HomeMy WebLinkAbout03-2034
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2034
ermlt um er: 2034 Issue : 4 0 20031 .
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 43:4-ADD/AL T RESIDENTIAL I
Proposed Use: MOBILE HOME PARK
Sq. Feet: Est. Value: i
Cost: 10,200.00 Total Fees: 162.501
Amount Paid: 162.50 Date Paid: 4/29/2003:
ress: 717 0
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0030-00000-0750
I UMB I TA
PRE-SLAB ! CONSTRUCTION POLE ; 2ND ROUGH PLUMB : DUCTS INSULATED
LINTEL ;11 PRE-METER WATER II FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL I MISC MISC. : MISC,
INSULATION CEILING I MISC, MISC, J MISC,
DRIVEWAY . MISC, MISC, . FIRE DEPT, FINAL , ..
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 bip 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
. "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."
.~~O~URE PERMITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
/ill! ~~ (),h tir ffi0:> c; ~'T
3q1t7 L~ l-tiLL &:Pf
~~/\j~ ~rfi_
SQ.~.
PRICE
"'lain
Other- Area
Under Roor
qat
';/J..iuanon:
;O(lt:n 1\)'->
Building: 12-7'- ;;0
SecJic: .~ 'JfJ
PtumOing:~~ ~ .' "
l\1fechamca.l: ~ !i'"
~on: ;J /14-
~ciIooi Imnac-:: .. ( )
,'ees: /IV ( 1-11-
~,:lIInecricn ..f; J M.
:Oee:i: / ..., ( }/ I
;::;- Impaa tJ t~
ONIl"' 'S 1I^,IE:J3eL~lJ-ji:,,_} fl/(e,:>tlYJg_~ts_________~_ _ _ PHON" "ON'j'A""___'A~C%0~~~!H;~RVICE
.T08 8 ITEl AD[)R1ll883(!L7L7_..CD5__fiLU___~t2f2___~__ __._~_____ _..._.__________. _',_, .u.____
LElClAL IJElF3URIPTIUll: LOT (8) ___._1.1_._____ BIJOCK _~___.___ SUBIJIVISJOt/ ti4-F~-iJ~-__..~2_
PARC!E]IJ I n 1I~.~-o.Q3LC.Qo.QPO _ Q7 s:e______._~__~~TA~~~__~~RO~.!~.~=~~~~..'I~~~..~~~:~~~~_~._
WORK PROP8111IJ I r.JNIlll'l ['ONSTRUCTION [!(ADIJI'I'ION [J ALTElRATION LI REPAIR lJ INSTAl,!,
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUIl,DING DEPARTMENT 5335 ath S'fREm'f ZI!JPHYRlnr.r,S, P'L 33540
Phonela13-780-~020 FaxI813-780-0021
!JAIn Rse:&lIVl!lo ___.... ".""..
inANS RHlVIBlW rSIII
q.
-...._..__ ~.h _~ ~.~_,
L]SHm
[J ~10VE:
[J DElMOl,ISI/
PRt)!,lUf:lEIl USE: I [%r:JI, FAl'<lILY DWElIJI,I11G
r-Jtmw'I.. F'Af'.1U,Y
[J # ClF l1lUTS
fJSWH1MU1G POOL
LJ MOB!I,E llot~E
f:J COMfvIBlRC! IA r I
[J INDUSTRIAL
IJ OTHER
o R~18'1'AURAHT & HEALTH IJEPAR'rt.1EN'f APPROVAIJ
IlBJSCRIP'l'lON OF \'IORK ...CarpD.cI-t ~e~JSC,QVI-'1--+--2h.5'd_t-_c.QnC:C~~__________.........
B!1ILfJINrl SIZE ..J2~~'i..._____.___ SQUARE FOOTAGE _..n1a.3'1_~_ IIElJGHT :?i:~--J2L~?.
REl8IDBlNTIl\IJ I
(~Of\1Ml!lRt!Il\IJ :
ATTACH (2) PLOT PLANS & (2) SElTS OF BUnlHNG PI,ANS
A'I"liAC!H (3) SElTS OF BUILDING PLANS & (1) SEl'!' ENERGY
PROPllIR1'Y SURVEY REQUIRED FOR ALL NEW CONSTRUCTION,
[~lJI,IJINn
FEHHlTS REQUBlS.TED
$__.13aJ. 80._._; VALUATION OF TOTAL CONSTRUC'l'ION
IJ EJI,Ell~TRWAl,
--------_..,_.___ M~P ~ERVICEl
o FlnRrnn POWER
[J vI , R , El , (~ ,
[] PI,UMBING
lJ I~E<.!HA.NIC~AI,
,
$-......-----'--------- VAIJUA.TION OF t-1IK'!Il1.NCIAI, UIS'l'AI,IJA.TTON
[] (jAS
f.J ROOFING
LJ SPECJtAUl'Y
[) OTHER
'l'YPHl OF' CON8'I'RtJC!'l'ION I [) BLOCK
[U/FRA1~El
[) STEElIJ
r~TIIElR o.l ~ n Uw.-
F'IN'I8HEllJ FLOOR E1IJEVATIONS
---------------.--.
