HomeMy WebLinkAbout03-1902
BUILDING PERMIT
Permit N~
1902
CITY OF ZEPHYRHILLS
(813) 780-0020
Property Owner: {J.e 10~~ N iU~
Job Address: ~ ~ l/. tt, S ~ )ql,,/ -e .
Parcell.D. #
Zoning: Energy Code: Radon Gas:
Description of Wor;P~.., E'l-t 51i~ (t4.~'j- r ~-~
BUILDING
ELECTRICAL
PLUMBING
Date
Jr-S-03
MECHANICAL
Sewer Conn
Water Conn:
Water Meter:
T_I.F.'s:
JJ /Jl/t't-J
,
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
c.o.
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or .2 /.. <9-0
Contract Price U If ) (S' 6 c.; .
City License Registration # cI ~ (' .t/ ~
State Certified License#
DATE
Inspector
Permi
~na
Company
Address
~lePhone#
eel:S \ d8'c{ - S- 4 ~1-
/ 'I
/vAl oFf
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:
{ .p1t';Jtf l'kl,'::t...
BUILDING
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Driveway
(;;_!V~(7 3
1-00
MECHANICAL
SLB
Tub Set
Water
Sew r
Fin I
Breakers
Ducts In
Compr ssor
Fina
/
/
I
I
/
/.
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.
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n
111111111111 1111I11111 11111111111111111I11111I1111111111111I
2003033722
CITY OF ZEPHYRIIILLS
Rcpt: 6!57985
DS: 0.00
02/25/03
Rec: 10.50
IT: 0.00
_Dpty Clerk
NOTICEOFCO~NCE~NT
JED PITTMAN1 PASCO COUNTY CLERK
02/25/03 1 : 09am 1 of 52
OR BK 5251 PG 37
TO WHOM IT MAY CONCERN:
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.
1. Description of property: 38440 SU' Avenue (3 Businesses), Zephyrhills, Florida
II -:),6 - ~ \ - 0 0 \ 0 - l6 700 - OO.s-S-
2. General description of improvements: Facade improvements
3. Owner: George Neukom
38440 5th Avenue, Zephyrhills, Florida 33540
4. Owner's interest in site ofimprovement: 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.O. Drawer 201" Palatka, FL 32178-2011
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: 16099th Street No St. Petersburg, FL 33704
46
OR 81< 5251 PG 376
2 of 2
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COpy OF THE OOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE_ ~NESS MY
HAND AND FICIAl SEAL THIS ~ DAY OF
2&
f CIRCUIT COURT
OEPUTY CLERK
STATE OF FLORIDA
COUNTY OF PASCO
ill
I HEREBY CERTIFY, That on this ,( day of /),. (' (" III h ( I~ . 200.2...... before me, the
undersigned authority, personally appeared ,:.. f_ C 1"(")(/ (-k) II /:. /;' If) .
mown to me to be the person{s) described in and who'~ted the foregoing instrument, and severally
acknowledge the execution thereof to be hislher own free act and deed for the uses and purposes therein
mentioned
WITNESS my hand and official seal the date aforesaid
My commission expires: D ct12. } t. C ~
';;d""] U
~-'/'lll;4 /
Notary Public
Vi
..~l,'~ Bevertt A Jones
i,,~ '.\ MY COMMISSION # 00172176 EXPIRES
~. December 22, 2006
'~ 1lON\lEIl1HRll TROY FAIN INSUQAIlCf, INC.
, .."
,.
47
UI1NER I s I1AHE_.___~____G~2QI~______bJ_~~_k:a~___. .._______ PHONE] COt-l'1'Ar!'~'__._ -...__...c__
,JOB S ITEl ADDRESS h3-<2>.41.b_--.E~~-.t\~.~~--2.~_b.,,\L_b_~jj_'S'TFJ,.,_'L_______'___.__...
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPART~ENT 5335 8th STREET ZEPHYRHILLS, FL 33540
PhoneIB13-780-~020 FaxI813-780-0021
IJATBl RlllelllIVSln ~ II] - 0 3
PJ,ANS R!lIVIJIlW II'EBi-'- '---- --'---
- -.___ _._.u__ ~~
LElfJAL DBJSURlP'rION: LOT(S}
B U)(! K
SUBllIV IS Jotl
---._---_._-~ ------
PARC!f:lJI, ILl If:
-.-------------- - -_.-...._~.. ---.-'"_. -.----
HURK PRCl!?SIllf)I LJNEJvl l.'ONS'l'RUCTION
--------.-.-----.--...------.----.------....----.--------.------.-..------..--.. .--.....---------...-.
