HomeMy WebLinkAbout04-2995
f-
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2995
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Sq. Feet:
Cost: 82,700.00
Amount Paid:
2995 Issued: 4/27/2004
NEW SINGLE FAMilY DWELLING
1 01-NEW CONST/SFR
SINGLE FAMilY RESIDENTIAL I
Est. Value: I
Total Fees: 3,179.041
Date Paid: !
Address: 5048 SUMMERHill DR
ZEPHYRHlllS, Fl.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: SUMMERHill
Parcel Number:
Name: L NORMAN ADAMS HOME BlDRS INC
Addr: PO BOX 134
BUSHNELL, FL 33513-0134
_ Phon~: (352)793-7511 Lic: RR0041 060 i
Work Desc: NEW SINGLE FAMilY DWELLING
Name: MELISSA BEASLEY
Address: 5048 SUMMERHILL DR
ZEPHYRHILLS, Fl. 33542
Phone:
PLUMBING
WATER CONNECTION RESIDENl
WATER METER RES 3/4"
,II 7(0 e;;
..P3 o~
.0
PRE-SLAB CONSTRUCTION POLE [2ND ROUGH PLUMB I DUCTS INSULATED
LINTEL I' PRE-METER . WATER FINAL MECHANICAL
FRAME MISC SEWER I MISC
INSULATION WALL I MISC ! MISC. MISC.
INSULATION CEILING MISC. ; MISC. MISC.
DRIVEWAY . MISC. ! MISC. I FIRE DEPT. FINAL
-'-'-'---'-~-"-------~-----'---.------------_=-...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
_lj1e_pa}'ment_~f.inspecti~~fees shall...be madejlefore C1~furthe!""permits"""i11 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--
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
_befo~ecordi'!9_yo~notice of commenc.ement....._________ ______._____________~___
NO OCCUPANCY BEFORE C.O.
- --- --- -- - ---------- ------------------ ~-----------
--~~---~-~---- --..I;?dZ-,
f ~~ONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ot.:'
.L
t;', .~"
}~";~' !>
'~fj""
-..,1 .".....
~::. ~ "~:;7.,
1.10_111111
NOTICE OF COMMENCEMENT Rcpt.: 7I1I1!! RH: e..
STATE OF FLORIDA) 05: II.. IT: 11.1111
COUNTY OF PASCO) 83/11I1/114 ______ Dp+.y Clerk
TIlE IlDdernlnecl, al Owner, notifies aU partll!l that Improvements will b, made to certain real property, and
In aeeordanee with Section 713.13, Florida Statute., the following information I. .tatlll In the Notice of
Commeneement:
DESCRIPTION OF PROPERTY: 5048 SummerblU Drive
Zephyrhills, FL 33542
GENERAL DESCRIPTION OF IMPROVEMENTS:
OWNER AND OWNER'S ADDRESS:
CIB
MelI..a Bealley
31738 Hart Clrde
ZephyrblUs, FL 33542
OWNER'S INTEREST IN THE PROPERTY DESCRIBED AS: Simple
CONTRACTORS AND CONTRACTOR'S ADDRESS: L. Norman Adall1l
P.O. BOX 134, BUSHNELL, FL 33513
SURETY (If any) and SURETY ADDRESS: N/A
JED prTT~.~"~O COUNT~ C~RK
AMOUNT OF BOND: SN/A ~~~f/'!74S u ~G 1258
NAME AND ADDRESS OF LENDER, IF ANY, MAKING A LOAN FOR CONSTRUCTION OF
THE IMPROVEMENTS:
CommuDlty National Bank of Pasco County
Post Omee Box 639
Zephyrhlllll, Florida 33539
NAME OF PERSON WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON
WHOM NOTICES OR OrnER DOCUMENTS MAY BE SERVED:
CODlmUDlty National Bank of Pa.co County
Po.t Ornee Box 639
ZephyrhWs, Florida 33539
f
16
,0
~
IN ADDITION, OWNER DESIGNATES THE FOLLOWING PERSON TO RECEIVE A COpy
OF THE LIENOR'S NOTICE AS PROVIDED IN SECTION 113.13, FLORIDA STATUTES:
Community National Bank
Of Pasco County
Post Office Box 639
ZephyrhlUll; Florida 33539
EXPIRATION DATE: Februarv 14.2004
Larry Hersch
Attorney at Law
Po.t Ornee Bosl 046
Dade City, Florida 34297-1046
STATE OF FLORIDA
COUNTY OF PASCO
JY1 II I{)N:. J &(}rJ~
MelIs.a Bea.ley
The foregolngwtnment Was acknowledled before me thll 25TH day of Febmary, 2004, by
Melgsa Bea.ley, who iJ personally bown to me or who produced ~ ~ as
Identification, aDd who did/did not take oath.
