HomeMy WebLinkAbout03-1901
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1901
Date
3--5 . (J 3
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner:
Job Address:
Parcell.D. #
Zoning: Energy Code: Radon Gas:
Description of Work'-'~ 'r Y..J 's--rc a:...~ rt 7<-<:.. b" " (J Kt.o V\l Po f<c_ h.
Th~€~~
S- 3( r.., ~#...
So trY\. ~ S
st.
Water Conn:
Water Meter:
T_I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
/'(' Signatu
Company
Address
yelephone# (fJ /3\ ri8G -54 4- 1
Valuation or
Contract Price
,;(0/ rro(') · (J!O
City License Registration # C!..-o II\.{ .Pf'-t" .
State Certified License#
C'Arn~ C-A-t~fr'J~ 5
BUILDING
Ftr. 1// b -5"- 0] f/00
Pre SLB
Lintel
Tp. Servo
Rough In
Meter Can
I
Const. Pole I
Pool
Pre-Mete
Final
PLUMBING
MECHANICAL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
Com pre
Final
FRM.
Insul. CL
WL
Driveway
fC(JCK FRAfV'IVl"{ 7f.'f/C3 /-f-JD
REINSPECTlON 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.
ClI'lNER I 8 I1AJ11El__.JJ~.~..~__..s:GJb1l")" {' 5 ___._______.____ PHONEJ CONTJ\(~'!'_h_______ _...______
,JOB SITEl ADDRB:BSS3_J.f:L'_h._e=,"'l__~:1~___~€.....p1L,<_'( h"\ \~_F1---.-____...________._
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUIUJING IJl1JI?ARTMElN'l' 5335 8th S'l'RElEJ'f ZBlI?HYRHIIJIJS, IrL 33940
Phonar813-7BO-O,{)20 hXI813-780,.o021 I-{'l"" D '3
IJJ\.'rBl RIllC1B1IVBlO ~
PIJANS RlIIVIBIW l1Jl1B1--- ._~~~ .----
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SUBlJIVISJOt!
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HURK PROPSElDI [JNBlH CONSTRUe'TION
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[Jsrcm
[] ADDITION [] AI/I'ElRA'I'ION [] REPAIR [J INSTAlJ!'
[] MOVE 0 DElMOI,ISII
[h1tJl/I'I .. F AI.J! I 1. Y 0# OF UlH l' 8 (J MOBIl.El IHJt1El
fJ INDUSTRIAIJ []SWU1MING POUL l]OTHER
PROJ,lOSEIl USE: I []SGlI, FAMILY DWELIJHlGl
r:lf0~Jt/lMEJR(! fA I,
DESCRIPTION OF NORK
CJ RE1STAURANT & HEJALTH DElPARn1ElNT APPROVAL
f)~(Y) 0 ._.E"L~-~~~_.~k - '0 ~~lA___\=; QL.L__2QL~_~____.
SQUARE FOOTAGE __._____ HElH3I1'r __.____.~_______
BU n,flIN<~ 81 ZE
~~-----_._--.. _.._-~-----...
RaJ8IDBlNTIATJ I
(~OMMBlR(!IATJ :
A'T"I'ACH (2) PLO'!, PTJAllS & (2) SElTS OF BtJUDING PLANS & (l) 8E1'I' E1NElRrJll FORMS,
A'I"l'AC!H (.3) SElTS OF BU!LDING PLANS & (1) SElT ENElR(~Y FORtIlS,
PROPERTY SURVEY RElQUIRElD FOR ALL NEW CONS'I'RUCTION.
ar'IIIIIJIN<~
FERMITS REQUESTED
$--~Q,.-QQQ:nQ VALUATION OF TOTAlJ CONSTRUe'I'ION
L1 ElLBlC'I'RlCAI,
---------__---'-0 Mill' S8RVrCEI
o FI,ORIDA POWER
[J W , R . El , (1 .
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[] PLtJt1BING
[] <~A8
L.1 ROOFING
[J /3 PElC!tAUI'Y
[] O'I'HER
"
o HBICHANWATJ
I
$---..-
--- VAlJUATION OF tIlECHANCIAI. U1S'I'AI,IJA'I'TON
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'l'VPEl OF' CONSTRUCTION: [J BLOCK
[] FRAJlJE
[J STElEIJ
[J OTHER
FIlnSHElIJ FI.DOH ElI,ElVATIONS
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18 PR(XTElCT IN FLOon ZONEl AREA 0 VElS 0 NO
BUILn.. ~~~ (7 €.-s , .:r"G. . COMP'''Y ..-(QDi~. J-J;~:'''~-€.!_-R~._!~~9:_~. _.;rQ~.~ _.__ _..
