HomeMy WebLinkAbout04-3433
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3433
Permit Number: 3433 Issued: 10106 2004
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 18,400.00 Total Fees:
Amount Paid: 191.58 Date Paid:
Address: 5205 19TH
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: H ONSTRUCTION COMPANY
Addr: 6415 16TH ST
ZEPHYRHILLS,FL. 33540
Phone: 813782-1349 Lic: RB0010076 Phone:
Work Desc: CARPORT AND BREEZEWAY ATTACHED TO EXISTING GARAGE
Name: CLYDE BRACKNELL
Address: 5205 19TH ST
ZEPHYRHILLS, FL. 33542
F ERB
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.
~f)lk(l!id. ~
~~CTORS SIGNATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
j-j ) L T~/...J. (t,r~ ~-r
~SZ a '> I ~..,B- ~.-r
~I\....' d- M3f.iZ t?-t~'^ 7 L ~'7 T
Square Feet
Dollar Amount
Valuation
i%j4UO
Building
IB1,~~
r-J 111-
1
.----
Electric
J/q/,5B
Plumbing
Mechanical
Radon
~, ~B
------~
Connection Fees:
Sewer
Water
tin
Meter
School Impact Fee: p-J 1ft
Transportation Impact Fee: N /It
CI'l'Y OF ZEPBYRHII..J..S PERMIT APPLICATION
BUILDING DEPARTMEN'f .5335 8TR St, ZephyrhilJ.s, F'L 33542
813-780-0020 FAX: 813-780-0021 !tJ ,/_ tJ yr
DA'rE RECE IVED ___L____.
PHONE CONTACT FOR PERMITTING
UWNEP' 8 NN1E: t/~~f.~Ylc.ltYl~tL___________
,JOB ADDRESS S2.DS lQth Street Zeph~rhi/ls I FL.
LEGAL DESCRI PTION: LOT (S) Y, t I t:J, 1/ BLOCK /t/S'
PARCEL ID # lJ-;)f; - Cl/- 'fi'IOJ - L1.rr- S~oS
PHONE J~13) 1fl2.-3z(P1
SUBDIVISION
-1.D.B1'.8.1 N F'R OM...J?E.QJ2.E.RI.L..1'AX-NmJJ.:.E':..L._..
o SIGN
PROPOSED USE: ~(~L FAMILY DWELLING
~ADDITION
o MOVE
o ALTERATION
o REPAIR
o INSTAI~
\'lORK PROPSED: 0 NEW CONSTRUCTION
o DE110I,ISH
o
COMMERCIAl"
DMULTI-FAMILY
o INDUSTRIAL
[J# OF UNITS
o SWIMMING POOL
[J t-108 I LF.:
!-1 L~ '~.f~"
o OTHER.
D RESTAURANT & HEALTH DEFAETMf.NT APPROVAL
DESCRIPTION OF WORK _12W..IL~rt Qni brce:lewj.J_,!!ffu,h~jp_tkjsh~ 81A."".,-c
BUl LLl LNG 81 ZE 1i..'1"4' CA'f(JO'rt:/ 4~1?i).: bruUW;''jsQUARE FOOTAGE _ 4D~.2!i:- Pt. __ HEIGHT _ ~ i
RE:SIDENTIAL: ATTACH (2) PLOT PLJ\NS & (2) SETS OF BUILDING PLANS & (1) SET ENEP'~'{ fOPJ-!5.
CUMNERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SE:T ENEHGY FOHNS.
IF SIGN PERMIT ONLY (2) SF:TS OF' ENGINEERED PLANS PEQUIP.ED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
r/RlJILUJtlG
$_---.-lJ; 40D. 00
VALUATION OF TOTAL CONSTRUCTION
[J ELECTRICAL
AMP SERVICE
o
FLORIDA POWER
o
W.R.E:.C.
I] 1"1.1)1'181NG
LI Hf~CHAN lCAL
$
VALUATION OF MECHANCIA1. INSTALLATION
[J GAS
atROOFING
o SPECIALTY
o OTHER
TYPE: ':1F CONSTRUCTION: D BLOCK
ur'F RAM E
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE MEAD YES
fM"N )
- -------.--------------.-----------
CONTRACTOR SECTION
COMPANY~~$~dl6YIJ In'.
STATE CERT OR REGIST ff C8 CD4.71J.S
BUILDER
.'31 GNATURE X
t'ff;l~
*************************~****************'+**********************
ELEC'I'RICIAN
COMPANY ___________._____
.'3 I GNATlJRE
STATE CERT OR R~;GIST ff ________.__...
