HomeMy WebLinkAbout03-2272
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2272
Permit Number: 2272 Issued: 8/04/2003
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 5,000.00 Total Fees: 127.50
Amount Paid: 127.50 Date Paid: 8/04/2003
Address: 39903 COG HILL LP
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: MAJESTIC OAKS
Parcel Number:
SUN STATE ALUMN.
5942 17TH ST
ZEPHYRHILLS,FL. 33542 :
Phone: (813)788-7308 Lic: ! Phone:
Work Desc: ROOM ADDITION,CARPORT,AND SHED ON EXISTING SLAB
MILLS EILEEN
39903 COG HILL LP
ZEPHYRHILLS, FL. 33542
1 R B DU T T E
I CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
PRE-METER WATER I FINAL MECHANICAL
MISC SEWER MISC
MISC MISC. MISC.
MISC. MISC. I MISC.
DRIVEWAY MISC. MISC. I FIRE DEPT. FINAL
. I ___.___.
--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."
I
f------------ --
NO OCCUPANCY BEFORE C.O.
---~ ..... ~~--
TORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Py,tJMBER
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(~or,l PAN Y .------- ------------------------.____nn _____
STATE CERT OR REGlST #-----------
CI'fY PROCESSING # -----------. ----.--.
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COlvJPANY___________________ _
SIC~NA1'tJRE srrA'rE (~ER'r OR RElGI8/r # -----~----.-.-.-..~. ..-._.,--....~
~-----__.______~~______....__.._.__ C11'Y PROCESSING # --.---.---~--.----~- ---~-----
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OTlIBlR
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(~Ot,1PANY
STA1'EJ CElRT-OR RECHST -tr------- - . -----
CITY PROCESS ING # __H___ -- -.___..__
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"
CONDl'l'IONS OF PERMIT AFFIDAVIT
A. NUrICE OF DEED RES'l'RIC'rroNS
The undersigned understands th~t this permit may be subject to "deed restrictionsU whicll
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. U1nlcENSED (~ONTRACTORS AND CONTRACTOR RESPONSIBII.I'l'IES
If the <mner has hired a contractor or contractors to undertake work, they n\ay be required
to be licensed in accordance with state and local regulations. If tile contractor is not
licensed as required by law, both the ovmer and contractor may be cited for a Illiademeanor
violation under state lay/. If the ownet. or intended contractor are uncerlain as lo Vlhat
licensing requirement::i may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-768-6611,
Furthermor-e, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsH of this application for wllich they
will be responsible. If you, as the owner signs as the contractor, yay are indicating that
you, l-ather than the contractor, are responsible for the work. If the contractol. Hishes
you to sign al:l cOlltractor that may be an indication that he 1s not properly licensed and is
not entitled to permitting privileges in the City of Zephydl111s,
c. 'l'RANSPORTA'rION IMPAC'l' Ii'EES AND U'l'ILI'I'Y CONNEC'rrON Ii'EES
D. CONS'l'RIIC'l'UION IJIEN LM~ (CHAP'l'ER '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 GuideU prepared by the Florida Department of Agriculture
and Consumer Affail.'s. If the appli.cant is someone other that the "ownerH, I cerify that I
Ilave obtained a copy of the above described document and promise in good faith to deliver
it to the "ownerH prior to commencement.
E. cmnRAc'roR' a/OWNER'S AFFIDAVI'l'
I certify that all the information in this application is accurate and tllat all work will
be done in compliance with all applicable laws regulating constt-uction, zoning, and land
development.
Applioation is hereby made to obtain a permit to do work and installation as indicated, I
ce~tify that no "lUrk or installation has conunenced prior to i,ssuanoe of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, ~oning regulations, and land development regulations in the jllrisdiction. 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 IlILlSt take to
be in oompliance, Suoh agencies inolude but are not limited tOI *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/WasteHater 'rreatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawall::i, Docks, Navigable Waterways
*Department: of Health Ii< Rehabilitative Services, Environmental Health Unit-Wells,
Wal:ltewater 'rreatment, Septic 'I'anks
*U. S, Envir-onrnental I?rotection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~Au or "A,etc,n, it is
understood that a drainage plan address1ng a "compensating volume" 'will be sublni tted "/hieh
is prepared by a professional engineer registered in the State of Florida prior to pennit
j::isuance.
