The URL can be used to link to this page

Home My WebLink About03-2135 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY 2135 Permit Number: 2135 Issued: 6/04/2003 Permit Type: NEW SINGLE FAMILY DWELLING Class of Work: 101-NEW CONST/SFR Proposed Use: SINGLE FAMILY RESIDENTIAL Sq. Feet: Est. Value: Cost: 114,200.00 Total Fees: 3,745.97 Amount Paid: 3,745.97 Date Paid: 6/04/2003 ICKETT'S MILL AVE ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: SILVER OAKS VILLAGE Parcel Number: 03-26-21-0200-00000-0050 Name: GOLD MEDALLION HOMES,INC. Addr: 19909 US HWY 41 N. LUTZ, FL. 33549 Phone: (813)788-6257 Lie: Work Desc: SINGLE FAMILY DWELLING Name: BAKER, BOB & DOROTHY Address: )7333 PICKETT'S MILL,AVE ZEPHYRHILLS, FL. 33542 Phone: WATER CONNECTION RESIDENl BUILDING FEE RADON 1 . 419.00 IRRIGATION CONNECTION 847.50 IRRIGATION METER 26.42 E 175.00 MECHANICAL FEE 180.00 WATER METER RES 3/4" 1 . 83.20 180.00 . rf I /;u;/~t; tj:Ct'J /- ,f-~ 11/9,03 JlffOoety IrU". . (f ~r/p1fi1~~ ~IIP &-6-03 ~l1~'\Nl" 4u. . J-f3A J. ~Uf f,'nM .2/1/ /,t! jJ;j7J . 1 ST ROUGH PLUMB -1..,0 ~UCTS INSTALLED CONSTRUCTION POLE -,0 2ND ROUGH I?LUMB ~. j.DUCTS INSULATED PRE"'ETER;/ J/'-" IN{ fL'I'lWATER ,( /;;1 -1'1- 03 {LVr"""I.''F.INAL MECHANICAL MISC f IRJJ SEWERV', 2 -1C1- 03 I' II, MISC ISC MISC. i MISC. INSULATION~EILlNG . I MISC. MISC. . MISC. ,DRIVEWAY. 11-7 -D!> a..~ I MISC. MISC. i FIRE DEPT. FINAL REINSPEC1l0N FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge ofThirty-~ixe pollars ($35.00) shall be made for each trip for each trade: $fI.E'I'/T!(IJcr lj/'1/IJ3' /i.:7U (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 pay_,!,ent of inspection f~? sh~'-~e made b~fore any further permits will be issued to the person owning same ! "Warning to owner: Your failure to recol-d 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 be!~re recording your notice of commencement." NO OCCUPANCY BEFORE C.O. ------ ---- --- ---- ~a~~~ ~ . CONTRACTORS SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Gold Medallion Lot #5 Picketts Mill SQ. FEET PRICE MAIN OR LIVING: 1,926 $ 50.00 OTHER AREA UNDER ROOF: 716 $ 25.00 OTHER: - $ - V ALUA TION $ 114,200.00 FEE SHEET $ 525,00 ADDRESS $ 30.00 -:- DRIVEWAY $ 30.00 BUILDING: $ 847.50t CREDIT: $ - BUILDING LESS CREDIT: $ 847.50 ELECTRICAL: $ 108.85. PLUMBING: $ 110,00 .; MECHANICAL: $ 83.20..1..< RADON: $ 26.42 (..- TOTAL $ 1,175.97 1..--- SEWER: $ 1,616.00 WATER: $ 419,00 IRRIGATION: $ 175.00 TOTAL: $ 2,210.00 WATER METER: $ IRRIGATION METER $ 180,00. '" 180.00 / SUB-TOTAL $ 3, 7 45.97~~/ SIF'S: $ 1,694,00 97.5% $ 1,651,65 2,5% $ 42,35 .{)tJF ,AT (t. ~d I I ~ ., (~i ---= TIF'Sr 99% $ 1% $ TOTAL: $ 5,439.97 I FLk -:-: '-"-"-D D~E ~~S~ BUIL!:'ING OEPT APPROVED " - .; 0 GOLD MEDALLION HOMES SITE PLAN LOT 5 SILVER OAKS VILLAGE PHASE ONE '-1--- ----------______. ~ 75054'20T j 1 83,23' ~----_______ ~_,j_. ALL[y'-'" . ~--_.___ _.,__ i I ~---~~.