STATE CElR'I' OR REGIST # ..C<i{:,.A.~.J..cA.s__.. __
" 1 GNATl1.. -no..r/}~ i::9.' MO. . ~ [R~~~'\ 1-.~: , ~ :~:. ~~:)~~~~ :~~. :.~-. , ::: .-:::-,::: - ... .~~
B1IJBlClTRld!AN COl1PANY -..---...------___h__________.__. _______:::-=:~.:::.._
STATE CaRT OR RE~TST U
SlGllATIJREJ .__u_. ..---...-----.---------_____u__~______ CITY PROCESSING #
-.--..--. ---. -.._-'~---------._,.,.- "--~--"-. -, --
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----.--..----- '--- .-..--- -..-.-.--.-. -----_.__..._-~-~---."-,.
P IJ UMB ER COM PAN Y ___u___________________________ ...._____..___...__________
STATE CER'I' OR REGIST # ___________,_.~_________.
SWNA'l'tJREl CI'ry PROCESSING #
_.._.. . -.--- -"-. .....-----. --.--.. ...---------.---..---.----- --..--- .... -- .-------.---.- --..-..-----.- --..
*************************~****************************************
MECHANICAl,
------~_._----_...~---_._._--...,.__."-~---
COlvIPANY.__._______....___......._.___..._._ .
STA'rEi CElRT OR REiCH 8'1' # ____ -..----..---.---------____._u_
CITY PROCESSING #
8 T<mA'l'UREl
******..**'***************...*********~**~***********************
-----u.----__________.___.__n .._..__.._--~.-.
OTUBlR
S I <H1J\'l'tJREl
_w____________~________
cmllPANY
S'rA1'BJ CERTOR-REm-sT-fj---------._.-- .--~----._-----.----_...-~.----
CITY PROCESSING # ~---.._--- ---_____________..._.__.
"-.---" --~-~~---~-~._-----------~-~-~----
************************************************************'****
----._~....---.. _.'- --...---------.-..-.- ---- ---'---.-_0. _.._.~o
CONDl'rIONS OE' PERMI'l' AE'b'IDAVIT
A. NOTICE OE' DEED RESTRICTIONS
The undersigned understands th~t this permit may be subject to "deed restrictionsU wbicll
mC:lY be more resLri ati ve than City regulations. 'l'he undersigned assumes responsibili ty for
compliance with any applicable deed reetrictions.
B. UNLICENSED CON'l'RAC'l'ORS AND CONTRACTOR RESPONSIBII,r'I'IES
I f the ovmer has hired a contractor or contractors to undertake work, they may be requir-ed
to btl Ii censed in accordance \"~ith 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 la\f, If the owner or intended contractor are uncertain as to vlhQt
licensing requirements may apply for the intended war:k, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermor-e, if the owner has hired a contractor or contractors, he is advlsed to have the
contractor(s) sign portions of the "Contractor SectionsN of this application for which they
will be responsible, If you, as the owner signs as the contractor, YQ~ are indicating that
you, lather than the contractor, ar-e responsible for the work. If the contractor wishes
you to sign as COlltractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of ZephyrhUls.
C. 'l'RANSPOR'l'A'l'ION IMPAC'l' FEES AND UTILITY CONNECTION FEES
D. CONSrl'RIIC'I'UION LIEN LM~ (CliAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
j certify tllat I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection GuideU prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerN, I cerify that I
have obti:d.ned a copy of the above described document and promise in good fal th to deliver
it to the "ownerN prior to C0I!U11enCement.
E. CON'l'RAC'l'OR' a/OWNER'S AFFIDAVI'I'
I certtfy that all the informatton in this application is accurate and that all Hark will
be done in compliance with all appllcable laws reg\l1atlng construction, zoning, and land
development.
Application ls hereby made to obtain a permit to do work and installation as indicated. I
certify that no \wrk or installatton has conunenced prior to issuance of a permit and that
all work wlll be performed to meet standards of all. laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. J also
certify that I under-stand that the regulations of other governmental agencies way apply to
the intended work, and that it is my responsibility to identify what actions I "rust take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Bensttive
Lauds, Water/Waste~vater Treatment
*Soutllwest E'lo~ida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*!Jepartment of Health 6i Rehabilitative Services, Environmental Health Unit-WeLla,
Wastewater Treatment, Septic Tanks
*U.S. Environmental ~rotection Agency-Asbestos abatement
I also certify that, it fill material is to be used in Flood Zone ~AN or "A,eLc.n, it is
understood that a drainage plan addressing a "compensating volume"'wi.ll be submitted which
is pr:epared by a professional engineer registered in the State of Florida prior to penni L
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authori l:y to violate, cancel, alter, or set aside any provisions of the technical codes,
nor sllall 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 unleas the work authorized by such permit ia cOllunenced within
SJK months of issuance, or if \vark authorized by the permlt is suspended or abandoqed tor a
period of ail{ months after the time the work is conunenced. One 90 day eKtension of tillle
may be allowed for the permit with fee charge of $15.00. The extension shall be ~~quested
in writing to the Building Offictal. An approved inspection must be logged dnring each.aix
month peri_od, or the project will be considered abandoned.
