HomeMy WebLinkAbout04-2708
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2708
Permit Number: 2708 Issued: 2/03/2004 ,
Permit Type: GENERAL BUILDING PERMIT .
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 5,328.00 Total Fees:
Amountl Paid: 61.92 Date Paid:
I
61.921
2/03/2004 !
Address: 6815 OAK CREST WAY
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: OAK CREST ESTATES
Parcel Number:
Name: .J.'S ALUMINUM
Addr: 37912 7TH AVE
ZEPHYRHILLS, FL 33542
Phone: (813)788:-3741 Lic: RX 0050047
Wor Desc: VINYL WINDOWS ROOM
HENRY CICHOSKI
6815 OAK CREST WAY
ZEPHYRHILLS, FL. 33542
Phone:
ft:J Ilo!f} {
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PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB I DUCTS INSULATED
LINTEL PRE-METER I WATER ! FINAL MECHANICAL
:~T~~~:g~ ~~~~G i ~:ig. . ~:~~R ====- I ~:ig:
DRIVEWAY . i MIS~~~____ MISC. ~IRE 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 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 r~ording your notice of commencement. " _'____,
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CTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
NO OCCUPANCY BEFORE C.O.
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APPLICATION FOR PBRIaT
CITY 01" ZBPRYRR:ILLS
BU:ILDDfG DBPAllDSNT
DAB RBCBXVBD J / ?-q /tJY'
l
PLMfS RBVDnf I'BB
PASCO PERMIT SERVICE
,-~'''- ~;2"f-7'&9Ll
OWNER'S NAME I-t en r ~ C i c Vto ski . PHONE
JOB ADDRESS ~'3IE Oak Cu,C;+ ~1J ~()/s~ R-- .=B,z;-t/.;z.
LEGAL DESCRIPTION: LOT (S) Ltrb 5" BL K SUBDIVISION ~ c,~+ (;;7.5;..J,..~
PARCEL ID # O:)--;l.h -:21- () .:y::,;-o -C:dXXX;- o.os-o
(OBTAHI FROM PROPERTY TAX NOTICF.l
WORK PROPSED: DNEW CONSTRUCTION
OSIGN
PROPOSED USE:~GL FAMILY DWELLING
D COMMERCIAL
~ ADDITION DALTERATION D REPAIR D INSTALL
o MOVE 0 DEMOLISH
DMULTI - FAMILY D# OF UNITS D MOBILE HOME
D INDUSTRIAL D SWIMMING POOL D OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTIOH OF WORK VJ~ndolU 100(1'1
BUILDING SIZE 12-X I ft, SQUARE FOOTAGE Icrt!}...rf1-
HEIGHT
RESIDl!:NTIAL:
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.
D BUILDING
o ELECTRICAL
o PLUMJ3ING
o MECHANICAL
$ 5:32-cgOE..
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D FLORIDA POWER
o W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
OGAS
o ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
D FRAME
D STEEL
;rf-OTHER aJ Ufr1/ n vrn
FINIS$ED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
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B1JZLD~ ~ COMPANY 't<.J. \ Alum""&(~
STATE CERT OR REGIST #
SIGNA'tURE. CITY PROCESSING #
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BLBC'1'JllXCIAB
COMPANY.
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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COMPANY.
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNAWRE
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CONDITIONS OF PERMIT AFF~rAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that t:his pennlt may be flubjec:t .:0 "deed restrictions" which
may be more restrictive than City regulations. The und'~rsigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBI1JITrES
If the owne~ ha,s hired a contractor or contractors to U:!ldertake work, they may be required
to be licensed in accordance with state and local reguVltions. If the contractor is not
licensed as required by law, both the owner and contl:actor 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 WOJ:k, 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 ",'ith a copy of "Florida's Construction
lien Law - Homeowner's Protection GuideN prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone ot.her 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 "ownerN prior to commencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in this applicatic.n is accurate and that all work will
be done in compliance with all applicable laws regulaLting construction, zoning, and land
development.
Application is hereby made to obtain a permit to do ",ox.k and installation as indicated. I
certify that no work or installation has commenced prio,r to issuance of a permit and that
all work will be perfor.med to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulat.ions 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 t:o identify what actions I must take to
be in compliance. Such agencies include but are not liRdted to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areals and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Anny Corps of Engineers-Seawalls, Docks, Navigable Wat:erways
*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 "compensat:ing 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 ipvalid 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 COMMENCEMENTN.
s~~ SI~
STATE OF FLORIDA rr? STATE. OF FLORIDA 0
COUNTY OF ,~ a 7t.O COUNTY OF LE $l.-O
The foregoing instrument was acknowledged The foregoing instrument wa.!- acknowledge~
Before me this .(1~ay of !~MA"-' . .:u;ocf Before..J!!E! this -<my ot Ja",~rJ ' .:wrt:t.
by ,. .t::.Pbbo(d..k. DDk~~~_ by ~ Lah...a...h,. _~....a or r .
