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Home My WebLink About04-3379 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 3379 Permit Number: 3379 Issued: 9/16/2004 Permit Type: GENERAL BUILDING PERMIT Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 3,800.00 Total Fees: 75.00 Amount Paid: 75.00 Date Paid: 9/16/2004 Address: 5234 MASSACHUSSETTS AVE ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: R.J.'S ALUMINUM Addr: 37912 7TH AVE ZEPHYRHILLS, FL 33542 Phone: 813 788-3741 Lic: RX 0050047 Work Desc: ROOF OVER Name: M.BRUNT Address: 5234 MASSACHUSSETTS AVE ZEPHYRHILLS. FL. 33542 Phone: R DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. INSULATION CEILING MISC. MISC. MISC. DRIVEWAY MISC. MISC. 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. ') _12-. C ORS SIGNATU PERMIT OFF I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 PARCEL ID # / () -~ -cJ-/-cKJld -df3od -()CXJO DATE RECEIVED 1-/4- 01 PLANS REVIEW FEE Pa.~~o Per~it S~"'CoC." (-cgC-Gr - 'K';J.'(~J&ftf PHONE //]-7 ,.- ~-':frL;1r fl. 3c3Jtj~ . SUBDIVISlON<-V7~ /CArl /77.#. (OBTAIN FROM PR TY TAX ~) OWNER'S NAME ~~ JOB ADDRESSS)- "3 Cf ()~ - /lJlJl~d- II) 1iJ'J' ae.Lu...su 1J.r d-ve LEGAL DESCRIPTION: LOT(S) BLOCK WORK PROPSED: ONEW CONSTRUCTION o ADDITION ~ALTERATION o HEPAIR o INSTALL OSIGN o MOVE 0 DEMOLISH PROPOSED USE: I2iSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS ~OBILE HOME OCOMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ~ ~(/ X 'it; , ~~ BUILDING SIZE SQUARE FOOTAGE /) 1~ HEIGHT RES I DENTIAL: COMMERCIAL: ATTACH (2) PLOT ATTACH (3) SETS PROPERTY SURVEY ~ BUILDING $ J %CXJ. (} ~ PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. OF BUILDING PLANS & (1) SET ENERGY F~fMS. REQUIRED FOR ALL NEW CONSTRUCTION. ~ 07~- ,:,'0 hLfVDkso;~/ VALUATION OF TOTAL CONSTRUCTION ~ o FLORIDA POWER W.R.E.C. PERMITS REQUESTED o ELECTRICAL AMP SERVICE o PLUMBING o !vlECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL ~ OTHER ~(U~I~""""- FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO SIGNATURE COMPANY ICr ~ 4tu.ft i- /Jt Cl.[(jiVj &JJ-rGcl&- /C-",~). {~ ~~*~E P;~~~S~~N~E~'S'r I .f.3 ********k********************************************************* BUILDER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ELECTRICIAN ****************************************************************** PLUMBER COMPANY STATE CERT OR REGIST #_ CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST #_ CITY PROCESSING # SIGNATURE ***************************************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************k* 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 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 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, and 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 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.8. 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 t1AY RESULT IN YOUR PAYING TI'VICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCH1G, 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". k~~. ()~ 'sIGNATURE: NTRACTOR STATE OF FLORIDA ~L'_ COUNTY OF .....~ The foregoing instrument was acknowledged B, efore me this ~'+i3day of Sept. ,200tf by yY1ar~l!'" Vo__t"""""'+- (name of person acknowledged) Dwho is personally known to me, or STATE OF FLORIDA r) COUNTY OF rA.,Sco The foregoing instrument was ac~owledged/ltl Before me this ~a'L.of .':;~p ,20 f!J.. by J~, Ron~!d Q . V l~~ (name of person acknowle ed) ~o is personally known to me, or ~hO and who Dwho has produced (type of identification) OEd not.6::L: erson taking acknowledgment ""';, Suzanne Bahr :~,s<,pu~i,;'__ Commission #DD 157131 Name typed, '~r&~x<pkeSS~B~~cfUU6 --:';";'i OF ~~c?:~--::: Bonded. ru '"., """ Atlantic Bondmg Co., Inc. Name typed, person taking acknowledgement ",~y;;u;; ,Suzanne Bahr . ~~"';;;~'."v;~__ ~ommis~ion #DD1S7131 pnnt}~.:d o:t'...s~mI.~~ov 15, 2UU6 -- ";i' , ' 'o~"',,- Bonded Thru //III~~,f\~\\\ Atlantic Bonding Co., Inc. State of NOTICE OF COMMENCEMENT F {t/'L (Ii County of ?a G~~~i THE UNDERSIGNED hereby gives notice that improvement will be ~ade to ce~tai~ real pr.opert,Y, and in accordance with Chapter 713, Florida Statutes, the following mformatIOn IS provIded m this Notice of Commencement: 1. Description of Property: Parcel No. I r) - J-t -1:)/- iJO/O- d 93o:J - (JJOG \SA ti. h~'f /J1 ./1, /ad Ze r jJ!r rl. (Lega Clescriptio)1 of the A;>(OperlY and stree ad ess if available) S-J.1Y /Jt (j,fJ(i(!UiS'-.r.1 tlJ ,4t~/Lte General Description of Improvement 2. 111111111111 1111I 11I11 1111I 11111 111I/111/1 11111 11I111111 1111 2004175208 " /lOOf- a-er Rcpt: 816603 Rec: 10.00 DS: 0.00 IT: 0.00 09/17/04 --- ~"____~ Dpty Clerk 3. Owner Information: Name rlJtLl^9-f' tlCc.^ Address S' 6L3ij /l!ti.[Ju(!kSI,fc 14- City 4w. If /tl .A- J- , ~~ r~ /Ir Stat~1 ,j3S-lJ J..J Interest in Property: Name of Fee Simple Titleholder: (If other than owner) JED PITTMAN PASCO COUNTY CLERK 09/17/04 12:09pm 1 of 1 OR BK 6031 PG 364 R 4. Address Contractor: Name .R;r'J Address .J79/J- 7iA,..4t't City State ..4!.a./L I/JUIn y. /'Jj Ii Ju~ rq C(.'J^/)'"tc Ior-; ./, . City2eiJL//lJ..J/r State /-7', -J3J<I,).- , ./ 5. Surety: Name 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 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 m SectIOn 713.13 (1) (b), Florida Statutes. 9. Expiratio,n date of Notice of Commencement (the expiration date is 1 year from the date of recordmg unless a different date is specified.) Notaf1~:Public: ~ ,",. 'i .~ My Comtni~si9~ilt:.x1Jit~~: "-',., .' 1..., PC9305304SJA '.-; ....-;-: -'- ( . day of 6 o/f-t:-~ er ,20~. , ''''~Y''lJl/.. ~:-~~;:~ Com.mis~ion#DDI57131 ~'g' '_' EXPIres. Nay ]5,2006 --~;" . . . 'cl',,' Bonded Thru ....~<t:'.OFf'\,; " I,,,,,,, Atlantic Bonding Co., Inc.