HomeMy WebLinkAbout05-3760
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3760
Permit Number: 3760 Issued: 1/14/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ROOF NEW
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 3,917.00 Total Fees: 75.00
Amount Paid: 75.00 Date Paid: 1/14/2005
Address: 6101 PLEASANT ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: BAHR, RANDY KEITH
Addr: 37827 EILAND BLVD
ZEPHYRHILLS, FL 33541
Phone: 813 782-3513 Lic:
Work Desc: ROOF OVER
DEAN H
6101 PLEASANT ST.
ZEPHYRHILLS, FL. 33542
Phone:
U
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."
NO OCCUPANCY BEFORE C.O.
~~~ )z,/i ~~
CONTRA~~-; ~I~TURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
1113/05
PHONE CONTACT
FOR PERMITTING
PASCO PERMIT SERVICE
1-866-824-7894
PHONE i II F
o ree
OWNER'S NAME
f)e {Lll
~ /01
{' fL-{.h ~ r.,f
p /ea;((lA f
<51 fU- f
JOB ADDRESS
SUBDIVISION ()flks /iL '/}J, II. fJa-rlC
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID #
o r2 -tJ..fR -J-/- 00,;20 - 0030:)- O()lo
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
o ALTERATION
~, REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLISH
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
PROPOSED USE: DSGL FAMILY DWELLING
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
-I ,)
roo -otJ~1- It! x.ff'9
BUILDING SIZE
II/-' x 5'9
SQUARE FOOTAGE
!~tf
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 t' S.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 75". -=- ~ ~LJ)~.
PERMITS REQUESTED
rs(... BUILDING
d ELECTRICAL
$
3,.9/7.0t)
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL
$
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
BUILDER
COMPANY
11 fl-A r 'S Akn-i/)flfJl
SIGNATURE
~~ti c- ~ :f-IL
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 #
*****************************************************************
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 corrunencement.
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 corrunenced 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 corrunenced 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 corrunenced. 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".
SIGNATUR":f{:';;R~OR~{f
SIG~~C ~ONJ:;T(~
acknowledged
, 2~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
, 20_
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
Dwho has produced
(type
and whoD did D did not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid D.iid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
PASCO PERMIT SERVICE
DATE: /-/,,2-05
SEQ. #:
DATE IN:
DATE OUT:
PERMIT #:
CONTRACTOR: Rahr's A-\ lOltl~t(.~ ~-i
"----+ tr C./I./O F,rf t.l~
Legal OWNER NAME: 'De~ Ca.~.s
CO. ID#:
3 sV ri---
Phone
Location ADDRESS:
(, l 01 Pleasat\-t--.St.
~~ M.tt. Pa.rk
ZIP 33';<( I
PARK/SUBDIVISION:
LOT#
Rent /Own
PARCEL I.D.#: O~-~('-91-()l)~-()03DD-OO(O
LOT SIZE:
UNDER ONE ACRE: ~ OVER ONE:
DESCRIPTION OF WORK: 'Rcn~ -over
S(l1., ( I AlI.&..L
r ,
/4 X !Jq
Elec.
Plumb.
Mech.
SQ. FT.: Living:
Patio:
Garage:
T ota1:
TYPE OF CONSTRUCTION: I'
more than 3 yrs. old or since repair EXISTING SYSTEM
Ok, ~_,
Signed ~ed W/app..
Received Recorded W/app, I
Applied Approv. W/app. I
AUTHORIZATION TO SIGN & PICK-UP LETTER
JOB COST: 3q 17. ot> ~0
SEPTIC TANK -less than 3 yrs. old SEPTIC LETTER
-----..=-..---.......,-..---""'.."~....~,,...""--"'-...,.."""'~,.~".,~"'..,....-,~_""""","''U'C~'"''''''''''.'''''''''''''''''~C'''''--''__''''''L''''''''''~'''''''''i'''''''~"'----=..
Applied Approv. W/app.
ADD CENTRAL HEAT & AIR
ENERGY CALCS.
Done W/app.
FLOOD WNE:
A AE
X or XSOO (no requirement)
SHEDS & SCREEN ROOMS
HYDROSTATIC'S
GLASS WINDOWS, BFE:_
ELEVATION CERTF.
Done W/app.
Order date Done W/app.
SURVEYS REQUIRED:
SOO+ SQ. FT. OF ROOF / SLAB
1 ACRE OR LESS OR EL NINO ZONE:
DRAINAGE SURVEY
AS-BffiLT
Order date Done W/app.
Order date Done W/app.
,', ,.."'....,..........,__.-'-'-..-c...'--'....'......"'~...u......"....._~,...................._..,_...~~..~....,~ '.', __~'~..___._,~,.._.'.. ............. ;.._~____._....,""~._....< ..,,~.__.~'^..,,~,_________..-..,.-...--_..........._~. _~,-..*___,,_-..
BAHR'S ALUMINUM ING.
6440 Fort King Rd
Zephyrhills FL 33542
(813-782-3513) To/I Free:(866) 296-4316
Invoice No.
INVOICE
Customer
Name
Address
City
Phone
Misc
I
Cathers, Dean
6101 Pleasant St - Oakside M/H Park
Zephyrhills State FL
788-3684
Date 1/12/2005
Order No,
Rep
FOB
ZIP 33541
Qty Description Unit Price TOTAL
59' x 14' Aluminum Roofover wl2" Styrofoam ('/q'l
5" Trim White Sm wltab brackets
Remove Old Diamond-Rib Roof
Taxes & Permit Included
Agent:
Date: $3,917.00 $ -
Customer:
SubTotal
Shipping
Payment I Select One." Tax Rate(s) E
Comments TOTAL
Name
CC#
Expires
Office Use Only
t We guarantee all material used in this contract to be as specified above and the entire job to be done in a neat,
workmanlike manner. Any variations from plan or alterations requiring extra labor or material will be performed only upon
written order and billed in addition to the sum covered by this contract.