HomeMy WebLinkAbout03-2548
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2548
Permit Number: 2548 Issued: 12/04/2003
Permit Type: GENERAL BUILDING PERMIT
Class of Work: SCREEN ENCLOSURE
Proposed Use: NOT APPLICABLE
Sq. Feet: Est Value:
Cost: 300.00 Total Fees:
Amount Paid: 35.00 Date Paid:
Address: 38724 VULCAN CIR.
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
FREDA KNAPP
38724 VULCAN CIR.
ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone:
Work Desc: ENCLOSING PORCH TO SCREEN ROOM
(,;j) 1/:2/01
Ier 13~r3
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB 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
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the fol'owing 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 callecl
(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. "
NO OCCUPANCY BEFORE C.O.
X -7hJl~ ~~ ~
CONTRACTORS SIG A TUR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME";;:~ ~ ,~/'71"~
JOB ADDRESS ~"7~ -V~ ~-r-' ~~~
PHONE Y/./I 7-;'3 4~~
IJEGAL DESCRIP1'ION: I,OT (S)
BLOCK
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
o SIGN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERC IAL
o MOVE
o DEMOI,ISH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SW IMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
s~~
I~X/~
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
o BUILDING
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.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. '.f .;.......... .",... ""'...H
.ALV,~INU)V\ V.....'..:H, ,PO''''''"\/
PERMITS REQUESTED ~~~il(.hO f{,[)
? .J,\~\I fCNliOt'- /~LO()
VALUATION OF TOTAL CONSTRUCTt6N f'\K
C~VI~ &-~ L'1liJ~
o FLORIDA POWER 0 W.R.E.C.
uJI1B-
$ J 114 , ~ .,
o ELECTRICAL
AMP SERVICE
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL
t 16 t'-tf it
WiND L6A-'P
INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCT ION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
co~~~~~rl*'~~'~9~ ----------------~__,__,_J
COMPANY VuJrJVY"
BUILDER
SIGNATURE.. ;fi~..J 4..J
~.~
STATE CERT OR REGIST #
********************************************************,,*********
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIS! #
********************************************************.,*********
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
SIGNATURE~~.J. ~ ;f;:;t~
COMPANY
STATE CERT OR REGIST #
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 co'r}j:;ractor'\,are ~n~tain as to what
~" "li.~en~rr"~eq~r~ents may apply for tne i~nrL..rlt"o.rk, 'they a~~'act\f..is~d.'t.o contact the
........ '.,.- ",l '. l.,.., ~. ::I .., '. ~...... . ""
" ciLY or Zephyr i.1 s Building Depattment~ 81, -7ilO-002o.. ._ " .....-' c::.
Furthermore, if the owner has h!rejJjC#)~r;..~cttJ#'\d~nJ:~acfc.~rs;-:tre'.i'f31dVised 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 arid 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 vJit{i all applicable law,S regulij.t).ng,construction, zoning, and land
. 'Nt..' "~J' /
development . ".\.,...' '. ,', "-
Application 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 mllst 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 Waterw1ityti.. el"~ \.
*Department of Health & Rehabilitative Services, 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 IMPROVE~T! TO YOUR PROPERTY. IF' YOU INTEND TO OBTAIN ~lNANCIl~G, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING, Y9UR NO;~ICEl' OF COI-1MENCEtlEt\~, ,JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A'~GTJC;:E.OF..OOMMENtEMBN'F'J..'
, . \
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknc)V1Jedged
20
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
[l,ho is personally known to me, or
of identification)
take an oat.h,
Owho has produced
(type of identificat.ion)
and who Odid OEd not take all oath
Owho has produced
(type
and whoO did Odid not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed~ 'pr'rnted ~r statri~ed
f ~" ... ~ . If . ..~, _~""". '._.
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Name typed, printed or stamped
LAST WILL AND TESTAMENT
OF
MARTHA A. BIRCH
- -.. --.'.-... --- - ---------------------.-
-
KNOW ALL MEN BY THESE PRESENTS:
That I, Martha A. Birch, presently residing at Route 1,
Box 160, Montrose, West Virginia, being of lawful age and sound
mind, do hereby make, publish and declare the following as and
for my Last Will and Testament, hereby revoking any or all
wills heretofore made by me, to-wit:
1. I direct that my executor/executrix, hereinafter
named, shall, out of my estate, pay all my just debts, funeral
and burial expenses, and the costs of the administration of my
estate as soon as may be conveniently done after my death.
2. I will, devise and bequeath my real estate at 38724
Vulcan Circle, Zephyrhills, Florida, and all of the household
items in the residence on the said real estate, to my sister,
Freda Knapp; but provided, however, that in the event she does
not survive me, then I will, devise andbeq1ieath all6t said
real estate and household items to my sister, Carol McCall; and
if she does not survive me, to my husband, Michael W. Birch;
and if he does not survive me, to Charles Roush and Dorothy
Roush, share and share alike. 'm____,__
3. I will, devise and bequeath all the rest and remainder
of my estate, be it real, personal, or mixed, and wherever
situate, to my husband, Michael W. Birch; but provided,
j however, that in the event he does not survi ve me, then I will,
devise and bequeath all the rest and remainder of my estate to
: Charles Roush and Dorothy Roush, share and share aJ.ike.
i
" 4. I hereby constitute and appoint the said Michael W.
Birch as the executor of this my Last Will and Testament and
desire that he serve as such without bond; provided, however,
that in the event he predeceases me or is unable or unwilling
to serve, then it is my desire that if I am residing in the
State of Florida that 'the said Freda Knapp, or if she pre-
deceases or is unable or unwilling to serve, the said Carol________
MCCall, serve as such executrix without bond; and if I am
residing in the State of West Virginia that the said Charles
,/ Roush and Dorothy Roush serve as such co-executors without
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I serve, the other may serve alone.
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IN WITNESS WHEREOF, I have hereunto affixed my signature
this my Last Will and Testament, consisting of two sheets of
paper, at Philippi, Barbour County, West Virginia, on this the
~ day of June, 2002.
11
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This document consisting of two sheets of paper was by
Martha A. Birch on this day signed and declared to be the last
will and testament of Martha A. Birch in our presence; and we,
believing her to be of sound and disposing mind and memory, at
the request of Martha A. Birch, and in her presence and in the
presence of each other, have hereunto subscribed our names as
witn~t Philippi, Barbour County, West Virginia, on this
the day of June, 2002.
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