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Home My WebLink About04-3192 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 3192 Permit Number: Permit Type: Class of Work: Proposed Use: Sq. Feet: Cost: Amount Paid: 3192 Issued: 6/30/2004 GENERAL BUILDING PERMIT SITE WORK NOT APPLICABLE Est. Value: Total Fees: 105.00 105.00 Date Paid: 6/30/2004 Address: 6239 FT. KING RD ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: CONSTRUCTION MGMT SERVICES Addr: PO BOX 145 PORT RICHEY,FL. 34673-0145 Phone: Lic: Work Desc: SITE WORK Name: MEHUL PATEL Address: 6239 FT. KING RD ZEPHYRHILLS, FL. 33542 Phone: PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER FINAL MECHANICAL FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. INSULATION CEILING MISC, MISC. MISC. DRIVEWAY MISC. 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 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 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. n NO OCCUPANCY BEFORE C.O. ~~ ~~ CONT GNATURE PERMIT OFFI - . - CAL R 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 Cf2tut V -11-ty DATE RECEIVED {: - (1- ('~ t OWNER'S NAME ilL- P~L rW67 I2tJ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # 03 -d-b-;-/ -~OIO -'0760tJ -0010 SUBDIVISIO -~~-~ (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: []NEW CONSTRUCTION [] ADDITION []ALTERATION [] OTHER []SIGN 0 MOVE PROPOSED USE: []SGL FAMILY DWELLING []MULTI-FAMILY o COMMERCIAL 0 INDUSTRIAL J:[]SWIMMING POOL c:J RESTAURANT & HEALTH DEPART T APPROVAL DESCRIPTION OF WORK ~/TL W/?!<::. ' .P 'J 05. 0~ BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCT~. UJI AMP SERVICE o FLORIDA POWER SET ENERGY PERMITS REQUESTED [] BUILDING o ELECTRICAL $ VALUATION OF [] PLUMBING [] MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATI N ~jlq/- [] GAS [] ROOFING [] SPECIALTY o OTHER TYPE OF CONSTRUCTION: [] BLOCK [] FRAME [] STEEL [] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[] YES [] NO SIGNATURE CONTRACroRSECTION ~ COMPANY BUILDER STATE CERT OR REGIST # 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 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, bolh the owner and contractor may be cited for a misdemeanor violation under slate 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 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 indication 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 Construclion 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 conunencement. 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. 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,ete.", 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 exLension 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 "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged ,20_ 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) Owho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. o who has produced (type of identification) and who Odid DUd not take an oath Owho has produced (type and whoO did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped / ,~ A/ State of !-L-vk-/b4 NOTICE OF COMMENCEMENT County of "R9sco THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: N= .' " s= 1. Description of Property: Parcel No. )_3 - :;2~') r' P ! - 'O/{)- f)uhOtJ -tf}c;V 0 ! 't>" ',.j") , A /,_,. .." 6;t39. .~ /(/rJh _u_, ~= I (.t/..,'{::'(L f7' 1"--'6 L(), IVt'U:J/lL- 1[12, 2 -!II' rhif"-' 3354/~ (Legal description of the property and street address if ail able ) _ 2. General Description of Improvement :5)fe W(()~.c:.J 15U//J ?f2?Jpe=:;s/oAJAc OFFice == == 3. Owner Information: Name lJ/c /J1e?f/t,:L /J'"7-2 (/; .. /2. DJ.5kbE Address-1_-:>v;(.:7 --iI/"r..J:t!