HomeMy WebLinkAbout04-2737
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2737
Permit umber: 2737 Issued: 2/11/2004 Ii
Permit Type: GENERAL BUILDING PERMIT
Class of Work: SHED INSTALLATION I
Proposed Use: NOT APPLICABLE I
Sq. Feet: Est. Value: I
Cost: 1,300.00 Total Fees: 60.001
Amoun Paid: 60.00 Date Paid: 2/11/2004
Address: 3326 MALACHITE DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: EMERALD POINTE
Parcel Number:
Lie:
GEORGE FOX SR.
3326 MAlACHITE DR
ZEPHYRHILLS, FL. 33542
Phone:
(iJ )/~ilo<l
t-fSO
U 1
! CONSTRUCTION POLE I 2ND ROUGH PLUMB I I DUCTS INSULATED
I PRE-METER I WATER FINAL MECHANICAL
FRAME , MISC I SEWER I Mise
INSULATIONIWALL ! MISC I MISC. I' MISC.
INSULATIONICEILlNG 1 MISC. I MISC. MISC.
DRIVEWAY . I MISC. . I MISC. i FIRE DEPT. FINAL
REINSPEmON 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 tailed (d) Work not ready for inspection when called
(e) Permi~ not posted on job site (f) Plans not at job site (g) Work not accessible
_Th~ pay-,!,~nt 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 re<tording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
--- -----. -- ~~
PERMIT OFFI
R INSPECTION - 8 HOUR NOTICE REQUIRED -
PROTECT CARD FROM WEATHER
APPLICATION I'OR PBRIaT
CITY or ZBPBDUlILLS
BUILDING DBPARDailNT
DAm llBCBIVBD :2 - 9 - of-
PLARS RBVIBII' I'D
PASCO PERMIT SERVICE
1- S"" - <a;2L( -7'&9 Ll
OWNER'S NAME G-.eDrl ~ E.
JOB ADDRESS 33 a.J
3'
PARCElL ID # ,;J.'-/-;J.L -~I-oa;l..LJ-C)(~ -O?'bO
WORK PROPSED: ~ CONSTRUCTION
LEGAL DESCRIPTION: LOT(S)
BLOCK
( S ~ 339fo
BDIVISION [; ~ fJ/~
(ORTATN FROM t:m X 1~F.{l-
D ADDITION
DALTERATION
o DEMOLISH
D REPAIR
D INSTALL
DSIGN
o MOVE
PROPOSED USE:~GL FAMILY DWELLING
o COMMERCIAL
OMULTI - FAMILY
o INDUSTRIAL
Off OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRtPTION OF WORK shed Cr" -~ Sv\1 Sh.k> 1+1" mlt?lI~
BUILDtNG SIZE ~ )( / b SQUARE FOOTAGE k/) tfb- HEIGHT
RESID"'TIAL:
COMMlf: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.
~UILIhNG
o ELEc'llRICAL
PERMITS REQUESTED
$ /:; 00 ~
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECImNICAL
.......
$
o GAS
D ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE olF CONSTRUCTION: 0 BLOCK
FINISH~D FLOOR ELEVATIONS
o FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAD YES D NO
BUILD" COMPANY ()U?J'l.tf?,.r
.~ J:/- /J STATE CERT OR REGIST ff
SIGNATURE -/-?- c. ~ CITY PROCESSING #
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BLBCTlUCUR
SIGNATURE
COMPANY.
STATE CERT OR REGIST ff
CITY PROCESSING #
::jRE
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING ff
SIGNATURE
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COMPANY.
STATE CERT OR REGIST ff
CITY PROCESSING ff
MECBAHl:CAL
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OTBBR
SIGNATURE
COMPANY
STATE CERT OR REGIST ff
CITY PROCESSING #
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pel:mit:nay be subject to "deed restrictions" which
may be more restrictive than City regulations. The lmdersigned assumes responsibility for
compliance with any applicable deed restJ:ictions.
B. UNLICENSED CONTRACTORS AND CONTRAC'l?OR RESPONSIBII.ITIE:S
If the owneJ;: ha,s hired a contractor 0.1 CI)Dtractors t() undlertake work, they lIIay be required
to be licensed in accordance with state ilnd local regulations. If the contractor is not
licensed as required by law, both the owner and cont.ractor may be cited for a misdemeanor
violation under state law. If the owner or intended ~ontractor 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 contrac:tor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractc'r 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, FLOIUDA 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 SC)meone other that the "owner", I cerify that I
have obtained a copy of the above described iiocument and promise in good faith to deliver
it to the "owner" prior to commencement..
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
1 certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable la'ws 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
*Southwest Florida Water Management District:-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*AnnY Corps of Engineers-Seawalls, Docks, Nclvigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U. S. Environmental Protection Agency-Asbes1:os abatement
1 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 il "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 J1. 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
$2,500 IN .VALUE DO NOT NEED TO RECORD AND I~OST A "NOTICE OF COMMENCEMENT".
SI~~d-~EH~ ~~CONT~g
STATE OF FLORIDA ';12 L" STATE OF FLORIDA /'0.
COUNTY OF ~21 Jet.? COUNTY OF r;:l gee:?
