HomeMy WebLinkAbout03-1948
BUILDING PERMIT
Permit N2
~L(,}7
ELECTRICAL
CITY OF ZEPHYRHILLS
(813) 780-0020
(PO'~
PLUMBING
1948
'-( IJ. .50
BUILDING
ciM
[)S'
MECHANICAL
Date
:;-~(J3
::::~.:~e' ~ /'i7Jr hl}1ouJJk
Parcell.D. # f)"3r~Io.- .:2./-00/tJ - 051,00 --003 0
Zoning: Energy Code:
:&u .Pel ov:t"
.~-
Sewer Conn ~ S 97.50
Water Conn: (.j 3'1' 50
wate: Mete'. ~~; ~ 0-
T.I.F. s. 1=r'
415'. 56
Radon Gas:
Description of Work
FINAL -'f - '1 - c 3
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
Valuation or Lf
Contract Price 7 /5/ (jC().. g<J
City License Registration # J CJ 5
State Certified License#
DATE
Inspector 1:. L '1 if /I jO
Permit Fee zt: /9/1" ~ Z;
;CSignature ~ .' ~ U-. '-./ 'yiof...R L.J-L.
Company
C.L, s:reJ/e.. ~
BUILDING
~It /is [lee.
H?d-..
ELECTRICAL
CA~ 8c~, '?/~.
PLUMBING .tP I It
Tp. Servo SLB
Rough In .../'1- 2 -0 ? IISo Tub Set l ~V- 2-0.3 ii_TO
Meter Can Water
J..l0U Canst. Pole Sewer
Pool Final t/ 5' -7' - (J 3 i1. ( 111/:10
Pre-Meter ,/ f~ 2::;-tl3 Rl~
Final;../' 5"-5 -0 3 RL'1. rlf'0c')
Ftr.
Pre SLB
Lintel
FRM. ,/ L/-2-0"3
Insul. CL
WL
Breakers
Ducts Ins!................ ~ c?- t' 3 14/"
Compressor
FinalV-S--5--oJ Rt.iJltJO
.
Driveway
r:f{,rl/JflJ- J/.).~f)~
A:KI'~ 6PJ11l
REINSPECTION FEES: When extra insp~~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.
CI'rY' OF ZEPl{YRH.lI~LS PElRMrr APPIAICATION
aUIIJDING IHIl5lARTMEN'l' 5335 8th S'fREE'r ZE5lHYRHIIJI,S, ITL 331540
PhoneI813-780-0,020 FaXI813-780-'OO~;AtrBl RBClllIVI!JO ~"'lt::_O?_
PI.ANS RHlVIBlW Jl'1ll!li.c..__,-
Cll'mER I S 11Ar'11l1_-::rD._~_..f.Ql2-~~l"\ ~CJS-.Q6)JL__.~..l.TI;AJ ~t=____ PHONE CON'l'Af'T
,TOB 8 ITEl ADDRElSS H--~~4-k__~~~_~___~_-=--________u____.. _______ ___ __ ____ ,_
lJElG1\L DB]SCR"I PT 1011: LOT (8)
BLOCK
SUBDIVISION
PARellll, III #-___Q3 -J:fL:_:U~_QQj O~_Qc;~OO- 003 0 ____~~~TAIN__~_RO~!.~~:Il1R'l'.~_~~~~___~O'~:~~_~._
WORK I?RO!?SElTJ I LJ NIllN CONSTRUCT ION {i1 ADD !Troll 0 ALTERATION LJ RHlPA IR [J 1 N8TAIJ!J
CI8Iml
[J j\10V E
o DElt-10I,ISII
PRlW08ElD USE: I CJSGI, FAtUIJY DWELI,ING
Q(CCJt1MElR(!JAI,
[lt1Ulil'I -. FA1Vl!I,v
[]# OF mu'T'S
[J SW H1tHNr] - POOIJ
IJ MOBlIrE llot-11ll
lJ OTIIHlR
o INDUSTRIAL
C:J RE18TAURANT & HEAI,TH DElPARTt1ElNT APPROVAL
BUIJ,rnNC~ Ell ZEl
~'()RK _~_~!~SMS:lUAR~ FaOTA,," _X~~=~--,~~;~~,:r~:~!QT_~:
ATTACH (;2) PlJQ'r PIJAllS & (;2) 8ElTS OF BUII,DIN(] PI,ANS & (1) SEl'r ElNElRrw Fr'RMfi-/%'E3
A'!"!;ACH (3) SE'I'S OF BtJILnrNG PLANS & (1) SIllT ENERq~~MS. , 9jlltV--' .71:AJ<.i1...-
PROPERTY SURVEY REQI1IR'" FOR AI,L IlEW "ONSTR(J"TIOI'Y~ ['.NliftJh fur
~4.