*********************************************************~********
PLUMBER
COMPANY
3 I Gl'J,1\TURE
STATE CF:RT OP REGIST it
************************************************~**-~~****~~*****~~
H8CHANICAL
COt1PANY
3 IIJNI\TURE
STATE CERT OR REGlST #
************************************************************~A+**
OTHER
cOMPAlrL__________.___.__________________._._ ._
'; rGW\'L'URF: --_______._____.____________..__ STATE: CEHT OR P.S(; rST it
A. tlOTICE OF UEED IU;STRICTlONS
The undersigned understands that this permit may be subject to "deed restrictions" wli1,:1I
may be more restrictive than City regulations. The undersigned assumes responsibility tOI
compliance with any applicable deed restrictions.
B. UI'-lLICENSED CONTRACTORS AI-.JD CONTRACTOR RESPONSTBILITlf.S
I f the o\"ner has hired a contractor or contl"actors to llIldertake work, they lIIay be regllil",cl
to be licensed in accordance with state and local regulations. 1 f the contractor is rl()t
Licensed as required by lal-/, both the o\.mer and contractor may be cit.ed for a misdemean(n
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 tilEC
contractor (s) sign po~tions of the "Contractor Sections" of this appl ication for whi ell tm:)'
\'iill be responsible. If you, as the owner signs as the contractor, you are indicatinq that
you/ rather than the contractor, are responsible for the \"ork. If the contractor I-lislles
you to sign as contractor that may be an indication that he is not properly licensed ani] 15
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION H1PACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMEt~DED)
I certify that I, the applicant, have been provided with a copy of "FJ orida' s Constl \lei Ii)!!
lien Law -- Homeowner's Protection Guide" prepared by the Florida Department of Agricull.Ule
arid Consumer Affairs. If the applicant is someone other that t.he "owller", I cerify Lllat
have obtained a copy of the above described document and promise in good faitll to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
1 certify that all the information in this application is accurate and that all work wi \1
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.
certify that no work or installation has commenced prior to issuance of a permit and tl!cit
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning .regulations, and land development regulations in the jur.Lsdiction. T also
certify that I understand that the regulations of other governmental agencies may apply tl'
the intended work, and that it is my responsibility to identify what actions I must take 10
be in compliance. Such agencies include but are not limited to: .Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and EnvironlnentalJy Sensitive
Lands, Water/Wastevlater Treatment
.Southwest Florida Wat.er Management District-Wells, Cypress Bayheads, Wetlalld Areas,
Altering Watercourses
k Army Corps of Eng ineer s -Sea\'lall s, Doc ks, Na v igable Wa terwa ys
; Ilepartment of Healt.h & Rehabilitative Services, Environmental Health Unit-v~ells,
Wastewater Treatment, Septic Tanks
^ U.:3. E:nv ironmental Protection Agency-Asbestos aba tement
r also certi.fy that, if f.ill mal:erial is to be used in flood Zone "A" ur "j\,eLc.", it 1S
\IIHlerstood that a draina(Je plan addressi ng a "compensati ng volume" will be submi tted \'Ihicl\
is prepClred by a professional engineer registered in the State of Florida prior to perrnit
lSSUdnce.
l~ 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 carles,
nor shall issuance of a permit prevent the Building Official from tllereafter requiring a
correction of errors in plans, construction, or violations of any code. Every pennit.
issued shall becOIne invalid unless the work authorized by such permit. i.s cOllunenced \liLJl1n
six Inonths of issuance, or if \"ork authorized by the permit is suspended or abandoned rOI a
period of six months after the time the work is commenced. One 90 day extension of til11e
lIIay be aJlovJed for the permit with fee charge of $15.00. The extension shall be requested
in wri.ting to the Building Official. An approved inspection must be logged during each S.?:
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR fAILURE TO RECORD A NOTICE OF' COMMENCE~1ENT MIIY RESULT IN YOUR
PAYING TWICE FOR IMPROVEI'1ENTS TO YOUR PROPERTY. IF' YOU INTf.ND TO OB'l'l\IN fHIl\NCING, C:UIISU:,l'
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UN[JEk
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE Of COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATUEE:
CONTRACTOR
acknowledged
20_
STATE OF FLORIDA
COUNTY OF'
The foregoing instrumerlt was
Before me tllis _day of
by
STATE OF FLORIDA
COUNTY Of
The foregoing instrument \",as
Before me this _ day of
by"_
ackrl()wl ecJ'Jc;d
2U
(name of person ackno\"ledged)
[] \"IJO is personally known to me, or
(name of person acknovlledged)
Qho is personally known to me/ or
[] I-Iho has produced.___________
(type of identification)
and vlhoOdi.d Odic! not take an oath.
