HomeMy WebLinkAbout04-3494
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
3494
Permit Number: 3494
Permit Type: PLUMBING
Class of Work: PLUMBING/NEW
Proposed Use: RV PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 10/20/2004
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 10/20/2004
Work Desc: PLUMBING TO ROOM ADDITION
Address: 3449 BERYL LN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number:
Name: RACHEL DARLING
Address: 3449 BERYL
ZEPHYRHILLS, FL. 33542
Phone:
JIM MATTICE PLUMBING
PLUMBING FEE
35.00
1 ST ROUGH PLUMB
WATER
2ND ROUGH PLUM
FINAL
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."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
ALL PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION
~-.
CONTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
3494
Permit Number: 3494
Permit Type: PLUMBING
Class of Work: PLUMBING/NEW
Proposed Use: RV PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 10/20/2004
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 10/20/2004
Work Desc: PLUMBING TO ROOM ADDITION
Address: 3449 B RYL LN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number:
Name: RACHEL DARLING
Address: 3449 BERYL
ZEPHYRHILLS, FL. 33542
Phone:
\,'
yoQ
1 ST ROUGH PLUMB
WATER
2ND ROUGH PLUMB
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not a job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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. n
ALL PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION
~-.
CONTRACTOR PERM IT OFFI
CALL FOR INSPECTION - 8 HOUR NonCE REQUIRED
PROTECT CARD FROM WEATHER
...--L....
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~/il .
813-780-0020 FAX: 813-780-0021 U 0
DATE RECE IVED
lCaclu/ Our!/Aq
v
J rqq f3l"J/ L UJ..e..
LEGAL DESCRI PTION: LOT (S) iR fJ....
PARCEL ID # cJf/-tJ.{p-C)/- oo~- 00/00 ~ O~tJ.J)
PHONE CONTACT FOR PEPA~P-ERMIT SERVICE
I' 1-866-824-7894
( 1ZtIx/l..rOA) .' PHONE Toll Free
/ ~
OWNER'S NAME
JOB ADDRESS
SUBDIVISION E PJ~ mIl fJo/~ I!../I
.Rirtrl-
(OBTAIN FROM PROPERTY TAX NOTICE)
BLOCK
DSIGN
PROPOSED USE:~GL FAMILY DWELLING
o COMMERCIAL
alADDITION
o MOVE
OALTERATION
o REPAIR
o INSTALL
WORK PROPSED: ONEW CONSTRUCTION
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
Roon, Rdd;l,o"'-'
BUILDING SIZE
IDt)(tL{'
SQUARE FOOTAGE lLfD
HEIGHT s~e..- f tal-\. S
AMP SERVICE
o
Progress Energy
& (1) SET ENERGY FORMS.
FORMS.
I 05 'J~ f~LV C.
~)~ ~~ ?LII'\&
") - I
1 . ., 1) JiJJ:-- <-
:3 12-
; ~ ~7 ~
W;.
o
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.
PERMITS REQUESTED
p( BUILDING
~ ELECTRICAL
t&t PLUMBING
o MECHANICAL
$
(JO
i, OttJ.
.
VALUATION OF TOTAL CONSTRUCTION
$
VALUATION OF MECHANCIAL INSTALLATIO
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
~THER oJUYn';'Uh^- F-'ra~t:::..
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER
COMPANY ~N tJlt..EVC'OIOff"'MAfiJT /AlC.
,
SIGNATURE
STATE CERT OR REGIST #
COMPANY
SIGNATURE
STATE CERT
SIGNATURE
.....;;~i7:1f:~..............~......~ ~
. COMPANY ~
STATE CE T OR RE ST .. ';;;:!:, ~ ? "'" Cl
PLUMBER,
************************************************
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 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.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".
