The URL can be used to link to this page

Home My WebLink About03-2036 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2036 Permit Type: Class of Work: Proposed Use: Sq. Feet: Cost: Amount Paid: ress: 3 ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-15100-0140 /2'-'1 ./ . I /0- I ~ 0 "3 ,J- Hro /-/I1,J / /(H~ -- 5 h /0 3(U) If:jo ;?-!3- 0 3 ?.;ctzJ ~ . - /lJlJ I-att"uv;, 6J4th FRI17 I Ele.-c. ~ Plvl'Y\.b5,':'/) - gfj3lP:5 /I:)D ELE 1 TA PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER I WATER FINAL MECHANICAL FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC, INSULATION CEILING MISC, I MISC, [ 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 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 "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." NO OCCUPANCY BEFORE C.O. 5d--- )<1~~~~&f~"~IG~;;~;~ PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED PROTECT CARD FROM WEATHER /, "'} FlA..1977 LAWS FS 713.13 SEMINOLE FORM 408 NOTICE OF COMMENCEMENT ~:a:~:f o:lor~d:s co } 'PR~PARE IN DU~ICATE) ~~~~~~~~1~1I1I1II1I1I11111I1II1I1II11I111111II11II The undersigned hereby informs all concerned that improvements will be madete-.certain real property. and in accordance with section 713.13 of the Florida Statutes. the following information is stated in this NOTICE OF COMMENCEMENT, Description of property ,I,>~.1:C;:~~,,~ .o.~ ~, .It. )'~.-:?,~-:-~)~,q9,~9:-:P)9.q-:-~~~.O . . . . . , . . . , . . oo. . . . . . . . . , . . . . , , , .. ,. .. . .. . . ... ~ ~ ~ ........'1J _. to.) ,. ZH MB 1 PG 54 LOTS 14,15 BLK 151 .....!9.. "',.,.."..,...."....,..,..,.......,.....".,.......,.,."".,.."",."."....,...................."...."..........,... ...... egO) egegO) W 0) 0) ..,.",.",.,.. ,.....,..,..,.,. "."...,,'.'..,....., ".,.. .,..'",.",.,.".. ,."."."".,.,.,......."." ,.,..",...., ... ..... 0) GeneTal description of improvements g~I?-,(rv:<;i,1;;,~~l!.. q(. .~~Pl:1Y~:DJ ;I.)"~' ,W9ro~t:l,~ ~. .<;:.J,~l;>....."....",..,.... :::a ..... Owner, , . . , , , .C~.~~. ,?~. ,~.~l?~~!,~~.~~~ , , . , . , . . , , , . . ' , . . , . . , ., , , . , , , , , , . . . , . . . . .. . . , . . , . . , . . . . , . , . . . . . . . . , , . . . . . . , . . . . . . . -I n . egO) 5335 8th Street, Zephyrhills, FLorida 33542-4312 g_ . Address .."...,....,."...."..,....."....,.,.."..".,...".."....,.....,.,....."...........".,.,.................... 'U eg eg :; eg eg Owner's interest in site of the improvement. . , , . , . . , , , , . , . , , , . . . , . . . , . , , . . . , , .. . , . . . , . . . . . . . . . . . . . . . . . . , . . ,. . . . . , . . , . . . , . .. ~ Fee Simple Title holder (if ether than owner) !!l ~ Name ....... ~~p'~y.r~,i~~,s. !!O~~~ ' ~, . <'::;I;~1>, . , . , , , . . . . . . . . , , . , , . . , , . . . . . . , . . . Address..... ?~5.45.5.tl~. .~v,~n~e.,.. ~.~I?~~!,~~,~~.~r, .l!~,,?;-.~d~. ~.~-?,~?..,........... ........ ~1,1 Contractor... ~O,I?-.q~p'1;;. ,~.l!,~~~.P.r:~,I?~~!" .J;~<;,~.",.".. ..............,...,............................................ ~. ~1 AddTess"... ,1. 9.5.~ 7.. .L~~e.. ~i},~ ~.a.~~. .l?,r: .0..,.,...,.. Q~~.~~<;i.~. XL,. ~).