HomeMy WebLinkAbout03-2171
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2171
. Permit Number: 2171 Issued: 6/23/2003 1
I
Permit Type: NEW SINGLE FAMILY DWELLING!
Class of Work: 101-NEW CONST/SFR !
Proposed Use: SINGLE FAMILY RESIDENTIAL '.
Sq. Feet: Est. Value: I'
Cost: 77,525.00 Total Fees: 3,517.10
Amount Paid: 3,517.10 Date Paid: 6/23/2003
Address: 6344 BIRMINGHAM AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: SILVER OAKS VILLAGE
Parcel Number: 03-26~21-0200-00000-049
Name: OLD MEDALLION HOMES,INC.
Addr: 19909 US HWY 41 N.
LUTZ,FL. 33549
Phone: (813)788-6257 Lic:
Work Desc: SINGLE FAMILY DWELLING
OLD MEDALLION HOMES
6344 BIRMINGHAM AVE
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
RADON
IRRIGATION METER
1,
175.00 MECHANICAL FEE
180.00 i BUILDING FEE
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PRE-SLAB o/-pp )P5 /I..rll/ }L~ I CONSTRUCTION POLE 2ND ROUGHYLUMB . DUCTS INSULATED
LINTEL /' I ' PRE-METER/.a~/O -()~ ~LLfji} WATER v.l.2. - //-.c 3 lIrJ""o .1' FINAL MECHANICAL
FRAME~ /1J/1~..Lf) ~ f5.L1..- 'MISC . SEWER'/ MISC
INSULATION WALL~OI /fJ/eJRt-; . MISC I MISC. ! MISC.
INSULATION CEILING MISC. I MISC. I MISC.
DRIVEWAY t/ 11- 26 -p 3 RlLf MISC. ! M~SC. ~RE DEPT. FINAL
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dolla~35.00) sh)JU ~ .made for each bip for each trade:
~'J/;i1lo;;J~:3t
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or c~e i made Wh. en
inspection called (d) Work not ready for inspection when called '! 0 ~
I (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible 111
i The payment of inspection fees shall be made before any further permits will be issued to the perso ol~ihg same _
"'warning to owner: Your failure to record a notice of commencement may result in you 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.
\/-. /J/~p~- ~~
1----"----CONTRACTORS SIGNATURE -- PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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APPLICATION FOR PEBMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
f) J71l l./ /'-'.- 77J j.o./
DATE RECEIVED ..j ---- /3 ~o~
PLANS REVIEW FEE
JOB ADDRESS
v.O L lJ
at yet
..
OWNER'S NAME
LEGAL DESCRIPTION: LOT (S) i 1
BLOCK
SUBDIVISION S/t...Vv:tl Ci/n2) 1I/((l1v;:-' p)o/'jJ[; 0,..(
PARCEL ID # 0 1- ).. G - 2 I - 0 ') eft). () () c> 0 () - /?) If if
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~EW CONSTRUCTION o ADDITION o ALTERATI ON o REPAIR o INS'rALL
o SIGN o MOVE 0 DEMOLISH
PROPOSED USE: ~L FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME
o COMMERCIAI~ o INDUSTRIAL o SWIMMING POOL o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
JJ €....J&L / A/ t- I... ~
.
~ fflV7 1'- ~
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. ~
PERMITS REQUESTED
~BUILDING
~LECTRICAL
BPLUMBING
B'MECHANICAL
$
VALUATION OF TOTAL CONSTRUCTION
-2.6-0
AMP SERVICE
~FLORIDA POWER
o
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
~FRAME
o STEEL
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
~
SIGNATURE
COMPANY v- 0<- /? /11 E. ;?J /7c../L / cJ~
STATE CERT OR REGIST #
cn~Y PROCESSING # /0 '1
17 .:> /W 6J
BUILDER
SIGNATURE
* ****************************************************************
COMPANY ti~bf C(4~5 81:'((:,:,-
STATE CERT OR REGIST # C::C---CO02.:5->o
CITY PROCESSING #
SIGNATURE
***************************~***************Y:**
COMPANY~ ,,) If yneJ 6 f/,IJlI b; 'I fJ
STATE CERT OR REGIS'r, # ~~O()6~'I6J
CITY PROCESSING #
PLUMBER
SIGNATURE
************~***~******** . ***,*******,
L1 C~PAAY ,
'/ ST1\.TE CERT OR REGIS'l'
c4uo ~ CITY PROCESSING # b II
*****'***********************************************************
MECHANICAL
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsff 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 Sectionsff 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 Guideff prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerff, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "ownerff 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, Enviromnental 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 "Aff or "A,etc.ff, 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 perrtit 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 COMMENCEMENTff.