FERMITS REQUESTED ci tfJ11t
TOTAL CONS'I'RUC'rION
$-.J.Q.J;)~-=__._" VALUATION OF
--'2:QQ.-------'-- ArIfP ~ERVICEJ J(
Fr,oR IDA POWER
[J
W.R,El.n.
IlEJSCRIP'l'ION OF
RES IDENTIMJ I
CO(\1MBJRCIAIJ:
C1 BllJI.IJING
IJ BJLElCTRlCAI,
[] PI.tltIfBING
o HHiC/U\.NWAJJ
$----Q~~------ VAIJUATION OF tIfECHANCIAI. HISTAI,l,A'I'TON
[] r.~A8
[] ROOFING
[J SPElC!tAUry
[I OTHER
TYPE UP' CONSTRUCTION: [j BLOCK
~ FRlIJ-1EJ
[J STEElL
[] OTHElR
FINISHEI) Fl,uOR ElIJEVATIONS
I8 PRO,TElC'f' IN FLOOD ZONE! AREA [J YF.18 [] Nu
B 1 m'lATUREl
IU
C'Otlf P ANY ___,~L:__'3?_TE:Y €_i::Q~?C~____ ____~___.__ __
STATE! CElR'I' OR REGIST 1# ..c...ro_Cl=:SL?-.:._?:_'_?_1.,..__________
crry PROCEl8SH!G L_.~_.__?_Q__~____.____.___.______
BtJILI1BlR
******~*k*******************************************.*************
:2:)___.____
Cm1PANY --:z---\:\~-'=~~__~.~~"\.:...2_2."-~_~__....._, ______
STATE CElRT OR RElCHS'i' #_9.QP__~_l_~E:'"'_____. __._. _
CITY PROCEl88INl~ # 2-
.___..'1_____________., ____.__...._ ___.
*k*********k**************k************,********,******.***k***.****
S WHA'l't1REl
(~O~lPAlIy----C!1..I{~ s __Jl..4tff( ..__f2.LJ~bi~~~
/ / ' # STATE CERT OR REGIST # _llcx:;CflJ;!tE_______.
~~_~_______ CI'l'Y PROCElSSING # ----.1..6_______.__.______.._____.______
PJJtJMBBlR
*************'*'****'*'**************'*****'**********'*************'****'*
MECHANICAL 7"- ';/ CCJIV)PANy"""?>Pll~~PQ_~.~B::?:._~____.
,.of J- 81'JI.TE ('E:RT OR REGrST #
SlGNA'l'1JREJ L ,.{./~-___.. (!l'l'Y PROCESSING # f7-----.-------------------d--UU--
~,:..._______,L-_____.______.____..,.__.__.___ -_,~-u_,_____'___. ___ _.,____ ."_n,_ ,'_____.
/' .-
'* k ~. * '* '* * '* * '* '* * '* '* * '* * '* '* '* '* '* '* '* '* '* '* * '* '* * * '* '* * '* ''* '* '* k * * * * '* * * * * * * * . * * * * * . * * * '*
OTUI!IR
r.'ot.1PANY
S1'A1'E) CEJRT- OR RElGIST -r-.------.---..---------....--.- ---
CITY PROCElSS ING # -------------.-.---.------..----.
8I<RIA'1'UREl
.._----~--_._~------
*************.*****************************************'****~*****
CONDI'l'IONS OF PERMI'I' AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The under:signed understandli thiijt thia p~rmit may be subject: to "deed restrictions" widell
ma~ be more restrictive than City regulations. The undersigned assumes responsibility for:
compliance with any applicable deed restrictions.
B. UNLICENSED (~ONTRAC'l'ORS AND CON'l'RACTOR RESPONSIBII,I'I'IES
If the owner has hired a contractor or contractors to undertake work, they nlay be required
to be lioensed 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 wllat
licensing requirementl> may apply for the intended work, they are advil>ed to contact: the
City of Zephyrhills Building Department, 813-788-6611.
Furtherll1o.re, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsU of this application for which they
will be responsible. If you, as the owner signs as the contractor, YQ4 are indicating that
you, lather than the oontraotor, are responsible for the work. If the contractor \..Jishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not eutitled to permitting privileges in the City of Zephyrhills.
