HomeMy WebLinkAbout04-3592
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3592
3592 Issued: 11/16/2004
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: RV PARK
Sq. Feet: Est. Value:
Cost: 10,000.00 Total Fees:
Amount Paid: 207.50 Date Paid:
Address: 3448 PERI aT LN
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number:
Phone: Lic:
Work Desc: LANAI AND SCREEN ROOM
ICHARD L YD CKER
3448 PERIDOT LN.
ZEPHYRHILLS, FL. 33542
Phone:
\~~ \ lo
(;~'l\'\,~
1
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.
Viq(!~ Jr.IL _~- ~
CONTRACTOtsSlGNATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
D:ISCLOS1IR.B STATBIIBR'l' POR owmm
C:In OF ZBPBYRB:ILLS BUJ:LDDtG DBPARTJIBNT
~{(!Au.J1<i ~ri::-(l./IR.-r have read and fully understand and
to ~e provisi~ of this instrument.
:I,
agree
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own doDlici~e, that he or she
actua1~y occupies, or wi~~ occupy by said doDlici~e, and same is not for
rent, ~ease or sale. That he or she shal~ comply with the fo~~owing conditions:
~. That the owner and he or she alone sha~~ act as the builder for a~J. phases of
construction.
2. That the owner wi~~ comp~y wi th a~~ provisions of the City of Zephyrhi~~s
or"] nances and codes pertinent to the bui~ding.
3. That in the event various phases of construction are subcontracted, he wi~l
engage only properly licensed subcontractors and will personal~y supervise
such work.
4. That in the event the Bui~ding :Inspector sha~~ require corrections to be made,
the owner wi~~ assume ful~ responsibility to insure they are made, and upon
comp~etion wi~~ ca~~ for a reinspection before proceeding with the bui~ding.
5. That the owner shal~ assume ful~ responsibi~i ty for the construction and wi~l
not expect supervision of his work from the City of Zephyrhi~ls Building
Department.
6. That prior to final inspection any additiona~ fees, including reinspection
fees, must be paid in full. A written request from this office shal~
constitute an official notice to pay additiona~ fees.
7. That the owner shal~ comp~y with al~ City, State and Federa~ laws in regard to
social security, workman's compensation, ~ien ~aws, etc., where app~icable.
8. That the owner sha~~ comp~y with a~~ the safety codes issued by the F~orida
:Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
app~ied for a permit under an exemption to that ~aw. The exemption a~~ows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-fami~y or two-fami~y residence or a farm outbuilding. You may also build
or improve a commercial bui~ding, provided your costs do not exceed $25,000.
The bui~ding or residence must be for your own use or occupancy. :It may not
be built or substantial~y improved for sale or ~ease. :If you sel~ or lease a
- bui~ding you have built or substantia~~y improved yourse~f wi thin 1 year after
the construction is comp~ete, the ~aw wi~~ presume that you bui~t or
substantia~~y improved if for sale or ~ease, which is a vio~ation of this
exemption. You may not hire an unl.icensed person to act as your contractor or
to supervise peop~e working on your bui~ding. :It is your responsibi~i ty to
make sure that people emp~oyed by you have licenses required by state law and
by county or municipal licensing ordin.;mces. You may not de~egate the
responsibility for supervising work to a ~icensed contractor who is not
licensed to perform the work being done. Any person working on your hui~ding
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.:I.C.A. and withho~ding tax
and provide workers' compensation for that emp~oyee, a~l as prescribed by ~aw.
Your construction must comp~y with a1~ app~icab~e ~aws, ordinances, bui~ding
codes, and zoning r
OWHBR' S S:IGBATURB
ADDRESS 3'1~
PHONE
DATE
//- 9-tJ Y
WI:T:NESS
PBRKIT #
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
11_ /S-"C7V
PHONE CONTACT FOR
PERMITTING
PASCO PERMIT SERVICI
1'-866-824-7894
Toll Flee
PHONE
OWNER'S NAME .e ~llal1(1 Lgcleek.er
JOB ADDRESS ~tr! /JIZ/'iclal LMe-
LEGAL DESCRIPTION: LOT (S) ~9
~tj4 -~/- 007() - aoooo -JJl90
SUBDIVISION t;~~~ )?O/~
KI/ iUVT PI/ '"'5
(OBTAIN FROM PROPERTY TAX NOTICE)
BLOCK
PARCEL 10 #
WORK PROPSED: ~NEW CONSTRUCTION
o SIGN
PROPOSED USE:~SGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
,St::.Il.Rm
BUILDING SIZE I-A/J'I'
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
LCLlJfLt .j SC-/'eM
/:1.;<10
I.;J. x. .;t 2.
roam
::J Oil ;p
SQUARE FOOTAGE vO 7
HEIGHT
10'
PERMITS REQUESTED
& (1) SET ENERGY FORMS.
FORMS.
/ 2-0. o~ 1~})lJ.
~ )" ; ou ti-L.bJ-..