~?9...,... ......,.......... _......... Surety (if any) .T.r.~ye).~~I?. q~,I?~~)..,1;-y', ,<;i,~~. .~:t!r.~.~y'. .C;:.o~p,ap:y'..of.. .Aft!~..J;.~~a... Address ~,Q.q9. .:J;..~g i.9~. .p)" ~<;.~.'. . ,~,~.~ ~,~. , .1.9.99.. , .Q~ ;I..<~1P.q9.~ . .f.:!;.. . ;3.?f! O~. . . .Amount of bond S 9.9. I. .Sl~~.! 00 Any person making a loan for the construction of the improvements: Name .... ..........................-...........................-................ . JED PITTMAN fASCO COUNTY CLERK 03/27/03 09: 7am 1 of 1 OR BK 5290 PG 660 A ddTess ."................,.......,....."......,....""...",.,.,..,.,.... . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name ....... :r:(~)(ld. .H~. 'yB;~~.E7. .~~!g..... _.,.,.".,.,.,.,..... .....,................... Address..... ?3~.~. ,~~P. ~,~~.~~,t: 1. .~~p~Y~h~;I.,~~..., r+9,~~.4~, .~;3.~~.4......................."................,........... 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) (hI. Florida Statutes. (Fill in at Owner's option). Name -.. ..... ...-.... ......'..L" ._........,..A.......-.-__................... '.. ........ .......... ~ y~~./i...~........ ... ~~~~~. 'i)",~~;q" ,0 ioo.... Address ......,......................................... THIS SPACE FOR RECORDER'S USE ONLY 'T.: c-:= FLORIDA Of PASCO CERTIFY THAT THE FOREGOING IS A COpy OF THE DOCU;'vlENT ON FILE ",3t";:~ECORD IN THI~) OFFICE WITNESS MY ~2T~~DAYOF ., !li\rJ, CLE1V,. iJF CICUiT.CQl!RT _..__._'DEPUTY CLERK Todd Ho Vande Ber Sworn to and subscribed before me this . ....J..-J.L~:.......day of .. )':1 u.rc.J\-. . . . . . . . . . . . . . (.. .... . . . . . . . . .1'9..2{:.D'.3 -i) -, \ ) . . . . ~;"L5ATLA_,t" ~'~~~~'~Ii{\ '~;YU:..-c~. . \"...~ I ..... :''1/:' Beverly A es ~~~~!~ MY COMMISSION # 00172176 EXPIRES ;.~~J!!lk.~ December 22, 2006 '..:r.p.', ~1f,:" 80NOEO T"R;) '1!I)V'AIN INSURANC~ INe: . Ul~Y UF ZEPHYRH ~ERMIT APPLICATION aUUDING I)BIi'AR'I'MlllN'l' 533 to RElBl'f ZBlPHYRHILIlf3 I Ji'L 33540 Phone,813-7BO-Q Pax'B13-780-0021 ,. !>A'.rBl RBOIiIIVIJO :3:...5'- 0 3 2e.\l\,"{<'h"\\S WOtlrlQJ\ 5 {'\;\.'o PI,ANS RBlVIJllWrJj{Jt.-==~=~~===. C)\-/NER 'S HAl'Hil C.'.. -\~-\ 2(5 r ~:( "',' \ \ ~____________ PHONE (;ONll'AC!'~____.~_..._~____-C. ,JOa s IT~ ADDRESS ---~i)~~.S:__5~_-_l?'Lve.-~-_--2~h~l"-\'1ht..__EL~__S~_.S 4Q. _ LEGAL DIllBURIPTIONI LO'r(s) ----L~..lS-- BU)CK _l.~_\_ SUBlJIVISroU _________._____.____ Fl\R(!EJl, ID #_.\ ~ ),6 ._~_LQ_O ~lS:J 00 OJACL___~~~TA~~_~~ROM _~~~~~_~~~~~_~~~_~n'l'fc~~.._ WORK li'ROI?SElIJ I l]HBlW CONs'I'RUCTION 0 ADDITION (~ERATION m.--RBJPAIR L1r-rlliiTMJII OSI.<#N o MOVE o DEMOl,ISII I?RO!?OSED USE I [JSGl, FAMILY DWELLING [~MBlRCIAI' [JMUW'I - FAIYlU,Y [) INDUSTRIAL 0# OF UNI'l'S U MOBII,El IIOMEl (] O'fHElR o S~nMMING POOL o RESTAURANT & HE!AW'H DElPAR'l't1EN'I' APPROVAL jlElSCRIPTION OF WORK _ R ~ t\O_V~'O f\..Zq r~\,--< v:: L\..~_2.. WOf2:.'_2...CD_~1.~_..___ I , 1 \ , BtJII,IHlm SUEl A \ I- (0 SQUARE! FOOTAGE _~_~..]O Hti/1m!'I' ..-LQ-~_ RB:BIDE!l~TIALI A'I'TArJH (2) PLo'r I?I"AHS & (2) SElTS OF BUI!,DIN() PI,ANS 6<< (1) SElT E1NIilRCIV FORMS, COI'1MlllRC!IAI" I A'lHl'A(~H (3) SE'l'S OF BUILDING I?LANS & (1) SET ENElH(n FORMS, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, LJ ElI,B1CTRWAI, -------__ A/'1P tSElRVICE! o FU)RIDA POWER F~~ITS ~EQUESTED [] BIJILIJING $ g~-r- L16 \ .. 