HomeMy WebLinkAbout03-2186
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2186
Permit Number: 2186
Permit Type: ADDITION/AL TERA TION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 39512 KENNEDY AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0280-00000-0410
E
MECHANICAL FEE
54.70
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 MISC. MISC. MISC.
DRIVEWAY 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 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."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
-Y!Jt. {Q 'A t~~~
. ~ ~(/)Y. r-- f:h c^-
ONTRACTOR SIG~URE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
1.
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2186
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2186
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
NOT APPLICABLE
Address: 39512 KENNEDY AVE
ZEPHYRHILLS. FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0280-00000-0410
47,150.00
6/27/2003
609.03
Name: LOPEZ ARIEL
I Address: 39512 KENNEDY AVE
I ZEPHYRHILLS, FL. 33542
I Phone:
ADDITION OF 2 BEDROOM 2 BATH I FAMILY ROOM AND SHED
PRE-SLAB i CONSTRUCTION POLE I 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL . PRE-METER I WATER FINAL MECHANICAL
FRAME : MISC I SEWER MISC
INSULATION WALL i MISC I MISC. MISC.
INSULATION CEILING i MISC. : MISC. MISC.
DRIVEWAY i 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."
--- . Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordanc~~th City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~
NATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPAR1~NT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED 6-lg-Q 3
PLANS REVIEW FE~
AlZ-t El
Lap E 'Z..
L::1U '::>TC\. va.
PHONE B\~- BIC)"=\-S43
OWNER'S NAME
,JOB ADDRESS 3~ ':::>'\ 2-
iLenne.d l..\
AveY\ve-
'~lA\r~\\\'i--
~l
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3~S4z..
LEGAL DESCRIPTION: LOT(S)
CP~~'~'~U ~ D'L~ I fl.- ~ C, - 2/- CJ:<' <;( [) ~ CJ I} 000 .- D ~ /0
\I}ORK PROPS8D: 0 NEW CONSTRUCTION
OSIGN
PROPOSED USE: ~L FAMILY [JWF,LLING
DCOMMERCIM.J
BLOCK
SUBDIVISION
(OBTAIN FROM PROPE;B.1'.YJAXJiOTICE\
[}1""AD D IT 10 N OALTERATION o REPAIR o INSTALL
o t10VE 0 DEt1OJ.JISH
Ot1ULT I - F'At1IL Y Ojl OF UNITS o t10BILE Hm1E
o HJDUSTRIAL o SIHMt1ING POOL o OTHER
o RESTAURANT & HEALTH DEPARH1ENT APPROVAL
DESCRIPTION OF WORK
A~\.iIO~
O~ 2. 1?1::.0tJ;:oM --z..
BUILDING SIZE
SQUARE FOOTAGE
~\-\ - -\=-n w\\ \u \2ocYv\.\:) "" \\o.t \\-ED f>\tED
\
~ Be HEIGHT is pt.
RESIDENTIAL:
COMt1ERC lAL:
l\TTA.CH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l) SET E~lERGY FORtvlS,
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
6>( yerL+( ~ 1-,
~WING
~~;'l'RICl\L
/
~JUMING
~ ~.:2,< 000
VALUATION OF TOTAL CONSTRUCTION
PERMITS REQUESTED
AMP SERVICE
o FLORIDA POWER
o
W.R.E,C,
$
VALUATION OF MECHANCIAL INSTALLATION
o Gl\S
o ROOF'HJG
o SFECIALTY
o OTHER
'l'YFE OF' CONSTRUCTION: [if BLOCK
o FRAt.1E
o STEEL
o OTIIER
nNISII8D FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
SIGNl\TURE
..-\C?-IEL L()P~2_
B
OMPANY OWr'lVy
STATE CERT OR REGIST #
CITY PROCESSING #
BUILDER
* * * * * * ~ * * * * * * * *,
****+~****~**********~*********+******
SlGNl\TURE
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COtvlPANY
STATE CER'l' OR REGIST #
CITY PROCESSING I
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ELECTRICI1\N
***k*******************************************~****~******~***~**
PLUMBER
~ COMPANY
l STATE CERT OR REGIST #
I~ CITY PROCESSING #
*~* ***** ********************~*****************************~*
II
SIGNATfJRF;
MECHANICAL
SIGNl\TURE
Cm~PANY
STATE CERT OR REGIST I
CITY PROCESSING I
n
* ******************************~********~*~********
OTHER
cmJIPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGt1ATfJRE:
**************.**~***********+*****************~****~******'*******
CO;~D"lT!ONS OF PERIYJIT AFFIDA'JIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that th:Ls pi:::rmit Iflay be .sub:iect to "deed restrictions" which
m~y be more restrictive tllan City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions,
B. UNLICENSED c'ONTRACTORS AND CON'l'HAC'l'OR RESPONSIBII,ITIE:S
If the owner has hired a contractor or contractors to \lndertake work, they may be required
to be licensed in accordance ~.jith state and loc~l regulations. If the contracLol: is not
licensed as required by law, both the o~mer and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertairl 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 Zcphyrhills.
