HomeMy WebLinkAbout03-1765
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1765
;Mo'~
BUILDING
5' 5'~~
ELECTRICAL
(813) 780-0020
&/_ rD
PLUMBING MECHANICAL
Date i- IS~ 03
Property Owner:
Job Address:
Parcell.D. II
Zoning:
Descriotion of Work
VOt,a.P rfJ 7h 0 (Y) 1b 1',
-::11 u t (, 11 /lit. ~ +tJ '1 <,-t LJey
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Energy Code:
~. V, - MOToR. ?o.,-\
Radon Gas:
"
[. y( ~s ~ 0(\ -f)~
ri,..ffA73
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
()'~NA'
DwNW'
Inspector
Permit Fee 31f1~,;J..<J
;x5ignatu,. ~ '13~
Company
Address
}}elephone# 7n-5'""3/ 'I
O"J~
Valuation or
Contract Price
IS. ~ . e-O
(
City license Registration #
State Certified license#
SLB Il2/fI,,'} R1..1rt!fo
Tub Set ./
Breakers
Ducts Insl.
Compre
Final
BUILDING
elECTRICAL
PLUMBING
Ftr. '131!tif~ ~~ Tp. Servo
Pre SLB - }' lI1'lRough In 't;/
lintel Meter Can
FRM. -,/./pI1J Const. Pole
Insul. CL Pool
WL Pre-Meter
j Final
Driveway f'L( l~ ( o.~ ~(.,;IOb
7~<q 1-2.Jd~'1tiJU/, / d,O
II-~ ~3 ///~/OY f-/'-'''
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:
Water
Sewer
Final
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.
~~VI ~a;(
OWN~
~bL6 /1vv1r,nH>:T ~y
/ ~W /-IS-l)5~
l /~
~
Main
Other Area
Under Roof
SQ.FT_
1-?2.-0
Valuation: ~~l ~
PRICE
~v=c:;
Building:
Electric:
Plumbing:
Mechanical:
Radon:
2.aUr':::'~
)~ ,1- Co
tal.co
N./11
School Impact ..! J
Fees: f'J flit
Connection
Fees:
;J It/)-
Tr:ms_ Impact I [I
Fees: f'J Iff
fP~
~lq .26
(Jill/Wit 'S IlAI>'jE! -~Qa....J.d.---IbnrDtoX=L__.________._______ __ PIIONE
,ruB ST'j'li] ADDRESS ,3.9(0 L(e.._Al::YJ.ettL~sijA2~.__.________
Ll:ill.AL IlU:SC!RlI:"I'Illll: I~O'l'(S) __;:]-~_._
...,,~ 4 01, ",: ~ a;u. n J. .n.n ,./-, .lU_J D J;< JljlUV,1.!.,r J\..t' J:' lJ.1, l~J\ 'J,' ,!, U,N
BU[I,OIUri 1l1lli'AR'I'MIlJW!' 53J5 ~th S'l'RBlBl'I' I!;BlPHYRllIr,I,S, P'I, 33640
~honeI811-780-~02U ~~xI813'780-00~1
IJA'I'Bl RllIOillVBlIl _.. 1-3 -.0 3_
i'r,AHI:l RlllVnw JI'!UIl
c~mJ'J'AC'l PASCO PERMIT SERVICF
0_-._-. "813:788';5314'
B f I()(' j(
ElI/ElJl\! I SHill
~ty!'t;,f:~ l?:f__ .fQL~it-
!?]H{l!JjJL III #
\~,'J!1.K i'fWj;JSID[J I ~BlYl l!OlIS'I'RlIC!'fl(JH
---- --------.-------- -,-.----- --~ '_.''''''-~~- ---------~--,-- -.-------.,.--~.--------~~-. -.-.~--.-_.--. -~-.~~-.._----~--.----.,- -_._-,-- ,-..-~,. . '-,' _. ''''W', ~_"_ ~ _..".._.... ,...
