HomeMy WebLinkAbout04-2758
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2758
Permit Niumber:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost: 6,500.00
Date Issued: 2/18/2004 Name: BOBBY ROGERS
Total Fees: 130.00 Address: 3450 TOURMALINE DR
Amount Paid: 130.00 ZEPHYRHILLS, FL. 33542
Date Paid: ~!18/~90~____uu_~__---"---__~.Ph.Qne: ~______ ~_., ______ _,__
-~-Work-Desc: LANAI WITH SCREEN ROOM ,UTILITY ROOM AND BATH
2758
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
MOBILE HOME PARK
Address: 3450 TOURMALINE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
H
HOMEOWNER
I / - 9 tJ l/l1ft F~T GllFl/-)TED
. ,ErrEen ve /1-3 -D 1-
. P !
PRE-SLAB CONSTRUCTION POLE . 2ND ROUGH PLUMB I DUCTS INSULATED
LINTEL PRE-METER I WATER ! FINAL MECHANICAL
FRAME MISC I SEWER . MISC
INSULATION WALL MISC I MISC. ! MISC._
INSULATION CEILING MISC. I MISC. MISC._
DRIVEWAY MISC. . MISC. i FIRE DEPT. FINAL
-REI-NSPE(; lION-FEES: When ext"ra inspection trlps are-necessary-due-to allY ol1-eof the foilov/ing"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
-"Warrung toowl1er:-YourfallurEd:orecordano"tice of-comn'-.mcemenfmayresLlltin-yo-ur payfl1g twice for-
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
ul:J~forer~cor:dJ~l'Ig)fou~ n~~~~~of cC)ml11encel!l_ent.'~"_____m___"_____ _ ___. ._". .._, _ _ u ". .
Complete Plans, Specifications and Fee Must Accompany Application. --- --~---~ ---
~_~~~work!)!J~1I beperfor-rn_~ir!_~ccClr~~n~~~\^I~tI!.~lty c:.~de!5..()lld OrdinCl/"l~~S__ .___ _~u __~__
NO OCCUPANCY BEFORE C.O.
_..._n____...________._______...______....___.,.._ . --.------ -------_.__________,..________...___~~_...__ ---..------.______._____n_
I ~~.~~~~S~ECT10N - 8 HOUR No~~~~~TOFFI
[ PROTECT CARD FROM WEATHER
Cl
~
:z:
ell
Cl
Z
c
:IE
o
i
z
~
Hi!
u
ell
-)
owo
O~w
~C{:I:
It:;(I)
II...
I rn .1
-.J
1'0
Co
----1
Co
1'0
)
0
.....
.')
1'0
z
o
i=
c{
>
W
...J
W
W
o
(i)
CQ
;
\'
-
q
(.
:; i
m
r-
m
<
)0
S
z
-
OJ
r
~. DO I
(/);a~
~~o
mo
(.
-L
CQ
i
!i2
~
o
iI:
I
(I)
ii
=
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 DATE RECEIVED . I) /;F:/~f
PASCO PdMII SE"Rlfl.
PHONE CON'l'ACT FOR PERMITTING (-'6lC(Q--g~t{-7g91.f
PLEIt-SE' CR-LL 0 W~~R.
foR. PICK-UP
OWNER'S NAME PHONE 770 _ I _
JOB ADDRESS ( '5 -t 335"0/'0
LEGAL DESCRIPTION: LOT (S) c:l. '1'1 BLOCK SUBDI SION 6lJer-aJd Pot hk
PARCEL ID # ~J./-c1...b -ctJ- 0000 - 00100 - ;;2-7q~TAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~W CONSTRUCTION
[J ADDITION
OALTERATION
[J REPAIR
[J INSTALL
[JSIGN 0 MOVE [J DEMOLISH
PROPOSED USE:MSGL FAMILY DWELLING OMULTI-FAMILY [J# OF UNITS
o COMMERCIAL
[J INDUSTRIAL
[J SWIMMING POOL
[J MOBILE HOMl
[J OTHER
DESCRIPTION OF WORK 1-an~
6~eeN IDX II.,
BUILDING SIZE I3Ffn+ 10 X 8
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
(6(!f~~ ~.. 8"t.fh~a..ft/I'7 ~nt)
/OTJ9l.-
SQUARE FOOTAGE OlLfo If' HEIGHT SeE Pt...I9AJ5
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & ( I) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
f)( BUILDING $ GSm.t70 VALUATION OF TOTAL CONSTRUCTION
~ ELECTRICAL AMP SERVICE [J FLORIDA POWER [J W.R.E.C.
tl( PLUMBING
[J MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
[J GAS [J ROOFING [J SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES [J NO
BUILDER
.....--. --, ,--- , .....,-...-.. - .-- . .
CQ~TOa\,S.CT:tQN
J>. ~":.". ;.: ..... .;'..~';':', ""',,"'-'.,-.<:.:,:'- ,._,;;<....-"..'.i'.-._ '.. _.c.;,". -;. ".. , '..' ,.,.,
COMPANY CtvI1t'1'"
~~L?~ STATE CERT OR REGIST /I
*** *************************************************************
~ SIGNATURE
COMPANY Own~r
y)
STATE CERT OR REGIST #
**** ************************************************************
PLUMBER COMPin'4Y Owner
, SIGNATURE STATE CERT OR REGIST #
MECHAlfICAL
*************************************
v
COMPANY
SIGNAtURE ~
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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
contractor(s) sign po~tionsof 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 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 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'c
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 siJ
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, CONSUL'
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".
