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Home My WebLink About04-3577 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 3577 Permit Number: 3577 Issued: 11/10/2004 Permit Type: NEW SINGLE FAMILY DWELLING Class of Work: 1 01-NEW CONST/SFR Proposed Use: SINGLE FAMILY RESIDENTIAL Sq. Feet: Est. Value: Cost: 99,250.00 Total Fees: Amount Paid: 4,077.21 Date Paid: Address: 6931 OAKC EST WAY ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: OAK CREST ESTATES Parcel Number: Name: TENBRINK & ASSOCIATE Addr: 36805 SR 54 WEST ZEPHYRHILLS, FL 33541 Phone: 813 782-0678 Lic: Work Desc: NEW SINGLE FAMILY DWELLING Phone: M WATER CONNECTION RESIDENl WATER METER RES 3/4" 1 . 419.00 MECHANICAL FEE 180.00 PARK FEES SF 1, 72.40 BUILDING FEE 769.56 RADON 780.00 ~. 19.85 ~ 1'1-0 ~/I~ :J 7 . 'rJJ ~~o~ j R 1 B 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. II NO OCCUPANCY BEFORE C.O. KCL-~b.~&-~ -~~ CONTRACTORS SIGNATURE PERM~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Tenbrink & Assoc. Lot #16 Phase 1, Oak Crest SQ. FEET PRICE MAIN OR LIVING: 1,985 $ 50.00 OTHER AREA UNDER ROOF: $ 50.00 OTHER: $ - VALUATION $ 99,250.00 FEE SHEET $ 480.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 780.00 CREDIT: $ - BUILDING LESS CREDIT: $ 780.00 ELECTRICAL: $ 117.40 PLUMBING: $ 103.00 MECHANICAL: $ 72.40 SUB-TOTAL $ 1,072.80 RADON: $ 19.85 TOTAL $ 1,092.65 SEWER: $ 1,616.00 WATER: $ 419.00 IRRIGATION: $ - TOTAL: $ 2,035.00 WATER METER:I $ IRRIGATION METER $ 180~00 I 769.561 4,077.21 I PARK IMPACT FEESI $ SUB-TOTAL $ SIF'S: $ 1 ,694.00 97.5% $ 1,651.65 2.5% $ 42.35 TOTAL: $ J; ( cf' JVO 7,359.21 I TI F'S: $ 1,588.00 99% $ 1,572.12 1% $ 15.88 ..2 _ ~ . i::.. ",- 0/)- .:.c '(3 ~ t1 !: ~ s:: ~ ~ 1. '4 ~ .- ~ '1;: E g ,;; ~. ClO e- ; ~ E u ~ .~ ~] .~ :r::: o-u tCl~~ ~u~v ~(;jo, :r::: --- !: U -';:: co .2 (;j 0) 'It ,l:l!: . {j .;:: V 0) i:: ~ ~2 L.. ~""O ~ ~ 'Cj; 'Z :c <::l " 0) 0) ~ 0).<;:: ::: ~.;;; ,<::.~ P::: E Cl.. ~t:--:I 0)0 U o...~ ~ ~~ 'C -.. ~'" , , "-1'" 00 -.. t'-...t'-... , , """" -.. ....... 0000 ~ e r~\1 ~~~"g E '@ ~ w i g ~ ~ ~ ,~~ ~~ ,::) ~ I \'f ,?~ <, ,'~ -~ ~-\\ :.\" j~i/ .\. ~~ ~ ~ ",,1(1; Q. ,...; \3 \\/ . !<; ;j,.;t V I 0/ :if r....;........,.).I :,':" ...'" \./J {'o~" Q ;5' VJ (lj .J "1 1H I/' ~ ~1 ...<1. ~1. ~ 0( o - t- D -.t I 93.05' ,L9'2t> . -~~-.,..-<:......... ._~. , ' C~\, n'~ N .q- r'I (() co n N N r'I n co "t- j .. ~ ~ .q- If) ~ co ct. 8) Florida Energy Efficiency Code For Building Construction Residential Whole Buildi Performance 1. New construction or addition 2. Single family detached or Multifamily attached 3. If Multifamily -No. of units by this submission 4. Is this a worst case? (yeslno) 5. Conditioned ftoor area 6. Predominant eave overhang 7. Glass type and area a. Clear glass b. tint, film, or solar screen 8. Floor type and insulation a. Slab-oo-grade b. Wood, raised c. Concrete, raised 9. Net wall type, area and insulation a. Exterior 1. Concrete block 2. Wood frane 3. Steelfnme 4. Log 5. other