HomeMy WebLinkAbout03-2500
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2500
Permit Number: 2500 Issued: 11/10/2003 i
Permit Type: NEW SINGLE FAMILY DWELLING I
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 80,000.00 Total Fees:
Amount Paid: 3,139.63 Date Paid:
I
i
3,139.631
11/10/2003:
Address: 4811 TIMBERWA Y
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: COURT SQUARE
Parcel Number:
Name: TENBRINK & ASSOCIATES
Addr: 35512 CHESTER DR.
ZEPHYRHILLS, FL 33541
Phone: (813)782-0678 Lic:
n---WorkDesc:-SINGLE FAMTL Y DWE[L1NG-
Name: GORDON & PAULA TENBRINK
Address: 4811 TIMBERWAY
ZEPHYRHILLS, FL. 33542
Phone:
EE
WATER CONNECTION RESIDENl
RADON
~D~D~
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. I' T I
. PRE-SLAB I' J.;l. - 12 -0 '1 t+:JO i CONSTRUCTION POLE DUCTS INSULATED
: LINTEL V '1-fi'o l./ ~/.-lJrlf.:Jo I PRE-METER FINAL MECHANICAL
- FRAME 1/ 1 MISC I MISC
I INSULATION WALL/J-/fJlf 1104 MISC i MISC.
INSULATION CEILlNG__ I MISC. j MISC.
DRIVEWAY MISC. MISC. FIRE DEPT. FINAL
I' RE:fNSPECTION FEES: When extra inspection trfps arenecessa..y dueto anyone of-the following reasons, it-
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 correCY'OfI~n~ when
inspection called (d) Work not ready for inspection when called ()/ r' 0
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible , V
, The payment of inspection fees shall be made before any further permits will be issued to the person owning same
-"Warningto-ownei:-Yourfailure to-recordil-nOtlceofcommencementmay--resultln 'your pciying tWICe-for ---
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
befc~rE!_"'E!~Cl.r(;Jing}'f)lJ_r n~!f::e of co,!!menc::emen~." ____ '_ "______.n_.. ___
NO OCCUPANCY BEFORE C.O.
--------~-
~~- -- PERMITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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(~():::JJ.'}'10!iS OF' PJ:;;}<IH'I' AE'F'IllAVJ'I'
A. NCJ'l'ICl1l OF' DliilW kE::;'I'IUC']']OH::l
'I'he unde1::;ignl;d Illlde;l:stands tllat Un:, pt:;ulli t llidY be .:iub:icct to "deed u:i:lt:ric:ticJl1s" ~/ld dl
llIay be more: ,restrictiVb tlli:tn City l':~Jlll",Lions. 'I'IIt:: \lndt::l:signed al::io>lll11l;:,::l rel;lponl;lJbLLity La.)::
complii:lnc:e t,ll tb an~1. applici:lble d",,,,d ]:estr.'ict:il:)ns.
B. 1l1Il,ICJ!iHSED CON'I'RAC'l'ORS AND C:ON'I'HAC'I'UR RES,!:'OHSISILI'l'H:S
I f the OI/lH::J:: has hin::d a culltr:actOl: eJl: contnlct:ou; to uodcrti:lke ~mrk, th",y may be J:o::quin::d
to be liceno>e:d in accul'dalice Id. t:Jl stOlte: and ] oCed regula ti 011.:;1. It thl:: C(Jntntcl:oL j b lIut
11.:.;ensed as l:equir.;.d by laH, both Lilc uI'Wet and contri:lctcH iUdY be: ci t""d tor C:I lid ..delil<:: a llCH
vJ01atiufl under ::ltate len/. If th", millE;t or int/;:;nded contl:actor ell:b llIlCl::l-t<:lill ,Hi to 1~IlOlL
Ii censinlj n:qlli rt:llIellLs IlIdY apply for the intended v/ol:k, they ell',=, i:Hlvi.:.ed lu contdi;l: tile
C.ity of ZepllYlhi 11::; SuiJ dj neJ Dbpa.rtlllbnt, tJ13-'C/8fj'-6611.
