HomeMy WebLinkAbout04-2778
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2778
Permit N mber:
Permit Type:
Class of Work:
Proposed Use:
Squar~ Feet:
Est.! Value:
Improv. Cost:
Date I~sued:
Total Fees:
Amount Paid:
Oat Paid:
Wor Desc:
2778
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
MOBILE HOME PARK
Address: 3532 PERIDOT LN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
3,500.00
3/01/2004
182.50
182.50
3/01/2004
LANAI
TERRY & KIM EVANS
3532 PERIDOT LN
ZEPHYRHILLS, FL. 33542
Phone:
,t~~ ;;( rJ () Y {t5rJ
f; ~j) I.
3AIj(Ji
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U L
,2ND ROUGH PLUMBi/J""--<'V DUCTS INSULATED
LINTEL J I PRE-METER j WATER R. FINAL MECHANICAL
FRAME vi-I ;2 -o..t. I:KI..iJ... I MISC 1 SEWER I MISC
INSULATION WALL~)Aq#~ m"f),1 MISC ! MISC. i MISC:
INSULATION CEILING MISC. ! MISC. i MISC.
~RIVEWAY . i MISC. I MISC. ..._____ . j FIRE DEPT. FINAL
REINSPE\,; lION 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
"warnilijltoo\"iru!r:----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.cording you.. notice of commencement. II
---~----. --- Complete Plans, Specifications and Fee-Mu-st Accompany Applicatlon:-
_ ___________ . j\1I ,^,or!~h~'L be performe<:Lin_~~co!.~~l1ce with City_~()9~_~and Ordinances
NO OCCUPANCY BEFORE C.O.
~
bd-
CTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION !'Oil PDMIT
CITY 01' ZBPBYlUIl:LLS
BUILDING DBPA1lTHEN'l'
DAD RBCBIVBD
PLABS lUW1J01 I'D
PASCO PERMIT SERVICE
1- Sf." - ~;lLf -7 <&9 Li
JOB ADbRESS
c:J.
f?zf tel;
LEGAL DESCRIPTION: LOT(S) ~L(2)
!) '-i -- ~ -- ,;:L !-0070 - 0 {)6o() - d- ~IN
,
OWNER' ~ NAME
PHONE
I ~ A 63":::>
VISIO; ~tL!cL /?;I'nk
PARCEL ID #
WORK eROPSED: ~ CONSTRUCTION
DSIGN
PROPOSED USE~GL FAMILY DWELLING
FROM PROPERTY TAX NOTTCEl
o ADDITION
o ALTERATI ON
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCR~PTION OF WORK
BUILD~NG SIZE 1,X/ 0
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
fan rLl
SQUARE FOOTAGE
~() ;/:L
HEIGHT
IV
RESIDIj:NTIAL:
CO~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.
PERMITS REQUESTED
~UIL~ING
o ELECTRICAL
o PL~ING
o MEC~ICAL
$ ~7)() ~
VALUATION: OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
DGAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINIS~ED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
i
BUJ:m!!
~
~ SIGNAt!'URE
~
~~
COMPANY () OJ her
STATE CERT OR REGIST #
CITY PROCESSING #
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BLIl~~T.R
~ ~----
-----7
COMPANY. /0 L-U VI e.r---
STATE CERT OR REGIST #
CITY PROCESSING #
....... SIGNNrURE
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~-
."~ SIGNATURE
-"-----~-
.--:::::>
COMPANY (J /;..) ne~
STATE CERT OR REGIST #
CITY PROCESSING #
~CAL
SIGN~TURE
***********~******************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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I
SIGN1TURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that t:h:Ls permit milY be sub:ject to "deed restrictions" which
may be more restrictive than City" rt!gulations. The undersigned assumes responsibility for
compliance with any applicable deeld restrictions.
B. UNLICENSED CONTRACTORS AND CONTHAC'rOR RESPONSIBIJ[.ITIES
If the owne~ ha,s hired a contrac'tor or con'tractors to undertake work, they may be required
to be licensed in accordance with 5t:ato~ and local regulations. If the contractor is not
licensed as required by law, both the l)wner and contructor may be cited for a misdemeanor
violation under state law. If the ('wner 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..