(OBTAHl fi'ltoM PROill1llt'j'lj '1'1\ X IMJ'f (!jj))
fJ AflDJ'!':rml
rOJ AI/J'BlHA'f'J0l1
I] HEW1HR
r-J nH~'I'A1.J I
[] 8 WIl
[J I'IJOV BJ
[) DElI'10l,ISII
l?R()P(lSEfl DEm I ~L FMULY DWELLING
CJHlJI,'J'T'. FJ\l1Il,y
[J# OF lIIlf'j'8
LJ f,10a lJ,lil 1I01'1111
Il O'j'lIll1R
I] (!W~I>1B1R(! I AI,
I] HWIlS'I'RIAL
[J 81'1 H11'HNGJ POCll,
C-:::J HIi18'I'AlIRAN'I' & lIEAW'1I !)!ilPARTI,1ENT APPRUVAL
lHilS(~H (PT! OU Oi<"
l'UJHl(.__~UJ'*1
-,3Qb!i~ _. ________...
--I SL~~ d__-}_J~\!. P.o:rt___..~..__
S(jUARHl ];i'(J(J'J'At3E ___ L3_?:f2_____
-- - ---.--------... -'-'-. """-.' ..-..-,..
BlJlLllnm SIZEI
RIHHIJENTIALI
(;OI,11>1Il1IWIAl,1
A'I"l'Ar!1I (2) 1"1,0'j' J?1~AIlS " en 8E1TS OF' BIJIl.Jl1NI1 PI.1l.l1S Co (J) f:llil'l' IlIIHJlIH11{ li'OHI,1S,
A'I"I'A(!1I (3) SBI'l'S UF BUILDING l?LAHS & (1) sm'I' ElNljlWnr FURI1S,
I?RUPIlIR'l'Y SIJR\lEl\' REOUIRElIl FOR ALT~ HEW CON8'l'RIJCTHlH,
IIluml'I' ..._}i._ I_h,,,
~~RM1Tg_RiQllE~T~D
1;( I:i\jJL)lHlI~
~,BJLI:iJ(:'j'R l CAJ,
\X Pf,ln1BIlJC:l
[] ),lliICIIAJlJUAI,
L-J.-fit_~f2.(2_._~~____. VA1,lJATWN OJ!' 'j'O'1'A!, CON8'1'RlJr!'J'HJlJ
--_. .---<_..._----_.-.-.~.- .._.~
AI.Il? ~ERVIC&l
[)
FlllRlIJA PU\IEJR
[]
\~,lt,5l,'~,
(] (~AS
~---.~-_..---..---- VJU,OATION UF 'vlBJC'IIANl!JAI, U1S'J'AIII,I\'1'lON
L.'J ROUP'TllG
L] S PjjJ(!J AL'l':f
[] UTHER
'J'Yl?bl l)F' (!( )j,jS'I'RIJC'rrm.j i Ll Bl.OCK
[) F'l~ AI<1EJ
[) S'!'lJJlJ:L
[] (J'j'll &lR
ti'HnSIlIilIi l"j,r,)(lH 1lll,I1JVATIOHS
I S PRO,] ElC;'J' IN FLoo/) ZllNHl AREIA [J !j&lS
11 HO
::I'::~:~R.O~/5_~...._....__.._~
" * .. * A /, .. " A .. A .. .. .. A * · A 'A " /, *A .. * '1< 'A ". " .. A * '/; * " J. ,* " . .. " .. .. ** A " .... I 10 A ** .. " " . A A "iI. .. .. ;. ..
(~OI"Il?AU'i_.QWVl:er__________._ .
STATE CliIR'l' Uf( HE)(H f:l'l' #__
CITY PRO(!E!S8HlG ~-___h'___"___,
'~---'_.__.-..- .-.. ..~_.__.- '~"._. ----~
::':::~~,::AUO~~~_~ _._~_
COil P AllY .---Q_L-<.2.\:J_if______
8'J'A'J'~ CE:H'j' OR RElCHS'j' II
CITY PROCESSING #
"-'-.~~---~. -,-.....,.~...~ ..~- ~-.~-.~.....
