HomeMy WebLinkAbout04-3318
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3318
3318
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Book:
6,500.00
8/20/2~.0_Q4 ..
G-97.5
.. . 0
8/20/2004 Phone:
CARPORT,SCREEN ROOM AND SHED ON CONCRETE DRIVEWAY
R 1
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."
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.
v~~~ ~~
/ C N CTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8'1'B St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED 5-/1- (lV'
PASCO P~f?M(r SERV'I(
PHONE CON'l'ACT FOR PERMITTING 1-.gwG,- gAL{ -7g q tf
m (! e CLA-/) C try loll IC ,L 4./-ty
JOB ADDRESS & Old ;!. ( .~ e IOti,-! f)/'I J.t.
v J
LEGAL DESCRIPTION: LOT(S) 6-ji
03 - <Y-.{, .~ / - ()j.1O - 00000 - ~-:s- <J
OWNER'S NAME
fJ PHONE
SUBDIVISION "L€jJ4r L t o}e
BLOCK
PARCEL ID #
(ORTAIN FROM PROPF.RTY TAX NOTICE)
WORK PROPSED: ~NEW CONSTRUCTION l}!f ADDITION DALTERATION 0 REPAIR
DSIGN 0 MOVE 0 DEMOLISH
PROPOSED USE: ~GL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS
o COMMERCIAL o INDUSTRIAL DSWIMMING POOL
o INSTALL
o MOBILE HOME
o OTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK {- CLl'pO r f.J 0' C I'eR ^- roO;" 7'" \S k cI IJ A-
BUILDING SIZE lo1. t- SO ' SQUARE FOOTAGE (p 00 If
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)0
(p, S()O . VALUATION OF TOTAL CONSTRUCTION
PERMITS REQUESTED
& (1) SET ENERGY
FO""j-
'If> CtJ I C;"
FORMS.
IaUILDING
'bLj(,
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
o GAS
o ROOFING 0 SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
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COMPANY U{lA..fU- Ak/Jf.jIJ//,"- ,X). C
0/ rlio?J
STATE CERT OR REGIST #
BUILDER
SIGNATURE
~~&&"- A-t I(
(/
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUHBER
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 the:
will be responsible. If you, as the owner signs as the contractor, you are indicating tha'
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
*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".
~.oLa~ ~tL
SIGNATURE: OWNER OR GENT
STATE OF FLORIDA 'L/A ".
COUNTY OF -L-~~60
The foregoing instrument wa~ acknowledged
Before ...Jll!f th.is l~ day of A~tA."" +-- , 2~
by :::.:2I tV' u ~ ~1.1!."
~ . (name of person acknowledged)
~o is personally known to me, or
Owho has produced
(t ype
o did not
of identification)
take an oath.
Name
"""" Suzanne Bahr
'~l/'VP(Jt ' ' #DD157131
t d . ~ ' ~W1R~s'~1 '
ype , pn ~;;, \.f)~;,~ XPlf s~ ov 15, 200"
'}.~oi.~o:,~" BondedTlm;,
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SIGNATURE: CONTRAC R
STATE OF FLORIDA p'
COUNTY OF ~S~1~
The foregoing instrument wap acknowledge~J
Before me ..tl}is.l~ay of AlAtJ" c.+- , 20~
by ,~1:?\.(" I~J.A..-((_m
(name of person acknowledged)
~ is personally known to me, or
Owho has produced
(type of identification)
~id not take an oath
rson taking acknowledgment
,'" SUzanne Bahr
~",.:; PUe";,, ('()mmission #DD\57\3\
Name typed,:'P'];~?~EB*pi1la:S: ~t!'8J..+...JaM
"','ii'." Bonded Th~
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2004160545
~; ,,~,'1~'~ -: '.
\ StAte.of
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,
NOTICE OP COMMENCEMENT
TilE tJNDERSrGlmD hereby give, notice that improvement will be made to certair
;;real:;, property, and in accordance >lith Chapter 713, Florida Statutes, thE
fOllowing information is provided in thin Notice of Commencement:
'\.~ D~scription of Prop,u-ty' Parcel No. 03. ol~ -"'/-0/30. CIJOaJ- as:s-o
Z~r /-t!Jf - tal S-S--
(Leg~l desct~ption of toe property and street address if available)
Gcla:.L 41 Da.sC'J..- i1-' tion of Improvement Cti.~1 SC JieeJo... /7.xJA f-
"
~..~ rl OA tJof- e.refe
County of
, h.sC!..o
2 .
3.
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O~vncr Informa tion: Name JfE'j;j) /tf <l. ~.4';";."J .
.hddress &0/.3 KID6.t;;-W~v,j)p~ City /E;#/-IV.eI.j / LL S
. ..:..-,.....E
.
, .! <,;. .,(
Interest in Pl~operty:
State
h.
Name of Fee Simple Titleholder:
(If other th0n owner)
Rcpl: 810513
OS: 0.00
08/25/04
Rec: 10.00
IT: 0.00
Dpty Clerk
Address
City
State
1/'9'~
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Contractor: Name 'Sail rSla...4
Address &/sy Ft)/'-t J::.. 1/19 ;e./
v
.4~l~O/lt he
City Z.e~/J~rL//.j
S ta terf ..JSS~oL
5. Surety; N.:llne
City
Stata
Address
~nount of Bond: $
JED PITTMAN PASCO COUNTY CLERK
08/25/04 0i:0~m 1 of 1
OR ElK 599~ PG 1852
6.
Lender: Name
Address
7.
City
State
designated by Owner. upon whom
served as provided by Section
Persons within the Stat.e of Florida
notices or other documents may be
713.13(1)(a)(7), Florida Statutes:
llame
Addresf:I
City
State
8. In addition to himself I O(.vner designates _
of to receive a copy of the
Lienor'" Notice as p=ovide;rin Section 7l3.l3(1l(b), Florida Statutes.
9 . "x l' " n L i "" U" L 0 "t N" L luo 0 t ""'''''''' "c '"'''' " L (Lho ox!'!r a tio" <1/1 to is 1 y Ohr
fr"", the date 0: r"cording unless a different date ia specifi.ed.)
1Z~ z j
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Signature of O\yner:
SWorn to and subscribed bCforE !ne this .P?3ni'. day of IT<<jl<sT
~ .:l(}o'i .
I
Notary Public:
"':\~~.~~&""'" Suzanne Bahr
~;:. ~::;I Expires: Nav 15,2006
--,;~ n<;' 'o";~,, Bonded Thru
'11" ,\, AtlantIC Bonding Co,. Inc.