HomeMy WebLinkAbout03-1984
BUILDING PERMIT
Permit N~
CITY OF ZEPHYRHILLS
(813) 780-0020
1984
1$ () ~ ~
BUILDING
.~
(35'
ELECTRICAL
Date
/-/-.f'-03
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel I. D. II
Zoning:
Description of Work
Water Meter:
T.I.F.'s:
. ~~y Code:
~ .~, S~ t&n.)
R'? '7. <;;J.,
~. .,/- ~-'# fJ~
FINAL :) - /,;2 - 03
DATE
NO OCCUPANCY BEFORE C,O,
Complete Plans. Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
DATE
RL If rf (-I SO
City License Registration #
State Certified License#
ol?
Permit Fee /1:l. 9 ~
Y Signature ~ It t;t^u(/
Company
Address
yTelephone# ~rf 2. - I ()G t{
/lee Elec "#-/r7
Valuation or
Contract Price
/3. 013. /1
,
73; If ~
SLB
Tub Set
Water
Sewer
Final
MECHANICAL
BUILDING
ELECTRICAL
Ftr, /'1-9-03 'RUfJIlfo H' Servo
Pre SLB /!.f-/ l{-o 3 Rl'1l'lt Rough In
Lintel Meter Can
FRM, Const, Pole
Insul. CL Pool
WL Pre-Meter
Fina~ /
./ c../_Iu -oj RL<r v
Driveway l./ ' II-lSt:J
J?c I) e cf <: (,,--[, 1/ u"/l.( -0 3 P L'i
-> (' .r t1.5D
Breakers
Ducts Insl.
Compre
Final
~/t2/ () ?
, ,
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of twenty-five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
a, Wrong Address
b, Condemned work resulting from faulty construction.
c, Repairs or corrections not made when inspection called,
d, Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
!fvU/',:-tINVWI f~
{)ct-]t L~\.'C-11',J
17b5'f (\ffW(&lk t4f,
~ ..2- ekJ -t:l3
SQ. IT.
Main
Other Area
Under Roof
Valuation:
J~tO/7.l'1
PRICE
Building; I 5' D. ;::;> "::>
Electric: -..:> ~
~)..-
Plumbing: )0 }t'
Mechanical; to A1'
Radon: 1tLt ~
m'~-
:$ / Ct 2--. l'J 1./
School Impact . \ k.
Fees: fV I r
Connection ^ \ f
Fees: , v If"
i::' Impact rJ lit
02/07/03 FRI 16:15 FAX 8137823966
GRAND HORIZONS HOlES
.~
B&H CONSTRU9TION OF CENIRAL FL, ~C.
FREE ESTlMA T'ES 4025 MOmS BRIDGE ROAD 1-800-224'-1206
, ZEPH'YRHILLSJ PL. 33S43' ,
L.iWlsc.d · 90ndcd · Insured ~ Sklrtlnl · Seep, ~ Room Addhion. · AIUIllinu~ · ConcrC'lc
~002
\..0.. /3 $",Wi..i,ion .}7~7<( ~(;K~,.., Ac;E
~
~tI'~NJ ~RI7t><J Oil: J -J~-O~
r
'I L.a~ LD
p", Color
rrim Celor
Se&ID Color 1
^" &JlJJ1li:u.un ~oofs in,/udc: PillS, Trim, Gutter,~-
spouu JIt,) POlIU, 2x4 8e&ln, and shln&l. f1uhin"
/tJ. l r /. ~~-I/,/:J
~It(#l II- .. J (Ac.c> ~~
, . .
