of person ackno~ledged)
.Qbrho is personally known to me, or
STATE OF FLORIDA 41 // 1"1 ~
COUNTY OF . /..I /1~ ..,
The foregoing instrument was acknowledged
Before.J1l~ this / j'rAda.v q,f /,J--l! C! , M')ZoO.t..
by Sr#f4;-~ ~-/t//1
~ (name of person acknowledged)
~tlo is personally known to me, or
e of identification)
take an oath.
;)7 S-. '-f 12..
/~
[ INVINCIBlE@]
.' J" 1/25/02
z~
W"SeIl
~AR
(0 / tf.~J;
~Build;ng Produas
~ .s.b5
2. I _C E ENERGY-SAVING DOUBLE-FOIL FACED INSULATION AS INDICATED:
OLD: DELUXE 1-1/4" INSULATION 0 SILVER: 3/4" INSULATION 0 BRONZE: ~
. I LUDE NEW SPUN ALUMINUM VENTS: ~SMALL _.:l.. LARGE
4. INCLUDE UP TO 100 SQ. FT. OF NECESSARf'bt:'cK REPLAC~. ADDITIONAL DECK
REPLACEMENT TO BE INVOICED SEPARATELY AT $2.00 PER SQUARE FOOT.
5. INCLUDE ALL REQUIRED PERMITS.
6. CLEAN UP AND REMOVE ALL JOB-RELATED DEBRIS FROM JOB SITE.
7. MAIL OUT LIFETIME, NO-LEAK, NON-PRORATED, TRANSFERABLE WARRANTY FULLY COVERING ALL LABOR AND
MATERIAL, INCLUDING ALL STORM DAMAGE FROM RAIN, LIGHTNING, HAIL AND WINDS UP TO 170 MPH.
.NOTE: BRONZE SYSTEM (NO INSULATION) RECEIVES A 7-YEAR. LEAKPROOF WARRANTY.
8. ADDITIONAL INFORMATION:
R-.~ov~ Cbf-f e-u vl!:fl< - PJtJI l1o# A/tcrcSl'\_
9. IT IS UNDERSTOOD THAT THE FOLLOWING AREAS WILL NOT
BE INCLUDED IN THE COVERAGE PROVIDED BY
THIS AGREEMENT (See Drawing at Right):
~
~~[~~g~
SYSTEM
o
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I
9-J
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Name(s):
Mailing Address:
INVINCIBLE ASSOCIATES, INC.
10931 75TH ST. · lARGO, Fl 33777
727/545-1800 . 800/937-6635 . STATE CERTIFIED LICENSE #CCC049367
MAKING FLORIDAA BETTER PLACE TO LIVE SINCE /987". ONE HOME AT A TIME
Phone: (Hfif!3 ~Y/~
City: ~~(t(L~ounty~ State: -ft...Zip'
t #: I LI Lf
\
(If Applicable) MHP:
~
Alternate Address:
City:
State: _Zip: _ Phone:
..--
l{We, the owners of the premises described below, hereinafter referred to as "Purchaser" offer to contract with INVINCIBLE ASSOCIATES, INC., herinafter
referred to as "Contractor" to furnish, to deliver and arrange for installation of all materials necessary to improve the premises located at:
JobsiteAddress: 9~~ City: State:_Zip:
according to the following specifications:
I
!STEVENS WHIT~ STEVENS TAN EP · STEVENS LIGHT GRAY EP · EREZ TAN · EREZ WHITE . EREZ GRAY
COOLEY TAN ILLUSIONS · COOLEY GREEN ILLUSIONS · COOLEY CHARCOAL ILLUSIONS . COOLEY WHITE TPO
CIRCLE MEMBRANE TYPE:
1. PROVIDE ENERGY-SAVING INSULATED WATERPROOFING SYSTEM FOR THE FOLLOWING AREA(S):
o
SHOW ALL AREAS OF HOME. DRAW ADDITIONS AS
NECESSARY. WRITE "YES" IN AREAS TO BE COVERED.
WRITE "OMIT" IN AREAS NOT TO BE COVERED.
OTHER NOTES: 1C?f-i2 - O;~ ;f!bfYIL,eCOF ();
, ....
b"-" s-n
\.(..e ) ~
}Lf ITIAlS
G 1M.. \ ~
c;6~ ~~~~
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lCtQ.~ C-0 U. ~:::t::N~
NOTE: RETAIL SALES TAX MUST BE CHARGED UNLESS THE CUSTOMER SIGNS THE FOLLOWING:
I certify that I own the land on which the structure I am improving is permanently affixed. Furthermore, I have filed a
declaration with the Property Appraiser requesting t e structure be assessed as realty and it bears an "RP" decal.
