HomeMy WebLinkAbout03-2155
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2155
Permit Number: 2155 Issued: 6/17/2003 ·
Permit Type: NEW SINGLE FAMILY DWELLING I
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL I "
Sq. Feet: Est. Value:
Cost: 78,075.00 Total Fees: 2,973,98
Amount Paid: 2,973.98 Date Paid: 6/16/2003:
Address: 38223' EUCALYPTUS DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): 12 & PRT 1 Block: Section:
Book: Page:
Subdivision: DRIFTWOOD
Parcel Number: 02-26-21-0270-00000-0120
Name: GENERAL HOME DEVELOPMENT CORP
Addr: 13924 7TH ST I
DADE CITY, FL 33525 ~
Phone: (352)567-6581 Lic: .
Work Desc: NEW SINGLE FAMILY DWELLING
JOHNSON, ROLLAND E & ROSE M
38223 EUCALYPTUS DR
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
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CONSTRUCTIQN POLE fJ pG 2ND ROUGH PLUMB DUCTS INSULATED
PRE-METERL/~-8'-'O} ffS'o WATER , . FINAL MECHANICA
MISC SEWER L/ 9 - 1&- 0 ~ IIJD I MISC
, INSULATION WALL . MISC MISC. I MISC,
I INSULATION CEILING I MISC. . MIse, i MISC,
DRIVEWAY MISC, : MISC, ! FIRE DEPT, FINAL
--REINSPECTION FEES: When extra inspection trips are -~ecessary due to anyone of the following reasons, a
I charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
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,
(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.....- 'J? ~ ~ L5 ~ tu.i:.
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible / ~
The payment of inspection f~es shall be made_ before allY 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."________.___.___.
V'Q~ l~eJuui'flQ._
--OC-OORACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION -,8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
NO OCCUPANCY BEFORE C.O.
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NOTICE OF COMMENCEMENT
1111111111111111I111111111111111111111111111111111111111111I
2003094511
Building Permit No.
Tax Folio No.
Rcpl: 684060
OS: 0,00
OS/27/03 ,_'__'__'U__
Rec: 6,00
IT: 0,00
Dpty Clerk
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.
J0EO PITTMAN4 PASCO COUNTY CLERK
15/27/03 0, :46pm 1 of 1
OR OK 5373 PG 441
1. Description of Property:
(legal description of1he property, and street address if available)
Lot 12 and the West 16' of Lot 13, Driftwood, Zephyrhills, FL 33540.
Parcel ID#02-26-21-0270-00000-0120
Lot 12, and the West 16 feet of Lot 13, Driftwood Phase IV-B, according to the map or plat thereof as
recorded in Plat Book 40, page 77,
2. General Description of Improvements: Single Family Dwelling
3. Owner Information:
a. Name and Address:
Rolland E. and Rose M. Johnson
P.O.Box 105, Harlan, IN 17932
b, Interest in property: FEE SIMPLE
c. Name and address of fee simple titleholder (if other than owner):
4. Contractor:
(Name and Address)
General Home Development Corp., 13924 7th Street, Dade City, FL 33525
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 of the
Lienor's Notice as provided in Section 713.13 (1 )(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:
,;:::1)/1 /l 1
t..'4~~k:'-l~ C.. ~et,,?t.--:?~ f
Signa!ure of Owner~ /
I/..J. / \, .I
..h,;J' .,,1
Signature of Ow "
N/A
N/A
Signature of Owner
Signature of Owner
STATE OF -I-N.D/r:lNA-
COUNTY OF t2..f h/'YL/
'. The foregoing instrument was ~cknowledged before me this .;(c,;< dLy" ...~ /)-~ .,;(003
'bYjt?ol.-~/-INO c::-' JO/-l,AiSc.w f i2.c).f€ /lJ Jo#/V'.sc:..w who are personally own
tq'~ oi whQ have produced I /\/. .2J12-IOE,e_~ ,<:.,/CI::/I/.JE as identification.
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APPLICATI()}.' FOR PERMIT
CI~ OF ZCPRYRRILLS
BUILDING ))EPARTMEHT
DATE RECEIVED S -7-0 "3
PLANS REVIEW FEE cc
OWNER'S NAME Rolland E. Johnson
.~ q ~n,.s~o3n
J"c511nson PHONE ( 352)567-6581
JOB ADDRESS Lot 12 and the W. 16' of
riftwood Subdivision
LEGAL DESCRIPTION: LOT (S) 12 & W 16 I 13 BLOCK
00000 SUBDIVISION Driftwood Phase IVB
PARCEL ID # 02-26-21-0270-00000-0120
(OBTAIN FROM PROPERTY TAX NOTTCEl
WORK PROPSED: KJNEW CONSTRUCTION
o SIGN
PROPOSED USE: ~SGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
o ALTERATI ON
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Construct new single family home
BUILDING SIZE
SQUARE FOOTAGE
1903 sq.ft.
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.
