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Home My WebLink About04-3236 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 3236 'r Permit Number: 3236 Issued: 7/20/2004 Permit Type: NEW SINGLE FAMILY DWELLING Class of Work: 1 01-NEW CONST/SFR Proposed Use: SINGLE FAMILY RESIDENTIAL Sq. Feet: Est. Value: Cost: 87,050.00 Total Fees: 3,208.96 Amount Paid: Date Paid: Address: 4731 PLUM T ZEPHYRHILLS, FL. Township: Range: Lot(s): 6 & 7 Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 14-26-21-0010-03600-0070 Name: TENBRINK & ASSOCIATES Addr: 36805 SR 54 WEST ZEPHYRHILLS, FL 33541 Phone: 813 782-0678 Lic: Work Desc: NEW SINGLE FAMILY DWELLING Name: MANN, MARLENE Address: 4731 PLUM STREET ZEPHYRHILLS, FL. 33542 Phone: WATER CONNECTION RESIDENl BUILDING FEE 419.00 MECHANICAL FEE 708.00 WATER METER RES 3/4" 70.35 RADON 180.00 ~\D; U 1 U T 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 REINSPEcnON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." NO OCCUPANCY BEFORE C,O, ~ ~ NTRACTO S SIGN TU PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ,.""1 r l) /,"" I 103110 n ~ PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 \J(-Lilto( CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA WATER ACCT. NO. DATE 7-:20 -DC/ v ~~~iER~ ~ { VYJ r-q -AJ;~J Cf f2-s~0(' GJ.A'C 3b8!Js ..6 7! Sf;J~'t: .Z -Mu :{J5"n SERVICEADDRESS 41'J$ I I~ 6t. ~ WATER MAILING SHUT OFF SERVICE o TURN ON SERVICE lQ INSTALL METER ~ READ METER 0 CHECK METER 0 OTHER 0 o SEWER o GARBAGE ~. IN CITY o OUT CITY ~ No. OF UNITS _ DEPOSIT AMOUNT -)If .-4l;ZiL-.An~ _ AMOUNT LAST Bill _ DATE _ MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY Retain white form in office at all times. Send pink & yellow forms to Water Service . Waler Service Dept. to sign yellow form & return to office. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th St, Zephyrhills, FL 33542 I 813-780-0020 FAX: 813-780-0021 '7 } Ic.t.j DATE RECEIVED ,_ __ PLANS REVIEW FEE OWNER'S NAME ()"'OJ' \evle- Yr1lU1n JOB ADDRESS ~ '7 31 PILUY) S+Tee.+ PHONE(cg'I))i ~ ~-J../Y4 , LEGAL DESCRIPTION: LOT(S)--LJ. BLOCK PARCEL ID # JL-I -JlR- a./ - 0010 -03lPOO - OO,D SUBDIVISION WORK PROPSED: ~EW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION OALTERATION o REPAIR o INSTALL o SIGN PROPOSED USE: ~GL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH DMULTI-FAMILY 0# OF UNITS o MOBILE HOME o INDUSTRIAL o SWIMt1ING POOL \ _ 0 OTHER ~i- J') IrV & HEALTH DEPARTMENT APPROVAL I jt.PcD ZCf\JI~IM' DESCRIPTION OF WORK o RESTAURANT c.v<"n~tn~c t r\ t..lA) VatXSc~rj Ye.s.id.~{.-<- SQUARE FOOTAGE 1/41 HEIGHT , ~ / ~y f7-LNr+-70f'1 & (1) SET ENERGY FORMS. FORMS. Cr..-/L1) \-1CV1--n:. rt)~ L> I fl ~I) fAAt\.- ~ Yv0 JrJJf\ ~ '-17~\ BUILDING SIZE RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~ BUILDING e1 ELECTRICAL ~ PLUMBING ~ MECHANICAL $ C( \ <:(;)../.00 , dCO VALUATION OF TOTAL CONSTRUCTION ..- AMP SERVICE ff' FLORIDA POWER o W.R.E,C, /l& ,/; ,"/ ? /)1 :1;/- INSTALLATI~ $ ~.OO VALUATION OF MECHANCIAL o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: ~. BLOCK o FRAME o STEEL //)61(,1 '1g ,1 o OTHER // .~,_.---/" IN FLOOD ZOmE AREAO YES ~NO FINISHED FLOOR ELEVATIONS IS PRO.JECT BUILDER COMPANYS en~(\'(\ ~ 4-~~SOLIa.....~ ~ ~. ~--. . VVt.H../\ STATE CERT OR REGIST # C6IC0"4$4d';;)- SIGNATUR ., '''"'''' l-'~/ CITY PROCESSING # ~)tl ***************************************************************** SIGNATURE C0t1PANY ~--hn Cl'L(.-!Tl(.. I~ c. STATE CERT OR REGIST # EGI'300)3~3 CITY PROCESSING # q.., *********************+**********************************~.********* PLUMBER SIGNATURE 'ccJJv.... -!.J&,o.- &- \ . an Svh I '" WVl - ~ PIlA.