HomeMy WebLinkAbout04-3268
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3268
Permit Number: 3268
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: RV PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Book:
22,485.00
8/03/2004
298.00
298.00
8/03/2004 Phone:
ROOM ADDITION W/BATH,sCREEN ROOM,CARPORT
Name: JOHN & ELsl FULLER
Address: 3451 BERYL LN
ZEPHYRHILLs, FL. 33542
CRANDALL, RICHARD
CHRIS BAHR PLUMBING
45.50
LLE
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."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
fuia~ AIL r~~
CONTRACTOR $(GNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PEmfiT APPLICATION
BUILDING DEPARTMENT 5335 8H St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PASCO PERMtr St:Rlfl(
PHONE CONTACT FOR PERMITTING 1-~wG,-g)..l.(-7g<1L/
7/19/0 t/
-t Us,.e. Fu.Jle.r
!3 e". \.J I Lal1e...
,
LEGAL DESCRIPTION: LOT (S) G, "3
PARCEL ID # ~- :u.- .;tl- 00;10-00000- Ofo 30
WORK PROPSED: []NEW CONSTRUCTION a.ADDITION
OWNER'S NAME JohV'l
JOB ADDRESS~ 5 I
PHONE
BLOCK
SUBDIVISION [""erA-kl ~p~ ~tc
(ORTAIN FROM PROPF.RTY T X 0 ICE)
OALTERATION
[] REPAIR
o INSTALL
[]SIGN
PROPOSED USE:~GL FAMILY DWELLING
[] COMMERCIAL
[] MOVE
[] DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
[]# OF UNITS
[] SWIMMING POOL
[] MOBILE HOME
[] OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK RcoV"Y\ Add!. 'ho,",- lJJ/b~~ I &.r-~~ ROOM \ Ca.rl~ort-
RooM: I;l.,)( '3l4 ROOl"Y1 '-l '?> ~ cP
BUILDING SIZE.5crc!'~""" "6 X-I;l.. SQUARE FOOTAGE &..r~~ t:{Ca elL HEIGHT ~<<- ~
C w-port- ,:;l. x. I ;t Cc.......pO-rt 1'tL(: c:p
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~ BUILDING
~ ELECTRICAL
PERMITS REQUESTED
fd-J)b .
/iJ-.$G
2/7, :)U
'3~. ~c>
$ ~ '"), J 10 c. ()O
O<-<'.:Io.::J. VALUATION OF TOTAL CONSTRUCTIONPC0Mf3': -'J:;:.;O
AMP SERVICE [] FLORIDA POWER 0 W.R.E.C.
J( PLUMBING
[] MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
[] OTHER
[]GAS
[] ROOFING [] SPECIALTY
TYPE OF CONSTRUCTION: [] BLOCK
~FRAME
[] STEEL
a.OTHER a..{Utlhl;'l(..W-
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[] YES [] NO
SIGNATURE
U-v t<-~ rflL
C~C!l.'OR.-i;'SJ:CT:tON
L..,< _ ;_,.; _ _;..:,>:"..<_<_'.,",;-,.:,,;.:- _';<":"~-~___'. .::.;.','..:., _ ..:;:".:,_,
COMPANY SU-.cA stGL.+~ All-UM.tVl u.~
BUILDER
STATE CERT OR REGIST #
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EUC~C~I .
SIGNATURE ~~~ ~~
COMPANY 'KtCne:u-c{ Cra.lo'1dA.(t E {ec+r\0
STATE CERT OR REGIST #
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PLUMBER
/J
utfe4~5? &~
COMPANY-C.hf"l':> BAAr 1:1 \.A.~l~
STATE CERT OR REGIST #
SIGNATURE
MECHANICAL
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COMPANY
SIGNATURE
STATE CERT OR REGIST #
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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, 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 po~tions of the "Contractor Sections" of this application for which the~
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 i~
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 tc
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
*Sou,thwest 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
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".
ubea ~L
SIGNATURE: OWNER OR ENT'
. ~u ;p..,/};
SIGNATURE: CONTRAeTOR
STATE OF FLORIDA t>t
COUNTY OF v...~c.o
The foregoing instrument was acknowledge~,
Before me thi~day of 3/;\.(, ,2~
by ST~ci-L, (..to '.
