HomeMy WebLinkAbout04-2938
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2938
Permit Number: 2938 Issued: 4/09/2004
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 101-NEW CONST/SFR
I Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 98,000.00 Total Fees:
Amount Paid: 3,314.23 Date Paid:
Address: 4909 TIMBERWAY
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: COURT SQUARE
Parcel Number:
Name: ENBRINK & ASSOCIATES II
Addr: 35512 CHESTER DR.
ZEPHYRHILLS, FL 33541
Phone: (813)782-0678 Lic: I
--Work Desc: NEW SINGLE FAMILY DWELLING
Name: GORDON & PAULA TENBRINK
Address: 4909 TIMBERWAY
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
BUILDING FEE
tvt0 5 _l(_ 0(( ./-NeJ
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~IDLf
~6Vyt '1-3rto/ 3"(4) Vorth~ rI
PRE-SLAB CONSTRUCTION ~OLet1 ~?Jo-o'l, ' ~ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER 1t.1jf. WATER FINAL MECHANICAL
FRAME ; MISC SEWER MISC
INSULATION WALL : MISC MISC. MISC.
INSULATION CEILING ; MISC. i MISC. MISC.
_~RI~~':"~: .. . ~~lISC. __~_u__.__ul MISC. .. ., . FIRE DEPT. FINAL .. ,.,,',,'...,.
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 corre, ctior~L1, oo,,~LI1@/Y
I inspection called (d) Work not ready for inspection when called l V tJ<-.--5~
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible '
--.I~e pay-'!!.ent.E.f in~p~~ion 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 commencement may-result in your paying twice for--un
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
u~_f~I"!~~~.rding your notice of commencement."
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NO OCCUPANCY BEFORE C.O.
~-
NTRACTO~~ PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Tenbrink & Assoc.
4909 Timber Way
SQ. FEET PRICE
MAIN OR LIVING: 2,041 $ 50.00
OTHER AREA UNDER ROOF: $ 25.00
OTHER: - $ -
VALUATION $ 102,050.00
FEE SHEET $ 489.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING:
CREDIT:
BUILDING LESS CREDIT:
ELECTRICAL:
PLUMBING:
MECHANICAL:
RAD
T TAL
793.50
1,099.23
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
/
/'"
SUB-TOTAL
WATER METER: $
IRRIGATION METER $
3,314.23 .
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
t1t!w- tt i C. 0 .
T IF'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
TOTAL: $
lYk-
6,596.23 ,
tit- i e.v ,
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PERFORMANCE BUSINESS PRODUCTS, INC, 313-719-8008 FAX 313-719-7919
C~_ cr~ I.)
CITY OF ZEPHYRHILLS
ZEPHYRHllLS, FLORIDA
WATER ACCT. NO.
DATE
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OWNER/
RENTER
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As See,
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MAIUNG
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SERVICE ADDRESS
Lt q [c( -r "",ij Q ^' '""'---t
t,l I '-1/ i.._ (
~T3-~
SHUT OFF SERVICE
o
!1l.--viATER
TURN ON SERVICE
GJ-/
~
o SEWER
o GARBAGE
iNSTALL METER
READ METER
o
~, CITY
CHECK METER
o
o OUT CITY
/-
----1....- No. OF UNITS
OTHER
o
_ DEPOSIT AMOUNT
--.
..,
,--1--
/vv:..dr
--f;:'
//).-'1;~.'r
_ AMOUNT LAST BILL
_ DATE
_ MISe. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
/ ~~
-y - f - {.""// /LI
ORDER GIVEN BY
Retain white form In office at all times. ~
Send pink & yellow forms to Water Service Dept,
Water ServICe Dept. to sIgn yellow form & retum to 0 ice,
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th St, Zephyrhills, FL :33542
813-780-0020 FAX: 813-780-0021 ~~~-;lo~
DATE RECE IVED ~
PLANS REVIEW FEE
OWNER'S NAME:: GOf~ t\ Pl\....u...-Lil-- T~{3'f iY\1-<-
JOB ADDRESS '-110 9
1imbif~'
3~
PHONE fls 7k';;' --o~ 7?
