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;)
/
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.ii' .,,~
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---:-:::> ~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