HomeMy WebLinkAbout05-3755
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3755
ermit Number: 3755
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: 38246 EUCAL YPTU
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: DRIFTWOOD
Parcel Number:
6,800.00
1/13/2005
97.50
97.50
1/13/2005
SCREEN ROOM WNINYL WINDOWS
Name: RITA POULIN
Address: 38246 EUCALYPTUS DR
ZEPHYRHILLS, FL. 33542
Phone:
TER LU
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.
REINSPEcnON 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.
L ~~
SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED-
PROTECT CARD FROM WEATHER
00
I')G
n
j
State of fl n r i cia
111111111111111111111111111111111111111111111111111111111111
2005011536
NOTICE OF COMMENCEMENT
County ofH-l S Co
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 Commencement:
1. Description of Property: Parcel No. OJ...- 'J,,&'--d.-(-o':J..7D.--uxr.{)..tXJ')..D
rDr,'p - k,1(~\} Ph{tJC 1\/-6
f the property and street address lf avallable)
2. General Oescription of Improvement OCr-eo e,.t..L- Kcon, v:./ VI \11 j \ l\..h ;,t&illi:)<~
Rcpt: 848079
OS: 0. 00
01/20/05
Rec: 10.00
IT: 0.00
Dpty Clerk
3. Owner Information: Name ..EL-h:J.._ 'PDI.L-l,'iI\.....
l~ddress~8~tjGt t/-tCL1Jjj:>tus -12c.. City Ze.. h rh', Hs
Interest in Property:
State PI. 335'10
Name of Fee Simple Titleholder:
(If other thgn owner)
JEO PITTMANA PASCO COUNTY CLERK
01/20/05 0~:12am 1 of 1
OR BK 6196 PG 1608
Address
City
State
Contractor: NameS u"V\.. S~te A llA.~V\I~''l\,( wv
Address 015Lt fo{'tY,~~ Rd. City ~'?h~rh,ll<;
5. Surety: Name
4.
Sta teFI. 335''l;;L
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.
o~ to receive a copy of the
Llenor's Notice as provided in Section .713.13(1)(b), Florida Statutes.
~xplratlo~ d8te ot Notice or Commencemen~ (the expiration date is 1 year
rr0m the date of recording unless a different date is specified.)
Signature of Owner: /J -r ~ /J ,,'
fJLL j~ G....l'~
Sworn to and subscribed before me this 13
. t5l.w,'1 .
day of 'Decef"'\.ber
,
Notary Public:
.."\\\~~t,, Suzanne Bahr
::'~.' ".6'C i...omm
~:.:.~:;~ Expires: Nov 15,2006
-:..:,)1', .-.'~...::
My Commi.ssion Expires:
""~:t\\,,, Atlantic Bonding Co" Inc.
PC93053048
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 I~
813-780-0020 FAX: 813-780-0021 t 1 of
DATE RECEIVED - -
P/-l-5tO ~"'lr
PHONE CONTACT FOR PERMITTING 1-'illt,ld-ff~.!.f-1 tt:{Lf
OWNER' S NAM~t-a. p()lA...II.~
JOB ADDRESS 3 ~ ~~ tAco.. {~ Dr.
LEGAL DESCRIPTION: LOT(S) BLOCK
PHONE
SUBDIVISION -:Dr!' 8-wDod
PARCEL ID # O~-~fo-;}'I-Od.7D-DOOOO- OOW
(OBTAIN FROM PROPERTY TAX NOTICE)
o SIGN
PROPOSED USE: ~~GL FAMILY DWELLING
o COMMERCIAL
IiM ADDITION
o MOVE
o ALTERATION
o REPAIR
o INSTALL
WORK PROPSED: ONEW CONSTRUCTION
o DEMOLISH
. MULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
0(1 X"~ b'\..
<b )( ~lt
R~ u:>/ Vln~ \A)l'."dows
SQUARE FOOTAGE ~ 0 ~
DESCRIPTION OF WORK
HE I G H T See. pl a.c.,...s
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.
& (1) SET ENERGY FORMS.
FORMS.
jj tf7. 50 !3Lj)(,.
PERMITS REQUESTED
aBUILDING
$ (p 8ZO. OV
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
$
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
M OTHER ^1l.(..tM.~~C>(..""""'"
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
m',':"i0J71''"'''ilir'~:-:::~I=n='~-J'''-;-.-:-7''7'''mr;~-;,,-' c....., --'j ---- --------- - - - - - ------ ----~:m~""""1!':"1'.=I~rlli!Th~"'iii'~~7'l'_
ili::;,~r.~tg!l!%_r'i~ill!ili~ffMi{: t~I,."1~~~f. ~'j:;) ,J;-' ~,A:': 'f,~:f ,r~, ' ,J, t ~'j,~t,,,:/,~ i"l~~I~J.;,;~~"1f '~;t!!'f2~ltr./J",~~J-o:Il.t>:fF,iliiE;1"-t~cJi>~~ ~I
~~~~~zl2.xL1.~J;~~~~-c~~~~:"::~~~ ~'~~~'i1~...__~~~_"__~_~___ ~__ __~_ _ ___________~~~~::.'~121[~~:::~~~_"~
SIGNATURE
~.:'; /I!.ft<- Jt. !(tr
COMPANY OUJ..1... St-o..-te A-1L.UM-(~
BUILDER
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTIC,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. UNL,ICENSED 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 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 technicaloc~des,
nor shall issuance of a permit prevent the Building Official from thereafter requlr~ng a
correction of errors in plans, construction, or violations of any code. Every permlt
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 a~andoned.for ~a
period of six months after the time the work is commenced. One 90 d~y extenslon of tlme
may be allowed for the permit with fee charge of $15.00. The extenslon shall b7 requeste~
in writing to'the Building Official. An approved inspection must be logged durlng each SlX
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~~T;t!o~
~ ~/ZJ rnj~.~
S N TURE: OWNER OR AGENT
STATE OF FLORIDA 0
COUNTY OF ra..sco
The foregoing instrument was acknowledg:~.L
Befor~ me this 8""""day of~iZf"", 2lilD"
by itA.. M. R;~ '
(name of person acknowledged)
Owho is personally known to me, or
STATE OF FLORIDA ~
COUNTY OF /:l,SCo
The foregoing instrument was acknowledged S'
Before me this J..L.b:iay of :::h{H-A:IJ' 200
by
(name of person acknowledged)
~o is personally known to me, or
$.who
has produced 'D. L .
(type of identification)
~did not take an oath.
~
Dwho has produced
(type of identification)
~id not take an oath
of person taking acknowledgement
'''''''' Suzanne Baht
~:"'tS'-:.~VlJ;~;t_ Cu ",iS3i6n lDD 157131
Name typed, pri!l~~~f~~ 15,2006
"',;:;:..... :oi.~ Bonded Thru
//:f,~~t\\\,\ Atlantic Bonding Co., Inc,
Name typed,
person taking acknowledgment
,.""0, suzarme Bahr
",~~>!,:.~v~;;',,_ 131
pi'J;n '.:pg:x~'M~~d5, 2006
"',;:;:;.:. . . 'oJ',:: Bonded Thru
. /~/tl~~t\\\'" AtlantIC Bonding Co. lot
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Driftwood #3 Spec
E~Dr.
ZephyIhi11s, FL 33540
S. 24' of Lot 3 & the N. 22' of
Lot 2, Driftwood Phase IV B .
1" = 20'
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