HomeMy WebLinkAbout04-3380
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3380
Permit Number: 3380
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost: 5,500.00
Date Issued: 9/17/2004
Total Fees: 125.00
Amount Paid: 125.00
Date Paid: 9/17/2004 Phone:
Work Desc: GLASS ROOM UNDER EXISTING CARPORT
Address: 37606 N UKOM A
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
CRANDALL, RICHARD
o E R B
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.
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.
~E ~RM.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPBYRHILLS PEmaT APPLICATION
BUl:LDING DEPARi'HEN'l 5335 8ft at, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED 9- /J/~ 0 t/
PASCO Pf;RHrr SE:"Rlf/<
PHONE CON'l'AC'l FOR PERMI'l'lING 1-'lS",G,-g~l.{-7gcfll
OWNER'S NAME &:/'~etU L/l/rJ.r
v 7 ~O{; /lev!q;/17
LEGAL DESCRIPTION: LOT (S) ~ l BLOCK
PARCEL ID It .Jy-~S' -02/ - 0090 - 00(jJ(j - O~ ()
JOB ADDRESS
.. . . "
CI//'I-J-f L of fJaJ-rICIQHONE
4ft , ~fJL:;r k'/ff ~/'. ddJ"1./ /7fc 9'
SUBDIVISION &:-nd /lOr/20M iJlI-/
WORK PROPSED: Lw CONSTRUCTION
{ORTATN FROM PROPF.RTY TAX NOTICF.l
o ADDITION
tBtALTERATION
o REPAIR
a INSTALL
OSIGN aMOVE a DEMOLISH
PROPOSED USE: QtSGL FAMILY DWELLING OMin.TI-FAMILY Oft OF UNITS
o COMMERCIAL 0 INDUSTRIAL a SWIMMING POOL
o MOBILE HOMI
o OTHER
o RESTAURANT & HEALTH DEPARTMENT AfPROVAL
- J , I
DESCRIP'lIOO OF WORK Ji/a-!"J '-'00111 tutt:ltz.r ..txIJ .J1;(p {Yll"'j'opf
/ '- 'tl (/" I - . '1 D{} If
BUILDING SIZE ~ 0 SQUARE FOOTAGE ~60 HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY
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.
FORMS .
~ BUILDING
(t..ELECTRICAL
$
. OU
~. S-rX)"
PERMJ:TS REQUESTED
cpo . ~~ J~G;"
'::j r ~:::.. ti-L~i.t r
/?~
VALUATION OF TOTAL CONSTRUCTION
.AMP SERVICE
o FLORIDA POWER
a
Ii.R.E.C.
o PLUMBING
a MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
o GAS 0 ROOFING 0 SPECIALTY
TYPE OF CONSTRUCTION: a BLOCK
o FRAME
o STEEL
~OTHER cZf.(f.rYJ/~t{ Ji^./'
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
******************************************************************
~~~~I(t~;,~g~~~', ~
COMPANY: .s~ ~+cd-~. It, (..Uyt l ~ I{ ~ ,~
STATE CERT OR REGIST # () /tY.~ 9t1 ~
BUILDER
SIGNATURE
~ (}iL
ELEC'l'RICIAN
SIGNATUREItu.i.~~ (~~
COMP
{! rd.-l1drtJl Gl e~_-Irt "0
STATE CERT OR REGIST It
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
******************************************************************
COMPANY
SIGNATURE
STATE CERT OR REGIST It
*****************************************************************
O'lBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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 tha
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 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 AFFIDAV1T
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 t<
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'c
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 si~
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, CONSUL1
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".
~M~ ;pJI--
SIGNATURE: OWNEa&6R AGENT'
. ~fLN~L ~/C
SIGNATURE: CONTRA OR
STATE OF FLORIDA 0_
COUNTY OF r a.SW
The foregoing instrument wascacknowledge~,1
Before ~~thi_s /3 &ay of Qq:rf. , 2~
by ~7~Ct.,./--;;:';;"~
~ (name of person acknowledged)
~o is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument wa:ssac~nOWledged~LI
Before me tj;l~ r.~ay of l'pT. , 20 t2L
by O' c.- ~ 1/
~ (name of person acknowledged)
~o is personally known to me, or
/l;tsU?
o who has produced
(type of identification)
did ~d not ~ath.
o who has produced
, ~type of identification)
~d not take an 0 th
Signatu e of on taking acknowledgment
"""" suzanne Bahr
'~e~'" Commi~~ion #Df' 1 q \ 31
Name typed,~~pr' J~l\cpns:~pei:106
',:',,: ' . , .;,',f,,- Bonded n, "
',,~;,~,\,\' Atlantic Bondinb _ 0.. Inc,
Name typed,
person taking acknowledgement
"1111',, Suzanne Bahr
...' ~VPl.JlJ.(/
r ->~." .~~ Cu~5l013"13l
p ~~~.JfExplres:mv 15,2006
""#';~ Of f\.O~~'" Bonded Thru
"" 11,1 Atlantic Bonding Co., Inc.