Witaell illY hand and officialltal In the County and State la.t aforesaid thiJ 25th day of
February, 2003.
NOTARY PUBLIC
SusanA. Morrow
Notafy Pubic. State of Florida
My Comml8slon ExpIres, Feb. 10, 2008
Com. No. 0D282875
8'd Z891'oN
~dv9:1 vOOI:'6'H~
L. Norman Adams Bids., Inc.
5048 Summer Hill Dr.
SQ. FEET PRICE
MAIN OR LIVING: 1,654 $ 50.00
OTHER AREA UNDER ROOF: $ 25.00
OTHER: - $ -
VALUATION $ 82,700.00
FEE SHEET $ 412.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 678.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 678.00
ELECTRICAL: $ 109.00
PLUMBING: $ 92.50
MECHANICAL: $ 68.00
RADON: $ 16.54
TOTAL $ 964.04
-1 (/'7. S- ()
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER:I $
IRRIGATION METER $
180~00 I
SUB-TOTAL $
3,179.04 I
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
TI F'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
TOTAL: $ 6,461.04 I
....
\
C"l
I,
~
""
'-
fro 1~7
,
t'oo
- / I
e.("
:>
~
\
~
~.-/
\
".
\
\
\ ~ ~
\ ~
, \
,
\ ;::
\ "
\
\ \
""'::.
\ ~,. \.
-- ':--- 3;J-
,
\ .) . ----
~ "-
\ ...
'""\..
" "-
'\. .... '-
i;... "-
'\. ~
":>
" '-0 '-
s ~ t-.. '.J ~!
)\J\~~)
(L~0\~{)
~
....
~
t
~
~
~
':2:.<
~
~
I,
':
~
l"4)
)I..
~
~
'"
.........
"'1
'-
....
.
('0
...........
'" -
.....-......
'-
'--
...i\
~
.........
'--
v
..
,:..LI.OFJ(:.jl1ru...LI.-v.....L Y WITH ALL
PREV AlUNGCODES. P.F:::::;:.:':':"'; .LL~'~G
CODE, NA TlONl~ L.i...I:CTlUC CODE AND
CITY OF ZEPHYRHILLS ORDINANCES
-- -
'-
J
CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
[;0
DO NOT REMOVE
;'\ DATE
.fY\ A Vr. 5' 110 10'-1
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be mode before the job
will be accepted.
.
to . ,
>"-^ [' r I r~\r"\ r ~"'''l ~f> vJ,fOI'\'
Lo~ ~ "'') -Cra^", (~) t 5 :cJ~ ,J' O.r ~otc.~-R
PERMIT ",
1'7 '7)
I ~ <0 .'\ c{ +. (.., D-" '" ( c..+: 0 ""
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the wort< with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
AFTER CORRECTIONS ARE MADE CALL
780-0o;u; R"SPE~
INSPECTOR
I
OFFICE HOURS 7;30 AM - 5 PM MON.-FRI.
5oi/rt
, (
'AI/)
." L \ .
~'~\
CITY OF ZEPBYRBILLS PERKIT APPLICATION
BUILDING DEPAIlTMI:NT 5335 81l'11 lit, Zephyrhills, :&'L 33542
813-780-0020 FAX: 813-780-0021
/f ->?~O 'I
DATI: RECEIVED
PHONE CONTACT i'OR P&RMITTING
OWNER'S NAME
..
Zetdlt /l.HIL.(! FL. $3.> 2..