~---~--- , --; i I I i i !----5,OOFt. j i I i':. . '-'~.-~ ~~~~':'~':''-;J -'. ~~ i . "'<l' .. o<l.. j I .'''.' I . . . .., l ", ." '" ., ~. . '4 " . i .6. . "', ., j' .::'.. ......:A :,: ....;..d.l . '. . ." l '. \ j W' ~ I COla ?'O .--iia' Lni.--i ISI l.--i Lni 01 zl i 5.45Ft'--1 I j I "-"'1' lOl7fFt, ~- 5' PICKETT'S MILL AVE. ---') ~ \t:- .:t ~ ~ '- Residential System Sizing Calculation Summary Project Title: new const. t Baker Residence Zephyrhills, FI 33540- Code Only Professional Version Climate: South 05/17/2003 Location for weather data: Orlando - Defaults: Latitude(28) Temp Range(M) Humidit data: Interior RH 50% Outdoor wet bulb 76F Humidi difference 44 r. Winter design temperature 38 F Summer design temperature Winter setpoint 70 F Summer setpoint Winter tem rature difference 32 F Summer tem rature difference Total heatin load calculation 30076 Btuh Total coolin load calculation Submitted heating capacity 36000 Btuh Submitted cooling capacity Submitted as % of calculated 119.7 % Submitted as % of calculated Winter Heatin Load Load com onent Window total Wall total Door total Ceiling total Floor total Infiltration Subtotal Duct loss TOTAL HEAT LOSS 93 F 75 F 18 F 32839 Btuh 36000 Btuh 109.6 % WINTER CALCULATIONS ft 200 1807 61 1928 162 129 sqft sqft sqft sqft ft cfm Load 6400 12251 788 2121 2550 4533 28643 1432 30076 Ducts(S'li>) Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh Cellngs(7'll.) FIoors(8'lO.) -..-..(41%) SUMMER CALCULATIONS Summer Coolin Load ft Load com nent Load Window total 200 sqft 12524 Btuh Wall total 1807 sqft 5448 Btuh Door total 61 sqft 611 Btuh Ceiling total 1928 sqft 2738 Btuh Floor total 0 Btuh Ducta(8'lO.) I nfi Itration 113 cfm 2231 Btuh Internal gain 2400 Btuh Subtotal(sensible) 25952 Btuh Duct gain 2595 Btuh Total sensible gain 28547 Btuh Latent gain(infiltration) 3372 Btuh Latent gain(internal) 920 Btuh EnergyGauge<li> syst T otallatent gain 4292 Btuh PREPARED BY: TOTAL HEAT GAIN 32839 Btuh DATE: EnergyGaugelll) FLRCPB v3.22 5335 8111 St.Zephyrhills,FI. 33542 [Click here and type return address and phone and fax numbers] City of Zephyrhills Bldg. Dept. Fax To: Judy From: kitty Fax: 727-815-7000 Pages: 1 P~ 813-780~020 Date: 5/30/2003 Re: Address CC: o Urgent o For Review o Please Comment X Please Reply o Please Recycle . Comments: Silver Oaks Village lot 5 it will face Picketts Mill Ave 03-26-21~200~0000~050 r r f' I ;~I ~^ mo 00 o~ ~;Y r-m m;;:l ;;:10 Otll IG </ I- I ~ I I I ~~r\) ~I Q\.l..:"- ~ ;ij \k ~ z, z tlli tll -< I -< i I I I I I i I : ~: ~ ~ ! :=.. ~~ ~:::: r)n :~ ~ I I \ I~ ~, Q'." 0 , :0 \ 0 J~ I m . Z ~ l.: ~ r Z -< (j) en 3: :00 ~ :t !'TO C :r m ~ (Jj ::x: m )> m~ ~ c IT 0 0 Z -l JJ j= Zz ~ ::x: ^ r < \ ~ r- 0 0 G Z -1m m ~y~ ~ IT ~ Z "T1 m:o :0 m -l " G) m m en m :0..... )> -l -l m en m :D m :0 m )> 0 :0 :0 < :D 0 0 1'5 < 0 :-I "" m 1'5 ::0 "- m Z m p ~ en en ~ \. , ~-- ~ '" ~ 0 0 0 -~, 0 ' . ~ ~ "{N ('- ,~ 'f'. ~ '" \ ~ '" ~ ~ --I l>o~ 0:0 ~^ mo 00 o~ ~-o -or- r-m m-l -im mO Otll -< I I I I I I t- O ~ 0 0 0 z ~ en c 0 m -i :0 ~ ~ e )> e z 0 =i tll m in ~ ~ m ~ =i -< ~ :0 ~ 0 " 0 -< m 0 C 01 ~ 0 Z :I: -i ::j C )> ... )> z )...