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Home My WebLink About04-3590 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 3590 Permit Number: 3590 Issued: 11/16/2004 Permit Type: GENERAL BUILDING PERMIT Class of Work: SCREEN ENCLOSURE Proposed Use: MOBILE HOME PARK Sq. Feet: Est. Value: Cost: 2,000.00 Total Fees: Amount Paid: 60.00 Date Paid: Address: 6616 WI E RD LOT18 ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: JIM LOWSON 6616 WIRE RD LOT18 ZEPHYRHILLS, FL. 33542 Phone: Lic: Work Desc: SCREEN ROOM Phone: T C 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." NO OCCUPANCY BEFORE C.O. ~f~~~NATURE PERM~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED - PROTECT CARD FROM WEATHER JI.-.A4 L O/1!S()A/ LOT Jf SLC:EPY flOLLO/J/.:r (P~/&, WIllE l?-6ilO OJ,.- c;).h -~/- O()/O - (?6ct)t) - X30 J Je:) ,00 ----:---- -1.----- - - ~ ---~~.--l I 10.(1) I i I I I I I I I I I , t E xr&VDI)/6 .st.-A 8 J,' 11) 't< N '" l'f l" ,~ I' l:::r:: r i ) ) I i~ ~ ( JO.()i) , ~I 16'1 I I I %,00' -.J I 1 I I I i I I I I K.Q)' I I j I I I ! I I I I I f'Ir >< ~ ~ ~~ ~ .:t (.::::" ~ Ii r-- fl1 <.... o ~l -\ ~ I 1 I t i l ( I I ;,.~ I~ \C) l~ : . i V) , "'_ I ""i iC:11~ . , f':) /o.o(J.. _ 1 ~ 1 ~ ~~ ga. ~~ No-, ~<::::, ~ ,.. '-'l ~("~ . ,i':::. ~FI'1 ,,~ ~ 0)& :g: :t I" I~- I f STR-LET u(!/)LE 1'/:/0. f PROPOSED SCREEN ROOM I ~ RISER PAN ROOF 2X3 .045 EDGE BEAM 2)(3 D45 POSTS ~ 30' ~ SDE ELEVATION .- T 8'6" 8' 1 - - .. EXIS1'NG CONCRETE SLAB ~ 'hYI1EW CONCRETE SLAB ~ 10' FRONT ELEVATION H o S T EXlSTtoIG 8'x 30' CONCRETE SLAB CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH st, Zephyrhi11s, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED 11- /5 -0 Y PHONE CONTACT FOR P~PERMIT SERVICE 1-866-824-7894 Toll Free PHONE UJIOJ 0 I) /O;re. M LEGAL DESCRIPTION: LOT (S) / i oJ -C)& -tJ.-/- 0010 -a-ooo -0630 OWNER'S NAME T;m JOB ADDRESS [QfL/~ SUBDIVISION S WI!!! iItJ//au :z (OBTAIN FROM PROPERTY TAX NOTICE\ BLOCK PARCEL 10 # WORK PROPSED: olNEW CONSTRUCTION OSIGN USE: rlSGL FAMILY o COMMERCIAL o ADDITION OALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH PROPOSED DWELLING OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL cSeH.eA- room BUILDING SIZE /cJt-,3tJ SQUARE FOOTAGE o {XJ rp HEIGHT 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. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. , PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. (Q0._'''' hL{)G, PERMITS REQUESTED ~ BUILDING rJ> $ tJ JJOO . VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. 0 PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDER COMPANY SIGNATURE 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 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 "AU 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 V UE DO NOT NEED TO RECORD AND POST A "NOTICE C ENCEMENT". SIG STA OF FLORIDA ~~ COUNTY OF ~/~ The foregoing instrument was acknowledged Before me this~day of t00.Je~t"', 20~ by :Ii iM. Ll':u,u ~D ""- (name of person acknowledged) Dwho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged~,1 Before me ~~ ~ay of ")f)\Jit'~'r, 20 ~ by ("'- 50""- (name of person acknowledged) C1ho is personally known to me, or ~ !7Co ~o has produced 3). ~ (type of identification) ~id not take an oath. '-8 ~ho has produced P. L-- . (type of identification) ~id not take an oath person taking acknowledgement ,,'',l:';;,'o.'', Suzanne Bahr Name typed, Prin~~~r~iij~~~~~~Dl~~5;J6~ c.,"".>,; , , , 'o:?"::: Bonded Thru //II'~;lf\\\\\ Atlantic Bonding Co., Ioe ",~~~';Yu~'" Suzanne Bahr ::: 'l' ~~-\'~.wliss~n !I]~~k1dI Name t yp~~~, ~~=~'rre~'Nov 15~'2M6 "~OFfCO~,,' Bonded Thru '" "", Atlantic Bonding Co" Inc. DJ:SCLOSURB S'.rA"J:'BIIBR' JrOJt 0III1BR ern- 0:1' ZBPBDBJ:LLS BmLDDIG DBP~' I, Ji"rv\ lowSOV\... have read and fully understand and agree to the provisions of this instrument. '!'he undersigned states and aff:irms that he or she is desirous of oonstructing, X'eDOVating, a~" ,",'g to or reroofiDg his or her own daDioiJ.e, that he or she aotuaJ.ly occupies, or will oocapy by said &.:I.oiJ.e, and same is DOt for rent, J.ease or sal.e. That he or she shal.l. oomply with the foJ.lowing oonditions: L That the 01b1e.r and he or she al.one sha1.l aot as the builder for al.l. phases of oonst%uotion. That the owner wi1J. oomp1y with a11 provisions of the City of Zephyrhi11s ord" "'aD.C!es and oodes pert:i.Deut to the bui1ding. That in the event various phases of OODSt%uotion are subooutraoted, he wi11 engage on1y properly lioensed. subooutraotors and wi11 perscmal.ly supervise suob. work.