HomeMy WebLinkAbout04-3075
~--
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3075
Permit Number: 3075 Issued: 5/14/2004 i
Permit Type: NEW SINGLE FAMILY DWELLING I
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL I
Sq. Feet: Est. Value: I
Cost: 104,400.00 Total Fees: 3,680.88
Amount Paid: 3,680.88 Date Paid: 5/14/2004 i
Address: 37410 PICKETT'S MILL AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): 58 Block: Section:
Book: Page:
Subdivision: SILVER OAKS VILLAGE
Parcel Number: 03-26-21-0200-00000-0580
Name: DAVID W. JOHNSON BUILDER, INC
Addr: 9504 FORT KING ROAD .
DADE CITY, FL 33525
Phone: (352)523-0473 Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
Name: JOHNSON, DAVID W.
Address: 37410 PICKETT'S MILL AVE
ZEPHYRHILLS, FL. 33542
Phone:
FEE
WATER CONNECTION RESIDENl
BUILDING FEE
RADON
i E
419.00 i IRRIGATION CONNECTION
802.50 I WATER METER RES 3/4"
20.881
I
.. 0.& <1(lolos
. \ It,r;Jd /1/'110<(
HE 11 T
PRE-SLAB CONSTRUCTION POLE i 2ND ROUGH PLUMB I DUCTS INSULATED
LINTEL PRE-METER I .. WATER . FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL 1 MISC MISC. I. MISC.
INSULATION CEILING . MISC. MISC. i MISC.
DRIVEWAY J MISC. I MISC. I FIRE DEPT. FINAL
- -REINSPECTION F-EES: When extra inspection trips are necessary due to anyone of the follOWing reasOl1s,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
_!he~Cl.y~menl9f in?E~~~n fe.~s shall be ma_de ~efore Cl.nyfurt:he~ 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---
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
befor~ ~ordin'L~c:J.ur_notice of cOl!1!!lencement."_____________ _______ _ __. __
-- '-- . --._- - ._~
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--- .- .- -- .-
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CONTRACTORS GNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CCUPANCY BEFORE C.O.
~-
David Johnson Builders
37410 Pickett's Mill Ave.
SQ. FEET PRICE
MAIN OR LIVING: 2,088 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
V ALUA TION $ 104,400.00
FEE SHEET $ 495.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 802.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 802.50, v
ELECTRICAL: $ 122.651
PLUMBING: $ 92.5Q.\ v
MECHANICAL: $ 72.35
RADON: $ 20.88
TOTAL $ 1,110.88
SEWER: $ 1,616.001-
WATER: $ 419.00" ".
IRRIGATION: $ -
TOTAL: $ 2,035.00
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( r-()'
180~01 ! 7::: 0 D
WATER METER:I $
IRRIGATION METER $
SUB-TOTAL $
3,325.88 ,
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
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5,019.88 ,
TIF'Sr
99% $
1% $
TOTAL: $
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.',111. '011 LAWS
~I 7111. J:t
NOTICE OF COMl\1ENCEMENT
~:::,:t;fQ~IDlida ? ;(5-eo } IrI1~PAN. m PUP~ld YM' ~~~~~~~~~~IIIIIII11IIIIIII11II1IIII"1I11111111I1
Thft undarsignud horotlv Inform. all t10nrllunBd thqt Imp......uon.nr lU will bD m8do to cllrtain ruol proportY ond In d
with sactlon 71~1.13 of lha I=lorld", Statutoll. tho fotlowinll inflJrme :lul1 Is stl!lled In lhi:J NO'rlel:! OF COMMENC:::~:.nc.
Description (I' prupunv .. .l? .-2. .. g,.~. . :.;/' . & .?:~C!. .. (t?, t?t?P.C?. . . .t!. :?.10
. .. ~O' .. .. .. .. . . ... ... .. .. .. .. .. .. .. .. .. ~ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ..
SIiMINOLS FOrtM4Ql
.......... 0_.._ ....... ........... ........................... ........ .............
