HomeMy WebLinkAbout04-2933
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
l
2933
Permit Number: 2933 Address: 6930 GALL BLVD
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/AL T RESIDENTIAL Township: Range: Book:
Proposed Use: COMMERCIAL I Lot(s): Block: Section:
Square Feet: I Subdivision: CITY OF ZEPHYRHILLS I
Est. value:" Parcel Number: ,
Improv.Cost: 5,000.00 .
Date Issued: 4/08/2004 'Name: COMMUNITY NATIONAL BANK
Total Fees: 11!,g_Q I Address: 6930 GALL BLVD
f-~'JE'f:~~: INTE~~:::TION . ... ~Phone: .:~HYRH~LLS, FL. 33542 __ __
PRE-SLAB I CONSTRUCTION POLE , ~ND ~OUGH PLUMB I gUCTS INSULATED
LINTEL / , PRE-METER ! WATER ' FINAL MECHANICAL
FRAMEaI '-/-/'1-0'1 RL1 I MISC I'SEWER I MISC
INSULATION WALL : MISC , MISC. I MISC.
INSULATION CEILING MISC. ! MISC. I MISC.
DRIVEWAY j MISC. I MISC. I FIRE DEPT. FINAL
-.--.--,----..-------.__L .. . 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
- T~~PC!Y!1!el1_t<:JfJ~p~~~~r11.ees_?ha~be ~<!E!.lJefor~,!y furtherjlermits wi'Lbeissued to the person oWf1ing same
"Warning to owner: Your failure to record a noticeof conll'nencement-may resUitln your-paying tWlcefor---
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
- ~~()~n~~~~~i!1g y..c>.........n~tice~!... cOl1'lmencement. " _ __ __ _
Complete Plans, Specifications and Fee-MusTAccorrlpi:lny-ApiJIjcatlO",------------ ---'O-
n - -J\!II,o\I<:Jr~_~h~~.PE!_e..erfo~mec!_!rl~~~()rd~nc~ v.ri~~g~<::C>Cles_ C!.ncL Orclinan.c:~~___ ___ _. "_
Wt NO OCCUPANCY BEFORE C.O. . - - --- ---
-- - -- - -- --- -- ---- ----- ----------------- -- ------ ----------
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CONTRACTOR SIGNATURE PERMIT OFF'
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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fl.A. un LAW,
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II'''.''A''. IN DUPLlCAT.'
" mu fuqnm'~' l1U1U tlUtUnt: ~~~lj~lll!~l~1I1111111111111111111111111111111111111
The underslgne'd hereby Informs all concerned that Improvements will be m8~e to certain real property,
and In accordance with ,ectlon 713.13 of the Florid. Statute" the following Information " stated In this
NOTICE OF COMMENCEMENT.
Leg.1 O..crlpUon or property (Include Stlllt Add,..., " IVIII.ble)
Yc\rc-e \ I\).::U::. () d... '" ~,L()- ~ \- (")t"') \ () ,- ()r/~Cr, .' C'1.') SO
('crv\xy\u(\i\'-j NCl ~rnr~\ '1Y-. nIL llf- YC-l~(r;
(cQ3C (':,(1 \\ -Rh:A. 1: (' rh~r-"'i \\c:) I fL =S3S41 '
O.ner.1 ducrlptJon of Improvement.
'f).h"- '(\'Ox 'Ct'~'\()\f<1-\-\'Dr'\
Rcpt: 771903
DS: 0.00
04/08/04
Rec: 6.00
IT: 0.00
Dpty Clerk
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e ' ' I' ',\2 \", fll
Owner. ~ r',(V'UY,\\ f\\"-) Nt'\..-nr,fV.... \ ~)n i\L c:;- Y(1<:"'C C
Addr... {..Fi ?)r c..." cd \ h\~c\. ?-e-Phjr\1i\\s. i' ~L 3 ~S.y \
Owner', Int"..t In ,It. of the Improv.ment, . .