C. 'rRANSPOR'rA'rrON JlI1PAC'l' FEES Al'lD U'rILI'I'Y CONNECTION FEES
D. CONSTRUCTUION LIEN LAvJ (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 Agri~llture
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 COIlunencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVI'f
I certify that all the information in this application is accurate and that all work will
be done in compliance ~.jith all applicable laws regulating constructioll, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no ~wr:k or installation has commenced prior to issuance of a permlt 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 jurisdlction. 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 'l'reatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Anny Corps of Engineers-Sea~falls, 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 Vlhich
i.:l 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 codel;l,
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
il;lsued shall become invalid unless the ~wrk authorized by such permit is commenced h'ithin
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 corrunenced. 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 duri.ng each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING TWICE FOR INPROVEMENTS 'I'O YOUR PROPERTY. IF YOU INTEND TO OB'l"AIN E'INANCING, CONSUI:I'
vHTH YOUR LENDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. cJOBS UNDER
$2,500 I:~Ug 0 NOT NEED '1'0 RECORD AND PO'"' A "NOL'.?.h2EN'I'N.
'~~~ t76J/JrK..
STATE OF FLORIDA I /~
COUNTY OF ~ ~,5~~
'rhe foregoing instr was . cknowle~ed""':2..
Before me - s f )O~
by / ' -
STATE OE' FL
COUNTY OF a- " e-v
The foregoing instrument was acknowledged
Before r~ thi?~~y of .~L ,2Q~~
by_ U"'?D__ ~ ___
(name of person a kn ledged)
o who is personal,ly knO\>ln to me, or C1ho
~hO has produced F V.L. 1.. 1:( 0 ~tJoo-lI'&'-- .f.f.J:1 who has
(type of identification)
.n~~;:(Jl~d.nG2:~~ and who
Signature of person taking acknowledgement
........., Bobbie Swetland
!~~~l Ml( (,O~~bAl~~ION # ((893160 EXPIRES
Name t"<, : E pnntFel:tucm:22s]{l~1.wl~
~..;,.,....l-- BONDED lHRU lROY FAIN IN~~
"'F",qfH~'\\
me, or
Name
"''''''" Bo .
'1:' , bble SwellaAd
t yp:~6": .M':a~S!Ql 'tt8tIGil~RES
~"~ February 22. 2004
~~p.r.:r..~' BONDED 'THRU TROY FAIN INSURANCf. INC.
NOTICE OF COMMENCEMENT
S t f --=-~""'-"'~_\D~
. ta eo- '--"
County of YASC 0
THE UNDERSIGNED hereby gives notice that improvement 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:
1. Description of Property: Parcel No. \'2 .'ZG --'2-1 - OZ?Cy cCXXX:':; .. .::..4\0.
(Legal description of the property and street address if available)
2. General Description of Improvement ~M\ ~\a~"'\ "2- Bed, roo---"'s, 2- BcY\-\'\"C'C...l:~
~c\ do e \\o.c \.'-l2 ci S\'\. ed .
11111111111111I1111111111111111I1111111111111111111111111111
2003116869
R Owner Information: Name l\i2-i l:: L
t. ~
Address 3Ci "'::> i 2- 'i t"flY'\< d l.I\ A- v-
\
LO,? e-z... -
City Zee \,.,,("),,\ ,\ \ ~
State t=- i.... 3~51(~
Interest in Property: DvJ "e "(~.
Name of Fee Simple Titleholder:
(If other than owner)
Address
Rcpt: 693231 Rec: 6.00
os: 0.00 IT: 0.00
06/27/03 ____ ______ Dpt.y Clerk
City
State
City
State
City
State
JEO PITTMAN~ PASCO COUNTY CLERK
06/27 /03 0~ : 5iPm 1 of 1
OR BK 541~ PG 1848
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), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of. '. . to receive a copy of the Lienor's Notice as
provIded In SectIOn 713.13 (1) (b), Flonda Statutes.
9.
Expiratio.n date of Noti.ce of Commencement (the expiration date is 1 year from the date
of recordl11g unless a drfferent date is specified.)
~~::#.~~~~ TESSA D. JUDD
tf \'I:.a:\~ MY COMMISSION # cc e28594
~.~~~ EXPIRES: August 20,2003
~,9f.,~"'" Bonded Thru Notary Public Underwriters
/. J /)
Signature of Owner: z{?.' .,
~ 4: '
Sworn to and subscribed b~fO:~ ~e this . ~'7, day of L ~..l
Notary Public: Ct{Jocl?L }\0, -piJd.~
My Commission Expires:
PC93053048/A
, 2003-..
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I. /lr1e / h~eL---
agree'to the provisions 'Elf this instrument.
have read and fully understand and
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent. lease or sale. That he or she shall comply with the following conditions:
1.
That the owner and he or she alone shall act as the builder for all phases of
construction.
That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
That in the)event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
That in the event the Building Inspector shall require corrections to be made.
the owner will assume full responsibility to insure they are made. and upon
completion will call for a reinspection before proceeding with the building.
That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
That the owner shall comply with all City, State and Federal laws in regard to
social security. workman's compensation, lien laws, etc., where applicable.
That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you. as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding, You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you. which means that you must deduct F,I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regulat~~~ .
V
2.
3.
4.
5.
6.
7.
8.
9.
OWNER'S
ADDRESS
PHONE
0~/P3
WITNESS
PERMIT #