jj'urthtHlllo)::e, if the 01JrliiH has Idrl::d Q cOlltracto.r or contractor.:., he il:O advlbcd to hC:lvc tilt::
contn:lcLo).: (::;) tlign portions of tJjt;:: "Contractor Section",," of thi.:. appli cation for ~/hich th<:;y
vli,ll be nf:sponbi bl c. I f you, dO> the ovmer g,i gns a.:. the: contracto1:, you iill:.;; ind1 cati 1'19 Lhiit
YOll, .rather than the cout1:actor, are reo5ponslble for the \VoLk. If the contrOlGtOi: I'Jishbt>
YOll to ::;1g11 Qb contractor that may bt: an indicc:ltion tllat he is Hot prop.;r-],y 11 ceul:iE;d aud il>
HoL enU t1 ed to penni tting pr:i vi It::ge::; in t:he Ci ty of :c,ephytlli Lis.
c. TRAHS 1>OR'j'A'f'I Oil H1f'AC'J' li'EE:S AN n IJ'l'1 LI'J'Y CONNECrl'ION F'H;ES
D. CONS'l'RlJC'rlJTClN LH:U LAW (CHAP'I'Ek '713, l!'LORIDA S'1'A'1'U'l'ES, AS ANENllb:D)
] G.::rti fy that], the a[JpUcant, have been provJded \Iitll a copy of "Jj'lori.da' I:i COnl:itulCl:jon
1 ien Lal-l - BOllleoHIHH'S Protection Gllide" prepart;;d by th.:: l!'] oJ:ida OepeatuII::11L of Agd cllltut'<::
alld Conbluller: Affairs. If tbe: i:lpplicC:lnt is SOlUeone otbE:r thClt thtJ "OI/ili::l.''', I uerity tlii:lt I
lla V 0:: 0bL/il1ntJd a copy of the: above: dt;;scrlbed document and promisE: in gom! fClJtll to delj ver:
it to the "OHIlE:r" l)ri.o1:' to COIiUllenceHlent.
E. CON'1'HP.C'l'Ok' S/OWNER' S At'FIDAVI'l'
I cert,i!y that all tllb information in thil:i applicCltjon 1s aCCllratt;; and that '-tll \IO!,);: i-l1,11
be dOIle in GornplianGe ~d.tb all appllcablc laHs reljUldting constnwtion, :i;onlIl9, i:lnd J aIllI
devl::lopHIl::mt.
ApplJLlatiUI1 j.:; hereby made to obtain a pennit to do \'/Od, and installCltlon OlS Jlldjc~ted. I
ecrU ty thi::lt no Iwrk or In::;ti:llli::lLJon bi::l::l commenced priol to L:iSllanGe of a pt:::nlll t dilll Lllat
all 1'101'1;: iliLl be performed to ml::/;:;l: standanis of all laHS rt;;gu]ating cOfl::lLulct1(;il, City
c0de~""',ltld-j!-I:J r.::gIlJatiolll:i, and lewd devt::lopHlent re:gulations in the :illri:odictJoil. 1 aJt:.io
ct::rLifY~hlt~iQi!j~~r~t,q,1l4 :hi:ll: ~:he regulOlUons o~ otbel', govermnental Ol{Jt:lit.:ie::i Hli:lY dppJ Y to
tile, Jntelldc(iH-/qt}., .' and 'that t~ 105. my !.c::sponsibill ty to, ldeIlLlfy ~/hClt auLl ons I llHH:it Li:llit::: to
IJC 111 cOHlPliJh6t:J,sit,h agellcle::i lncludebut are not lHnited to; A D.;:pa 1. tment of
E;nvirorHnciltal Regulatl.on-CYfJre.:>.:J Baybeacl::;, Wetland Al:t::CiS and EnviroIIIHeni.i:l11y B<::n,~,li tiVl:;
l,;llld::;, Wd1:l;L/WasteiJaLt::J:' 'j'n::atment
.A;julltlH/e:>t: Jj'lorlda WOll:l::r l'1alldgt::lllcot District-Wellb, Cypresl:i Bayllli;dds, W",Ui:llId ArCClo>,
A! tli;l.illg vJaLt:::rcour::'es
'AAnllY Curps ut Jj;ngillcc;l::;-St;i:t\/alls, Docks, Navigable ~vatenJc:lYs
AIJe1J;H'l:llIcnt uf HIi;a1LlI '" RelJabiliLc:ltivc Service.:>, t;nvil:olllHenLi:ll H.::a.1tlJ llidt;--Wl::dls,
Wi:l::;LC::Hal:cr 'I'Lt:::atllll::llt, Bepti,; '1'",n),o5
AU. S. E:nv1r.onlflenta1 l?x:otectlon Agl::iWy'-AsbE:l:ito::l abat:emE:nt
I ",1::;(; certify UJi:ll, jf fill lHaterial 15 to be: used ill }j'.1ood ZonE; "A" or "A,l::tu.", it js
understood that a draina\jt: plall addres::iiny a "ColHpE:n.:.ating VOlllll1e" l'/LlI b~ bllbllli LLcd Hldch
ib [JLepi:llt;;d Ly a fJl'ote.:.si(JjJdl cng.llleer regist.::red in the Stal:t;; of l!']o):,ida pd.OL to plilulliL
is::;Ui:HIC<:: .