o who has produced_____
(tvpe of jdeIJtificatlC'li)
and who Ddid DUel Ilul take an oath
Signature of person taking acknowledgement
Signature of person taking acknO\"ledqll\t;lll
l'lam8 typed, pl.illLed ()r stamped
l'-lame typed, pcinLeJ or stamped
NOTICE OP COHHEHCEHEHT
1111I11111\\ 11\\\ 11\\11111I11111111I111111111I1111111111111I
2004178791
tate o(
Flbri do-
County of
Ptl...5tO
liB lJNnP-RStGNeO hereby give!'! notice thnt improvement will be made to c:!rtC1in
e.:ll property, and 1.n accordance with Chapter 713, Florida Statute9, the
ollo....,ing inforJ:1ation is provided in this Notice of ComrnencrmCllt:
De!';criptiOIl of Property:
, 13 '-0 e-J<
1.ptl.Oll of
aval.lable)
Genernl Dpscription of Improvement
Rcpl: 818036
DS: 0.00
09/23/04
Rec: 10.00
IT : 0 . 00
Dpty Clerk
f!,lA.i Icl CJlqot>d- O-nL brte:u.,.way
O'.me:=- In f 01: ma tion: Name CJjde f3n..v141ell
flddress 5AD5 lqfh Sf-reef- City t.eph~yhiJf.s
JED PITTMANi PASCO COUNTY CLERK
09/23/04 0 :5~m 1 of 1
OR BK 6031 PG 1621
State FL
Interest 1.n Property:
t1.:1me of Fee Simple Titleholder:
IIf other th~n owner)
l\J.dreS9
City
Stut~
~ .
ContrLlr.tor: !l.:lme BDbPJ
l\ J d res s litIS lloth stre,U
f.h ltun tD.1stnld-7 0rI1 11".
C i t Y Z-e.phj rh. lit S
S tat e FL
S. SlJrcty: tl.Jlne
l\dtlrC'ss
Citl'
State
I\JIIOIJ l\ t 0 f Bond: S
G. L~r.Jer: flame
l\Jdrl';,,>
City
St.Jtc
7 .
r'('["nrl'~ \,'ithin tIle ;-.t"tr of Florld.:l
II (' L i C' " ~3 0 r r') : he ( doC" I J 1'1 P It t r; Tl1.l y be
7~3. 13( I I (al (7), rloridLl Statutes:
'Ins~'lna":.nd
::;cr'/cd as
t':: r. '1 r>::
prOVided
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by 5 (> c '_ 1 c: 11
tl.:In" ~bJ
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S':.Qle
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8 . I n acid i t ion to him s (' 1 f, 0'.-.' n e r d r> s i g n <3 t c s
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pro 'J ide d
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lr'JIn Lllr> L:.:1te uf recoruing unless 0 d1.ftcrent date is s~n~l: lC'j, I
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S i cp a t u reo f Qym c r: !:~( / {' /~~..-;c..<::-.A,<- (//
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Sworn to .:1nd subscribed bcfort.:? me this 2V1iL day of
.5P Dt( rnl)l(\
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PC93053048/A
....;:;;zr;.~ Beverly A Jones
€:~~~:~ MYCOMMISSION# 00172176 EXPIRES
~..&.{$ December 22, 2006
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"IE .20' AsP/'t'. PA V. - -,-
A SURVEY OF: Lots 6 thru 11. inclusive. Block 198, CITY OF ZEPHYRHILLS,
as recorded in Plat Book 1, Page 54. Public Records of Pasco County,
Florida .
FOR: Clyde Bracknell/Bank of Pasco County
DATE: November 3. 1982
ORDER 1!4371-ZH
C. ~JJ.cd ~ ItKI ~>>o&.JIt~. I~
SI. N~nJiurr - Z.pJlyr.ills
CM1ifNd,. ff) $4Jrwy.
c
~~}W'4 R~'". N1I9/2
ntwltM bgi..... ~. NIl
DtH&. by: .J<. h' r, .
Ckd. #y: .