b. Adjacent 1. Concrete block 2. Wood frane 3. Steel frane 4. Log 10. Ceiling type, area, and insulation a. Under attic b. Single assembly c. Radiant barrier, (RCC, white rod installed 11. Air distribution system a. Duct b. Air handler 12. Cooling system 13. Heating system 14. Hot water system 15. Hot water credits a. Heating rec:a.ey b. Dedicated heat pump c. Solar 16. HV AC Credits 17. Compliance Status a. Total as-built points b. Total Base points I hereby certify that the plans ands specifications COYer by calculation are in compliance . Florida Energy Code. Ten Brink & Assoc. 6 ceiling 2a Type CentraI-SpIit 12b SEERlEER/COP 12c Capacity 13a Type 13b HSPFICOPlAFUE 13c Capacity 148 Type 14b EF 158 5b 15c 16 17 17a 17b 1 rhills office Yes 1985 sq. ft. 1 ft. Single Double .ft. 312.53 .ft. .ft. .ft. R= 11 1985 R= sq. R= sq. R= 5 1546.56 sq. R= sq. R= sq. R= sq. R= sq. R= 19 282.64 sq. R= sq. R= sq. R= 30 1985 sq. R= 0 0 sq. 0 0 R= 12 3 Ton 10kw strip 7.8 40981 electric 88' o o o CF PASS 20451 22015 Central 4 5 6 5 6 6116600 Review eX plans and specifications C<MlI'8d by this 'rculation indicates compliance with the Florida Energy . Before construction is cornpIeted this building ., be inspected for compliance in accordance with ion 553.908. F.S. ilding OffIcial Date Prepared by Owner CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE IVED (0/2 r ~tj . PHONE CONTACT FOR PERMITTING ~3-7rrd-Olc7~ OWNER'S NAME c=; e Y'don. ~ ~O-.A.-J.o... --r;- '^ By-', f'-l O~grre g- u~_ LEGAL DESCRIPTION: LOT(S) \te BLock PARCEL ID # 0 d-. .;;L L, ~ \ 0,;;),30 cx::coo <9 I <CO PHONE ~I '3>- 7'i?;).-9/:P f)etK C r (. ') T c,J ') JOB ADDRESS (/) 73 f - SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE \ WORK PROPSED: JqNEW CONSTRUCTION DSIGN o ADDITION o MOVE o ALTERATION o DEMOLISH o REPAIR o INSTALL PROPOSED USE:~GL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK o RESTAURANT & HEALTH DEPARTMENT APPROVAL ~~\\d ~. ':5'~~\(! ~l't Jw.eH: ~ SQUARE FOOTAGE \ ~ ~~ HEIGHT BUILDING SIZE AMP SERVICE o FLORIDA POWER RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING o ELECTRICAL $ VALUATION OF TOTAL CONSTRUCT o PLUMBING o MECHANICAL $ o GAS o ROOFING o SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER -* TYPE OF CONSTRUCTION: ~BLOCK o FRAME o STEEL o OTHER ,1 3~<\ FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES ,KI NO BUILDER CON~g!J;'9R <,SECTION COMPANY~V\. '6v'~ ""Ie. ~ 4ssee-. IVLC-_ SIGNATURE LLL~ STATE CERT OR REGIST # c.<:;C C>4 ~4;)'~ ****************************************************************** ~ COMPANY "Yh.a..rl-; h- El v=- iy~ <;...... If^-c... STATE CERT OR REGIST # 6c....I'bOO/3~3, SIGNATURE ****************************************************************** SIGNATURE -_.~~~ COMPANY A-A .'Sc..hle ~ t>l ~~:J C~. L~. STATE CERT OR REGIST # c.. Fe.