HomeMy WebLinkAbout04-2661
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CITY OF ZEPHYRHlllS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2661
Permit Number: 2661
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: RV PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Wor Desc:
Address: 3441 PERI DOT LN
ZEPHYRHILLS, FL.
Township: Range: Book:
lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
20,000.00
1/21/2004
411.00
411.00
1/21/2004
MOTOR HOME PORT
Name: JAMES TANNER
Address: 3441 PERI DOT LN
ZEPHYRHILLS, FL. 33542
Phone:
H
HOMEOWNER
HOMEOWNER
PLUMBING FEE
58.50 I
/' / -rill ~ ~ o?- :2 0 - 0 L( /Ifl
~~(/V'J_lrrtJfI f;fOI
5li1f./'t I
SC..h .l-~-(Jt./ /-ItsfJ
FOOTER : ROUGH ELECTRIC LU
PRE-SLAB I CONSTRUCTION POLE 'I 2ND ROUG. H PLUMB DUCTS INSULATED
LINTEL I PRE-METER WATER i FINAL MECHANICAL
FRAME V LJ - € -6'/ J.l--J"'t1 i MISC SEWER MISC
INSULATION 'wALL i MISC , MISC. I MISC.
I
INSULATION CEILING : MISC. I MISC. i MISC.
_~RIVEWAY _ _ _J MISC. ~_ _~RE DEPT. FINAL
REINSPECTION 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
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning-to ow-ner: 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
~efo~ rec~rdil!~ yo~r n~tice of commencement. "_ _
Complete Plans, Specifications and Fee Must Accompany Application:---------
________________.. _____~II w<::>~k sh_all beperf<::)rmed_in acc:ordance with City CodE~S andOrdillance~ .. ._
NO OCCUPANCY BEFORE C.O. - - - --. --
_.__._----_..~--~------_.,._--~----
-- -~M~..
INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
OWNER'S NAME ::JavYl~.s Ta..nr\~""
34L{j Pea-I dot Ln.
~~3
PARCEL ID # ;l4.-;)~-;'I-DOW-OOOOO-~230
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 ,I ~ t./
DATE RECE IVED I 6J.lJ, ()
PLANS REVIEW FEE
?tt~c..o P~('""i t $ce.,Vtc.~
PHONE 1-'l>lD~' 8').&./- 7gQt.j
JOB ADDRESS
SUBDIVISION E ~n;JJ R,c~t"
LEGAL DESCRIPTION: LOT(S)
BLOCK
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ~NEW CONSTRUCTION
DSIGN
PROPOSED USE:9QSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Motor- H-oY'1e. PorT
BULL.DING;. 'fu"l rtr PDte.. T 750 t/1
BUILDING SIZE .sC(2..el!:lV I ~1I t/:J SQUARE FOOTAGE
HEIGHT :SEt:: PL/Uo.)S
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
AMP SERVICE
o FLORIDA POWER
@
PERMITS REQUESTED
~ BUILDING
~ ELECTRICAL
9Q PLUMBING
o MECHANICAL
$ 020000. (X)
VALUATION OF TOTAL CONSTRUCTION
o
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
p{ FRAME
o STEEL
t(OTHER o...lu./IJ<IYJUI-I.-
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
f;lJ.
COMPANY OWr1V
STATE CERT OR REGIST #
CITY PROCESSING #
BUILDER
******************************************************************
ELECTRICIAN
COMPANY OWr.eK
/7 ..0-...5- STATE CERT OR REGIST #
SIGNATURE ~;~ L~ ~ CITY PROCESSING #
~******************************************************************
~
~\
COMPANY OWt"\~
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBER
***************************~**************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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 Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
co'ntractor (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".
~
---.........
\
~~~~ ~
~GNATURE: CONTRACTOR
.~~ STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this ~ay of Ja.Mu": ...." 20 Jl!/
by ,Te:LkAL': ~ ~.e.,.
(name of person acknowledged)
C1ho is personally known to me, or
~
OWNER OR AGENT
STATE OF FLORIDA ~
COUNTY OF t::l.6LO
The foregoing instrument was acknowledged
Befo{!Lme this I iI'1"tiay of .:Ja..V1k4t>'j , 2~
by .J t11ML.~ f tl"'""'~
(name of person acknowledged)
Dwho is personally known to me, or
Pa.sco
~o has produced '"P I-
(type of identification)
Ddid not take an oath.
[(;ho has produced D. L.