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledge~~,J
Before f:', Chit *ay _ o:fd<>hU- , 20 <!.'L
by en 1-<. L-U.J
(name of person ack owledged)
~ho is personally known to me, or
!asCc
STATE OF FLORIDA
COUNTY OF
The foregoing instrum nt wa(~noWledged~j
Beforkme I./is f!!J:;1ay of ber, 20..f!I
by e i-\- K Cl .e...r
. (name of person acknowledged)
~hO is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
~id not take an oath
~
o who has produced
(type
~id not
Si ature "p,erscgu:tam:W~ahrknowledgment
~~~~~,p~&<;;'''''' Commission #DD 15713;
~*:~,"*~ Fxpires: Noy 15,2006
Name typEi'i4.. ~..intedB~~diftrl!.mDed
"'II~~\\\\\ Al!qnti~- BonCin~ Co.,....lnc
person taking acknowledgement
,,~~';Y6e", Suzanne BatH
~'+~~'~.'~'- C8!nflli~t;61l HDPJ5113,
Name typed, f',~P'~~:? fB:-llir@ls. ~f~ 200b
. .;:.. ,
""";:~ OF f~O~\"" Bonded Th(1~~
'/I~II\\ Ai-:',':,::ic q'-'lI(J;i1f: (\~., 11'1'
NOTICE OF COMMENCEMENT
State of
~ (trL;/~
County of
pa ,fr!O
TH~ UNDERSIGN~D hereby gives notic~ that improvement will be made to certain real property,
an.d III a~cordance wIth Chapt~r 713, Flonda Statutes, the following information is provided in
thIs NotIce of Commencement:'
6l..
1. Description of Property: Parcel No. ';;''1-r)fd -r)/- OOfd- Q()/OO- OfRtJ...O
"'1i.fQ '!~'YI UIJL - cn...era./J /O/Aie ~j/ ~(J/,-!
(Legal descnptIOn of the property and street address if available) L-of- ~ oL
2. General Description of Improvement a..tl.LIX .9 &L/;,j' 1(J(}//1
1111111111111111I1111I111111111I1111111111111111111111111111
2004192551
3. Owner Information: Name ,e 6. c. he I C
Address .3 9lf 9 .oe ~ / UtJ...e
Oil r II it 9 (R-ott.nJ'OA- )
oJ
City Z~iyf"'k.!!.r State;:/ SdrVo
Interest in Property:
.,::,;,.,..~. "
~ti4.
Name of Fee Simple Titleholder:
(If other than owner)
Address City
Contractor: Name b. ^- l() ;/'ij Co J...sllUc II O~ '
Address :.3 tlt 3(, ( Qr i 6&((,,- lJrte City Zep 4~!It
Rcpt: 823210
DS: 0. 00
10/14/04.
Rec: 10.00
IT: 0.00
o___ Dpty Clerk
State
.. .
Staterl 33S-Yj
5. Surety: Name
Address
City
State
JED PITTMAN~ PASCO COUNTY CLERK
10/14/04 0~:18pm 1 of 1
OR BK 6066 PG 1725
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 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.)
-" 1/ -
Signature of Owner: ~~]J tlA/t/'(A/lfr
Sworn to and subscribed,before me this / I <ft.t day of
./'J"
Notary Public: ,~,.&t>;z,,/z~. '1-").cz/i'L-
" }
My Commission Expires:-/
PC93053048/ A
Oc -Iobel
, 20 u! .
.",,//, Suzanne Bahr
.:--:?:>:"."~~~<:6'-;. Commission #DO 157131
~.:~:.~ Expires: Nov 15,2006
-:-;;~~.. . .~'li B61111118 Thl'll
""III~~~~"'" Atlantic Bonding COO) Inc.
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~~ .
813-780-0020 FAX: 813-780-0021 U 0
DATE RECE IVED
OWNER'S NAME
PHONE CONTACT FOR PEPJ{~P-ERMIT SI.;RVlCE
I ' .i ..' ,. 1-866-:-824- 7894
( ~(OA).d:,~HONE Toll Free
R-ae~/ Oarl/A4
\/
J rl/9 I3l"J/ LUi..e.
LEGAL DESCRIPTION: LOT(S) {p,;L.
PARCEL ID # oJ'I-oltJJ-J./- oo~... OOIO~ ~ ot"UJ
JOB ADDRESS
SUBDIVISION E PJ-l 111/'/ fJO/~"t/I
~tfI't'
(OBTAIN FROM PROPERTY TAX NOTICE!