~
~~'~ER o~~
STATE OF FLORIDA '0
COUNTY OF r.p.c.. ~O
The foregoing instrument was acknowledged
Before me this ~day of f~.bv-wu, ' 2~
by ~Dbb'f ~exs
(name of person acknowledged)
Owho is personally known to me, or
~ho has produced J).l.
(type
9ldid not
of identification)
take an oath.
of person taking acknowledgement
,"""" Suzanne Bahr
....,':5.~y.~(J~'""
Name typed, PriJ~~ =i~~DI~~5;JJ~
"';~oF fi..O\'" Bonded Thru
"11"\'\\ Atlantic Bonding Co., Inc,
. rE&lrR~
SIGNATURE: / ONTPAlTOR
STATE OF FLORID~
COUNTY OF a..5Co
The foregoing instrument was acknowledged
Before me 1!lfS J.1:!:..siay of fd,r4 ,20 '!.:L
by obby F<4er s
(name of person acknowledged)
C1ho is personally known to me, or
~ho has
produced 1/. \.. .
(type of identification
~id not take an oath
and who
Name typed,
erson taking acknowledgment
","'';pu'" Suzanne Bahr
'o'\~" i9(' e ., i18 59 3
,~<: .~.( '_ Bndul331lih 1 1 1
pr 1.n : qrr- .,S t- amoe
::;.u:.:....~~L:^...rres:'l'lo 15, 2006
. ,;-:~ OF fi..o\" Bonded Thru
1,,,,,,,\' Atlantic Bonding Co., lnc
buJNhtL
'3Lf50 ~\Ji~~L l"-lf..
~c~ r4-\.
i,;-_ ~_
:~~t~
i.'~
=tn.= .-'..:.-=
~il..C.e:- ?_C~}I
::.w=LlIL
~U::1LiI:1~ q Dr U 0
....::.:...-:...~L:: Lf I).. \:) v
~=.i~DIIl~~
':,.!.c:.::.:;;UI.C:.:l:
....:Jca:
_=UUl ~-::
-.;nn<-::~c.::i.
:.:::ms.. moac:
EMERALD POINTE RV RESORT
LOT: 279
PARCEL ID#: 24-26-21-0000-00100-2790
36'
PROPOSED:
BATH & UTILITY
ROOM 8 X 10
PROPOSED:
SCREEN RM
16 X 10
16'
EXISTING CONCRETE
3450 TOURMALINE DR.
5'
C~;.~~
~~,
;';'\'" ~~...
ALL WORK SHALL COM"L Y WlTH AL
pREY AlLING CODES. FLORIDA BUILD
CODe. NA 110NAL ELECfRlC CODE
CITY OF ZEPHYRHILLS C:\D:NAI'Cr:
, ~e\
..,,-,IE
6Ul'-CING EP -APPROVED
,~'
~
o
o
0:::
Z
W
l.U
0:::
()
(j)
o
~
DISCLOSURE STATBKBNT !'OR OWRBR.
CITY OF ZBPBYRBJ:LLS BUJ:LDJ:BG DBPARTIIBNT
I, f31?~ Rodfl,erc:" have read and ful.ly understand and
agree to th provis ns of this instrument.
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, ~ease or sale. That he or she s~l comply with the following conditions:
1. That the owner and he or she alone s~l 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 ful.l 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 ful.l. A written request from this office s~l
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 securi ty , 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
onsi 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. It lIlay 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
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
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.
OiINBR' S
ADDRESS
PROn
DATE
3ro
PElUIl:T # f2 1 j R
~-/ 7-00/
State of
F!()((dfL
County of
1""" ""1'''"1111I "'1111111 II1I1 11111 11111 1111111111111
2004029&81
ftJ. b ~D
NOTICE OF COMMENCEMENT
THE IrnOERSIGNED 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.
2. General Description of Improvement
,,;........
Owner Information: Name BOb
llddress 3460[;jJ(~ltn~ IL.
Interest in Property: a
Rcpl: 757890
DS: 0.00
02/20/04
Rec: &.00
IT: 0.00
Dpty Clerk
R.
State Fe 3 ~
Name of Fee Simple Titleholder:
(If other th~n owner)
h'd m.e.."
Address
City
State
4 .
Contractor: Name
0(;.) ner
Address
City
State
5. Surety: Name
Address
City
State
Amount of Bond: $
~~92~~~1"'AN2 : fI.S;O fOUNToY' C\ERf<
OR Bf<. 5734 PG 1930
6 .
Lender: Name
Address
City
State
7 .
Persons within the State of Florida
notices or o~her documents may be
713.1J(1)(a)(7), rlorida Statutes:
designated by Owner upon whom
served as provided by Section
tJc;mc
Address
City
State
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'xp.irt'l1 .l'Jn d~t.e of rlot.lce of Commencement. (the expiratlon date ls 1 year
fr~m the date of recording unless a different date is specified.)
Si9oatureofOwner: ~~
Sworn to and subscribed . fore me this
17~ day of
r eb rw;u-'-f
. J
20~.
Not.:lry Pub 1 ic:
My C::J:TI,;lj S sian Expire s :.
PC9305304l81 A