(OBTAIN F'ROM PROPERTY 'PAX NO'l'IC!El)
[] ADDI'l'ION
[~rBJRATION
I.w6PAIR
LJ IN8Tl\T,I,
lJ8Hm
[] MOVE!)
[] DEMOLISH
PRO!'08EIl USE: I [Jsr]!, FAMII,Y DHELT,U1G
[~MElR(!JAr,
[lt1tJW'I . F'AI'1U,Y
[J# OF UNITS
[] MOBII.El Hor11ll
[JOTHHlR
rJ INDUSTRIAL
[J SW IMMING POUL
C:J RE1S'fAURANT & HElAI/l'H DElPARTt1ElN'I' APPROVAL
~:::':::(: I~: Z:F .:~~::~ ~~ 1~~ ~F~(~r~(~ (g~~~q.,-SJ. ~_w~~~.~~~~~~_~.~~
RESIDENTIAI,I
COMMElRC!IArJ:
A'I"r1\CH (2) PLOT PIJAllS & (2) SETS OF BtJIl,!JIN(3 PLANS & (1) SEl'f E1NElRrJlf FORMS,
A'l"IiAC!H (.3) SElTS UF BUILDING PLANS & (1) SElT ENElR<3Y F"ORtIJS,
PROPERTY SURVEY REQUIRElIJ FOR ALL HEM CONSTRUCTION,
~IN(3
FERMITS REQUESTED
L3..G-r504. 00_ VALUATION OF' TOTAL CONS'fRUC'l'ION
[1 ElLBlCTR 1 CAI,
--.-.----.-___ NIJP ~ElRVICEl
o FI,ORIDA POWElR
[) W,R.E.C,
[] P I.tlt1B I NG
o HHl<.1HANWA!;
,
$---_.
--- VAI,UATION OF tIJEClIANCIAI, UISTAI,IJATTOl'!
(] (3AS
rJ ROOFIW1
[J SPECltAUl'Y
[I OTHER
TYPE UF' <!OH8'I'RtJC!TIDN: [J BIl)c!K
[lYfRAt1E1
[) STElElJ
rl.f'1JTHElR e,(ICK;"
FIN'ISHHllJ F'I,l)(JR IlJI,EVATIONS
'--'-_._~----
18 PR<XTElC'[' IN FLOOD ZONEI ARE1\. [J YElS [] NU
BtIILnmR
~"'-\e/"(r;\~ "':>. r""\~. Cot1PANY_Co.o{~.P-~.n.\._~. -ce.r:.~:~g~+...x-~_'__.._.n__
^ _ __ 8TA'I'Bl CaRT OR RElGIe'!' # ..G.~L.-A.-:.\.Q9S-~_. .__
~ CITY PROCESSING #
:;.~ i.-. Q.;>: P.~.7~ R! f.; ~ fu ':'.1. . . . .. . . . .. . ... ::~: ..:~- :~~.;~: -. --ltiiifJJ ~
COl1P ANY __________._____________.____._____ .~_
STATE CERT OR RE)<HST II
... ..--.--.----------.------------ CI'fY PROl'ElSSINl3 #
. -~---._- ~-----"- ,- -'~--.-- -~-,- ...... -- .--.., ~. -.-
8 HJNATtJREl
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!lIr.RIOTRIC!AN
STGlTA'l'lJREJ '____
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COM P ANY -.-_.__..____n______,-_________.._________.. --_n.__
STATE CElR'l' OR RElGIST # ________~_____.____.__._.
CITY PROCESSIN8 #
SWNA'l'tlREl
MBlC!HANICAr. COI\1PANY____._________._...__. _ _ _Uhh __...____ _h._.
STA'rE CH:RT OR REGr8T # ---_._._h__._______.________.__
S TGNA'l'UREl CITY PROCESS ING #
""""""""""""""""""""""""""""""'*""
---.......-.. .'--~ ._._~-_._--_._---_.- --..-.----------. -.~
--------.------...------......---.-- -----.---.--------.---..-..-----.