\ :0 )> ~ i;j Cl Ul 0 m -i C e- III z "i F -i ... tt\ o ~ m r"... "- ~ (') N=i m< ~O ~"T1 ;;!;N 'm ~"C ;'::t ,< 0:%1 :!:!::t ~r= , en o \i' J ~ ~ () \J1 I "V m :Jl ~ ~ z (') Cl m N=i III C m< If) z ~O m ~"T1 8l " ;;!;N Jl 0 'm 0 ~"'C c Cl ;'::t ~ ,< z 0:%1 " :!:!::t '" 0_ <;; >, :t , C> en ~ '" c c '" ~ 1 j ~ '" " c; \Y .:., ~ C> ~ G'- -t APPLICATION FOR PEBMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME e, 0 t3 cf- IJ,;)I( ~ 1H 7 JOB ADDRES~ ~1333 (] 1'1-;<:. rC ~ ?,'ck-e,1ts -mi il PHONE ;f/3 - 7JJ9 - C2S-? /111{L. LEGAL DESCRIPTION: LOT (S) 7~ BLOCK SUBDIVISIONjILVC/Z CVJk$ V/..(/1rrl- 17/!4:r€ I PARCEL ID # 03 ~ 2(P -Z( -o;2&o-(}tJooo-~OV SO (OBTAIN FROM PROPERTY ~AX NOTt~El WORK PROPSED: 0Ni:w CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INS'rALL o SIGN PROPOSED USE: ~L FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLI SH OMULTI-FAMILY o INDUSTRIAl" 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ,5FD BUILDING SIZE SQUARE FOOTAGE HEIGHT 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. ~ILDING ~ECTRICAL ~UMBING cr;;ECHANICAL PERMITS REQUESTED $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE ~FLORIDA POWER o $ VALUATION OF MECHANCIAL INSTALLATIO o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO ~ COMPANY fr- O'--,() A-1 t: LJ /fL., tl ~ iY J /'1 €: 5 STATE CERT OR REGIST # CITY PROCESSING # / c ., , SIGNATURE *********************************************** COMPANY. J7,~t:J I {"~. /j~ $c t' STATE CERT OR REGIST # 61" ofJ.::>2.,C:;7D CITY PROCESSING # SIGNATURE ~*****************************Jjt************~~** ~ /b 'I j t1'1/Jf5 r1 V'lt l~~ COMPANY I I STATE CERT OR REGIST # f f:-- (ZJltt. ~1 CITY PROCESSING # I&?6 PLUMBER SIGNATURE ***************************~*t****t*******~******* COMPANY ~l'-~ /:J/~~rJ..;vy STATE CERT OR REGIST # CltCo~-':>-7f CITY PROCESSING # MECHANICAL ****************************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** .........VUJJ..1...L..LVHtJ VI: r,C".t<JvlJ_T J-\J~.t.L1JJ-\Vl_'~.' A. NOTICE OF DEED RESTRICTIONS The undersigned understands tha1: this permit may be subject 1:0 "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 rnay 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 conunencement. 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 conunenced 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 *South~est Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Envirorunental 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 conunenced within six months of issuance, or if work authorized by the perrrit is suspended or abandoned for a period of six 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 