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 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 aocument 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 per.mit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a per.mit 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 limdted 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
*Axmy 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 per.mit
issuance.
A per.mit 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 per.mit 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
$2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
-~~-- -=~.- ~~
-'
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA ~I
COUNTY OF _ asCo
The foregoing instrument was acknowledged
Before me this ~~ day of h-brtAArJ ' .:>>rJej
by 7er~ ,;"lALt..<.
(n of person acknowledged)
o who is personally known to me, or
A..who has produced 7/.. L-.
(type of identification)
Ddid not take an oath.
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was lJcknowledged ,/
Before me this o?'Vlday ofn.bf')t4r:; , ~y-
by T~'1 6" VA."" C
(name of person acknowledged)
o,ho is personally known to me, or
B:'who has produced rJ;>. L .
(type of identification)
~d not take an oath
f?;. s c. c:>
and who
Sign
Name
o rson taking acknowledgment
"';, Suzanne Bahr
,,'t.:iJ8P(J. ./, . .
':J>~"<f:..- CommISSIOn #DD157131
typedr* p&~edp~: )j~~6
~;;;. . . . .0#": Bonded Thru
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Name typed,
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Suzanne Baht
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D:ISCLOSURE STATEMENT FOR OWRBR.
C:ITY OF ZBPHYRB:ILLS BU:ILD:ING DEPARTMENT
:I,
agr~e
have read and ful.l.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 domicil.e, that he or she
actual.l.y occupies, or wil.l. occupy by said domicil.e, and same is not for
rent, l.ease or sal.e. That he or she shal.l. compl.y with the fol.l.owing conditions:
1. That the owner and he or she al.one shal.l. act as the buil.der for al.1 phases of
construction.
2. That the OWDer wil.1 compl.y with al.l. provisions of the City of Zephyrhil.l.s
ordinances and codes pertinent to the buil.ding.
3. That in the event various phases of construction are subcontracted, he wil.l.
engage onl.y properl.y l.icensed subcontractors and wil.l. personal.l.y supervise
such work.
4. That in the event the Buil.ding :Inspector shal.l. require corrections to be made,
the owner wil.l. assume ful.l. responsibil.i ty to insure they are made, and upon
compJ.etion wiJ.J. cal.J. for a reinspect ion before proceeding with the buiJ.ding.
s. That the owner sha1l. assume fu1l. responsibil.ity for the construction and wil.l.
not expect supervision of his work from the City of Zephyrhil.l.s Buil.ding
Department.
6. iThat prior to final. inspection any additional. fees, incl.uding reinspection
fees, must be paid in fu1l.. A written request from this office shal.l.
constitute an official. notice to pay additional. fees.
7. That the owner shal.l. compl.y with al.l. City, State and Federal. l.aws in regard to
social. security, workman's compensation, l.ien l.aws, etc., where appl.icabl.e.
8. That the owner shal.l. compl.y with al.l. the safety codes issued by the Fl.orida
:Industrial. Commission.
9. State l.aw requires construction to be done by 1icensed contractors. You have
appl.ied for a permit under an exemption to that l.aw. The exemption al.l.ows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a l.icense. You must provide direct
onsi te supervision of the construction yoursel.f. You may buil.d or improve a
one-famil.y or two-famil.y residence or a farm outbuil.ding. You may al.so buil.d
or improve a commercial. buil.ding, provided your costs do not exceed $25,000.
The buil.ding or residence must be for your own use or occupancy. :It may not
be buil.t or substantial.l.y improved for sal.e or l.ease. :If you sel.J. or l.ease a
buil.ding you have buil.t or substantial.J.y improved yoursel.f within 1. year after
the construction is compl.ete, the l.aw wil.l. presume that you buil.t or
substantial.J.y improved if for sal.e or 1ease, which is a vioJ.ation of this
exemption. You may not hire an unJ.ic8Dsed persOn to act as your contractor or
to supervise peopl.e working on your building. :It is your responsibil.ity to
lmake sure that people employed by you have l.icenses required by state l.aw and
by county or municipal licensing ordinances. You may not delegate the
responsibil.ity for supervising work to a l.icensed contractor who is not
l.icensed to perform the work being done. Any person working on your building
who is not l.icensed must work under your direct supervision and must be
empJ.oyed by you, which means that you must deduct F.:I.C.A. and withholding tax
and provide workers' compensation for that empl.oyee, al.l. as prescribed by l.aw.
