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Home My WebLink About03-1964 BUILDING PERMIT CITY OF ZEPHYRHILLS Permit N~ 1964 (813) 780-0020 BUILDING ELECTRICAL PLUMBING Property Owner: Job Address: Parcel I. D. " Zoning: Descriotion of Work .-tJ1Ltl.~ Wt~ C) .~ I <) ;2 3 ref- Date , ~( ~ /- t!73) MECHANICAL Sewer Conn Water Conn: c-r .,..) \ . Water Meter: T.I.F.'s: Ene~ode: ~ ~.- r~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL Lj - 7 ~ {J 3 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 Contract Price . p--U 31' .-; So City License Registration # State Certified License# DATE Inspector R L 'f A- fk:F0 P 'F ~o..~ro ci~:c-,.. .~~~:A~ · Address ,-5=1- 4"""Jl U.. )~.i\ ~ .)(relephone~-5\J2 --"{ -14le c;- LJ;cLN.-v ~(; BUILDING ELECTRICAL Ftr. Pre SLB Lintel FRM. Insul. CL WL Tp. Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Driveway SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compres r 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. , FLA. 1977 LAWS FS 713.13 SEMINOLE FORM 408 NOTICE OF COlV1MENCEMENT ~::::f o~Orida } ".~... 'N ou~c.~, ~1~!1~~1111111I11111111I1111I111II1111111111I1 The. undersigned hereby informs all concerned 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. .-):.:-; .\ ). \ ~ '--""'. O . - f . x .,.J\ ,:2. (\:: ("'),'1'''--''''-_ 'M' '\--...........\.._ \....;--, \"'<'M__ escnptlon 0 property............ - -. . . . ... -'.. .." .........~........... ,.. ." . .. . . . . . . . . .. . . . . . . .. . . . . . ... .' . . .. . . . . . . . . . , . ,. . . . . . . . . . . . . . . . . . J . ~. . ~ .;~. V~ .-.'. . :-~.\. . . :-. . .\~~ ~: .~? ~'.: . . :. . S~. r.: ~f'.~; (: . .... . ~.': . \ ~-: \ . C:-~ . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . ..................... .................... iY.... .... ...... 'C" -, .................,.......................... ..................... .. '. ,:.::--... C/,"-C"" General deSCription of Improvements ..,...:\........ .'; . '. ... .. . . . . . . . . . . .. , . . . . . . . . . , . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . .. Owner. . ... . . . . \. . . . .'}( \. ':-;;.'. . :-::. .\.~:.. ~:.c.: \ .~-. . -., . . ... . . . .' . . . . . . . ... . . .. . . .. . . . .. . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . .' . . .),). .\(...'.~.'. . . . .:.... -,J.( \ ("", t- ) .' \\ ..' \ . \ \ ~ r l -:>Y5 (I 'J.., Address ,...... . . .) '. . . . . . . .\~.. ........ (.. k. .\'. . ... \. . t-j- ..\ '; . . . . .'~). . . . . . . .. . . . . . . . . . . .. . . . . . . . .. . . . . . . . .. Owner's interest in site of the improvement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee Simple Title holder (if ether than owner) Rcpt: 667991 DS: 0. 00 04/01/03 Rec: 6.00 IT: 0.00 __.__,_, Dpty Clerk Name ............................. -..................... ........................- ;'I":r;t ~"M \';~,~ ~::,~ JED PITTMAN~ PASCO COUNTY CLERK 04/01/03 00: 43am 1 of 1 Address ....,......... ~ .. .. . . .. .. 'I"~" . .. .. ~~~ .. .. .. .. . .... .. .. . .. .. .. .. . .. .. .. .. . . . OR BK 5296 PG 452 Contractor. .L U ~ ct (} (:.,/. . . tx:: (~ ~. l .I-:')("J' . . . . . . . . . . . . . . . . . . . . ,':." . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /\l "-\ 'J 1 I \ ........ ...... (\ \'y cl~ c. l \~:~\~J..c') ), ~ Address........ ~..~......... .:~..,.. ~.,;}:-:C<~.(\... .1....\ .\-:.t.......'.~ ..':.. (;::.... ..:-.. .~... \........ :-~.:':):.:=-.J. Surety (if any) .. Address ..................,.............................,.....,............. Any person making a loan for the construction of the improvements: .Amount of bond $ ... Name ...... -.....................................,...... .......'............... -............................................... Address,......... ............ ................' ................................. ...... . .. . ........ .............. Person within the State of Florida designated by owner upon whom notices or other documents may be served: . c ') ,r Name .... ""'. \ C:'-:, "\>"~v,,... .t.\S~~:.i..( ...>.() ........;...... ... .....:........ . . . ........ ........ ..... ~.'..~.""" Address ...., .~-i ..+ '.: \ . ....-: :1 . . .' ....: , -.,. ..;<. ':. >(. .-..C_. , .:'. . . ., '.~":-':-:" ~. . . . . . . .\ . .) . ( : . . c \. (<_. . . . ~. : ,-.-.l .~-.\. . . \~ ! . . . . . . . . . . . . In addition to himself. owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (h). Florida Statutes. (Fill in at Owner's option). Name Address ........' . . . . . . . . . . . . . . . . . . . . . THIS SPACE FOR RECORDER'S USE ONLY '/J(;/...O &-L---L ~ Owner 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 OFFICE. WITNESS MY HAND ANpL SEA\T~-L!!: DAY OF JED PITT~CIRCUIT COURT BY DEPUTY CLERK Sworn to and subscribed before me this I<~f .....,......~...........day of ,. <.... ( j(~' . /19-::........ ) ,- .... ~.,.~ ,," j. \,-- . . {.... "". :~: --;-.....,. "-" . <0'. CITY OF ZBlPHYRHIIJLS PERMrr APPldCATION BUIllDING IHllPARTMlllNT 6335 ath S'fREE'I' ZEPH'iRHIl,IlS, P'L 33540 Phob.la13-78o-Q020 ta~le13-78o~0021 IJA'rm RBC)JJIVio ~_"~,~. _.___ PI,ANS R)JJVnW JI'!JIi_~_____ ..___ . ONNElR' 8 NM1El --ffie.l\Ji~uJ~_.__._ ____________~_____u._______ . PHONE] (~(JN'l'IW~._J_~(~ <Q~.I9 ,J08 BI'l'El ADDRESS .---53J.S---d3[g--Qt-----~_~_Qb_W~~\-L')-u-------n- d_ __u _ IJElGAL DBl8URIP'I'IDtli LO'r(S) BIJOC.!K SUBIllVI810t! PARC!ElI, In # _..---~--...-_..-----------------_..._----- (OBTAIN FROM PROPERTY TAX NnTtCm) -----.-~_~~_._ .,.__._____M....~ ___~.__._ _._.__._~,,_____,..____...._ WORK PRnPBED I []NEW CONS'I'RUCTION [JS1Gll o ADIJI'rION [] AI/I'ERATION (] RElPAIR [J IN8TArJI. [J MOVE 0 DErIJot,IsH r-lt1UUl'I.. FAl1Il,Y [1# OF mH TS [J MOBII,El Hor11l1 [] INDUSTRIAL [J SWlt,1MING POUlJ [] OTHER PRO\:lOSEJI1 USEll [JSGIJ F1\MIIJY DWEJLI,IHrj [] Cot'l~1ElR(! 1AI, C-:::J Rli18'I'AURANT & HElAlml DEPARTt1ElN'I' APPROVAL DESCRIPTION OF NORK ---ili..c~ ~1 es. .-.----q----.--------_________mm.--'-_________ 8urr.nrNr] Ell ZEl -----.------------ SQUAREl FOOTAGE BBlIGfl'f .,;_..._-..-............_~..._-~- RE:8H1BlNTIAIJ I (.!O~1MBlRcrAT, i A'I"f1\CH (2) Pl.oT PIJA118 & (2) SElTS OF BUII,lHNtJ PI,ANS & (1.) 8ElT E1NElRrJY FnR~18, A'f'liAC!H (3) SE'f8 OF BUnnING PLANS & (1) BElT ENElR(3Y FORMS. PROPERTY SURVElY REQUIRED FOR ALL NElW CONS1'RUCTION. [1 81III,IJINr~ ~ERMITS REQUESTED . "2 ~ G O'tl $----+L2.0~.__--:. VALUATION OF 'I'OTAIJ CONS'fRtlC'fION ---.----------"- AMP ~ElRVICE 0 FLORInA POWElR [J W, R . El , (!, Ll BllJllJCTR 1 W\l , [] PWt1BING U HI!l<JHANH1AIJ $.-.--.---------- VAlJUATION OF MECHANCIAT, H18TALIJATTOH [] (ms [] ROUFum [.I SPEC!tAUfY [I O'I'HER TYPEl UP' cJON8'i'RUCTIDN I [J BLOCK [J FRAMEl lJ STEE1I, [] OTHElR FINISHBlIl Fl,qOR EI,EVATIONS I8 PRO/TEJe'!' IN FLOCHl ZONEl AREl1\ n YElS 0 NO BUILrHllR --'----.......--...-.:--...-------.---.-.---------- Cot1PANL._________ _________ _'_H_.._..H'__,,__ .._ ..._u_____q.._.. STATE CElRT OR REGIST # ___.______.____.._________..__ CITY PROCESSING Il___.______....___.._____._.__ .____________ a mH1\TlJREl ..,..*.*.***********.*.*.**********,**.