BLOCK
DSIGN
PROPOSED USE:~GL FAMILY DWELLING
o COMMERCIAL
~ADDITION
o MOVE
OALTERATION
o REPAIR
o INSTALL
WORK PROPSED: DNEW CONSTRUCTION
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Roon, Rdd,..f,cn,-
ID("'tlll ldD
BUILDING SIZE _ ~ ~ SQUARE FOOTAGE ~
HEIGHT 5~~'F laM. s
& (1) SET ENERGY FORMS.
FORMS. "
105 u-.:l huJC.
- ~
~ )",. U {I,Ll/', &
~c.
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.
$
00
i. 0ttJ.
.
PERMITS REQUESTED
~ BUILDING
qi ELECTRICAL
tlt PLUMBING
o MECHANICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy 0
$
VALUATION OF MECHANCIAL INSTALLATIO
D GAS
D ROOFING
o SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
~THER oJ U h')/;' u W'-' Frai'Ht::...
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
~.=~~~~~.=~~.~;:'~~~=~~~:~==~~=~'==~_~_ _ __ _, _ .~ __ _ __ ..~=~-; _:_-~~.',:-=~_~-~~_T=:~~~~:~~__~~:~~',._~~
BUILDER
COMPANY ~JJ tJ!t.,/EV OotOgMA/iJT tAl c..
I
SIGNATURE
STATE CERT OR REGIST #
ELECTRICIAli!'
SIGNATURE
STATE CERT
************************************t**************************
-~-
.COMP~f ~,m~ ~
STATE CE T OR REGIST # RF~o {!> Q __l/ C)
PLUMBER
f
************************************
COMPANY
SIGNATURE
...;~:'
STAT~ CE~T OR REGIST #
********************************************~********************
OTHER
COMPANY
"
SIGNATURE
STATE CERT OR REGIST #
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~/i\
813-780-0020 FAX: 813-780-0021 V 0
DATE RECEIVED
OWNER'S NAME
PHONE CONTACT FOR PEPJ{~P-ERMIT SERVICE
, " 1-866-824-7894
( Mil uOA )\ PHONE Toll Free
/'f);)
lZaelu,; Otlrl/Jt4
v
J lfl/q Beryl L~
LEGAL DESCRI PTI ON: LOT (S ) (p &L
PARCEL ID # ~ l/ -t2-(o -J./- ooio ~ 0010 ~ - 0 tdJ...1J
JOB ADDRESS
SUBDIVISION E PJ~ rail (Jo/~':t,/I
hJlfI'f
(OBTAIN FROM PROPERTY TAX NOTICE)
BLOCK
WORK PROPSED: DNEW CONSTRUCTION
DSIGN
PROPOSED USE:~GL FAMILY DWELLING
o COMMERCIAL
ItADDITION
o MOVE
o ALTERATION
o REPAIR
o INSTALL
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK R oOn, Add,' 110-
BUILDING SI ZE I D Lx. I t..f I SQUARE FOOTAGE i4- D
HEIGHT see.-r taM. S
$
00
3. 0tXJ.
.
PERMITS REQUESTED
& (1) SET ENERGY FORMS.
FORMS.
I 05 u~ f)u)~.
'-7 )" I,.) ~ -?1.1.A-\ 6
.,,. I
Jij...): <.
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.
__ BUILDING
~ ELECTRICAL
pel PLUMBING
o MECHANICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy 0
$
VALUATION OF MECHANCIAL INSTALLATIO
o GAS
o ROOFING
D SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
o STEEL
9f-s;THER cNUm,;'uw--- Fn::VJ-16
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
[~~:~~~;Z~.~~=2~=~=~~m~:'_:..~~~~~~~~~~~~, _~. __: _ __ _ _ ., __ .~'~~~:'.~ ~,~~~~~--~~=~_~7~~~~~~.~~:~~:~~-;:V~
BUILDER
COMPANY ~AJ tJlt..,EVC'OIOSfMAliJT IAJ c..
f
SIGNATURE
STATE CERT OR REGIST #
SIGNATURE
*~~**~~**:::::::**** ~*;;:*fl1O:;*
STATE CERT OR REGIST #
************************************1**************************
PLUMBER
,......-
.COMP~I ~&~~
STATE CE T OR REGIST # RFC1("') ~? ~ L/ d
/ .-
************* ****************************************************
COMPANY
SIGNATURE
AI\;
STAT~ CE~T OR REGIST #
********************************************~********************
OTHER
"
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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