Your construction must comply with al.l. applicable l.aws, ordinances, building
codes, and zo~g regul.ations. ~ ~ _",-
,OWNER'S DATE .:<. - e:z 3 z; f
IADDRESS ~s S-f~ { ,
jPBONE ue-y l.I '- C' <2S
!W:ITNBSS
PE:RH:IT #
Permission To Pick Up.txt
Ter't/ EVO-h,<)
Name
3-~3;Z !dr, ~ f- LaJ7~ Lv -( c2- <f D
Address j
~hif(~(ls, 'FL-5s0f/
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,
'~~ =- :::> ~
signature
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this ~ day. of /C.brt/tL1tr _, Z4Jvy.
Personally known or Produced identificati n ~
Type of 1.0.
,,'~';::~/I, Jeffiey Todd Reutimann
l::-~~f~ Com.mis~ion #DDI59234
~~'. ~:<>"<,:: ExpIres. Noy 15,2006
"'~~OFi:\.O~'''' Bonded Thru
It""" Atlantic Bonding Co., Inc.
Commissioned Stamp
and Expiration Date
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Nota y, s' ture
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2004036291
NOTICE OF COMMENCEMENT
state of
F/ orl do--
County of
(65CO
THB l~nERSIGNED 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. Oescr iption of Property:
e proper
2.
G~neral Description of Improvement
Rcpt. : ,7..160767
DS: 0.40
03/02104
e)
Rec: 6.00
IT: 0.00
Dpty Clerk
Interest in Property:
~~90~~~1"Art : &C:;O fOUNT:, C1ERI<
OR 81< 5747 PG 277
R 3.
.--;--
Ovmer Information: Name I e{fi
nddress 653}. ~(ldotLtlJ1~cJ.ty '2;;
o 0-) n c2--Y'
6'" Cl Y'"Y\- <e..
State ~ 36811
Name of Fee Simple Titleholder:
( I f other th~n owner) ,
Address
City
State
4 .
dontractor: Name
owner
City
State
Address
5. Surety: Name
City
State
Address
l\mount of Bond: S
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whcm
notices or o~her documents may be served as provided by Section
7l3.13(1)(a)(7), Florida Statutes:
tlc;mc
City
State
Address
8. In addition to himself, Owner designates
of
Lienor's Notice as provided
to receive a copy of the
in Section 713.13(1) (b), Florlda Statutes.
<J. ["xp~rf1t-L')n dl'lt.e of ?Iot.ice of Commencement. (t.he explratiun d.::lte is 1 year
fr~m the date of recording unless a different date is specified.)
- .---:-
SiCJ~ature of Owner:"
--~~ -
-- ~ .::::;---
T~(-r'j-E" Vt!Lv\S
o?nr::t day of khrtAt:2~v
J
Sworn to and subscribed before me this
20 &'1
\\ill,
~~~<f'~ Com!TIission #00157131
=;:'~;l= ExpIres: Nov 15,2006
"""~~ OF f{.~~-:':' ~onaea. I nm
, ..' ,~tlart\c Flondmg Co., lnc
Not.:lr1 Publ ic:
My C::l;'D,I;,i s s ion Expires:
,
!
