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HomeMy WebLinkAbout03-1807 J7)5'& BUILDING BUILDING PERMIT. CITY OF ZEPHYRHILLS Permit N2 (813) 780-0020 7 ( . 5'() ']S-, ty() PLUMBING MECHANICAL 1807 Date i-,2,r-P3 {05. VO ELECTRICAL Property Owner: ~1a.A ~ r~11/~ Job Address: b;2 L/ Y ~~I b I ~d-:-tl Parcell.D." O:s....~(r;- 21- {)~/O -01(POD - 0030 ~ Sewer Conn I, ~ I-, ~ 00 . Water Conn: 5 C2..5" _ t?o Water Meter: / &--0" tPt!7 T.I.F.'s: -- 99"J t:>O Zoning: Energy Code: Descriotion of Work ----=fS~J-~ Radon Gas: , I GCO 5cp. Fr. NO OCCUPANCY BEFORE C.O. FINAL .2. - 2- - 0 3 DATE C.O. ;l- 02/-03 DATE Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector Permit Fee )(Signature Company Address x:r elephone# I ~ \Jl- Y1~. Valuation or Contract Price 314 Ot)O' CO City License Registration # ,:s oS State Certified License# BUILDING ELECTRICAL )!2---CJlf'lZ-- Ods~ /1r/rrIy. #tt PLUMBING &~ (o~d-II/~ -#-(7 MECHANICAL C, .1-. STeVe... 2-H,lfs E/tt.. Breakers Ducts Insl ~ ai-I (] rf)"3 t L (7 Compressor Final ;../'" 2-:;./- t:fJ3 H~ Ftr. Tp. Servo SLB Pre SLB Rough In :/ 2-10 -0.3> f!-u, Tub Set ,/..:< -(0,-01 1{::J7:> Lintel Meter Can Water ... /' FRM. ./.2-/0 -0''') KlVJU'Jl>Const. Pole Sewer 6/ Insul. CL ,/? - / ()- (J 3 Pool Final /' 2.. z ( - O::J ll:J 0 WL Pre-Meter y) - Jle1- tJ 3 IIJ6 Final ;/" Q - .:2(- 03 /I'<J() Driveway f f .2 -;20 -f}3 ---- 3 ; :). 3 r: ffia'7 ft3f 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) shaH be made for each trip for each trade: ~: ~~~~:::e~e;~rk resulting from faulty construction. .,- \ I ~ I~ 0 & c. Repairs or corrections not made when inspection called. ./~-,!f?- /.,0--'/// ,. .... -,Cp ~or~ d. Work not ready for inspection when called. /-7(\ '.: 1/ .../" . c {I f ~ \/. e. Permit not posted on job site. ~el"- G t--- ~ . J t-- L f. Plans not at job site. VJL K-. . ./" f:,J-' r1"lftc..rd 17 (.-( g. Work not accessible. ______ c~ ~ It f . /1 v j~(f" The payment of inspection fees shall be made before any further permits will be issued to the person owning ~f same. I o~ "8S~ 't $ :lV.lO.l ~ oO.sss $l:pa!lddBl!paJ~ '.:IT.1Jo 9H ~ OO.Ovv'v $ b~afoJd JOJ l!paJ~ ..:IT.1IBlo.1 .5Q! d3 { f:6'6 $ %~ LO'f:S6 $ %66 00.f:66 $ : S, .:lI.1 I 0 ~ "tSO't $ lV.lO.l-SnS I OO~OS~ I 00'90 ~ l OO.Of:g ~ .. . ~ 0 I -- 00 I Q() . L } b I $1~3.13V11 NOI.1V81~~1 $ :~3.13V11 ~3.1VM $ ~:pa!lddB l!paJ~ aaJ uo!pauuo~ JO 9H $ l:pafoJd JOJ l!paJ~ aaJ uo!pauuo~ IBlO.1 OO'c:vv'C: $ :'V.10.1 - $ :NOll.VE>I~~1 00.9l9 $ :~31.VM 00.H6'~ $ :~3M3S O~'LtS $ 'V~O~ - $ :NOaYH 00'9L $ :'V::>INVH::>3W 09'~L $ :~NI8wn'd 09.90~ $ :'V::>I~U::>3'3 00'9Sl $ :~la3H::> SS3' ~Nla'ln8 - $ :~la3H::> 00.9Sl $ :~Nla'ln8 - $ AVM3^I~a 00' Of: $ SS3~aav OO'OL ~ $ .133HS 33.:l 00.000'0f: $ NOI.1VmV^ - $ - :~3H.10 00'9l $ :.:lOO~ ~3aNn \f3~V ~3H.10 00.0f: $ ooo'~ :8NI^1l ~O NIVVII 3:>IHd ~33:1 'OS 'PAIS lIe~ 8tZ9 9A91S .,.~ APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED j- ;:z - (j ,- PLANS REVJ:EW FEE OWNER'S NAME ("cesu;~~ ~,,'C'C,,\~ \~~<.....D~\.Q. ~"\"" JOB ADDRESS '.,d..4!O C~c. ~~ PHONE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # c::-.....-~ '2-"" ~-z...\ -- 0(:; I '\J - C)"i ~~ (OBTAIN FROM PROPERTY TAX NOTICE) c::,(:) ~ -:::. WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL Os I GN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI - FAMI L Y o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESC~tttION OF WORK .fu \ l..U ~~ F:)~,- ~~~ BUILDING SIZE SQUARE FOOTAGE \~aa ~ HEIGHT \0 I 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 o BUILDING o ELECTRICAL $ 1:l,O~ () ~~ CONSTRUCTIO~:,// wll . j ~rE- I . I(~ , PERMITS REQUESTED L~--::.