The foregoing instrument was acknowledged The fore~oing instrument was acknowledged
Before me this 0--- day ofrt!J;O'CL'j , ,,;la?1' Before me t s ..::J:!:::::sJay of Ft:.JJrt.<<u'1' ;2.t!A:)"-f
by by
(name 0 person acknowledged)
o who is personally known to me, or
~hO has produced D.L-
(type of identification)
Odid not take an oath.
(name of'- erson acknowledged)
~ho is personally known to me, or
~o has produced 'p L .
(type of identificatipn)
~id not take an oath
~'
Signatur~ person taking acknowledgment
;,;i.YY(;~'" Su~a~e Bahr
.p~'- CQmWl~<'M HDDI57131
Name t~~d, . JJ.~s:<NOv~~~d
---,,~~~ OF f~O~~':'''' Bonded .Thru
"'" \' I Atlantic Bondmg Co., Inc.
person taking acknowledgement
I"'"'' Suzanne Bahr
,,~~\~y.~,:~;;~-_ ('nmmi~~ion #DD157131
Name typed, pri$.f.~~~~_,...eliov IS, 2006
'O<J.; OFf~o~-:' ,,' BondedThru '""", I AtlantIC Bondmg Co., Inc.
-~""""-----"
Permission To Pick Up.txt
Na?eory- E. r;~ Sf
33Xo Ma!ach;k. 7Jr., I.d 3("
Ad~rh)~ Fi '3M;>fO
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,
srif9E e f?
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this 1H- day of k.b,Ijd.'t' LO () <{
Personally known or Produced identificatio v/
Type of I.D. T./~
"'~~;,'t,,, Jeffrey Todd Reutimann
~>:~~~<f':. Commission #DD I 59234
=*: ':):*= Expires: Noy 15 2006
-:.'J;..... ,'if"..:: 8 ded Thru'
"~Off\.O" on
c;~i's s'fl~ee~a~f~rJp'
and Expiration Date
'^
Page 1
DISCLOBDU SDTBIIBIr.r PaR 0WBJm.
CITY OP ZBPJIY]I'ATT.T ~ BtT.[LJ)DIQ J)BPARTIIBRT
I beo(~ ~t:OJ(; S'Y have read ODd fuUy................ ODd
a~ee to the ~Sions of ~s instrument.
The undersigneQ states and affi%ms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own dcmici~e, that he or she
actuaJ.~y occupies, or wi~~ occupy by said c:tc:.ici~e, and same is not for
r~t, ~aase or sal.e. That he or she shal.~ comp~y with the fo~~owing conditions:
~. That the owner and he or she al.one shaJ.l act as the builder for a~l phases of
construction.
2. That the owner wi~l comply with all proviSions of the City of Zephyrhil~s
ordi "'ances and codes pex1:inent to the bui~ding.
3. That in the event various phases of construction are subcontracted, he wi~l
engage ODl.y properly licensed. subcontractors and wil~ personally supervise
such work.
4. That in the event the Bui~ding Inspector shaJ.~ require corrections to be made,
the owner wi~l assume ful.~ responsibility to insure they are made, and UPOD
cCllllp~etion Wi~~ caJ..l for a ra:i.DspectiOD before proceeding with the building.
5. That the owner shall asSlDle fu.l~ responsibi~ity for the construction and will
Dot 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 sbal.l
constitute an official. DOtice to pay additional fees.
7. ,That the owner shaJ.~ CCllllp~y with al~ City, State and l'edera1 ~aws in regard to
social security, workman's Compensation, lien laws, etc., where applicable.
8. That the owner shaJ.l CCllllp~y with all the Safety codes iSsued by the Plorida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit UDder an exemption to that law. The exemption allows
you, as the owner of your Property, to act as your own contractor with certain
lrestrictions even though you do not have a license. You must provide direct
onsite SUPervision of the construction yourse1.f. You may build or improve a
()De-family or two-family residence or a farm outbuilding. You may al.so build
or improve a commercial. bui~diDg, provided your costs do not exceed $25,000.
The bui~ding or residence BlUSt be for your own use or occupancy. It may not
~e bui~t or substantial.~y improved for sal.e or lease. :If you se~~ or lease a
.lI>uilding you have bui~ t or substantial~y improved yourself wi thin 1 year after
tj:he construction is comp~ete, the law will presume that you built or
,*ubstantial~y improved if for sal.e or lease, which is a violation of this
exemption. You may DOt hire an unlicensed persOn to act as your contractor or
ifo SUPervise peop~e working on your building. :It is your responsibility to
+ute sure that people emp~oyed by you have ~icenses required by state ~aw and
J:ty COUDty or DIIUlicipal. licensing ordi....auces. You may Dot daJ.egate the
xlesponsibility for supervising work to a licensed contractor who is DOt
~censed to perfoxm the work being done. Any person working on your bui~ding
~ is not licensed IIlUSt work under your direct supervisiOD and must be
~~oyed by you, which -.... that you must deduct P.I.C.A. and withholding tax
.d provide workers' compensation for that emp~oyee, al.~ as prescribed by law.
YOur construction must campl.y with al.l app~icabl.e laws, ordi"'''uces, building
c~des, and zoning reguJ.ations.
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