HomeMy WebLinkAbout03-2555
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2555
Permit Number: 2555 Issued: 12/09/2003 i
Permit Type: GENERAL BUILDING PERMIT i
Class of Work: 434-ADD/AL T RESIDENTIAL I
Proposed Use: NOT APPLICABLE I
Sq. Feet: Est. Value:
Cost: 11,125.00 Total Fees:
Amount Paid: 180.00 Date Paid:
180.001
12/08/20031
Address: 5909 19TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: BAY AREA REMODELERS INC.
Addr: 12795 49TH STREET NORTH
CLEARWATER, FL 335762
Phone: (727)571-1774 Lic:
--Work Desc: SUN ROOM ON EXISTING SLAB
Name: REED DEL VEN
Address: 5909 19TH ST
ZEPHYRHILLS, FL. 33542
Phone:
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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
REINSPECrION 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
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
Jhe_!l..Clyment of inse.~ion fees shall be made before any further permits will be issued to the person own~ng 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
..l!efore r~cording your notice ~f commenc::~ment." ____'_____
iL5n~ ~ 4..s< e>~
CONTRACTORS SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
NO OCCUPANCY BEFORE C.O.
. ~---
l.
Bay Area Remodelers, Inc.
12795 49th St. N.
ClealWater FL 33762
1-800-555-7440
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
aUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, rL 33840
PhoneI813-780-~020 FaxI813-780-0021 ,
DATil RBCJ!lIVJIID
PLANS RIllVIBlW rIB
-~-
OWNER I 8 NM1EJ/Ced ---'k.lJ/C-r} t:.Dn/J/ (-
JOB SITE ADDRESS j~"~/9'..7~ f;:)f
PHONE CONTACT 8/ ~ r :7~,!;1- ..:J03<;J
LEGAL DESCRIPTION: LOT(S) 1-:3 I~I
Bl.OCK '-I 'l
SUBDIVISION
PARCEL ID #.IL- ;)G,- :;LdCJ/~<-/'}OC?OO/O
WORK PROPSED I DNEW CONSTRUCTION [D..A11DITION
(OBTAIN FROM PROPERTY TAX NOTICE)
o ALTERATION
o REPAIR
o INSTAlJI.
Os IGN
o MOVE
o DEMOLISH
PROPOSED USE: Ol-a-GL FAMILY DWELIJING
Ot1ULTI - FAMILY
0# OF UNITS
o SWIMMING POOL
o MOB H,E HOME
[J OTHER
o COtlJMERC IAIJ
o INDUSTRIAL
o RESTAURANT & HEAlmI DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~~~ J1
rct'\ m
'V". "'"
~,-z c ~ Jol ~A~
SQUARE FOO'fAGE :J9:)
6)v~
BUILDING SIZE
HEIGHT
RES IDENTIAIJ I ATTACH (2) PLOT PljANS & (2) SETS OF BtJIIJDING PLANS & (1) SEl'f ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~UILDING
IB" ELECTRICAL
$
VALUATION OF TOTAL CONS'fRUCTION
PERMITS REQUESTED
AMP SERVICE
o FLORIDA POWER
o W.R.E.C,
o PLUMB ING
o IIJECHAN I CAL
VALUATION OF
MECIIANeIAL INSTALLATION 6~/ dP'l~
o OTIIE(1~1) 4~
o GAS
o ROOFING
$lLrl2 ~r
o SPECIALTY
o&>
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME!
o STEEL.
FINISHED FLOOR EUIVATIONS
IS PRO,TECT IN FLOOD ZONE AREAO YES 0 NO
BUILDIR
SIGNATURE -KC'\.I .'n ;;1
h?l" t.,),/e'''/
r
COtIJPANY&'y Ctrc6
STATE CEJRT OR REGIST
CITY PROCESSING #
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BlLBCTRICIAN
S JGNATURE .IJLc.-L'tL__kY~ 1/
COMPANY ~/'jh C)C(:-7/ ,t
STATE CERT OR REGIST # -~J-.1l"(}/.:2(K
CITY PROCESSING # /
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PLUMBBR
COMPANY--_
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATtJRE
MECHANICAl.
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COMPANY
STATE CERT OR REGIS'f #
CITY PROCESSING #
SIGNATURE
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OTHBR
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands th~t 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, 813-788-6611.
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 indication 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 aocument and promise in good faith to deliver
it to the ~owner" prior to conunencement.
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 conunenced 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 rnay 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 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 vio~ations 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 abando~ed 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 FINANCINq, ~QN~ULT
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".
~ At': J.4 GI-
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORiDA
COUNTY OF (It{\() ileJ'
The foregoing instrument was acknc~;ledged
Before me this ~ day of 1\J~~1'4"i\J,U", ~
by , f?:>ob La.Jhol'r
(name of person acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument w~s
Before me this _____day of
by
acknowledged
, 19~
(name of person acknowledged)
[1ho is personally known to me, or
and whoD did
,S~I~
Signaturt of person taking acknowledgement
of identification)
take an oath.
Owho has produced
(type of identification)
and who Ddid DUd not take an oath
Owho has produced
(type
lIldid n~t
Signature of person taking acknowledgment
Name typed,
"}':.~r;" ~ 8f1l99
pr~llb~~CMiC 00039796 EXPIRES
~~"~~~i June 22,2004
~t,~,9~,~~*""''' BONDED THRU TROY fAIN INSURANCE, lNC.