Rec: 6.00
IT: 0.00
__________ Dpty Clerk
... .. .. .. .. .. .... .. .. .. . .. .. A .. .. .. .. .. .. ..... .. .. .. .. .. .. .. .. .... .. .. .. .. ........ .. .. .. .. .. .. .. .. .. .. _ ~
Rcpt: 779164
DS: 0.00
0S/04/04
General desorlptlon of hnprovam..ntu . .Qf!.Aj:y:r&?!.4:Pt.?~ OE.-2I.?f.J.tf::?6c:.'. .rA?k1. (?.v.l?.'!!.~~.~..
Ownsr 2lf.Vl P. . W. :,.cJiy1..& 2.':. '!-? .. . .. .. . .. .. . . . . . . .. ........ __ . . . _ .. . . . . . . . . . . . . . . . . . . . . . '" .. . . . . . . . . . _ . . . . . . .
Address ..1 ;(i?q. . 8?~-:r..I<( 1!tZ. .?R. ~. .J?d:t{~ 01r:tt. E ~:. . Y::J :1:?-:-.,L...... ... . ,.., " . _."_
Owner's interesr In sito Df tlullmp.au.......t . ... . .. .. . .. . . . . . . . . . . . . .
FQI!I Simple Tlt'o hold., (If othar th.... QWRlIf)
Name ...
..,.. ..... ........,~~..............-............................"'.
i~90~~~lMA~g: ":;0 fOUNT:, C1.ERK
........ .. ..... . ~.~. ~~. . .~~~.~. ... _ ~.~. _ _ee4 __
R
Address _........................................................... ............................................ - - . . . . . . . . . . . . . .
CDnt,onror .1?t!:V(J). .0J.".:;@.If~!.'?~................ ... ........ .................. .... .,. .-.. -....... .... ......
Addreae .9..~c?{. .a&e !?{~??.1< P!!.!!... ;(?I!I?~. (; 1Tj1:1. rf,-,.. .?~~:?-:r... .... ..... -.' -.'. .
,,-,".""""'"')
Surety (if any) .. - . . . . . . . . . . . . . . . -. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . - . . . .
Addross . ..... _ . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . - . . . . . . . . . . . . " . . . . . . . . . Amount of bond S . . . . . . . . . . . . . . .
AnV person mAiling D loan for lhl'luonstrucdon 01 th.. In.provumo. Is;
Namn .............. .'. . . . . .. . . ................ . ., .... ... . .... . . ... .. ........................................ -. ...............
AddroGs . _ . . .. .................... . . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ...................... - .. . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . .
Parllon within 'tho Srato of Florida drudgn..d by ownor upon Wll1 m l10ficuB or other documonlD may bo served:
NamtJ ...... - . . . . - . . . - - . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. ........................ - , . . . . . . . . - - - . . . - . . . . . . . . . . . . . . . , .
Addfotl!l . . . . . . . . . . . . . . . . . . . . '" . . . . . . . . . . . . . . . .. ................... - . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .
In alld"ID~ 't~ 'l~i~~~~li ~~~r dBalgna'>>:. tha fallowing parGon to re luiuB 8 uuPV of the L1Bllor's N01icIJ as provided In Soctio
713.13 (11 lh). "Iaddu StRtnlalS. .PiII I.. lit Owner's option).
Namo .. . ................ '.7'02"' /;............................-....-................... ......
................_.-._......~....._..~.~-.-... .. : /' ,1
AddroJlIl ... - . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . .. . .......... ..,..... . . . . - ~. . . . . . ' .. )/... - . . . . . . . . . . . . .
"".....c..on .""'...... u....... , ,f, h , , ~,t 1,., ~~;h~':>h _, h' , h _ _ :!_ ' , _ h _
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFy.j)"TNESS MY
HAND AN FFICIAL SEAL THIS DAY OF
2tJt}
JED PITTMA.~ .~ RK OF CIRCU T COURT
BY fi,1{,lTli...L-U- DEPUTY CLERK
/. 2... '..,
....... ............ .dayof _. . . . .
