HomeMy WebLinkAbout03-1897
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
1897
(813) 780-0020
Date
J-J(-03
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
P..p'rtyOwn" ~m ~(Q
Job Address: t...-.o T ~ 5 TOll yoM"." ~ dLr,
Water Conn:
Water Meter:
T_I.F.'s:
Parcel I. D. "
Zoning:
DescriDtion of Work
Energy Code:
~e A ~() h'\
Radon Gas:
W (V(V\c}l Wl'l;\.-hw~
d- S ~,J2
FINAL
-~3
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
IIJO
Permit Fee
>>ignature
Company
Address
)crelephone# 7 y g- - S-3 I ~
Valuation or 1"11'
Contract Price 1 0 { ~. o;:-r-
City License Registration # ~
State Certified License#
-s--~ y ~\ ' "S Q~, lit-I( R~.F tf I t'i 8"
J ~luMW,
BUILDING ELECTRICAL
3 7 3 'flJ-ltFo
Ftr. /" -I - 0 (ll., T~Ybf/'
Pre SLB ../ 3- 17 -- 0 ~ ll1Rough In
Lintel Meter Can
FRM. 1/ :~~;2<6--("lJ, l-!:SOConst. Pole
Insul. CL Pool
WL Pre-Mete[
Final
Rt' r:# Iltr,:;
.
PLUMBING
SLB
Tub Set
Water
Sewer
Final
Driveway
S t) ~-th ; V\(s .3 r.;tl-l".3 RL-'1 J-l-tJO
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:
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.
state "I: flon&A...
NOTICE OF COHHENCEHENT
County offb,SCLJ
~~~~~~~~!~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIJIIIIII
2.
General Description of Improvement
e)
~ ~I Vt;''j \ \tJt~.&l~('..6
f1 ",--,,-R..
lJ'~
~J
O\mcr Information I Name JA-I?1F.T.5 r;:. t<. r-:-eJ
City LFAJ-ttLALI/cr
3.
',ddre:;s 10)..0 11 {j/J.c-iIZ
I
I2.J
State :r: L
Interest in PI-operLy I
()WNff'J!.
tlame of Fee Simple Titleholder:
(If other thIn owner)
Rcpl: 660634
DS: 0.00
03/06/03
Rec: 6.00
IT: 0.00
Dpty Clerk
city
State
Addres9
J:.'~'
,- ~~
Contractor: Name ~erei'V\\j\S
J\udre9sP'O. Rox qt.e
Gw&i+, A\lAVI"-;V\l.l.,^"",,
city ~r~<;tJ Sfr[ntj'
State Fl. 335.?4
5. Surety: Name
City
State
Address
J0E3D/0P6IT0TMANA PASCO COUNTY CLERK
I 13 0~:02am 1 of 1
OR BK 5263 PG 874
Amount of Bond: S
6.
Lender: lIame
Address
city
State
7.
Persons within the State of Florida
notices or other documents may bc
713.13{l){a)(7), Florida Statute9:
designated by Owner upon whom
served as provided by Section
tJnme
Address
City
State
B.
In addition to hims!:'lf, Owner df!signates
. I
of to receive a copy of the
Lienor's Not1ce as provided in Sect1011 71J.IJ(1)(b), Florida Statute9.
I) .
rxpirnl 1.JIl dnt~ of notice of Co",mencernent (the explrati0n date is 1 redr
fc~m the datc of recording unless a different date is specified.)
Sworn to and
before me this S-fh. day of (Y7t::tr~
20.a..:L. . f ( .-/1
NotMY,'''bliC' 'r~ -~
~'ycJ~"~.lssl.onExpl.ces: S D n
""'';;':'''' az:annc a. If
;~~~<f'-=:. Com!l'ission #DD 157131
~-;;. ';).;~ ExpIres: Nov 15,2006
"';~ O;f~o~'~ ~onded Thru
"II ",,\ Atlantic Bondmg Co., Inc.
