HomeMy WebLinkAbout04-3497
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3497
Permit Number: 3497 Issued: 10/21/2004
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 1 01-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 116,400.00 Total Fees: 6,669.53
Amount Paid: 6,669.53 Date Paid: 10/21/200
Name: CARR'S CONSTRUCTION SERVICES, INC.
Addr: 3310 DRUM RD.
ZEPHYRHILLS,FL. 33541
Phone: 813629-4961 Lic:
Work Desc: NEW SINGLE DWELLING
Address: 5740 D GWO D ST.
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: MEADOWOOD ESTATES
Parcel Number:
Name: DAVID L. CARR
Address: 5740 DOGWOOD ST
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
SCHOOL IMPACT FEE - 97.5%
BUILDING FEE
MECHANICAL FEE
TRAFFIC IMPACT FEE 1%
RADON
82.15 SCHOOL IMPACT FEE 2.5%
15.88 TRAFFIC IMPACT FEE 99%
23.28 WATER METER RES 3/4"
42.35
1,572.12
180.00
I j1\~~ -
/IfJ 'f^" 6" &'f\\ ' -- ,,0 cf
q
1-:?-
F T
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: r ..#
r1ndea j-;J...i'-OS
(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.
ONTRACTORS SIGNATURE PERM.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 eTH St, Zephyrhil1s, FL 33542
813-780-0020 FAX: 813-780-0021
PHONE CONTACT FOR
DATE RECEIVED ItJ'lJ -Of
PERMITTING 6.2q-lfQbf
OWNER' S NAM~~ L. ~
JOB ADDRESs~p{/tQe\ C \I ( -.3"7110)
LEGAL DESCRIPTION: LOT (S) l\S;' I \0 BLOCK
. ,
PARCEL ID #/2.-~-:2/-D~o-052c)utJ-IIS/
PHONE -0- (3 -' 7'71 --- 73 S V
009 lV'ooJ ~ 5'hd-
SUBDIVISION C()((j~ f ~LiS
(OBTAIN FROM PROPERTY T: ~OTICE)
WORK PROPSED: ~EW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL
OS IGN o MOVE 0 DEMOLISH
PROPOSED USE: ~GL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOB ILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
DESCRIPTION OF WORK New
BUILDING SIZE SS'L >< '-to' \,J
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
Re>;A~~ e
SQUARE FOOTA~E:) }"3.:1-8'"
u^,(ec roCJ'~
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.
HEIGHT
~\
& (1) SET ENERGY FORMS.
FORMS.
Iii' BUILDING
,
$ 52,(f00" 00
,
~(){)
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
Q- ELECTRICAL
AMP SERVICE
r/ FLORIDA POWER
o
W.R.E.C.
Iii'" PLUMBING
1) ,
~ECHANICAL $ 3J5oD. ero VALUATION OF MECHANCIAL INSTALLATION
o GAS ~OOFING 0 SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION:~LOCK 0 FRAME
I C \\
FINISHED FLOOR ELEVATIONS 'bb Ur 0
ftb~ ce(\/eI \.~e
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES
~NO
~fl1~
CONTRACTOR SECTION
BUILDER If) =--7 ~ COMPANY ~ G,,,,;h-,,,nw No-/nL
SIGNATURE ~ ~ STATE CERT OR REGIST # L(;c.o606'-fb
o 1)OI,vl4 L-
******************************************************************
COMPANY ~2.;< ~ Je Ej~,c.M I'~
STATE CERT OR REGIST #
*~**********************************************
PLUMBER ~ (
SIGNATURE ~
STATE CERT OR REGIST #
********************************************** **~**t***** *******
MECHANICAL ) COMPANY , ~ .C_
SIGNATURE ~...Jvl.tJ&'tJ0I____- STATE CERT OR REGIST # C o5S'i7.
<: -Gr~~.. -:.................................................. ~
~ ~ ~ r A >A</ ,( /r '" +-7'S: ~
OTHER . tl ~ COMPANy- '-t/..,rY C0"r. ./V<.-'-
SIGNATURE - - STM'E CERT OR REGIST # tKAlf. ex; ,-€k::,
O~ Cv~
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 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 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. Snvironmental 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 co~nenced 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
$2'1fL~~ORD AND POST A lL:!ZN~
SIdNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA/"'-~ STATE OF FLORIDA ./ ~)
COUNTY OF \ / a. 5en COUNTY OF \...... ~ 5-t,[)
'I'~e~foregoing instrument was acknowledged 1'/ The f9-.L~~ing instrument l"iaza:r;.1$powledged //
~~ore J)e::1~~a'Y!~f)c!-/ , 2Q/)y ~~f{e md)t;;;;~~f C~~ ' 20&:
hi (name of person acknowledged) V' (name of person acknowledged)
)'.(who is personally known to me, or ~ho is' personally known to me, or
apd
/
(,
Signature of person taking
Q1""~'" So
~. ,~~ MVC bbie~1btd
Name .',.' .... .., P~~'OD02dlllll.fi~
"" .....' iIONOEo ~uulY 22, 2008
IIlOY FAWlNSiJRANC( INe
"
Signature of person taking acknowledgment
~i' '~''J.::!,'" Bobbie Swetland
::: l~:: MY COMMllii1Ot1 if DD26I763 EXPIRES
NamE\~.. ~, priFefml9\y ~200ltamped
-"'~i?f..~"", BONDED THI1\J TROV fAIN INSURANCE INC.
