HomeMy WebLinkAbout03-1824
BUILDING PERMIT
Permit N!
CITY OF ZEPHYRHILLS
(813) 780-0020
1824 ~
I g-O t ro
BUilDING
Date ./ - ~-- CI 3>
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. "
Water Meter:
T.I.F.'s:
Energy Code:
~ ovf~/;"..
-;--Aadon Gas: S. L~/
'5kuJ1/ or ;kA I~
(
Zoning:
D~n of Work
C-rw-Y{7Vl
NO OCCUPANCY BEFORE C.O.
FINAL i./- -c 3
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector IlJO
Valuation or
Contract Price
I~ ~ 75. eM)
89
Permit Fee ~< ,/ 's:: '2l
7'Signature ~ _ ~ . i-/I-A-,,/
Company / ,
Address
)CTelephone# 7! g"- ___er- 3/1-
City license Registration #
State Certified license#
j-f:!/(et.-j'f (J(,( &",((7 fI( VYklJ.
BUilDING ELECTRICAL
Driveway
Tp. Servo
Rough In
Meter Can
Canst. Pole //
Pool /
pre-M7
Final
/
PLUMBING
Ftr.
Pre SlB
lintel
FRM. ./ ~ -11-03 117"0
Insul. Cl vi 3- h~D 3 ff,f'o
Wl
SlB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl. /
compre7/
Final
/
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.
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS
516 2 ~ A,,",e~
DATE
~ ~O?
THIS JOB HAS NOT BEEN COMPLETED. T .e following additiqns or corrections shall be made before the job
WIll be accepted.
JIW.:,' :/'ecl
'+-
PERMIT ."
I ~ L
r " ~ t
~.
Per
P/~/f j
.7tJU^
lJ t V\1 )
to OL-\.4-~; df <Arr
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-INSPECTlON
INSPECTOR %
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
~~~;
"::~~ A
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. I
State of ~
NOTICE OF COMMENCEMENT
County of Pa..6LO
TUE lrnOERSIGNBD hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1.
Description of Property:
2.
General Description of
Sheel, Ope~ ded<.)
3.
O\\IOer Information: Name n ia..ne.- 'BU.l:Y"ln k.
r,ddress 3~ lD ~ ~ Ame.'fhY6"tlMz.fity Z~ph'(rhi Us
Interest in Property:
State Fl. 33540
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
Stilte
4.
Contractor: NameJe.f'e.~'f'.s
J\ddress -p.o. 80>'- t1lR
State fl. 335~4
Q tA4..U t1 It \ lAM ~ r\L-lM-
City C r'jst-a..\ Spri~~~
5.
Surety: Name
J\ddress
City
State
Amount of Bond: S
6. Lender: Name
Address
City
State
7.
Persons within the State of Florida
notices or o~her documents may be
713.13(1)(a)(7), Florida Statutes:
designated by Owner upon whom
served as provided by Section
tkmc
J\ddress
City
Stilte
8. In addition to hims€'lf, Owner designates
of to receive a copy of the
Lienor's Not~ce as prov~ded ~n Sect~on 713.13(1) (b), Florida Statutes.
(), rXpirnf ~'>n d"le n{ tlCJtlce of Conlmencement (t.he explratiun date is 1 year
fr~m the date of recording unless a different date is specified.)
, ~"---'---
~ ~ -.- .._-~
Sig;1ature of Owner;.' . =-~~
"- I
Sworn to and subscribed before me this 02.1 ~t
.--:;.
day of
1 DiCUlne. B~nlnk
T"~j
20~. ~
Notolry Public: ~
Ny C:>:l1,;l1 SSl.on Expires:
,,~~~~~~/.. Suzanne Babr
{;~ '~~= Com.mission #0015713 J
:'~'. ~:..: ExpIres: Nov 15,2006
---~"i OF .\.o~~" Bonded Thru
"""I'" Atlantic Bonding Co., Inc.
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OWNO. '" ItA". _Cil5~. "- ,J2 i4n "- _.6"':1 t1.Lnk n, " ,. " _ _ PlIo". cnN' l' ^' ''1'" "SC~;:~~~AVICE
.108 SITE ADDRBlSS 3~1~d-.'B_ _-A.~~+h~?~tj~~-2~____._._____.__.____ ________.___.______.. _'_""
LElG1\L IJBJSURTPTIOIl: LOT(S) ,,;? ,--:2... BIJO('K SUB/JlVISlOlI .f~er:~..R-,;t____
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUII,DUW IH!JI?ARTMBJN'r 5335 8th S'rRElElT Zl!lPHYRHII,I,S, FL 3354.0 ..' . .~..
PhoneI813-780-0,020 J'a~1813-780-0021 1/7 '.. (-.
lJA'fBl RBoalIVSn _~ _ ~ _ .9....J_______
PI,AN8 RllIVI!lfW reR . ...
