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Home My WebLink About04-2878 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT l 2878 Permit Number: Permit Type: Class of Work: Proposeid Use: Square Feet: Est. Value: Improvl. Cost: Date If. sued: Tota Fees: Amourllt Paid: Oat Paid: ---~Wor Desc: 2878 ADDITION/ALTERATION 434-ADD/AL T RESIDENTIAL SINGLE FAMILY RESIDENTIAL Address: 38510 12TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS I Parcel Number: Address: 38510 12TH AVE ZEPHYRHILLS, FL. 33542 22,850.00 3/30/2004 321.06 321.06 3/30/2004 -ADDITION AND SCREEN ROOM Phone: MARTIN ELE TRIC ARTHUR A. $CHLEMAN PLUMBING CO_ BAHR'S PROPANE GAS & NC. INC. R 1 PRE-SLAB I CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER : FINAL MECHANICAL FRAME I I MISC SEWER I MISC INSULATIONIWALL I MISC I MISC. , MISC._ INSULATION CEILING MISC. I MISC. I MISC._ DRIVEWAY MISC. I MISC. I FIRE DEPT. FINAL .. - . _ i __ ___ . ~____.._________ ______l_____________..__________~_ --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: Your failure to reCord a notice of com men-cement may result in your paylng tWlce-for-- - improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement. II -------------- --~-tomplete Plans, Specifications and Fee-Must AccompanyApplicatlon.-- __un_un _______n ~I!.wo~~ s~~!IE.~perform~!n_ accCl!:.~CJ.!1~_wi!:.I1_9ty Co~~~and O~~il1anc~~ NO OCCUPANCY BEFORE C.O. ----------_.._.,_.__._._.._~- - ._--_._~--_._,------------- ~----- -- ----- ~ ~~--- .-------- - CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER '5151 GALLIOULEVARD . ZEPHYRHILLS. . FLoRIDA 33541 ' (813) 782.6711 ~, t-~ P 100..1.- ?ClYG(: I: 3RS"ID I d-tt-~~ r - .~ \,\t. v1~. e, (1. ' f(1'1tr11' r \ .' '1' perl .. 1: \-1 ,,-/ 110 l (r'tY ., . .16P C C> 1I :> ., \ ~ t; r -=- ~'~e.LOc.."" " ~.' 0..0 10'~ \. \ 4 Iii \(or' t ~d \L ftrC , , ~ ~~\(\ \ \1'\ ./'" . {4IO' ~ ~l~ \ I "'" a ~ . ~ (DO ~ , .\}-- , ..VV., ~ ~ \/ . ", & , \ ." ,,: CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th st, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 :3 -if- -- oi DATE RECEIVED. 0 PLANS REVIEW FEE OWNER'S NAME ~a.lolC. ci Cl-w--let1e, \~Y\s.mo...n JOB ADDRESS 3~S-'D ld-.t(-~t..t:C.. Z4J~r 1.1, Its LEGAL DESCRIPTION: LOT (S) 3 BLOCK 53 PARCEL ID # 11- a<.c-,;n -(j..)'()-OS~OO-ro to PHONE(8) 3] -,g 3 -I QS I 33S4?- SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) o SIGN PROPOSED USE: ~L FAMILY DWELLING o COMMERCIAL ~DDITION OALTEPATION o REPAIR o INSTALL o t10VE 0 DEMOLISH OMULTI-FAMILY 0# OF UNITS o MOBILE HOME o INDUSTRIAL o SWIMt1ING POOL o OTHER WORK PROPSED: 0 NEW CONSTRUCTION DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL a.;b.ss+t~ o..dct\-h~ 1- \tJO A-~ ~Uee.t-'--rOO YYr SQUARE FOOTAGE '3 ~O.ss- HEIGHT BUILDrNG SIZE RES I DENTIAL: COMMERCIAL: 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. Ei'SUILDING c5""ELECTRICAL 0"PLUMBING ~ECHANICAL PERMITS REQUESTED $ d a.~8).oo tN::x:> AMP ( ~iS~ VALUATION OF TOTAL CONSTRUCTION SERVICE g/ FLORIDA POWER o W.R.E.C. $ ~~ S".DO VALUATION OF MECHANCIA!. INSTALLATIONQ o OTHER ~ o GAS o ROOFING o SPECIALTY TYPE; OF CONSTRUCTION: ~LOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES ~ NO BUILDER COMPANY ~13'1,^k.- 4: I4uOU'~, ~C. ~. _.~ STATE CERT OR REGIST # (b('043>lfa--?- SIGNATURE ~))~? CITY PROCESSING # 3~ I ******************************************************+***+****+k+ SIGNATURE Cm1PANY mo....rtiv\t-Iatvi (.. .