~ (name of person acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA ?a...~ Lo
COUNTY OF
The foregoing instrument was acknowledged
Before me this ~fcay of ::r ~ ,20 ~
by S1-a..c..I.::c.. l '
~ (name of person acknowledged)
~o is personally known to me, or
Owho has produced
(type of identification)
[Jdid not take an oath.
~
[J who has produced
(type of identification)
and who ~id not
Name typed,
person taking acknowledgement
.'"'''' Suzanne Baht
,;~~~~"~iJ8(~,, Commission #DD157131
pr.tlllt~qiElB\li~ 15, :ZUUo
:.,~~; . . . 'oJ',:: Bonded Thru
"" ,~;:>.' Atlantic Bonding Co., lnc
Signature 0 rson taking acknowledgment
.,,""" Suzanne Baht
~-;?~q<;;,:. Commission #DD1S7131
Name typed i ~:pr~t.~PHfS: ~~rI..l..lOM
'<;" . . . 'o~'" Bonded 'N\~u
/I~f~~t\\\" Atlantic Bonding Co., Inc.
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12'2
I\LL WORK SHALL Lv.v, " L Y \VlTH ALL
PREY AlUNG CODES. FLORIDA BUILDIN.
CODE. NA TlONAL ELECTRlC CODE fu,\,
CITY OF ZEPHYrJ nus ORDINANIT"
s
NOTICE OF' COMMENCEMENT ;\L j.:;" & 'l
;;of,_ELp~ County of --P~U2______,-':~
T IE UNDERSIGNED hereby gives notice thatimprovemenc will be made tu cenain rt:al propeny,
31 in accordance with Chapter 713, Florida StaNtes, the following infom13tlOrl is provided in
rt - Notice of Commencement:
'1
-"-
Description of Property: Pared No. _~.:l(,- .:2/- D~O- .QooaJ- O,~O ____
__m__Ethe/'a.1d 'Pb,nr Rv ~esor-r___,
(Legal description of the property and street address if available)
General Description of Improvement RoofYl Add. i_-h D"'-' T- '__'____,,__,
.~..c:eV'... l<onW\.. + ~pod ____
OwnerIl1~ormation: Name :John ~~~~ - ~~~W!I!~~l~IIII1II11II1IIII1""IIIII"III""11II
Address 31./. 5/ B er'l-' Ln.
""'------'----'-----'----------,-----.,
Interest in Property; ,_,
3
City Zephtrhi /ls
St.'He F\._.:3..~tfo
Name of Fee Simple Titleholder:
(If other than owner)
Rcpl: 804885
DS: 0.00
08/04/04
Rec: 10.00
IT: 0.00
Dpty Clerk
R4
Address ~_______,__ City
Contractor: Name -.5.y,,~~~
Address ~,~~-.Eor:t:,gL~_'Rd_~_ City_Z,grb~1"hi Its
State
5. Surety: Name
Address _______,_,___,__ City
Amount of Bond: $
State Ft. 3 35:4.2-
State___
~190~~~I"'g: ft:;O fOUNT:, C~ERt(
OR Bt< 5972 PG 319
6 Lender: Name
Address
-____,__ City
State____,_
7 f'ersoi!s winlin the State of Florida dc-signaled by Owner upon whom notices Or other
dL'Cumen15 may. be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City__,
State
8 In addition to himself, Owner designates
of '-'-----'___h__u_,____,_,_____ ro receive a copy of the Lienor's Notice as
provided in Section 713.1 3 (1) (b), Florida Statutes.
9 Expiration date: of Notice of Co nun en cement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
s
P 3053048/A
u..2 r.2l./I./
S"rn 10 and ,u~,c / efore me th;,.. 'X~ n _ day of _~_..+- . 20 0<1.
-~ ,:ary PublIc:....:~ ~ _ ______,_____
!\ ComrnisSii)nExPi~___________~w..."_ SllzanneB.ahr _________
,,'~\~V-~t;~,_ Commission#DD 1 57131
f:'~'::~ Expires: Nav 15, 2006STATEOF FLOR:OA
-:.-,';f;,....:o~~,~ Bonded,Thru COUNTY OF PASCO
',f"Ff~" Atlantic Bondmg Co., Inc,
"'iI THIS IS TO CERTIFY THAT THE fOREGOING IS A
TRUE ANO CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECO. RD IN THI:1~ESS MY
HAND AND..9F.F1CIAL SEAL THIS DAY OF
ctf1{:'- 2
JED PI CLERK OF CIR UIT COURT
BY :( 'DEPUTY CLERK