-lrV\.1o i~ COMPANY n '-A,.............. STATE CERT OR REGIST # CFe.O Lit., ~ \ CITY PROCESSING # ,~--, *********************************************************A******** ~_ - COMP AN Y _"t, l.L+hu t'\ ~+c-r +- F..N'\+. t-""'" \( . STATE CERT OR REGIST # Qm 001 so 'd-:) CITY PROCESSING # 5~ ************************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be may be more restrictive than City regulations. The compliance with any applicable deed restrictions. B, UNLICENSED COlnRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance v>lith 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 lal'J, If the OI-mer or intended contractor are uncertain as to vJhat licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-780-0020. Furtherwore, if the owner has hired a contractor or contractors, he is advised to Ilave 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 licerrsed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION H1PACT FEES AND UTILITY CONNECTION FEES D, CONSTRUCTUION I,IEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Constructi.orr 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", 1 cerify that 1 have obtained a copy of the above described documerrt and promise In good faith to deliver it to the "Ol'iller" prior to corrunencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all I-Iork I'Jil] be done in compliance with all applicable laws regulating construction, zoning, aIrd land development. Application is hereby made to obtain a permit to do vlOrk and installation as indicated. J certify that no vJOrk 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, r also certify that I understand that the regulations of other governmental agencies may apply La the intended Hork, and that it is my responsibility to identi fy what acUons 1 mIlS r La ke to be in compliance, Such agencies include but are not limited to: *Departmenl of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sellsitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetlarld 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" OJ: "A,et.c.", it. is understood that a drainage plan addressing a "compensating volume" will be submitted Ii/hich is prepared by a professional engineer registered in the State of Florida prior to perlnit 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 trre 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 cOIllmenced vlithin six months of issuance, or if work authorized by the permit is suspended or ahandoned for a period of six months after the time the work is commenced. One 90 day exterrsion of time may be allol-Ied for the permit IJith 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 R AGENT subject to "deed restricL.i ()[)s" villi cll undersigned assumes respon~ihility for SIGNATURE: CONTRACTOR STATE OF FL~IDA COUNTY OF _r!LS(..O The foregoing instrument was acknowledged Before me this ~ day of t)lU\"'" ,2QQl by ~I~~~ (name of person acknowledged) l!1'1^lho is personally knOl'1n to me, or STATE OF FLClRIDA COUNTY OF The foregoing instrument was Before me this _day oi- by acknov,.1 edged -, 2 (J (name of person acknowledged) Cliho is personally known to me, or of identification) take an oath. o who lias prOd\ICed_______________ (type oficleIltifical:ion) and I'Jho Odid Ojid not: take an Odtll ac knol^lledgemen t Signalure of person taking acknol'lledglllelll: Name name typed, printed or stamped 111111111111111111111111111111111111I111111111I1111I11111111 2004125142 State of - I-'GYI~ County of Rcpl; 796673 OS: 0. 00 07/06/04 Po..s ( (, Rec: 10.00 IT: 0.00 Dpty Clerk NOTICE OF COMMENCEMENT THB trnoERSIGNED 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. 10t tell Pit.UY\ .s.tyee+ (Legal descr~ptlon 14 - ~ LD- ~l- 00\ 0 - 03(POO- 001 0 V}~ J Is. P0 33Sl{ a- street a 2. General Description of Improvement CCY\.sfyw: t nt..l.D vIt\1A.sO~('1 ~i~5 Ie... ~1I 1'1 V ~S \d.~ -'V JED PITTMAN~ PASCO COUNTY CLERK 07/06/04 1~;42rm 1 of 1 OR BK 5921 PG 1465 3. Ovmer Information: Name --.Y'Y\oJI ~f Vrii..M,\A llddress 3G,St LCccct I~ by, City ~ -I-h' I b State R-33.911 Interest in Property: (X..lh'\ ofT Name of Fee Simple Titleholder: (If other th~n owner) Address City Stilte Contractor: Name -=.J ~~( "o"-L- ~ J4s.S0c i a..ks. :1;:;\.