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". ~~a~ SIoN9~6 STATE OF FLORIDA ~A c" ~ STATE OF FLORIDA COUNTY OF ~~ COUNTY OF The foregoing ins 1ijment w'}s~cknowledged.. rfhe foregoing ins Be~re me t is . Y Of~ ' ~~ Before me this by 1)0\0 e by . (name of person acknowledged) ~(name of person acknowledged) ~o is personally known to me, or ~ho is personally known to me, or Dwho has produced ~ype of identification) a~ whoD did E]'did n~t take an oath. j:j. (lm(J. fY) . l~ sign~ture of person taking acknowledgement ".::;f.Yf;:..... DanQ M. Ward :~f' ~f.\ MY COMMISSION # 00038228 EXPIRES Name typed;.?* ., -te~Na~Tl1 ~~ANCf..iNC '" ,ftl~~~' Dwho has produced ~ype of identification) a~ ~hO Ddid ~id not take an oath ~ {Y).uJahd Signature of person taking acknowledgment ~..' '.I~'Co Dana M. Ward {*{ i.\ MY COMMISSION # 00038228 EXPIRES Name t r~~~~~ ~~ ~ '? ";~';.~ .." i' '" "....,...~. 1"- JOHN R. COUNCIL ATTORN2V t:T U.VV PO ;:."1"\\' (\"'1 . . "",,VA .,-, DADE Clnt, FL. 3.3SZS--Q991 NOTICE OF COMMENCEMENT 1111I111111111111111111111I111111111111111111111111111111111 2003089584 Rcpt: 682026 DS: 0.00 05/19/03 Rec: 6.00 IT: 0.00 -__ Dpty Clerk Building Permit No. Tax Folio No. STATE OF FLORIDA COUNTY OF Pasco THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes. the following information is provided in this Notice of Commencement. JED PITTMAN PASCO COUNTY CLERK 1 Description of Property: 05/19/03 03: 06pm 1 of 1 . (Iegaldescriptionoftheproperty,andstreetaddressifavailable) OR BK 5363 PG 442 XXXX PICKETT'S MILL AVE. ZEPHYRHILLS, FL 33541 LOT 5, SILVER OAKS VILLAGE, PHASE 1, PB35, PAGES 63 THROUGH 67, PASCO COUNTY 03-26-21-0200-00000-0050 2. General Description of Improvements: SingleFamilyDwelJing 3. Owner Information: a. Name and Address: BOBBY G. & DOROTHY G. BAKER 35330 CONDOMINIUM BLVD., ZEPHYRHILLS, FL 33541 b. Interest in property: FEE SIMPLE c. Name and address of fee simple titleholder (if other than owner): 5. Surety: a. Name and address: b. Amount of bond: 6. Lender Information: a. Name and Address: First National Bank of Pasco 13315 Highway 301 Dade City, FL 33525 b. Designated Contact: Ralph W. Cumbee. Amy Pollock, or Taralee Morehouse 7. Persons within the State of Florida designated by Owner upon whom notice or other Documents may be served as provided by Section 713.13(1 )(a) 7., Florida Statutes: (name and address) First National Bank of Pasco 13315 Highway 301 Dade City, FL 33525 8. In addition to himself, Owner designates Ralph W Cumbee. Amy Pollock or Taralee Morehouse of First National Bank of Pasco to receive a copy ofthe Lienor's Notice as provided in Section 713.13 (l)(b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified). Other expiration date: 4. Contractor: (Name and Address) GOLD MEDALLION HOMES, P.O.BOX 1536, ZEPHYRHILLS, FL 33539 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;"WITNESS MY HAND AND 0 FICIAL SEAL THIS..LZ- DAY OF 2 a3 JED PITTMAN, c.