PC9305304BIA
Ul'lNEJR'S I1A/11ElSW_.__Ree&______h_____ _. ____________
,JOB 13ITE ADDRElS 13 k_~?-_~~m__ ~J.OlAr!'X'_~L,'!J~____D_L~n___n
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUII,IllNG D.IlJI?ARTMBlN'1' 5335 8th S'I'RElBJ'f ZllJPHYRHILIJS, FL 33/540
PhoneIB13-780-Q020 FaxI813-780-0021
llA'rm RBCIllIVllIo ~_,;z: B..<f~ .Q3
PI,ANS R!llVIBlW B'1lI111._____..l!______.n.
PHONEl CON'lM$CO PERMIT SERVICE
---8'f3;768~53t4'-_h --
", ~ _._..-.~.._-- _.~- --'---...-
LElC31\L I.lESURIPTlUtl: LOT(S) __h~.52..____ BLOC'K_______h_ SUBlJIVI8Jotl S~e.:r._44___P~~.~t_
PARCElIJ III 1I_.2-Ll ~~~_I.::_PO?_p -'00000 ~_~5 3 C2..._______u.__~_~~TA_~~~__~R()~_~~~~~R'~::_.:I:~_X....~~~~CEl_~__
WORK PROPSEllJl ~NIllN C'C)NSTRUCTION [] ADDITION OAI/l'ElRAirrOH [] REPAIR 0 IN8TAl.I,
[]aTOI1
o MOVE
[J DEt10I,ISII
PRO/,lUf:lFJIJ USE: I ~GIJ, FMlILY DI'IELT,Il~G
UCm1MHlRC!JAI,
[]r1Ul,'l'I - FM1I1,Y
[1# UF mUTS
IJ MOB TLEl llot1IlJ
[.I INDUSrl'RI AT,
[J SNIt.1MINc1 POUTJ
(] rJTHHlR
C::J Re:S'I'AURANT & HElAr/l'1I DElPARTt.1ENT APPROVAL
DESCRIJ?TION OF NORK ._, <Sr rce..~ l-U/~~LWJ naCW5 -"!----5bed..._...___.______n.____._._____ _~___
BUILDING SIZE -lQJL~..________ SQUARE FOOTAGE _,J. 2.0 -__h__ HEllc1HT -,-.2CL-f?L~?_
RElS IDElNTIM, I
(20fl1MHlR(!IAI, :
A'I'TACH (2) FLO'!' PLANS & (2) 8ElT8 OF BIJII.IJING PLANS & (1) SElT ElNElRr~1f FORMS.
A'I''I'1\C!H (3) sEi'rs OF BUILJJING PLAt.IS & (1) SElT ENElR(ri FORt18,
PROPEiRTY SURV~Y REQUIRElD FOR l~LL NEW CONSTRUCTION.
l'EBHITS REQUESTED
~ BlnI.IJING
[J ElL8lCTRWAI,
$ _L/4;1U}. tv
VAI,UATJON OF 'ro'I'A.L CONSTRlJCrrION
_._._-~....----_._---
AttlJ? ~ElRVICEl
o
FLORIDA POWER
[1
W.R,E,c;,
[J PI,lJttlBING
o l'lElCH1\NWAL
$--.-.
------- VAIJUATION OF t-1ECHANCIAI, HI8'l'AI,IJATTON
[J GAS
L1ROOFING
[J S/?EC!tAI/rY
[l OTHER
'I'YPEJ OF' COH8TRtJ(!TION: [J BLOl!K
(& FRA.I-1EJ
[] STEEL
rxlO 'I'll E R aJ I.{..\M ; V1l( "'^--
F'IN LSHElfJ Fr,oOR BlIJEVATIONS
-------..-----.