--rt;C STATE CERT OR REGIST # c.C 1300 \ -3 ~3 CITY PROCESSING # 91 ****************************************************************** PLUMBER SIGNAtURE C>l- COMPANY ScJ\I C-WlGLV\.. 1> ll.U'Y1 bl~ STATE CERT OR REGIST # eRa Ila. \ CITY PROCESSING # I;}...l SlGNl\TURE ****************************************************************** I COMPANY ~('.s. ~O'Ptuol.~Ga..s ~ t4- C!.. ~ /\ /7 STATE CERT OR REGIST # C-A1- O'i3ot'-\~ f~ CITY PROCESSING # \-, MECHANICAL ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNAtURE ***************************************************************** A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed reslriclions" \'Ihi ell may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED COITI'RACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, tlley may be required to be licensed in accordance \.Jith state and local regulations. If the contractor is not licensed as required by law, both the owner and contraccor may be cited for a misdemeanor violation under sLate law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, the~ ~re advised to contact tIle City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the ovmer has hired a contractor or contractors, he is advised to have the contractor (s) sign portions of the "Contractor Sections" of this application for \vhich they vlill be responsible. If you, as the Clvner 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 licerlsed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATIOl1 H1PACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION I.IEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Lalv - Homeowner's Protection Guide" prepared by che Florida Department of Agri culture and Consumer Affairs. I f the applicant is someone other that the "ovmer", 1 ceri fy that 1 have obtained a copy of the above described document and promise .in good faith Lo deliver it to the "ovmer" prior to commencement. E. CONTRACTOR' S/OWNER' S AFFI DAVIT I certify that all the information in this application is accurate and that all vlOrk 1'11.11 be ~one 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 asinclicated. I certify that no vlOrk or installation has commenced prior to issuance of a permit and that all work \.Jill be performed to meet standards of all laws regulating construction, C:i l:y codes, zoning regulations, and land development regulations in the jurisdiction. [ also certify that I understand that Lhe regulations of other governmental agencies lnay apply to the intended work, and that it is my responsibility to identify what actions 1 mllst take to be in compliance. Such agencies include but are not limited to: *Departmelll of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmerltally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetlalld Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatmenc, 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" vlill be submitted Ilhich 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 techllical codes, nor shall issuance of a permit prevent the Building Official from thereafter reglliri~g a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the "'Iork authorized by such permit is commenced vlithln six months of issuance, or if work authorized by the permit is suspended or ahandoned for a period of six months