-l(r- Ie 0. I City Interest in Property: (;WA)t? 12- / " Name of Fee Simple Titleholder: ..V/;4 (If other than owner) Hti!7L , )).Lc-~cl&;,- - --- ~ --- ~ State FL 3C/"Qf' Q307 Address City State 4. Contractor: Name Co;U.sr~LC rro..u /Ifl4aJN-7CI11LAJ T .:SeteU /Ce!5. Address Po /!xJ)( /LfS- ' City/bJ--t eC4E'Cf State FL JJ/11 / ( 5. Surety: Name Address City State Amount of Bond: $ 6. Lender: Name /VI/! t Rcpt: 790167 Rec: 10.00 DS: 0.00 IT 0 00 06/11/04 : . ---____ Dpty Clerk Address City State o cgc... ;llII~ UII ... "U ;lit !:::.... cgoot u..~~ Q)~ (0" m:W: 3~ o "U "'0 C) 0 c: z ~o:: of to receive a copy of the Lienor's Notice as cn~n provided in Section 713.13 (1 ) (b), Florida Statutes. m"'i 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified.) "", -""~-1' 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: it' J IJ ( Name Address City State 8. In addition to himself, Owner designates , , ,', ',' ~,' -.~(,.1. ':); S-, 1 ~i: t,1 Signature Ofowner:~ ~ _, Sworn to and subscribed before me this ~ day of Notary Public: ex ~cJ~ Q ->4-( jAMj ~ My Commission Expires: l D l ~ 1{ J () S- PC93053048/A - ',- ;.:'" '....'," .'. ,;. > ":.:, f; : ,;,: !",': I ~": ~;,.J ,;:\' . '., .. .', _,." ': .1' ~:' ,;-"r1;";:' "~ J-' i:. .:.".....,' :,~)....";'.".:.o;, ~'~":J-'<' I"' ,- ..-.,~,.......;.,-.~",,,j,, , " ':.," '~ -':. ,.,' ',;,' ,tj,.",{,-., ,'" "'., ',," -.j. \) ~ ,200L. 136/14/2004 134:11 3525236913 PASCO CHD PAGE 01 . STATE OF FLORIDA CENTRAX it: 51-88-15078 DEPARTMENT OF HEALTH DATE PAID; ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID $ COJl'STRV'CTION PBRMJ:'r RECEIPT OSTDSNBR 04,,1320- -A CONSTRUCTION PERMIT FOR: { } New System ( ]Existing System [ ] Repair [ X ]Abandonment ) Holding Tank ] Temporary ] Innovative Other } Modification APPLICANT: patel. Kebul AGENT: 156461, PROPERTY STREET ADDRESS: 6239 Bort Eing ad Zephyrhil18 BL 33541 LOT: 'M&B BLOCK: SUBDIVISION: Zephyxohi11s Colony C [Section!Township!Range/parcel No.] PROPERTY 10 I: 03~6210010096000010 [OR TAX ID NUMBER) SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E-6, PAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME PERIOD. ANY CHANGB IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, RBQUIRE THE APPLICANT TO MODIFY THE PBRMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULlo AND VOID. ISSUANCE OF THIS PERMIT DOES NOT BXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMI'l"1'ING REQUIRED FOR PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS r [ 1\ ( tif [ K [ o o o o ) Gallons SEPTIC TAIi1X ] Gallons ] GALLONS GREASE INTERCEPTOR CAPACITY ] GALLONS DOSING TANK CAPACITY [ 0 MULTI-CHAMBERED/IN SERIES: [Y MULTI-CHAMBERED/IN SERIES: [Y J GALLONS li [0 ] DOSES PBR 24 fIRS # PUMPS [ 0 J 0] SQUARE FEET PRIMARY DRAINFIELD SYSTEM R [ 0 I SQUARE FEET SYSTEM ~ TYPE SYSTEM: [ R } STANDARD [ If ] FILLED [ CONFIGURATION: [ R ] TRENCH [ If 1 BED ~ ? .. 1 MOUND (H) .. ] t LOCATION TO BENCHMARK: ELEVATION OF PROPOSED SYS1'BM SITE [ BOTTOM OF ORAINFIELD TO BE [ 0.0 0.0 ( !'nT ( JrD'l' J J Bm.ow I BENCHMARK/REFERENCE POINT J BENCHMARK/REFERENCE POINT 0.0 ] INCHES ;: ) PILL REQUIRED: [ 0.0 ]INCRES EXCAVATION REQUIRED: >THER REMARKS: :'be licen..4 contractor inst.alliug the "'8t.am is re.ponsible for installing t;ha ainJ.mum :ategory of tank in accor4aDce with. 8. UIHi. 013 (3) (I). PAC. Pump tank. cruah or rupture bot;~. fill witb 8uitable 80il. provide a copy of the pump out receipt to the 4epartment. Contact 4epart1llent for inllpection. PPROVED BY: TITLE: BH Specialist. IX TITLE : _ SpeciaU.at. xx Pasco CHD ATE ISSUED: 6/10/04 EXPIRATION DATE: 9/8/04 << 4016, 03/97 fOblfoletes previou& edition. which _y not be uaed) ltock l'I'ulIIber: 5744 -001-4016-0) IOlltdll___4016-11 'P1fr7... 1 ,....1' ..,