M1lPIM.t.3.ft lAlaL2,Pq f1 x ),0) - ),., 12-'.. ~ VI)
..!/.-..!1,JU.i!t-F!. Loni.lJ&.Sq Pc x 3,03 - 3,.' :1f:H. ~R
_'U1,_F1l..ons....-S4I Pc x 3.03. ],47
PIIl,_PI ~ Sq "X 3.0',3.41
. ~c.---' - _."" LA II 4,00 aK.I ^""
I (i~CW' 011 Hom_.---- ~D lAx 4,)3 . oS,! ~ ~
: a~lc Beam Word on Prom l* JJJ.,' I ,r~
I Z... SM &t:&#a----- -H....-UF lC ]"'0
i :lt~ SM 8e&m---..-- _1If x 4,'5
I h'SMBum-----_UFx ~.JS
I 211' SPot &I&rA-.-- ....AL-LIP' x *~ _~Ji'~ ~
. 2%9 $M !kul..-----~ lJF 111 1
II 2)110 SM 8eIm--._1.IP x 10.\'1
SCREeN ROOM WALLS
I !.,v;> XI 1J.. ~ lit. + _ + _ · .Ji:'..J.JF x 26.3 I ~
' Sc:r~ Ooor ~dudcr:
i C/~ U1d ~J~ - .. LIIFx lS,ao i~
I O~lt Fill 900e side)-..- _LI!'x n.n
tMY/&Ted Kick 'a.~...-_.. VF ll; '.JO
I _
, F." ~ (nO( ...ued)--..-. LVF)t $1.20 .>7,30
j
UTlUTY ROO~ ALLS
W.IIJa.. ...a..1Z+_- LIP" 30,89
Z-411 S!WJ 16'" OC
Shed tr.lor Met I Wi1tdow -L-Ln" 131,Z&
SinJle Windo.... (E~4>-- ..L.-UPlIl Sf.4.
BYI $"ield'~-."~-_....L.2-IA.It 4.~6
I /-.ijK
I
I
I
I
I
HJ"~()~
/.37,.:11'
1f/"f.L ?'!J .
VINYl. ROOM WALLS
Vinyl WIU · + + . LIP II' 4S.'16
Lnsi:je Kick.P1at;:'.=_=. -UP ~ $,29
l..&p Top ""ide Il'd OIH- UP X 1),1)
Flori~ (jjw------- LA lC 9,1$
i umllalc Top lAd Bon.um- ---u, x 4.90
Dor:rJ i1tclude (1) "2 Track lh:'iU
Thr_hold IUld CI_..- _EA x 131,'6 ,
B&H ~l/ not be rCl$pol2sil:olc for ~)' leak"
in vlNYt. ROOMS >:
GLASS R.OOM WAL.LS
WtJ1s. +" + + · Uf ~
It !ys_lDa"'iiiii'. ~c;- C$q ft ~
lAp S[cIIJl& .K!:.,ur It
Ha4d billa, _Ln II
$tcp ~JiD. -4f :....L.UP x
Oen,e Door ~ ._x_EA x
Gena-Door H..~ lie SA It
O'"lcI>oor~_ -~-E^x
'Mi$C.; - -
ALUMlNUM TOT A1.
CONCRETE AND BRICK WORle
,&~O SJ.b- - .4..~...lZ.. .~$q Pt :II %.16
'-do $J.tt--- .a.&..IM.. $q Pr ~ 2./1S
hcioSlatl--./L.x~" Sq PI" 2,16
"tio SJ.~ )l - Sq ~ x 2.16
. Side WaSk- '7 ~:&: -2:!:Sq fit :It 2.16
Ori~-Lx..u::..ta2.~ Ft k 2.1(j
OrinWl1 J'ltir -Lx.1&.- ~$q " . 3.
Raia.d Ulil;ty---.-_'lr."L4l' 32.40
ltIiS4d ,ado f C~)l.a. - ~Sq PI x 1,0%
rub" Patio' ex. Sq Ft x I,Ol
. ov. f,...,.. c:h. a~1.A x 2.13
,... bJ2 ~tor~- Jl ),1'
FooC6:r Il~l:Z ltebltarced-- JA ~ s.61
F~.. Sklrt""- . "&l-U' k 1.'0
I rr.d Srcp------ _EA Ie 61,90
2 Trwd Slcp----...aL-!A x 1".10
, Tr-r $c..----..~.../.._fA Jr ~06,1'
4:14.$IOOp------_lA x219.'7'
Brick $klrdn. MIX , KIp
Ove,. , pel' a,., ~.__up a: 1,.90
Splic Briclc AN $'cMk. VI>> 9,~O
Splir Brick SOU6--.-.---.Jl:lA x 1069
Ov.rSp..-""~..1LJA x 1.1)
Fill Dtr1-- --.....LLaac1J x IOtl.O~
Pr-1::r.c--_.. ~_. . .- JOO.OO
MiK:
. SIC(~: ~-(~1
DATE ::1_ '7-t)g..