- 04'fl~' PLUMBER * *,,*, *, * *~* * * * * * ** ** * ** * * * * ** * * * * * * * * * * * * ** * * * * * * ** * * * * * * * MECHANICAL ~ ~ COMPANY -se~ ~-t SIGNATURE ---,' ~ ~ STATE CERT OR REGIST # C-.1\t.. \ ~ I ~ OS '7~ ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictionsU whic~ 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 SectionsU 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 "ownerU, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ownerU 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. Appli~ation 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 "AU or "A,etc.u, 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 fora 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". ~~d-gA? SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged ,20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged , 20 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. o who has produced (type of identification) and who Ddid DUd not take an oath Dwho has produced (type and whoD did 0 did not ~ignature of person taking acknowledgement Signature of person taking acknowledgment / / vped, printed or stamped Name typed, printed or stamped 1111111111111111I1111I1111111111111111111111I111111111111111 2004200616 f=- \ 0-;" \ c~ NOTICE OP COMMENCEMENT County of HL~LO State of THE ImOERSIGNED hereby gives notice that improvement will be made to c~rtain 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. 0;).. ~~ J...\ D~."ioO <3<:)000 c ~ <.ca ~...~~S Lo+::tt Ilt, O~k. Cr€.-~;-, l \.v.-.~-e.- I 1lt,~ ';t-."2 .,k,~ Ii So Ks~'S4,.)., (Legal descr~pt~on of the property ana street a ress ~ ava~ able) 2 . General Description of Improvement B~,\d s;:}e ~ ~ ~~ll\~ ~,MS+JttAc.i V\ 6..-V W~SOl-'\-V '1 ) 3 . O\~ncr Information: Name ErOY'clO'h~_ ~L,^-k ~"^- Br~ v'-l Z-E-p~Y-~' II ~ State f:=L ~3Sti I l~ddress "O"'SS'l2- cJ.t:s.4v- bY" City Interest in Property: o w ~.-e-.,y Name of Fee Simple Titleholder: (If other than owner) Rcpl: 826294 OS: 0.00 10/27/04 Rec: 10.00 IT : 0 . 00 Opty Clerk Address City State 'R,.',.4. l@. , Contractor: Name--=-l€.\f'\..By,\f\..,l ~ 4,::>'Se-c. T'^-<-. Address ~b'O~ "'SrL Sl(. ~sl City -Z..ep~rh: /Is State 1=--( 33SY/ 5. Surety: Name Address City State JED PITTMAN PASCO COUNTY CLERK 10/27/04 09:55am 1 of 1 OR BK 6082 PG 1785 Amount of Bond: $ 6 . Lender: Name Address City State 7. Persons within the State of Florida designated by Owner upon whcm notices or o~her documents may be served as provided by Section 713.l3(1)(a)(7), [,lorida Statutes: tJ2.mc 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. <). r-xp.irflt.J.fJn dnt-e n! t1ot.ice of Commencement. (the explrati0n date is 1 year fr~m the date of recording unless a different date is specified.) Sig:1ature of Owner: (-:--;"?-u-.Q c~ L:)" ~ ~~~? Sworn to and subscribed before me this d7+h day of OC~~ l;9::~ . i=el("'b~L~ k-V10LQI"-. Notary Public: ~0Cla-teOA..GL. ~~ " . -----r-01o d-\rc- (VU v+~ v- My CJ;Tl',,1.1 SSl.on Exp.lres: rrrJp., ,. {)"l 10 '8 l PC93053048 1~ c" "U'" :'i ~f.""Y r~ TABITHA MARTIN q*i r'i!"":~ MY COMMISSION # DO 297031 i ~'~'l.i EXPIRES: March 7, 2008 lL-~P.f..r..~' ..