" · .. · A " " j A · * A .. ./. .. .. · .. " A* " 'k * " * " " * *1< * .. .. ;, .. * " ** A " AI; A .. ;, " .. * .. * " * A "* .. .. '1; .. 'J. .. .. .. .. .,
---'--_.__.,.~.-..._. ---~--,..~ ...,.~.. '-'.
"'-'" --......-.,. _"'-,-.-,,--~-
n,ml&aJR
.r,mA'!'I'''. .-W~___8___~_______
('OI'lPJHly-Q~n_g.L..__...___ '._'."_"'_
STATE CH!HT OR ftEJrHS'l' /I ._.____.__....,_..
crn PROCEISf:lIl-liJ #
HlllC!UAllI CA I.
I.I<*****"**"AI.***'*~**'~*"*******~**"*'**'*A'''**',*,****~***.l*'***
_h._. ______0_._...____ ..._.. ___~...____.n._.
~_."'-- -- --.-,,-. -_._~._._--~._--- --.-.-..----.-.., -----..-.- --..__.._------~---
(!O/>1PANY _____.___________~_._____
STATE ClliRT OR R~8IST #
Cl'l'Y I?R()c:'ElSSUj\1 1/
..-- "'... -"'__'0_ c__~ .~.._.. .__,
8l<.:lllA'l'lJR&l
*1;*A***l'A*l'**A**l'*"*'**,******~*",***,,*;,*~,**~**,""A",*,*
-.------..---..--- .- ... -- --....._~...--~..._--
O'i'lIlilR
-'-~. -------.-------. -- .-.....,.--.---.- ._---_.~------_._. ,- ~_..__._--._-
{!CJ/,IPANY
--~_._'-'---p--._~_. ._r_'___
~'l'A'l'EJ CffiRT OR REllHST II
CT'1''t PR(I(!ElS8 fNG #
S H~IlJ\' J '\lR E!
--.-- ~----------------..-.. .-.~_..- - ....-_._~._----~,--,.. ... ... ...--.--. ~.._-
*"'**'~"***************'''**'**A**''*''l***''*'''*'A**'"'A*'*'*",
c:o~.": :__\:r~ '~:1 ~~ O:.\,T 2. (]~' ? ~~~.\I~~ r:.1 Ar: ~~ ~_}_A'\f~. l~
A. NOTICE OF DEED RESTRICTIONS
'I'lle undersigned understands thaI: 1:11.L:3 permit: jnay b.;: sclj~yiect to "deed restr.ictions" Hhich
may be mor.e restrictive than City r':Hlulations. '1'h,= und,;:rsigned assumes responsibilJty for
compLiance with any applicabl.e deEd r,;:strict.iolls.
B, UNLICENSED CON'I'RACTORS AND CON l'Hl\CTOR RESPONEIII3ILITIES
IE the OHner has hired a contractor or contractoul to undertake work, they may be required
to b~ licensed in accordance with state and local regulations. If the contractor is not
licensed as requi.red by law, both the ovlller and contractor may be cited for a misdemeanor
violation under state laH. If the mmer or intended contl:actor are uncertain as to Hhat
licensing requi.rements may apply for ':he intended '^lork, they are advised to contact the
city of Zephyrhills Building Department, 813-788-'6611.
Furthermore, if the OHner has hired a contractor or contractors, he is advJsed to have the
contractor(s) sign portions of the "Contractor SectiollS" of this application for Hhich 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 licellsed and is
not entitled to permitting privileges in the City of Z~phyrhillB,
C. 'rRANSPOR'l'A'rION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONS'l'RUC'l'UION LIE,N LAW (CHAPTER 713, FLORIDA S'rA'l'UTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Constructlon
liell Law - Homeowner's Protection Guide" prepared by the FlorJda Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I eerify t.hat I
have obtalned a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to conunencement.
