Loading...
HomeMy WebLinkAbout04-2684 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2684 I Permit Number: 2684 Issued: 1/29/2004 ! Permit Type: GENERAL BUILDING PERMIT i I Class of Work: ADD/AL T COMMERCIAL ! Proposed Use: COMMERCIAL Sq. Feet: Est. Value: Cost: 8,600,00 Total Fees: Amount Paid: 110.00 Date Paid: Address: 5931 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: ILEY ELECTRIC CO. INC. Addr: 6465 123RD AVE N LARGO,FL. 33773 Phone: Lie: Phone: ---Work-Case: Tt\fSTALL SLAB AND PUT GENERA TOR ON IT- ACCENT 5931 GALL BLVD ZEPHYRHILLS, FL. 33542 1 ALLE PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER FINAL MECHANICAL FRAME MISC SEWER MISC INSULATION WALL MISC MISC, MISC, INSULATION CEILING I MISC, i MISC, I MISC, DRIVEWAY MISC, : MISC, I FIRE DEPT. FINAL ------- - ------- ____n______ _____L_______________, _____ ________L, _____________ _______1-_ _______________ __,______ ,____ REINsPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) 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 "Waminift:o-owner:--YoLlrfailure to fecont anotlce of commencemenfrnay-result inyou-r-paYln-gtwice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney _1:J~!~r"t!rt!Cordil'l~tyou~noti!=e of_com!!lenC:E!men~--=-___________ _____ _________________ _______ NO OCCUPANCY BEFORE C.O. -- ------- ----- ---_.~-- )1~CT~URE PERMITOFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ' CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, ZephyrhillS, FL 33542 #-' . 813-780-0020 FAX: 813-780-0021 I II DATE RECE IYED ,. [I PHONE CONTACT FOR PERMITTING OWNER'S NAME $;fRI'~ /) JJ Y/dOL 5'1:3 I.. NCYtc)bt f& ALL t3 LV b ' PHONE JOB ADDRESS 'Z ep H- Y (L #1 LL5 , r=- L, 3:3 :s-~ ::L , LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # j D - 2(; - 2J - D020 -{X)OOD- 6D )0 SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: ONEW CONSTRUCTION D ADDITION DALTERATION D REPAIR ~INSTALL DSIGN DMOVE D DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UN IT S D MOBILE HOME P(COMMERCIAL D INDUSTRIAL D SWIMMING POOL D OTHER CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL _ tV~ DESCRIPTION OF WORK I~STALL~zJ .:;~ KLJ 3~dOgV L1m~mR. ~nl1.1b",<-A\i1C.\ j.~ lTLJt . BUILDING SIZE SQUARE FOOTAGE HEIGHT ..J RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED D BUILDING ';pc-ELECTRICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER D W.R.E.C. D PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY D OTHER TYPE OF CONSTRUCTION: D BLOCK o FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # SIGNATU ...~.............................. ::::::~ ~;~. 'i~;;;;;,'~ ..~:. J M~. STAT,E CERT OR REGIST # EC- 'JoDI;) ~ If ************************************************** COMPANY SIGNATURE STATE CERT OR REGIST # MECHANICAL ****************************************************************** COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" whi"h may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. 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 and local regulations. If the contractor is nut 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 Building Department, 813-780-0020. 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 indica~ion 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 corrunencement. 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 to: *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.8. Environmental Protection Agency-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 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 technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is corrunenced 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 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 MAY 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". