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Home My WebLink About04-3573 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3573 Permit Number: 3573 Permit Type: ADDITION/ALTERATION Class of Work: ADD/AL T COMMERCIAL Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv, Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 38300 11 TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 3,000.00 11/09/2004 67.50 67.50 11/09/2004 EXTENSION OF SCREEN ROOM FOUR BEAR 38300 11TH AVE ZEPHYRHILLS, FL. 33542 Phone: LU 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 ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. ~. NTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ~~~" .-r ~ , ,'\ /\- ~"'\ ,-- \..-~ n () \'7 <~ .)\~~ '0 ~ I~i~' \!;, c'\- (J 0-.1, 1) .- \..J . L.~~\ \7 \ \ \ \ \ \ "<. x'\ ./" \ \; \ \ \ \\ \ --...../....~ ..r-i./" . ./ \, ~ \ ."........ \ \ \ \ \ \- -.2, '.0 \.0 . " , \ ;:119 ,,-cf1 .J ;1 ('l ~f ..)' ,-.1:" ~)',~9~ f} \/ /. .1Jf.'....../ <;tJ /." \.,..~.. -~...-- ....:: '-CO./,~ , ()<> ~ -~.\ 6\ (:), .o(v =11/ 37t/JS' , ' f ~ ~'>) (lQ ~ \t '" J r$ Ij S \ \ .'." -~ \ )\ \ ~\ \ ~~ / . QL. ~\OQ J.-If .-:}/':d ~ ~ c:> ~. "--I .~ I/O(? -O(N)o/Cl -OIO(? -/1!-'J(Q-j/ '3,'1tT" y.i./I 00 E<1 r ~X?/.Z1J?/V" 5'()..L:JZ?/fI;) -:r- \.U ~ ~ ~ \ , , \ \ ". I::::L ~ /~~. .-/ CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 PHONE CONTACT FOR /I-~ol DATE RECE IVED PERMITTING:~l~J.-S" L~/:Yfft~ , , 80 -I .sf t" .2 - 13u./-'Ui-e.'%) OWNER'S NAME (Jj, (!51t.S 1J::?lr; 5 (I. ?v~ {(-bi4 fxn\:\) PHONE , ~. (trUs, JOB ADDREss"""Sl530C) LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # /1-~~-,21-(JqlfJ-u~r;tJ(J-oI"J// (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION .MADDITION o ALTERATION o REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING ~MMERCIAL OMULTI - FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER BUILDING SIZE D OF WORK ~ II 'fitlY 2.8' ~ 2.0 # RESTAURANT & HEALTH DEPARTMENT APPROVAL R~ ScreeN f{m., 5/aO I SQUARE FOOTAGE HEIGHT 7~- '/1 DESCRIPTION RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCT o ELECTRICAL AMP SERVICE o Progress En o W.R.E.C. f.l~ 'fi., ~CJ INSTALLATION~~ 1. '5 ~ PERMITS REQUESTED $ 1/9) C/ OClc..?6 VALUATION OF TOTAL CON o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL o GAS o ROOFING CilSPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL J 'j I [JV'6THER It., ~'l)J,' ~i ;')-1-~, ~I~:.. I' .,.;,.-. FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES ~ /(/) BUILDER . ~ ' ,'rA'~ SIGNATURE ~~// . , ~ OWAJ~ ~~S ("t 1- ':b ^ ' , 'JelJ'AlJ~~Yl r"l s b~ f'ir~ I rl.S STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL 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 pOftions 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 corrunencement. 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. Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has corrunenced 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 corrunenced 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 corrunenced. 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 .'1 $2,500 I,N?vaLUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". //:>"/ 4).' 'A. , ./ ,:/.:- t //V<~,-,,' --- v// .., Si6NATUR~~~ AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA ~GL~~- COUNTY OF r j ;;!~ The foregoing instrument was acknowledgeq Gf Bef e e t . s 7f1 day> ot. '-7'7,;y-J , 200 by acknowledged) Owho is personal' y known to me, or ~~o has produced rJ.]JL f!