HomeMy WebLinkAbout03-2066
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2066
066 Issued: 5/14/200
GENERAL BUILDING PERMIT
CARPORT
NOT APPLICABLE
Est. Value:
Cost: 5,861.00 Total Fees: 95.60
Amount Paid: 95.60 Date Paid: 5/14/2003
ress: 34
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0310-00000-0850
1)7
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It.
FO U H 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 II MISC. MISC. MISC.
DRIVEWAY ~I <; ~2../- D ~ l+:J, MISC. MISC. FIRE DEPT. FINAL
REINSPECTlON 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."
OCCUPANCY BEFORE C.O.
. ~-~
CTORS SIGNA URE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
F
OWNER I S NAME He y b B (fk, k welt
JOB SITE ADDRESS :3 q 3 4. 0 <5 .f", Ii v 16-
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTMENT 5335 8~ STRBBT ZBPRYRBILLS, PL 33540
PhQne:813-780-0020 Pax:813-780-0021 --Ri
DATB RBCBIVED d - - 03
.
PLANS REVIEW PBB
PHONE CONTACT <[) L3 .-7 (~ - 0 <[ 1-:1
Z. 11/ lis
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # '2~2'-z
WORK PROPSED: DNEW CONSTRUCTION
- 0 tltJOtJ,. [)
(OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o MULTI - FAMILY
0# OF UNITS
o MOBILE HOME
o OTHER
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK c... fl r Po y 1-
BUILDING SIZE g.,)S" X. ~AJ SQUARE FOOTAGE '5' Co 0
HEIGHT / I r
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
)( BUILDING
o ELECTRICAL
PERMITS REQUESTED
@
$ S. t)(, \.00
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
FLORIDA POWER
o
W.R.E.C. /r;;;
rf~ /"
~
o PLUMBING
o MECHANICAL
o GAS
$
VALUATION OF MECHANCIAL INSTALLATIO
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
FINISHED FLOOR ELEVATIONS
IS PROJECT
o NO
BUILDBR
COMPANy-!3fo"'C A{v t>1 r froJuqs 1;I\C
STATE CERT OR REGIST # c.~ ~ I Z-S-O 8'~ "I"
CITY PROCESSI23~
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SIGNATURE
ELBCTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECH.AHICAL
******************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHBR
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictions" which
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 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
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 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 commepced 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
15L-
STATE OF'FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid [):lid not take an oath
o who has produced
(type
and whoD did Ddid not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
~ (~ 1-- p,(J)VA..
-4-.
)9'?lf~ ~ AU
~
SQ. FT.
PRICE
~l.ain
Other- Area
fJnaer Roof .
~!:J.iuauorr: 5t '3b 1 . '""~
Building: q 0 r :::> \:;.
S~c: tU (
"'1 .. Vt
"umomg: ~ !it
l\lfechamcal: tJ ! f')
RaUon: ,. bO
.~~'-'
:$ _ (,Il
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~ci1oo i Inmact . <I
::-ees: fV fr
~.)noecrion " {I'
:-ees:: N 1+
T.r:ms... lmnac11 r /
Fees:: . U It
State of
rL
NOTICE OF COMMENCEMENT
County of
;JfJSc 0
THE ImDERSIGNED hereby gives notice that improvement will be made to c8rtain
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. J;)... 'J,..Co - ?-l - 0 3 f 0 . OOc9CO ~ 6'8 <)D
'3cr 3Li 0 ~th PI IJ e
(Legal description of the property
CAr P(!)cf'
and street address if available)
?--<b~~O
2.
General Description of Improvement
3. Owner Information: Name i-/ eV b e/PrC K vJ(>ll
Address 34 5Ll~ ~ -rh A V e.- City Ze phy, h',II~ State FL
owner 3~54.0
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Address SA-(Yl€ City State
4. Contractor: Name /7, to Z fll U Y>'\ t'n u t'Y\ T(\c..
;/'0 &x (q 2- City Z eph '/~ h; II s -e--
Address State r
.
5. Surety: Name #/N "3~534
/
Address City State
Amount of Bond: $
6 . Lender: Name ;t/ ~
?