JED PITTMANft PASCO COUNTY CLERK
04/08/04 11(1 : 278m 1 of 1
OR BK 5800 PG 864
0,\ -:Posen
Fe, Simple Tltl. holder (II other th.n owner)
N.me -Lt-("'Y\CY\Ud, \ \-,\ Nr" *' ~"'''f"l l \3 G."~
Addr...
Contractor
c.
Add"..
SUrtty (If any) , C\C)1'\('"
Addr.., nO(\C
Amount 0' bond S
o
Any pirlon m.klng . lOin 'or the con.trueUon 0' the Improvement.:
Nam. 1\f.A'\f_
Addr..,
Per.on wIthIn the St.t. 0' Florida dlllgn.tld by owner upon whom noUe.. or other document. m.y b. ..rv.d:
N.me ...CYXIt:._
Addr...
In .ddltlon to hlmsel'. owner d.llgnate. the following perlon to receive a copy 0' the Lienor', Notice as
provided In Section 713.13 (1) (h), Florid. Statut"l. (FII! In at Owner'. option).
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Add,...
THIISPACI FaA AECOROIA" un ONLY
This instrument prepared by:
SiA,~' D~A.,~~,~i G .
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STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE F.OREGOING ~ A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICEdJITNESS MY
HAND A FFICI SEAL THIS-4-- DAY OF
2 .tIll!/
JED PI M~~~.JF CIRCUIT COURT
BY ~../ DEPUTY CLERK
~tj\
Sworn to and .ub.erlbed b,rcrt m. this f
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~ Mart K. HIfWI8lIOC' D[)(l9068$
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;';;Of,;! Expires Febl\lart 10.2006
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8B St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
PHONE CONTACT FOR PERMITTING
--.--
....- --
DATE RECEIVED 3 htJ ~t/
I '
sc, 7-799.z
OWNER'S NAME C OMX'VU\_A..\ ~ N~*,o('\cL\ ~K. 0(: 1:>o.<..C Cl PHONE ~ \ '3 . l~ ~. <6ILl..
JOB ADDRESS l..oq30 C::,o...\\ l.3cLL\e...'Vo..x-d I 2-~~\...y-\--"\ Ih r f'L 3~<;-L\\
LEGAL DESCRIPTION: LOT (S) ~ 'I-- 9 BLOCK SUBDIVISION ilph~...r..\\\s. Lal Of'\'-j L';;:~j)c""""'1
PARCEL ID # ()d.-~lo-Ol-l- 00\0 OO~OO- ooSO (ORTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED; ~NEW CONSTRUCTION
DSIGN
PROPOSED USE: DSGL FAMILY DWELLING
~COMMERCIAL
D ADDITION
o MOVE
ArALTERATION
o DEMOLISH
DREPAIR
D INSTALL
DMULTI-FAMILY
D INDUSTRIAL
D# OF UNITS
D SWIMMING POOL
D MOBILE HOME
D OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~-\<..X"ib, rLnO\lCL-\-ID'C"\
BUILDING SIZE -PK"S:;{,r'"'C'j SQUARE FOOTAGE HEIGHT
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.
PERMITS REQUESTED
}! BUILDING
'\'( ELECTRICAL
$
~OCJ6 9.9
VALUATION OF TOTAL CONSTRUCTION
.e l( \ s-\-i ('I. Cj
AMP SERVICE
ua.. FLORIDA POWER
o
W.R.E.C.
D PLUMBING
D MECHANICAL
$
N C f'\ e...
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
D GAS
o ROOFING
o SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
BUILDER
CQNTRAC;TO~SECTION
COMPANY ~ct'-') 'b~v,L\OPM.U"-+ C..o~~1 ,-eX,-'\(.
STATE CERT OR REGIST # L e::. c... 0, 0'1 L ~
SIGNATU
***********************************************
ELECTRIC
COMPANY H,,,,::>-\- c-'\CLSS ~~c+-r\ '-
oOIlSI'1
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 Zephyrhil1s 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 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.
App1i~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 " OTICE OF COMMENCEME
SIGNATURE: OWNER OR AGENT
acknowledged
, 2~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
,20_
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
Dwho has produced
(type
and whoD did 0 did not
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid [}jid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
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