HomeMy WebLinkAbout03-2390
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2390
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:
2390
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
NOT APPLICABLE
Address: 37400 DERBYSHIRE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: WEDGEWOOD MANOR
Parcel Number:
8,370.00
9/30/2003
150.65
150.65
9/30/2003
GLASS ROOM
Name: KONYHA LLOYD
Address: 37400 DERBYSHIRE DR
ZEPHYRHILLS, FL. 33542
Phone:
f(;J
I!- L'{ r
I ( -/2-- - bj liSt>
ALL D
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB I DUCTS INSULATED
LINTEL PRE-METER WATER . FINAL MECHANICAL
FRAMEvl"!:2I/P'- HJI> i MISC SEWER l MISC
INSULATION WALL . MISC MISC. I MISC.
INSULATION CEILING I MISC. MISC. MISC.
DRIVEWAY L MISC. MISC. I FIRE DEPT. FINAL
REINSPEC1l0N 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."
__H_______ Complete Plans, Specifications and Fee Must Accompany Application.
Allwork shall__be performed in accordance with City C~es and Ordil1~I'!.~__u_____
NO OCCUPANCY BEFORE C.O.
~ ~.
CTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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3INOH ~NI1SIX3
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED ~- :t9-03
PLANS REVIEW FEE
OWNER'S NAME Lloyd Kony ha...
JOB ADDRESS 374:00 Der~lre .Dr.
'P1\-6W ~RMI'
PHONE t -<gCofo- ~ ~ t.l-7~q c.f
SUBDIVISION ~ed~ewQ'~
(OBTAIN FROM PROPERTY TAX NOTICEl
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID # IO-.2(P- ..21-0/;tO -00000 - I D30
WORK PROPSED: ONEW CONSTRUCTION
OSIGN
~ ADDITION
o MOVE
OALTERATION
o REPAIR
o INSTALL
o DEMOLISH
PROPOSED USE: D(SGL FAMILY DWELLING
OCOMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOB ILE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
Glass Roo(Y"\
to)( l~
SQUARE FOOTAGE
UoO
HEIGHT 6ee.. pla",~
BUILDING SIZE
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.
AMP SERVICE
o FLORIDA POWER
PERMITS REQUESTED
gBUILDING
~LECTRICAL
$ <3370.00
VALUATION OF TOTAL CONSTRUCTION
o
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALL,Z\TION
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 AREAO YES
o NO
SIGNATURE
COMPANY k'.J": ~ AtlA.m;nlA_r'n
STATE CERT OR REGIST #
CITY PROCESSING #
)o~
BUILDER
ELECTRICIAN
SIGNATURE ~.h\\~~ -11
.
'k****************************************** n .-.~
COMPANY_~ee(.L /;\t'~I.~l rretl
STATE CERT OR REGIST # liCe \1CD\~~ 'l
CITY PROCESSING # 1"'11..1 c;
*******************************************************~~**********
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***************************~**************************k***********
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 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 COMMENCEMENT".
~u~
SIGNATURE: OW ER OR AGEN
~)~~
SIGNATURE: CO RACTOR
STATE OF FLORIDA ~I
COUNTY OF tJ..Sc..O
The foregoing instrument was acknowledged
Before me th~ -1'lLJ'!Y of rrr",""",r, 2Q.Q3
by R Dnal "T. l c:..k.~r
~ _ (name of person acknow edged)
~o is personally known to me, or
'F6-s CO
200'"?
~
...
(name of person ack wledged)
is personally known to me, or
Owho has produced
(type
o did not
Owho has produced
(type of identification)
O:iid not take an oath
of person taking acknowledgement
",""" Suzanne Bahr
,,~~"t Pl1&'1
Name typed, Pl;.~~~;;~;~~~:~~J~
--'~;';OFf\.O~'" ~ondedThru
,","", AtlantIC Bondmg Co., Inc.
Sig ature 0 person taking acknowledgment
","," Suzanne Bahr
~f?~~'!'~~~(,'-- Commission #DD 157131
Name tYPEi~:,~.:tBh~r~:rNQ,V~t/~P3
--,';,:..: . . . .0#'-- Bonded' ru
"'III~~\f~<\" Atlantic Bonding Co.. Inc.
R.J.'s Aluminum
37400 Derbyshire
SQ. FEET PRICE
MAIN OR LIVING: - $ 50.00
OTHER AREA UNDER ROOF: - $ 25.00
OTHER: - $ -
VALUATION $ 8,370.00
FEE SHEET $ 75.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 112.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 112.50
ELECTRICAL: $ 38.15
PLUMBING:
MECHANICAL:
RADON: $ -
TOTAL $ 150.65
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
WATER METERI $
IRRIGATION METER $
SUB-TOTAL $
150.65 I
SIPS:I $
97.5% $
2.5% $
- I
I
TIF'S:I$
99% $
1% $
TOTAL: $
150.65 I
~~~WJ~IJ~l~II 1111I111I1111111111I11111 11111/11111I1
NOTICE OF COMMENCEMENT
FLORID4
County of
P,4SCD
state of
TUE UNOERSIGNED he.reby gives notice that improvement will. be made to c~rtain
Eeal property, and in accordance with Chapter 713, Florida Statutes, the
follm,"ing inforf:1ation is provided in this Notice of Conunencctncnt:
1. Description of Property: Parcel No. IO-~(,-;; 1- 01 <<0 -00000- /030
WcO(;EIA/OO AAJot<. 'fIRSE I at- II
(Legal descrl.pt.lon of the property and street a
2 .
General Description of Improvement
GL It-s.s ROOM
Rcpl: 720111 Rec: 6.00
DS: 0.00 IT: 0.00
09/30/03 _______ Dpty Clerk
3 .
Owncr Information: Namc
Lloyd
K on y ha....
.
llddress 371/00 [)erbyshJ;'~ Dr. City Zerhyrh"/ls
State Fl. 335'1:2..
Interest in Property:
Name of Fee Simple 'l'i tleholder:
(If other th~n owner)
JED PITTMAN PASCO COUNTY CLERK
09/30/03 08: 38am 1 10f021 9
OR BK 5559 PG
Address
City
State
.,r,..l-.:',
~;' ~.:~'';':?~t
~~t tl .
l' ~
Contractor: N~me
_ ,
P..J..s
7#- Ave.
Alumlnu.rY1 01 Masonf"Y
.
Address 379/;?
City Zephyrh,'/I.$
I
Con fra c for
State Fl. 3a.s-y~
5. Surcty: N~rne
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7 .
Persons within the State of Florida
notices or o~her documents may be
713.13(1)(a)(7), Florida Statutes:
designated by Owner upon whom
served as provided by Section
tJ"mc
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), Florlda Statutes.
<). ["xp.i.rni.J.'Jn dnte of llutice of Commencement (the expiration date is 1 year
fr~m the d~te uf recording unless a different date is specified.)
Signature of Owner: i. 6&-y1 K 71....
Sworn to and subscribed before me this l<:g~day of 6r+crnber
., ~w3.
"\~W",, Suzanne Baht
, .
{{~~:} Expires: Nov 15,2006
"'~~ ~~ ~", ~ R^"~..~ "11N
I" '" \ \ Atlantic Bonding Co..1nc.
Not.:lry Public:
PC93053048