HomeMy WebLinkAbout02-1724
1724
35;2,50
BUILDING
r ,00
-00
ELECTRICAL
(813) 780-0020
(pg , Q'O
PLUMBING
50' eV
MECHANICAL
Date
P<aperty Owne" ~ U. .~ <l- L " be
Job Address: f.JJ~ -0 Q,4!.Q 61 V cP '
Parcell.D. ,
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Energy Code:
~ri, n.')r ,;, -te-y,'o R.
-Ple IctYl ( G ler
Radon Gas: ~ _ g :2
PDc,(T;+'O-t"\W~LJ I
tAJrL'L.J ~~
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NO OCCUPANCY BEFORE C.O.
FINAL / - 9- 03
DATE
/---q-t:13
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector PL 'I J-1I;:ro
30l{
..'mit Fee ~ 3 =>-
)<:Signature _~ <-/~
Company -
Address
ktelephone# 7~€S - 53/ tj
-j)ow'1 t-rtt'h. y- ~ s .- VVlCD r +11\ C .
1=r 30") (,
Valuation or ~ ., g.{) ,.
Contract Price O. f{)()()
,
City License Registration #
State Certified License#
~Lt~{/f; C~. tf~~
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
Tp. Servo SLB
Rough In ..//;2-.2(;-OJ ~ub Set
Meter Can Water
I/Jb Const. Pole Sewer
Pool Final~-'
Pre-Meter
Final ,/1 - 9 - (J 3 R? tt t!./.J.-.ro
t1 [r~l: Ik ~ /1. -31 -(.7;;" R'-/j ,f-
l......e..,II"'-\..-- J/
_ G ,.,ro
)enJ/coU L hQ./Vt~ - 1-"<-0..3 I?'--'I rf- MJo
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:
Ftr,
Pre SLB
Lintel
FRM. vi' j;l- ;;;lft-t)~
Insul. CL
WL
Driveway
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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-
A. NOTICE OF DEED RESTRICTIONS
The under-signed understands that: this permit nay b,= subject to "deed restrictions" Hhich
llIay be more restrictive than City regulations. '1'h.= und,=rsi',p:led assumes responsibIlity for
co"~liance w~th any applicable deed restrictions.
B. UNI"ICENSED CON'J'RACTORS AND CON'l'RAC::TOR RESPONSI BILITIES
If the owner has hired a contractor or con_tractol:S to undertake work, they may be required
to b~ licensed in accordance with state and local 1:egulat10ns. If the contractor is not
licensed as requIred by law, both the o~~ner and contractor may be cited for a misdemeanor
violation under state law. If the owne]: or intended contl:actor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact tile
city of Zephyrhills Building Department, 813-788-6611.
E'urt_hermore, 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 tllan the contractor, are responsible for the work. If the contractor wishes
you to Sigll as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zl:!phyrhills.
C. 'J'RANSPOR'l'A'I'ION I MPAC'J' FEES AND UTILI'I'Y CONNECTION FEES
D. CONS'l'RUC'l'UION LIEN LAW (CHAP'I'ER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided ,,11th a copy of "Florida's Constnwtion
lien LaH - 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. CON'l'RAC'l'OR' S/OWNER' S AFFIDAVIT
I certify that all the information in this application is accur-ate and that all Hork 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 l:hat no work or installation has commenced prior to issuance of a permlt 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 "'Iork, and that 1t is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Env1ronmental Regulat10n-Cypress Bayheads, Wetland Areas and Environmentally Sens~tive
Lands, Water/Wastewater 'l'reatment
*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watel:courses
"'Army Corps of E'.ngineers-Seawalls, Docks, Navigable Waterways
*IJepart:lllent 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 tllat 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 sllall 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'.lla11 issuance of a permit prevent the Building Official from thereafter reyu1ring 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 conunenced within
six months of lssuance, or if work authorized by the permlt is suspended or abandoned for a
period of aLl{ 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
mouth period, or the project will be considered abandoned.
WARNING '1'0 OWNE',R: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMEN'l' MAY RESUL'I' IN YOIJR
PAYING 'l'WICE E'OR IMPROVEMENTS 'fO YOUR PROPERTY. IF YOU IN'l'I!:ND '1'0 OBTAIN FINANCING, CONSUL'r
WITH YOUR LE:NDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,JOBS UNDER
$2,500 IN VALUE D~ NO~, R.CORD AND POST A "NOTIC. OF COMMENC~
~. . - --==="~~,.
WNER OR AGENT . SIGNATURE: CON'l'RACTOR <:::-.:l
S'l'A'J'E OF E'WRIDA ~5LO
COUN'rY OF _____.----D.