(. Address 3lt.,go~ <~5Y wert- City Cep~~' bJJs 5. Surety: Name 4.,. I. State ft-,33SV J Address City State Amount of Bond: $ 6. Lender: Name Address City State 7. Persons within the State of Florida designated by Owner upon whom notices or o~her documents may be served as provided by Section 713.1J(1)(a)(7), Florida Statutes: tJi-:mc Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided 1n Sect10n 713.13(1) (b), Florida Statutes. <J. f"xp.irl':l1 .l.'ln dl"lte Ot rlot.lce of Commencement. (the explratiun date 15 1 yea.r fr~m the d~te of recording unless a different date is specified.) ". ./1../1 S ig:1a t ure of Owner: / 1/1(:., '~_.f.'~ .?7:.[ .":'.i ,; ,-_._,' / f i i Sworn to and subscribed before me this r.;LG day of '- Au., e.... .}-9 t.~ . Not"ry PllbliC:~. ~'-1? ~ My C:::l;il,.,i s s ion Expir: .. ,;l ;;;tJ:; ( PC93053048 SOUTH WEST Ten Brink & Associates Inc Mann Project - One Lot; 6/7' Parcel No. : 14-26-21-0010-03600-0070 ~ .. ) / / ,..~,. PLAt ~S REviEWED DATE 8UI'-~lNG DEPT APPROVED 30'-0" A ^/J.< , Co'0v O~ C~~ G:~ 7'f} 0 l),Q Cbb <. c 1,1. ~C> 0 ~~~~J/~ 11<.( %0 ~ l1UJ-. '0 0q'(b C'Ob_<<.b <- 2V ~ . ~~~J-' ' J CJ)JL'l"\ f, t~) fL i>t\ D " ~ ~V,a1( ~,I\J C li)L-fif"t o+lJ\ rli--f1 u 11L~ f' T~ bri- S 0j?M/lTpfi (0 f) U 1 LV lI"h iJf11 J~T J4II tJ..v 7 flt.t~(\ ~6 j N 5 f'1L7l :::::::::::0 A.U WO~T{ SRALtCOMPLYwmtAlL VV\,,~I.,V\0N\ ~ )jLJ;" iW ~"\i S ~\.. t) f- ~ '- 1"" Itl ~y I 6(l fr~0V~ ~ '" \._.\.';'U~~i'4'\.l.,-,.'. - NORTH . _",....-'I' T"::'J CITY OF ZEPHYRHlLJ...S OiU)L."iAhL....~ EAST SCALE 1.=10' P.Ol/Ol TRANSACTION REPORT JUL/09/2004/FRI 09:00 AM RECEIVER 817278157000 TYPE/NOTE OK / FILE SG3 0038 2, qu 1 PASCO COUNTY, FLORIDA -~ .. Builder Name/Owner Nam~ 't/_k 4' Control #__________.______ County Parcel No. 1?L-Ab-~2L-::OQI[)-O;lIzJ20_-::12Q2()_ SubDiv: ______._______________. "/7 L /~ c::::~ Address/Location ---~..l!i---~l~~_L________-,-____._______ Classificallollnype of Use ./2<<AL.;;:f.-r/Jr 0 <Pm-'/.- (i;L;<Y ~)__ TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: --.L~__ Pen-nit No, --.3'. ~_~___ Date Permitted -7-~-:~ti.K- Exempt [] Yes [~No How Determined Impact Fee Amount $ I $""~. ~_______ _._---_._---_...._~._._----_._.,----_..._,---------_..- -- Zone No, TAZ: -----....- -_..~...,---- SCHOOL IMPACT FEE Account (056) Single-Family Detached House (05"1) Mobile Horne (058) Other Residential J123) Collection Fee Exernpt 1_1 Yes l0""No How DeterminecJ _.._~'-,....-....-_-~----- ..----....... - Amount $ j(QqL{. DO -.-.------->-- --~_._----_."_._------ ---------------------- --_._._--._--_._-----~-._-_._---_.- -- --------.---------.-. ..--..-...---.---..-.--------...--. .----.-..---- PARKS AND--RECREATION FEE L.and Account --~--'---=~=--==--~dit _________ Land Total ..... Recreation Account Recreaillm-.credit Recreation Total ...-...-.---,-..,--- ----.-.-.-.- -'--'-----'-_"'___._n .._--~------~---- Zone TOTAL AMOUNT -_._-_._--_....---_._~ -----,..-- ...._--._~-..-- ._~----._-._----.__.._---- -...----..-. $-. .. --~~"'-<.:,::.:~------_._--_._- Exempt [] Yes [J No l~iBRARYFEE''''~- Land Account How Determined ... '...-..--.----..- r ----........--"-.............----,--...-.._4........_____ --- ._--~ .~-~_._.--~-- -.---.. Land Credit ---------_._-.~ L.and Total Facility Accoullt_________ Facility Credit "---""'- Facility Total ----.--------'--,.. '.-------- ._----..-------_...._~--_._..__._--- Exempt [j Yes [J No How Determined Total'Atl!uunt _______ " '- ~~~-- ERU ________ ~--u------_ ---....-..... RESOURCE FEE TOTAL AMOUNT --.-.---..-----.-----.- -_.,.,---,......,.._,.-........-........-......."......~.._.....-- ----.--....-..--_._c___...............__... __ .,.. _..._.___ Prepared By ___.___________________________ 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 110t Imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building perlllit owner on notice of this assessment and the conditions of payment for same. ------------_._._._.------,.~---_.._-_._-_. DATE RECEIVED-~-----------. RECEIPT NO. DATE --.------.--------.- ------.------.-- BY ---.. ..~--_. ---.----. --------...--......---.- - -.-'-'-