HomeMy WebLinkAbout04-3506
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3506
Permit Number: 3506 Issued: 10 25/2004
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value: ~ j; L( (. J
Cost: 86,200.00 Total Fees: .3,S~5
Amount Paid: Date Paid:
Address: 6804 AKCREST WAY
ZEPHYRHILLS, FL.
Township: Range:
Lot{s): Block: Section:
Book: Page:
Subdivision: OAK CREST ESTATES
Parcel Number:
Name: ENERAL HOME DEVELOPMENT C
Addr: 13924 7TH ST
DADE CITY, FL 33525
Phone: 352 567-6581 Lic:
Work Desc: NEW SINGLE FAMILY
JENNIFER PECK
6804 OAKCREST WAY
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
BUILDING FEE
419.00 IRRIGATION CONNECTION
702.00 WATER METER RES 3/4"
'R~J7h -
; 7. .2 <(
.5!t<t(d<;
D
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. n
NO OCCUPANCY BEFORE C.O.
4~~~~~URE PERM.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
G.H.D.
6804 Oak Crest Way
SQ. FEET PRICE
MAIN OR LIVING: 1,724 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 86,200.00
FEE SHEET $ 428.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 702.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 702.00
ELECTRICAL: $ 101.85
PLUMBING: $ 89.00
MECHANICAL: $ 66.30
SUB-TOTAL $ 959.15
RADON: $ /' 1 f .:'::4 ':;>
TOTAL $ 976.39
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ 175.00
TOTAL: $ 2,210.00
WATER METER: $ 180.00
IRRIGATION METER $ 180.00
SUB-TOTAL $ 3,546.39 I
SIF'S: $ /' ,1,694.00 -
97.5% $ -t~651.65
2.5% $ 42.35
J
(j).~ ~
(3,0,
-- --
TI F'S: $ ~ 1,588.00
99% $ 'l,OfL12
1% $ 15.88
TOTAL: $ 6,828.39 I
n
Pe'rllli t No.
I~'.;o~ 111111111I11I1111111111111111I1111I1111I11111 "" 1111
2"104190433
NOTICE Or- COMMENCEMENT
Rcpl:822366
os: 0. 00
10/12/04
Rec: 10.00
IT: 0.00
Dpt.y Clerk
SliJle Of Florida
County of Pasco
TilE UNDEHSIGNED hereby Hives nolice lhill illlpr'ovelllclll will be nmda ..l.o carlnill
rcul property, ilnd III iJccl)rdilnce wi lh. Chupler 713, r=lol'ldn Slull/les, the fol.lowlll!)
illforllli1lioll Is provided In lllls Notice of COl1lmencement:
1. Descriplion 0 f Properly: Parcel No. 02-26-21-0250-00000-01 30
Oak Crest Estates Phase II PB39, Pgs 64 & 65, Lot 13 OR 5993, PG 380
TlegiJl descriplion of llle properly tlnd slreet address If available)
2. General Description of Improvemenl ,Construct new Home'
JED PITTMAN, PASCO COUNTY CLERK
10/12/0408:33am 1 it...1.6
OR BK 6062 PG I~
3. Owner III fOrnlD lion: Name Jenni fer Peck
Address 9702 Yawn Rd
City Dade Ci tv
i
Slal~-.E.IL 33525-1641"
Illlerestln Property: nwnpr
Nmne 0 f Fee Simple TI t1eholder: N fA
(If other lh(lll owner)
Address 1\f/'A
City
Stale
Conlraclor: Nilme General Home Development Corp.
Address 13924 7th Street
5. Surely: Name N/A
Address N/A
Amounl of Bond: $ N/A
6. Lender: Name N/A
Address N/A
C,Ity Dade Ci ty
Stale FL 33525
~ity
Stale
City
Slale
7. Persons wilhln the Sttlte of Florida designated by Owner uron whom notices
or olher documenls may be served as rrovlded by Section 713.13(1)(a)(7}, Florida
Statules:
Name
None
. .~
Address
City
Slale
O. III ~ddjlion lo himself, Owner designates
None
or
tiS provided
. lo receive u copy of the Lienol-Is Notice
- ~ .
!n Section 713.13(1)(b)', r-lorlda Stalutes.
9. Expir<ltioll dnle of Notice of Commencement (the exrlr(llion dale Is 1 yeClr from
lhe dale of recording unless a diffcrent dute Is specified.)
f
Owner: f;j.'IL-/~~ -t.,
SUbSCI'I"J be for'~ me
-~
j.- , !L<'/ l_-.-
SlgnDlure. of
Sworn to (lnd
this 7th
dny of
October
2004 .
