HomeMy WebLinkAbout03-1756
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N!
1756
(813) 780-0020
Date 1- 1(1- () <
(P84 . ~
BUILDING
to OdS'
ELECTRICAL
~;)
Property Owner: N.t~
Job Address; ,~7 "I t!J 9
qq . ::)0
PLUMBING
7o.~
MECHANICAL
Sewer Conn I,d} 7 t . M:l
'3 .50. (t'1>
I~O. trO
Water Meter:
Water Conn:
1-1 iM'f' I UI
Pu..-I:..e7T~ .lm ;f (
II ,,~ .
T.I.F.'s:
Parcell.D. "
Zoning:
Descriotion of Work
Energy Code: I
\ "," F o.-tIf'\:
{Cj./
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
FINAL l{- ;U- ~ 3
DATE
C.O. ~;;;I-03
DATE
Inspector !\ L-'1 d- M-To
NO OCCUPANCY BEFORE C.O.
p..m;t,Fee~
)<)S,gnature __ ~-
Company
Address
)c?Telephone# '7/L/- Lj<gas-
Valuation or ~ f)-O
Contract Price U ~ () 5- () ,
City License Registration # Ie; I
State Certified License#
QAvI c.1
.Jd~t'\f()n.
'1J?~ clec.
tL?7
r!-t>/6, 7"~.J
PLUMBING ;'6
SfJlnn,! ~
#.,/Lt7~
MECHANICAL
BUILDING ELECTRICAL
Ftr.)J~..J. j-:<3...Pf ,Rl'tJ-II.J?fp. Servo SLB/.2 ~/Jl-P3 ilfl
Pre SLB /3-l/-DJi~l'1.tu.:JO Rough In :./'$/-II/-'3/llf Tub Sett.L:~-/~-c3 1..I:.r"
/ tJ? rf~c.."
Lintel /. Meter Can Water , If.../- J /+0'0.+('-'1
FRM. ,./'I-11t~(J3 ~{..11t1J"Const.Pole i/~-J'03p-L~ Sewer /R-I-03 1J'31r'Uf
InsuI.CL/'f-/~-O'3 R.LYtl(.fDpool Final i"':Ur03HTO/~J!(
WL V 1.. T~ Pre-Meter l/8j/ {' /03 !:.L'I
'-::-1)tJRL- ;'1-1>61 ~ tlo/tJj LY Final ' ~
O,;veway /7/U(OHfSO If? l;'-/5--0 J /1: L/K' :II{,J~ _
sIi{.jI.,~ - J-3I~ 31< '%-0 r- (J j1. ~ -~ 3 1f::3 5 C^t ~
REIN~PECTION 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:
{2u>. ~.
Breakers
Ducts Insl. ,/y-/V-~.J j./~ 7~
Compressor
Final ~- :;io . 0 ? )lrQj p..r
,
a.
b.
c.
d.
e,
f.
g.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site,
Plans not at job site.
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
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
I ADDRESS A _ / r// DATE PERMIT. I
~7../.{(J9 P~<J VUt4i' rF./~O'-o3' '/]~(;;;
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
,
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
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
INSPECTOR
~J//
OWNER'S NAME Ne(Jlf g. Jrhv 11ft!
JOB SITE ADDRESS .9 7'1 tJ 9 'PA"7j(E/7~-
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CITY OF ZEPHYRHILLS PERMIT APPLICATIONL ~:~~ /-,/i-C!-lc.:I-
BUILDING DBPARTMBNT 5335 8~ STUHr ZBPHYRRILLS, PL 33540
PhoneI813-780-0020 Pax:813-780-0021
DATB RBCBIVBD /::L -.Ii{? H_ ~..L-
PLANS RBVIBW PlIlB~__
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PHOryrr;;NTACl' ;1 '1- L/X35)
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LEGAL DESCRIPTION: LOT(S)
t' J - .?,. d \
PARCEL ID # ;) 00-- Dooex)" 05;)0
WORK PROPSED: IRNEW CONSTRUCTION
BLOCK
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
OSIOO
o MOVE
o DEMOLISH
PROPOSED USE:~GL FAMILY DWELLING
OMULTI - FAMILY
0# OF UNITS
o MOBILE HOME
o OTHER
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIP'rION OF WORK (l,li.V (O.1c.f/llC!ia/\. ~f' s"/-,\e{e'"" ,'Ii dwe/I/t~
BUILDING SIZE 33 )( (, 'f SQUARE FOOTAGE }J OJ I d-
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
HEIGHT q I
Gt BUILDING
PBRMITS REQUBSTBD
$ IJ5r 000
IY' ELECTRICAL
If(PLUMBING
B" MECHANICAL
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
P?( FLORIDA POWER
o W.R.E.C.
