HomeMy WebLinkAbout03-1966
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1966
13S'~
BUILDING
35- eO
ELECTRICAL
Date
3-3/-(JJ
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel I. D. "
Zoning: Energy Code:
Descriotion of Work ~I') '~cP 5 c ~ R~ \
-'L.
~-r- lS ~
Water Meter:
T.I.F.'s:
Radon Gas: S-. -, l4
Cry otCt c:t- <) hu.Q
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
.S-/:2 - tJ.3
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
City License Registration #
State Certified License#
2~
Inspector
Permit Fee 17 S. 7 It
.>'Signature TcL ;:J , tZJ,.l~_Q
Company
Address
Je"Telephone# 7~ Z ~ / tJ~ L(
DATE
,eL 't rf 11:)0
Valuation or
Contract Price
\1 ~~(p, oS
I
b~H ~
BUILDING
~a..
#-1<3'7
ELECTRICAL
SLB
Tub Set
Water
Sewer
Final
MECHANICAL
Ftr. ,/L(-I-CJ3 j(('tJ-!fU-oTp. Servo
Pre SLB vy- 7 - 0 11<L '1 ,. /l/oRough In
Lintel Meter Can
FRM. Const. Pole
Insul. CL Pool
VVL Pre-Meter ;
Final 1/ S/n../D ')
Driveway 1/ f-7 -() J ,.et 'I if 1-1 -;:P I I
Breakers
Ducts Insl.
Compressor
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.
r)o-H- L~~72~L 11~~
?1t~1 N~U1u.~ c4\J,
~l,~~~ (~
SQ.FI.
PRICE
Main
Other Area
Under Roof
.-
Valuation: /11;fJo . "=' -:>
Building: /7:JrJ. ~u
Electric: ~.-- ~C
../'::J -
Plumbing: ~ k4
Mechanical: ,.v I JIt
Radon: '5,7 Ie
~r - '16
j;f I'~'
School Impact
Fees:
Connection
Fees:
Trans. Impact
Fees:
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTKBNT 5335 8~ STRBBT ZBPHYRBILLS, FL 33540
Phon.f813-780-0020 J'axf813-780-0021 /}__{. U-o?
DATB RBCBIVBD r:K l' ~)
PLANS RBVIBW FBB
OWNER I S NAME 012l+lJ/J /-kfU ? b;V f//l. -f--( . f.
JOB SITE ADDRESS 3'70'3/ NFutOV>A /JV(::, L-.()i 15 2-
PHONE CONTACT 170 Z - I 06 <{
LEGAL DESCRIPTION: LOT(S}
BL0CK
SUBDIVISION C{2fJIt,/C /-I-o~/C:dV II1.H. f'-
PARCEL ID # 3lf-2-S"-".2( -OO"I,O_O'2ff"OO- {){5 z (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPS ED: (i}N"EW CONSTRUCTION ~DITION o ALTERATION 0 REPAIR []-'iNSTALL
OSIGN
PROPOSED USE: ~ FAMILY DWELLING
o MOVE
o DEMOLISH
o MULTI - FAMtL Y
0# OF UNITS
o MOBILE HOME
rY 11 L...vM I/lN ,.+t
l.lO OTHER
o COMMERC IAL
o INDUSTRIAL
o SWIMMING POOL
DESCRIPTION OF WORK
SQUARE FOOTAGE
:..
BUILDING SIZE
HEIGHT
RBSIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
[SO'13UILDING
0ELECTRICAL
$
! I Z8io,f)~
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
OW. R. E. C. I/vl /2-f~ ;; /-1-6"4/
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY . 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
SIGNATURE
~ /1. ~~j
~OMPANY~i". f-l (ot\l$ r /W'-r {f)/'-' Dr-- (1:/~TPfL r:= l
STATE CERTOR REGIST # rT?c 0 '57'7rL
CITY PROCESSING # ~
BUILDBR
,
..................................................................
SIGNATURE
~ IJ, i1.J;P.rf)
COMPANY ikE ~LEc. TaL c.
STATE CERT OR REGIST #
CITY PROCESSING # I~~
ELECTRICIAN
,')
..................................................................
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
..................................................................