*,,*,,********,*'*****'***' B1r.BIOTRIC.!!AN BJHHA'l'IJREJ h'__ ,..--- .. - ,.~~-----_. _._~-----~-"-' ".-.--....-. ..--- --.-----.-.-----.- Cm1PANY_.__._..___________h______._. _______h _h. ___ STATE CERT OR REGrST ff CITY PRO('EJ88ING # .--.--..--.--........-.. .----.----.--....------.--. ... '.--- * * ** *' * * * ** **'* **'* ***** '* * '* * * * * ** * * * ** * ** * *****"****" ** *** **'***** ----."_____. -_-0_".6__- ____._._. ______'_,..._._...........~.__. Pl,l1MSBlR --_..--~...~-...._-.*"'-...~ -*----- ('OM P AlTY - ---.-.-.-----------,--.----n_____._______h____________ STATE CEJRT OR REGIST # ____.______.._.____.... CITY PROCESSING # S WN1\'l'IJR El -_..__..-._--~._._-~-..._...~-_..__._._--.-. MIllCHANICAf, A'***i*"*****.',**_***,***,********.****,********.,*,'***i*".**, -------~._------_..__._--._,..._-,.~--- COMPANY --.-------------__._____n_.________.___.__... STATE CERT OR REGreT # CITY PROCESSING # SWNA'I'IJ~El ------..-----------.------ _.~---_._-- *******'*,*",,*,***********,*****..*********......******'*'*'*** QTHOIl -.t~__~__. -S-- "O"PANY.-ill~ci0-.e.r:_ (~ocC.~_.______..__.__ . - 8'1'1\1'EJ CERT OR REGrST # S. SWHA'1'UREl-A.- )'\.. ~~~ ~ CITY PROCESSING # _____=~~~~____ ""J:~__=_~. ***********************************'*******************'********* CONDITIONS OF PERMIT AFFIDAVIT A. NO'l'lCE OF DEED RESTRIC'l'WNS The undersigned understands thqt thia permit may be subject to "deed restrictions" which .may 4e more restrictive than Ci ty regulations. '1'he undersigned assumes responaibili ty for compliance with any applicable deed restrictions. B. lINLICE:NSED'CON'l'RAC'l'ORS AND CONTRACTOR RESPONSIBII,I'l'IES If the Of'iner has hir'ed a contractor or contractors to undertake work, they nlay ~Ie .required to pe licensed in accordance with state and loca.l regulations. If the contractor is llot licensed as required by law, both the owner and contractor may be oited for a mi/ildellleanor violation under state la\l. If the owner or intended contractor are uncertain iaS to what 11censil19 requirements may apply for the intended work, they are advised to contact the city of Zephyrhills Building Depal.tment, 813-768-6611. Furtherlnol:e, it the owner has hired a contractor or contractors, he ilO adviseq to havCl the contractor(a) sign portions of the "Contractor Sections" of this appHcation for which they will be l.espol1sible. If you, as the owner signs SlS the contractor, YQI,! are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisllea you to sign as oontractor that m~y be an indication tllat he is not properly licensed and is Hot elltitled to permitting privileges in the City of Zephyrhi.lls. c. 'I'RANSPOk'l'A'rJON IMI?AC'l' li'EES AND U'l'UI'J1Y CONNECTION FEES LJ. CONS'l'RUC'l'UION I,IEN LAW (CHAP'l'ER 713, FLORIDA S'l'ATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construotion 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 carify that I have obtalneq a copy of the above described Qocument and promise in good fal th to deli vel.' 1 t to the "owner" priol: to CCJlTunencement. E, CON'J1RAC'l'OR' a/OWNER'S AFFIDAVl'r 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 construotion, zoning, and land devi;llopment. Applioation is hereby made to obtain a permjt to do work and installation as indicated. I ce~tify that no .,fOrk or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating oonstruotion, C1ty codes, zoning regulations, and land development regulations in the jllrisdictlon. I also certify that I understand that the regulations of other governmental agencies