C. 'l'RANSPOR'l'ATION IMPACT FEES AND U'l'Ul'!'Y CONNECTION FEES
ll. CONB'l'Rlle/rUION IJIEN LAv~ (CIiAP'I'ER 713, FLORIDA STATUTES, AS AMENDED)
r certify that I, the applicant, have been provided with a copy of "Florida's Conl>tructlon
lien Law - Homeowner's Protection Guide" prepared by the Florida Depar:tment 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.
El, CON'l'RAC'l'OR' S/OWNER' S AFFIDAVI/I'
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
development.
Applioation is hereby made to obtain a permit to do work and installation as indioated. I
certify that no work or installation has cO~Renced 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 regulat.ions 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 tRust take to
be in compliance. Such agencies include but are not limited tOI *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensttive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Anny Corps of Engineers--Seawa lIs, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Env1ronmental Health Un1t-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement.
I also certify that, if 'f111 material is to be used in Flood Zone \'A" or "A,etc.", it is
undetstood that a drainage plan addressing a "Gompensating volume" 'will be submitted vlh.ich
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 t.echnical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requ1ring a
correction of errors in plans, construction, or violations of any oode. Every permit
iSl3ued shall become invalid unless the work authorized by such permit is cOllunenced within
six months of issuance, or if work authorized by the permit is suspended or abandor~ed for a
period of S11t months after the time the work is conunenced. One 90 day extension of tillle
may be allowed for the permit with fee charge of $15.00. The extension I>hall 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 OWNERI YOUR FAIWRE 'ro RECORD A No'ncE OF COMMENCEMEN'I' MAY RESUIil' IN YOUR
PAYING TWICE li'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'rEND TO oB'rAIN FINANC1INq, ~qN~uIlr
WITH YOUR LENDER OR AN A'l"rORNEY BEFORE RECORDING YOUR NO'l'ICE OF COMMENCEMEN'I'. JOBS UNDER
$2,500 IN VALUE: DO NO'l' NEED '1'0 RECORD AND POST A "NO'l'ICE OF COMMENCEMEN'l"'.
_~Ut ~_)
SIGHA'l'URE: OWNER 0 AGENT
STATE OF FLORWA
COUN'rY OF y,...~
The foregoing instrument was acknowledged
Sefote me this _[1_ day of f/r}A1CL-, I"9 ~~
by _ G e..\oV"" (!..;, S TI:A.l E-
(name of person acknowledged)
Dwho is personally known to me, or
'ia":ho has produced ~ DL
(~. (type of identificat.ion)
~Jdid ~ - '~n oath.
~ 'Jtt _
~
Signature of person taking acknowledgement
_~!u- ~,~___
SIGNA'l'URE: CONTRAC'l'OR
STA'I'E OF FLORIDA
COUN'rY OF
The forego.ing instrument Wl;"\S ackll~edged
. Before me this ~ay of. l'Y}aA ,~@3
by .o~~ ~
(name of person acknowledged)
[J,ho is personally kno\</n to me, or
/is~
~ho has produced_ F~_o L. ________
(type of identification)
d n t t ath
Name typed, p
State of
NOTICE OF COMMENCEMENT
r;COCct DA County of P4g (' 0
THE lJNDERSlt;NEIJ hereby gives notice that illlplOVt'lllenl will be madc to ccrtain rcal properly,
and in accordance with Chapler 71 J, Florida Stalules, lhe rollowing inrorllwtioll is provided in
lhis Notice or Commencemenl:
1. Descriplion or Properly: Parcel No. 63 - ;)..&,-- ~1-0CI 0 - 0 q (POO- OD30
(pJ-l!O G!KJ- BLVD
(Legal descriplion or the property alld street address ir available)---
2. General Description of Illlprovelllcnt(8-0l CD Oor r:-ae. lE:OAIJI
3. Ownerlnrormation: Name Cvf'J~A
Address (p 14-1 Dbf.:.-id CP<<..e rx
Interest in Property: 0 uJJJ0'L
Name of Fee Simple Titleholder:
(If other than owner)
i fLtc/ Jr.t:Aoi.S
Ci ly Lcz-&)~~e.wt LL&
1111111111111111111I111111I111111111111111111111111111111111
2003046941
'Tce:v sr (M-tCWt\a. Ck:H? <J2:. E' I A)
State (""c. 3-3S<f1
Rcpt.: 663713
DS: 0.00
03/17/03
Rec: 6.00
IT: 0.00
Dpty Clerk
R4.