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
@" FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES rg..-NO
BUILDBR
BLBCTRIC
vc.
~~tJ
COMPANY Ma .+ i ~ Eu.~ ~ t...J . 'Ih c:... .
. ~ STATE CERT OR REGIST #: 1300/?>f?3
CITY PROCESSING ~
I- .
************************************9** ********** ***
PLUllBBR
SIGNATURE
*****************************~*********~********
COMPANY /t/ ,v
Jj~ J~<;4
Ib,L
SIGNATURE
HBCRANlCAL
STATE CERT OR REGIST
CITY PROCESSING #:
****************************************************
OTBBR
SIGNATURE
COMPANY
STATE CERT OR REGIST #:
CITY PROCESSING #:
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVI~
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject 1:0 "deed restrictions. which
may be more restrictive than City regulations. The undersi~led assumes responsibility for'
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertClke work, they ~y be required
to be licensed in accordance with state and local regulationH. If the contractor is not
licensed as required by law, both the owner and contractor mlY be cited for a misdemeanor
violation under state law. If the owner or intended contrac1:or 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 UContractor Sections. of t:his 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 (CIIAP'l'ER 713, FLORIDA STATUTES, AS AMl!:NDED)
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 "owneru, 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 ~at 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 uAN or "A,etc.N, it is
understood that a drainage plan addressing a ucompensating 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 autho~iz~Cby such permit is commenced within
six JIlOnths of issuance, or if work authorized by tlie permit is suspended or abandoned for a
period of six months after the time the work is COllllleDced. 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 ins~~tion must be logged during each six
month period, or the project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEHCEMEN'T MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BISFORE RECORDIt;lG Y N ICIS OF COMMENCISMENT. SUNDER
$2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A IC OF COMMENC
WIffJit(
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA fJx~{)
COUNTY OF
The foregoing ins~nt ~cknOwledged
Before me this ~ day of ' , _ , ~62CO;2
by
~ (name of person ackno,.ledged)
7' who is personal.ly knowD to -, or
Dwho has produced
(type of identification)
aA:JioD~ ~ take an oath.
VIla c U
Signature of person taking acknowledgement
\\~.~..~
')MI 1:>1l"'lIIlSNI Ill"" AOO n~H1 a3()NQll ~;-'
~~ i '~'_
Name t~g ~~~fl .~~g
PJDM .~ ouoa ~~11/;"t,~,....
STATE OF FLORIDA
COUNTY OF
The foregoing inst~nt was~acknOWledge~
Before me this ~ay of 01"_ , ).4r.&!PZ
by
).,{.L._ (name of person acknowledged)
r- i. persona1ly known to me, or
Dwho has produced
(type of identification)
d not take an oath
Signature of person ta Ing acknowledgment
..,.."";....., Dana M. Ward
.. l'i" ~I~H /I 99QJ8128 iXlllRES
Name ~. tjpr n e ~. ..~ed
"f.f'....~ WNDE01!lt!U TROYfAlN tNSURANC~ INC.
'I'.w,,~"
----
-----
NOTICE OF COMMENCEMENT
ED
1111111111111111I1111111111111111111111I11111111111111111111"
2002193440
Rcpt: 639488 Rec : 6 . 00
DS: 0.00 IT: 0.00
12/12/02 Dpty Clerk
!HE undersigne.d, as O~ner, notifies all parties that improvements will be made to certain real property, and
m accordance with SectIOn 713.13, Florida Statutes, the following information is stated in the Notice of
Commencement:
STATE OF FLORIDA )
COUNTY OF PASCO )
DESCRIPTION OF PROPERTY:
LOTS 52, SILVER OAKS VILLAGE PHASE ONE, as per plat
thereof recorded in Plat Book 35, Pages 63 thru 67 inclusive, Public
Records of Pasco County, Florida.
JED PITTMAN1 PASCO COUNTY CLERK
CB 12/12/02 0 : 48pm 1 of 1
OR BK 5166 PG 1215
Reliable Contracting, Inc.
6819 Stephens Path
Zephyrhills, FL 33541
GENERAL DESCRIPTION OF IMPROVEMENTS:
~1~
OWNER AND OWNER I S ADDRESS:
&
...
:;';,J
>i:>
~
OWNER I S INTEREST IN THE PROPERTY DESCRIBED AS: Simple
i
CONTRACTORS AND CONTRACTOR I S ADDRESS: Reliable Contracting, Inc.
6819 Stephens Path
Zephyrhills, FL 33541
SURETY (if any) and SURETY ADDRESS: N/A
AMOUNT OF BOND: $~A
NAME AND ADDRESS OF LENDER, IF ANY, MAKING A LOAN FOR CONSTRUCTION OF THE
IMPROVEMENTS:
,
,"-.