KECHANI CAL
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
...**.......**.**.**...*******...**.****.***.***.*****........***
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
...........*****.******.**.**********.****..**.....**.*.**.*.**.*
CONDITI0NS OF PERMIT AFFIDAVIT ·
A. NOTICE OF DEED RESTRICTIONS .. .
The undersigned understands that this permit may be subject to ~deed restrictions" which
may be more restrictive than City regulat~ons. The undersigned assumes responsibility for
compliance with any applicable deed restricti9ns.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state ~nd local regulations. It 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 what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills BulldingDepartment, 813-788-6611-
Furthermore, if the owner has hired a.contractor or contractors, he is advised 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, you are indicating that
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 privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection GuideN 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 aocument and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
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
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced 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 regulations 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 must take to
be in compliance. Such agencies include but are not limited toz *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest 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
I also certify that, if fill material is to be used in Flood Zone "AN or "A,etc.", it is
understood that a drainage plan addressing a "compensating volumeN will be submitted which
is prepared by a professional engine~r 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 technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requi~ing a
correction of errors in plans, construction, :or violations of any code. Every permit
issued shall become invalid unless' the.work autho~1ze.a .by 8uch perD\1t is commenced wi.thin
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall 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 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR' LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
~ $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
t1 ,r-'7 i - J:.; ;..
, . . .'---"'[ . .-. / .
Sl,g;;A;~' :":hWN-z;.~;~T 'Z~l;;,t'~~OR-F-'SW
STATE OF FLORIDA D 1\ 9:..(JJ
COUNTY OF L~ .
The foregoing instrument was acknowledged
Before me this It.{. dzry ot f-""FAf)//Jl-r , ~J2)
by C;llEc;~l2l6t;.
(name of person acknowledged)
~o is personally known to me, or
Owho has produced
(type ot identification)
and whoO did BCfld not take an o~th.
STATE OF FLORIDA P .Ll,s ( 0
COUNTY OF
The foregoing instrument wa8~knowledged
Before me this .1..:::1...-..say of fA v'/f{7.Y , 2..0 QJ
by Cl.rr:; fl,E"cM
_~ (name of person acknowledged)
~ho is personally known to me, or
Owho has produced
(type of identification)
~d not take an oath
Signature of person taking ackn6wledgement
13wu
Ll, (Y~
.
and who 0 did
Su.u /1, ~
Signature ot person taking
acknowledgment
13(41c[ /I. ASeFL
Name typed, printed or stamped
i~' Bruce A Asbel
;.,~ ,; My Commission 00116710
~Of"'',/ Expires June 22. 2006
BrwCA;; jj, Ii Se13-L-
Name typed, printed or stamped
R~' Bruce A Asbel
,~.,; MyCommission00116'r10
Of ""',/ Expires June 22. 2006
This space for use by Clerk of the Circu\\ Court only.
111111I1111111111111111\\111111\ 11I11111111111\ 11111 1111111\
2003055301
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF TH~ OOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE. WITNESS MY
HAND ~ OFFICIAL S~"L TH1S.3L DAY OF
~L 2W.
JEO PITIMAp: Of CIRCUIT COURl
BY ~- OEPUTY CLERK
Rcpl: 667452
OS: 0. 00
03/31/03
Rec: 6.00
IT : 0 . 00
Dpty Clerk
JEO PITTMANA PASCO COUNTY CLERK
03/31/03 00:41am 1 of 1
OR BK 5294 PG 255
tjOTICE OF COMMENCEMENT
State of Florida
The undersigned hereby gives notice that Improvements will be made to certain real property, and In accordance with
Section 713. n of the Florida Statutes, the following Information Is provided In the NOTICE OF COMMENCEMENT.
1. Legal Description of property (street address required): J 7fc. '31 /i/rulcltl fJW:', L {I T /K Z_
:"3lf-7S- 2-1 - OCi D- OZ-t'(.:j(\ - oj S- L
2.
General description of Improvements: fJ L/u,; I i /l/ <./.'J1
p".' , . .~
. / /. r I';' I -/--
~'......._..... I' \,..:..- -
,
3a. Owner Name: &f2-tffJl} JJ (IlIA 7,~ A/ IYi J./ .1./'
Owner Address: '71ntK'" e-di76iJ (i,/Jf)[ j)/2. 2-D? r:' l.:-/2il i.:" .;:{, -.j:; ~-~. - If!.:,:., .:
3b. Owner's interest in site:
3c.
Fee Simple Tille holder (01 other than owner)
Address'.
?~:~
f;':, 4.
Phone: P'i;' -7<fz.".. / ,I;!- L/
5. Surety Name:
Address:
Amount of bond:
Phone:
6. Lender Name:
Address:
Contact:
Phone:
7. Person within Ihe Stale of Florida deslQnated by owner upon whom notices or other documents may be served as provided by
Section 7.13.13(1)(a)7, Florida Statutes.