FAX TO 7 J-S-6S'S-
FOR E'NGlNeERINO
Con crc:l e
AJ~v.\UfI
"ctTrI i I
TLl!:
Toul
J1lJ ....,......~ ~...~.,.. ~,., _ tat. A fJHAHC5 CH.AJl05 e( ,,,,,';' _III""" ...........
.... .u ..""j4 _Me a.-. ~ 'u'CJ!NT AOa un or .,%,1. altOfllcy"a _It~ IQ -0_.
I
I
,
:::.16
6,~.
17,16
10,01
r.$',~ Sf'
J&n~ I') II
~:IOa 5~
'J,.t/1.
,q~ .,.
~~I
'.lJ ",;"'Ii'
~ ..,,,. ,
...; ~.
6YL ~_ ...z.
~~
'...&:
,~
... ,~ .~ l
,
J?r,~(} i
.:J~,7/
I
l
~ '" )y
./0. .
1/ ,~
,r9~2.J!. r
~ '11"V\- t:;V
~~(JO
I.!O/3d'l
\i
C:;'d
\;
~
"~'6 SOGI-e7.;-9
This space for use by Clerk of the Circuit Court only.
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOIN8 1$ A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFIC~ITNESS MY
AND.oF IAL SEAL THIS..li- DAY OF
2~
LtRK OF CIRCUIT COURT
DEPUTY CLERK
1111111111111111111111111111111111111111111111111111111I1111
2003062177
Rcpt.: 670282
OS: 0,00
04/08/03
Rec: 6,00
IT: 0,00
Dpty Clerk
JEO PITTMAN~ PASCO COUNTY CLERK
04/08/03 0...: 4~m 1 of 1
OR BK 530, PG 1897
~OTICE OF COMMENCEMENT
Stale of Florida
The undersigned hereby gives nolice that Improvements will be made to certain real property, and In accordance with
Section 71313 of the Florida Statutes, the following Information Is provided In the NOTICE OF COMMENCEMENT.
1. Legal Description of proper1y (street address required): 37(",!; Y /\/Euf6/V1 A vF /-0 I" J '$
'34- - 2--5 - .2-1 - oot (; - C z.tYoc - tlOI s
2 General description or Improvemenls: f)Lv M IIJU/M f/fc/( A-t;; c
3a. Owner Name: t::RAf./.t:J l-blt( Zo!y 111-1--/. j?,
Owner Address: 1&-,45' C>iZ43/11 S-i-ofr: bJZ.. Z F f)-J'1)LfJ IIA.5 t..:. L '3 3~ 'f) - rJ 6~d)
3b. Owner's interest in site:
3c, Fee Simple Tl\le holder (of other than owner)
Address:
,~
Contractor Name: g <;-1-1 (cl\.ifrll-<.J<-1{ orJ oj::" CE/L/lf2A L FL ,-
Address~ wlofL/l..(, 5 (SfU!J&i /21'), 2fIYf'f/l.tlf(.(> (.::[. 7"Y;"-{7 Phone: t-1"5 - '7.Ft - 10(" Y
'To 'J-.')
Surety Name: Amount of bond:
Address: Phone:
5,
6. Lender Name:
Address:
Contact:
Phone:
7. Person within the Slale of Florida designated by OYfner 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 fo.llowlng person to receive a copy of the Lienor's Notice as provided In Section
7.1313(1)(b), Florida Statutes,
t.
..:t.
Name:
Address:
Phone Number:
9. Expira\lon date of Notice of Commencement (expiration date is one (1) year from date of recording unless a different dale is
specified),
Q~ ~.C;:~~#/k;~{
12IC 1-f/~.J 1.., W-I!!f(l6 Signature of Owner
STATE OF FLORIDA
s
date ot ;--/Pt-I L . 2~3 ,by
who (Is) (are) personally known to me or
as Identification, who did/did not take an oath,
~)JL(/ A ~ aJxf
Signa.ture . Notary Public
~j' Bruce A Asbel
\. ~j My Commission 00116710
~'" Expirea June 22, 2006
'(A copy of any bond must be ptlached at the lime of recordation of this Notice of Commencement)
CITY OF ZEPgYRHILLS PERMIT APPLICATION
BUILDING DBPARTKBNT 5335 8~ STRBBT ZBPHYRBILLS, FL 33540
Phon., 813 -780-00~0 Pax, 813 -780-0021 '" -IL/ _ 0' ~
DATB RBCBIVBD p{ _L- .-:J
PEaANS RBVIBW FEB
"(T
~WNER I S NAME (;(Li4IV;) ;4[( Zc/v In /-1. P '.
