HomeMy WebLinkAbout16-17357 - CITY OF ZEPHYRHILLS
' �. 5335-8TH STREET
. � (813)780-0020 173. f l.
BUILDING PERMIT �
PERMIT INFORMATION . - � LOCATION INFORMATION �
Permit Number: 17357 Address: 6645 NORTHLAKE DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: STEPHENS GLEN PHASE TWO
Est.Value: Parcel Number: 03-26-21-0150-00000-0070
Improv. Cost: 3,000.00 . OWNER INFORMATION �
Date Issued: 5/18/2016 Name: ' THOMPSON HELEN
Total Fees: 75.00 Address: 6645 NORTHLAKE DR
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-0643
Date Paid: 5/18/2016 Phone: (813)715-0088
Work Desc: INSTALLATION SOLAR POOL PANELS
CONTRACTOR S ` APPLICATION FEES �
AMERICAN SOLAR ENERGY LLC BUILDING FEE 75.00
Q V
N
��
�
���
- Ins ections Re uired
F TER 2ND ROUGH PLUMB MISC INS LATION CEILI G
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
� DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"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."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
� NO OCCUPANCY BEFORE C.O.
IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i _
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
Date Received 3`/ Phone ContactforPermitting —� �
Owner's Name Q 1 � e l en Owner Phone Number ��� b J�Q�0 0
Owner's Address �1L��S � lJ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Numher
Fee Simple Titleholder Address
JOB ADDRESS �S[ � J 1 � LOT# �
SUBDIVISION 1 11� (fCIGI l PARCELIDlk O � I � i5v - 000-au�v
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONS7R n ADD/ALT � SIGN Q Q DEMOLISH
INSTALL �� REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK Q� V I 1 1L S
BUILDING SIZE SQ FOOTAGE HEIGHT �
BUILDING $ � VALUATION OF TOTAL CONSTRUCTION
� ��`� —
DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
I XIPLUMBING $
��,` `� l�3 s'�
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION G
n�1`���
OGAS Q ROOFING Q SPECIALTY 0 OTHER ��/W /7�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO !/
BUILDER �� � COMPANY ��Gf, f� bl�,r -C erg
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ��U �r ��d I��J'� License# � �s(9b[�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt11t1I11i11t111111II11111t111i1111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days aker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large proJects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compiiance
SIGN PERMIT Attach(2)sets of Engineered Pians.
""PROPERTY SURVEY required for all NEW construclion.
, Directions:
Fill out application completely.
Owner&Contractor sign back of apptication,notarized
IIf over 52500,a Notice of Commencement is requlred. (AlC upgredes over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of conVact required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drlveways-Not over Counter if on public roadways..needs ROW
� �
�;�.. -
:y�:
' n?.%;
''g:M1v�hA�' _
wAV
�
City of Zephyrhills
� BIJILDING PLAN ItEVIEW COM1VlENTS
l
Contractor/Homeowner: �7 j ��
Date Received: S � 3 —��
s�te: � lo �s i����/a� ,D,e
Pe�mit Type: ���GLv- �v � ���L,� ' .
�
Approved w/no comments: � Approved w/the below comments: ❑ I�enied w/the below comments: ❑
;,
,
J
This comment sheet shall e kept with the pernut and/or plans.
, �/7-�
Kalvin S er—� � '' s Examiner Date Contractor andlor Homeowner
(Required when comments are present)
. �� Illlllllllllllllllllllllllllllllllalllllllilllllllllllllllll
2016074784
Permil No. Parcel ID No
NOTICE OF COMMENCEMEN
Stalaof �I �!' 1 (/�.�1 Countyof Ul��o
mv�
7HE UNDERSIGNED hereby gives nolice thet improvement will be made io certain real properly,and in accordance with Chapter 713,Florida Slatutes, �N�1
the following information is provided in lhis Notice ol Commencement: � ���
1. Description of Property: Parcel Identification No. �� ��'� O I S a U V� � W m••
Streel Address �p�"l� ��1�1a F�-� �Y • 4��T ` � � B 8�
2. General Description ot Improvement �a� I��n�=�J(A r{�_�S 01 �
m �
3. Owner Informalion or Lessee infortnation if the Lessee contracted tor the improvemenl: 3��
�TinnmaSan He�er � � �• �
�
(olpU S �'1'i i�-h tC�4C2 L��r. �.P 0 �i I l 5 '� ��..
A'ddress City Slate �"B�`
K BB
Inlerest in Property: •
f') a
Name of Fee Slmple Titleholder. ` �
(If differenl trom Owner Ilsted above) ;
�
� Address - p �ry State
4. Conlractor: �•-
N e 1 � 1�,�l�l�►l�
Address Ciry State ,
Contractor's Telephone No..
5. Surety:
Name �c
Address City State �N n
Amounl ot 8ond: $ Telephone No.. w N
��o
N _
6. Lender. ��Z
Name �'m
��r
Address City �late t_'m:�
Lenders Telephone No.. \N�p 3
��v
7. Persons within the State of Florida designated 6y the o�rvner upon whom notices or other documenls may be served as provided by /�yp v
Sectlon 713.13(1)(a)(7).Florida Statutes: �'3 n
0
Name ro
G1 r r�-
m
�
Address City State I_10 �
Telephone Number of Designated Person: Vt�'~°�
n
8. In addition to himsett,the ovmer designates of_ �~�
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes. /41 �
i
Telephone Number ot Person or Entity Designated by Owner. �
m
9. Expiratian date of Notice o(Commencement(the e�iration date may not be 6efore the complelion of consWctian and final payment to the �
contrector,but will 6e one year from the date of recording unless a diflerent date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OOVNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING NYICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND 70 OBTAIN FINANCING.CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty ot perjury,I deGare lhat I have read lhe foregoing nolice of commencement and lhat the facts stated therein are true to the hest
of my knowledge and belief.
STATE OF FLORIDA /� , �,� `7 /J
COUNTY OF PASCO �,�(L.�Lf�tr ��7 aQ���
Signature oi Owner or Lessee,or Owner's or Lessee' uthorized
'' OKicadDirectorlParner/Manager
d W1��
Signatory's Ti�e/Office
The foregoing instrument vras ecknovAedged 6efore me this J�,day of �f R 4 ,20�by J�E�L`/,l� ���f�SS�(a��f/
as �(��vti'� (lype of aulhority,e.g.,ancer,trustee,attomey in facl)for
(name of arty o e of whom instrument was executed).
Personally Known❑Q$Produced Identification� Notary Signatura
Type of Identification Produced ��. Name(Print) �'
,�Y t LARRY HIO�M1g
: � ''° MY COMMI3910N#FF�p
. .•.. EXPIRE3 Apri�Ts,2020
wpdata/bcs/noticecommencement�c053048 i01 ;14e-0t W
.CGm
i
I
�►TATE�F FLORIDA,�OU�TY�� P�`5C0 ��,q�D1
THIS IS TO��RRECT COPY OFFO EC�OCUMENT ��- � ' , C�s� �
TRUE AND C e1G �
ON FILE OR�HAND AND FFOC AL SEqILTOHFSICE �S 0 � %m
WI�NE S Y 2 f,r �
r,,G�.
DAY QF MpTROLL R � � �� �e Tncct
�g 'NE1L,CL RK . � �� .� , o' �
` UTY CLERK � ; r,�8 � ' �
BY �`8�.,�� a ,� �}
,R, .��������,