HomeMy WebLinkAbout04-3388
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3388
Permit Number: 3388 Issued: 9/22/2004
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Sq. Feet: Est. Value:
Cost: 5,000.00 Total Fees: 82.50
Amount Paid: 82.50 Date Paid: 9/22/2004
Address: 38522 C.R. 54 EAST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: RI R D LA IELD
Addr: 5860 FT.KING RD.
ZEPHYRHILLS,FL. 33540
Phone: Lic: RB0010990 Phone:
Work Desc: INSTALLING WINDOWS & ENTRYWAYS IN EXISTING BUILDING
Name: LIBERTY PR FESSI NAL LLC
Address: 38522 C.R. 54 EAST
ZEPHYRHILLS, FL. 33542
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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.
REINSPECTlON 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.
NTRACTORS SIGN RE PERM.
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
DATE RECEIVED
PLANS REVIEW FEE
1!5/o~
OWNER'S NAME L.', '0 \:: (" ~I \,/ {6:. f: ;,).; C'I', \ l__ L. C.
PHONE 1- 81.6 - (j; I 0- .')la~1
JOB ADDRESS
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LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 # (..''';'..' ~-': ',"-. CL(v~ ""'\,.:".'(";CI["
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
00 ALTERATION
o REPAIR
o INSTALL
o SIGN
DMOVE
o DEMOLISH
PROPOSED USE: oSGL FAMILY DWELLING
[JI COMMERC IAL
oMULTI-FAMILY
o INDUSTRIAL
D# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Cn~\
..~
{.., ,,,,,,'; (' t.1....~ C. ,...__... '-', ~
-
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; ;:. I . (" ,
BUILDING SIZE
SQUARE FOOTAGE
--'
, --
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
& (1) SET ENERGY FORMS.
FORMS.~E,. pr~:\"I
~ cgZ . ~ '-'
D ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o BUILDING
$
C:~(lr"
.....J J \... "'..... ''-.
VALUATION OF TOTAL CONSTRUCTION
o PLUMBING
o !v]ECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER
"
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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*******************,***********************************************
ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #_
CITY PROCESSING #
SIGNATURE
MECHANICAL
******************************************************************
COMPANY
STATE CERT OR REGIST #_
CITY PROCESSING #
SIGNATURE
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OTHER
COMPANY
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING #
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A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsN 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 Zephyrhi11s Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contr~ctor(s) sign portions of the "Contractor SectionsN 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 indication 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 GuideN prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerN, 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 conunencement.
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 reg\11ations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
tile 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.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "AN or "A, etc.", it is
understood that a drainage plan addressing a "compensating volumeN 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".
::'GNA'PURF' Ifli1~T44!J
STATE 0
COUNTY OF
The foregoing ins~ment was acknowledged
Bef.qre me U1i~ day of~0' , 2, ~
by ~U6l1.+- ~
(name of person acknowledged)
Dwho is personally known to me, or
acknowledged"
. 2 0 0..,
, -
I
(name of person acknowledged)
o,ho is personally known to me, or
(t>(who has produced rL d. L -
(type of identification)
and who Ddid ~id not take an oath
~~Of~aCknOWledgment
litwho has produced t:L d L
(type of identification)
and whoD did I&.did not take an oath.
~~
Signat of person taking acknowledgement
BlLY ~:"'I
. ExpIrea 51812007 :
landed lIVu (800)432oo4214j-
Fkx1cla AAn.. Inc
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NOTICE OF COMMENCEMENT
State of
~ t t)'('j'C1 ~
County of
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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. b).- ").~ -:4\ -00 \DC - OOe-C),) - b C\()
3 es 2. l.. eo ~ 4- ~ \2..,0 S Lj E . '"2c{J '^---:'1 ; \t\ : Ll s ~ ( '6:S S Y.L.
(Legal description of the property and street adaress if available)
2. General Description of Improvemellt ~ ~~Ct \'l; VL'1
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111111111111111111111111111111111111I1111111111111111111111I
2004173345
3. Owner Information: Name L :''0 e Q.t<-I Y "Dr e tbi o\'\Ct.1 LLc...__
Address3~tS l). C. R. SY E. City 2 e..9~\ v" \, ~ \ \ ~ State \=L
3....;:.u.'
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Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Rcpl: 815893 Rec: 10.00
DS: 0.00 IT: 0.00
09/15/04 ___________ Dpty Clerk
Address
City
State
4. Contractor: Name
r., r
\..t.. i Clr\ ~ <?D \J \ D-~ ; ~ I.d
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Address 5C]} S ~+ K..i VL'1 "Q.J
City (-4~;(~\:\ \s
State r
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5. Surety: Name
,,~ i
':::r- \-':;vte
F (21 \1_ \{'i, T..:v... 'S..I(ri c'\.. (/ : ( e
Address ..1)1 Y 6t S. 'K. S (-I
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Lly '::'--i'-e,.\--L\\ti\.. \I'~')
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State ~-!
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Amount of Bond: $
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JED PITTMAN PASCO COUNTY, CLERK
09/15/04 11:50am 1 of 1
OR BK 6027 PG 1036
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. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
SignatureOfOwner:;( A .
Sworn to and subscnbeCl before me thIS \ ~-\1\ day of ~.
Notary PUbliC:Y~ ~.x ~~
My Commission Expires: ~
PC930530481 A
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