WAfUUlIG 'I'D OWNER: YOUR FAILURE TO RECORD A No'rrCE OF COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING TWICE li'OR IHPROVEMENTS TO YOUR PROPER'I'Y. IE' YOU IN'l'END TO OB'l'AIN E'INANqINq.\X),N@UI/f
WITH YOUR LENDER OR AN A'1'TORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'l'. JOBS UNfHl:R
$2,500 IN VAW!!.: DO NO'r NEED '1'0 RECORD AND POS'l' A "NOTICE OE' COMMENCEMEN'r".
SIGNATURE, OWIIER OR AGE"'- sC:'~TOR
STA'l'E OF FLORIDA P A ~ cO
COUNTY OF V' ~
'rhe forego.ing inst~ulllent was aoknovJledg~d~, ~
Before me this ~iay of ::S-or1V-€oo-..." ~?...)
by s ~_D,~.I"Or"\
lame of person acknowledged)
o is personally known to me, or
S'l'A'I'E Of FLORIDA
COUNTY OF
'J'he foregoing instrument was acknowledged
Before me this __ day of ___, 19_
by_____.
(name of peraon acknowledged)
Owho is personally known to me, or
of identification)
take an oath.
o Hho haa produced ____
(type of identification)
and Hho Ddid [jjid not t.ake an oath
Owho has produced
(type
and whol] did [)did not
Signatur:e of person taking acknowledgement
Signature of person taking acknQwledgm~nt
Name typed, printed or stamped
Harne Lyped, printed or stamped
~
.:?
1111111111111111I111111111I1111111I11 1111I1111111111 11111111
2003033721
Rept: 6~798~ Ree: 10.50
DS: 0.00 IT: 0~00
02/25/03 Dpty Clerk
JED PITT"AN1 PASCO COUNTY CLERK
02/25/03 1 : 09am 1 0' 2
OR BK 5251 PG 373
The undersigned hereby informs you that improvements will be made to certain real property, and in
accordance with Section 713.13 of the Florida Statutes, the following information is stated in this Notice of
Commencement. This notice shall be void and of no force and effect if construction is not started within thirty (30)
days of recordation.
CITY OF ZEPHYRHILLS
NOTICEOFCOMMENCEMffiNT
TO WHOM IT MAY CONCERN:
1.
Description of property: 5316 8th Street, ZephyrhiIls, Florida
\\ - ~6 - .;), \ - 00 \ 0 - l S" ~O 0 - 0 \ 90
General description of improvements: Facade improvements
2.
3.
CAmer: Theresa Sommers
5316 8th Street, Zephyrhills, Florida 33540
4.
Olmer's interest in site of improvement: Warranty Deed
5.
Contractor: Concept Enterprises, Incorporated Attn: Tom Dixon
Address: 10517 Lake Williams Drive, Odessa, Florida 33556
6.
Name of persons other than the owner within the State of Florida designated by owner upon whom notices
or other documents may be served:
Name: Fred Fox Enterprises, Inc. Attn: Fred Fox
Address: P.D. Drawer 2017, Palatka, FL 32178-2017
7. In addition to himself, the owner designates the following person to receive a copy of the Lienor's Notice
as provided in Section 713.06 (2) (b) Florida Statutes:
Name: City of Zephyrhills Attn: Todd H. Vande Berg, Director of Development Services
Address: 5335 Eighth Street. Zephyrhills, FL 33540-4312
Name: Renker Eich Parks Architects, Inc. Attn: John Parks
Address: 1609 9th Street North, 81. Petersburg, FL 33704
~~~~l_vO
Olvncr
,
46
f
STATE OF FLORIDA
COUNTY OF PASCO
I HEREBY CERTIFY. That on this /? fA day of 0('_fGb f' ,...... .200..2.. before me, the
undersigned authority. personally appeared Iii F (("' .os t../. .<; () m A1 (> r ~ .
known to me to be the person(s) described in and who executed the foregoing instrument. and severally
acknowledge the execution thereof to be his.lIiCrOWij>free act and deed for the uses and purposes therein
mentioned.
WITNESS my hand and official seal the date aforesaid.
OR BK 5251 PG 374
2 of 2
~~ll\~:~ Beverly A Jones
N ...~ MY COMMISSION # CC798872 EXPIRES
~. - December 22, 2002
'. .lIfo.'::',' BONDED TIiRIJ T~bY MIN IN.IJRANC~ INe
I
My commission expires: /2/2)/ D c2-..
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFI~~TNESS MY
HAND AND OF lerAl SEAL THI~ DAY OF
2~
AN.C~~ITCOURT
DEPUTY CLERK
I
47