A permit i sl:illed shedl b<:: con.:;tr\led to bb a license to proc.::ed ~dtb the VIOL I, and llot a::;
authori ty to violate, ci:wcel, a1tl::L, or set: a::;id", any provisi on.:> of tlll:: It:::chni cCil codc::::;,
nClr shall issuance ot a pend t prev<-nt tilt: Bui 1ding Offici i:ll from l:hcn::after (<::llILl.rj ng Ol
correction of E:rr01l. in p]i;ifIS, cCJflstrucl:i.on, 01: violations of ClOy code. Every llel:'lHit
i sl:i\!ed ,:;;IH:d 1 \;t:;collle j nvcdid Holes.:l tbe ,/Ql:k authorized by :stICb peJ:wi t~ il:i COllUllbliUdd Id tldn
::Iix !llonl1J::I of i,:;;::luaucc, OL' if \'lOrk authorized by the penniL is suspend",d OL i;abandolH:d for d
pbriud of 151.. monl:l)b aftt;;l' the time: till;:: VIlJ1:k io> conulll::nced. On.:: 9(J day c.,tt::nl:iiOil ot tJwt::
may be: a]!ol/t:r! tor tbt:: permit Hith fee cl~i:ll'ye uf $15.00. 'l'he e:.,tel)bi.oil blliill b"" reqllt:l:ited
in l'/1:i ting to tbf: Bu11ding Official. An approved lnspection must be j O~HJed dlldnU edch I;:iJ K
mOjlth period, or the project VILlI bb COnl:iJdl;1:ed abandoned.
WARNING 'NJ OWNER: YOUH E'AILlJRt; TO RECORD A NOTICE OI!' C OJvlN EN C El'1 E: WI' NAY RH:Sur/l' III YOOk
PAYING 'l'vHCE t'CJR I1'4PROVEl>1J1:N'l'S '1'0 YOUR l?ROPER'rY. IE' YOll 1N'i'END '1'0 Ob'1'AlH Ji'INANCJNG, CONSllW'
wn'u YOUR LEIWER OR AH AT'l'OHNEY BEE'ORE RECORDING YOUR NO'I'ICE 011' Cm'llvIEHCEI'1EN'I'. ,JObS UlWEH
$2,500 IN VALllE: VO NO'1' NE:ED ']'0 RECORD AND 1'OS'l' A "HO'rICE OF COI"ll'1li~NCEI'4EN'r".
,~
E ; - ---(:)Wi~ ER--()Re5---.....---------
S'jIN1'E OE' li'I,ORJDA
COUN'l'l.' OE' -- __~________
The foreVoing instrument was acknoHledged
BefoLe me thl::; ____.. day ot ____ , 19_
by ..____ ___'___._____._____________.".____~
(name of peri:lon aclmovJledged)
o v~ho is perbonal1y knol.m to llIe, ox:
[j ~/ho ha::; puJdllced________"
(Lype
anel I'JhofJ did []did nolo
of identific~tiou)
t~kc an ()ath.
Signature of penson tc:ddng Olckoo~/ledgE;llIent
ti~~~;~h-t YfJc;j~~r j II t__~~i-;~--.-,,-l:-~;;~;-~-J--.
