HomeMy WebLinkAbout03-2482
CITY OF ZEPHYRHlllS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2482
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Add~ss: /~T ~ 0
ZEPHYRHILLS, FL. ~ 7i 7
Township: Range: Book:
lot(s): Block: Section:
Subdivision: EMERALD POINTE
. Parcel Number:
11/05/2003 II Name: MCCORMICK, GERALD
124,00 Address: ~l=KIDOT LANE ~f..zl/9
124,00 ZEPHYRHILLS, FL. 33542
11/05/2003 .. i Phone:
CONCRETE SLAB WITH PLUMBING --.--
SLAB PERMIT
PLUMBING/NEW
NOT APPLICABLE
I
I
I
I rfrtVll,)"1 '(I~/ot..f Ml>
I ; I ;
1------------' -. .-------'--__ _.. _
: REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
I 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
Th~HpaYrnE:!_r:!.~ of inspection fees shall b~_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
i improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
---~-----u--~Complete Plans; Specifications and Fee Must Accompany Application:-- -------
u_nn_ __ Anvve>.r~~.9"be p~rform~ in acc.9rdance with City Codes andQ~<!inan<:~
-, ----..-,'.---'..-----
NO OCCUPANCY BEFORE C.O.
~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
~/ -
CITY OF ZEPBYRBILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED
PLANS REVIEW FEE
JOB ADDRESS
SUBDIVISION'
OWNER'S NAME
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL ID i ~ :J.. 6 ~ .;2/-<J06{). 00600 - .J-'f90COBTATN
WORK PROPSED: NEW CONSTRUCTION 0 ADDITION o ALTERATION
FROM PROPERTY TAX
o REPAIR
o INSTALL
o S}GN
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
DESCRT PT TON OF WORK COn crlbfe. .j. p wm h, '!5
BUILDING SIZE I () X ~ SQUARE FOOTAGE d-w
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO,I)t1S.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
VALUATION OF
TOTAL CONSTRUCTION
or~CitY:J-
\ (J)
MECHANCIAL INSTALLA ION
o BUILDING
$ LfDfJ() ~
PERMITS REQUESTED
o ELECTRICAL
AMP SERVICE 0
FLORIDA POWER
o GAS
o ROOFING
o SPECIALTY
VALUATION OF
o OTHER
o PLUMBING
o MECHANICAL
$
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
~THER Con Cfdc.- ~ la.b
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
SIGNATURE
.~'HI*;@2~:~;:~
~~t:;~
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BUILDER
COMPANY OfP"'-VL.
STATE CERT OR REGIST H
CITY PROCESSING H
SIGNATURE
COMPANY OW~
STATE CERT OR REGIST H
CITY PROCESSING #
ELECTRICIAN
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PLUMBER
4~
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
-SIGNATURE
***************************~**************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST H
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**************************************************k****.*****.***
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.
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 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",
OR AGENT
~~~>L
SI~NATURE: CONTRACTOR
~~
STATE OF FLORIDA q~
COUNTY OF li
The foregoing instrument wa~jacknowledged
Befor~ me thj.s~ day ,of MPv~, 2003
by C?era.l CL l!;:f~CfK.'"'~"'c k-
(name of person acknowledged)
Owho is personally known to me, or
~o has produced 1), L '
(type of identification)
Odid not take an oath.
Pt:<.5lO
rument was ,acknowledged
da y 0 f .J.jl)./('&..IUf, 20!!3
t' r "c.1e:...
(name of person acknowledged)
[J/ho is personally known to me, or
~has produced 0, L .