~! F.JC CIIRRCC~UIT COURT BY ~ DEPUTY CLERK N/A N/A / j' ./ / ~ STATE OF FLORIDA COUNTY OF Pasco The foregoing instrument was acknowledged before me this by BOBBY G. BAKER and DOROTHY G. BAKER w to me or who have produced Signature of Owner ~~ Signature of Owner ,'liill"'I .~tri ~ Kathy Marie Pate .-..: .:* MY COMMISSION # CC984622 EXPIRES . 'December 19, 2004 . ~,' BONOEDTHRUm<lYfAINmSURANCtINC expires: CITY OF ZEPHYRHILLS IINOTICE" OF ADD.ITION OR CORRECTION BUILDING DEPARTMENT DO NOT REMOVE I ADDRESS DATE PERMIT .", I 3')33~ p~ 1ro LU JtJ-7-o) d/35 THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job . will be accepted. ~ .l,,;'Mr.1 ~;~ "t; Lt ,'rvv./;;'jJ, ~ 0 t Wml ,,~ _.tPu.- ~ '* ~cu~ It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. AFTER CORRECTIONS ARE MADE CALL 780-0020 FOR RE-INSPECTION INSPECTOR ~ I::AJ () OFFICE HOURS 7:30 AM - 5 PM MON.-FRI. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE JOB ADDRESS BNt I Cbm~7 .?7~3 ~ f?cLefT'J ~ (j;; - /& -.;;;/ .- O~IJ- (!)OOOtJ- tJ OS-O &ker P71( ~ PHONE '7f!P-(P:>7 OWNER'S NAME LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION SJ'/H'l' (}fJ j{/~Jt fJl6re PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICEl o SIGN !ADDITION o MOVE OALTERATION o REPAIR o INSTALL WORK PROPSED: ONEW CONSTRUCTION o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER BUILDING SIZE c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL WORK ~dm'" aP ~1 Jk'1 ~j .,f' geL/~,' /> 'f ~'~ II SQUARE FOOTAGE 10'1. V f HEIGHT DESCRIPTION OF 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. AMP SERVICE 0 }f3 BUILDING o ELECTRICAL $ VALUATION OF TOTAL o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATI o GAS 0 ROOFING 0 SPECIALTY TYPE OF CONSTRUCTION;{ BLOCK FINISHED FLOOR ELEVATIONS o OTHER o FRAME o STEEL o OTHER IS PROJECT IN FLOOD ZONE AREAO YES ;Jf NO BUILDER SIGNATURE COMPANY STATE CERT OR REGI ST #;/ A +DA- ' CITY PROCESSING # _ ~) **************************************************************~* -^1f~ -------- COMPANY STATE CERT OR REGIST # CITY PROCESSING # ELECTRICIAN SIGNATURE ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ***********.******************************************************* COMPANY: STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be may be more restrictive than City regulations. The 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 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 *South~est 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 $~5.00. .The extension shall b~ requeste~ in writing to the Building Official. An approved lnspectlon must be logged durlng each SlX 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 ~$2'500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEM~~. .d~ . . - GNAT~WNlR OR AGENT STATE OF FLORIDA J)dSev COUNTY OF ~ The foregoing inst~ment was acknowled~:9, Be.fQre me, thi~.