,_.-.. ' ~ )--_...__.----~---
CON'l'HAc'rciIZ- ....----l-~...~
.s'l'Nl'E OF IfLORInA
COIIN'j'" OE' __.______'___..__._.________.___,,________.____
The fore:goil1g instJ:\lHlcnt: wa::l ac]mo~dcdg..d
b.::!o:re me thil:i __._day of------, 1~
by ~______.___.._._______'___,__.__"______,_____.______________
(namd of p~J:son acknowledged)
[]Jbo is pbr:>oned.ly Imown tu we, or.-
[] Hlto lli:ls. produc;ed___,___________,
(type: of id<::nU fJcal:!oll)
and ~/ho C1did []:iid not Lab:: ail oi:ltb
._._----'-_._------_._---_._-_.-.._...._--,-~...- .,- -.--------.p.---...-.----
Signat\lre of person teddng ackllcJWl bd91HcnL
..._-----"--_.__._._-~--- ... ---'.-. ----"_..._-_.._...__._~._._.~.,.~._-->._-.._,.,._-_.__..-.-.-
HalliE: typed, pr1ntbd or stallll'cd
111111111111111111111111111 11111 1111111111111111111111111111
2003203633
NOTICE OF COMMENCEMENT
State of SIOV-ld...A...
County of
Pas cO
THE lmOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes the
follO\.\7ing inforr.lation is provided in this Notice of Commencement: '
1. Description of Property: Parcel No .IS - ~-.;l..\ - Od-OO'~ OCO<.:x::>- O~-,O
'-n-m be..(
(Legal descr~pt~o of the property an
2. General Description of Improvement ~Icl "'m~Yj }Sji..ftl.nli~ re.s)cl~-e
3. Ovmer Information: Name 6torciem 4 'Pa..u.....\o-..T~6r',Y\k...
llddress 3S"51d-. ~~t-c.y '~Y.
City '7e.p~y hI l\j
State R_:o~'5;41
Interest in Property:
C~Y\c.:r
Name of Fee Simple Titleholder:
(If other than owner)
Rcpt: 729095
OS: 0.00
10/31/03
Rec: 6.00
IT: 0.00
Dpty Clerk
Address
City
State
4 .
Contractor: Name 'lb1&;I'1k.. a J!.b.&ocicd-a ]::;,L.
Address 3..';4~4 ("JAester 'hr:. City -Z~ ~Yn;' l.so
S tat e +=c...- 335'-1 j
5. Surety: Name
Address
City
State
Amount of Bond: $
i~93~~~~M~rl'3P8ASCO 1COUNTY CLERK
o. am of 1
OR BK 5604 PG 863
6 .
Lender: Name
Address
City
State
7.
Persons within the State of Florida
notices or o:her documents may be
7l3.13(1)(a)(7), f"lorida Statutes:
designated by Owner upon whcm
served as provided by Section
tJ,;mc
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provlded in Section 713.13(1) (b), Florida Statutes.
(). !:xpirnt .J.'Jn dt"lte of I10tice of Commencement (t.he expiration date is 1 yedr
fr~m the ~Qte of recording unless a different date is specified.)
Si<J;1ature of Owner:
~ . ~7
t~co-~,~~.
Sworn to and subscribed before me this 30"1"'- day of
.j
20 Db. ~
Not~ry Public: ~.VK.M-'.p~)"-'
My C ::J:i1,OIi S5 ion Expires: ~.;;:t,(. ;).06-'
6c+o ber
'~"""'. JAMIE L MURPHY
f! ~~ MY COMMISSION' DO 174344
- . . - EXPIRES: April 27, 2007
. BcndlId 11llu NoCIuy NlIIc UndoIwrllln
PC93053048/A
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WE5T
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51TE PLAN TEN BRINK ~ A550C. INC.
MODEL -n06 LOT 1121 COURT 5QUARE
PARCEL -1&-26-21-0200-0??oo-0210
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PASCO COUNTY, FLORIDA
-_..........,........,,.J.......................~~"'-"-"'.""...."'-"',........................-..,~,,c.~......~......"'_........._""".............."''''''''-'_~'''''''.~~_.""..~....u)"'~e_~~..."."'.....""'.............."..,......""'_~....._'"'..~
Permit No, . .g5.~____._.
,L} l/ /" /! _ Date Permitted . ~I.:.(~=!?;!__
;Ie ~U~ d- It? 4--1.e,VJr-.. f-
Builder Name/Owner Name ~Qr.(L___.___ Control # .____..____.
