HomeMy WebLinkAbout04-2733
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2733
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Squalte Feet:
Est Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Wor Desc:
2733
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
MOBILE HOME PARK
Address: 3523 ALABASTER
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
7,000.00
2/10/2004 Name: SINGER
97.50 Address: 3523 ALABASTER
97.50 . ZEPHYRHILLS, FL. 33542
2/10/2004 I Phone: ...
FLORIDA ROOM WITH VINYL WINDOWS AND PATIO COVER
FO TER 1
PRE-SLAB 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL: WATER FINAL MECHANICAL
FRAME I MISC I SEWER MISC
INSULATION WALL Mise i MISC. MISC.
INSU..LATION. CEILING I MISC. I MISC. . MISC.
DRIVEWAY MISC. MISC. FIRE DEPT. FINAL
I
. RE.INSPEC1l0N 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
I The payment of inspection fees shail be made before any further permits wiil 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
_~~~re ~ording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. .~-------~------------
. -- _ _ .__.__. __All work shall be performed in accordance with City Codes and Ordinanc~_u____ __
NO OCCUPANCY BEFORE C.O.
~
~
CTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOil PERMIT
CJ:TY 01' ZBPllYRRJ:LLS
BUJ:LDING DBPAllDmN'I'
DAB UCBIVBD :/'3 fry
PLARS U\f J.aw I"BII
PASCO PERMIT SERVICE
1- S"" - <i!~Lf -7~q Ll
OWNER'S NAME Po..}.t G-a.r
JOB ADDRESS 35 eZ 3
BLOCK
a
LEGAL DESCRIPTION: LOT (S) 3(, X 10 ~
PARCEL ID # .:J'-/---;<ft,-;}-J-NJ4{)-NJa.r;_l;r3D
WORK PROPSED: ~EW CONSTRUCTION 0 ADDITION
(OBTATN
o SIGN
o MOVE
OALTERATION
o DEMOLISH
o REPAIR
o INSTALL
PROPOSED USE:~GL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK WOOD rRA-rn~
VINYL-nil(. - I;L 1C. ~,
BUILDING SIZE &nD CD_~ - 1~1( II
rzOOWl wI "'tV'lL WHJDOWS ;-- PATIo COVb r'<-
(
SQUARE FOOTAGE ~ 0 ~ HEIGHT
RESID~IAL:
COMMf:RCIAL:
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
o ELEctRICAL
o PLUM,ING
o MECHANICAL
$
7ooo~
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
~RAME
o STEEL
~THER fI..)cr?rJ
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
I
aUZLD*.!
~ai.r
' ,
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COMPANY DwVl.e~
STATE CERT OR REGIST #
CITY PROCESSING #
. SIGNATURE
BLBC'I'lUCXAR
- SIGNATURE ~.
No &LEC7Jt<../G
d. ~-
,
COMPANY.
STATE CERT OR REGIST #
CITY PROCESSING #
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P~
SIGNAfRE
MBCBMIICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***********~******************************************************
COMPANY.
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
0TBBll !
SIGNA'~URE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
CONDITION~ OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this penuit may be subjeGt to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restJ:ictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOn RESPONSIBI]~ITIES
If the owne~ ha,s hired a contractor or contractors to undertake work, they Jllay be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the O~ler 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 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.
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 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
*50uthwest 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 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 COMMENCEMENT".
~,a,~
SIGNATURE:' 0 R OR ~AG
~a, ~~
SIGNATURE. CONTItACT
STATE OF FLORIDA
COUN'l'Y OF
The foregoing instrument was~~nowledqed ~
Before '(,:. this '.ii';~y of r<;cl'a<>'"" ;;>".'
by ca..r~ ~ /
(name f per n acknowledged)
~ho is personally known to me, or
~o has produced V. ( 1
_ (type of identification)
~d not ta e an oath
o
I'd !;(- 0
STATE OF FLORIDA
COUNTY OF
The foregoing lnstrum. ent was~~~OWledged '(f'
Before... thi~4daY ofr~/2r<u{l'J ~
by (' c:a.r1 ' r
. (name f per n acknowledged)
o who is personally known to me, or
~hO has produced)), L..
- (type of
and who did ~id not t
f~UJ
Name typed,
erson taking acknowledgement
""Y~"I Suzanne Bahr
_-i>~<<-;. ('Clmmi~~ion #DDl57131
pr:f,~~e ..1!E~ 15,2006
-;"';~ OFf~o~"./ ~onded Thru
"" I"" AtlantIC Bondmg Co., Inc.