(type of identification)
~id not take an oath
~
f person taking acknowledgement
erson taking acknowledgment
Name typed,
Name typed,
,\""," Suzanne Bahr
...' ~y P{J,Jt//
e. "~-::b~~I!~~MI57131
~;~.~:~ Expires: Nay 15,2006
--,;~ OF f\.O~~'" Bonded Thru
"'" \ \ \ Atlantic Bonding Co., Inc.
"\\'~~~"''''
DJ:SCLOS'DRB STATBIIDr.r POR OWRBR
cJ:n OF ZBPBYlUIJ:LLS BUJ:LDDIG DBPARTIID'.1'
~ C-
J:, Jamc!s' .) a....""'~
agree to the provisions of this instrument.
have read and ful.ly understand and
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or rerOOfing his or her own domicile, that he or she
actually occupies, or will oc~ by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1.
That the owner and he or she alone shall act as the builder for all phases of
construction.
That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
That in the event the Building :Inspector shall require corrections to be made,
the owner will assume ful.l respensibili ty to insure they are made, and upon
comp1etion wi11 call for a reinspection before proceeding with the building.
That the owner shall assume ful.l responsibility for the construction and wi11
not expect supervision of his work from the City of Zephyrhills Building
Department.
That prior to final inspection any additional fees, including reinspection
fees, must be paid in ful.l. A written request from this office shall
constitute an official notice to pay additional fees.
That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable.
That the owner shall comply with all the safety codes issued by the Florida
J:ndustrial Commission.
State 1aw requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
ensi te supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. J:t may not
be built or substantially improved for sale or lease. J:f you sell or lease a
. building you have bui1t or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed persOn to act as your contractor or
to supervise people working on your building. J:t is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
emp10yed by you, which means that you must deduct F.J:.C.A. and withhOlding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regul~~ations;. ,
OWNER'S SJ:GJlATOllB. ~ --.:::::::-...
ADDRESS /...ut: ~~~ ~
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Permission To Pick Up.txt
0ttl.M.E' oS ('. Ta '" Vl€r
Name
LoT ;t;;t 3 .. ~ ~rGLl~ 'Fb\~L-
Address
Z:~ph'frhi Ils , Fl. 3354D
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,
e~
~
~ ,
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this It, -r'" day of Jd.nC<.O-r~ ' .;loO~ .
Personally known or Produced identificati n ~
Type of I. D. 7). t-. .
"'~~P'~/,, Jeffrey Todd Reutimann
:~~~~'-=:. Commission#DDl59234
~;:" ';).~:j Expires: Nov 15,2006
"'~~ . .. .rp", Bonded Thru
" OFf".,' I' B d'~ I
Comm'issto~e(r' a:inp
and Expiration Date
~ -;;u'R,,h~
, a ~ature
-
Page 1
1111111111111111111111111111111111111111111111111I111111111I
2004011231
NOTICE OF COMMENCEMENT
State of -.fJ Dr; do....
County of
Pa.sCo
TUE tmOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following infor~ation is provided in this Notice of Commencement:
1. Description of Property: Parcel No. Ol.'/- ~(, - till- 0000-00DOO- ;;1.::130
E me1"eLld POt~f Rv' F?~sort Ph~:s~ FovR.
(Legal description of the property and street address if available)
2 .
General Description of Improvement
r-<. V 'PO,z I
Rept: 749S09
OS: 0.00
01/22/04
Ree: 6,00
IT: 0.00
Dpty Clerk
O\VI1cr Information: Name Ja~S C. Tctll\..,e..r
l\ddress M:11 Per-idot lane
Ci ty L. e.ph'fr-hi \l s
State EI. 3'35'{O
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
JED PITTMAN PASCO COUNTY CLERK
01/22/04 10: 33am 1 of 1
OR BK 5700 PG 1266
Address
City
State
4. Contractor: Name OWVle-r-
Address
City
State
5. Surety: Name
Address
City
State
Amount of Bond: S
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whcm
notices or other documents may be served as provided by Section
7l3.13(1)(a)(7), f'lorida Statutes:
tJ~mc
^ddress
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided ~n Section 713.13(1) (b), Florida Statutes.
'J. ['xp..i.rl'it.L'Jn d.-,te of ?Iut.ice of Commencement. (t.he expiratiun d.::;.te is 1 year
fr~m the date of recording unless a different date is specified.)
20 0 c..f, .
before me this c;l.O~ day of 0ttr'\~j
Sworn to
Not.:lry Pub 1 ic:
\\11'"
~~~~..) Com?Jission #00]57131
-;..... \:).}'= Expires: Noy 15,2006
....."~1)}OF f\.~~"''''~ Bonded 111m
'""""' Atlantic Bonding Co., Inc.
PC93053048/ A