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HomeMy WebLinkAbout18-20643 CITY OF ZEPHYRHILLS i 5335-8TH STREET (813)780-0020 20643 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20643 Address: 3067 MOULDEN HOLLOW 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: HIDDEN RIVER Est. Value: Parcel Number: 24-26-21-0100-00000-0440 Improv. Cost: 7,860.00 OWNER INFORMATION Date Issued: 1/09/2019 Name: HUBSMITH, SHAN & MOFFITT ALYSSA Total Fees: 120.00 Address: 3067 MOULDEN HOLLOW DR Amount Paid: 120.00 ZEPHYRHILLS FL 33540-4099 Date Paid: 1/09/2019 Phone: 813-382-6283 Work Desc: SCREEN CAGE W/CONCRETE SLAB CONTRACTORS APPLICATION FEES DESIGN ALUMINUM EXCHANGE INC BUILDING FEE 120.00 o erg/- I / Ins ections Required FOOTER 2ND ROUGH PLUMB M119G INSULATION CEILING 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 rinspection,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 intendjto 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. /& /' &-, CONTRACTOR SI ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: / �5')6en'1 Date Received: .Z— Site: 5 06 7 Xplje 1 17411m Permit Type: ePI Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ gr �5 �� - This comment sheet shall be kept with the permit and/or plans. WC 2a Kalvin itzer—Plans Examiner Date Con act an or Homeowner (Required when comments are present) 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department tt Date Received 7, Phone Contact for Permittin . —74 V/ Owner's Name SHAN HUBSMIT_H Owner Phone Number 813-382-6283 Owners Address 3067 MOULDEN HOLLOW DR Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3067 MOULDEN HOLLOW DR LOT# SUBDIVISION HIDDEN RIVER PARCEL ID#1 24-26-21-0100-00000-0440 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK SCREEN CAGE(NO POOL) WITH NEW CONCRETE BUILDING SIZE 18'X18' SQ FOOTAGE 324 HEIGHT 1�� =BUILDING $7860.00 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER f/ FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA. . . . . . . . . . . . . . ..&. . . . . . . . . . . . .. . . . . . . . . . . . . . .=YES NO �D'b . . . . . .. BUILDER I COMPANY DESIGN ALUMINUM EXCHANGE, INC. SIGNATURE REGISTERED Y/ N FEE CURREK Address P.O. 340383 TAMPA,33694 License# I SCCO56671 ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEECURREt Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY DESIGN ALUMINUM EXCHANGE, INC. SIGNATURE REGISTERED Y/ N FEE CURREK Address P.O 340383 TAMPA 33694 License# SCC056671 ttttttttt ttttttttttttttttttttttttttttttttttttttttttttttttttttttt 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 after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) •` Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. 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 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 Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify 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. 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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is 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. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR c.�l Subscribed and sworn to(or affirmed)before me this Subscribed and sworn or firmed)b rem this 1 by by r 01'� Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. b'te•i SjQ,_ as identification. C��"Notary Public 6 Notary Public Commission No. Comm n No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped JACQUEUNE BOGES ACommission#GG 27W7 Expires December 12,2022 ds s��.•• Bonged Thu 7my Fein Insurance 80M7019 • I IIIIII IIIII lllil IIIII IIIII IIIII IIIII IIIII Ilil!IIIII IIII illl 2018209118 Permit No. ME NOTICE OF COMMENCENT Rcpt:2013422 Rec: 10.00 DS: 0.00 IT: 0,00 Property Identification No. 24-26-21-0100-OOMO.0440 12/14/2018 E. M. , Dpty Clerk THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT. 1. Description of property(legal description.) HIDDEN RIVER PHASE ONE B PB 76 PG 077 LOT 44 a) Street Address: 3067 MOULDEN HOLLOW DRIVE ZEPHYRHILLS,FL 33540 2. General description of improvements CONCRETE SLAB,SCREEN ENCLOSURE 3. Owner Information a) Name and address: JUSTIN HUBSMITH,3067 MOULDEN HOLLOW DRIVE,ZEPHYRHILLS,FL nUO4099 b) Name and address of fee simple titleholder(if other than owner) e) Interest in property OWNER 4. Contractor Information a) Name and address: STEVEN GREEN/DESIGN ALUMINUM EXCHANGE,INC P.O.BOX 3403a3 TAMPA.FL 33M b) Telephone No.: 813.949-7545 Fax No.(Opt.) 5. Surety Information a) Name and address: b) Amount of Bond: e) Telephone No.: Fax No.(Opt.) 6. Lender a) Name and address: 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; a) Name and address: b) Telephone No.: Fax No.(Opt.)' 8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a) Name and address: b) Telephone No.: Fax No.(Opt.) 9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER 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 TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOTICE ORvO EMENT. STATE OF FLORIDA COUNTY OF PASCO Signs O O er or is orized Ofriicer/DircoWr/Partner/Manager 5f lt� c1.3SAA( r Print Name The foregoing' ent was acknowledged before mq thig, o day of �: ,20 Li ,by S.�s T'+ l�v.�Crj AM as_ k A N�(� (type of authority,e.g.officer,trustee,attorney in fact)for S (name of party on behalf of whom instrlu ent was executed). Personally Known_OR Produced Identification ✓ Notary Signature � e Type of Identiif-cation Produced r(_ C, Name(print) 0 - J -� Verification pursuant to Secti�o92.52',Florida Statutes.Under penalties of perjury,I c that I have re '�foregoing and that the facts stated in it are true to the best of my knowledge and belief. I FORMS/NOC.rn&007 /\ Sigoahue ofN P ve i Y Notary Public State of Florida Jennifer SatterfieldMy Commission GG 186335• PAULA S.0-NEIL,Ph.D.PASCO CLERK 8. COMPTROLLER,, Expires 02/1412022 12/14/201 0:19am 1 f 1 OR BK 9831 PG 2202 . . STATE OF FLORIDA,COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING' IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE 1JES ALUMINUM EXCHANGE Inc. License #SCCO56671 P. O. 40383" Tampa; FL 33694 813-949-7545 www.designaluminumexchangig.com Sold to J 11t�p-7l tip S r�� Municipality LT Address -30�o ( Ok-L-De z L L o W Subdivision JA l ' City Z G-P N Y k Ft L��// p Zip 3 S HOA approval Applied for Phone(1) �7D i �P 9 "'�2 � Received ` / Not needed (2) �l LST (V J 1 0p 3 Job address(if different) /opZ " l Email 0.lV SS es Igo �f( - a gAA LoM mawww / U%1N 9 / SOUMNROOM / ENO06 w / POOLE3M naw / SUAIWOM /.RE:9OUMN / MK MG / RAUIIMG OONOtELE white* Dne* kick plate cha�superpan roof*structural roof*fan beam * mansard half-mansard *gable/hip *full gable Number of doors t Roof attaches to: wall or fascia Roof dimensions Gutter width 5 Wall height S NOT s Z 1ao I y �pl* ASI muLowm l ,0 `9 D, Q '= TBBA � CASH or IDOWNPAYMENT TAMPA BAY BBB.� BALANCE DUE UPON ooMMEnoN � OffLOR�o� BUILDERSASSOCUMOR The owners hereby agree that the materials furnished which comprise a part of the subject matter of this contract shall remain in the ownership of Design Aluminum Exchange until the contract price and any extras are paid in full. In the event the owners shall fail to make any payment when due, the owners shall pay to Design Aluminum Exchange any and all expenses incurred to collect said payments, including reasonable attorney fees. If the owners shall become bankrupt or be put into receivership all sums then unpaid shall become due and payable immediately without notice. Design Aluminum Exchange warrants its work to be done in a workmanlike manner and comply with the specifications set forth in this contract. Design Aluminum Exchange agrees to repair or replace any defective work performed by or any defective materials provided by Design Aluminum Exchange for a period of one year from completion. Warranty is not effective unless contract price is paid in full. y This lP day of Accepted by-t— Submitted by r!!l Approved by MINUM-110NAN.101ONAL 12/14/18 REGARDING: PERMIT AUTHORIZATION FOR: CITY OF ZEPHYRHILL . 5335 8TH STREET STATE-LICENSE# SCC056671 PRINT QUALIFIER'S NAME: STEVEN GREEN BUSINESS NAME: DESIGN ALUMNUM EXCHNAGE,INC. I AUTHORIZE THE FOLLOWING INDIVIDUALS TO SIGN FOR AND OBTAIN PERMITS: MARK DANIELS KATHLEEN GREEN LESLIE GREEN SIGNATURE OF QUALIFI 14/18 SINCERELY, GREEN I DENT DESIGN ALUMINUM EXCHANGE,INC. State of Florida Sworn to and subscribed before this day 12/14/18 Notary P is State of Florida. (Stamp) C`,%v P�,� Notary Public state of Florida My commission expires 2 r Jennifer Commission Satterfield j + • M Commission GG 786335 Expires 02/1412022 P.O. BOX 340383 TAMPA, FL. 33558 (813)949-7545 www.desi nalurr c SEC. 24 TWP. 26 S, RNG. 21 E. RECORD SURVEY (FINAL) BEARING BASIS: LOT 44 NORTH BOUNDARY OF SUBJECT PLAT BEING S 89'40'43" E HIDDEN RIVER PHASE ONE B SURVEYTHT PASCO COUNTY, FLORIDA. MAZY BE ISCLIOSEDBBYCA FUULLNANDACTS ACCURATE TITLE SEARCH. ALSO SUBJECT TO SETBACKS, EASEMENTS AND RESTRICTIONS OF RECORD. PREPARED FOR&CERTIFIED TO: n UNDERGROUND FOOTER, STEM WALL, AND UNDERGROUND UTILITIES ARE NOT LOCATED OR NORTH AMERICAN TITLE CO. II SHOWN. NORTH AMERICAN TITLE INSURANCE CO. DO NOT SCALE THIS PRINT. DIMENSIONS AND EAGLE HOME MORTGAGE,LLC �J NOTES TAKE PREFERENCE. SHAN HUBSMITH a ALYSSA MOFFITT DESCRIPTION NOT CONTAINING PLAT BOOK AND PAGE INDICATES