,...<'
oG
The CASH CONTRACT PRICE for all La or Materials (including any applicable discounts) is $ 3 L(.(rn
Terms: 0 Cash 0 Credit (Subject to the approval of the Credit Sales Department) ,.-. Sales Tax $ df'"
If this is a cash transaction, the purchase price shal e paid as follows: .:z ~ u - ~ ~r;-~ ~
Cash down Payment (Minimum 33%) $ Balance Payable $ ~ Total Price $ ~
If this is a credit transaction, the agreement for cr . s contained in a separate document whi is incorporated herin by reference an mad a part thereof.
l{We the undersigned are hereby authorizing INVINCIBLE ASSOCIATES, INC. to verify and review my/our credit record with an independent credit reporting
agency and release them from all liability incurred from inadvertent omissions or errors.
Verbal understandings and agreements with representatives shall not be binding. All understandings and agreements must be set forth in writing in this
Contract. ADDITIONAL PROVISIONS ARE STATED ON REVERSE SIDE At--jD A~1j ~T OF THI~C;~niACT. _ .., _
IN WITNESS WHEREOF Purchaser(s) have hereunto signed their name(s) this'_ _'./1___ day of _ VC"L-ClA. ibL 20 l) ~
and acknowledges receipt of a true copy of this Contract.
UNLESS OTHERWISE SPECIFIED, IT IS UNDERSTOOD THAT THE OWNER(S) IS/ARE READY FOR THIS WORK TO BEGIN. THE PURCHASE PRICE
QUOTED ABOVE Will BE HONORED ONLY UNTil ______ . Purchaser(s) understands and agrees that if this agreement is cancelled after the
rescission period, the Purchaser is liable for twenty five percent (25%) of the total sales price as damages to the Contractor. In the event this offer to contract is
not accepted by Contractor, any payment made hereunder shall be refunded to the Purchaser(s) and this proposal shall be null and void and of no effect.
Contractor is not responsible for existing structural defects, dry rot or other factors beyond our control. No repairing, plastering, painting, carpentry, or decorat-
ing is included unless specifically charged for and specified in writing herein. If Installation is not completed, Purchaser may withhold a maximum of 10% of Total
Price until completed. The remainder of Total Price is due upon installation or as otherwise specified.
~ ------- ---------------- ------ -~
I
lAC PTED BY:Authorized Signature for Contractor Date ACCEPTED BY: Purchaser Date I
L______________________________________~
~0tl1J a-~r~
TO BE COMPLETED IF CONSRTUCTION
VALUE EXCEEDS $2,500.00
1111111111111111I1111111111111111111111111111111111111111111
2002196891
Permit #
Rcpl: 640986
OS: 0.00
12/19/02
Rec: 6.00
IT: 0.00
Dpty Clerk
Tax Folio #O~ -J6-- d. J -{J'J60-00ooo~ lL/i./ 0
OFFICIAL NOTICE
OF COMMENCEMENT
County of fCJ .5 L 0
JEO PITTMANn PASCO COUNTY CLERK
12/19/02 00:56am 1 of 1
OR BK 5173 PG 1105
State of Florida
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in
accordance with Chapter 713, Florida Statutes, the following information is provided in the Notice of
Commencement.
I. Description of property:
2. General description of improvement: ((e y(\) o-t
3. Owner Information:
A. Name and address: i 0\-((' L. ~(n S<>rJ "3t7o;2.. L.qY\~/1\ fJve
B. Interest in property: h. -{. r' 7-.f.. . r I' S 'I ^
C. Name and address of fee simple titleholder (if othert an owner):
COnAractor name ~ ad4reN 'J... ("\;v,' (\ L-; l:,J'f-, r4 ~ S 0 G
I \)~ 3 I 7 S r ~-b . , Lq 1"" j 0 i r:- L .3 ~ 7 7 7
5. Surety (if required)
A. Name and address
B. Amount of bond $
6. Lender name and address:
7. Persons within the State of Florida designated by Owner upon notices or other documents may be
served as provided by section 713.13 (1) (a) Y!9rida Statutes.
Name and address: ,~/ ~
8. In addition to himself, Owner designates 7/7// ~c/ j'~ A.>oc.to receive a copy of the
Lienor's Notice as provided in Section 713.13 (1) (b) Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of
recording unless a different date is specified)
,20
Signature of Owner or Anthorized Agent: ~~ ~ ~
8~ -/J r 6d7~
~
~J\ ~ Dawn Dolbeny
;'~.i My Commission 00028533
"'01' '" exPIres May 22, 2005
Drivers License #
Social Security #
or
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