Address
Contractor: Name G "L - S-reil2.
Address 31~S\ ~(/.-\ A.-t
State
City
c.V",:K~reucn 00
City 1&)..NIC.4Ku.S
State R:.. "3:!.>-s,1.{l--
5. Surety: Name
Address
Amount of Bond: $
6. Lemler: Name
Address
City
Slate
i~~1~~~~"AI2:f"S;O fOUNT:, CL"ERK
OR B~ 5277 PG 129
City
State
7. Persuns within the State of Florida designaled by Owner upon whom notices or uther
documents ma)' be served as provided hy Section 713.13 (I) (a) (7), Florida Statutes:
Nnme
Address
City
Slate
8. In addition to himself, Owner designates__
. '
of ________________________ 10 receive a copy or lhe Lienor's Notice as
provided in Seclion713.13 (I) (b). Florida Slatutes.
9. Expiration date of Nolice or Conllllcnccment (lhe expiration date is I year rromlhe dale
or recording unless a differenl dale is specified.)
Signature of Owner: _
,2()~.
Nolary Public: '..
My Commissiun Expires: _____
PC93053048/A
SHIRDEN K. oa COTTO
.coMMlssl
EXPIRES: June 26 2004
Bonded Thru Notary PubHc Underwriters
G.L. Steve
6242 Gall Blvd.
SQ. FEET PRICE
MAIN OR LIVING: 1,500 $ 30.00
OTHER AREA UNDER ROOF: $ 25.00
OTHER: - $ -
VALUATION $ 45,000.00
FEE SHEET $ 255.00
ADDRESS $ 30.00
DRIVEWAY $ -
BUILDING: $ 412.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 412.50
ELECTRICAL: $ 94.35
PLUMBING: $ 68.00
MECHANICAL: $ 85.00
RADON: $ -
TOTAL $ 659.85
SEWER: $ 1,597.50
WATER: $ 437.50
IRRIGATION: $ -
TOTAL: $ 2,035.00
Total connection fee credit for project~ $
1/5 of connection fee credit apPlied:r $
530.00 ~
106.00 ~
WATER METER:I
IRRIGATION METER $
SUB-TOTAL $ 2,588.85 I
T IF'S: $ 1,489.50 ($993 per 1,000sq. Ft.)
99% $ 1,474.61 1,500sq. Ft. Total
1% $ 14.90 $993 x 1.5m sq. ft. = $1489.50
Total T.I.F. credit for projectl $ 4,440.00 I
1/5 ofT.I.F. credit apPlied:1 $ 888.00 I
TOTAL: $ 3,190.35 ,
G.L. Steve
6242 Gall Blvd.
SQ. FEET PRICE
MAIN OR LIVING: 1,500 $ 30.00
OTHER AREA UNDER ROOF: $ 25.00
"\ OTHER: - $ -
\ ,
\
\ VALUATION $ 45,000.00
\
\ FEE SHEET $ 255.00 /'
\ /
\ ADDRESS $ 30.00 /
\ 1
\ DRIVEWAY $ - /
\
\ BUILDING: $ 412.551
\ CREDIT: $ f
BUlL 'PING LESS CREDIT: $ 412.50
\ ELECTRICAL: $ ;94.35
\ PLUMBING: $ / 68.00
\ MECHANICAL: $ / 85.00
\ RADON: $ / -
\ TOTAL $ / 659.85
\ /
\ SEWER: $ / 1,597.50
\ WATER: $/ 437.50
I~R'\GATION: r -
\ TOTAL: f$ 2,035.00
\ )
Total connection fee credit for Islroje~: $ 530.00 I
\/
1/5 of connection fee credit ap/H.ied:1 $ 106.00 I
/ \ "- ~
I WATERpETE~: $ -nKl n~
IRRIGATIOpG METE~ $ , - ~
/ \
SU~TOTAL '$ 2,768.85
/ \
/ TI F'S: $ \ 1,489.50 ($993 per 1,OOOsq. Ft.)
/ 99% $ \ 1,474.61 1,500sq. Ft. Total
/ 1% $ \ 14.90 $993 x 1.5m sq. ft. = $1489.50
/ \
I Totj!fl T.I.F. credit for project. $ ~O.OO .
/ \.
I / 1/5 ofT.I.F. credit applied:. $ 88~0 I
/ '\.
/ TOTAL: $ 3,370.35
/
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