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Home My WebLink About04-3717 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3717 Permit Number: 3717 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: RV PARK Square Feet: Est. Value: Improv. Cost: 25,820.00 Date Issued: 12/29/2004 Total Fees: 275.00 Amount Paid: 275.00 Date Paid: 12/29/2004 Phone: Work Desc: REPLACE MOTOR PORT ROOF & REPLACE SCREEN ROOM WITH SHED Book: Name: EDMON BANG Address: 3501 MALACHITE DR ZEPHYRHILLS, FL. 33542 N . PATTI ELEC. & REFRIGERATION 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." 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. ~ UV<'(('Ci J, ;( t'~- ~ CONTRA~ SIGNATURE PERM~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER f7 I;. ,,) (:> rj CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 P j}-rnt DATE RECEIVED ul;<~ft{/ PHONE CONTACT FOR PERMITTING OWNER'S NAME ErJ /nand 13~/Jq v JOB ADDRESS J~o/ /I1il aclu:J. f),. . PHONE LEGAL DESCRI PT I ON: LOT ( S ) 1'19 SUBDIVISION!'IUI12/c1 .,,&o/~ BLOCK PARCEL ID # cJ-tf-~h ~- {)(PI()- (X}OOJ-/f./9o (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION o ADDITION [JALTERATION o/REPAIR [J INSTALL o SIGN PROPOSED USE: OISGL FAMILY DWELLING D COMMERCIAL o MOVE o DEMOLISH DMULTI-FAMILY [J INDUSTRIAL 0# OF UNITS D SWIMMING POOL o MOBILE HOME DOTHER BUILDING SIZE D RESTAURANT re;p/~tl ja1()lIr Pj;f",ff/. SQUARE FoiTAGE & HEALTH DEPARTMENT APPROVAL )e/J!ft.CL . \flYlMIl /(J(jPl DESCRIPTION OF WORK 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. rjJ BUILDING o ELECTRICAL o PLUMBING D MECHANICAL $ $ &), tJO. 00 VALUATION OF TOTAL CONSTRUCTION PERMITS REQUESTED AMP SERVICE [J Progress Energy D ~ ~ ~~ ,c ~);ik- W.R,E.~~ fz-lb.t. VALUATION OF MECHANCIAL INSTALLATION TYPE OF CONSTRUCTION: D BLOCK o FRAME D STEEL D OTHER ~ ~r\\1 D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO SIGNATURE ~ /}-IL ******************************************~* / COMPANY .bl) gJ;~ Cbltu/~/~ nz ~,(. Ie A...d. A-a .II. e . STATE CERT OR REGIST # BUILDER ELECTRICI~ COMP SIGNATURE H<!.&Y k. u)~ STATE CERT OR REGIST i ~- /Y}oA!.. ~ **** * ** ***** * ** ***** * ** *** *************** ***** * *** *** * *******;fl% ;2.... 3 7, '-:!"c J/(j u 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 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 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 "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 '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 VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNA~~ J:-ifT ~~N( SIGNATURE: CONT~OR STATE OF FLORIDA () AI COUNTY OF -+1J.s'(f Q) ~ The foregoing instrument wa~~cknO~edged ~ Before ~ this. ~a'y' of Ll"rpffL-r; 20 .!2... by ~r.A~ ;?l1l1b (name of person acknowledged) ~hO is personally known to me, or STATE OF FLORIDA) ) COUNTY OF I(/fl 8 (' .P The foregoing instrument was~~cknowledged Befo~ me t;.his ~ day of l1!-('p~r 2QQ4 by ....')~cle ?uJJf) (name of person acknowledged) P(WhO is personally known to me, or o who has produced ( ~did of identification) take an oath. f identification) take an oath ~ ~A_ Name typed, pri t ~~J.SlBilOfFlorida eo. ~ Exphs2J18A)7 n..~, No. 185719 19nat re of per ~ 009NGrEEN Name typed, pr ~=" CoI..nIssIon No. 185719 , \ u.. u.. 0 0 0 0 a::: a::: <9 W Z l- I- 00 00 0 w (, x a.. ~ ~' W ~ W 0 Qu U U <( I ...J I- a.. S W a::: I I j / 'J!f ~ (~ / 0:: I 2 I 0 I :2 i C) i ~ I (/) ! ~ I i w C) <( 0:: o l- (/) C) z i= (/) X w .."""4'j'ili,"'4~~~~l.;;rIt>..,~......,." . /~ /..----.-/ ~ // C5 ,/ C) / Z ~/' ~ ~;, Q :EW o~ '0 a:::~ Z:::J 00 W~ \'l"'- ~ W:::> '-- a::: a::: ~ Uo OOu.. ~ <9Z Z- "'- I-W 0000 -0 X...J Wu I I- <( 1Il Cl z i= (/) X w cJ g ( ------ I ---_.,_.__.__.._......_._._-------~---I II11II1I1111111111111111111111111111111111111111111111III11I 2004242109 I~ Co/'L i~ NOTICE OF COMMENCEMENT State of County of /JtZq(!tl 2 . THE ImDERSIGNED 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 Commencement: , tc f /</9 f' IAf rfl./r/ ~O/ /l6- rJ ,/-J-f.t, -cJ/-oo () - (XJ:)X)- IV{d ,JSo /J1d.: I a~ lk ()/, . (Legal descr~pt~on of the property and street address ~f ava~lable) General Description of Improvement redL~ /nrl!o,l') /JOff /1m! r , I rtJoA ~)/ ~k/ . 1. Descr iption of Property: Parcel No. !efJLLu , ~A 3. O\vner Information: Name {t/mol-.d l~ddress JS-O/ ftlL/fLQL,1t /}. City 8 ti./19 ./ ~ . u~'-r r lulls I Rcpt: 842503 OS: 0.00 12/30/04 Rec: 10.00 IT: 0.00 --~-______ Dpty Clerk Interest in Property: StateF/ JJ["IJ/ Name of Fee Simple Titleholder: (If other thgn owner) JEO PITT"AN~ PASCO COUNTY CLERK 12/30/04 0::11 : 18i1m 1 of 1 OR BK 6171 PG 22 Address City State ,;~ :;..1 4. Contractor: Name /~ A.. I()//~ ( .. . Address .]7,,& ('{U'ciJk(A P/" City . C/J/lu he/lOA Z:-.L> L.( r I J/( ; c/ . Sta te 1-(. !J.JS'/! 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. Exp.lrllLi.on date of NotIce ol Commencement (the expIratIon date is 1 year fr0m the date of recording unless a different date is specified.) Signature of Owner: f':J~J ~/\_ C/ Sworn to and sUbscribe: before me this I!>~ ~ of DeC"--be,.- ;9 ;2.00'f . _ .. rl Notary Puhlic:' .~~ ~aA__ My Commission Expi~~s'J >'lfY~'" Suzanne BahI ~~~~~~C>.~ Lom.ml~~I~n #DDJ3}13~ 0'. \.:J:..-~ ExpIres. ,\jOY 15, L.OOt -;"~~'b '-~of........ j.~Ilmipri Thnr r(t. F f~ ,'\ ".,,1\'> AtlUlltic BOlldingCc., Ill\:. PC93053048