HomeMy WebLinkAbout04-3596
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3596
3596
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 4915 LAKE IDE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
14,500.00
11/16/2004
237.50
237.50
11/16/2004
ROOM ADDITION
Name: RITA ROSS
Address: 4915 LAKESIDE DR
ZEPHYRHILLS, FL. 33542
Phone:
CRANDALL, RICHARD
LARRIE MEYER SERVICES INC
PLUMBING FEE
1 T R
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.
1/' \J ItL~ d.-I{ ~ .
CONTRACT~ SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 82'11 St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEJ:VED / / - / S -1J Y
PAs(() PeRMl! SERIt'J(
CONTACT FOR PERMI'l"l'ING f -~"lC-g}.t.t-7gcpl
PHONE
OWNER'S NAME
R.,;' /-a...
'19 IS-
I?4Q,J
LIlb<s iJt, [}rive
PHONE
JOB ADDRESS
SUBDIVISION w/~_ler.r m. /I.
1"tJJ' /{.
(OBTATN FROM PROPERTY TAX NOTICEl
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID It
Il./ -62(, - ~/- 000)- OO~O -0000
WORK PROPSED: ONEW CONSTRUCTION 9(ADDITION OALTERATION 0 REPAIR
DSIGN 0 MOVE 0 DEMOLISH
PROPOSED USE: ~GL FAMILY DWELLING OMin.TI-FAMILY O. OF UNITS
o INSTALL
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
?(MOBlLE HOME
o OTHER
DESCRIPTION OF WORK
/'00 m
I ~ )C ,),0
D RESTAURANT & I;IEALTH DEPARTMENT APPROVAL
ruiUlti/(
BUILDING SIZE
SQUARE FOOTAGE
r).. V () P
HEIGHT
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.
~ BUILDING
'$ ELECTRICAL
$
PI s-oO. (J)
& .:.11.( ) SET ENERGY FORMS.
F01f,S.
/5),)0/3LDl.
~T RE VESTED ~O.:..~ ~L,
PE~ S Q
VALUATION OF TOTAL CONSTRUCTION ltc /&-) f/ b J-
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
OGAS
o ROOFING 0 SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
SIGNATURE
~~}JL
{/
g~~~~~~~~~~~
COMPANY ~ (U) J' /~ AkA..D C
BU:ILDER
STATE CERT OR REGIST It
ELEC'l'RICIAN .
SIGNATURE~~-'I.. Cc.~
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6' Le.el-r~
COMPANY
C rfLlLcio.-l/
STATE CERT OR REGIST It
PLUMBER
..................................:::::::..~~....~~ ~
~ ~ YY\~ STATE CERT OR REGIST * Cel (0 'f 'ift. (
SIGNATURE
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MECHANJ:CAL
COMPANY
SIGNATURE
STATE CERT OR REGIST It
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST .
A. NOTI~E 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 the
will be responsible. If you, as the owner signs as the contractor, you are indicating tha
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 i
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.
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 t<
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'c
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 si~
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, CONSUL1
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".
~cdu"bJL
SIGNATURE: OWNER OR ~ENT'
. ~~ ]JL
SIGNATU E: CONTRittCTOR
STATE OF FLORIDA ~'P
COUNTY OF .. a. SU!)
The foregoing inst.:n~ment w~ ~cknowledged J
Before.,..m~ thJs o2O"!""<:lay ofV(l~bt-r , 2QQ:,
by ~(''-''-' ~~
(name of person acknowledged)
~hO is personally known to me, or
o who has produced
Mt~ (type of identification)
~id not take an ath.
STATE OF FLORIDA
COUNTY OF
The foregoi..ng instrument w~a~kpowledged
Before me J;his o2o~ay ,of~, 20 E.:f
by -S:.~""A'L ~
a{, (name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type of identification)
~d not ta e an oath
~
'Ptt ~Lo
Name
ure 0 erson taking acknowledgment
"""" Suzanne Bahr
"~VPu" 7131
_-'~O~(f"_ ('''mmi~~ion #DDI5
t~e ,:~1tedNorlS;;e.iat>ed
c-':?i;; i; f~O~":/: Bonded Thru
'. ,~" ", .Atlantlc Bondmg Co, Inc,
111111I1111111I11111111111111111 11I1111I11 111111111111111111
2004202261
NOTICE OF COMMENCEMENT
;:: /ort.~
County of
(JQ~
State of
THE tmDERSIGNED hereby gives notice that improvement will be made to c2rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencemcnt:
2.
General Description of Improvement
rooA.
Ji/-,)' -rJ/- oXXJ- OOcY.-Od-{)OOO
CU ;dt.r ~ /IJ. II. ,Pw(
and street address if available)
I
n X .~'
tf /
/ ~.)(. .2.JJ . I
~d~
1.
Description of Property: Parcel No.
l/9/S Uk.,f/,je tJr.
(Legal description of the property
3.
Owncrlnformation: Name
12-/ 'k ~tJoJ
L~J i~ IJr. City kfJL;rW/,r
Rcpt: 826968
os: 0.00
10/29/04
Rec: 10.00
IT : 0 . 00
DFJty Clerk
Address if 9/S"
State 3aSI/J
Interest in Property:
Name of Fee Simple Titleholder:
(If other thsn owner)
JEO PITTMAN. PASCO COUNTY CLERK
10/29/04 08:37am 1 of 1
OR BK 6087 PG 98
Address
City
State
Contractor: Name
~ "-^- <S Io.1e
F6rY- /c~!
.,
Aka'l)t/ ;t1
City l.q:J~rj.J/r
Stater!. 33Sl//
Address
(, 1Sl/
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
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. ~xp.lrl1Lio~ date o! Notlc.e or commencem~nt. (the expIration date is 1 year
rr0m the date of reccrd~ng unless a d~fferent date is specified.)
Signature of Owner:'C C2~:i:6~)11 ,/>>.a-,,~J
Sworn to and subscribed before me this c2f) ~day of Oc'-l!obe-r
~~.
,
Notary Public:
,\'"lff, Suzanne Bahr7131
,,~tY>.Y.~lJlil '" . . 15
f::'~'::~ Expires: Nov 15,20
-:"~'" ..;'~,:: BondedThru
""1,..,,. ',~V''' . b I'"
"fl~~\r\\\, Atlantic l\ulIdUJb 8.) p
PC93053048
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