52., ~ 1)4i1~"
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.
ri' BUILDING
riELECTRICAL
ri PLUMBING
o MECHANICAL
$
I!J 000. 00
J
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
Progress Energy
o
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
SIGNATURE
c?/~1
******************************************************************
COMPANY
I; 0 IU- (J() tL r
BUILDER
STATE CERT OR REGIST #
'LECTRICIAN~L
/SIGNATURE STATE CERT OR REGIST #
********* ********************************************************
COMPANY
h()~M#r
PLUMBER
C;?!:~~** ** *** *****~:~~~~~~:*~~~::~~~** ****
-----SIGNATURE
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 po~tions 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 som~one 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 conunencement.
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 conunenced 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 conunenced 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 conunenced. 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
$2,50 LUE DO T NEED TO RECORD AND POST A "NOTIC OMMENCEMENT".
produced
(type
)?lQid not
of identification)
take an oath.
~
STATE OF FLORIDA ~
COUNTY OF @.$C 0
The foregoing instrument was ackn~wledged
~~fore ~,;~rn~yA~~VlO'--;- 20 2!/
(name of person acknowledged)
C1ho is personally known to me, or
~o has produced .p. L.. .
(type of identification)
~id not take an oath
~
STATE OF FLORIDA ~
COUNTY OF L4.$~
The foregoing instrument was aCknOWledg~
Befoy. me this ~ day of A.)C>tIe..Joe.~ 2 0
by ~lrht:1,...d. ~~~.-...
(name of person acknowledged)
Dwho is personally known to me, or
~ has "J).L-.
taking 'acknowledgement
Sig
Name typed,
,,'~~\,'t", Suzanne Bahr
'0".... <9,', e .. #~ I .
~~""'~'(' _ OIlI~~~IUII D 371 j i
p~\,:~~:~fxP"I iS~~v 5,2006
"'~;'; 0; ;:"o..~", Bonded Thru
I""",,' Atlantic Bonding Co., ine
Name typed,
,"~~;,'u.'" Suzanne Bahr
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prlnte::*:o~\5:"?Hm,lj!r s:Nov 15 2006
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......~~OFf.\.O~~':'.. Bonded Thru
'11"'" Atlantic Bonding Co., Inc
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Permission-OwnerBuilder.txt
12 Lt!. A (LJ'1 d
Name
llj/e~
v
,J.s-Oc2
Address
~-/~{>)J!r Fl.
.
PeIlLlIJ I i tlI.-L
33S'/J-
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.
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn t;> ,and L _ _ . I
subscribed before...~ this ):5 day of IV DVemu:r, 2f)VLf.
Personally known~ or Produced identification
~ ROBIN GREEN
NoCary PWIc, Slate 01 FIon<:I~
My COI,.,1IssIon Expires 2119/07
Commlssb, No. 1857~>'
Commissioned Stamp
and Expiration Date
Page 1
NOTICE OF COMMENCEMENT
Rc:pl: 831450
OS: 0.00
11/16/04
111111111111111111111111I11111111111I111111111111111111I111I
2004213267
Rec:: 10.00
IT: 0 . 00
Dpty Clerk
, .
State of
.J::"/ allrlli
County of
(J{{~to
THE ImDERSIGNED hereby gives notice that improvement will be made to czrtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Conunenccmcnt:
1.
Description of Property: Parcel No. :;)'I-rY-b-~/-OrJ7()-OOOOO-~1/9u
3"1 Lj g /J 'j' I - - . / " , /J
,f.)"OJ.- /--'2 /YIYJ) f La..iLL Lme /'ILl (f fJo/ /lie ;lj/ IctMO/\t
(Legal description of the property and street address if available)
2.
General Description of Improvement
,
L a-/JIL/
~ v' e ;-e~A.. ro (J;:fJ
R3.
Owner Infor~IJation: Name
.3LfLf8 .
Address .3.iJOo1- P-erLCh I LaM City
12 t. e A It/' cI [1./01 e t!1!..~. r
v
ufJ4rLJ/r
S tat e ;:(, J 3 Stj.J..-
Interest in Property:
Name of Fee Simple Titleholder:
(If other thgn owner)
Address
JEO PITTMAN PASCO COUNTY CLERK
11/16/04 09:16am 1 of 51
OR BK 6110 PG 66
City
State
4.
Contractor: Name
noml' OtLJU.'
Address
City
State
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
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:
Name
Address
City
State
8. In addition to himself, Owner designates
9.
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
E:xp1.rl'1t...io~ date or Notice or Commencement. (the expiration date is 1 year
fr0m the date of recording unless a different date is specified.)
Signature of Owner:. ~~~~
Sworn to and subscribed before me this rc#-- day of ;f)/)(/~er-
tIfJ ~OCJL/ .
Notary Public:
~
\"'%"11 Suzanne Baht
~""~" '-:. ommlSSlon I
~;;, ~.:;J Expires: Nov 15,2006
~ ..;;j 0)1 ,\.~i\~":'" Banasa Tkm
I""" I" Atlantic Bonding Co., Inc,
My Commission Expir.es:
PC93053048