HomeMy WebLinkAbout04-3163
I "
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3163
Permit Number: 3163 Issued: 6/15/2004 I
Permit Type: GENERAL BUILDING PERMIT I
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 4,200.00 Total Fees: 82.501
Amount Paid: 82.50 Date Paid: 6/15/20041
Address: 5114 SUMMERHILL DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: SUMMERHILL
Parcel Number:
Name: JOHN DUllER
Address: 5114 SUMMERHILL DR
ZEPHYRHILLS, FL. 33542
R
PRE-SLAB
LINTEL
FRAME
, INSULATION WALL
INSULATION CEILING
a D
CONSTRUCTION POLE 2ND ROUGH PLUMB I DUCTS INSULATED
PRE-METER WATER i FINAL MECHANICAL
MISC SEWER MISC
MISC I MISC. I MISC.
I MISC. ! MISC. . MISC.
r
~RIVEW~. ________~~IS~___~_____~~SC. ________~RE.DE."'!~_~~~~'______________
- REINSPECrION 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 toowner: Your failure to record anoticeofcommencement may result in yOUr paYing twice-for ----
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
__I).E!fo!!!......ecordingyour notice of commen~em~...!-.''- __________________________ __________
NO OCCUPANCY BEFORE C.O.
--------- --- ------------- --- -~-----------
~C2~~TURE.... PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECE IVED
PHONE CONTACT FOR PERMITTING ~/3 ~ .J.sr-.....6'3C(-?'
OWNER'S NAME ~ fv rJ D l-1 Lie /(
JOB ADD6.Jrl )//'1 .5 'trnp? elL It ILL cI ~
&/J- ?~J -6<1? L
PHONE
LEGAL DESCRIPTION: LOT(S)
21
BLOCK ~CJlr)O
SUBDIVISION
PARCEL 10 #
WORK PROPSED: (JNEW CONSTRUCTION
(J SIGN
PROPOSED USE: (JSGL FAMILY DWELLING
(JCOMMERCIAL
~/t:Jo .
(ORTAIN FROM PROPERTY TAX NOTICE)
(J ADDITION
(J MOVE
(JALTERATION
(J DEMOLISH
(J REPAIR
o INSTALL
(JMULTI-FAMILY
o INDUSTRIAL
(J# OF UNITS
(J SWIMMING POOL
(J MOB I LE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
wiele nJ S c ;f~t'/VRt't)/Z1 J:,f/)/'1 8":"'26' I-i) ;:r.( 3? /
BUILDING SIZE
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.
--
rJ c L y'LB \J 1 t'li'iLJ _
cyZ ~..; () 0
()., J:.;W) (.,
Lj)otJ Ct.)
PERMITS REQUESTED
(J BUILDING
o ELECTRICAL
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
(J MECHANICAL
$
o GAS
(J ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
D OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
SIGNATURE
CONTRA,GTO;R.......SECTIQN
T/(ocjI H1:/A/j' COMPANY 5eQfri&$5 9i"fi ~ 5~l"(, I~ll"!/- f/VC'.
;l~ ~. STATE CERT OR REGIST # SCc..Os6??r:;
BUILDER
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
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 restriction's" whv.::h
may be more restrictive than City regulations. The undersigned assumes responsihility for
compliance with any applicable deed restrictions.
B. UNLJCENSED 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 th~ 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.
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 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. Slich 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, CONSUI.T
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 "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of ___, 2~
by
(name of person acknowledged)
Dwho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
, 20
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid DUd not take an oath
Dwho has produced
(type
and whoD did Ddid not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
S l'I'g l'1.AN
(RESIDENTIAL USE ONLY)
P~CEL 1.0.
2L
SEC
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1'WP
fl,).fo
RNG
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SUBD
1!t!/tJP
BLOCK
2:i
LOT
DATE:
, / /i! O~
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ful1v dimensioned for all parcels.
All drawings shall be drawn to scale or
DAI,;:
BU/!..C'iNG 0
43 J 6 ;/
J
f
I
,;J'1
<-'f.\S\ (W
V \p
, t:) "
1'17
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SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE
ANY BODIES OF WATER. TREES (INCLUDING SEE, DIAMETER. TYPE), AND ROADWAYS (INCLUDING
NAMES) ADJACENT TO THE PROPERTY. INDICATE THE SIZE. YEAR, AND NAME OF HOBILE: SUCH AS
12' X 60'. 1981. FLEETWOOD.
ALL "EASEMENTS". "PROPERTY LINES". "RIGHT -OF -WAY". and "JURISDICTIONAL LINEStl must be
shown on all site plans.