.,.
Community National Bank of Pasco County
Post Office Box 639
Zephyrhills, Florida 33539
;.'r
NAME OF PERSON WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM
NOTICES OR OTHER DOCUMENTS MAY BE SERVED:
Community National Bank of Pasco County
Post Office Box 639
Zephyrhills, Florida 33539
IN ADDITION, OWNER DESIGNATES THE FOLLOWING PERSON TO RECEIVE A COPY OF THE
LIENOR'S NOTICE AS PROVIDED IN SECTION 713.13, FLORIDA STATUTES:
EXPIRATION DATE: December 9. 2003
Larry Hersch
Attorney at Law
Post Office Box 1046
Dade City, Florida 34297-1046
!:!1iflli
Community National Bank
of Pasco County
Post Office Box 639
Zephyrhills, Florida 33539
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged before me this 9th day of December 2002, by Reliable
Contracting, Inc., who ye personally known to me or who produced as identification, and
who did/did not take oath.
Witness my hand and official seal in the County and State last aforesaid this 9th day of December
2002.
.~ Mary K. HenderIOn 9jOTARY PUBLI~'
!<r . My Co/m1IUiOn 00090686 ~. / .' ~
~Of,..:cI Expires February 10, 2006 /'fAIl ~ . J
STATE OF FLORIDA ~.:.J . j +lVrD~
COUNTY OF PASCO . tn/ii'flL0 "'^,
THIS IS TO CE~TI~Y THAT THE FOREGOING IS A
TRUE AND CORRECT coPY OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD iN THIS OFFICE,~JJN5SS MY
HAND AND/ilFFIClo\L ~EAL THIS~AY OF
~2~
.
JED PITTMAN~K?F C'-'CUIT COURT
BY .7~ DEPUTY CLERK
David Johnson Builders
37409 Picketts Mill Ave.
SQ. FEET PRICE
MAIN OR LIVING: 1,410 $ 50.00
OTHER AREA UNDER ROOF: 502 $ 25.00
OTHER: - $ -
VALUATION $ 83,050.00
FEE SHEET $ 416.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 684.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 684.00
ELECTRICAL: $ 108.15
PLUMBING: $ 99.50
MECHANICAL: $ 70.20
RADON: $ 19.12
TOTAL $ 980.97
SEWER: $ 1,278.00
WATER: $ 350.00
IRRIGATION: $ -
TOTAL: $ 1,628.00
WATER METER:I $
IRRIGATION METER $
180~00 I
SUB-TOTAL $
2,788.971
TIF'S'I$
99% $
1% $
]
. I
if Go
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
TOTAL: $ 4,482.97 I
996786
~
WATER ACCT. NO.
i
OWNERI
RENTER
PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHVRHIUS, FLORIDA
c ~ ~ ~~ ~ '7
DATE
/-/t7-~3
P AVi'c/ TaAhS'l7h
MAIUNG
SERVICE ADDRESS
SHUT OFF SERVICE
TURN ON SERVICE
INSTAlL METER
READ METER
CHECK METER
OTHER
7./ ."
/y-
5&
c~~ PO Bpv: ;}s;;;
~ 3 ~ 3;
37 ~ C 9 ?ife 1TJ f)1.'I!l1l1e,
k'f.
S<.
o
~TER
4V
w
o SEWER
o GARBAGE
o
~ITY
o
o OUT CITY
-L No. OF UNITS
o
_ DEPOSIT AMOUNT
~t/;$ /llJ2--5;
_ AMOUNT LAST BILL
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPlETED
ORDER TAKEN BY
x
I~/o-()l:$ V-
)WJD~
Retain white form in office at all times.
Send pink & yellow forms to Water Service Oept.
Water Service Dept. to sign yellow form & return to office.
~
!
I
DAVID W. JORNSONIBUlLDER INC. .
9504 FORT KING ROAD
DADE CITY, FL. 33525
C GC 060316
OFFICE # [352J 523-0473
FAX # [352J 523.2802
To: City of Zephyr hills Building Department
c/o Mr. Bill Burgess
Re: Parties to sign building permits
Date: December 5th, 2002
Mr. Burgess,
Please allow Mr. Neal Hartley to sign and/or pull permits within your jurisdiction.
t1
David W. Johnson /
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CI,TY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
. .
DEPARTMENT
ADDRESS PERMIT ",.
~7,-/D<; ,. k ~ M.II fk I OJ 17~r"
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
~ ~ t,; '-k ~\:l <;'l P.."J-(' ~ ~ f 5" ~o.- Ac/d,'+:o.. ~
SD,., Ls A "71"
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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
780-00~J RE-INSPECTlON .
INSPECTOR r ~
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
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