HomeMy WebLinkAbout03-2414
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2414 J)
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Permit Number: 2414 Issued: 10/13/2003
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ALUMINUM PACKAGE
Proposed Use: RV PARK
Sq. Feet: Est. Value:
Cost: 10,000.00 Total Fees:
Amount Paid: 225.00 Date Paid:
Address: 3511 TOURMALINE DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s}: Block: Section:
Book: Page:
Subdivision: EMERALD POINTE
Parcel Number:
Name:
Addr:
I Phone: Lic:
,---Work'Oesc:STORAGE & UTILITY ROOM
;
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BOWLES, HARRY
3511 TOURMALINE DR
ZEPHYRHILLS, FL. 33542
Phone:
{treJ
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I E I 11.,. 1 ST ROUGH PLUMB,. . DUCTS INSTALLED
PRE-SLAB i CONSTRUCTION POLE 2ND ROUGH PLUMB 01..-';'6 '3 u..hPUCTS INSULATED
LINTEL , A i.t:f : PRE-METER WATER .. LL'tj~~INAL MECHANICAL
FRAME V 1")..-5, o~ ,,1.,'1 tr~~ MISC SEWER I MISC
INSULATION WALL 1 MISC MISC. I MISC.
INSULATION CEILING MISC. . MISC. I MISC.
DRIVEWAY .MISC. . MISC. i FI~E DEPT. FINAL
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
. The paYment of irl:>pection f~s shall ber:nade ~f~re any flJrther permits will b~issued to th~Rerson ow_ning same
"Warning to owner: Your failure to record a notice of commencement may result in your paYing twice fcir-
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
. before recording your notice of commencement."
!..-----..--..---..-,--...-.~~_,._. '._ ._n~~
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NO OCCUPANCY BEFORE C.O.
-~- - il~--- r~ --.-
tL':CONTRA);bR~ATURE . - - PERMIT OFFi
I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
L PROTECT CARD FROM WEATHER
OWNER'S NAME-.HarrJ Bowles
JOB ADDRESS 35/1 Tour ma.l i n e 'Dr.
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th street, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 / / If)
DATE RECEIVED 0 I r;! 13
PLANS REVIEW FEE
Pa.$c.o Per"",;+- Serv(i~
PHONE (-'8lalQ- ~;J.4- 7"8Qt.j
TOL.t- F~e-
LEGAL DESCRIPTION: LOT(S) BLOCK
SUBDIVISION IE: m~a.ld POt'n-+-
PARCEL ID ft ,9., 4- ;).~ - ;;.. , - 0070 - {)(X)()O - ;),570
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~NEW CONSTRUCTION
OSIGN
PROPOSED USE: ~SGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
OALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
Oft OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
S-t-Of'a.~ L a.vtt:t
/Ox.;;2...:L
Lk{-l \ i -t-y RoD Vk..-
~~O
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT Ge~ pla.k.<;'
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT
ATTACH (3) SETS
PROPERTY SURVEY
~UILDING
~ECTRICAL
~LUMBING
o MECHANICAL
$
10,000 00
PLANS & (2) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS.
OF BUILDING PLANS & (1) SET ENERGY FORI4S. / ::..:.~_~'\
REQUIRED FOR ALL NEW CONSTRUCTION. . />~ \ I
PERMITS REQUESTED /IP, ,-/1>/
VALUATION OF TOTAL CONSTRUCTIO~~
AMP SERVICE
o FLORIDA POWER
CI W.R.E.C.
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
SIGNATURE
1J?d~
COMPANY OW'f'ler
STATE CERT OR REGIST #
CITY PROCESSING ft
BUILDER
*******************************************************)~**********
ELECTRICIAN A / ~~
SIGNATURE -j(;j7 P
******************************************************************
COMPANY DW('l {U'
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBER
~ 1 /} COMPANY OWr"!Pf
~~ ~~ STATE CERT OR REGIST #
· .~:.: .~~ ... .. ... ... · . .. .. ~~~:. ~::~:::~~~.: H" ...... .... .
SIGNATURE
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING ft
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 indic~~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.
Appli~ation 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 Zorie "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".