~~ Thru Notary Public Underwriters t);'/7( e1i:SS7 SS7r17SS ?ltJ'Ht&tYHI7t&~s' ,4SS~e;?I71tJ1t, me. ~&'P'lI'II;t?7I'lilS, 7~ 33542-1694 S7tY1f'DA1OIt& 'P~&S1'D&1t7 6911 tJd ~ 1U4f 779- 1942 ~tJ~&i1i!7 ~tJ7lI1J&~ 1I?e& 'P~&S1'D&1t7 6920 tJd ~1U4f 779-1441 eA~tJ~ 1Jt, ~tJ7lI1J&~ S&e~&7A1i!'tI-7~ASU~&~ 6920 tJd ~ 1U4f 779-1441 THE ARCHITECTURAL REVIEW COMMlnEE OF OAK CREST ESTATES, PHASE ONE, HAS REVIEWED THE PLANS SUBMlnED BY, GORDON L. TEN BRINK of TEN BRINK" ASSOCIATES, INCORPORATED, TO BE CONSTRUCTED ON LOT # 16 AT PHASE I, OAK CREST ESTATES. WE, THE UNDERSIGNED ARCHITECTURAL REVIEW COMMlnEE, HAVE FOUND THE PLANS TO BE ACCEPTABLE, EXCEPT AS NOTED BELOW: 1) See attached letter. 10/19/04 DATE 10/19/04 DATE 10/19/04 DATE , 1 0/19/2004 i--r\~V~1 (\ Mr Gordon Ten Brink: Ten Brink: & Associates .... I , ~ ..;., ~- c. t'" ..;) _ Thank: you for submitting your plans for construction on lot # 16 at Phase 1, Oak Crest Estates. My only concern is that you are aware of the city storm drain that passes through the property. If you have cleared this with the city street department, the~ ~here is no problem with our association. I r . I ~. C' " r' ,,\, -" :" I . r, '" .-. Mr Stoy Daume \ ..(' ~ President Oak Crest Estates Homeowner's Association y~L(J-- -;79- o n <) (') n 103110 (1 () (] ,n ~ PERFORMANCE BUSINESS PRODUCTS. INC. 813.71UOO8 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA V{-~ 69 b WATER ACCT. NO. DATE 1/-/0 -~ y OWNER/ RENTER ~l3n~ ( !/SSO(!. Me. / MAILING s~ ~. SERVICE ADDRESS ~C[3{ SHUT OFF SERVICE 0 TURN ON SERVICE ~ INSTAlL METER ~ READ METER 0 CHECK METER 0 OTHER 0 O~k-C/u)(W~ GJl"WATER Lo T; (p o SEWER o GARBAGE ~N CITY o OUT CITY -1.. No. OF UNITS _ DEPOSIT AMOUNT ~" _ AMOUNT LAST Bill w.$, ~ _ DATE _ MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY 11- 10- oC; cr X 9~ OfmEbG.NE~ ~ ~ Retain white form in office at all times. Send pink & yellow forms to Water Service Dept. Water Service Dept, to sign yellow form & return to office, ..~- - ,...~~''::i,.;;;;--;;;:~~..._;"to .....:.::::: -.::-:---- ~'.~'~d:~..'~'<-~-.,~'"-...---..~.-----,,-..-.,- ~ f . ~_J PASCO COUNTY, FLORIDA Permit No. ...357'7 Date Permitted / I-It) ,- () 'f ~.':-~3.!))e/6wner Name C'~ i4f(~J;';.1a$LJe. Control # County Parcel No. O.,.1-:;..~ -.:2 1- 0:2 3D -vo6Do-{J /00 SubDiv: Vall @k5-C Classification/Type of Use Address/Location TRANSPORTATION IMPACT FEE Rate: Exempt DYes g No How Determined Impact Fee Amount $ I S~~ - Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House (057) Mobile Home (058) Other Residential J.:123) Collection Fee Exempt U Yes '0 No How Determined Amount $ .0 b 9.1/ - PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ Exempt DYes D No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt DYes 0 No How Determined Total Amount RESOURCE FEE 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 thEl conditions of payment for same. ~/0/o S- DATE RECEIPT NO. ]) 2/,( 1:52 DATE s/(.. BY l:~,~ :T~_ RECEIVED BY ~J-- tu. /' ~'