PC93053d48/ A
TABLE 2308.3A
~EADER SPANS" FOR EXTERIOR BEARING WALLS
XlMUM HEADER SPANS FOR DOUGLAS RR-LARCH,
HE R, SOUTHERN PINE, AND SPRUCE-PINE-FlR2 AND
. REQUIRED NUMBER OF JACK STUDS)
BuIIdIIlg WIdIIl3 (II)
-'-20 21 36
....... - Spat NJ Spat NJ $pM NJ
Roof. C bmng4 2r2lri4. 3-6 I 3-2 I 2-10 I
2-2x6 S-S I 4-8 I 4-2 I
2-2x8 6-10 I SoH"~ 2 54 2
2-2dO 8-S 2 7-3 2 6-6 2
2-2x12 9-9 2 8-5 2 7-6 2
3-2x8 8-4 I 7-S I 6-8 I
3-2x1O 1 ()..6 1 9-1 2 8-2 2
3-2x12 12-2 2 10-7 2 9-S 2
4-2x8 9-2 I 8-4 I 7-6 1
! 4-2x10 11-8 1 1 ()..6 1 9-5 2
4-2x12 14-1 I 12-2 2 10-11 2
:
-
-
-
Notes: ·
NJ - $mbee of jack studs requiIed 10 support each end. Where the num-
of RqUin:d jack studs equals I. the header may be supported by
a framing ancbor lIItac:bIld 10 the fuIl-height wall stud.
! L Spans are given in feet and incbes (ft-in).
2. Tabulated IIlIIues assume #2 Grade IlIIIIbei:.
3. Building width is l1Ie8SlIred perpendicular to the ridge. For
widths betwcc:n those shown. spaIIS may be interpolated.
4.Maximum loads: Roof dead 10lId of 20 psf and 1M load of 20
psf, floor dead load of 10 psf and fuIe load of 40 psf. and wall
dead load of II psf.
TABLE 2308.3A - TABLE 2308.3B
TABLE 2308.38
HEADER SPANS' FOR EXTERIOR BEARING WALLS
(MAXIMUM HEADER SPANS FOR DOUGLAS FlR-LARCH.
HEM-FIR, SOUTHERN PINE, AND SPRUCE-PINE-FlR2
AND REQUIRED NUMBER OF JACK STUDS)
IIuIIdIng WIdIbI (II)
20 21 38
.......~ - $pM NJ .... NJ $pM NJ
Roof, Ceiling 2-2x4 3-1 I 2-9 I 2-5 I
& I Center- 2-2x6 4-6 I 4-0 I 3-7 2
bearing F1lJ01"1 2-2x8 5-9 2 S-O 2 4-6 2
2-2x10 7-0 2 6-2 2 S-6 2
2-2x12 8-1 2 7-1 2 6-5 2
3-2x8 7-2 1 6-3 2 5-8 2
3-2x10 8-9 2 7-8 2 6-11 2
3-2x12 10-2 2 8-11 2 8-0 2
4-2x8 8-1 I 7-3 I 6-7 1
4-2x10 10-1 I 8-10 2 8-0 2
4-2x12 11-9 2 10-3 2 9-3 2
Roof, Ceiling 2-2x4 2-8 I 2-4 I 2-1 I
& I Clear 2-2x6 3-11 I 3-S 2 3-0 2
Span FJoor4 2-2x8 S-O 2 4-4 2 3-10 2
2-2x10 6-1 2 5-3 2 4-8 2
2-2x12 7-1 2 6-1 3 5-5 3
3-2x8 6-3 2 5-5 2 4-10 2
3-2x10 7-7 2 6-7 2 5-11 2
3-2x:I 2 8-10 2 7-8 2 6-10 2
4-2x8 7-2 I 6-3 2 5-7 2
4-2x10 8-9 2 7-7 2 6-10 2
4-2x12 10-2 2 8-10 2 7-11 2
-
-
Notes:
NJ - Number of jack studs required 10 support each end. Where the num-
bee of RqUin:d jack studs equals I, the header may be supported by
a framing anchor attached to the full-height wall stud.
I. Spans are given in feet and inches (ft-in).
2. Tabulated values assume ##2 Grade lumber.
3. Building width is measured perpendicular 10 the ridge. For
widths between those shown, spans may be interpolated.
4. Maximum loads: Roof dead load of 20 psf and fuIe load of 20 ::
psf, floor dead load of 10 psf and fuIe load of 40 psf, and wall 5
dead load of II psf. =
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FLORIDl BUILDING CODE - BUILDING
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