OCI BUILDING
IKI ELECTRICAL
IX) PLUMBING
IX! MECHANI CAL
$
VALUATION OF TOTAL CONSTRUCTION
41 ~,55
v ______ /
~ j"'~
. ~....-",.....--...//
')
PERMITS REQUESTED
. ""-,~.-~
AMP SERVICE 0
$
VALUATION OF MECHANCIAL
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: Q9 BLOCK
IX! FRAME
o STEEL 0 lJTHER
/
IS PROJECT nylFLooD ZONE AREAD YES
(]I NO
FINISHED FLOOR ELEVATIONS
BUILDER COMPANY General
~ STATE CERT OR REGIST #
SIGNATURE O'~ I< ~~. CITY PROCESSING 67
********************************************~
ELECTRIC COMPANY Mart; n F.l e~t.r; ('"
STATE CERT OR REGIST # EC13001383
CITY PROCESSING # 97
*******************************************************
PLUMBER
COMPANY Rusty's Plumbing
STATE CERT OR REGIST # CFC056789
CITY PROCESSING # 1546
SIGNATURE
SIGNATURE
*****************************************
L ~ COMPANY ~nllt:hprn ~nm-Fnrt. F.nterpr; Res
STATE CERT OR REGIST # RM0015022
l.- '~ CITY PROCESSING # 53
HJ!:CHANICAL
*****************************************************************
O~R Roofing COMPANY General Home Development Corp.
~ ./ L:ln STATE CERT OR REGIST # CGC005695
SIGNATURE V~l 1"- l" l::.lXk.L.u~ CITY PROCESSING # 267
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peu.ait 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 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 ":AOTIOE OF COMM~CEMENT,".
~J\ k ~J
SIGN~. : OWNER OR AGENT
~K~
SIGNAT : CONTRACTQR
STATE OF FLORIDP. P ~ c.. '
COUNTY OF l1- 0
The foregoing instrument was acknowledged
Before me this ~ day of vnllj , 1:-e~J
by .~ ClmtT ~ \...,,1<. "'"' c..ll
(name of person acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA B
COUNTY OF (L.s c. D
The foregoing ins~ument was acknowledged
Before me this ~day of ~) , ~~3
, by 1\ a-wtoLl \.'3 lA-L \(. tu-P \ \
(name of person acknowledged)
~o is personally known to me, or
o who
o who has produced
(type of identification)
an~ho ~did ~id not take an oath
~ q(t(}fJ'
Signature of ~_eldgment
Name typed, E!!!l . ,....
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
s ;~~ ~ DATE ;;;;. I
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
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It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 F~ECTION
INSPECTOR ~
Cl'tV OF.
ZEPHVRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE PERMIT"" I
J~ 2,,33 ~1~. J 'Z .AlvllJ 2Jo...r
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
WIll be accepted.
c~1 (~ u7~-
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the wor1< with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation,
OFFICE HOURS 7:30 AM - 5 PM MON,-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 ~CTION
INSPECTOR
C,TY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DATi PERMIT""
31J23 U ~\ \)r. 106'103 ~1)S
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
,
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
7BO-~ RE-INSPECTION
INSPECTOR ~ ~
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE/ PERMIT ".
) i 11. ~ f Lt <.-fA \ /' t 0 2/0 J 2
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
, will be accepted,
As 'PI/r (o.~r~(~. 0,-'\ O~ ~/t~/oJ
;-{;} l~lYk:;J ::;);::~ '~;4" ~~J Job~~(~
*- (~fl\~e~ ;,,) ~\\G..\-:o"" (9+ '7' (f\S 5' t:Jer
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.
OFFICE HOURS 7;30 AM - 5 PM MON,-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0~RE-INSPECTION
INSPECTOR /- ~
CITY OF-
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
I ADDRESS DATE PERMIT + I
3~ ~ cl6 ~~~~ 9-22.- G ~ ~/QS-
THIS JOB HAS NOT BEEN COMPLETED, T~e following additiqns or corrections shall be made before the job
will be accepted,
*"J).AJ .n~ <lY' <~ ".1~CM'1''''O ~.e.
*f~ ~~k~)cJ:t5v..."ci~~t
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t-Q..k Cl, 1fu J.k&~ c..*~ ~1A1~
~"YloQl'l ~ otJ Q~~~~ fer ~h ~~
~~trno~i~h ~1!ui4 ~trfl-<j
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,
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECT~ / W".a=
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PASCO COUNTY, FLORIDA
Permit No. c!L 1.0- S-
Date Permitted ~'-17 - 0 ~
Builder ~"~JneJbwner Name c;;: II. V . Control #
'---....-.
County Parcel No. !2~t, -.21- 02. '70- OiJO 0<;' - CJ -f! cJ SubDlv: ~i.daLL
Address/Location ...s f?2;;2S ,,!-<<<'7~ ~ .
ClassiflcalionlType of Use ~rL \ :J-dAnj ( lJ...,w/.&f:f
TRANSPORTATION IMPACT FEE Rate: Sq ~Unit:
..\,1
Exempt 0 Yes 0 No How Determined
- a 1:3 /I'
Impact Fee Amount $ 0 r~ 7. zf'~ Zone No.
~ -11-#3
SCHOOL IMPACT FEE
Account (056) Single-Family Detached HOl/se Amount
(057) Mobile Home
(058) Other Residential
~23) Collection Fee
Exempt ~ Yes 0 No How Det~rmlned
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
TAZ:
$
-------------
-------.-
Recreation Account
Recreation Credit Recreation Total
Zone
TOTAL AMOUNT $
Exempt fJ Yes 0 No
LIBRARY FEE
Land Account
How Determined
Land Credit
Land Total
Facility Account _____ Facility Credit ____._ Facility Total
-----------.-
Exempt 0 Yes 0 No
How Determined
Total Amount
RESOURCE FEE
TOTAL. AMOUNT
ERU
Prepared By
. Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same,
-_._----+-
DATE
f~ECEIVED BY
RECEIPT NO,
DATE
BY