HomeMy WebLinkAbout03-2413
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2413
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:
2413
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
NOT APPLICABLE
Address: 39712 MEADOWOOD LOOP
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MEADOWOOD ESTATES
Parcel Number: 13-26-21-0140-00000-0190
4,500.00
10/13/2003
84.90
84.90
10/13/2003
12 X 20 SCREEN ROOM-WITH SLAB
Name: VELAZQUES, VALENTIN
Address: 39712 MEADOWOOD LOOP
ZEPHYRHILLS, FL. 33542
Phone:
F T 1 i
PRE-SLAB\! it) -14 -1I"> \, " CONSTRUCTION POLE : 2ND ROUGH PLUMB I DUCTS INSULATED
LINTEL PRE-METER i WATER i FINAL MECHANICAL
FRAME i MISC SEWER MISC.
INSULATION WALL MISC MISC. MISC,
INSULATION CEILING ! MISC. MISC. MISC.
DRIVEWAY I MISC. MISC. 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
Tt1~_paYi1:'en.! of ins~ction fees_~hall be l11ade before_any furth.er 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 twlcefor --.
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
l1e!~.!"~!f!co~~in9y~ur J!.~~ice of ~C!mmencement. II
Complete Plans, Specification-s and Fee Must Accompany. Application-.------- .~-----~-_._-----
s rformed in a~~ordance ~ith City c:~es a!!d ()rdinan~.e.sn____
N OCCUPANCY BEFORE C.O.
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--- C6MfRAC~OR-SIGNATURE-- PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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APPLICATION FOR PERMIT
CITY OF ZEPHYRRILLS
BUILDING DEPARTMENT
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME
14/{5N;:~
::17' ? / .;z
t/CL4Zpvle-c
/??c54.e?--J ~~r0LJ h.Jp
JOB ADDRESS
PHONE
Z.C~/~A: 4h ~
,
LEGAL DESCRIPTION: LOT(S)
SUBDIVISION //?07'J()~ ..<..A..A.JD
BLOCK
PARCEL ID # /...1-.2C~::2/ O/y() -OCJcJc.n) -tJ/9o (OBTAIN FROM PROPERTY TAX NOTICEI
WORK PROPSED: ~W CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL
o SIGN
PROPOSED USE:~GL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK .,SL.>J J!) r::I' J~ (!.~'CZ3^-./ ~V).,...-,
BUILDING SIZE /~ y~ ~/ L SQUARE FOOTAGE ~Y'U
HEIGHT
P"
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.
o BUILDING
$
~SUJ
u-
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o
W.R'~H.h'
/
.I
/
A\ I- 41~
o PLUMBING
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLAT
OGAS
o ROOFING
o SPECIALTY
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
f~~~t~iii;:':::::::::::::':"
SIGNATURE
~C--G4L~/~ ~.'....,~
COMPANY 22 ~
STATE CERT OR REGIST # . LcJ ::1/ ~
CITY PROCESSING ~
BUILDER
******************************************************************
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
*******************************************************.~*********
CONDITION::; (),~' ::'~R"1l'}.' A,~''5'~:;)AV }.':'
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permi.t may bE~ sub:),::ct 1:0 "deed restrictions" which
may be more restrictive than City requl3ltions. The undersiqned assumes responsibility for
compliance with any applicable deed J=E~stric.tion:~;.
B. UNLICENSED CONTRACTORS AND CONTRll,.CTOR R]~Sj?ONSIBILI'rIE:S
If the owner has hired a contractor or cont:rac,:ors to uudert:ake 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 in1tended 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 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 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 A~fairs. 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, Wet~and 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 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 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 OWNE' UR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
PAYING TWI IMPR VEMENTS TO YOUR PROEERTY. IF YOU I
WITH YO R OR ATTORNEY BEFORE RECORDING YOUR I
$2,5 DO T NEED TO RECORD AND POST A
/'
STATE OF FLORIDA
COUNTY OF pAS(~O
The foregoing instrument was acknowledged
Before me this ~ day of ()(!...n:>8c:1?, :a;~3
by J<.. A Y 'D A,J J EL-5
. (name of person acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA
COUNTY OF PASc.'D
The foregoing instrument was acknowledged
Before me this ~day of flr7?l.k:::Je, .. ~3
by RAY .~
(name of person acknowledged)
~o is personally known to me, or
o who has produced
(type of identification)
and whoD did gdid not take an oath.