Name:
Address: ",
Phone Number:
8. In addition to himself. Owner designates the following person to receive a copy of the Lienor's Notice as provided In Section
7.13.13(1)(b), Florida Slatules.
s.
Name:
Address:
Phone Number:
9. Expiration date of Notice of Commencement (expiration date Is one (1) year from date of recording unless a diHerenl date is
specified) .
12~j;1::~;;fl&1Z!:'S'~~r1i /1"1/"..
STATE OF FLORIDA
The foregoing instrument was acknowledge before me this 3 i
'L . . L , - (<' :::fl~
V
date of n/l-li?.<--- tr , 20(' '3 . by
who (Is) (are) personally known to me or
as Identification, who did/did not take an oath.
(Driver's License #)
~ IJ ai~
Signature. Notary Public
~, Bruce A Asbel
'CJ- j My Commission D0116710
01 '" Expires June 22, 2006
'(A copy of any bond must be pttached at the lime of recordation of this Notice of Commencement)
02/07/03 FRI 16:14 FAX 8137823966
GRAND HORIZONS HOMES
B&H CONSTRUqION OF CENTRAL FL. INC.
F'REB: EsnMA1ES 4025 MOmS BRIDGE ROAD 1.800-224-1206
, ZEPHYRHlLLS, FL. 33S4~' .
Lic:ur.c.d .. SMd~ · lI\s\U'ed ., Skil\ln, · St~, · Jleom AdditiOR.J · AlWltilt41im · CQl);I"t:I~
1Ar' ff:L SYbdjv;,ion '3 7 (t< 3 ) All[ uJ(1J1H. ~ ~t
. ..'
':'AUtl &~lf~$
DIIC 4 - ? -t:Jj
I
~~c..Db~ OLASSR.OOMW~S
. Wall, + + .. !" IA x
......... ~ --- --...------
Jt S)'I'IIID lDsuJu. .P.oof_x_- _$q ft x. 2.16
La, Sldift, ~UF It 6.24
HlAcUwWs' - _VF It 17.16
St., IWIiD, LJA x 10.OS
-=- <;JVtl. Do<<. . _E.--J.A x
~PaftJ4'\LcaD..!f!SqPtx 3.03 .3.47 ~ O""I.OoorH....-_x_iA It
/' _PUls_1t~Sq'h 3.03.3.4' O"".DootOpc:aer--~_EAx
_'uu_J't I.al,-~ "x 3.01. 1..' 'Misc~
I PUll Pt Lon, Sq F1 ~ 3.03. ~.47 . ALUMJ'NVM TOTAL
~__=- =- 2..LIF l' 4.00 .,.... An
(j~..~ H_..-.-~LlP1r ..13' .,nz..~1::I CONCRETE AND BRICK WORK
O.blc IkaDI \Verdon 'nlInt~ -1)1.56 ~~, I.~a Patio Sa.b--&.aL-~$q" x 2,16
b4 SMIeam----..t6-VJ". 3.'0 9~..~ PaciDSIa~4.~"'.IlL.S.'h 1.J6
;Z:c6 SM 1kuI--..--- 1A x 6.&S Palio Sf.~_x_-_Sq ~ x 2.16
h1SM"'-.---G~ _vr- .s.U .--,(""0 'adoSItb--_" -_Sq" x 2.J6
"hi SM s..m------.-_VF x 6.'S Sier W...-L,xA. b.L..Sl,f" ~ 2.16
2&9 SM J.m-- " . UJf I. 1.... Dri~y-&..xAf.. -JtL..Sq.Ft X l. I 6
2" 10 Sid a-m--- _UF x 1017 0ri'td'IY Plair~aL-..a...Sq Pt X ~ tV
SCREEN ROOM WALLS "field UdJil)' . I )/2" ... 32.40
Lap KP L .. J!L...& + _ - .R-VF JI: 16."~ ~'9_ .~ Jbilld "tio' f-JJ""x.a.- ..M.I..S'qic ll. 1.02
$creal Door lndu-: tuhed paeio f C_lO_ · _~ J:'I x 1.02
I C1CJlCl' 11'4 Tbrtlhold. L.lIf X 'S.IO J1..f". N1 . Ovet , ,. It p. c4l....,J. · ..IJX..lA 'X 1.13
I Ctblc Fill 90Dc side} LIP" 13. n '. Foae.. Ix 12 ~.tor_-..a-Ln I ~.1'
I fA,uI... K.ict Plar...-- -LIP x 3.'0' . FooLcI 1%111 ""'ff:loaJ-.JLVF ); S.6?