Name typed, printed or stamped
f-:M y ~ ;2~o'j)(J.:/-{l"J II'<C-
5101 Iq~( 5-1.
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PASCO COUNTY, FLORIDA
~_...._"._,.==':::~~
Permit NO'(~~~55~~ no
Date permhiecT a~_~~
Builder Narne/Owner Name l:;;~ ~tJ;l;"t __ Control # ___,..____.,____
COL/nty Parcel No. ..__._'_.._____,___
SubDlv: ~T_~~~_
Address/Location --_~25 -r:- ~~ ,W~
Classlflcatlon/Type of Use__,_~ ,t= _ D____________________,_____..,______,__,__
TRANSPORTA1'ION IMPACT FEE
Exempt [] Yes I ~~
Rate: Sq Ft Unit:
_._--_._--~- '--------,'"""--
How Determined
Impact Fee Amoullt_l---1~ ~ .,[,___
--_.._--.._,._._~.__...._-----._._~_..._._----_._._,~..---
Zone No.
TAZ:
---_.._~-_._._-,--
sel IOOL IMP~ACT FEE' .
-~_.&.-
Account
Exernpt
(066)
(057)
(058)
..t,12~3 )
[,J Yes
Slngle~Farnily Detached HOLlse
Mobile Home
Other Residential
Collec~n Fee
[]c.l1o How Detennined
Amount $ --,-,tJ.,6_f~_'_h___..______
.._-'--~.._----------._._._.--.._-_..
----------_._-..~,._.__.
'---.-------------.-
-P~ARKS AND RE-CREATION FEE
Land Account Land Credit
Recreation Account
~--_.~-----.
-------. ..---.----.
Recreation Total
Zone
-----
TOTAL AMOUNT "L_,..____________,__,____
Exempt
How Determined
Ili3RARYFEE'-~-'-------- -
Land Account
--..----..-..----.---. _._---_._._.-~--~..-
... .......~----
.. '----.--...-
Facility ACGOUllt_,__
--~.._.--.-.-....._.__.
Land Total
--...-.----..--.--..-.----
_'___ Facility Total ..,_'_,..________...
How Determined
----------.--
Total Amount
RESOURCE FEE
TOTAL. AMOUNT
,\ "-'--,
-.:w..~_,,_ ._,
--_.-.._-..~-~---
ERU
~\L\~L\
....-.-...----~--
~_M__+___.____...__________
Prepared By '_'__.____________ Checked By _'___________.._,_________
NO Gl:FnIFICATE OF OCCUPANCY WILL BE ISSUEn OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
, BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence, bUlslmply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
--...._------_.._~._-~------------_.---
DATE
HECEIVED"BY --.--------,---"
RECEIPT NO'-:k:l3-L\~ DATE ~_~BY :s:::L-'u ~~~ __________
//111/11/1//11I1/ 11111 1/1/1 I/JJJ 11/11 1/11/ 11111 II/II /JII/II/
2003231468
Rcpl: 740360
OS: 0.00
12/15/03
Rec: 6.00
IT: 0. 00
___ Dpty Clerk
NOTICE OF COMMENCEMENT
JEO PITTMANA PASCO COUNTY CLERK
12/15/03 0~:30am 1 of 1
OR BK 5658 PG 1189
Pennit #:
Parcel #: (I . 'l f~ .') Ice L L' 0 '--I. -, G ()
State of Florida, County of !\\ 5 (()
(;0(0
The undersigned hereby gives notice that improvements will be made to certain real property in accordance
with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
3.
I, Description of property (legal description of the property and street address if available):
e'j t-i <,of lc phi r'~\ ; I i~ i- Q -r:; I--!, t i,i C ~ r~J D ~k.:... 4-!
2, General description of improvements: .<;'UJ1 1'(1(" h1
C "L 'i ',1"\ (~Fj::.;O
Owner information:
a) Name and address .:.)<':) flY:' l C/ '-I, . "2 C Ph 'th; I ,r::'C..
b) Name and address of fee simple titleholder if other than owner):
6.
',) (..:)-
~;
Contractor name and address: BAY AREA REMODELERS, INe.
12795 49th St. N. Clearwater, FL 33762
Surety:
a) Name and address
b) Amount of Bond $
!
,I i
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7,
o
u,
In addition to above, OVvner designates A//),
Lienor's Notice as provided in Section 7 I 3, I 3 (I )(b); Florida Statutes,
9, Expiration date of Notice of Commencement
from the date of recording unless a different date is specified,)
(The expiration date is one year
a;VN/~ 7<CF'../
Printed name of Owner
x Sg~'~,K~
JZ 1c>o -1/ L -~;>-7l9-A
STATE OF FLORlDA, COUNTY OF ;;;"'e l-~,-aS
The foIlo~ing instrume~as acknowledged before me this ~ day of Jl,6{,iljHb~, 20 C3 ,
by L~n/;?/{-' /<t'=?-7:J who is personally known to me or who produced
as identification,
\
Notary Signature and Seal
,.~V'~jt", Harold Joseph Darling
/:Pl:.... .'t~ MYCOMMISSIOH# 00206141 EXPIRES
: :. ' ,:"i April 28, 2007
~i""'" ct.- IlOI'IDED THRU TROY FAIN INSU;A~ct 1He.
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