.-1{; f;tjJ--e ~~. ~~ .
Signature of per n taklng acknowledgement
o who has produced
(type of identification)
~id not take an oath
j(An.ILEtEA.) V :.B~iJvV,J
Name typed, p V.L ~ ~
~.".~p~ KATHLEEN J. BROWN
~~ ~ MY COMMISSION # DD20n41
"'I't'OFt\.~$ EXPIRES: Aprtl3O. 2007
l-E!lX}3-NOTAAY FL Nolaly Discount Assoc. Co,
KA 77-1 LE:l:..7V \. r. y; R () IN Ai
Name typed, . ed
.to KATHLEEN J. BROWN
~..1 MY COMMISSION # DO 2On41
~ OF t\.~ EXPIRES: April 30. 2007
l-EllJO.3-NOTARY FL Notary ~ Assoc. Co.
NOTICE OF COMMENCEMENT
State of ;: / th- // l' County of :;Jfi5 (" d
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. 1.3 -:Jb - ')1-OJ'Ib -(}/)QO'b - cJ9t;
3971.J- M5ttO(Jt.J vJOdt> 1-001 "Z..-H-/LtS pt 33fV/
(Legal description of the property and street address if available)
2. General Description of Improvement 5C'R cclV ~OO/N1 ~~~W!~~~~~IIIIIII"IIIIIIIII""II1I1I1"II""11
Rept: 721605 R
DS: 0.00 ITe: 06'0000
10/03/03 :.
-_____._ Dpty Clerk
3. Owner Information: Name {J JtltSM rJ).f
1/ G L ~L QqE,-
Address 39711 M 5"^t30\V wooo coo{J
City -z. (J (Jt-Jy~ H III So
State /--(..
Interest in Property:
JED PITTMAN~ PASCO COUNTY CLERK
10/03/03 1~:36pm 1 of 1
OR BK 5568 PG 827
Name of Fee Simple Titleholder:
(If other than owner)
Address
City
State
R Contractor: Name tll!{;
Ikvml/v V fY1
.
Address ~lfJJ d rJO A II~
5. Surety: Name
Address
City z-c,?/Jy/l11-1 //-( S
State FL 335'/d-.
City
State
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 Section 713.13 (1) (a) (7), Florida Statutes:
Name ~V iJlI-fl/lctS
I
Address '1J'SJ F /) ~ ,J//t City ""2....- t-\- I LU' State Ie'/-
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), Florida Statutes.
9. Expiratio!1 date of Notice of Commencement (the expiration date is 1 year from the date
of recordmg unless a different date is specified.)
/signatnreofowne~~
Sworn to and subscribed before me this .3 /ui day of 0 &'0 o6R
~~~ g ~Ik';;:~
My Commission Expires:
PC93053048/ A
,20fl3...
Notary Public:
~",t~ KATHLEEN J. BROWN
~W1 '" MY COMMISSION # 00207741
~:c'f;)$ EXPIRES: April 30, 2007
Of ~ FL NotarY Discount A$Soc. Co.
l-OOO-3-NOTARY
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MAXIMUM SPACING BETWEEN POST FOR SCREEN ROOMS, VINYL ROOMS, AND GLASS ROOM
ALUMINUM WALL HEIGHT FOR 110 MPH WIND VELOCITY
NOTE: THE ADDITION OF" ALUMINUM F"RAME WINDOWS
THAT ARE RATED 110 MPH WILL INCREASE THE STRENGTH
(NO ADDITIONAL F"RAMING IS REQUIRED)
----
LEDNARD G, 'GEDFT" It
E:NGINEtR
1.-...1 G. Waooi, POL f.4nn
4lI34 n. ,....."
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T..,.......fF"... C&Sl '46-5!l17
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