(name of person acknowledged) ~ (name of person acknowledged)
~ho is personally known to me, or ~o is personally known to me, or
o who has produced
(type
tzfs.id not
Owho has produced
(type of
fll(i.d not
person taking acknowledgement
,"W.~::t", Suzanne Bahr
r;':;~~:'-:. CSRllRissieR IIDDlS7131
Name typed, p -:.'!l.' .. .~~~~9-15, 2006
""/;~ OF f~O~~''''' Bonded Thru
I" 1\ \" Atlantic Bonding Co., Inc.
Si nature 0 person taking acknowledgment
,'\l-Y\,'/" Suzanne Bahr
~'~~~" ('nmmi~~inn #OOlS7I31
Name ~$>e..~:~s=dI(l\JJi 5~ed
.....,~~ OF f\.o~...'''' ~onded .Thru
"'JlIII' AtlantiC Bondmg Co., Inc.
OAK CREST ESTATES PHASE TWO
PARCEL 10 #: 02-26-21-0250-00000-0050
75'
.~
65'
25' 1 PROPOSED SCREEN
- - ~ ROOM ON EXISTING SLAB
- --
12 X 16
EXISTING 17.5'
HOUSE - -
40' X 48 - -
J.
25'
"
150'
6815 OAKCREST WAY
~
PROPOSED VINYL WINDOW ROOM
r I 3" COflFOSITE PA/IEl... ROOF I
::;'1
2><3 D45
POSTS
2X3 .045
EDGE BEAM
16" KICKPlA TE
EXISTING SlAB
16'
~
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r--
- H
0
U
8'6" S
E
8'
1
12'
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SIDE ElEVATION
NOTICE OF COMMENCEMENT
r:: I b rl d a....., County of Pas, GO
11111/1/11/1111/11111111111111111/111111111111111111111/1111
2004015782
State of
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real properly,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1.
2.
Rec: 6.00
IT: 0.00
Dpty Clerk
3.
Address (p <6'/5
State f::.L. 3a-9j:J.-
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
6~~
JED PITTMAN, PASCO COUNTY CLERK
01/29/04 02: 32pm 1 of11434
OR BK 5708 PG
Address City
R~. Contractor: Name R. J: PiLl m I n u~
. Address 371 r;;J. 7"'" !fvpnfJL City - hgrhd &.
$. Surety: Name
State
State R-33.5"f~
Address
Cily
Slale
Amount of Bond: $
7. Persons within the Stale of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
c:::(LU>- u... ~
U):=!:; 0 cr:
C;~U) >- ~
6;:~~<t: ~~
ffia5- ~ ::)
a: :; :::= 0 0..
9::lw ~ U ~
. ,~~~x~:~
!;;(ZU)~Ne::
<(0 ~:::C....J ~
OO>-O~~ 0
~ (f) '= it ~ CJ)~ :><:
. ((<(::roOD....J ffi
o a.. w u a: <t: .....
....J ot;8-
LLLLowwu.
I.l...O:;;~a:u.
0>- -oS? 0
I- ~u~ c
f . '" I L' . N' Wz ~~:::) ~
o to receive a copy 0 lle lenor.s otlce as I- :::> <t: 0...
provided in Section 713.13 (I) (b), Florida Statutes. ~ 0 ~ 15 ~
(f}e.) g:~~
9. Expiration date of Notice of Commencement (the expiration date is I year from the date
of recording unless a different date is specified.)
6. Lender: Name
Address
City
State
Address
City
State
c:
Cl
w >-
-:> <D
Name
8. In addition to himself, Owner designates
. I
Sworn to and su
~
day of Jan1A.Ar'J
.20d-.
Notary Public:
My Commission
PC930530481A
~"" SU2::anne Bahr
..' VPlJ. ',/ -
/!:~~~;:~ Com?1is:ion #00157]31
~~. ~,,,..::- Expires. Nov 15,2006
"1',;fSOFf\.O~~"'''' Bonded Thnl
1'/1]\" Atlnntic: Bonding Co., Inc.