HomeMy WebLinkAbout03-2434
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2434
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Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost: 20,000.00
Date Issued: 10/17/2003
Total Fees: 217.50 J
Amount Paid: 217.50
I Date Paid: 10/17/2003 u___ Phone:
1m Work Desc: ROOM ADDITION,SHED AND SCREEN ROOM
2434
ADDITION/ALTERATION
ALUMINUM PACKAGE
NOT APPLICABLE
Address: 3940 QUAKER RIDGE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number:
Name: MAJESTIC OAKS
Address: 3940 QUAKER RIDGE
ZEPHYRHILLS, FL. 33542
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CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED v1~/<;/':.12{1 /r(P
PRE-METER WATER ~liFINAL MECHANICAL
MISC SEWER MISC
! MISC I MISC. MISC,
INSULATION CEILING 12-/~'fJ31 MISC, _ I MISC,_ MISC,'
DRIVEWAYV' !O~3!()x:>3 f.u-,t~6sc,~. . FIRE DEP1'.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
I (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."
-~----~- --------complete plans, Specifications-and Fee Must Accompany Application. --.-------~------
__ ._______.____. __t'-II~ork sh.ClIL be p~rforme(Lin accordance with City C~des and 9rdinanc~s_____.
NO OCCUPANCY BEFORE C.O.
~
;/&4~__ _
NTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 I I
813-780-0020 FAX:813-780-0021
DATE RECE IVED /0 , (5 D-;
PLANS REVIEW FEE
OWNER'S NAME B el- A-I r~ I nv'e'St-r'Y\el'\.~
JOB ADDRESS---3.1!:JO Qua.kp-l"" R,'~e ST.
LEGAL DESCRIPTION: LOT(S) 7G2 BLOCK
PARCEL 10 # ~L/- ~(q-d.l- 0030-()(Xj)()-075o
PtUto P~('t\; t- $erVlCe.
PHONEI.-~G,(P - ~ .;;tL - 7 &' q t.f
SUBDIVISION ~e.st-(c., Oa..ks
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
DSIGN
PROPOSED USE: p(gGL FAMILY DWELLING
DCOMMERCIAL
M ADDITION
o MOVE
DALTERATION
o REPAIR
o INSTALL
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o ~10B ILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 'KCVrY1 Add i+,'Dn. ) 6hPIJ ) Scr~e.1'l Room
LI V t ~ ,c} ~a... /.:l)( .;2. () ;:. .;1 '-I 0 f/:r
BUILDING SIZE .5Cr'~ -/0)( ::Jt.. SQUARE FOOTAGE .xru~ ~r.o '*
She&... - I ~ x.. IS- shd 180 I/!
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS. & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
HEIGHT 5ee.. oft::!,. ~
..
ENERGY FORMS.
PERMITS REQUESTED
lZY'i3"u ILDI NG
~LECTRICAL
~LUMBING
$ c::< Or 0190
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLA.TION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o 0'1' HER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
COMPANY M,' ke. W j f"
STATE CERT OR REGIST #
CITY PROCESSING #
BUILDER ....
SIGNATURE ,~ w._-<'.~xt2l?~-fl1xj
'LECTRICI~
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 corrunencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in this application i~ 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 corrunenced 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, Dock~, 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 corrunenced 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 corrunenced. 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".
);;(~:. ex] ~;'J!i2~~~
SIGNATURE: OWNER OR AGENT
e-"~A ,'12. /) o//-/c
/7&f~ C<. . --C (. e::-d4T~
SIGNATURE: CONTRACTOR
STATE OF FLORIDA 'j?
COUNTY OF La.. S{L)
The foregoing instrument was acknowledged
Before me this ~ day of Oc.+ober , 2003
by fY)i k~ LJj \I i 4c.. S
(name of person acknowledged)
~o is personally known to me, or
of identification)
take an oath.
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me chis ~day of Oc..tnln-- , 20Q.1...
by m i k,. Wi \ ,,' a.&v...~
_/ (name of person ac:J'~v~lf;~ed~anne Bahr
t::riho 1S. personally kn~~~~~()mftfifsion #DD157131
:.'!l:.. \{j.~:: ExpIres: Nav 15,2006
o who has produced --;~~;,,,;<l!,'- RnnrlNl Th"U
l.!Yp e "B if" i d ~~tlcffl'poxlit1gbo.9Ihc.
~d not take an oath
~
P OLSLO
Dwho has produced
(type
Bt1ld not
Si
ature 0 person takirabracknowledgement
"'""1, Suzanne 157131
,,~~~.~~~<.:.--- Commission #DD eGG
~~.~- . .~v~2
t y~. . :. . : .~~jlildp4f~~nded . a min: d
-'/~OFf'-~" Atlantic BondlOg Co.,
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Signature taking acknowledgment
SUZANNE BAHF~ D/B/A
rACCa. PERMIT SER\lIr.F
Name typea~d
Name
MAJESTIC OAKS
LOT: 76
PARCEL ID#: 24-26-21-0030-00000-0750
CotJC..2ETE 0tJt..,/ .
S')(I)k' 5'
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PROPOSED SCREEN ROOM
10 X 26
6'
- - 8'
~ - -
PROPOSED - -
- ..
SHED
12 X 15
EXISTING
PARK MODEL
14 X 35
PROPOSED
ROOM
12 X 20
h
COp..) ~E'
~\vEW^'f
21'
J ,- \
72'
40'
3940 QUAKER RIDGE ST.
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10 X 26 SCREEN ROOM
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ALTERNATE FLOOR PLAN
FOR LOT 76, MAJESTIC OAKS
12 X 15 SHED
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ROOM ADDITION
12 )( 20
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~~~
NOTICE OF COMMENCEMENT
1111111111111111I11I1111111111111111111111111111111I111I1111
2003193125
State of -B or; d a. County of _Pa.SCD
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. .;:J."-~G.o-~/- 0030-00000- 075"0
M,.. ;4~+l.c.. Oaks Rv Po.-,..k J L-01-: 7G;,
~Legal description of the property amI street address if available)
2. General Description of Improvement R COM Adcli+,"OYl. \ S h eel I
Sc('e~ t2.ooY'V\ Repl: 724482
OS: 0.00
10/15/03
3. OwnerInformation: Name Bel- A ,.re., T nv'es+mer\.+s
Address 3Q"fo QwMc.er Rida~ St. City Zeph'fY'hi /I,
Ree: 6.00
IT: 0.00
Dpty Clerk
State Fr. 3~5t/2
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
JEO PITTMANft PASCO COUNTY CLERK
10/15/03 00:41am 1 of 1
OR BK 5583 PG 761
r;J. .
R.:."
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Address City
4. Contractor: Name ---.t1 i ke. Wi II i o.l'\I\~ C Or"\srf"CAc..f-I.On.
Address 1303~ C.o>,sw4ir'\ C:t. Cityjjud60l')
State
State Fl. 3tf.(,fl7
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
City
State
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 (I) (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 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.)
..,,'"
Signature of Owner:. .';./,. .' ,"
, I'
c'- l C .. \.
Oc.,wber
,2003 .
Notary Public:
My Commission Expires:
PC930530481 A
,'\~~~Yu~//, Suzanne Bahr
f~".~~'=- Commi~~inn #DD157131
· .- E .
~t. '.,~...~ xplres: Nov 15,2006
;"'/~OF f~O~,:..' Bonded Thru
'" "" Atlantic Bonding Co., fnc.