IS PRO,JEC'I' IN FLOon ZONE AREA [] vEla
o NO
BlI,!lC'rRICIAN
1.1.-111\
1j'~~.1
BUt IJn Ill~ .' cor~P AN y-J:1.Lk~J,~)~~Con~..t,_ _____._____~_"_'
klCJ (J / _I .'" /JJ ';) STATE C!1JRT OR RElGIST # .-.-- - --..- --~:-.-,-d
S] "vA'rURE tf'MJI?p-Lf::L~_..__ __ CITY PRO"ESBING ft___3(,,_~_ __ _._ u um _ wi<'o,--~1J-,
*****.*********************************************,**'****'****'~ @IL~-
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--- --.-.----- --o.- ----- -________ CITY PROCE88INt3 #
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-..-----.--.. .4~_..n__~_. ___.___ '~'. __~_.,._...___.__.__
******.*.*.".******,.,***..*******.***************..****'****'***
S J mTA'1'fJREJ _. .
PI ,tIMB BJR (~Of>l PAN Y ____.._____~____________o...__..__._.__.__~____
STATE CERT OR REGrST # ________,_.__..____..
SIGNA'l'l1RBl CI'rY PROCESSING #
_.._~......_......~-- ---....'-____4____________._~_._______ _______.__.-._ ~~'__~_____ _____._._______
**********************.,.,,***************************"**'*"**"
MBlCHAIU CAr I CO 1"1 PAN Y .___..__________. ._____._______.____. ...._. _ ...__..._....
8TATE CIllRT OR REGIST #___._____.__.____.~._______.._.
SWUA1'fJREl Cl TV PROCESSING #
---------_..._---_._._~._--_......_---,,---- ------.---------.------ ----,._-~--.
*'*"'*'*'**'*'*'**'****'******'***'*"***"*"*"*'"*'*****'**'
OTllBlR
CO!.1PANY
8'1'A TEl CERT OR R"EGiSTr----.---------.---.---
CITY PROCElSSING # -.--------..-_._______.
-_...._----------_.~------------
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COIWI'l'IONS OF PERMI'I' An'IVAVIT
A. NOTICE OF DEED RESTRICTIONS
'I'he undersigned understands th~t this permit may be subject to "deed r"estd.ctions" \-Jld.ch
may be more restrictive tllan City regulations. The undersigned assumes responsibility for
oompliance with any applicable deed restrictions.
B. UNLICENSED CON'l'RAC'l'ORS AND CON'l'RACTOR RESPONSIBILI'I'IES
If the O\vner has hired a contractor or contractors to undertake work, they may be requited
to be licensed in aecordallce wi.t.h st.ate and local regulations. If the contractor is not:
licensed as required by lav", both the ovmer and contractor may be cited for a mtsdemeanol:
violation under 6tate laYl. If the owner or intended contractor are uncertain as to vlhat
li censing requirements may apply for the intended work, they an:, advi6ed to contact the
City of Zephyrhi1l6 Building Department, 813-788-6611.
Furtherll\ore, 1 f the owner has hir'ed a contractor or contractors, he is advised to have the
ocmtractor (s) sign portions of the "Contractor Sections" of this application for \Vhich they
will b~ responsible. If you, as the owner signs as the contraclor, YQ4 are indicating that
you, rather than the oontractor, are responsible for the work. If t.he contractor wishes
you to sign as COlltractor that may be an indication that he is not properly licensed and is
not entitled to permitting privl1eges in the Clty of ZephyrhUls.
C. 'I'RANSPOR'l'A'rION IMPAC'l' FEES AND UTILITY CONNECTION IfEES
D. CONS'I'RIlCTUION LIEN LM~ (CHAP'l'ER 713, FLORIDA STATUTES, AS AMENDED)
J certify that I, the applicant, have been provided with a copy of "Florida's Constrllction
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 COlwnencement.
E:. CON'I'RAC'I'OR' S/OWNER' S AFFIDAVI'l'
I certify that all the information in this application is accurate and that all vlOrk will
be done in compliance with all applicable laws regulating constructioll, zoning, and land
development.