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OTHER
S [mIA'I'lIREl
~--------_._--------
(!O~'lPANY
STATE CERT OR REGrST #
CITY PROCESSING #
----.-____n______.._.. .~_._. ,~,__
.-........-.--.-...-----...-------------
------..-.--..----..-----.-
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-----.-....... .._.._-~----~-.-.-.-.........-...---..._"---......-..._--
CONDIIfIONS OF PERl'1IT AE'~'IDAVIT
A. NO~ICE OF DEED RESTRICTIONS
The undersigned understands th,t this permit may be subject to "deed restrictions" ~l~ch
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNIJICENSED CON'l'RAC'l'ORS AND CON'l'RACTOR RESPONSIBII,I'l'IES
If the owner lias hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance vd_th state and local regulations. If the contractor is not
licensed as ~equired by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended CO!ltractor are uncertain as to what
Ucensing requirements may apply for the intended work, they are advlsed to oontact the
City of Zephyrhills Buildlng Department, 813-788-6611.
Furthermore, jf the ovmer has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for whiell they
Hill be l.esponsible. If you, as the ovmer signs ~s the contractor, YQlj are .indicating that
you, rather than the contractor, are responsible for the work. If the contractor Hishes
you to sign as contractor that may be an indication that he is not properly licensed arid is
not entitled to permitting privil~ges in the Clty of Zephyrhl1ls.
c. 'l'RANSPOR'l'A'I'ION IMI?AC'l' FEES AND U'l'UITY CONNECTION FEES
D. CONS'l'RIICTUION I,IEN LAvl (CHAP'l'ER 713, FLORIDA STA'I'U'I'ES, AS AMENDED)
1 certify tllat I, the appllcant, have been provided with a copy of "Florlda's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florlda Department of Agriculture
and Consurner Affairs. If the applicant is someone other that: the "owner", 1 cerify that I
llave obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" pri.or to COllUllencement.
E:. CON'I'RAC'I'OR' S/m'lNER' S AFFIDAVI'I'
I certify that all the information in this application is accurate and that all Hork will
be done in compliance with all appli.cable laws regulating construction, zoning, and land
development.
Application is hereby made to obtai.n a permit to do work and installation as indlcated. I
certify that no Hork or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating constructlon, Clty
codes, zoning regulations, and land development regulations in the jurisdiction. J alao
certify that I understand that the regulations of other governmental agenciea may apply to
the intended work, and that it is my responsibility to identify what actions I IlIlH:lt take to
Le in compliance. Such agencies include but are not llmited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensttive
Landa, Water/Wastewater Treatment
*SouthHeat 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
1 also certify that, if fill material is to be used in Flood Zone ~A" or "A,atc.", it is
understood that a drainage plan addresaing a "compensating volume"'will he submitted which
is prepared by a professional engineer registered in the State of Florida prior to pennit
iasuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to vi.olate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Ofilcial from thereafter requiring a
correction of errors In plans, oonstruction! or violCltions of any code. Every pennit
is!fiu~d shall become invalid unless th~ worK authorized by such permit is cOlllmenced Hithin
six months of issuance, or if vlCrk authorlzed by the permit is suspended or ahandol1ed for a
period of slx months after the time the work is conunenced. One 90 day extension of time
may be alloHed for the permlt with fee charge of $15.00. The extellsion ahall be tequeated
ill writing to the Buildlng Official. An approved inspection must be logged during each six
month period, or the project Hi.ll be considered abandoned.
WARNING 'fO OWNER: 'lOUR FAILURE 'fO RECORD A NOTICE Of COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING 'l'WICE FOR IMPROVEMENTS TO YOUR l?ROPER'I'Y. H' YOU INTEND TO OB'fAIN InNANqrNG,~9N~UIlI'
Wl'I'H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'!'. ,JOBS UNDER
$~, 500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A \\ ENClilMEWllll .
SHiNA'l'URE: OWNER OR AGENT
SIG
TRACTOR
acknowledged
, 19_
STATE OF FLORIDA R
COUN'fY OF 6..5 cO
The foregoing instrument w~s aOknow~d~~03
Before rne.....:t.bis ~ay of ~o.')\"c..r , ~:_:___
by __ \ nCIY\.:\5 ~ . D.,. '0 ~_____
.... ~e of person acknowledged)
~ is personally known to me, or
S'l'A~E Oli' FLORI DA
COUNTY OE' -------
The foregoing instrument was
Before me this __ day of
by _
(name of person aoknoWledged)
Dwho is personally known to me, or
Dwho has pr.oduced
(type
and whoO dld 0 dld not
of identification)
take an oath.
Dwho has produced
(type of identification)
and Hho Ddid [}Ud not take an oath
Signature of person taking acknowledgement
Signature of person taki_ng acknowledgment
Name typed, printed or stamped
Name typed, printed Or stamped