HomeMy WebLinkAbout04-2771
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2771
Permit N mber: 2771
Permi~ Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
MOBILE HOME PARK
Address: 39633 QUARTZ DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
18,000.00
2/25/2004
351.00
351.00
2/25/2004
MOTOR HOME PORT
Name: PETER WHEELER
Address: 39633 QUARTZ DR
ZEPHYRHILLS, FL. 33542
Phone:
f
FOOTER ROUGH ELECTRIC
PRE-SLAB CONSTRUCTION POLE I DUCTS INSULATED
LINTEL PRE-METER I FINAL MECHANICAL
FRAME MISC i MISC
INSULATION WALL MISC I MISC..
INSULATIO CEILING MISC. I . I MISC.
DRIVEWAY i MISC. MISC. I FIRE DEPT. FINAL
--riEINSP- meN FEES: When extra inspection trips are necessary due to any on~ of the following reasons, a
charge 0 Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) wront. 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) Permj not posted on job site (f) Plans not at job site (g) Work not accessible
The paym nt of inspection fees shall be made before any further permits will be issued to the person owning same
"Warnin to-owner: Your failure to record a notice of commencement may result in your paying twice for-~
improve ents to your property. If you intend to obtain financing, consult with your lender or an attorney
before r ording your notice of commencement. II
. Complete Plans, SpecificationS-and Fee Must Accompany Application.
------1-------- All work ~~all be :~o~ce~:;~~~:;~~~~ ~~~~s and Ordinances
--- -.--.-
SIGNATUR ~~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
SIGNATURE
.' I / ~L---
J (..
~rffr~ ~~Kr UM ~~i~T ~
CITY PROCESSING #
SI4TURE
COMPANY OW~
STATE CERT OR REGIST #
CITY PROCESSING #
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SI GN.PiTURE
COMP.ANY-
STATE CERT OR REGIST #
CITY pROCESSING #
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SIGN+uRE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
. CONDITIONS OF PERMIT AFFIDAVIT
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 owne~ b~s 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 advi~ed to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthe~ore, 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 STATU'l'ES, 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 perfoDmed 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 t~e Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. .Every permit
issued shall become i~valid 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, UE DO NOT NEED TO RECORD AND POST A "NOTIC F . CEMENT".
STltl'E OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged GI
Before me t.bis /O-#-day 01 "F~ ' ~~
by &t-~~ Wn-ee- _e..-
(name of person acknowledged)
Ckho is personally known to me, or
~ho has produced PL..
(type of identification)
~d not take an oath
~SlO
STATE OF FLORIDA ft
COUNTY OF tl Sf' 0
The foregoing instrument was~knOWledged
Befor~me thi~day of . re.lPrlA.A.r, t9m'f
by t!!. -fer fer"
(name of person acknowledged)
o who is personally known to me, or
~has
produced ry, t... -
(type of identification)
Ddid not take
acknowledaement
erson takina acknowledament
State of
NOTICE OF COMMENCEMENT
FloridtL County of pasco
1.
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (I) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration dale is I year from the date
of recording unless a different date is specified.)
Signature of Owner:
rebrut:<..'J
.20~
Notary Public:
My Conimissiait'Ekptre. .
PC93053048! A
',' ~~ i~I.., Sl17arUle 'Babr
/~;:;.;:a{~,-:c Com,mission #00157131
~:;.~~.~:: Evp1fl'~' N(\~ 1 'I, ?006
-''-.-'Y/'iOFf.\.O:~'''' Bonded fhru
""" \ \' Atlantic Banding Co., In(;
Permission To Pick Up.txt
fekr WhM//er
3q~3 QiJ/)r-l-e Dtj
Address
~Affrh ;/ /~) r:: L
Name
W/b~
3~;6
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.
ere1Y,
Sig~atu W----
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this It/#-- day of re.hrKCtfiJ'
Personally known or Produced identificatio ~
Type of 1.0. ])L.
",~~ p"'" Jeffrey Todd Reutimann
/!~~). Com.mission #DD159234
:.'!l' ~:".: Expires: Nov 15,2006
'-'#';~OFf~O~'''' Bonded Thru
"I,,,,,,, Atlantic Bonding Co.. Inc.
Commissioned Stamp
and Expiration Date
'iJ!iP'-~L.r
signatnre
Page 1
DISCLOSllRB STATBMElllT FOR OWHBR
CITY 01' ZBPHYRB:rLLS Bm:LDDlG DBPAllTIIBNT
P~+er {Jhlder
to the provisions of this instrument.
I,
agree
have read and. full.y understand and
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domici~e, that he or she
actua~~y occupies, or wi~~ occupy by said domici~e, and. same is not for
rent, lease or sale. That he or she sha~~ comp~y with the fo~lowing conditions:
1. That the owner and he or she a~one 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 wi~~
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building :tnspector shall require corrections to be made,
the owner will assume ful.~ responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
S. That the owner shall assume full responsibility for the construction and wi~l
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 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 bui~ding, provided your costs do not exceed $25, 000.
'rhe building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sel~ 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 unl.icensed persOn to act as your contractor or
to supervise people working on your building. It is your responsibility to
~e sure that people employed by you have licenses required by state law and
bY county or municipal licensing ordinances. You may not de~egate the
Iresponsibility 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
IimlPloyed by you, which means that you must deduct F.I.C.A. and withholding tax
~d provide workers' compensation for that employee, all as prescribed by law.
Your construction must ~. th al.l applicable laws, ordinances, building
codes, and zoning on .
EWNBR'S DJ\T1!i
DRESS v. r'1llfs I ~ 3 3~;;l..
HOD
I
trTNESS PBRKIT #
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EMERALD POINTE RV RESORT
UTILITY
BATH &
STORAGE
12 X 30
SCREEN
ROOM
12 X 12
LOT: 168
36'
7 X 14
MOTOR HOME
CARPORT
, ,
14 X ... 35
----------
22'
39633 QUARTZ DR.
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