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged 20_ acknowledged 20 (name of person acknowledged) Dwho is personally known to me, or (name of persun acknowledged) [1ho is personally known to me, or Dwho has produced (type and whoD did Odid not of identification) take an oath, Dwho has produced (type of identification) and who Ddid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped i t :;R<~~:~v~:!R"~ C v. PHONE NO, : 5361912 Jan. 28 2004 06:51AM Pi J~~ ~,~, uv~ v,'v ~vw_~~ .u'" The Best Today ... Better Tomorrow PURCHASE ORDE!! DATE: Tu.esday, December 16,2003 REGARDING: A~t. TVSS TO: Riley Electric A TTN: Robert Smith , BilL TO: Zabait me. 4612 Highway ave Jacksonville, FL 3%2S4 904-3~506 en. 115 SHIP TO: Accent Zeph)lrhills 5931 Gall Blvd. Zephyrhills, Florida 33542 QIX. PARn DESCRIPTIQli.. Supply and In3tall 1 Liebert:Acuvar - 160ka 120120SV 3 phase TVSS ~ 1350.00 1 Geaerator Installation See attached quote for details 7250.00 SHIP VIA: Best Way Total "" S 8600.00 Note: Refer to Quote # See attaehedquotes 1Hatt 'P~ Matt Pahner Inside Sales Coordinator . t;()T'p()rate Office I' BralfChOjJice J Brandl Office 4612llighw(lyA.ve., !acbonviIle. FL, 3.22$4 J612~A Ozrder U. Orlando, FL.32810 R(!Uls 1. B~x 94, Granville, FL. J~J31 Phone: (9().1) 384-4$05 Phone: (407) 294-867J Phone: (850) ,584-89$2 Fax: (904) 384-6478 (11' 79 F~; (4(}7) 29.5-2269 Ft<<.., (850) 584-8982 Engines --- Generators -~ Compressors Zabd, lil;. i$la !<lorida stat. CertlW Mlmrity DusiIlEU \Ulder tbnoYiA_ ofChaptor m ~RUM RILEY ELECTRIC PHONE NO. 5361912 Jan. 20 2004 01:49PM P2 State of Florida f County of.~8118S A.5c..O NOTIC(f~ OF COMMENCEMFNT 1111111111111111I11I1111111111111111I11I1111I11111111111 1111 2004013972 l',m:cII.O, No, /O~.2:.~~_z, -=-~?;lD ~,~_6(:COC)-- 60S-0 pcnnit No, THE UNDERSI(;NED hereby gives Ilotice that improvements will be nutde 10 certain real property and in uccordance with Chapter 713, Florida Statutes. tlte following information if: provided in tbis Notice ofCommcnccmcnt. 5~3)- N()1!nl , 1. Description of property (legal descriptioll of the property and street address if available) i!uJLL ~Lvb. 2dl1.y((.1-JJLl,,5. ~t 33S"Y;;. f 2. General description of improvement _tAJ S rA LL a /;'7IJ ~A 1Or'L -4- A ~ ~,~_f\~<:.,._.l72ArJ..$ F~J>(.r.J 3. Owner infonnation '" a) Narneandaddress JJ\lvL,," A~5 b) Interest in property :5 CJ 3/- JJ (y([iH c) Name and address offee simple titleholder (if other than owner) .. Ag.. ,/<< I1Atd- t, ~it!1( ,...t ALL fl> L V b. ~ JtY.1!:)+} LLj , r::L 53 S-tj;) / ,.,:,.."fY' ',',' 4 .~ ., .. .. ;";" : .ii' .,,~ ,lJi,i ---:-:::> ~L'~ I" Ilb}, l J ill ;'-~'-J""'l7&:> ^ 11. 1 J, } ^",,~?l1_, Conlractor(nameandaddress) ~ t U:.-:Y 'C I t;.,:,::".,-,J'-. L . I'\JC ~7~~.. ~ N N (f'oo1'~/ ~ a) Phonemnnber 1).1-'S'J6-~'-lJ/; , b) Faxnwnher IdJ~'SJ('-'9J~ / r f./l (optional, ifsc:rvice by fax isacceptable) 5, Surety - a) Name and address /'.....I ~ I c) Fax number (optional, it' ~rvicc by fax is 8CCqlt.,bll:) b) Phone number d) Amount ofbond S JED PITTMANft PASCO COUNTY CLERK 01/27/04 llQ:33am 1 of 1 b) "'axllu~~~K 5704 PG 1938 (optiona~ if servi\;\l by :fax if aceepti\b\$) ,. Peorons within the Stale of Florida designated by ~ upon whom notices or Oth('T documents may be served as provided by Section 713.l3(l)(oll) 7. Florida Statutes, Rcpt: 750705 Rec' 6 00 (name and address) DS: 0. 00 IT; 0: 00 01/27/04 Dpty Clerk b) Fax number (optional, ifsefVice by fax i~ acceptable) 8. In addition to himself: ownCt' designates of to receive a copy of the tienor's Notice as provided in Section 713,13 (I) b, Florida Statutes, 6. Lender (narn<: and addres.'l) a) Phone numbef a) Phone number a) Phone number 9, Expiration date of notice of commencCJnent recording unless a different date is spceified). b) Fax number (optiOlUlI. jf service by fax ill acceptable) -.., (the expiration date is one yeal' from the date of STATE OF FWlUDA COUNrV OF pt\;<:,~eo Subscribed 81\d sworn to befon: Ine this 2-3c-"\ day of . '~'\\.-lC' who is/ore personally known to me or hus/hnve produced ",..EL ' _...."._~.ar.~.~ I M~/~~ Signa(uTC nrOwm.-r (SEAL) Q) DAWN BAKER MY COMMISSION # DO 005160 EXPIRES: Feb 27, 2005 l-m<l-3-NOTARY FL Notary Service & Bonding, Inc. ,I!Z!,wjby (V1A~L.b .~Pf 0- . -., ':M5:.1\S idcntificatiol1. o ~ Commission Expir (Name ofNolnry typed, printed or stamped) 0_..____ __ ___ __ __'.............. ._...~ PO