JOB SITE ADDRESS Jr7r.2~i..f NL~utOII/( f) VC:
PHONE CONTACT 7f'z - / 00l.(
Lo t J "3
SUBDIVISION &;WJ:7 /-IolZ/ coN /J1./I.t,
LEGAL DESCRIPTION: LOT(S}
BLOCK
PARCEL ID # j'f- ~5 - 2( - DolO - 02;;-&0 _ Go I '7 (OBTAIN FROM PROPERTY TAX NOTICE)
..
WORK PROPS ED: [91fEw CONSTRUCTION urADDITION o ALTERATION 0 REPAIR ErfNSTALL
Os IGN
o MOVE
o DEMOLISH
PROPOSED USE: EfSGL FAMILY DWELLING
OMULTI-FAM!LY
0# OF UNITS
o MOBILE HOME
04Lvl11/l/(/oM
OTHER
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
DESCRIPTION OF WORK
D RESTAURANT &. HEAL~pEPARTMENT AP~AL
(1YIv ~ J.JY2- '
lexl; -Sl!fbl, 12><1& Se/Cctlv (ZC~'/Vl.. J2-;<;O CjJ/Z/'i$(/
/ r /
C!fJY
cS?( /2 Covtlc6;l PO(Zc.(+
SQUARE FOOTAGB
19z-
::.
HEIGHT
BUILDING SIZE
RBSIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS &. (2) SETS OF BUILDING PLANS &. (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION,
PERMITS REQUESTED
~UILDING
~ECTRICAL
$
13013. [q
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W, R. E, C. J..J I fl/:- 5t1-1~{)
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
~ /~- ~8J)
~OMPANYJ3~ H('ojV5T/1.vc..rt 0/" cF Cr-tvi-Tz...IlC f:::-C,
STATE CERT OR REGIST # (~I3U) 5'7'7 ?z-
CITY PROCESSING # -;L G
BUILDBR
.
******************************************************************
SIGNATURE
~4\~)
COMPANY !feE ,-;-LE c T(l{ c
STATE CERT OR REGIST #
CITY PROCESS ING # I 8'7
BLBCTRICIAN
******************************************************************
PLUMBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
MECHANI 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 regulat1~ns. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
a. 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 and 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 Zephyrhllla BulldingDepartment, 813-788-661l.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" 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 Guide" 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 document 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 perfooned 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 to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, cypxess 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-~bestos abatement
I also certify that, if till 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
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~ized .by such peanit is commenced within
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 Ofticial. 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 MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR'LENDER OR AN ATTORNEY BE!'ORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER
't $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
J:1.~ ~7 ;1)U ~ lI~
SiGNATU : 0 ER OR AGENT SI NATURE: CONTRACTOR
STATE OF FLORIDA ptJ 5 L t;)
COUNTY OF -
The foregoing instrument was ~~ck~no....wledged
:;tore /-~s p!fbf/y of F,^,b2(/!!!::.L , z..oQL
~. (name of person acknowledged)
~ho is personally known to me, or
Owho has produced
(type of identification)
and who Odid B11d not take an oath
Bwu A. 0dJ.&.
signature ot person taking acknowledgment
STATE OF FLORIDAE. ',~C--
COUNTY OF .J J:> (, 0
The foregoing instrument was acknowledged
Be for e me this ---1!1.- da y 0 t Ft.JZ.tltJlffV( ,::zP.Ji3
by G flCcP gtEI5F
~ame of person ackno~ledged)
~ho is personally known to me, or
Dwho has produced
(type ot identification)
and whoO did ~ not take an o~th.
~r4,~
Signature of person taking acknowledgement
Name
BRLXE /), f458EL
tyPed, printeQ_ or stamped
ij"- Bruce A Asl5e1
,~j My Commission 00116710
Of ",Exptres June 22, 2006
Name
Bfl,;Uc.E /I . /J- 5t36 L
typed, ~~'9&ceoArAs€eramped
,~ .; My Commission 90116710
Of ",:./ Expires June 22, 2006