PHONE
-;)'0
Ll!;GAL DESCRIPTIO~..L"OT(~ 30 .-J BLOCK SUBDIVISION ~::::~ ::~: '~~~
PARCEL ID # I ~I 0 I 00 ~tJDOf) D300 (OBTAIN FROM_~__ T____T; 11,-
WORK PROPSED: ~EW CONSTRUCTION
OSIGN
o MOVE
.
o ALTERATION
o DEMOLISH
[J INSTALL
o ADDITION'
o REPAIR
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
[] OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
-c:: ~(LJ
/3..z.s J.,V'
DESCRIPTION OJ!' ~ .3 Re J)/l. tJ tJ Y\I'-. H 0 Yl1
BUILDING SIZE r, 'j. J ,. 4 SQUARE FOOTAGE
'7 il~S6. IMhJy tl/(Iw.,
HEIGHT / ~ r7..
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
17 S ~ () .,. CI VALUATION OF TOTAL CONSTRUCTION
:2 () (;) AMP SERVICE 0 Progress Energy 0
~1q 1',/51}
/~
"31
e'"BUILDING
19"'El:ECTRICAL
[Y'PLUMBING
kr~ECHANICAL $ ;z S()().o (;>
o GAS ~OFING 0 SPECIALTY
o FRAME
o OTHER
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTROCTION:~BLOCK
FINISHED FLOOR ELEVATIONS
o STEEL
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER
~OMPANY L. N~-t'h1"-.J
do/( v'
J/ohf ~ g os ,:r I\i c,
/J.J) A~
SIGNATURE
~~~
STATE CERT OR REGIST #
eft.
C (J $ ?~ 60 ,If. SCIllJ ~Je 661{1(J' 0
******************************************************************
ELECTRICIAN
SIGNATURE t
Jr;-0/~
COMPANY fI26Ft!'s.>16 ,..~t. J:lt~ ~ Ei.cl'. .
AlTlJ>1
STATE CERT OR REGIST * ER 00/2.37 I .
-n:.J!i&/fr
or-t/
******************************************************************
PLUMBER J)
SIGNATURE ~ AAvYJ~)f ad.r~
COMPANY D-eIVIoJ:.t ~.
WIL 1.'4 _r /?,no illlt. 6
/?;20/-
STATE CERT OR REGIST #
.- ,
***********************************************************v****** __
MECHANICAL COMPANY ?","'~.rs;",^,.'" /I." ~ Ee.-c.r' ~ JJErIJ, TO ~I}I,
SIGNATURE I. G~ STATE CERT OR REGIST * CA-c.. aSH;}." l> _ &/2- V
*****************************************************************
OTHER ~Oi.:> F t rV I> -
SIGNATU~~/Y"'--
COMPANY Jielt."4c.J1i> {(.Cl> ;:-,....t:' ,v!7"tc/J1 TO
STATE CERT OR REGIST # C-c. C. () r IS .5'50
12.t6/j7;
ef-
8 'd t109'oN
SllIH~AHdjZ jO AllO
~dZt:Z tOoz '6 'Je~
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that t:his permit may be subject to "deed reetrictions" 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 contract:ors to undert:ake work, they may be required
to be licensed in accordance with state. and local regulations. It 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 SectionsU 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 li'~ensed 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 somE!one other that the "ownE!r", I cerify that I
have obtained a copy of the above describE!d document and promise in good faith to deliver
it to the "owner" prior to COmmencem.,nt,
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is aCcurate and that all work will
be aone 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 indicated. I
certify that no work or installation has commenced prior to iesuance 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: *Oepartment of
Environmental Regulation-Cypress 8ayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Sayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, DOCks, Navigable Waterways
*Departrnent of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.8. 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 volumeu 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 ConsidE!red 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 NOT1CE OF COMMENCEMENT, JOBS ONDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTu.
~
7~-- ~
SIGNATURE: CONTRACTOR
STATE OF FL~~~
COUNTY OF
The foregoing ip~~umBnt w~OWledgegJ
Befo~e me this~ day of , 2~
by
1/. (name of person acknowledged)
~o is personally known ~o me, or
Dwho has produced
(type
d n
STATE OF FLORIDA8UW\-r~
COUNTY OF
The foregoing i~~\~ent wa~~wledge~1
Before me this ~ay of~, 20Cf:f
b1 ~- (name of person acknowledged)
~ is personally known to me. or
Dwho haa prOduced
(t
[)j{