LEGAL DESCRIPTION: LOT(S)
SUB or V I S IO N Cou..-f 1- 5 tfJ (..lA.y" e..
(OBTAIN FROM PROPERTY TAX NOTICE)
BLOCK
PARCEL ID # IS-~ ";L' - D~()O - OCC:OU - 03>,;),0
WORK PROPSED: utNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
PROPOSED USE: @"SGL FAMILY DWELLING
DCOMMERCIAL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o JVJOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK c...enS.trLLC+ Y1~ ~jl.~1 ~ r1\Jlson....) .~-<..
BUILDING SIZE SQUARE FOOTAGE ~~l HEIGHT
RESIDENTIAL:
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.
t
G\)
x\}
Qt'BUILDING
[3"" ELECTRICAL
7o",L X
$ G'fX ,l)C("'),OQ
~OO
AMP
ENGINEERED PLANS
PERMITS REQUESTED ON FILE
VALUATION OF TOTAL CONSTRUCTION.~ ~~~
SERVICE ~ -f'LC'RIDi\ rOWER 0 W.R.E.C, ~d.
p(cye...~ive f..n.e.rjV
0"" PLUMBING
0"MECHANICAL
$
'3~.oo
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: ~LOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES ~10
BUILDER
SJGNAT~.~'d_
COMPANY 'T~ 6l"I'f,\L4 ~O(".ct..,.~.s I~C..
STATE CERT OR REGIST # C. e,c.. 043Lf~d-
CITY PROCESSING # 3~'
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ELECTRICIAN(:r
SIGNATURE ~i
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COMP AN Y VYt..a...t h'n E:. k (... +r,' <- '~ .
STATE CERT OR REGIST # E.C I 3CO 1"3~ 3
CITY PROCESSING # q,
****************************************************************~*
PLUMBER ~
SIGNATURE ,_~J,: ~ ~
Ar~~A. ~C-~I~PtL-Ut.b~(o]t:.c
COMPANY
STATE CERT OR PEGIST # CFCOY 17.;L\
CITY PROCESSING # I~~
SIGNATURE
************************************************************ J
COMPANY ~lU\( 'oS 'Prop~ MltLS €I>>- c..
, S CERT OR REGIST # C~ L-CY3'l4 g
CITY PROCESSING # I~
MECHANICAL
******************************************************,**
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNA'rURE
*********************************************************~*******
~ Iz-/ t tt
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed rest.ricLi ons" VJI'j ell
may be more restrictive than City regulations. The undersigned assumes respollsibilit.y fOI
compliance with any applicable deed restrictions.
B, UNLICENSED tOt~TRACTORS AND CONTRACTOR RESPONSIBIL 11'IES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance I,i t~h state and local regula,tions. I f 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 portions of the "Contractor Sections" of this application for I,hich they
will be responsible. If you, as the ol'mer signs as the contractor, YOll are indicating t.hat
you, :cather than tile contractor, are responsible for the \'iOrk. If the contractor wishes
YOll to sign as contractor that may be an indica~ion that he is not properly licellsed and is
not entitled to permitting privileges in the City of ZephyrhiJls.
C, TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. COllSTRUCTUION 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, I f the applicant is someone other Ulat the "owner", T cerify thaI l
have obtained a copy of the above described document and promise in good faith Lo deliver
it to the "ovlller" prior to commencement.