00 NOT ENCROACH INTO ANY EASEMENT WITH A STHUCTURE.
III
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o
c
o
II:
ROAD I'CANE
NoelL!: HONE SET-uP
r.Clr (i150')
..... 50' 40'
0 i
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11\
.... .... -
3 . Eaieti". .
.. ..
.; .; 1".4 ..
50'
"OAD HANE
!'lOUlIE CON!lTRUCTION
rCla, (80')
rL '" PROPERTY LINE
R/u "" RIGIIT-OF-WAY
o - TREES
APPROVED SIn PLAN MUST B.K POSTID AT JOB J...OCATImI.
HOTICE 0' Dlmo RBSTKICTI<ll
THIS PKRKIT ..y be subject to ''Deed Keatril:tionll" wbich are IIOre rutrictive thaD County
resulationa. Tbe permit holder ..~ r_I:KJIl8ibilit,. for c~lianc.. with #mY applicable
deed restrictions.
site05:ce
PC95035005/A
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11111/11/11/11I1/111/11111I1/111/111/111/111/111111111/1111I
2004110695
'\oI\cIa atMute 71a i. the Construct,c,n L~n l.aw. Th. owner neeoe to be temml'
with ell I. .,...... At I minimum, lIle . Notice of Com meno.ment. PIOl8oI your
/'IghII by abIIInlng I pertlll or OOInpl,.'tt, "Ael.... 01 LIen" prior 10 an)' payment,
' and obtaIn.,..J_.. from ai, provid..,. before makln; the fin.' paym.nt,
NOTICE OF C:fC'.MMENCEMENT
Rcpt: 790902 Rec: 10.00
DS: 0. 00 IT: 0. 00
06/15/04 _____ Dpty Clerk
JED PITT"A~ PASCO COUNTY CLERK
06/15/04 1~:51.m 1 of 1
OR BK 5898 PG 1912
"""It No, Tax 'oUo Ne.
T", Uftdel'll,"" n.r.ov ,Ivee notlc. t"'.t ir~p:-ov.m'Mt will t:Ht made to certaIn rNJ property,
IIld 1Il-..- """ C,,-,*, 713. Florid" !~M... !he foIIoWII~ Information's ptOI/ldeclln
INI NaIIoI of ComIMtlelmlftt. 10 2ro 2/ 0/ Z D E) ~~" ()JSO
(1) L.III' OIIcrlPtion: /- 1 , '2" i '7.' f.!{
(I) 1"*11 D.crtPtiOn of ImprOv.l~itnt: ~eeei\J eoorr,
(8) Owner Information :J" erh..1\J V u.l i e e-
(a) Name....d Idd~...: 5 /lq SLlmmee h~ II UR
Z q>hr't'1 h 'IllS A 3 -:J.c-f 1. .
CD) Inte!'llt I" IIrop.rty: D Co e6fl e.e- I ,OJ TO
(0) HIm. I"d Id.... of fee !,;If'!!',. titleno/der:
I
R' ... (4) Contrlotor (Name and Addr.IlI): ~...tt11 ~5 .P1l..lH-ees SpeQ. iCc j; 3+ .1: nc
(I) au,.. P[),Bo"k~1 &iii~.l=1 B05S~
<a> NIme and Add,....: fI/ I t+
(.) AmOYnt of bond: $ IV /4
e'l .... (Nam. and Addr...): j1J ! It
(7) fIeraorw wIthift the hte of FIO'~~jll:ht.i;n.ttd by Own.r upon whom noticM or ot'-r
ciooumenta may Meerved.t ~!'C'''IQec by Sectlol'l713.13 (') (a) 7.. Florid. Statuee:
lName ~J~)
rAJl'l4
(I) In aact.. to hl",..lf, Owner dlluiurtat.d _w IV _ of
to recut'ttl 8 oopy 01 the Lienor's Notlc. .. provIded In
.8Iotion 718.13 (1) (b), Florida Stt,tIJ".
(0, lxlllratiott ~ of notice of ~nHnlt"o.ment (t". .:acf)iratlon date I. , year from the
date of ~OOf'dlr'l; I.l"I.. . dlfl.rl,r.t date ,. ~Clfied)
r
- LIADAM1G JOHNSTON
--s' ., Notary Public, State of florida
~~ M~~::'~~
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,GSlgnature Of Owner) "-
e.wtlrn. 10 lIIld. au .. b*ltibt. d btI.o~ ~.tn' .
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