HomeMy WebLinkAbout03-2361
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2361
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:
2361
ADDITION/ALTERATION
ALUMINUM PACKAGE
MOBILE HOME PARK
Address: 3530 BERYL LN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
12,400.00
9/15/2003
142.50
142.50
9/15/2003
ROOM ADDITION AND CARPORT
Name: ARCHER TED
Address: 3530 BERYL LN
ZEPHYRHILLS, FL. 33542
Phone:
F[~J
(OI30{O) lfJu
r<. U1 d
,
FR U 1 DU
PRE-SLAB i CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL /' 'I' PRE-METER WATER FINAL MECHANICAL
FRAME L/ If) (fi' I 0 .~ lief I> MISC SEWER MISC
INSULATION WAlL - ! MISC MISC. MISC.
INSULATION CEILING _I ~ISC. I MISC, MISC.
DRIVEWAY. ~SC. ! MISC. ,FIRE DEPT. FI~~~___
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 p~ym~nt of inspection fees shall be mad~J:>efore any further. permits will be issued to the person c?!ynin9.. same~_
I "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
I' improve.ments... to your property. If y. ou intend to obtain financing, con. suit with your le.nder or. an.a..tto.m. ey
_I!~,fore ,~ecording y~ur notice of commencel11ent~=--__._,_ '__
Complete Plans, Specifications and Fee Must Accompany Application, -- U__ ----
I All work shall be performed in accordance with City Codes and Ordinances
In-----------------~--I~io OCCUPANCY BEFORE C.O~--------- ---,---~-
I-"--'..-y-.----..'.'--..----.---... . . .--..-----~.---...
I.~.. ~
'-. ..~~()R~RE-- PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
J ~s OU4-L(l, ALuW\ ,
3.5'?o B fJl'i L.
Gu6s ~~ tf (!;yLro~
SQ. E.
PRICE
Nlaln
Other Area
Unoer Roof
;1 :tiuarion:
."-.:>~
/,L /-fO\J
Building:
1<+2,5U
Eiecrric:
P!umomg:
IviechnnIc:tl:
lUrion:
Sciwoi Imoacr
?ees:
/
C.>nnecncn
?ees:
Tr.ms. JJnpact
~ees:
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED f- /0- ;;> ~
PLANS REVIEW FEE
PASCO PERMIT SERVICE
813-788-5314
OWNER'S NAME Theodore.. A f'c..her
JOB ADDRESS 3530 Beryl LIl.
LEGAL DESCRI PT ION: LOT (S) 7 t...e
PHONE
SUBDIVISION E me,..al.d 'Poil'1t
BLOCK
PARCEL 10 # ~t.f - ~Co- c?tl- OO~D-rxt:XXJ- 07(00
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: DNEW CONSTRUCTION
~ADDITION
DALTERATION
o REPAIR
o INSTALL
PROPOSED
~
*,1}- 'ij
DSIGN
USE: ~GL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o ~lOBILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Dam A
L(V/~.' q X ,;;,S-
BUILDING SIZE '1)( IU-(!tflrpl7rT
SQUARE FOOTAGE
EIGHT .see.. ,o/aK..&
v
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
~ BUILDING
o ELECTRICAL
$ / d, LlM. 00
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER ~ COMPANY Jere.7r 's O~/*t P/t<.minuwv
.~ t1 STATE CERT OR RE 1ST #
SIGNATUP ~ ~ CITY PROCESSING #
** ****************************************************~**********
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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
*********************************************************~*******
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit 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, 813-780-0020.
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 indica~ion 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 Service~, 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 sjx
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".
. /.._~ ~~ 0~ '&L-
SI~~NER OR AGENT '- SIGNATUREL.-J!ONTRACTOR
STATE OF FLORIDA 0
COUNTY OF r a. SoCO
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
p Cl.~ LO
acknm.il.edged
, 20
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[Lho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid OEd not take an oath
Dwho has produced
(type
and whoD did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
EMERALD POINT RV RESORT
LOT: 76
PARCEL 10#: 24-26-21-0020-00000-0760
PROPOSED
ROOM
ADDITION
9' x 25'
EXISTING
PARK
MODEL
12 X 36'
PROPOSED
CARPORT
9' x 16'
3530 BERYL LANE
5.00' -
66'
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1)
NOTICE OF COHHENCEHENT
County of Pa.5l..D
state of Llori tia
TUB lrnOERSIGNBD hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida statutes, the
(ollowing inforr.1ation is provided in this Notice of Commcncp.mcnt:
1.
Description of Property: rarcel No.
...Em
(Lega
AdA i .h"Dh.. CLr1A
2.
General Description
J.
O\mer Information: Name -rl1eodore.. Arc...\"er
Ilddre:.;s ,~530 Beryl L.n. City Zeph'f rh; II~
State Fl. 3'35t{ I
Interest in Property:
lIame of fee Simple Titleholder:
(If other th!n owner)
Stilte
1\ddress
city
~~
" .J '(:;r;'::~.
Contractor: Name~eremJ'~ QIAO-Lily Al !A.l'V\.i"IA""'-'
l\t1dress 'PO. BOx. q(~ city r rljstCLl Sp('l't"\tJ'7 State
Surety: Name
t\ .
Fl. 335~+
5.
state
I\ddress
City
I\mount of Bond: S
6.
Lentler: lIame
state
I\dtlress
City
designated by Owner upon whom
served as provided by section
7.
Persons within the state of Florida
notices or other documents may be
713.13(1)(a)(7), Florida statutes:
tJnme
1\ddress
City
Stilte
8. In addition to him!lclf, Owner designates
. I
of to receive a copy of the
Lienor's lIot1ce as provided 1n Sect10n 713.13(1) (b), Florida statutes.
IJ, rxplrnl 1.,n dnl" ol !lulice of Commencemenl (the explcatiun date is 1 year
fr:>m the date uf recocding unless a different date is specified.)
~. ~.
Signato" of owo"f<-::7:fL-6' ,
Sworn to and subscribed before me
20~' ~7
NotolrY,"f~.~lic: ',. .
.'\'
~ty C :>~';~.i ss ton ExpJ.res:
,1 .
/~ /) ')
I \... (~"-- /I--{ i 1...1t ---
this q~ay of S r-t~
,'~":Wu'" Suzanne Baht
:::~,."'" . ',_ " D157131
~i-,~';~ Expires: Nav 15,2006
--",;J"i OF f.~o~", ~ondeC1. I nnl
"'"'' \' AtlantIC Bondmg Co" lnc,
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