HomeMy WebLinkAbout04-2861
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2861
Permit Number: 2861 Issued: 3/24/2004
Permit Type: GENERAL BUILDING PERMIT
Class of Work: CARPORT
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 3,000.00 Total Fees:
Amount Paid: 67.50 Date Paid:
Address: 38741 CR 54 EAST LOT5
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
, Name: EREMY'S QUALITY ALUMN.
Addr: 1830 RADALU PL.
CRYSTAL SPRINGS, FL 33524
Phone: (813)714-8359 lie: RX0066790 _
Wor Desc: CARPORT ON EXISTING SLAB
FRED CHATTERLEY
38741 54 EAST LOT 5
ZEPHYRHILLS, FL. 33542
Phone:
fi;Jj (OJ
) 31 (
Ir:jD
R E RO P ALL
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME Mise SEWER MISC
INSULATION WALL I Mise MISC. MISC.
INSULATION CEILING I MISC, MISC, MISC,
DRIVEWAY · MISC. MISC. . FIRE DEPT, FINAL
------~------- -_~_=__i:.:_.~________~_____________~___..~______~____
REINSPECTION 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
"Warning to- owner:Vour fa iI ure- 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
I:)ef~~_recordin9 your notice of commencement." _~____________________ ________~
___u ----1'7- - -- - - - ___~O O~CUPANCY~ElEFOR.~C.O~-=_ ~ _ _ ___ _ _
~~ 6aL ~
~,96j,.~SIGNATURE- - - -PERMITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
3/t~~
OWNER'S NAMEJ r"e d Cha.tt er l 'f
JOB ADDRESS 3~7q 1 C.R. 5t.{ t t4..5t-
LEGAL DESCRIPTION: LOT(S) ~ BLOCK
PARCEL ID # ().).-~-~(-OOIO-b!JOOO- 0030
PHONE CONTACT FOR PERMITTING 1-~-8~&./-7gCfcf
PGtSCo Per r\'\1' t- 5erv lC,.(....o
PHONE
SUBDIVISIONSleep'l Hbllow Jr_
(OBTAIN FROM PROP~RTY TAX NOTI::)
WORK PROPSED: [JNEW CONSTRUCTION
[J SIGN
PROPOSED USE:~SGL FAMILY DWELLING
[J COMMERCIAL
Qlf ADDITION
o MOVE
[JALTERATION
o DEMOLISH
[J REPAIR
D INSTALL
DMULTI-FAMILY
[J INDUSTRIAL
D# OF UNITS
[J SWIMMING POOL
o MOBILE HOME
[J OTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK CarporT
BUILDING SIZE I 0 x. 34
on ex.\5~ 6la..b -=#+ J.c31't
SQUARE FOOTAGE 34. 0 HEIGHT see f"ali\.s
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~ BUILDING
D ELECTRICAL
$
3oco. 00
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D FLORIDA POWER
[J
W.R.E.C.
D PLUMBING
D MECHANICAL
$
DGAS
D ROOFING
D SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
D STEEL
I8J. OTHER alLf..V)1lnl(.'--'
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
G9~Q!'():R<SECTION
BUILDER COMPANY r er~m~ 's GLu:1O.,'., AII(.t\fu')IL"",-
SIGNATU~~..~~............~~~~~. ~~~:.~~.:~~::.~..........
ELECTRXCIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
******************************************************************
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~tions 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.
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 '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".
STATE OF FLORIDA ~.sl.O
COUNTY OF
The foregoing instrument wa~pcknowledged
Before ~ this 11~Q.ay of m~ , 200t.{
by I. J e("l~:!7. ---,:n;Q.~~
(name of person acknowledged)
~o is personally known to me, or
Owho has produced
(type
Odid not
.~~
S ~ATURE: TRACTOR
~SCo
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledgednlJ
~~fore me rcf;;"e-Ep.~f.: (Y/A~~ , 2014
(name of person acknowledged)
~ is personally known to me, or
~~
~GNATURE: WNER OR AGENT
o who has produced
(type of identification)
Odid not n oath
Si
acknowledgement
Suzanne Bahr
Name typed, printe~~:or, :j:~~: Nov 15,2006
'<:';; _ _ , -,/",:: Bonded Thru
',-.0' .\.,' P,'.:T1Iic Bonding Co., Inc
Name typed,
erson taki~ ackno~~ggment
,,\\11'1 :suzanne tlanr
"~~~!tJ..~,, ' , #DD\57\3\
c,-....oc:,;";<~"",, CommIssIon
. Irt 'd~ h~il\;~. ~~v IS, 2666
prl -",;,e ">'.' s a~~ Thru
<~:::;~:. Atlantic Bonding Co" Inc,
State of
F-I (iY Id~
County of
~~~~~~~~JWIIIllIIllIIIlIIIIIIII 11111 111111111111I
PQ/)eD
NOTICE OF COMMENCEMENT
THE (~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. Oeser iption of Property: Parcel No.
2. General Description of Improvement CCLt~f{'?ll, 6 n
Ree: 6.00
IT: 0.00
Dpty Clerk
3.
O<mcr Information: Name Fred C'JICLf!-p.rlYi
r.ddress 3'h'7'-11 cJQ.gj ld7iSb:ity Will<:;
Interest in Property: f){J)ner
State R-. ~3-?S7f {
Name of Fee Simple Titleholder:
(If other th~n owner)
S JED PITTMAN~ PASCO COUNTY CLERK
'- 0. me. 03/19/04 1.1.:08.m 1 of 1
OR BK 5772 PG 1147
Address
City
State
"...
R4.
...
Contractor: Nome .'~fI'AnJ~. (J{jaJ{?:J Alal11//:1lII1].. ._
Address PCBxq&: Clty (l~~ 2fp'j<; StateR- 33 s;;i!-f
Surety: Name
5.
Address
City
State
Amount of Bond: S
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or o~her documents may be served as provided by Section
713.1J(1)(a)(7), Florida Statutes:
tJc:mc
Address
City
8. In addition to himsel f, Owner designa tes
State
of to receive a copy of the
Lienor's Notice as provided ~n Section 7l3.13(1)(b), Florida Statutes.
<J.
["xp.ir,o,1 .l'Jn df'lte of notice of Commencement (the expIration date is 1 yedr
fr~m the date of recording unless a different date is specified.)
SiCJ:1ature of Owner: ~--.
Sworn to and subscribed before me
20!:!.i- .
Fr~d Cha.:ffo-Ij
this /1 fI.... day of m a/'e-L.
Not.:lrYPllbl ic:
\lilt'l
,'0 ,", ~'"
;*~'~'P~ Commission #DD157131
:'",'. \{): * = Ex ires:
'/,(~6i: F~O~~';' Bonded Thru
""", Atlantic Bonding Co" fne,
PC 93053048/A
S/-en //O//O<.J JI
LOI- S
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