(type of identification)
DUd not take a
Name typed,
,""", Suzanne Bahr
'P'~pt)' ~157t3t
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p~:.:, - ~.:;~ Expires: ov S,2006
--:l.;,; , , . -o~,,- Bonded Thru
"1111~~t\\\" Atlantic Bonding Co., lng~
Name
S' e Bahr
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t ypedc~~~:dcl)11~SS~~l~
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-;. "}.',:<I - Bonded Thru
-';';'7 OF f\.~~"- Atlantic Bonding Co_, Inc_
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NOTICE OF COMMENC~;T
State of ~I Or-I ;;La. ) County of 1111I111111I111111I111 11111 11111 11111111I11111111111 1111111I
- 2003206917
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. -%-
~ . lAh.e, l-.at ;2. ~
(Legal description of t le property an street address if avaih Ie)
2. General Description of Improvement COI') ('...ye-k---- 5 ftcb ....; ? (um/; t~ 1
Rcpt : 730422 Rec: 6, 00
OS: 0.00 IT: 0.00
11/05/03 Dpty Clerk
n
'3~~06
Owner Information: Name Ge..YtLld ff1(!,.Ct;rm~~
'J ~ L
Address ,35"0,;A I ere d. D" -<Lilt€-
.:2Avne.-
Interest in Property:
R3
City~h'trhl il~ State r-=-1. Zip 33540-
JEO PITTMAN, PASCO COUNTY CLERK
11/05/03 10: 41am 1 of 1
OR BK 5610 PG 1248
City
State
City
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7 _ Persons within the State of Florida designated by Owner upon whom notices or other~. g;t ~ ~ g ~ ~
documents may be served as provided by Section 713.13 (l ) (a) (7), Florida Statute"S: l.L lL 0 ~ ~ ~ ~ -
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State
Address
City
State
City
Name
8, In addition to himself, Owner designates
. '
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (l ) (b), Florida Statutes,
9. Expiration date of Notice of COlllmencement (the expiration date is I year from the date
of recording unless a different date is specified.)
A.Jo{/~ev
.20n.
Notary Public:
",~~';yt~", ~uzanne a r
='~~~'-~ Commission #DD 157131
::'~" '.:;~ txplres: Nov J 5,2006
"',;.::~iOF f.~o~:..,.:- Bonded Thru
!//iI'" Ailantic Bonding Co., Inc
My Commission Expires:
PC93053048/ A
D:ISCLOSU:U: S'l'ATBIID"l' J'01 0Wl0DI.
C1:T'!' OJ' ZDIIYJt1ItLLS BVn.DDIQ DDUTIII:R'1'
I, &~~ ~(m~ bave ~ead. azul fully underatand. ad.
agree to the proviaiOll8 of ~. 1zuJtrwaaat.
~. Ull4ere:Lp-S atatea Imc'l affi:rml!l t:hat he or e:be ia el8airou.s of ecm8t.ruc:t:I.Ag,
renovat:-iDg, adding to or ruoof:L4g- JUs or her OWD. damici1., Chat' be or 8U
aetua11y occupie., or will ooaupy by 8ai4 ~cil., aad aame is DO~ for
rel\t, lea8e or a.le. 'rhat he or llhe shall comply with ~ f"o11owiD9 Couc:U.ti0A8;
1. That the OtfDer aD4 be or .:be .1cme aha11 act .s ~:be bu:i.lcSer f=- .11 pluulea of
COD.8tru.cti= .
2. 'l'J:aat 1:Ae owner wi11 eClllply w1 th all provbiollB of t:ha City of Zephyrhilla
ordinara.eee and codes pert:i.Jwu.t to the bui1ding.
:3 . "l"hat l.za the eveat '9'aZ'ioWl plaase. of COUtruetJ.OA are 1lUbc000tracted., he nIl
ezag&ge ora~y properly l:t.e....ed 8ubc:OAtrac:toz'a IIII.d wil1 personally supervis.
such work..
4. That iA the 8V8Ilt the Building Inqeeeor ahall requ;i.r. oorr.ot:icm.a to l)e raacIe,
the OWDAtr wil~ a.BUIIltl fu11 re8pO!:UJ1.bility to iJulure t:hey are made, an4 upOA
oompletiOll wi11 call tor a reiA8pec:tioza before proeeed.:U1g' w1. th the buildir&g'.
5. '.r1:I.at the Otmer .hall aaa1lllUl fu11 rell1M=8lJ)ility for the ooraa~otioll aJ1d. will.
AOt expect su.per'V'isiOll of M8 work fro-. the c.i.ty of ZephyrJ:l1.11a Bu1.lcliAg
Depart:mea.t.
6. TJ1at prior to fillal im.BpeotiOll any ad.cI1.t10Jial f.... ia.aluc:J.ing' reilltapect10u
fe.., 1IlUIIt: be paid ill full. A wri tteD. requ.aat fram this office 8hall
c0Il8tituee aD official AOti~. to pay additional fees.