County P8rcell\Jo,.__/:f ~-?:.~2:L:.C? UJo -.:_c:..'?~.~_() - 02- ?l?_ 8ubDlv: ~t...~~
Add res s/I.oca tlclIl ...__~L[JLn_.~v-~~__~ e~__________.__._.__.__ ..---'.-__'__n___
ClasslfleellDII/l"ype of Use --Sl~~___L~ n_~~____ __ _______ _ __ ____
'nV\NSfJOtrrATION IMPAGT f:EE Hate: _____________ 8q Ft Unit: ._________.___...___
Exelllpt [] Yes I~J'Kro
Ilow Determined
Impact Fee Arn()unt_~_____.L~tf_~_~___
----_._--,-_.._-~-._._".".- ..-----.,-. "-.-,.-. ---~-- ..--..---.-.,.-.... ----
Zone No. TAZ:
----.----...--.---
......~."~"~-~"-~._~-~-_._.,....~~.".~-_.~~...~_.....~._~_.._.~'~~~.._"'''~~_.__.....,~~.....,_._._,_._.._....._-,....,..,',....~
SCIIOOL IMPACT FEE
Account (056) Slngle..Farnlly Detached I'louse
(057) Mobile HOIne
(0513) Otller Residential
JJ ~3) (~ol!~c~n Fee
Exelnpt 1m I Yes f~ t..Xo How DetenninecJ_._____________________.________.__.______ ________
AnlOunt
$ .I ~f'1 ' #--0
---.---.--../--.-.--.-.---- .-- .-.....--........-.
~.__h"____,.~___. "..---____,4_.~..__. ___.._. _..__.
------. ....--..----..-----..--."..----.--.---..
P'AR'ks 'A Nn"REC REATIONFEE .-...-..~--.--~-~--~..-.....~..-~...-~-~.~--~,--...-.-.--
I.and I\ccol/I\t L.and Credit Land Total
f~e(;1 ealiun Account _____..__..._ Pecreatlon Credit ________.__.__. 1~f;1J2re.atJoll Total _.____._____
. , ---------~_.-_....
_--~-..--l'('JT AI. AMOUNT .L_.... ______.____~-.-_. ____.._
-....-.-
Exe mp I [] Yes [] tb-------n;;;r;.le'mlned _________ _______ __~____ ____ ___ ___
:,.........-
.------
~,.,'-..... ......-..~'_......L......c~._........_._.~..~.....__..___._....,..___.~.....~____.~.'~,..~_~..._,_.._._.....,...__.__._..__,_.
LI B RARY-.Fe1:
L.an(rAr-~c(l11l1t Lallel Credit ~i-:Y:ctat-----_..__.. n.
...- ...---.------- ._-----~ -- --.......--.-...-.. ---.---..
----------
Facility j'\CCOlJllt Ea.e+HtyCi:euit Facility Total
. -- --_.~:;:::;=&"'-- ---~---~------.-~-,-- .._------'_.,--,_.._------~
Exempl ~0"o How Delermlned ______________ Total Allllllmt _______~___
/'#........---
~L.:._-.""':"-."".-.~._....-.-._~_._~._.~.~~ ~___~_>~'"~_..___.____.."._...._"_,_~._____
tH::SOURCE FEE ERU
TenAI. AM )lJt'JT______.]_L.~lD__.__
L_l.:i\,".__""____._.__~_______.___.__________._____
---._'--------..."-~._--._._.-...,"--...,_._-
Zone
. """"'--'-' ----""-.. ------..
_.'-~-_._- ..-.-.--...--...-.------ ----.-.
Prepared By -n-----..--._________.______n_____.____ Checl,ecl By
._----------_.,,--~-_.._._._---_._._-,~
I~O CERTIFICATE OF OCCUPANCY WILL BE ISSUED or~ FINAL INSPECTION
\-:lEm:OHIVlElJ UN'flL THE TOTAL AMOUNTS LISTED HAVE:
BEEN PAID ANt)
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acl\llowledgelllenll.Jelow does 110t Imply acceptance of conclIrrence, but simply receipt of a copy of Ihls form, placing
IhEl building permit owner on notice of this assessment and the conditions of payment for SBme.
_._-~ -......_..~-- --- .--.--..----.----.. ----.----.----------
DATE
- nECEIV-ED""BY----.--- --'---
RECEIPT NO_ ~,_\~_ DATE ~:l::~.,=l:DBY D_~-:_____~_~