1111I111111111111111111111111111111111111111111111111111111I
2004191451
Rcpl: 822745
OS: 0.00
NOTICE OF COMMENCEMENT 10/13/04
State of f(C)(1i lCi. County of -p" >c1J
THE ImDERSIGNED hereby gives notice that improvement will be made to c2rtain
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. \ ~ -26- 2( ~ () ~G 0 '-O.l..ddO- {(Sf
s:ec. (-L '[ ~1A~if 2. 6 5C~ R~~€- ).} -ear-{-
(Legal descriptio of the property and street address if available)
General Description of Improvement /{;~ R. cP J( i ~"L C c.f?
Rec: 10.00
IT : 0 . 00
________ Dpty Clerk
2.
JEO PITTMANA PASCO COUNTY CLERK
10/13/04 1~:14am 1 of 1
OR BK 6064 PG 1780
r"
liJ'~;.' 3 .
. *c~~~
?'l
Owner Information: Name ~"J L t~
Address:$ ~.JO ~rf/VV\ Rd. City 2e;t r11At'7(5
() U/V\ f'.J
()CWI~j ~{/l L ttJ c..
State
;:to
.535YI
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
Cc.~ -vv-
Address
f~.~ --e
City
State
4.
Contractor: Name OtLtA'{j
Address 3170 Ol('UIA^- M-
Surety: Name ./V?!
L~. ta/t^r'
City Z~/Jky//J(15
,
State ;;:...
5.
Address
City
State
Amount of Bond: $
6. Lender: Name /Va 1\ e
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:
OCtVl,j I _ CC? YI
Address 35] 0 &t?/Yl./l fLJ.,
Name
8.
In addition to himself, Owner designates
Ci ty '';;k-f~~t1': (/5
,
/1/4
State
fL,
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Exp~ration date 01 Notice or Commencement (the expiration date is 1 year
fr0m the date of recording unless a differer.t date is specified.)
to ___13-dS ~O' \-1'
Signature of Owner: JJ2~L~ ~~
Sworn to and subscribeq before me this 13t::b. day of OcJcbe:..v
"5~
j). ma~
~~ SUSAN S. MANION
~~ MY COMMISSION II DD3SS12J
~ EXPIRES: Scp~ 13.2008
Notary Public:
My Commission Expires:
Q. ~oo -/78- &6- 3'?I-O
PC93053048
NEW CONSTRUCTION - SOIL TREATMENT CERTlFICA TE
.~ For tpe Prevention of Subterranean Termites
Product: . ~{P (!Me.-- j) 0m.fJ1J.
BUil~er Nam~p~~tJ
Address: :)7"1[/ .J)tp~ ~ /d4 t""'5Yd, Lot
Date
Time
Sq. Feet
i!- . ' /J~ pffl,
Applicator:
Boltin Pest Control, Inc.
15534 US 301
Dade City, Florida 33523
Phnno' (~~?\ ~~7 ')'),-,.
"
Customer #:
i/BtJ "k/{!
Block
Gallons
Soil Treatments
I~
Foundation
Re-Treatment
Driveway, Pads & Patios
6lb Final Perimeter
State lic.# JB443
OWENS CORNING WORLD HEADQUARTERS
ONE OWENS CORNING PARKWAY
TOLEDO, OHIO 43659
Pub. No. 16-BW-2027g.C Printed in U.S.A., July 1999 Copyright Cll999 Owens Corning
./'
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PASCO COUNTY, FLORIDA
Permit No. 3l(tf I'(
Date Permitted /oh.t/,V
I
Builder Name/Owner Name
v~v/d j, ~r
Control #
County Parcel No.
SubDiv:
ClassificationfType of USE?
51 '-/0 U06WOOJ. q.
5;~ (M'Yl:/y dlAN~
Address/Location
TRANSPORTATION IMPACT FEE Rate:
Exempt DYes 04 How Determined
Sq Ft Unit:
Impact Fee Amount $ 05 S ~
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J.:123) C.Q!l~ion Fee
Exempt U Yes l.JNo How Determined
Zone No.
TAl:
Amount $
I~q'f
I
PARKS AND RECREATION FEE
Land Account Land Credit
Zone
Recreation Account
Recreation Total
TOTAL AMOUNT $
D No
How Determined
LIBRARY FEE
Land Account
Land Credit
Facility Account
Facility Total
Exempt
How Determined
Total Amount
ERU
Prepared By
Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and thE! conditions of payment for same.
DATE
RECEIPT NO. loY~/(p DATE 0\ l'l51 oS BY