---------_._//// VALUATION OF TOTAL CONSTRUCTION AMP SERVICE ~ORIDA POWER 0 W.R.E.C. ~~/; q / r1~~ o PLUMBING o MECHANI CAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK ,g FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO ~o~~e~~&:~E~;~Q1,. {J .L- 5/~ BUILDER COMPANY ~\:1 \ J STATE CERT OR REGIST! .r SIGNATURr ~w )(l~ CITY PROCESSING # ~ 0 .::> ****************************************************************** ELBCTlUCrAH ~ ~ SIGNATURE ~ ~- _ OJ COMPANY z. -\:.-4- l L.."'- E" L';;'t.,. - STATE CERT OR REGIST # q~ CITY PROCESSING # () QO -:L ( ('g ~. PLUMBER 9ft SIGNATURE * * * * ** * * * * *.* * * * * * * * ** * * * * * * * * * * * * * * * * * * * * *M * * * * * * * *** * * * *** **>t* ~ MECHANICAL L COMPANY ~hR') (;.....0- d- ~ . STATE CERT OR REGIST # SIGNATURE.7 ~ r? _ _CITY PROCESSING # ***************************************************************** OTHER ;/ COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ...................................... ..:.... .1................. CONDITIONS OF PERMIT AFFIDAVIT A. NOT~CE OF DEED RESTRICTIONS The undersigned.understands that this permit may be subject to ~deed restrictions" whi9h may be more restrictive than City regulations. The undersigned 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 undertake work, they may be required to be licensed 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 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 (CHAPTER 713, FLORIDA STATUTES, 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", 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 what 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 ~A" or ~A,etc.", it is understood that 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 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 authorized by such permit is commenced within 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 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 month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 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 UNDER $2,500 IN VALUE DO NOT NEEDTO.J~~ORD AND POST A "NOTICE OF COMMENCEMENT". __ ...7...~ SI~~T STATE OF FLORIDA LJASA COUNTY OF rh ~O The foregoing instrument w~acknowledged Before me this 4 day of.J::!~J!3a. jt1.e-ZM;2. by ~ame of person acknowledged) ~ho is personally known to me, or AJ~Ut \J~ SIGNATURE: CONTRACTOR o who has produced (type of identification) ~Odid Odid not take an oath. ..~cXfd~ Signature of person taking acknowledgement STATE OF FLORIDA a.~C() COUNTY OF ~he foregoing instrument wa~nOWledged Before me~s -2..-day of . , ~~3. by )p.o.. <"~p (name of person acknowledged) [1ho is personally known to me, or ~o has produced f:<- 0 L (type of identification) smWhO Odid ~~ an oath ~ '-v1/\ 0 . Signature of person taking acknowledgment 'yped, prin Name typed " ." , /~&..~~ ~ =.: :., ~J \~'.. . .~} t "'~hf;l~;--~'" ~, THOMAS M. WH !LEA MY COMMISSION # CC 928756 EXPIRES: April 17, 2004 Bonood TI1ru Notary Public Underwriters SHIRDeN K. oa corro MY COMMISSION' CC 949169 EXPIRES: June 26, 2004 Bonded TIHu Notary PI4llc Undtrwrito.. IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII~ 2003016334 NOTICE OF COHHENCEMENT -TL..:~Q.1 f}D County of -=:J=6-::;C0 State of THE IrnOERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes the following inforI:1ation is provided in this Notice of Commencement: ' 1 . Description of Property: Parcel No. t)~ - L';o-2i .