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PARCEll, II.l 11_b.?t/- c7r;. -- .~.L::_fJo!iQ.'::OOOQO-P;l;;ZD
HORK PROJilSBltJ I LJNBlN r.'ONS'l'RtlCTWN ~n[)ITIdN
~----'-------------~.._--------------._.-. -----..-.------.-..----.--
(OBTAIN FROM PROPEJRTY 'l'AK MOTTern)
01\UI'ElRATION
[] REJPAIR
IJ INSTAJJl,
USfcm
[J ~10VE
[J DEWJI,ISII
PRO(,lOSEIl lIBE: I ~m, FAfvlII,Y DWELI,Ilm
[I CO~'1~1I11RC! fA I,
[J1'1tJl,TI - FAMU,Y
[J# OF mUT8
[JSWH1MIHG POUL
[J MOBII,El llotIJIlJ
o INDUS'l'R rAT,
[] OTHIlJR
)JBJ8CRIP'I'IUN OF
CJ RB1S'I'AURAN'I' & HElAl/1'!I IJElPAR'n1ElNT APPROVAL
~~~ D'~~;:',,~~~:"~od ;Q(2<'~~!~iJQCDv-",LQ'-'~,i~fort
I?:"Y-~L 0":~_-LQ~.J~d~ckSQUAREJ FOOTAGE --L!;O.lIL~tfi-onl'f I181TGH'I' .:2~.;d~-
A'I"I'ACH (2) PLOT PI.,AllB & (2) SElTS OF BtJIJ,IJING PLANS & (1.) 8ElT ElNI!1RrJY FORMS.
A'I''I'AC!!I (.3) sEi'rs OF BUir./JING PLANS & (1) BET ENER(~Y FORr'lS.
PROP~RTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION,
Bt1!LTlIW] SIZEJ
RElla IDBll"'rrAIJ I
CO~1Ml!JRC!IAr, :
~rr,IJIN(~
FERMITS REQUESTED
$__~i-.~6l0- ~___, VAl,UATION OF TO'l'AL CONBTRuc'rION
o BlLElC'I'RlCAI.
--.----__..__'-- At'lP ,9ElRVICEI
o FU1RIfJA POWER
o W,R,EJ.C.
f] PI.tJtIJBIW.3
o 11B:CHAN lC'AIJ
$.-
..- -'----_.~-------
VALUATION UF MBJCHANCIAIJ UISTAIJI,ATTON
[] GAS
rJ ROOFING
[0] SPE01AUry
[laTHER
'I'YPEl OF (~ON8'I'RtJ(!TION: [J BLOCK
~ FRAJIJEJ
[] STEEl!,
rK.9TIIEJR du UA..j ~t{ VL-..
FINISHEIJ FLOOR ElI,EVATIONS
IS PRO,TElC'f' IN FLoon zemEl AREA [J YElS
o NO
'lIILnOR """PANY ~c.<;Jnt1.Yj, t9~4'~JJ),,--n:"__,___
StrlltATlJ." ~~~'<)~__ ~'~~~O P~~~~S~~N" ~~ST~cf'~~='=:=~=_:::
*****'**'~***"********'***'***'*****'*'*"*"""*'*'"*'*'*""
B1I,BlClTRICIAH
8 JC3111\TtJREJ _._
"..-. -,..~_. ..~_._----_. _.. '-'-'--"--- .---- '~~'--'----'---~--
CO~1P AN 'l_.__n_____.___ _.____.._.____....___.._____..... ______
STATE CERT OR REGIST H
CITY PROCESSING H
------.-- --.--.-- '.- --.--.------ ..__..__..___~. _. 'u__
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--.--------------.-..--. _. -,..-., -_. - ~--..__.. --~_..~-
PJ,UMBmR
.--.-...----..,.. -_.~_._._..._--,~_.__.
(!(JM PAN Y -.---.._.________.,-__________..____._________.__
STATE CER'l' UR REGIST # _________,._________..
CITY PROCESSING #
s rcmA.'l'lJR El
MBlClHANI CAr,
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_'__'_4_'__~_________.___.._____._
----------_.._-'-----~~------_...._-,._--_.__.
COHPANY____________.____ .___.._._..._____.._.._......_ ..____..__...._
8TA.TEJ (!E:RT OR RElGI8'r #
CITY PROCESSING #
_._-~---.-_._ ._~__ '0- .____._...__~___._ __.,.____. __.
S TGl'lA'I'tJREl
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--....--...------. --..---.--- _.__._----.._~
OTumR
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COl1PANY
STATE CERT OR R"EGISTr-------------....---------. ~'--
CITY PROCESSING # --.------- -.___________...____
8 [<mATURE:
-----------"------
**'*'******************'********'*******"**************"*******
-.--...~..---- .---..----.---.--__~__~._-A..-...... ,_..___...~~.._ _.._.
COIWITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Th~ unde~signed understands th,t Lhis p~rmit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restriction~,
B. UlnICENSED CON'I'RAC'I'ORS AND CON'l'RACTOR RESPONS IBII.I'l'IES
If the owner has hired a cOlltractor or contractors to undertake work, they may be required
to be Ii censed in accordance wlth state and local reglllations. If the contractor is not
licensed as required by lav~, both t.he ovmer and contractor may be cited for a mi.ademeanor
violation under state law. If the owner or intended contractor are uncertain as to viliat
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
FurtherlllOl."e, if the owner has hired a contractor or contractors, he is advised to have the
contractor(a) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, YQ4 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 alld is
IIOt entitled to permitting privil~ges in the City of Zephyrhills.