F.. CONTRAC'I'OR' S/OWNER' S AFFIDAVIT
I certify that all the information ill this application is accurate and that all work will
be done in compliance with all applicable laws regulatlng construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as llldicated. I
certify that no Hork or installation has commenced prior to issuance of a pennit: and that
all Hork will be performed to meet standards of all laHs regulating construction, City
codes, zoning regulations, and land development regulations in the jurJsd.icUon. I also
certify that I understand that the regulations of other governmental agencies may apply to
the lntended Ho.rk, 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 Regulat.ion-Cypress Bayheads, Wetland Areas and Environmentally Sellsitive
Lands, Water/WasteHater 'l'reatment
*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
.Army Corps of Engineers-Seawalls, Docks, Navigable WaterHays
*IJepart:mellt of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
.1],S. Enviromnental Protection Agency-Asbestos abatement
1 also certify that, if fill material is to be used in Flood Zone "A" or "A,ete,", it is
understood that a drainage plan addressing a "compensating volume" Hill be submitted Vlh.ich
is prepared ~y a professional engineer registered in the state of Florida prior to permit
Jssllance.
A permit issued sllall be construed to be a license to proceed Hith the Hork 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 ia conunenced wJthin
ai.x months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months afte.\: the time the Hork .is commenced. One 90 day extension of time
may be allowed for the permit Hith 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 'I'() OWNER: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMEWl' MAY RESUL'I' IN YOUR
PAYING TWICE F'OR IMPROVEMENTS '1'0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN A'f'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. LTOBS UNDER
$2,500 IN VALUE', DO 1'10'1' NEED '1'0 RECORD AND POS'1' A "NO'l'ICE OF COMMENCEMEW1'''.
-~fl ~
SIGNA'l'URE: OWNE OR AGEN'1'
{J~ -L!--~
S I GNA'I'URE: CON'I'RACTOR
s'rATE OF FLORIDA. R
COUN'1'Y OF _____._<<.5Co
'1'he foregoing instrument Has acknoHledged
Before me this ~day ofpe.ce~q,.y;- _.;wD~
by ____~ I hO,V\TDv--
(name of person acknowledged)
[]who is personally knoVln to me, or
~o has produced -p L--. _
(type of identlfication)
and IB-did not. take an oath.
___ ~rvn-( _ c{j~~
Sign tur:el~ person taking ackno&edgement
. l \\1111/, suzanne B
_"'~~Y'':~'' Commission #DD157131
i~~~I-;~-tYP~d~--pr~~::~IEXj\r~~!~5, 2666
,~. .i>' Bo ru
"';~,~~ I~~~'" Atlantic Bonding Co.. Inc.
STATE OF FLORIDA Pa.S-CD
COUNTY OF-.-
'l'he foregoing instrument Vias ack~ledged
Before~ this l<i~i.ay ofV~(O! p.r; _~;;J....
by J2Q.r}a.J,J:: o('~m"-""'- .
(name of person acknowledged)
Do/ho J.s personally knoHn to me, o.r
~ho has produced 1) L- . __._________
(ty~e of identification)
~d ~ke an oath
UC;:j'~_~ __~___
8i nature 0_ person tak.ing acknowledgment
, '"'' Suzanne Bahr
. ':.~~'~ CommissioR#DDIS7JJ.l------ ---.
Name type~'k v ~~~ir8fN8~f~Il~9t
"';~ OF .i.o~,,- Bonded .Thru
'I"",,' AtlantIC BondmgCo., Inc.
State of
County of
111111111111111111111111111111111111111111111111111111111111
2003001206
Po..Sc.o
NOTICE OF COMMENCEMENT
TUB trnoERSIGNED 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. Description of Property: Parcel No. ::l4- ~Io - ;tl- OOLfD-Ot:XYY)- O;l.S-D
2.