may apply to the intended wOl:k, and that it is my responsibility to identify what actions I IOUSt Lake to be in compliance. Such agencies inolude but are not limited tal *Department of Environmental Regulatign-Cypress Bayheads, Wetland Areas and Environmentally Sensitive I,allds, Water/Wastewater 'freatment *Southwest Iflorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waten/ays *Department of Health & Rehabilitative Services, Environmental Health Unit-WeLls, Wastewater Treatment, Septic Tanks *u.S. Envil:onmental Protection Agenoy-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.., it is understood that a drainage plan addressing a "compensating volume" 'will be submitted which is prepared by a professional engine~r registered in the State of Florida prior to permit isauance. A permit issued shall be construed to be a license to proceed with the WOl:k and not as authority to violate, cancel, alter, or set aside any provisions of tile technical codes, nor ahall issuance of a permit prevent the Building of~icial from thereafter requiring a cQr~ection of errors ill plans, con~truction, or violations of any code. Every pe~mit is~u!ild ahall beoome invalid unless th!il Hork authori:z;ed by such pel:mi t is oOlluoenoed within si.x months of issuance, or if HOl:k authorized by the perm1t is suspended or abandoqlild f~r a period of s1x months after the time the work is conunenced. One 90 day extension of time may be allowed for tile permit with fee charge of $15.00. The eKtellsion shall be requ@a~ed ill writing to the Building Official. An approved i.nspection must be logged during each ~ix Illonth period, or the pl:oject Hill be considered abandoned. WARNING '1'0 OWNIDRI YOUR FAILURE 'fO RECORD A NOTICE: OF COMMENCEMENT MAY RESUW' IN YOUR l?AYING 'l'WICE E'OR IMPROVEMENTS TO YOUR PROI?ER'fY. IF YOU INTEND TO OBTAIN li'INANqHH~I~'~Ni,UL'I' W~TH YOUR LENDER OR AN A'fTORNEY BEFORE RE:CORDING YOUR NO'l'ICE OF COMMENCEMENT. ,WBs UNDER i~_O~_IN VALU" DO NOT N~EIJ 'J'O RECORD AND POS: ~ "N:~;OMMENCEMEN'J"'( \ \::::~~o;;;~~ C~==~~NA;:~RE' c~~~~b~, STATE OE' FLORIDA COUNTY OE' The fore901ng instrument was acknowledged Before me this _____ day of , 19_ by.___ (name of person acknOWledged) Dwho is personally known to me, or o who has produced (type of identification) alld who[] did Ddid not take an oath. STA'l'E OF FLORIDA C01JN'1'Y OF 'rlhe foregoing instrument WqS a-Okno~lledged Before me this --------Pay of----, 1~ _~__ by (name of person acknowledged) o.,ho is pEH;sonally known to me, or Ot~lo has produced (type of identific~tion) and v~ho Odid DUd npt t.ake an oath Signature of person taking acknowledgement Signature of person taking acknowledgment N~~e typed~--printed o~-~t;-mped-------- Name typed, printed or stamped p- It ~ .., .- Ii ~ = ~ ~ ~. ~ ~ ~ ~ = - .- ~ . . ;I" = ~ ~ :- .1 :1" ,1'1 .,~. i1 ,1 ,~. [. r- ,- .Ii- '1111. ,.,. ,'i" l.., ~I'.....~ i... I.. '. I::. !. \ . 'v /" (\0",';/ '.~ P// ' ('\.)/.<' L CPROPOSAL) from ,0.. /.. 1.1 c;' --t. C We hereby propose to furnish the materials and perform the labor necessary for the completion of ../ " ","'-' ...- -'~ ,.,;.,....\:,",.~'".- All material is guaranteed ~o :J8 as specified, and the above wcrk to ;:,e performed in accordance with the drawings and specipgaliOns submitted fer above work and ccmpleted in substantial workmanlike manner for the sum of _,' Dollars [$ 1 with pay,ments to b~ade as Yellows: " i: ~ .r' :... Respectfully submitted \.' :J9r Note- This proposal may 'Je withdrawn by us if not accepted within days.