5i erson taking acknowledgment
~""" Suzanne Bahr
.:-~t.Y'~':~<:;'-:. Commission #DD157131
Name typei1.j ~.~&lir~i:Nft~~QP
----<~j.j. OF f~O~~':""" Bonded .Thru
I"""" Atlantic Bondmg Co., Inc,
, I
Gary & Pat Singer
3523 Alabaster Dr.
SQ. FEET PRICE
MAIN OR LIVING: $ 50.00
OTHER AREA UNDER ROOF: $ 25.00
OTHER: - $ -
VALUATION $ 7,000.00
FEE SHEET $ 65.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 97.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 97.50
ELECTRICAL: $ -
PLUMBING:
MECHANICAL:
RADON: $ -
TOTAL $ 97.50
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
I
I
I
I
I
WATER METER:I $
IRRIGATION METER $
~ I
SUB-TOTAL $
97.50 ,
SIPS'I $
97.5% $
2.5% $
- I
- I
TIF'S'I$
99% $
1% $
TOTAL: $
97.50 ,
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DISCLOSURE STATBImRT FOR OWBBR
CITY OF ZBPHYlUIJ:LLS BUILDDTG DBPARTIIBRT
G-a r f.J.- ~ n.ge;y have read and fully understand and
to the P/aviSi~ of this instrwaeD.t.
I,
agree
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 occupy 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.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3 . That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. 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.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law 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
onsite 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 DlUst be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
. building you have built 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. It 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
responsibili ty 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
employed by you, which means that you must deduct F.I.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 regulations~. .
QWBBR'S SIGRATURB 2iA~~ I _ _ . DATE.;? - ;Z -02../
ADDRESS ~.1.3 H1~ ~"tJrltL (f~ Pc... s3SZf.;2..
- ~)
WXTllBllS )/~. . .~-- .~ PBRKJ:" .
c:--/
Permission To Pick Up.txt
N~~ ();~
35;1.3 A/a&c;-/er Vr(VL,
A~~rh( lIs) FL 33Sl-{;L-
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,
~{L~
sig"natu .,.
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this ~M day of F~hru.4~ ,900'1 .
Personally known or Produced identificati n /~
-~~" cliffrer r~Q Rcutlrnann 0. [,.
P':~~~~'~ COmmission IiDD] S~B4
=:.:. . :;:: Expires: Nov 15, 2006
....-.A 'f;)'"
....."~~OFf\.O~':.' Bonded Thru
","\\, Atlantic Bonding Co., Inc.
Commissioned Stamp
and Expiration Date
~'
N 'na ur ~~
Page 1
state of -E.16Vtda...-
County of
111111111111111111111111111111111111111111111111111111111III
2004019760..
-'-
P03 di3',~*'
1. ',"
NOTICE OF COMMENCEMENT
. 'I '" .. \ ' ~..".~ '"
TUB trnOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
fo110,",'ing information is provided in this Notice of CommC!ne~mctl:t:
1.
Descr iption of Property: Parcel No.
35;23 PI aJco5 V.e."
(Legal descr~pt1on of the pr pert
General Description of Improvement WooL,(;-arne.
.; In tJ L w tnelt) fJ.li2. (Mid fa he; Co if Er
/
O\Yncr Information)]lame &. t1fif ~_~I
r,ddress 35~3 H/~k JrCity ~)!s
Interest in Property: Same:-
5~
2.
Rcpt: 753467
DS: 0.00
02/05/04
Rec: 6.00
IT: 0.00
Dpty Cl.rk
R:"e'~
" ,. , 3.
State .u3~~
Name of Fee Simple Titleholder:
(If other th~n owner)
JED PITT"AN~ PASCO COUNTY CLERK
02/05/04 l~:eeam 1 of 1
OR BK 5716 PG 308
City
Stute
Address
4. Contractor: NLlme O/JJne..r-
City
State
Audress
5. Surety: NLlme
City
State
~ddress
Amount of Bond: S
6. Lender: Name
City
State
Address
7.
Persons within the State of Florida
notices or o~her documents may be
71.3.13(1)(a)(7), ['lorida Statutes:
designated by Owner upon whom
served as provided by Section
tJ..mc
City
State
Address
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
<J. f'xpi.rn1 .l'in dftte (){ f1ot1ce of Commencement (the explratic.n date 15 1 year
fr?m the date uf r~cording unless a different date is specified.)
Signature of Owner: ,J:h,,':J I) :.-~
Sworn to and subscribed before me this
/? J
,.?( PI d
day of
ref)rCCfl- /l-f
J
204-.
'- /:C1a~ '70'a-k,,--
/. S
My C:):T1,;lj S s ion Expires: '...... ,~~~';Yo~',,' uzanne Bahr
~::""^l\'~"~ com.mlsslon #D0157131
:'~'. \{J.:;;: Expires: Nov 15,2006
""..;~; OF f~O~ ,'" Bonded ThJ1J
',,,,,,, !\(l'mtir BordingCo., Inc.
Not<lry Publ ic:
PC93053048/A