General Description of Improvement
1<. V 'PORT
3 'Rowner Information: Name J')onaJ~ ThornTon
""l\ddress 3'1(Ol{Q AVY\e'tl1yst' W~ C1.ty Z(""p\-1yrhi /Is
Interest in Property:
State fl. 33540
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
Stilte
4. Contractor: Name DW,{)PI
Address
City
State
5. Surety: Name
Address
City
State
Amount of Bond: S
JED PITTMAN~ PASCO COUNTY CLERK
01/03/03 00:33am 1 of 1
OR BK 5189 PG 1849
6 .
Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whcm
notices or o~her documents may be served as provided by Section
713.13(1)(a)(7), Florida Statutes:
N2me
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided 1.n Sect1.on 713.13(1){b), Florida Statutes.
<J .
~xp1.rn1.i')n dftte or rIot.lce of Comm~ncement. (the expiration dat.e is 1 year
fr~m the date of recording unless a different date is specified.)
Signature of Owner: c.2~ (J, d'"<~
Sworn to and subscribed before me this 17-t'- day of '"DecewJJer
..;20o~. ~
Notary Public: v1~ ~a.e./
My C:);r1,:l.i ssion Expi(es:
....' ~~~~~J.~~.. S117~nnp R~hr
~!~.~:= Com.mission #00157131
~~~ ~...~ ExpIres: Nov 15,2006
"I, if ~ "...... Handed I hru
"/1111\ Atlantic Bonding Co., rnc.
PC93053048
EMERALD POINT
LOT: 25
40'
.
5 '
SHED
6x10
_5'_ - 5'
- - - -
- -
RV PORT
SHED/UTILITY
30' X 44'
14' x 32'
:J :J [
.
20'
/ ,r \
39616 AMETHYST WAY
69'
\
~
~
5
~
~
-I
-I
<D
.....
.....
~
-t.
r-
0>
cO
t~
..... w
~ .....
rJ 0
t-
O>
cO
L_
CJ)
,
-1
w
0)
~t~
t_L- -
N
,
I'
r
30' 'I
20' I
1a-l
,
Q~() u r
~
<4"'U ~ --t
n,-(t'\ V l1\
~Oz:. lJ
14' ~
'I l
7'
'1 71
,
TIft%~ S(~(( ""-
N
'-
0> M-ci'- J)ffl6'i'JJU I
cd (1)
-~ ~
C
-I AjOI\j-LlVING-
-
r
-
-\
-<. Dt0J-Af
"-
'-. //
---- ---
- - - -- - -- ~ I
/
I ~
I
\
\
\
I;j,)
~
w
~
\-tFt
\
.....
~
.....
/-//:-~
/
/
y ~ fiLic7?4C >~L-
. l. b1; I tJ ,>1iitU-~) _ fa
~-~ --- - fJtt, ArIrll~ lfl-
N 'rr-
oJ' ,Jm-/ON 1t~ (iJ..ht..;7iZ.l
(vV5-- <)
I
i
.....
N
I'
():}
~
l- 4" --1_u 5'-
-f----- ---
~
~
I
...
N
.....
:::
~
,I
~
......
~
\\)
I
....
N
......
l
M
~-
M
J
8 -Q-
:t:
I()
L--~...
I,
\-
Qd
~
7'
~
r- -- -- ,s------r--- Z,v ---1 - ------:1
... N
N
",- 11
('-', -t~
--=
so
co
co
M
l
/
/
/
...
co
\ 1::A-\
\
...... \
...... -1
N
......
N
C")
-
I co ::t-
<0
I -t ~
~ ------
/ ---
/,'/ .......
"
0 0 N
...... >- ...... f-.
M ?- M ......
j-- - -1
.J
-
\-
:J
OJ co
<0 <0
1_ 0- ~
L.t .1 ,L
,
I, .v~ ......
......
en
.i
,
,Of:
I
,I
,OZ