Notary Public:
~~ K ~.r~~
My Commission Expires:
lor ::;'S;;~J
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIVED ~l_ ;Fl'Df
PLANS REVIEW FEE
OWNER'S NAME. Jer.nifer Peck
JOB ADDRESS
Lot 13 Oak Crest
way(6)!o ft)
BLOCK 00000
PHONE (3 5 2 ) 567 - 65 8 1
LEGAL DESCRIPTION: LOT(S) 13
SUBDIVISION Oak Crest Estates
Phase II
(OBTAIN FROM PROPERTY TAX NOTICEl
PARCEL ID # 02-26-?1 -07l'\o-nnnnn-nl in
WORK PROPSED: KJNEW CONSTRUCTION
DADDITION
DALTERATION
DREPAIR
D INSTALL
D SIGN
DMOVE
D DEMOLISH
PROPOSED USE: ~SGL F~1ILY DWELLING
D COMMERCIAL
DMULTI-FAMILY
D INDUSTRIAL
D# OF UNITS
D SWIMMING POOL
D MOBILE HOME
D OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK Construct new sinqle family home
BUILDING SIZE
SQUARE FOOTAGE
1724
HEIGHT
RESIDENTIAL :
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
J )5oG
0Cl BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
IX) ELECTRICAL
AMP SERVICE
Kl FLORIDA POWER
D W.R.E.C.
IXI PLUMBING
IX! MECH.llliICAL
$
VALUATION OF MECHANCIAL INSTALLATION
D GAS
D ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: Qg BLOCK
D FRAME
D STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
fZI NO
General Home Development Corp.
BUILDER COMPANY
C\ STATE CERT OR REGIST # CGC005695
SIGNATURE-o~ K~ CITY PROCESSING 267
******************************************************************
ELECTRI
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
*******************************************************
SIGNATURE
R" ci- I ~ Plumb,_' n
COMPANY ...~ ~ -
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBER
SIGNATURE
***********.************* *****************************************
COMPANy'Sc'l1lthprn r.nmfnrt. F.nterprj seR
~~~ STATE CERT OR REGIST # CAe 1813~79
_ _ _ ___ CITY PROCESSING # 5.3
t:/
******* *********************************************************
MECHANICAL
OTHER Roofing COMPANY Genera 1 Home nevelopment Corp.
Cln., 11. /)/J STATE CERT OR REGIST # CGC005695
SIGNATURE-%.~ I< ~_ CITY PROCESSING # 267
*****************************************************************
CONDITIONS Oi" PERMIT AE'fi'IDAVIT
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, 813-788-6611.
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. 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".
~tWuX K~
SIGNA~E: OWNER OR AGENT
STATE OF FLORIDA 0
COUNTY OF r a. s c. 0
The foregoing instrument was acknowledged
Before me this~ day of Sept'. , ~
by JtLnlLT 1<. BIQ..LI( well
(name of person acknowledged)
~ho is personally known to me, or
~~ K ~.H~
SIGNATUR' 'CONTRACTOR
STATE OF FI,ORIDA
COUNTY OF
The foregoing instrument was acknowledged
Befor~ this ~day of ~~T I' , ~O~
by a. n ~T K. 81 a..c e., /
(name of person acknowledged)
~o is personally known to me, or
fits C. 0
and whoO did
~~
of identification)
take an oath.
o who has produced
(type of identification)
and who Odid [}:lid not take an oath
/1o.dJ~ - ~ ~
Signature of person aklng acknowledgment
Name typed, m~"
~ CamI. tOO 104011
<
o who has produced
(type
o did not
CL (Jil21J .
Signature of person taking acknowledgement
Name type ..
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PASCO COUNTY, FLORIDA
Builder Name/Owner Name ~1 ~1,' fey t1- c-t:
Permit No. 3550((,
Date Permitted ,t 0 -- ;;:( {.r 0 'I
Control #
County Parcel No.
SubDiv:
~ /?O~ U1 I<tve Sf L~)I
, h .-- ,
~ ( \^ i5 ' t C-\..'V~1 I (L.
, I
TRANSPORTATION IMPACT FEE, Rate:
Address/Location
eJw f ((/ ~~
Sq Ft Unit:
ClassificationfType of USE?
Exempt D Yes ~ How Determined
Impact Fee Amount $ /50 D Zone No.
I
TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
J.:123) C~,lIeeCC~tI n Fee '
Exempt U Yes LJJ.Pro How Determined
Amount $
//9V
PARKS AND RECREATION FEE
Land Account Land Credit
Recreation Total
Recreation Account
Zone
Exempt D ~/.-nNo
LIBRARY FEE
Land Account
TOTAL AMOUNT $
Facility Account
How Determined
Land Credit
Land Total
Facility Total
Exempt DYes
ow Determined
Total Amount
RESOURCE FEE
TOTAL AMOUNT
3~,q~
Prepared By ~ Checl<ed By
NO CERTIFICATE OF OCCUPANCY ILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE OTAL AMOl)NTS LISTED HAVE
BEE PAID AND
RECEIPTED FOR BY A CENTRAL P RMITTING OFFICE OF PASCO COUNTY
-UJ L(
ERU
Acknowledgement below does not Imply acceptance 0 I concl,Jrrenpe, but simply receipt of a copy of thlfi form, placing
the building permit owner on notice of this a~sessment and thE! conditions of payment for same.
I' ,
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DATE . i D7 RECEI~
RECEIPT NO. ~Cf)LPl) DATE .21 J..-y I BY f... ~
~I