.-
Swom to 81 d liubscribud boforf)~mo
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TRACT 92
SCALE
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O' 30' 60 .
EA
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TRACT 85
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NOW
~35'05"
SOUTH BOUHOA~v TRACT .5 ~
-
... .
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8'1'B St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
o?-- '/- D tj
PHONE CONTACT FOR PERMITTING (if /3' 17/~-~271
PHONE &52..) 5" 2 ~ -CJ ~Z5
SUBDIVISION.3/.?if~ OA~S-V/L{~
OSIGN
PROPOSED USE: ~ FAMILY DWELLING
o COMMERCIAL
o ADDITION
o MOVE
o ALTERAT ION
o REPAIR
o INSTALL
o DEMOLISH
OMULT I - FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 5/N00~ r/rM/L-Y PWr;-t.-WIUu:::>
BUILDING SIZE YO / X &0 I SQUARE FOOTAGE /9%lJ 5{J.-&:-
HEIGHT
g'/
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.
o BUILDING
$
PERMITS REQUESTED
r( .s;OC);}" ~ VALUATION OF TOTAL CONSTRUCTION
,
700 AMP SERVICE ~LORIDA POWER 0
o ELECTRICAL
o PLUMBING
o MECHANICAL $
o GAS ~FING
3 po
I t".:{;C}. ---
,
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
~E
o STEEL
D OTHER
o SPECIALTY
TYPE OF CONSTRUCTION: D BLOCK
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES BiW
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************
ELECTRICIAN
SIGNATUR~ ~ ~..a..
COMPANY~t.. ~..,..( I ~.
STATE CERT OR REGIST #
f&.f&(c;
******************************************************************
PLUMBER
COMPANY ~/6/ JtI. y l1e5 f/r/n b ;"J II1c
STATE CERT OR REGIST # R F OtJ ht; '"If; 1
SIGNATURE
MECHANICAL
*********************************************t*******
COMPANY S" /f" A/ w ~
SIGNATURE
STATE CERT OR REGIST #
I( ftJ I} 0) If <t. It I
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" w},ich
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 portions 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.
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
WI YOU LENDER OR AN ATTORNEY BEFORE RECORDING YOU 0 CE OF COMMENCEMENT. JOBS UNDER
,500 IN VALUE DO OT NEE T ECORD AND POST A " OTICE OF COMMENCEMENT".
OR ENT
STATE OF FLORIDA ~ r?
COUNTY OF If Joo'C:f.:)
The foregoing instrument wa~;ckflQwledged
Before me this ~ day of -1-~ ,20~
b~
. (name of person acknowledged)
who is persona known to me, or
:/
STATE OF FLORI~A ' ~rcO
COUNTY OF
The foregoing i~l:ument was~~~~wledged y
Before me this _day of~, 20!!.-
by
(name of person acknowledged)
ho is personally known to me, or
Name ty
n t~Q.d~iliB~ij~~s
o who
o who has
Signatur
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PASCO COUNTY, FLORIDA
Permit No. 3075
Date Permitted
Builder Name/Owner Name JOHNSON, DAVID
Control #
Impact Fee Amount
Zone
County Parcel No. 032621 0200000000580
Address/Location 37410 PICKETTS MILL AVE
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate:
Exempt
DYes D No
How
Determined
f)~\
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J.) 23) Collection Fee
Exempt U Yes D No How Determined
Amount $
PARKS AND RECREATION FEE
Land Account Land Credit
Land Total
Recreation Account
Recreation Credit
Recreation Total
Zone
TOTAL AMOUNT
Exempt 0 Yes D No
How Determined
LIBRARY FEE
Land Account
Land Credit
Land Total
Facility
Account
Facility Credit
Facility Total
Exempt
DYes D No
How Determined
Total
Amount
RESOURCE FEE
TOTAL AMOUNT
114
10.18
ERU
Prepared By VLW
Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the bUilding permit owner on notice of this assessment and the conditions of payment for same,
DATE RECEIVED BY
RECEIPT NO.
DATE 10-28-04
BY
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