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),~lorida Statutes:
Name ./V/ /f
Address
City
State
8.
In addition to himself, Owner designates
~fenor's 1f~ as provided in Section
to receive a copy of the
713.13(1)(b), Florida Statutes.
9. Exp~ration date or Notice or Commencement (the expiration date is 1 year
fr0m the date of recording unless a different date is specified.)
~ignatureofowner: .~jl~d~4~
Sworn to and subscribed before me this /V7':Z..day of ~~
~$03.
Notary Public:
My Commission Expires:
11 {A:r1--.cJU.-r, I Y,- ......~
PC93053048
~>ii,,~,,~*.)~~ ~~~'~.:I". ~~ .~~,,__~~~ '~"""'~""~f_"~"~'l!'\!_,,;~~.;~~~''"'l'/f''-~'- ~Z'~"}:.~ 1i"MW\;__~~f,.~p' ;. >Of ';'>
tit
A TO Z ~UMINUM, INC.
P.o. Box 192. ZEPHYRHILLS. FL. 33539
Z'HILLS(81 3)71 5-7523-HuDSON(727)857-1 234
i."'~Y
Other Address:
_ or __ fnlm abovellp8dllc.otiQ.. invOlving _ COlIIlI, will
executed onIJ upon WI1lI8n _. and wi. become .. _ cI18lge over
8bOwt the estimate. ...1 egrMm_ conIingent upon slIlkn, ac:cidIInI8 or
ys beyond aUI' canlIoI. Owner to cany Ii... IDnWOO and alher.--y.
upon 8bove __ Worker's Cam~ and Publlc UabilllJ
an worl< to be talc
This prq:lCSaI may be withdraowl by US if not ac:oepted
within days.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactOly and are hereby accepted. You are
to do the work as specified. payment will be made as outlined above.
Signature
Date
Signature
,
- . -----'----.-..----..-...---.------------. --.---- -------------.-...- -. ----_._-- -.-.--.--...-- - --~--_..._..--- ...--.-----..-.--.. .--
S J TF. I'I.AN
(RESIDENTIAL USE ONLY)
PARCEL 1.D.
j~
SEC
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BLOCK
0<3'5'0
LOT
DATE: S-//;J-( 0;
,
All drawings shall be drawn to scale or fully dimensioned for all parcels.
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SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO. INDICATE
ANY BODIES OF WATER, TREES (INCLUDING SIZE, DIAMETER, TYPE). AND ROADWAYS (INCLUDING
NAMES) ADJACENT TO THE PROPERTY. INDICATE THE SIZE, YEAR, AND NAME OF MOBILE; SUCH AS
12' X 60'. 1981. FLEETWOOD. "
ALL "EASEMENTS", "PROPERTY LINES". "RIGHT-OF-WAY", and "JURISDICTIONAL LINES" must be
shown on all site plans.
DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE.
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NOBILE HONE SET-UP
rear (150' )
~ 150' 40'
b ...
8 III 25' a
III b.
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. . 215' _fC~ Elli.tin, .
" " ~Z "
"; '. Illed ..
50'
ROAD NANE ROAD MANE
HOUSE CONSTRUCTION
rear (80')
o
c(
o
II:
ROAD HANE
PL
PROPERTY LINE
R!W = RlGIIT-OF-WAY
o ... TREES
APPROVED SIn PLAN MUST BE POSTED AT JOB LOCATIat.
NOTICE OF DKKD RESTlUCTI<1t
THIS PERMIT may be subject to "Deed Rsstricti~" which are .ore re.trictive than County
regulatiOlW. The permit holder as.-u.es rsspol1Jlibility for c~liance. with any applicable
deed restrictions.
sf teOS: ce
PC95035005/A
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MAXIMUM TRIBUTARY WIDtHS OF BEAMS
EDGE BEAMS AND CENTER BEAMS
BEAM SPAN CURVES - 130 MPH WIND VELOCITY
.-
LEONARD G. 'GEOFF' 'w'OOD
ENGINEER
L.ona.rd G. lJood, P,E. 11047377
040304 Th. r.mray
Mulberry, florida 33860
TIl'l.pho~/ra)( (863) 6046-5517
MobR. (863) 287-7073