~O - day of fX7' , y...da)j by .AJxQt/t\11 .,00 tC.e K ~ame of person acknowledged) ~ho is personally known to me, or subject to "deed restrictions" which undersigned assumes responsibility for ~()SC() STA E OF FLORIDA COUNTY OF The foregoing ins~~ment was~cknoWledg:9 . Before me this ..:0 - day of c::r- - , y~ by LA~U=.$("(\ .4.h ~ (name of person acknowledged) ~ho is personally known to me, or o who has produced (type of identification) !:Odid ~ not take an oath. ~'Yrtf ./1 )()1Jd Signature of person taking acknowledgement "~:;'~~" Dana M. Ward /~. ".,*'~ ~4YCOHMIS510N# Dnn~Am ". _... .,I,! Name typed, priill. f1jr stampJllIJ;i 14,2005 ~r'i'''.';J:'... 80NDED THRU noy FAIN INSURANCL i:.. ~ 'I,crf,,~\\\ Owho has produced (type of identification) ani-who Odid ...E'Jlid not take an oath -':), fJ/n tL- Lrr; . LJ 0 f}(j signature of person taking acknowledgment /' LL ~){>L D tM(:: 9r1 L-l:+::O~ I I e>('It c:'), lrbf {t S- SRvU- 6AIL( Vr::Lt~JrVi-C Ilddit7;;"'{ ~~ M.c~ I ~€!-' t-fVJftr: At.GN- C'vttfG'1: (1'-1?- rVtT'{ fs:- ;;; \'? S-- r.~::::, ALL CO\ lPL Y WITH ALL ALL WORK SH r~ "~RlDA BUIlDING PREVAILlNGCOD~.),fL 1 CCODEAND CODE. NATION.~~~~RDINANCES CITY OF ZEPn J 1'1.......... ".. ............... ';..,.::) ;" ,.....,.... . '.....; ;jt .1; !...) ....:. . ,';'." ..J.., :.......... .; .' ;. .'. .:.: .~::: o ;/ r'~' J.._... }::..... / '...':/ '!........" /,..:: ~> ! ! ~" l;) fC~'f"" / ,.::.-:::- i /'.. .":J.. /;i) /.... , /,,'.::':l:" /...,:.::::.,,,,,..../ I ....:::Z:::::;;; l:::;:~:: ff ., J .:'.,. /~::,~1,:, r""l7~'" /"':;:;:;;~;~i,/,,::/ I / . ). rK ~~\(,~ W ~~(~ ..........:.. :.....) \..::/.. (:::".) ..-.~> / -".'" ........f f ,....--r---\/ t . 4'.. .d..;"'...-.... .;.:. ....;.......... ~.;~.:,: .~. : .; d .., 4 . ~" '4 ....... . . 4i'" :4 4/ . .., : ., . 4.. 4 : : f' :' '"./ '. 'l ~'. ~ O.OOFt/ /1 r------.. 4 .. . .,. " :..-..(. . ;i i I courtya~r ;' cho.t1ged 0 I. . } screet1 p tlo ""6 7F {. ..- .,. ... i 'r-:~::; ,'.N 54,67F.t, I --.J / I / I I / I / / I / ! ! I ; / / J f / ! l ! / ..-J@.......f".. ..." -~-------~_. ',. C.() .:" ;........., ....... ) -:.""-'~'",/ ;' 5,45Ft.--.: 7/bOFt, .... ........ ,66F .... .......!..p:~ ; : l' - . : ...../:'........................ ;' lOi76Ft, 5' slde.wo.lk 3....... L ~.: ,'. lO.O Ft, . . '.: ....,:- ,....., '''~'. ,: ---. .llo: ,.....,.{. ,': '.' J: - ...... ,..............:...'.(..) .. .....JJ.L.....: .n;::::... i5 ........ ,:...~... /~.-< ....~..: ,....\ .~\ ........- \, ... ...l.......\..~.::.. .hl .- " . ._.h.... ~_ .;,':,'" Q6~~C ." t\l~L.'e~ {'(1 tCf:P G.C:' ~ '!J Av~ 7-" f'\.1J.-'i)t..\ /w"'. c~ L. ~.- I 1'1_ .7D /, l-- o l01\li1L ?- 7'~.] '1 f I JL.e-f+J 11,,([<- L t4 L L) ~ld1b~z- (JJJ)/7 ~I V ::;~~ i.'__ ?R.;:C: :\tlain )tbr= _".J.-e:I. ~Jnae:-1.~OI ----------.. , 1J I ., :uu:a.rOlL 3nililln", Cor ~e1::r:c: / ::""!llil!J4' / / .'1is6anlC:l1: ~lOlL 3..::roUl .moat.":: . "--=:S: .:.Jllllt:::=:tCn ?~ ~ 'nmac..-: --;-~