after the time the Ivork is commenced. One 90 day extensIon of time may be allol^led for the permit Ilith fee charge of $15.00. The ext_ension shall he 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 WI'I'H YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF Cm'lMENCEt1E,tJT. ,JOBS UNUER $2,500 IN VALUE DO NOT NE '0 TO RECORD AND POST A "NOTICE OF COMMENCEMENT". COtJTR~~ Y STAT8 OF F~IDA COUNTY OF' n.sC!.C The foregoing instrument was acknowledged.... ( Bef~ this ~ay of Y\'IOJcA-. , 20J!.:t b y "-~ I ~ ,). }( -l'f\-"" \'\A lLV- (name of person acknowledged) ~ who is personally knClvn to me, or STATE: OF FLORIDA 'b~s.<...C> COUNTY OF r The foregoing instrument was acknowledged Before me this _day of----, 20 by (name of person acknowledged) Qho is personally known to me, or Dwho has produced (type did not of identification) take an oath. o who has produced_______._______ (type of identification) and \'1110 0 did Qiid not ta ke an Od L 11 Signature of person taking ackno\vledgmenl Name typed, printed or stamped 11111/111111111111111111111111111111111111111111111111II/III 2004045821 State of County of Rcpt: 76461e1 os: 0.00 03/15/04 PCl.cS GO Rec: 6.00 IT: 0.00 Dpty Clerk NOTICE OF COMMENCEMENT rlcn~ THE ImOERSIGNED hereby gives notice that improvement will be made to c~rtain real property, and in accordance with Chapter 713, Florida Statutes the following infor~ation is provided in this Notice of Commenc~mcnt: ' 1. Deser iption of Property: 2 . General Description of Improvement 8 ~O.S$ft~l1O\;\ 4- IlcO~to- Sc.,-ee.i-\fCC1Y7 3 . O\mcr Information: Name_[)oy\o...\(..~(:,. ~ Chc:ur\We..ILiYls,r11a.Yl l~ddress 3<2$'0 I A~ )4VeJilu.~ City (...ep~~ y hilts State h 339-fr CWl'1U Interest in Property: Name of Fee Simple Titleholder: (If other th~n owner) JEO PITTMAN" PASCO CQUN'(Y CLERK 03/15/04 1,,: !5!pm 1 of 1 OR BK 576:) PG 1828 Address City State Contractor: N\lme \e..n)'bflY1 \t, cct fu.s.()c..\Clk~ ""};v.:.... I Address ~i.f~LJ Che..~t-t-V ~. City ~~thdl.s. State H-3~S1-lJ 5. Surety: N\lme City State Address Amount of Bond: $ 6. Lender: Name City State Addrcss 7 . Persons within the State of Florida notices or o~her documents may be 7l3.13(1)(a)(7), florida Statutes: designated by Owner upon whcm served as provided by Section Nc:mc Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided ~n Section 713.13(1) (b), Florida Statutes. <J . f'xpi.rfl1J.'Jn dnt.e of Uot.ice of Commencement. (the trim the d\ltc of recording unless a different ) / expiratiun date is 1 year date is specified.) "";:~ /'; ," / /".......-""! I // /l'A (,1/{ ... , ~ '._.-' L", . t. :), ~~--- <__ ' (/ to and subscribed before me this i / /' ~./' J ; l.{~ /(~7/J~,1/1... ./ .' SiCJ~ature of Owner: Sworn \ r'\"C'- day of VV\QJ", evtA.- ~e'04 My (:J;11."j S s ion Expire Not.:lry PC93053048 Tenbrink & Associates 38510 - 12th Ave. SQ. FEET PRICE MAIN OR LIVING: 391 $ 50.00 OTHER AREA UNDER ROOF: $ 25.00 OTHER - $ - VALUATION $ 19,550.00 FEE SHEET $ 130.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 195.00 CREDIT: $ - BUILDING LESS CREDIT: $ 195.00 ELECTRICAL: $ 41.65 PLUMBING: $ 45.50 -. MECHANICAL: $ 35.00 Y. RADON: $ C- . 3.91 J TOTAL $ 321.06 J1r~/i.Zi) , - SEWER: $ - WATER: $ - IRRIGATION: $ - TOTAL: $ - I I I I I WATER METERI $ IRRIGATION METER $ SUB-TOTAL $ 321.06 I SIPS:I $ 97.5% $ 2.5% $ - I - I T IF'S :1 $ 99% $ 1% $ TOTAL: $ 321.06 I