Applioation is hereby made to obtain a permjt to do work and installation as indicated. I
certify that no Hark or installation has commenced prior to issuance of a pennit and that
all work will be performed to meet standards of all laws regulating cOllstruction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies Inay apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliaIlce. Such agencies include but are not limited tOI *Department of
Envirollmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally BensJtive
Lands, Water/WasteHater 'I'reatment
.Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
"'Army C01'PS of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & RehabU,itative Services, Environmental Health lJnit--Wel1s,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~A" or "A, etc.", it 1s
understood that a drainage plan addressing a "compensating volume" 'will be submitted V/hioh
is prepared by a professional eng1 neer reg1 stered in the. State of Florida pd.Oi' to penni t
issuance.
A permit issued shall be construed to be a license to proceed with the work and not a6
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
cor).:eot1on of errors in plans, conEltruction, or violations of any code. Every petmit
is~ued shall become invalid unless the work authorized by such permit is oOllullenced within
ail{ months of issuance, or if wOJ:k authorized by the peJ:mit is suspended or abandolled tor a
period of sil> months after the time the work is conunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be teque~ted
In writing to the Buildi.ng Official. An approved inspection must be logged duri ng each. si x
month period, or the project Hill be considered abandoned.
WARNING 'I'D OWNERI YOUR FAIWRE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL'I' IN YOUR
PAYING 'l'WICE FOR IMPROVEMENTS TO YOUR PROPERTY. If' YOU m'I'END TO oe'rAIN l!'INANGIN(j, ~qN~UL'I'
WITH YOUR LENDER OR AN AT'I'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'L'. ',JOBS UNfJER
$2,500 IN VAWE DO NOT NEED '1'0 RECORD AND POST A \\NO'rrCE OF COMMENCEMEN'I"'.
'''/df'/L / ) 'lit
__P~--L..R-/........L . ~() J>?~_____
SIGNA'l'lJRE: OWNER OR AGENT
7~ W./~I!t~__
SIGNA'I'URE: CONTRACTOR
STATE OF FLORIDA ~
COUNTY OF r a.SCO
The foregoing instrument was acknowledged
Before me this .dU.rl-day of Apr'i I " __:;2ro'3
by _J:1.i.kt- WiHiaw-5
~~ (name of person aoknowl~dged)
~ho is personally known to me, or
STA'L'E OF I!'LORIDA 'I:)
COUNTY OF ra..5c...o
The foregoing instrument WCl,6 aoknowledged
Before me. this ~jay of.Jt:pr-i ( I 19~3
by H/k~ ~~<;
~~ (name of person acknowledged)
~ho is personally known to me, or
o who has produced_.
(type of identification)
[;fd1.d no take an oa th.
~
o wlto has produced____._______.__
(type of identification)
[3:1"(d not take an oath
/6
of person taking acknowledgment
,I"""" Suzanne Bahr
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of person taking acknowledgement
Name typed,
"""'" Suzanne Bahr
"-t~V Pl.J.t/'
. t~1r~ ~2ffi~I~~gQ 15713 ;
~~, ~.~:~ xpires: Nov 15,2006
',.:;~ OF f~O~~''''' Bonded Thru
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1I111II1IIIIII1111111I 111111111111111111111111111111 11111111
2003073182
Rcpl: 675012
DS: 0.00
04/25/03
Rec: 6.00
IT: 0.00
--.-----.--... Dpty Clerk
State of F/ or ic:1.o-
NOTICE OF COMMENCEMENT
County of Po...sco
THE tfflDERSIGNED hereby gives notice that improvement will be made to c2rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. ,;('-I-~~-.;2/-0().30-0tJl)c;O-075'O
Hill Loo L-oT q l 'eo-he, a...k~
10n of the property an address 1f ava1lable)
2. General Description of Improvement (' ..eU" po r--rl ~1e.eY"\ Roo'rr) +- 6 hed
3. Owner Information: Name Re\- A I~"'-e..- InvestY'YleV\+s
l~ddress 37SJ Lo.u.reJ VO-lle.'j Blvd.City Z l"'phyrhills
Interest in Property:
State Fl. 33Sl.fO
Name of Fee Simple Titleholder:
(If other th~n owner)
JED PITT"AN~ PASCO COUNTY CLERK
04/25/03 0=, : 258m 1 of 1
OR BK 5330 PG 132
Address
City
State
Contractor: Namef11'1 II... c: LV I, U ~ +4 /In.s
Address 13D3;t C.OX'."5I.Ua.',n CT. City L.HudsDn
State Fl. 3'f~7
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1) (a)(7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Exp.lrl1t.i.on dtlte ot Notice or Commencement. (the expiration date is 1 year
fr0mthe date of recording unless a different date is specified.)
6~
,I""', Suzanne Baht
~'~~t!'.v'P;~~~'-;.
Notary publ~p:
My Commission Exp~res:
\~" ~,,~;J Expires: Nav 15,2006
"~~oif\.o~" Bonded Thru
." II \. A.tlantlc Dondhl}:; Cu., III....
PC930f