7. That the OWAar aball oamply wi t:h .11 C1 ty, State aDc1 J'eclara:C 1... ill regard to
.ooial securi t:y, worJaaaa.' 8 cOllpeAaatioza, litlll 1awa, .tc., wbere applic:ul..
8. That the OWD..r aball CClllPly with ul t:he aafety codes issued by the J'lorida
IDdustr1.al commi..iOll.
9 . Sta t. 1.. require. eOl18t::t:'Uct1oD to be c1oa.e by liclID.a.d coa.tractors. You have
app1ied for a pena.1 t under 811 8Z8111pciOll to that 1..w. "the exemptioll allowB
you, .. the 0WJI8Z" of your property, to act: .. your OWA oOlltrac~or with eertaJJ1
r.atriotiOllB 8'Y8Il t:ho11g'h you do ;GOt bav. . liotlllse. You. lIlIUJe prov1de cUrect
0Il8i te .uperviIl1OD. of the cOAatruoticm. your..1f. You aay buJ.14 or improve .
cme-fam:i.ly or two-family r.sid.m1ce or a tara out:!>uilc1i.11.sr. You. may a1810 bu:LlcJ
or improve a ccmaaercia1 l:ndld.1ng, provicJed. your oost. do not excee4 $25,000.
The bui1diZlg or resic1eAc:. muat ba for your OWD. u.se or OCCUPaACy. %t may DOt:
be built or sUb.tantially imprayed ~or 8ale or 1..... Zf you ae11 or 1eaee a
buildiDg you ha'V'e tnJ.i~t Or 8W:l18ta1ltially improved your.e1f within 1 year after
the COI18eru.ct10D 18 complet.. tba 1._ wi11 prelJ\Uae that you built or
lIubstaAtial1y improve if for .a1. or leue, ....JUcIA ia . v:LoJ.atiOll of t:hie
8Xlllllption. You may :a.ot hire all lIAlic:8ZU1ac1 persOll to act aa your C:OAtractor or
to 8'Upe1:"V'i8e people workiDg 011. your bui1dillg'. It 1a your r.spoa.aibility to
make sure tlAat people employed by you ha"e l1ceG8es required. by atate 1.. aDd
by OOUD1:y or JIlUDicipa1 1ioea.9ingo orcUAaDc... Tou may IlOt de1egaee the
reepcmai.bili t:y for 8u;pervisiq work to . lioln1llK cOIltr.ctor who is AOt
11.C...8ed to perform the work being' dOll.. A:Qy persOll work.iq Oil your bui1.ding
who i. D.Ot liollDsed Ia1UIt work under your cUr.ct auperviaicm IIDd. must be
employed by you, wh1.ch meallS that you muat c1educt P.I.C.A. and withlaol4ia.g tax
&JUS pZ'OYide workU'.' c:~---.tiOJl for that 8IlIPloyee, all iUl pr_oribacl by law.
Your ccmatruoticm. must comp1y with all applicable 1awa, ordiAaDu.a; hu:Lld!J19
cod.., and l:oJ1fng re tiOAa.
OWJ1D'S
AMJUSS
PBWIB
DATE
B~z....,
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1fl:TN.8SS
PBIUIJ:'l' .
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9G8voON
SllIH~AHd3Z jO AllJ
~V68:l! 800G o8t'PO
Permission To Pick Up.txt
C~UoJA fYl~(1;{ m;JL
Name
35();) Pf2l'l JO-J- krJ.e.,
Addr~J J ~ J
l.~ I /[~) 'ft, a3~
To Whom It May Concern,
Please be advised that:
Suzanne Bahr and Debbie Dokendorf of Pasco Permit
Service have my permission until further written
notice to sign and pick up permits for me.
Sincerely,
s~~
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrumen7/was sworn t~nd
subscribed before me this '-f day of . 1,1
Personally known ~ or Produced identification
J --,
, ~ ()O ,') .
Type of 1.0.
Commissioned Stamp
and Expiration Date
~ ROBIN GREEN
NolaIy NIle, SIaIe 01 FIoIlda
My eon......., Expree MlW7
Commission No. 185719
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