Si
/
/
" /' ,
~/' \)~
&/ \Y
\/
,
I
/
/
;
,/
I
I
/
"" /
'-..... '
,/
/
/
/
I
/
,
I
I
/:;>
I"^ .()",
I .....
/
/
/
4/~
'0
~~
-9'~
c;,C) ~~u
"Qy/ ~
J
<"'I /J! r 1"-'''\''
'..Krt LC- - (y.V .
LOT O).f).-
i
~
SJ,
<'" ~,v
'i "
~ ~.
* ~
<x;
~
UJT.)1J
"
J
,
!
,./
I
I
/
I
j
!
,
.......
""-
P A R{' E L r. iJ. ,Pf-J-S-..cJ /- 0090 - oO(JJ) - Q,y./O
LCi:A TIOIl/:' J 7&;O~ IY EUJ.CO/v! A I/E - LoT;2/ G.R.AND flcJaZ01.S PI! _ /
OM/Ir'EK.: e-R.EEAJSIfIE{f)S
Al....... GlASS ROOM UIIIIER EXISTIIG CARPORT
.
EXlSTIIIO COMPOSITE PAIIEl.. ROOf
C
A
R
p
o
R
T
exisIi'lg 8Iab
I sa: a.EVATION
16'
H
o
S
T
I
tempered 0 II
tempered
9' glass ~
1
0
18'
FRONT B..EV A TION
T
7'
1
I-
, , .3
( EXISTING CARPORT
~
EXISTING MOBILE HOME
3
USE ELECTRIC HEATER
ADD 2X3 ALUMINUM WALLS
AND GLASS WINDOWS _
-----i ~~_.__::::=:::_
EXISTING SHED
SignatureofO"ner~ Cr y f'/': L /~.
!)L ~"'--;~.~-6
Sworn to and subscribed before Ine this .J3{.1... day of c5'J2t.~er-
tI ~ (JOt).
Notary Pllbli~: , ~~
/ ",
By Cornmis_sion Expires (
R 4.
8.
9.
:~P.~::U1.i. t J{o..
IIUlII 11I11 111/1 11I11 1/11I //111 /11I/11I11111/1 11I1111111111
2004175207
.::; . .~. !'~: ~ :~.
NOTICE OP COMMENCEMENT
, State.of
.
1-- torul4-
County of
P a {t!J)
TUE UNDERSIGNED hereby gives notice that improvement will be'made to c~rtall
~~real:) property, and in accordance with Chapter 713, Florida Statutes I thl
following information is provided in this Notice of Conuncnccmcnt:
,., 1 ;.c. 'ii~scription of Propez.ty, Parcel No. .3i.f~ '}'!'--Ol-F 0090- OXxJJ- ad-!(1
s 7&01/ /)e t) ,t.e1X- .4/t' Lef J-/ C--/'~cI Jk/',~ ztY'1./ /0 _ /
(Legal description ~f t e property an street a e)
2. GCl'''''L41 Da.sC1:ii;-'tion af Irl\prCVcracnt
l{g ;L / J7
Cj / a .IS /'00 /J1..
v
tLA...dJ 17'"
-R)(/ifJ-/I!~
,./
Co. r/YJI' I~ -
t ..
3.
.. .." - "--. ,...... ........
.
O\vncr Information: Name Ur'/'I IS' 'C':"H.1A.sL/ €/df
Address (-5 7h()iI 12t.1')~ ~/t:e City Zi?,-/iijl' ~_iJr
..! <.:.. .,C
.l~
State ;::j J3i-tj /
Interest in Property:
Rcpl: 816603
OS: 0.00
09/17/04
Rec: 10.00
IT : 0 . 00
Dpty Clerk
Name of Fee Simple Ti tleholdor:
,(If other then owner)
Address
City
State
Contractor: Nnme \fL/A ,rl'u../l ,4d~/J j Ie .
.
, . . .."
Add re s s & l~ lj ;--tH'/- k<lrj /.2tJw/ C i t Y Q /Jitl r A.tl/r
'.J , (/
State /--/ , ..335?/.;
5. Surety; N<:1lne
Address
City
6.
Stata
~~91 ~~~J;MAf42 : CC;;o fOUN~Yf C'iERK
OR BK 6031 PG 363
N~ount of Bond: $
Lender: Nama
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:
Name
Address
City
State
In addition to himself, Or,vner designates
of t .
L' I N - . ..-,;-:-,- 0 rece~ve a copy of the
,onor. otlce a. provldea in Section 71J.1J(1)(b), Florida Statutes.
,,> I'Ll n l i ":' Un Lo ,ut N" ll".o u f t: """"e HeomOH L (Lho o"l'lr" ti,,,, <1:1 to. i8 1 YCl1r
fr'),n the date 0.. n~cord~ng unless a differellt d
~ ate is specifLed.)
"
I
~~
p';'':(, :juzanne Bahr
.~o~:;.:.~(i-=: CommISSion #1)1) I) 11 J]
: ~ \~)::~ Expires: Nav ] 5, 2006
. .....~F,)F~'O:\'., BaRaea "}:RRl
' . . Atlantic Bonding Co., inc.
-
'f ~
't., ~ I" "\. .:... .