A permit issued shall be oonstrued to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set as1de any provisions' of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors ill plans, construction, or violations of any code, Every permit
iSf.iUed ahall become invalid unless th@ Hork authorized by such permit is oOllullenced within
six months of issuance, or if work authorized by the permit is suspended or ahandol1ed for a
period of six months after the tilne the work is conunenoed. One 9U day extension of time
may be allowed for the permit with fee charge of $15.00. The extension ::ihall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project Hill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE '1'0 RECORD A No'rICE OF COMMENCEMEN'I' MAY RESULT IN YOUR
PAYING TWICE li'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN'1'END TO oB'rAIN b'IN'AN(:;ING, ~qNl?UI:I'
WITH YOUR LENDER OR AN A'l"fORNEY BEFORE RECORDING YOUR NOTICE OF COMIvlENCEMEN'l'. ,JOBS UNDER
$2,500 IN VALUE: DO NOT NEED '1'0 RECORD AND POS'l' A "NO'l'ICE OF COMMENCft;Mfi~,,!'::'''.
~Lf~_~. ~
SIGNA'l'URE: OWNER OR AGENT SIGNA'I'URE: CON'l'RAC'l'OR
~~~~~Y O~F FLORIDA Rs~________
The forego.ing instrument HaS acknowledged
Before f.:i. this ~ay of. Ut.t--('1 t kB ~~o'3
b y _-.l:~-.Ct2C('oe.1 A- _.___
1-r1./ (name of person ackrwwledged)
L~o is personally known to mEl, or
S'fA'l'E OF FLORI DA --;-)
COUNTY OF .t:"tlsCi)
'l'he foregoing instrument was acknoHledged
Before lne this .O?..J.:~t:day of 1..~0 _, _~3
by __B ~- t:C..- Mill~
(name of person acknoHledged)
Dwho is personally known to me, or
~o has produced)). L..
(type of identification)
Ercfld not take an oath.
o Hho has produced____._____.__
(type of idellti fiaati.on)
<lid Bl1d no~o.th_._
Sign ure<:'tJ:~:::~ing aoknowledgmt=nt
,"""" Suzanne Bahr
,'~...~V.~lJ.&6i." C .. #DD152131
Name t YP~~.~)}lf;t'~~~d\r4~n~ ------------..---
"';;'; OFf~o~~'" BondedThru
",,,,,,, AtlantiC Bonding Co., Inc.
person taking acknowledgement
"'''''' Suzanne Bahr
","'t1-~.~lJ.&"" . . n HUD 1 57131
________.___.___.___.__-:_--'~-'--c,~ _ CommlulO -T)6'-'--
Name typed, pnl~~~~~~'Etx~iNS~Nov 15,20
~'~'" _' 'c,;f,,:O Bondcd,Thru
',~,~~,f;",' Atlantic Bonding Co" Inc.
County of -R .s c..o
1111I1111111111111111111111111111111I1111111111111111111111I
2003141447
NOTICE OF COlVIMENC~MENT
State of -8 Dri da...
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real properly,
and in accordance with Chapter 71], Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. ~~- ~G,- ~I- 0030- OOOCKJ-
~L0 O~ -
(Legal description of the property and street address if available)
2. General Description of Illlprovcll1cnt R/"XYY"l A-dt::lL'h DV\...) Ch.r pOI ~
Shed
3. Owner Information: Name S~~.. Mill ~
Address3'1tl03 ~ H-il( Loop_City~stateE\. g3S-~o
Interest in Property: Rcpt: 703377 Rec: 6,00
DS: 0,00 IT: 0.00
Name of Fee Simple Titleholder: 08/04/03 -- Dpty Clerk
(If other than owner)
City
A'lu..VY\.ll'1 l( ~
State
Address
R. Contractor: Name SiNn
Address
State
JED PITTMAN~ PASCO COUNTY CLERK
08/04/03 0::7: 06am 1 of 1
OR BK 5474 PG 349
City
5. Surety: Name
Address
City
V U.ll\,.,
Amount of Bond: $
6. Lender: Name
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 Sect ion 71].13 (1) (a) (7), Florida Statutes:
Name
Address
City
State
8, In addition to himself, Owner designates
, I
of to receive a copy of the Lienor's Notice as
provided in Section7I3.l3 (l) (b), Florida Statutes.
9. Expiration date of Notice of Comn1encemcnt (the expiration date is I year from thc date
or reclmling unless a dirrercnt date is speciried.)
Signature of Owner:
) . /
, I,',
,I J
/~ I ,." i.
", -' -- (-- ,
,20~.
Notary Public:
PC93053048/A
"~YP~'" ;iU-ZalIDC Dabr
/!~~~;:~ Com~is~ion #DD157131
:.~, ~."..= ExpIres. Nov 15,2006
....',,~fi: OF F\.O~...-=-- Bonded Thru
''',,' \' Atlantic Bonding Co" Inc,
-
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