HomeMy WebLinkAbout04-3278
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3278
. Permit Number: 3278 Issued: 8/05/2004
Permit Type: GENERAL BUILDING PERMIT
Class of Work: SCREEN ENCLOSURE
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 6,900.00 Total Fees: 97.50
Amount Paid: 97.50 Date Paid: 8/05/2004
Address: 5345 23RD T
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: ZEPHYR HEIGHTS
Parcel Number:
Name: BAHR, RANDY KEI
Addr: 37827 EILAND BLVD
ZEPHYRHILLS, FL 33541
Phone: 813782-3513 Lic: Phone:
Work Desc: SCREEN ENCLOSURE FOR EXISTING POOL
VERLON CLAYBORN
5345 23RD ST
ZEPHYRHILLS, FL. 33542
L 1 A
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.
,I~~IJ~ ~.
j-:"CO RACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 eft St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 8/ /
DATE RECEIVED 3 /c~/
PASCO PER~{r Sr;:-RV'I(
PHONE CONTACT FOR PERMITTING 1-'!Sw(c-g}.l.{-73Qlj
OWNER'S NAME Verlon C.~orn
JOB ADDRESS 5 3 J./. 5" d 3 ('~ C:1t-.
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID # I~-;l~-~l- D030-00f400-0l~D
SUBDIVISION ...Mph y r 11 e\~fs
(ORTAIN FROM PR~PER;Y TAi NO~IC-El
WORK PROPSED: CJNEW CONSTRUCTION
OSIGN
J2(ADDITION
o MOVE
DALTERATION
o DEMOLISH
o !!PAIR
D INSTALL
PROPOSED USE:~GL FAMILY DWELLING
CJ COMMERCIAL
OMULTI - FAMILY
o INDUSTRIAL
0# OF UNITS
D SWIMMING POOL
o MOBILE HOME
D OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 6c.r~e."" Enclo5lA..('~ f='vr ex l'5t-1~ pl>O \
BUILDING SIZE .;.15')(45' SQUARE FOOTAGE 11~5 t/1 HEIGHT ~~ pttU.c.S
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. 11
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. jp 97. 5 0
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o
a!.BUILDING
$ tAw,W
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o PLUMBING
D MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
o GAS
CJ ROOFING CJ SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
D STEEL
CJ OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
SIGNATURE
~ ~tl>-
CONTRA.CTOR,CiSBCT:tbN
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COMPANY P:,ahr'.s Al~ir1/"(r\V ,rV\c..
BUILDER
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
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COMPANY
SIGNATURE
~
STATE CERT OR REGIST #
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OTHER
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COMPANY
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SIGNATUBE" ~, y _"
;" -~,'..,."".;; ~
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STATE ctR~',:~;~IST 'i
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A. NOTIGE 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 th~ c~ntractor wishes
you to sign as contractor that may be an indica~ion 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
*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
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".
SIGNA~ a~ito~{AGENT SIGNAT~'~ ~LIL
STATE OF FLORID~'R
COUNTY OF a. 5(..0
The foregoing instrument was acknowledged
Before me this ~day of A'At::p.4'-, 20 cl
by
hi. (name of person acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA '0
COUNTY OF r~W
The foregoing instrument was acknowledged
Before me this ~N:lday of A'~"9sT , 200+
by
(name of person acknowledged)
~whO is personally known to me, or
o who has
o who has produced
(type of identification)
Odid not take an oath.
f erson taking acknowledgment
~ :!!II
Name typed,' p>;,j,nt. . -
". ,-''.;4; '~ Thru
','f,,":ffF'" AUantio Bonding Co" I~
Name typed,
State of
/-- C~l It (/el.-
NOTICE OF COMMENCEMENT
jJ a -reo
County of
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:
1. Description of Property: Parcel No. J ~ - J-" . ~l- () () .3 0 - 0 () tR 00 - OIP()
2 .e;p L;yF #e //) 'jJ.;,-
(Legal description of the property and street address if available)
2. General Description of Improvement 1'00/ c!'A-t; Id'f tJte.
1111111 III" "''' III" 1111I111" 11111 '"'' 11111 1111111111111
2004146424
3. Owner Information: Name fie loA..
Address ,<;3 'IS- ,:~d f'd ,j-I,
(!/fL!:IIJO/'17 . .".
City &IJ~/rLlh-'
Staterl 3,jf'ld
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Rapt: 80488e Rec: 10.00
DS: 0.00 IT: 0.00
08/04/04 __ Dpty Clerk
<<>~~
Address
Contractor: Name .J2ti..~ k. 6a!zt'"
./
Address ,3 7 K",) 7 [j / (j /..d /j/id
City State
- DaA!;) ..-",.Ita/).., II.. C
City 2Lp~/,j,'/1J StateR 33.S'jd-
R4.
5, Surety: Name
Address
City
State
JED PITTMANft PASCO COUNTY CLERK
08/04/04 0~:30am 1 of 1
OR BK 5972 PG 320
Amount of Bond: $
6. Lender: Name
Address
City
State
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:
Name
Address
City
State
8. In addition to himself, Owner designates
of , , to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiratio? date of Notice of Commencement (the expiration date is 1 year from the date
of recordmg unless a different date is specified.)
Signature of Owner: /.~ L IIJ IA L-Ci}i {"" n. ,,~ I
Sworn to and subscribe efore me this L3/1ef
Notary Public:
day of apff~
,20..0L.
My Commission Expires:
PC93053048/ A
\\\11111
~~~~":~:= Com.mis~ion #DD157131
=~, \:):.-~ ExpIres. Nav 15,2006
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"";111'\ Atlantic Bonding Co., Inc,
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