C. TRANSPOk'l'ATION IMPACT Ii'EES AND UTILITY CONNECTION FEES
D. CONS'l'RUC'rUION IJIEN LAv~ (CHAP'l'ER '713, FI,ORIDA STATUTES, AS AMENDED)
1 certify that I, the applicant, hi:lve been provided with a copy of "Flori.da's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the appl.:i.cant is SOllleone other that the "ownerll, I cerify that I
have obtained a copy of the above described Qocument and promise in good faith to deliver
it to the "owner" prior to commencement.
E, CONTRAC'rOR' S/OWNER' S AIi'FIDAVl'l'
I certify that all the information in this application is accurate and tllat all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
devt;llopment.
Application is hereby made to obtain a penni t to do work and installation as indicated. j
certify that no Hork or installation has commenced pri.or to issuance of a permit and that
all work will be performed to meet standards of all laws regulating oonstruotion, City
oodes, zoning regulations, and land development regulations in the j\lrisdictlon. J 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 lllUst take to
be in compliance. Such agencies include but are not limited to: *Department of
EnvirOllll!Sntal Regulation-Cypress Bayheads, Wetland Areas and Environment.ally BensJ,tive
Lands, Water/WasteHater Treatment
.Southwest florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*AnllY Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Departlllent of Health & Rehabil.itCltive Services, Environmental Health [Jnit-WeLls,
Wastevlater Treatment, Septic 'l'anks
*U,9. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone '\A" or "A, etc. ii, it is
understood that a drainage plan addressing a "compensating volume"'will be submitted Hhic!!
is prepared by a professional engineer registered in the State of Florida pl.'Jor 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 techllioal codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
cor~eotion of errors ill plans, con~truction, or violations of any oode. Every permit
is/jued shall beoome invalid unless the work authorized by such permit is cOllullenced Hithin
SiK months of issuance, or if work authorized by the permit is suspended or abandoqed for a
period of si)\ months after the time the work is conunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15,00. The extension shall be requeated
in writing to the Building Official. An approved inspection must be logged during each'sjl(
month period, or the project Hill be considered abandoned.
WARlHNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF you INTEND TO oB'rAIN !:'INANqU-lq,\=:9NI;pUL'I'
WITH YOUR LENDER OR AN A'l"l'ORNEY BEFORE RECORDING YOUR NOnCE OF COMMENCEMEN'r, JOBS UNDER
92,500 IN VALUE DO NOT NEED TO RECORD AND POS'l1 A "NOTICE OF COMMENCEMEN'I"',
SIGNA'rU~~+ :~~~:L,____
~---
AGENT
SIGNA'!'
S'l'A'rE OF FLORIDA ";'")
COUNTY OF __~a..5Lo
The foregoing instrument was acknowledged
Before me this 7th- day of TCl.-~u..ttf) , :t'lP.;2c:t>'3
by ~erc'
(name 0 person acknOWledged)
~ho is personally known to me, or
STA'l'E OF l!'LORIDA
COUNTY OF
The foregoing instrument was aoknowledged
Before me this ~7-1tpay of~, "'~3
by .:Tuem? t-bDjL..-..
(riame 0 person acknowledged)
La/ho is personally knO\m to me, or
'Pasw
o who has produced___. _____._
(type of identification)
DUd I~O~~_
Sign taking acknowledgment
Dwho has produced
(type of identification)
Ddi~ke an oath.
person taking acknowledgement
,1111'" Suzanne Bahr
,'~vP~ 31
- ------..---~~...,. ", ~ l!Hu IS 11
lIame typed, p~:t:~(. p ~~ 15 2006
::;. \i),::~ Explres:Nov ,
'-',-;i-; 0; f~O~';- Bonded .Thru
"'<ltlI" Atlantic Bondmg Co., Inc.
Name typed,
"I~V:'-~' Suzanne Bahr
f''.f~Efd: Wnmi!lsiDm_157131
=..;. ~.~:~ Expires: Nov 15,2006
"";~ 0; f~O~ ,,' Bonded Thru
"" """ Atlantic Bonding Co., Inc.
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SQ. FT.
PRICE
Main
f)'-fl
Other Area
Under Roof /5 D
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Valuation:
'.
(7J 275:~<">
Building: / ge. ~~
Electric: ,J I fr
Plumbing: f'J I 14-
Mechanical: tJ 1ft
4/ '{.sf ~
/~'5, if'
Radon:
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School Impact ) tv
Fees:
J}
Connection
Fees:
,J/v4
Trans. Impact
Fees:
~~
EMERALD POINT RV RESORT
LOT: 22
46'
\ ~ 5'
,
I
OPEN DECK I 6'
15 x 10 SHED
5x10 - -
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- -
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I
I ROOM ADDITION EXISTING
15 x 21 PARK MODEL
12 x 41
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I 10'
PATIO CARPORT
I COVER II' 10xll
6x10
L ~ r-
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roof line
20' EXISTING
CONCRETE
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69'
36'
39628 AMETHYST WAY
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