HomeMy WebLinkAbout03-2481
CITY OF ZEPHYRHlllS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2481
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:
2481
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
NOT APPLICABLE
Address: 38701 WINDFLOWER
ZEPHYRHILLS, FL.
Township: Range: Book:
lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
, Parcel Number:
3,540.00
11/05/2003 Name: MARY SHULER
75,00 ~: Address: 38701 WINDFLOWER
75,00 ZEPHYRHILLS, FL. 33542
11/05/2003 Phone:
PATIO COVER,SHED AND CONCRETE
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PRE-SLAB./' 12 -f - P 1 CONSTRUCTION POLE i 2ND ROUGH PLUMB II DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL MISC MISC. MISC.
INSULATION CEILING MISC. MISC. MISC.
DRIVEWAY MISC. MISC. FIRE DEPT. FINAL
. I
. REINSPECTlON FEES: when extra inspection trips are-necessary due to anyone of thEaoflowil1g 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 comrriencemenfmay result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
b~_f~~4:!.!~~..!!IJ_l!9your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
____,__...._.~_._._m____
-h~~~- ~MITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPBYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 I 01 I/)3
DATE RECEIVED 11/'-1 (I.
PLANS REVIEW FEE
OWNER'S NAME fYl~-U 5lhu J~~r PHONE
JOB ADDRESS 3~ 1b t Lv i ndJ!fC!t/J2Y) ,<)f~JMleW,. ~l ) ~ if.- :3 39f00
LEGAL DESCRIPTION, LOT(S) BLOCK SUBDIVISION 5J~ff J.k /ftnJ
PARCEL 10 It (7J..-;')h-J-!- W-fdJ-Do{)()(j-()obD (OBTAIN FROM PROPERTY TAX NOTICE\
WORK PROPSED: DNEW CONSTRUCTION ~DDITION o ALTERATION 0 REPAIR 0 INSTALL
DSIGN
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
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK -pafrD CDvet) shd I Con Cfe.+V
BUILDING SIZE 1:J... 'I- :;....~ SQUARE FOOTAGE.:J..4:>~ ~
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 ~
HEIGHT
o BUILDING
$
'3~40 tJO..
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
~RAME
o STEEL
~THER tA I"v rn ( u..yY\.
TYPE OF CONSTRUCTION: 0 BLOCK
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER L . COMPANY AIUI'VlIy.,,,,~
. ~ ,)
SIGNATURE ~~_ ~i~~E P;~~~S~~N~E~'ST i - - ,
~ * **************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING It
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING It
SIGNATURE
***************************~**************************************
MECHANICAL
SIGNATURE
COMPANY
STATE CERT OR REGIST It
CITY PROCESSING #
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING It
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 Zephyrhi1ls Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions 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 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 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, 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 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",
SIGyf>,"~'G'{}~ SIGNA~~ ~
STATE OF FLORIDA a STATE OF FLORIDA -rJ
COUNTY OF ~Sc.o COUNTY OF ,--a.. ~(' f)
The foregoing instrument was. ~cknowledged The foregoing instrument wasA1cknowledged .
Before(ille . this -Y-triaYj of ~ \I' , 2Q.Q. '3 Before ~ this ~<1ay. of 'H 0 tI , 20 Q.3
by \... lJI.?.anruo' LJdar by. )lA7,) .....r'lP t:S(~~r
(name of person acknowledged) . (name of person acknowledged)
Q(who is personally known to me, or )f1ho is personally known to me, or
pe of identification)
ot take an oath,
" \
~
[J wl,o I,!!.! f'roauced...
. (
~did
pe of identification)
not take an oath
~ ~_..
Name t , p~:8I8IIIOttIPteIB
My g:....... Exphs :lI19rQ7
. eor..,~, No. 185719
Name ty~. nted ~
Notary NIle, StaI8 Of FIoltda
My Con.,...., Exphs 2/19107
Con......, No. 185719
State of
. ,NOTICE OF COMMENCE~T. ,~!~W!~III11II""II""IIIIJIIIIIIIII"1111I1
f"loV',dq County of 1~SCO
THE UNDERSIGNED hereby gives notice that improvement will be made to cerlain real properly.
and in accordance with Chapter 7 L3, Florida Statutes, the following information is provided in
this Notice of Commencement:
L
2.
1-
Address '
\V'
Rcpl : 130106 Rec: 6,00
DS: 0. 00 IT: 0. 00
11/04/03 __Dpt.y Clerk
3. Owner Information: Name
,
pc 3J5'1a
Interest in Property: -
Name of Fee Simple Utleholden-
(If other than owner)
JED PITTMAN, PASCO COUNTY CLERK
11/04/03 12: 31pm 1 of 1
OR BK 5608 PG 1784
R
Address 'c City -.- - State
4. Contractor:Name ~~I~U~
Address 3?~~;L~Ci'Y 7..epNtr ",'j1Sta,e
~- '33 5Lfl
5. Surety: Name
-
----.---
City
State
Address
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:
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. n a ttton to tmse. wner eSlgnates t- Z I- ~ ~ :i
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of to receive a copy of the Lienor's Notice as ti 8 a? ~ :i
provided in Section 713.13 (1) (b), Florida Statutes. I- 0 :x:
-
Amount of Bond: $
6_ Lender: Name
....~
Address
City
State
Address
City
State
Name
. '
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different dale is specified.)
Mv Commission Expires:
day of c)ofDber
~.
v'
.-
,2003.
Signature of Owner:
Sworn lo and subscr'
Notary Public:
....'~""tJ\.v.~(JlJ/;/
;~~.~~:~ Com,mission #DDI57131
o~. :.:= Expires, Nov b, LUUb
'-;~ OFf~O~'" Bonded Thru
""""" Atlantic Bonding Co., Inc.
SLEEPY HOLLOW MOBILE ESTATES LOT: 6
PARCEL 10#: 02-26-21-0260-00000-0060
43'
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6'
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PROPOSED
SHED ON
SLAB
12' X 9' EXISTING
MOBILE
PROPOSED HOME
6' PATIO 12 X 57
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COVER
ON SLAB
lDr..t 12' X 13'
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ROOM
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38701 WINDFLOWER
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