THAT PLAT IS IN PRELIMINARY STAGE AND IS SUBJECT TO CHANGE AND/OR REVISION. CERTAIN DATA SHOWN HEREON BASED ON ENGINEERING PLANS PROVIDED BY CLIENT. STRUCTURE TIES SHOWN HEREON DENOTES MEASUREMENT FROM FORM BOARDS/FOUNDATION TO PROPERTY LINE. PURPOSE OF SURVEY:TO OBTAIN HORIZONTAL AND/OR VERTICAL DIMENSIONAL DATA TO SHOW CONSTRUCTION IMPROVEMENTS. �R�S�E�NE 5NdO . TRACT "B-1" E-71.0' 8� HIDDEN RIVER PHASE ONE A (PLAT BOOK 74, PAGES 101-121) p� n �851" �i WETLAND CONSERVATION a ro (� AREA 15.•'' y / 1�9 0.. 0. LP ` fGO, u no °i $�Q 4xbp dW y 0. PRM P >�3 N o �� Sao o ?°'6'' ';•�. �� �9c�ss� (TMP))fG 3 '•'o. GDNG "..\.a�CiO• ;i.' :'.• .e ��p </ .��R a'�• ..� 9' _ _ �zi9 PLAT C ;4'. cKr 1 S _ .�_ - BOUNDARY y GI`'•PI 1�P 5\OEN ,'•786� a '0 �a R� E-72.4' O9 O J` �� 5�\c, O \� 0.GIr' D+ 460 9 PLAT �`'�' 4 \�0 BOUNDARY E-71.6' \ 00 Ao 4 = 10' DRAINAGE/UTILITY EASEMENT \ 518 �Q f\fl6yp0 LOT 45 CURVE DATA(P&M) CURVE RADIUS ARC CHORD BEARING DELTA TRACT "K" C23 175.00' 15.55' 15.54 1 S 27'55'46" E 1 05'05'28" HIDDEN RIVER PHASE ONE A (PLAT BOOK 74, PAGES 101-121) LANDSCAPE & BUFER EASEMENT LOWEST FLOOR ELEVATIONS: LIVING AREA: 73.01 LEGEND: GARAGE AREA: 72.53' DESCRIPTION: E-00.0 = EXISTING GRADE ELEVATIONS REFERENCED TO LOT 44, MAP OR PLAT ENTITLED "HIDDEN RIVER PHASE ONE B", NATIONAL GEODETIC VERTICAL AS RECORDED IN PLAT BOOK 76, PAGES 77 THROUGH 82, OF DATUM OF 1929. MEAN SEA THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA. LEVEL= 00.00 FT. APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY PANEL NO. 120230 0460 D EFFECTIVE DATE: 9/30/1992 Project Number: ------ Square Feet: 6596.43 t LENNAR HOMES LEGEND: (C)= CALCULATED DATA, (D)= DEED DATA, (M)= MEASURED DATA, (P)= PLAT DATA, g= CENTERLINE, A/C= AIR CONDITIONER, B/C= BACK OF CURB, C/S= CONCRETE SLAB, CH= CHORD, CHB= CHORD BEARING, CLF= CHAIN LINK FENCE, CONC= CONCRETE, COV.= COVERED, E/P= EDGE OF PAVEMENT, ESM'T= EASEMENT, F/C= FENCE CORNER, FCM= FOUND CONCRETE MONUMENT, FIP= FOUND IRON PIPE, FIR= FOUND IRON ROD, FN&D= FOUND NAIL & DISK, FPP= FOUND PINCHED PIPE, LFE= LOWEST FLOOR ELEVATION, MAS.= MASONRY, OR= OFFICIAL RECORD BOOK, PB= PLAT BOOK, PCP= PERMANENT CONTROL POINT, PRM= PERMANENT REFERENCE MONUMENT, R/W= RIGHT OF WAY, R= RADIUS, SIR=SET 1/2" IRON ROD & CAP No. 4493, SN&D= SET NAIL & DISK, TBM= TEMPORARY 'BENCHMARK, U P= UTILITY POLE W F= WOOD FENCE, R = RADIAL JOHN R.BEACH Sc ASSOCIATES,INC. Drawn By: SMS I HEREBY CERTIFY THAT THIS SURVEY HAS BEEN MADE UNDER MY SURVEYORS AND MAPPERS RESPONSIBLE CHARGE AND MEETS THE MINIMUM TECHNICAL 911 WEST ST. PAND URG DRIVE Checked By: STANDARDS AS SET FORTH BY THE FLORIDA BOARD OF ONE OLDSMAR, FLORIDA 34677 JRB PROFESSIONAL LAND SURVEYORS IN CHAPTER 5J-17.050, FLORIDA ADMINIST IVE CODE, PURSUANT TO SECTION 472.027 FLORIDA WAY (813) 854-1276 FAX (813) 855-8370 Scale: 1„=30' STA n_ NOT VALID WITHOUT THE SIGNATURE AND Date: 07 20�8 THE ORIGINAL RAISED SEAL OF A FLORIDA FINAL 8/23/18 DJB JO R. BEACH DA E LICENSED SURVEYOR AND MAPPER F RID EG. LAND SURVEYOR No. 2984 LB 4493 Revisions: FORM BO RD TIE IN 5/17/18 JMM, FOUNDATION TIE IN 6/13/18 DWB