I FII'l 8IUl (not WV.d)....-...- I, 1JF x S7.20 . Foo<w Skiftll\~- __Lh x 2.70
I Tt~ StI:p---- _!A :x 61.90
2 Tr~ SC"'- - I - -L-EA. x U7.IO
) Tr. SCtp---~. ...L-iA x 206.71
"~4 ScOOp _!A )L 119.11
Briek $XitWl. M.x 5 Hip .
(hr.,. $ pG' It ptr ~- _LlF)L 1.90
Spill 8r\~ AJr Sfack-~ _uP lC P,SO
S,lil Iriek SoUd---.....---..a:.Jh x .0.69
Over S pet It,.. ~ 1LlA]I 2.13
r,1I Din.... .. --1-lAd.n 100.00
~_...:..._... .- 100.00
Mi,c;
LAp 10 W ",,-:r~
PU\ Colar
Trim Color
I allllftl Color
I All aluminwn roofs inc:lu4c; p"", Trim. Ouner. Dowft..
IJIMIU )a;3 Poses, Jx. Beuu tnd -""'It. fI_in,.
UTILITY ROOM WALLS
Wa1UL+.,L..L+L ....1.2:...lAx 30." J'.lE <Va'
4xll 'SN4I 16" OC
Shed Do<< anii I WinOow-,--UP x 131.2' fZ~_
Si.nC1e Window (C~.)-- ..L....UF x S 1.41 ~
8u. Shield------..~-_UF ~ ..'6
Mix:
VTNYL ROOM W.4\LLS
Vinyl W,II . ... · liP x 4S.16
. Inside ktct 'Pial;- -- -. - UP z 5.2'
l.&pTopiluid~andou'- --u,1. 13.13
Flori4a Olus -:-- UFx 9.IS
1.J2,\llate Top cd Iqrtom- ---u.- x 4.90
Doers ind"ck (Z) ~ 1'n~ u;;ii;
,,",rsnold &I'd ClOMl'-_EA"If 1)1.$6 ,
&Uf will tlOC be resporuillle fw any lab
in V~ ROOMS X
:- '.-
. S;~ 0. ~~ ConQ't:.~
OATS J-7 -c;lI":t YQ'JiI1~
FAX TO 1)'$--6515 j)<<mit .
FOR ElllOINImRlNG ~:f
...n \if~&lMf ..JlltiaJ._ .."",...lbr_lIIII', ... f1)fAlfCli~(g.,.U.",--"",,,---
"It.ll .._illl __ ...- ~ ,1Dt.C&rT...0>> 1V.n of lav. pili' .lIIIftlq', r-"ne...r, 10 eohClCll_
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LEONARD G. "GEOFF" WOOD. P.E.
4034 THE FENW A Y
MULBERRY, FLORIDA 33860
(863) 646-5517
Date: 2-10-03
B & H Construction
Zephyrhills, Florida
Re:
Address
2003 Jacobsen
37631 NeukomAve
Zephyrhills, FI. 33540
Mod # CL 4482 B
Lot # 152
Dear Sirs,
DATE
eUIL"IN
~
This letter is to certifY that I have reviewed the above referenced project to
detennine the structural adequacy of the existing structure to receive the attached
structure. The proposed structure is roughly a 8x8 Shed and a 12x26 Carport,
and a 12x14 Raised Screen Room.
The existing mobile home, to be considered an adequate host structure, should
be blocked and anchored in accordance with the manufacturers suggested and
permitted set-up permit.
Therefore, it is my opinion that the marriage of the proposed structure with the
addition will not compromise the structural integrity ofthe host structure, if the
addition is constructed as per the attached aluminum engineered drawings.
As always, should you have any questions, please feel free to call me at any time.
1<
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(Y1() 6/LE I-!~Me
ALL WORKSHALLCOMPL Y WITH ALL
PRE\' AlLING CODES. FlORIDA sUllDlNG
CODE.. NATIONAL ELECTRlCCODEAND
arv OF wHYRHDJ..SORDlNANCES
DATE
BUILe'1
Leonard G Wood . PE # 473TI
4034 The Fenway
Mulberry, Fl. 33860
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4034 The Fenway
Mulberry. Fl. 33860
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