0,0 'C- VALUATION OF TOTAL CONSTRtJC'1'ION o (] Pl,[JIIJBING o 11BlCIlANICAT, fJ OAs [J ROUFIlW $.___VG ,S-OO [J SI?ECJIA.I/l'Y - VALUATION OF MECHANCIAl. INSTALIlA'l'TON 'l'YPlil OF C()HSTRtJC!'j.'ION I 0 BLOCK [] OTHER eyFRAJlJEl [J STElE!J [] OTHER FIlHSHliliJ FLOOR BlI,EVATIONS IS PROdEC'I' IN FLOOD ZONE AREA 0 YES [ij.-l'l6 aUILOBlR ~ ~ CO"PAN Y (gn L e Il'L E ,,\- e-'>2-'-"~~s.-d:.",-~__,__ .---/ STA'l'E CElR'l' OR REGIST (toCf:r:GA::-.L.Q35 ~..____.._. --- ----- CITY PROCESSING #L-----...-~~fI!t------.-.-.-. _"_._.._ .....\ ~9l11" .1. .9;;>:~';\.................................. w~ ~ IU,IOTRIOIAN COfvlI?AHY __________.__._______.___,--_._..__._.__ STA'rEJ CElRT OR REGIS'!' # SWllA'l'IJRBJ .----..---.-----.--._._.___.._______ CITY PROCESSING # ..-._-_.__._--.~~ - .---..--.-----.-....... -.- *****************************************************.*********.** .._-------_..------'-.-._._--,--._-_._-~._--- PI"tJWBlllR ..- ._~._._--,.._~_.__._---._~ (!OIYJPANY....---.-----___-:--____________,._____.______h STATE CER'l' OR REGrST # ______.__._~____~____ CITY PROCESSING # STGHATIJREJ MlllCHANICAI, .*-*****.*.************.***.**.**************************.**i***.* _._.-._..~--------~---.~-_.~-- ~--------..._-._- CO!vJPANY____ STATEl nHlR'r OR RElGIS'I' # CITY PROCESSING # ----...-.'----.--.---.---------.-- '---... 13 TGNATlJREl ----~---._-------~_._- * A * * * * * * * * * * * * * * * * * .. * * * * * * * * .. * * *. * * * * * *.* * * * * * * * .. * * * * * * * * * * *A . * * * -It * ---.--------.----......----- OTHlllR SIGNA'l'URE _______________ COl,11?ANY STATE CElRT OR RElGTST #-------______n___._____.__ cI'ry PROfJEl8SING # -----_____________.._ --.--_._----~--~--_.. *********************************************************.**.**** -----..-----------....---..----.....----- CONDITIONS lIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per 1ay be subject to "deed restrictions" which may be more restrictive than City regulatl_." 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 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 City of Zephyrhills Building Department, 813-788-6611. 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 indication 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 I 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 aocument and promise in good faith to deliver it to the "owner" prior to commencement. 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.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 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 commenced 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 acknowledged 19_ 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 19 (name of person acknowledged) Dwho is personally known to me, or o who has produced (type and whoD did 0 did not (name of person acknowledged) [1ho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and who Ddid Oiid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped ----------