- OCuCJ 091.&0-.)- GO"2s\) (Legal description of the property and street address if available) 2 . General Description of Improvement ~ t\\.D G\IT" --r?"J..::::~~ D2..6C (CD rrf' ia-.) (c[:(l{e,{,t ') ~"\ \c..h~-'0' 3. O\'mer Information: Name -ffieoe...O ~,\~ \~~\)~:)'?>U'\lr'u~' ~Q...{~'\~ l\ddress \..;'4\ ~Cz:\~i..3- ~~ City ~~~-4.""~~ ~ State ~,-. 33c;L/{ , Interest in Property: Du~~<,-- Name of Fee Simple Titleholder: (If other th~n owner) Rept.: 6!5071!5 DS: 0.00 01/29/03 Rae: 6.00 IT: 0.00 Dpty Clerk Address City State 4 . Contractor: N.:lme &, ,\.... 2(0~ eo05Tt'LUCTID.0 Address ~7&,SI ~rw Ai City ~'ie,(.JH_.LS State~L-. 339-11-- 5. Surety: N.:lme City State Address Amount of Bond: S i~~2~~~1"Ar2 : ~~S;O fOUNT:, C1ERK OR BK 5219 PG 775 6 . Lender: Name City State Address 7. Persons wi thin the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a) (7), l'lorida Statutes: N~mc Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 7l3.l3(1)(b), Florida Statutes. <). fxpirnt.ltJn dMte or Uot.ice of Commencement. (the expIration date is 1 year ir~m the d.:lte of recording unless a different date is specified.) ...-:; 7' Signature of owner:~:::::::::;::;:~:~~~.._.... Sworn to and subscribed before me this ~7 Q,day of :De=t1.atI'~~ . -::~ \.) 1/1/ { r :2t'0'::;" ,~ -,'c, -i.._ Notary Public: < ,~-41!,,,,,- 1 ,\,...." My C::J:T1,<l_1 55 ion Expires: I~ dkt /~ PC93053048 SHIA MY COMMISSION' CC 949169 EXPIRES: June 26, 2004 BQndfd Thru Notary Public UndolW11lllS W.F .C. Engineering, Inc. 14918 Knotty Pine Place. Tampa, Florida 33625 . (813) 264-7650 . Fax: (813) 908-3396 March 14,2003 Mr. Bill Burgess Building Official City of Zephyrhills 5335 Eighth Street Zephyrhills, Fla. 33540 Re: Sun State Aluminum Commercial Building Fort King Road & U.S. 301 Zephyrhills, Florida 33541 Dear Mr. Burgess: Please let this letter reference my Site Construction inspection and review for the 8000 sq. ft. Office / Retail Development at the above location. The site inspection was conducted on March 13,2003, and included my review of the pavement and parking areas, site landscaping, retention pond, water and wastewater connections, and both driveway access locations. I find the Construction to be in accordance with the approved plan and permitting, and respectfully request your final acceptance. Please accept this signed and sealed letter as evidence of my site review and request to accept this project as completed. ~7?~~ William F. Carter, P. E. President cc: Mr. Paul Comera CETrn:;.'(.:;t_ 1::'F::I:;~iY-j:r TT T ~.".-.:.: CON rF;~()r::TDF: :h;" j"'__II~:11'1E:: l.~.i.. L.. HTE:I..,-'[: L:UN::::;T ADDR= 6248 GALL BLVD !..:__/~::; I:: :t::::r'HYFJ.I1LLH.. FL , 'I ::' . i I C,: U!J j.....! 'f -..(" r;' L. iJ h~ :r I) '::'1 I' (:)ij I: ; fll <,~:):.iF iJFF:i .F ; D F ': I::: l:..: E~ .~.1::' 'j" r..~ t..j i-{j :c-; r-;.: : I ) <> () 1 :::~ ".>' ::.:.; (:) CJFF C :::; ))rYC+ . if Fur;.::: F~EbCHjFT:[ FEE:: r:-UF: Pf::R(iT # ~::HLCi':: ~ "-^~.._-_.~~--'" (')():.:~.; :1.1.4 TUTtlL (lfvHJUNT:: COMPNY ACCOUNT CENTER ~.;':;(.:.:o .. ():I. (ICCNT B450 .... 363()()() -_. 2 tli\.j U L.li'-rr :0 E ~3C F: I ::> T T m.-.I./ F'E::r:;:j".'f T :0 r-:I T PI r:+: /CF: ~_:./) .. () :I. -)\'1(. .)(. .)(..)(-.)(- :::; U LID I.!J (1 b T E FE F (~:. 0 F:FC:LJ\..lED J-:{-'{ " >! .....~~