E. COl~TRACTOR' S/OWNER' S AFFI DAVIT
I certify that all the information in this application is accurate and that all I'lOrk \,i1]
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 illclicated. I
certify that no I'JOrk or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating corlstruction, City
codes, zoning regulations, and land development regulations in the jurisdictiem. I also
certi fy that I understand that the regulations of other governmental agencies Inay apply l.o
the intElDu"ep l.vo~f.,,'a\ld that it is my responsibility to identify what actions I mllSt. Lake to
2l4Aaqc(.1~~~~11~'fh' agencies include but are not limited to: *Department of
Envirc:~n'~ft.1f)Julation-Cypress Bayheads, Wetland Areas and EnvironmentaT I y Sensi U ve
Lands ,':'w.eter fWastel'later 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-WelTs,
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, ete,", ,i tis
understood that a drainage plan addressing a "compensating volume" I'Iil1 be submitted \-Ihich
is prepared by a professional engineer registered in the State of Florida priur La permit
issuance,
P. 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 vJithin
six months of issuance, or if work authorized by the permit is suspended or abandoned fen a
period of six months after the time the I'JOrk is commenced. One 90 day extension of time
may be allol'led for the permit \'Jith 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 FAII,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 BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2'~;O:~RECORD AND POST A "!lO'rTCE OF COL'LMENCEMF,N'L'''.
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLi.,!.P.IDA
COUt~TY OF _~~<..o
The foregoing instrument VJas acknolvledged
Bef~ me this~day of ~~ , 2C~
by ~-bT~\<>r~"-
...../ (name of person acknowledged)
~who is personally known to me, or
STATE OF FLORIDA
COUI~'I'Y OF~S<.. 0
The foregoing instrument was
Before me this _day of-
by
ackno~Jledged
2()
(name of person acknowledged)
Qho is personally known to me, or
Dwho has produced
(type
C!l"did not
o I'lho has produced ,________
J (type of _iclenl ification)
and ~Jho Ddid l~]did not Lake an oal:11
of identification)
take an oath.
Signature of person tdking i:Ickno~lledglllenr
Name t
llame typed, printed C)L- stamped
F lor,' clG.-
NOTICE OF COMMENCEMENT
County of '?C\..S {, c
1 11111111111 1111111111 111111111111111 11111 11111 lllll 1111111 I
2004053443
state of
~llR 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 Commencement:
1. Description of Property: Parcel No. 15" - ~- dl - {);)Co -00000. 03dO
LD+=*3;l ~+ S
(Legal descr~pt~on
Ie)
bWl~ ne..w Sj ,. Pcunl I ~ m~OY1 ~ hOYl1~
2 .
General Description of Improvement
3 .
Owner Information: Name 6Ioy-c.i.sn ~p~~ ~B y.'nk.-
llddress 3S5)~ C-hesie...rDy. City z..~ h:Jrk, IL~ State .F-33SVI
Interest in Property:
crwY\. -e.......Y
Name of Fee Simple Titleholder:
(If other th~n owner)
Rcpl: 768030
DS: 0.00
03/25/04
Rec: 6.00
IT: 0.00
Dpty Cl.rk
Address
City
Stu.te
R
-
Contractor: N.:lme \ ~Br\nL 4' Yi-S.~DL\ c.ctCS1 ~C:.
Address ~)..4- ekes. tu-ldr. City 7-e..p~ Yhl' II ~
5. Surety: N.:lme
State R..- 33s;c..{ J
Address
City
State
Amount of Bond: S
JED PITTMAS~.~O COUN~~C1ERK
~~/~r0578!5rm ~G 977
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
713.l3(1)(a)(7), Florida Statutes:
N2.me
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of t~e
Lienor's Notice as prov1ded in Section 713.13(1)(b), Florida Statutes.
<J. f"xp.irnt,.l'Jn dnte of UCJt.1ce of Commencement. (t.he explratlc.n d.::.te 1s 1 yea.!:'
fr~m the dutc uf recording unless a different date is specified.)
c~~. ~~~
S ig;1a t ure of Owner:
Sworn to and subscribed before me this ~4~ day of ~GL
J...(Je~ . ~~
Notury Public; . /
MYC",";'iSSionEX~i~: -"r ::Lt
PC93053048
1
JAMIE L MURPHY
f
EXPIRES: April 27, 2007
!3v<1ded Thru Notary Public Underwrite..
l.,>
;:;
SOUTH
Ten Brink & Assoc. Inc. Lot # 32 Model #2041
Parcel # 15-26-21-0200-00000-0320
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L____________________________
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L___________________________________....J
~
EAST
7'-
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41'-0.
NORTH
WEST
12'-0"