'-'vnU.J..L.J.Vlh.> VI: rc,t\lVLlT l\r.r.l.UAVl.'l'
SIGNATURE: CONTRACTOR
STATE F FLORIDA p()SOO
COUNTY OF
The foregoing instrument was acknowledged
BefO~;t this~ day of lY\()1 · , V'~03
by CoG SmiM '
(name of person acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing inst.r.ument was
Before me this _____day of
by
acknowledged
19
(name of person acknowledged)
C1ho is personally known to me, or
Owho has produced
(type of identification)
an~ whoO did ElCiid not take an oath.
/0(f}JrIo. m. JJond
Signature of p.~J;.:;:on takirw,~il~~ledgement
lip..r.'.ri'$;;'o. i. ..- ..A",. . . ..7~ EXPIRES
o who has produced
(type of identification)
and who Odid DUd not take an oath
Signature of person taking acknowledgment
Name typed, p
..'.ct o:r""!'l"t\~:tt~g~
. .
Name typed, printed or stamped
.CIT_Y OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
PERMIT .,.
G.~ Avt. J 1,1
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
>
G~~(J( tJ...ll S"U~:.'\ S ~/\rJ. F:lC \.v ~e r~ 1\ a; , S "",:Sse,/.
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-o~ RE-IN~ON
INSPECTOR .. ~
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.
CITY OF
ZtEPH"fRHILLS
"NOTICE" BUILDING
DEPARTMENT
ADD.ITION OR CORRECTION
DO NOT REMOVE
1\ /J PERMIT.,.
f1Y~ l:) OJ lit
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections sholl be mode before the job
will be accepted.
,
....:- ~ i eed.~c.t~ '
ev.J ~+,~(' -Car LA/l/~.c-r
,t- ,-;..~ c, $' 't- 5" ~~' f.A (!Ji.ft- ; A ",.:Jt! It O~
k'f,."ss. k"S - '7 1\0\ Lo/ft\eL-+eJ J.<, +,.ujj
~ L~' (Jk At t ~r^(!/ ~4 op~ ,'","~ 4" ,,1...01' .s
t'\u , I s Ac:\; ~ S ;/1. ~
k::S~ tt4o!'( ~ b~~rt'\.s ..h,
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ru~ S ~. SC,""'r-
1- (.; Proper 'I
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fo 5 k PI' ~[Jr1r ty
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-00~ RE-INSPE~
INSPECTOR -4 i-- 'f.p.
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.
Gold Medallion
6344 Birmingham
SQ. FEET PRICE
MAIN OR LIVING: 1,271 $ 50.00
OTHER AREA UNDER ROOF: 559 $ 25.00
OTHER: - $ -
VALUATION $ 77 ,525.00
FEE SHEET $ 392.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 648.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 648.00
ELECTRICAL: $ 114.60
PLUMBING: $ 99.50
MECHANICAL: $ 66.70
RADON: $ 18.30
TOTAL $ 947.10
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER:I $
IRRIGATION METER $
180~00 I
SUB-TOTAL $
3,162.10 I
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
];t6J
- I
T IF'S 'I $
99% $
1% $
TOTAL: $
4,856.1 0 ~
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SITE PLAN
SIL VER OAKS
GOLD MEDALLION HOMES
VILLAGE LOTS 48) 48A) 49
NOTE. ALL PLANS FILED IJITH CITY OF ZEPHYRHILLS AS MODELS.
33.13,
SB9'33'24'E
.
/
5.7115'
I'Pt<NIl
LOT 50
LOT 51
CURVE DATA
C71
CHORD BEARING = N68"38'59"E
RADIUS = 90.00
CHORD = 66.55
ARC = 68.17