- That in the event the Bui1diJ:Lg J:nspeotor sha11 require oorreotions to be made, the owner wi11 assume ful1 respcmsibi1i ty to insure they are made, and upon oompletion wiJ.J. c:al.1 for a reinspection before proceeding with. the bui1ding. That the owner slI.al.1 assume full :respcmsibi1ity for the oonstruction and wi11 DOt expeot supervision of his work from the City of Zepbyrhi11s Building Depa.rt:meD.t. That prior to finaJ. i.nspeotion any additicmal. fees, in01uding reiDapeotion fees, must be paid in fu11. A- written request from this offioe sha11 oonstitute an official. notioe to pay additicmal. fees. That the owner sha1l oomp1y with. 811 City, State and Federal. 1aws in regard to sooial seouri ty, worklllan' s oompensation, 1i811 1_, eto., where app1ioab1e. That the owner sha11 oomp1y with al1 the s~ety oodes issued. by the F10rida J:nd.ustria1 CCmlmission. State law requires oonstruction to be dDne by lioensed oontraotors. You. have applied for a pezmit under an exeaption to that law. The exemption allows you, as the owner of your property, to aot as your own oontractor with oertain restriotions even though you do DOt have a lioense. You must provide direot onsite supervision of the OOJ1Struction yourself. You may build or improve a one-family or two-fami1y :resid.enc:e or a fara outbuilding. You may al.so build or improve a C'oaD.eroia1 building, provided your oosts do DOt exoeed. $25,000. The bui1ding or resid.enoe must be for your own use or occupancy. It may DOt be bui1t or substantia11y improved for sale or lease. If you sel1 or 1ease a "building you have built or S1Jbstantially improved yourself wit.hin 1 year after the OODSt%uotion is oomplete, ehe law will presume that you built or substantia11yimproved if for sal.e or lease, whiob. is a violation of this exeaption. You JDay DOt hire an UDlioeused persOn to aot as your oontraotor or to supervise people worJd.D.g on your building. Xt is your responsibility to make sure that people employed. by you have lioenses required. by state law and by oounty or mun:i.oipal lioensing or"'...........ss. You may DOt delegate the respousibili ty for supervisiDg work to a lioensed. ooutractor who is not lioensed. to perfoxm. the work being done. Any person working on your building who is not lio8lUled must work under your direot supervision and must be emplayed by you, whicb. IIl88IlS that you must d.ed:a.ot p.x.e.A-. and withholding tax and provide workers' OOIIIp8II.8ation for that employee, all as prescribed. by law. Your oonst%uotion must oomply with al.l applicable laws, ordinanoes, building =:s:=: ~,~ .J IlM'II 11-liJ-Otf :=s W~~ WJ:mBSS ~e~WL- t/ 2. 3. 4. 5. 6. 7. 8. 9. PBRIIJ:'.r fJ "....~~~.~~y..!!Q~~.Q.W..MQ~~~..~~!~~.~?)!~!~.:......................................................................... 3t(:~5 ;._/\f.~S!;-...~~i /.t.\!E;'~i.3F :'-=--- :;', ~.:~! .1 .~~ :. -::3_5.~: ~: ~3-7~::..~; f: .: i -:;-7;'~ _-;_ -:; i'~:-; j , - , ,,- ~..-. .. ;.......-:-.....'; "'--C- :'..',! ::;'~I~f,:it(i i ;'. .ti...\. :iTll\~!n ~'~'r- i~::,. '::~in: From: Sleepy Hollow Mobile Estates Board of Directors To: ~~~..- "'\ Lot # Ie tt<VI We are hereby granting your request to make your improvement as per your request this <r3 day of ~~ Q _ 2004 Permission-OwnerBuilder.txt .' Jim 0a.Afo/J Name {;(;,/ft, to/If.- M. Address upfy/' Ll-/Ir Fl. J~l/O To Whom It May Concern, Please be advised that: Suzanne Bahr, Stacie Zullo, & Debbie Dokendorf of Pasco Permit Service have .my permission until further written notice to sign and pick up permits for me. Sincerely, s NOTARY STATE OF FLORIDA - COUNTY OF PASCO The foregoing instrumentfSas sworn~,. d subscribed before me this J day of. t>Vl , Personally known)C or Produced ident 1cation \j Notary NIle, Slate Of FIoricIa My Com==2I1Ml7 Commlssio. , No. 185719 2~t/. Commissioned Stamp and Expiration Date Page 1