~ _. tY ~ . JiJ-] #~'-L
SIGNA~: OWNER OR AGENT SI~NAT~~ CONTRACTOR
~ L.~
STATE OF FLORIDA ~
COUNTY OF ra..sCo
The foregoing instrument was acknowledged
Before me this ~ day of Dt.. tc)her, 2QQ'3
by Ha..rr'j E-f ~l e c;
(name of person acknowledged)
DZh is personally known to me, or
who has produced j). L .
(type of identification)
Ddid not take an oath.
STATE OF FLORIDA ~
COUNTY OF t a..SC.O
The foregoing instrument was acknowledged
Before !TIt'! this ~~ day of Oc-+o~v-, 2003
by ......J:::t4Y.T'j _' BOlA) I € S
(name of person acknowledged)
C1ho is personally known to me, or
~ has produced V.L.
(type of identification)
~id not take an oath
Name typed,
f person taking acknowledgement
"""," Suzanne Bahr
".ctfY P(J~/..
p~.y'~~>o~o~!t!~~ltiu I:' 1131
~;.:. \0.~:n::xplTes:'Nov 15,2006
'/'~' .. ',i' ,,' Bonded Thru
'/II,~~;f\~\\' Atlantic Bonding Co., Inc,
rson taking acknowledgment
"~Wu.'" Suzanne Bahr
Name t yp~'it~~~~W~ls~~ #ff;~&~
~.' ~:...:: xpJres: OV ,
..,,,, OF ,J)"~'" Bonded Thru
III/ r I \ \ \ \ Atlantic Bonding Co., Inc.
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I, :71/.] ~//'C. /<. 8ou)/e C have read and fully understand and
agree to the provisions of this instrument.
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.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally' supervise
such work.
4. 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.
5. 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.
6. 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.
7. 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.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. 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 YOUJ:' 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 regulations.
OWNER'S SIGNATURE
ADDRESS
PHONE
DATE
/0//5/0 '3
I /
WITNESS.
PERMIT # ~4/f
. U [tc.-t l' 'f '. (lMJN\
Ow7'JFil
35 t I -ro0~titUr( ri.
("cJ!(J4 / o;j
"NIain
Other Area.
Under RooT
\j :UuallOn:
SQ.E.
PRICE
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3ui1riing:
Secrric:
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~on:
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~'ees: /~117
~.)Dnecricn .! /
:"ees: /U Iff-
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NOTICE OF COMMENCEMENT
State of -E1 0 rid a. County of 'P aSLt9
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 pruvided in
this Notice of Commencement:
2. General Description of Improvement S-fvr~e
R. O()l'Y\
1. Description of Property: Parcel No. d.4-- ~~-';H - 0070 - rxxx:xJ - ~U!i'7 0
Emerald PO/nte RV 1<esorT-
(Legal description of the property and street address if available)
aJ ili-ili+'1
11111111111111I1111111111111111I1111111111111111111I1111111I
2003188548
R...~3.
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Ownerlnformation: Name Ha.rry H-. BowIe.,
Address 3511 T"IA..('f"\"'lal,ne.. Dr. City z.epnyrhlll~
Stale Fl. .335'1-0
Rcpl: 722662
OS: 0. 00
10/08/03
Rec: 6.00
IT: 0.00
Dpty Clerk
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address
4. Contractor: Name Ow t'\ Pf'
Address
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
City
State
City
State
City
State
i~90~~~1MA~8: ~~;~O fOUNTJf CLtRK
OR BK 5574 PG 1039
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 (l) (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), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is I year from the date
of recording unless a different date is specified.)
Notary Public:
( ,/
/
,j-ve~
./"
</-t...
f)(7hber
.20 03.
, Signature of Owner:
Sworn to and subscribe
/
My Commission Eipires:
PC93053048JA
,'~~~V.~lJ~2/ e a
{~:~t>': Commission #DD 157131
7.,~"..,,~} Expues: Nov 15,2006
""~:~OF j:~o~~':' Bonded Thru
"",,1' Atlantic Bonding CO"lnc.
EMERALD POINTE RV RESORT
LOT: 257
PARCEL ID#: 24-26-21-0070-00000-2570
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PROPOSED
STORAGE
AND
UTILITY
ROOM
10 X 20
.~
5 '
21'
EXISTING CONCRETE
SLAB
68'
43'
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