~2t- /DO~--C;-:j?l'O (type of identifi ~on) aI1d'-w}io~did , ~id n~ take an oa . ,c.c ',./;L':' J ~- /'7 Signature of person taking acknowledgement ~f&~' Bobbie Swetland !,: :~ MvmMMIAAIf\t,j1 1X'2mH EXPIReS Name \ ~, prirfl!llrobl)ClJ2. ~d8amped 'f"9f.,~~~,, BONDED THRU Troy fAIN INSURANCE, INC STATE OF FLORIDA f'? COUNTY OF r(l6c.O The foregoing instrument was Before me this _____day of by acknowledged , 20 (name of person acknowledged) C1ho is personally known to me, or Owho has produced (type of identification) ~id not take an oath and who 0 did Signature of person taking acknowledgment Name typed, printed or stamped FLA, 1977 LAWS FS 713,13 SEMINOlE FORM 408 NOTICE OF COMMENCEMENT ~:~~t;fo~lorida } tPR~PARE IN DUPLICATE. ~~~~~lt'l~!I~111111111II111I1111I11111111111111111II The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT, Description of property ..35.&::o.....\. \~. PtJ!-? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . ... .,...., .(I.-:-:..~~.(.~.,.1-:.I..-:..... .tJ..o.l~..:~. ....c? 6,p??P.~-::, ....a.e.l.1 ........ .... .......,'. ..... Rcpt:830633 Rec: 10.00 '" .... ...............................................................,............,... OS: 0.00 IT: 0.00 . 11/12/04 ' ,_.. Dpty Clerk General description of improvements.. .~~e()";:;:>.iO~)... .O~.. .~~u~O.<'b..........,......,......,.......... Owner. .c:/I/ ~llP.l. .. .;1./(;-.1 8 If. . . . . . . . . .. . . . . ... . . . . . . . . . . . , , , . . . . . .. . .. . , . . . . . . . . . . . . . . . . , . . . . . , . . . . . . . . . , . . . . . . . Address ~.. .~.~...... ~.~.~..... p~ Av~. .ZF.f.Jt.(I!,I!/.~5.. f.~.Jlrtf?- Owne~'s inter~st in site of .the improvement. . , . , . . . ,. .. . . . . . . . . . . . . . . . . . . . . . . , . . . . . . .. JED PITTMAN, PASCO COUNTY CLERK Fee SImple Title holder (If other than owner) '. , ' 11/12/04 01: 086 1 Sf ~ Name (:;>00><. AS ~'-~Chr \~s;,.... .9(%"c~c;............ OR 8k. E) 10.... .PG.... 3..... Address................ .?~.~?~~..... .\~:~.. AJ.J?.,..;......,.................,..........................................,.. ~r' Contractor. . . . . . , , . . .:-:'): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address ..........................................,.................................,........................................... - Surety (if any) ..................,....................................................,..,......................,................ Address .......................,........,.,.............,.............,.............,......... Amount of bond $ . . .~ . . , . . . . . . Any person making a loan for the construction of the improvements: Name.. .~.......... ....."..........................,........................................................................... Address ...........,....,..,.....................................................,.................................,............ Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name .. ... ......................,...........,..................... .......,....,......................................,.,....... Address ,...,.................................,....,..............,....,.........,......"........................,..........,.. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in SectiorL/ 713.13 (1) (h). Florida Statutes. (Fill in at Owner's option). [/ Name............... ~...,. "..." ,_,.."._..__........,.,................,..... Add,"" T~'~;;~C; ;~;;;~~R~'R.~ ~s; ~;~;............................."" .l~~.... r~. ~~~~i=~~ )C. .(~d-.r~,........... ~ ,EJG>IRFS;.Septmm'I3;2008. 0' ~J.NOT ARY Fl. NcIary DiIcounI AIIoc. Co, STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE OR OF PU IC RECORD IN THIS OFFIC TNESS MY HAND J OFFICIAL SEAL THIS DAY OF 2 OF CIRCUIT Sworn to and subscribed before me this r:,1,#>:d")L :;~:qjff1YJ;~~l~"-- .m~r;4 .i~.........."...,..........,........,....,...."."...., , Notary Public D L-If- A t.~()&.- I L'L' ,- 5Cj - B'i{f - c.