HomeMy WebLinkAbout04-3286
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3286
ermlt Number: 3286 Issued: 8/09/2004
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 3,600.00 Total Fees: 77.40
Amount Paid: 77.40 Date Paid: 8/09/2004
Address: 3 MAN R DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
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
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
~7'-/~~- ~~.
CONTRAC SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
1I111111111111111111111111111111111111111II111111111111\ I11I
2004159704
state of
fL
NOTICE OF COMMENCEMENT
County of ~ /:}9 ( V
TUE tmnERSIGNBD hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
follo~ing infor~ation is provided in this Notice of Commencement:
1. Description of Property: Parcel No.
the property an
2. General Description of Improvement 5"" ?P~("{n j---c; ~
3 .
O\oJner Information: Name C LtI[y~
llddress 11t/t:/6 /J)/J?>///< ;/J,Jt1ty
C~T/(O
~r~t ~L
State
Interest in Property:
Rcpl:810217
os: 0.00
08/24/04
Rec: 10.00
IT: 0. 00
Dpty Clerk
Name of Fee Simple Titleholder:
(If other th~n owner)
City
State
Address
~'';T.,
i;;,.,.;'~3(i.
i' "~"ll~
t". k,.
l:-. IiJj}
Contractor: N~me
/4- (, &
itf;r
A- rr .e ;q I l/M Af..u, m
Ci ty /A- t-C-'?/[1 <-f 0
In AA
AddressftJfj /7
5 .
Surety: N<lme
State FC
137] 7
City
State
Address
Amount of Bond: S
JEO PITTMAN, PASCO COUNTY CLERK
08/24/04 01: 0.5..2: 1 if 1..
OR BK 5$ f PG 9~1
6 .
Lender: Name
Address
City
State
7.
Persons within the State of Florida
notices or o~her documents may be
71.3.13(1)(a)(7), Florida Statutes:
designated by Owner upon whom
served as provided by Section
tJ,:.mc
City
State
Address
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.
<). ~xpirfl1 J.'Jn d~te of Ilotice of Commencement (t.he explrat.iun date is 1 year
fr~m the d<ltc uf recording unless a different date is specified.)
S ig:1a t ure of Owner:
me this
;:; day of ~
Sworn to
20 ll1.
Notury Public: .~ -/ ~
~Ollllje~'H by
My C ::J:T1.Tl1 S s ion Expires: h,' t .; i nn~Clo,
_ E' 37
)(Pires rch 1", 200,
PC93053048/ A
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
{ f,~ vf 7U~?'1 II
--~
,<y /2/cL/
DATE RECE IVED / 1
PHONE CONTACT FOR PERMITTING
OWNER'S NAME ~ to.-....... ,
~ .. t
JOB ADDRESS. c-f {/U .'
1/rJ Cj;~-I-/-D
.n;-A /J (/~ jJ /1..
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # /7 - '9-6<-7--/ .-(>;) ')V cJO?JOO (".//7CfoBTAIN FROM PROPERTY TAX NOTICE)
f
WORK PROPSED: ONEW CONSTRUCTION
ld-1iDDI TI ON
OALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: 0 SGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
Id-oTHER
BUILDING SIZE
c:J RESTAURANT & HEALTH
<:) (A -f ...p /1 A ~,~ I'h
).0
DEPARTMENT APPROVAL
,/>/,;/') t: 1--...v:C
/~ ..
?--ij-/~
.
HEIGHT
DESCRIPTION OF WORK
11y
SQUARE FOOTAGE
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 CONSTRUCTION.
(1) SET ENERGY FORMS.
F;j;~ u~
PERMITS REQUESTED
'2. '+\)
Pj-})L-
,q}J)~N
~DING
$
Yi//t/
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C. 4t,3:1~~
o PLUMBING
o MECHANICAL
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATIO~~7. ,
-(Cer -VHO
o OTHER
$
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER
COMPANY 1-1.- L-
/)7r--~ A' J (4n A- Lq /JJ) -?/./~
SIGNATURE
b-l. ~~
STATE CERT OR REGIST # <) {' t?J ,?,).b'~
* * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~I.l v'()ci,.:(~
J:t..1 Fl.i <T 14,/
COMPANY
,fi"~
ELECTRICIAN
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, 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 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 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, ~d 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 ~~~ulation-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
$2,509 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
",' 1-/570
-z7l~~~ ;;L~ ~_:.? b
SIGNATURE: OWNER OR AGEN S GNATURE: CONTRACTOR
7 ; 25'/- q,,-
""""6
acknowledged
, 2L..
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
, 20
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid [}:lid not take an oath
Owho has produced
(type
and whoO did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
AlI~ AMERI(IAN ALUMINUM
P.D BOX 765
Lacoochet:, Florida 33537
1.81:J-997.0210
~ II"~'
1 ._~
NAME
STREET
CITY
STATE
r: ~ "5-tr~J
, _ ,I'n/p'1vfi //,i'
h!..'--t
PROPOSAL SUBMITTED TO:
STREET
CITY
STATE
We hereby submit specifications and estimate lor:
I A.)h L L- } :L f ;:;0
a (P'h (!..,/' -lJ ---1,--, ,/ ~
5 c r~..p~ Yfh!,lyY 11\-1 ~
I-.M. ',I "vlt/'?,p"
/ P" KI'Zi 1 ~,,L.e,,
~l _ /J H;~ /"'.-1..-
....,. A /4 II pt..- ...~ J ~
C />-ljJ/'l f-r,;, 1'-1 1 ~ t:-:t~
t/ {,(, ~ In, 'cyr
6 P"f -i.. ~
~?/~~ ;0
6~V~<<-"
.----
.lJA l- 7 t/V't/
w~e~opose to ~iS~IO~ materials - complete ~~nce with the above specifications, for the SUI'll of
I <:"'1-1. /)U,( ~ dollars <$ ) with payment to be made as follows:
- .
Note: Attorneys fees. if necessary to collect contract payrnent wilt be paid by Contractee.
All material is guaranteed to be us specified. All work toue completed in a workmanlike manner according to standard
practices. Any alteration or deviation from above spec;ficsiioiiS iiivohri..,g e~r!! ~nsts. will bo executed orny on written orders.
ana will become an extra charge I)Ver and above the esti"'la.~. All agreemeni..; ,;\ir,.iiiigVrn ..tx..~ strikes, accident or delays
beyond our control. This prOPOSiti subject to acceptanCE within d!!ys and iJit unirllhOre.::!lt>:' ~t the option of the
underSigned.
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MAXIMUM SPACING BETWEEN POST FOR SCREEN ROOMS, VINYL ROOMS, AND GLASS ROOMS
ALUMINUM.. WALL' t:lE,IG~_EOR'110 MPHWIND VELOC.ITY
--.,-
NOTE: THE AOOmON OF AlUMfNUM FWAME WTNUOWS
. THAT ARE RATED 110 MPH WILL INCREASE THE STRENGTH
(NO ADDITIONAL FRAMtNG IS REQUIRED)
LEONARD Go .GEBFP V D
ENGINEER
l.~ (i; \/ood, PL .473n
4034 'Dw F~
~, F1arlda 33860
T~If'_ <863) 646-5517
MoIlll. (863) 287-7073
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