The foregoing inst~ent w~cknoWledged
Before me this ~d~y of c.e",.,her, l;;It.;2.bO.;l-
by __~& \L.{-=-~
rn/-(name of person acknowledged)
Vwho is personally known to me, or
STATE OF FLORIDA Pa.s to
COUNTY OF -..,.-
'J'he foregoing instrY}nent wap~~~;..dged _
Before me.-UUs j.;zT(fay of- - --, }oQ ~o
by \ eA I.U. B1)j~ ___
-"-- lJl-ame of person acknm-iledged)
~s personally known to me, or
s pl'oduced
(type of identification)
rJdId n~oath'
person taking acknowledgement
"""'" Suzanne Bahr
"'~~. G " f91S1131
iTa~;;;-t'y-p-~d~" p r~~ ~ _ ::~~~~m 15,200r-
',,;'ip.. . .~~ Bonded TIuu
..,.~,,;;,,, Atlantic Bonding Co., Inc.
o who has produced_____________
(ty~e of identification)
and who d~d ~~~__ no~th
Si 1atu~aking aclmowledgment
"\~~"" Suzanne Bahr
Name t YP~~k~~\T~~i~~m?l66~
"'~~ . . . .~,~ Bonded Thru
""~,,;;,,, Atlantic Bonding Co., Inc.
alld
^'-,-~._---~_.,"'--",~-_..._-'-,..."'.,.,..._'--'~"-""-<
State of -Elorida-
County of
111111111111 111111111111111111111111111111 11111 1111111111111
2003001207
Fb..sco
NOTICE OF COMMENCEMENT
THR lmOERSIGNED hereby gives notice ~hat improvement will ~e made to c~rtain
real property, and in accordance w~th .Chapt~r 713, Flor~da Statutes, the
following information is provided in th~s Not~ce of Commencement:
1. Description of Property: Parcel No.
2 .
&~bO Ga-1I 8lvd.
(Legal descr~pt~on of t
General Description of Improvement -en"terlor renOIlt:t..'+'"Dl--"-
() p. COm ""<?-r (' -' aJ. bu., tel ( M j
able)
3 .
Owner Information: Name -1v'\ i ke. TrDc...h
City ~yrh, l \ s
State fi 33542
l\ddress (17~F;;O ~ll5\ vd.
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Rcpt: 644070
DS: 0.00
01/03/03
Rec: 6.00
IT: 0.00
---_ Dpty Clerk
Address
City
State
4R Contractor: Name G>u..a-li.t-y. CoV\S+rlAc.t-,oV\...,cf !J\a~V\...:t:) ::ene.
:t Address ~'3 ~ilved"k...,"Terr.City ~let C~e.l State FI. 335,/</
5. Surety: Name
Address
City
State
Amount of Bond: $
6.
~i90~~~T3"A0N~'3P3ASCO COUNTY CLERK
a. am 1 of 1
OR BK 5189 PG 1850
Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon wham
notices or o~her documents may be served as provided by Section
713.l3(1)(a)(7), Florida Statutes:
Nc:me
Address
City
State
8. In addition to himself, Owner designates
of
Lienor's Notlce as provided in
<J.
f:Xp..i.rntil>n dnt.e ot not.lce of Commencement. (the expIratlon date is 1 year
ir~m the date of recording unless a different date is specified.)
to receive a copy of the
Section 713.13(1)(b), Florida Statutes.
t4f/ti
Signa t ure of Owner: / . l \
v'
Sworn to and subscribed before me
W 8J)()'j r/
Not~ry ;llbliC: )/1L~_
My C::l:T1iOli s~ion Expires: ../
this ~J1d day of Jaf1tu:lf't-(
c-f~ ""~\."'" s~~ ~ldu
{;~:~~ ~~~~:~i~~/,~~~ ~7dJ~
--'~~OF;\'O~" Bonded Thru
1""",\\ Atlantic Bonding Co., Inc_
PC93053048
Quality Construction
6250 Gall Blvd.
SQ. FEET PRICE
MAIN OR LIVING: 3,682 $ -
OTHER AREA UNDER ROOF: - $ 25.00
OTHER: - $ -
VALUATION $ 40,000.00
FEE SHEET $ 235.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 352.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 352.50
ELECTRICAL: $ 50.00
PLUMBING: $ 68.00
MECHANICAL: $ 50.00
RADON: $ 36.82
TOTAL $ 557.32
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
,
,
I
I
,
WATER METER:I $
IRRIGATION METER $
~ ,
SUB-TOTAL $
557.32 ,
SIPS:I'
97.5% $
2.5% $
T IF'S :1'
99% $
1% $
- I
- I
TOTAL: $
557.32 ,
permission To Pick Up. txt ",
f}tU~: T~!2.__QOYv _____
C~~~~~-f~~r__~~.5r.R~q/DAl_~.!1/1-I/lJr:
k~~~~_~@_~~_~~alL~___________
To Whom It May Concern:
Please be advised that Suzanne Bahr has
my permission until further written notice
to sign and pick up permits for me.
~-.-~~::~~. ----
slgnature ~
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this -.L:l.'f"'- day of :IJt:.!;~""&C'
s2(9tZ~.
Personally known
or Produced identification_~
Type of I.D.;J? '--::...~________________
",~~~IIII Jeffrey Todd Reutimann
{~~~'-=:. Commission HOD] 59234
~:;. ~.::~ Expires: Nov 15,2006
',,"~ . . . :~" Bonde4 Thru
"II~I~'" Atlantic Bonding Co., Inc.
Commissioned Stamp
and Expiration Date
~_ ~_~h~o--
y ignature
ta e of Florida
County of Pasco
Page 1