I8 PRD,fElCT IN FLoon ZONEl AREA 0 YElS
o NO
Bt1ILnmR
SIGNATURE)
~_h____
Cot-1PANY Iefe..~'~~!h~----!.1L~~_~-----
STJ~TEl CfiJRT OR RE'dI8'I' # _____~_______._______._______ _______
C I'l'Y PROCESSING L.~t:j_____._______.____.________
"'*""'*""*"**"""*'*""*"""*'*""'*"""""""'*'*
mI,IlIClTRICIAU
81mU\TlJREJ n_
. '. ---------. -.'--'-.... ,.._._~---- -------.-.-.-----.-.--
Cot1J?AN Y --__________ _______ -----___u_______.____ _____
STATE CERT OR REATS'!' #
CITY PROl!E8SING #
---~---.- - -----_.....--_.-.----_.._.~ .... --'--- _. ..-
~. , "* * * * '* , , '* "* '* *- , , "* , , '* * * '* '* '* , "* '* , * , * '* "* * , * "* , , '* ;.- , * "* '* , "* '* "* * , "* * * * * , '* , , * "* * '* '* ,
.-.-----..---.---.--- '-~-- -..-.. - -' - .---..---...--............--
PI.UMBBlR
.._.._----~-_._~._.__......._~._..-._~-
CO"l PAN y. --- ---------------c---- __~.. ___ ___.._ _. _ ___ _. __.. ___________
STATEl CEJR'l' OR REJc1IST # ___________.________.
CITY PROCESSING #
8 IGNJ\'I'\JRE
MBJC!HANI CAT, COlvl P ANY.__.._____________. ____H --__"u_... __ .____ ._____..
STATE (~EJR'f OR REGrS'r # ___ __u_.__._____._._______
SIGNA'I'tJREl CITY PROCESSING #
'****'******'*'*'***"**'*****'**'**'**'********"****'***'********'*
..---....-.-.- -------~-~. -- -.- '~~-.- --- .--.-----
_._--~---_._-------_._----_._-_......_---.._._--- ----..-------.--.---- -...----...- ~---._---
*'*""*"**'*""*"'*""*"********'***~*'***'"**'**'*'*****"A*"*
O'fUBlR
8 r<nlATUREJ
COI.1PANY
S1'A1'El CEJRT- OR- REOIST W------.--------.-.---.-. ..------..-~-.-
cI'ry PRC)CE8SING # ---------.___M__.______.~_._.._
-+--_._..---~._--.,
'*"****"***"*'"****'******'**"**'*"**"""*"*"'*'"*"******'"***"
-~--.._-......- - _.._-_._.._-~----_.._~._-.._._._-_.__.
CONDITIOl~S OF PERMIT AFFIDAVIT
A. NOTICE or DEED RESTRICTIoNS
rhe undersigned understands thijt Lhis p~rmit may be 9U~)ject to "deed restriotions" which
may be more l.ElsLl.'ictive than City r'=9ulcltiol1s. '1']),= 11l1d,=t:si9ned assumes respont:libility for
compliance with any applicable deed restrictions.
B. UNJ:'ICENSED CON'l'RAC'l'ORS AND CONl'HACTOR RESf:',)~WIBIl. ['j' IE:S
.If the owner has hired a contractor or contractoL3 to under-take work, they IlIay be required
to be li censed in accordance ~1ith 9t<~te and loco.] l"egllla.t1olls. If the contractor is noL
licensed as required by laH, both th,= ol-mer and contracl:or lCIay be cj ted fol.- a mlsdemeanor
violation under state law. If the owner or intended contractor are uncertain as to v~lat
li censing requi rements may apply fo_r the intended work, thf:Y are advised to contact the
City of Zephyr'hills Building Department, 613-766-6611.
Furttlecnore, 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 whicll they
will be responsible. If you, as the owner signs as the contractor, YQ4 are indioating th~t
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 privil~ges in the City of Zephyrhills.
C. 'l'RANSI?OR'l'ATION IMPACT FEES AND UTILITY CONNECTION ~'EES
D. CONS'l'RIICTUION LIEN LM~ (CIiAP'l'ER 713, FI.ORTDA S'l'ATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Constructlon
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 Qocument and promise in good faith to deliver
it to the "owner" prior to COllUllencement.
E. CON'rRAC'l'OR' S/OWNER' S AFFIDAVI'l'
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
devr;::lopment.
Application is hereby made to obtain a permit to do work and installation as indicated. 1
certify that no Hork or installation has con~enced prior to issuance of a permit and that
all work Hill be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations .in the jurisdiction. J also
cer:tify that I undel:stand 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 tOI *Department of
Envirollmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally BensJtive
Lands, Water/Wastewater Treatment
*Southwel:lt Ii'loJ:ida Water Management DistJ:ict-Wells, Cypress Bayheads, Wet.] and Areas,
Altering Watercourses
"Anny Corps of Engineers-SeaHalls, Docks, Navigable WaterHays
*Department of Health & Rehabilitative Services, Environmental Health I1n1t-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.", 1t 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 pennit
lsauance.
A permit issued shall be construed to be a license to proceed with the work and not as
authori l:y to violate, cancel, a1 te1.-, 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 ill plans, construction, or violations of any code. Every permit
iSfiued shall become invalid unless the Hark: authorized by such permi t is cOllullenced Hithin
six months of issuance, or if work authorized by the permit 1s suspended or abandolled for a
period of aix months after the time the work is cOllUllenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15,00. The exten6ion ~hall be ~eque6ted
ill writing to the Building Offioial. An approved inspection must be logged during each slx
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAII"URE 'f0 RECORD A NOTICE OF COMMENCEMENT MAY RESUI/l' IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I F YOU IN'rEND TO OB'rAIN Ji'INAW':;INq, ~qNl?UI"I'
WITH YOUR LENDER OR AN ATrrORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'l'. JOBS UNDER
$2,50D IN VALUE: DO NO'!' NEED 'I'O RECORD AND POS'l' A "NOrrrCE OF COMMENCEMEN'JIII.
~-
~~
S
OWNIiJR OR AGENT
CONTRAC'l'OR
S'J'A'l'E or FLORIDA"'i':2
COUNTY OF __L~Sto
'l~e foregoing instrument Has acknowledged
Before me this ~y of FcJ,r~, .~~
by ___ S.J.A,.~ r\ v-
(name of person acknowl,dged)
~ is personally known to me, or
STA'l'E OF FLORIDA 0.. $LO
COUNTY OF Ct:l
The foregoing instrument was acknowledged
Before m;:: this ~ F&~"1.<~':J ,1W~3
by St-t.ZO--l/l~ ___
tAl.. (name of person acknowledged)
~ is peraonally known to me, or
of identification)
ake an oath.
6~~
person taking acknoHledgernent
"'~~""" Jeffrey Todd leutimann
-.--~~~-:. Commissioll *DDI59234
Name ~e .::?Ex~tclBPNw:)~~Otflled
--,~~. ., :Z- Bonde4 Thru
""~,~~,,, Atlantic Bonding Co.. Inc.
o who has produced___ _______
(type of identificat10nl
.Ddid DUd t t.ake all oath
-
",~~~::'I,,,~
....,' ",-:'
1.lame typed, pr\~.~e ~.1!E~Il~ IS, 2006
';;~ 0; ",0;.;,- ~onded. Thru
",,,,,1' Atlanllc aondmg Co.,lnc_
J ~i'.> ~~V){..i 'Tf fA ~,.)"""' .
&J~
3 - 3- 0 ~
Lb, '2-5, IOiJ(LIV\,Ir(...~'L j)(L,
~~ ~U'v. iJ- S\tp-J>
SQ. IT
PRICE
Main
21,D
~~
1..~_
Other Area
Under Roof
Valuation:
B 'ldin '1.0_ ':"'\'::>
Ul g: . . " v
4
rJ 20
,2.
Electric:
Plmnbing' )J I
Mechanical: / JIr
Radon: z,. '2- 0.
School Impact
Fees:
Connection ~ \ !
Fees: jU 1ft
Trans. Impact
Fees:
,SITE PLAN
EMERALD POINT LOT: 253
36'
5 '
I r
PROPOSED
UTILITY
ROOM
10'X 8'
PROPOSED
CONCRETE
PROPOSED SLAB
VINYL 26 ' X 63'
WINDOW
ROOM
10'X 14'
5 '
5' - -
- -
- - -
TOURMALINE DR.
68'
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