HomeMy WebLinkAbout05-3839
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3839
Permit Number: 3839 Issued: 2/10/2005
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 106,550.00 Total Fees: 3,694.01
Amount Paid: 3694.01 Date Paid: 2/10/2005
Address: 37438 PI KETTS MILL AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: SILVER OAKS VILLAGE
Parcel Number:
Name: DAVID W. J HNSON BUlL
Addr: 9504 FORT KING ROAD
DADE CITY, FL 33525
Phone: 352523-0473 Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
DAVID JOHN N
37438 PICKETT'S MILL AVE
ZEPHYRHILLS, FL. 33542
Phone:
MECHANICAL FEE
IRRIGATION METER
WATER CONNECTION RESIDENl
75.00 RADON
180.00 IRRIGATION CONNECTION
419.00
WATER METER RES 3/4"
SEWER CONNECTION RESIDENl
180.00
1,616.00
11 O. ~ ~
V' ,J./Dl;;
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FINAL
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.
" L~
' e--- -
CONTRACTORS SI ATURE PERMIT OFFI
C LL 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
PHONE CONTACT FOR
DATE RECEIVED '/.< '" ) ()S-
PERMITTING '7/tf-t.fZ. 71
LEGAL DESCRIPTION: LOT(S)
z.,
BLOCK
PHONE ~5Z) )'2"7 - 0 cf73
-z.-t-IILLS. ~t-.. 3'35t//
.. , ,
SUBDIVISION51t,VEt< ~f<51JIuA-/E
OWNER'S NAME 1)lftJlV u) :rbflt-..YJ,'ON
JOB ADDRESS ;; 7'-/', ~ 'p/(;(<t; 'J'IS 14/ U S At/E".
PARCEL 10 # OJ - 2~ -2..( - otl2.i) -(Jot (}u ~ 6 01. (.)
/ {)ZW
WORK PROPSED: ~NEW CONSTRUCTION o ADDITION
(OBTAIN FROM PROPERTY TAX NOTICE)
DALTERATION
o REPAIR
o INSTALL
o SIGN
/
PROPOSED USE: 6rSGL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~ilJ tR(..t r/yV1/t. y PWc{A~/AJ (.;.
rCl I ~ L) /4) I{
BUILDING SIZE ~-I )/~~~ SQUARE FOOTAGE
Zt3 ,
HEIGHT
r'
ATTACH
PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,
FORMS.
~~
~
PERMITS REQUESTED
/
/,00
VALUATION OF TOTAL CONSTRUCTION
3 ~31
IB""fLECTRICAL
~LUMBING
~CHANICAL
o GAS ~OFING
Zoo
AMP SERVICE
~progress Energy 0
W.R.E.C.
o SPECIALTY
VALUATION OF MECHANCIAL
o OTHER
ENOllvsE
INSTALLATION 0 'RED PL
~Tr:;.". ~
. .J'..af ...,
-~c
pO
$ :3, 500,-
TYPE OF CONSTRUCTION: 0 BLOCK
~RAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
~O
SIGNATURE
/7 / 11 /~ ~/OC<J.::J'JH,uSo,U
~ ~ COMPANY P
.. =.... <. *......... *... ~.... :~:~~. :~~~. ~~. ~:~::~.:..~.. ~~. ~ ~;;;; ~~
d;20'/'
BUILDER
ELECTRICIAN
SIGNATURE 4h ~~
COMPANY~Q. PAt.. crle.~~"~
STATE CERT OR REGIST #
IY 40,
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PLUMBER
COMPANY t:o/6y ,JaYI1e5 fI~" ItJG
STATE CERT OR REGIST # CFC,}tfl 6 '3/.7
SIGNATURE
SIGNATURE
****************************************************~***
COMPANY 5 () /V ~y -:;
~ t1A 60
STATE CERT OR REGIST #
IS'-t~!
MECHANICAL
*****************************************************************
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, 8l3-780-0020~
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
0, 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 corrunencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be tlone in compliance with all applicable laws regulating construction, zoning, and land
development.
Application 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. En~~.~~~al Protection Agency-Asbestos abatement
I alsO'1f'~y"that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
underst6~d that a drainage plan addressing a "compensating volume" will be submitted which
is preparld 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 00 N VALUE DO NOT NE 0 T RECORD AND POST A OF COMMENCEMENT".
SIGNATURE: OWNER
acknowledged
,20_
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_
of identification)
take an oath.
(name of person acknowledged)
C1ho is personally known to me, or
Owho has produced
(type of identification)
and who Odid Dlid not take an oath
(name of person acknowledged)
Owho is personally known to me, or
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
5' sidewalk
5 L)'tYJ~'1 MIYl'V.U <;
5JJTt,\.;Sf: /J^Jfft<fiP;~
1)'-- Ii jNI lz.- Df-
/ Nsp0J-rtorJ
t
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-L I' r- -'J. lEWED
e Df
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. _. I n. ; . .,:NED ~~
S_etback
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z
and rear
\
______ ~IC K ETT' S MILL
-----.----..- ..--..--..'-...r'-'l - r:---~-- .
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4
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tP 09' .
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50.00'
.
.
,50. 0'
Lexington
Rosemont
-,- - - --
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- --MA S~ ~ -R 0 A-O-
EXlSJ. 30' R/\^/
David Johnson Builders
37438 Pickett's Mill Ave.
SQ. FEET PRICE
MAIN OR LIVING: 2,131 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 106,550.00
FEE SHEET $ 501.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 811.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 811.50
ELECTRICAL: $ 116.70
PLUMBING: $ 99.50
MECHANICAL: $ 75.00
RADON: $ 21.31
TOTAL $ 1,124.01
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ 175.00
TOTAL: $ 2,210.00
WATER METER: $ 180.00
IRRIGATION METER $ 180.00
SUB-TOTAL $ 3,694.01 I
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
I
TOTAL: $ 5,388.01 I
paJ,t JI1f?~-r 1-
'; r -& 1 vq , 5 \{I
TIF'Sr
99% $
1% $
{cfJ
~
PI II. tan U\WIl
11M; 7'2:.,~
SIiMINOUi POnM4lf1
NOTICE OF COMI\]ENCEMENT
SUJI& of flal'lda '(J.Ll-< } (pnltp.... IN DU.....tt ......
CUUllty IIr (' /, / CO \
Tha undersigned It..obv Inform. ." aonnll.nltd thlilt Imp...ua....nF lU wJlI 110
with "8<<:tlOI1 11 ~1. 13 of rhe Flortda 9tatute.. lha followind if1f.......'f1 'Iun ID 8t8~n:d,D tu"iUflrlal~ rU1I1 pmporty. Qnd In Quoordllltc.
"'\ . . . Q n 1..9 NO riCa: OF COMMENCEMENT.
O.8flrfptfnR a' pn,pMny _. t/.} :: k.~:.: l.l.:.~. z 2.Dv t/ () r CJC.!'/'- 6(~ 3 &
. .. .. .. .. ... . .. .. ... - .... - ..... .... - ...................... - .. .. .. .. ...... .. .. .. .... .. .... .. . ... ...... .. .. .. .. .. .... . ... .. . .. .. . ... .. .. .. .. .. .. .. ... ...
.. -..................... ...... ..oo.... ......................... .........
1111I111111111111111111111111111111111111111I111111111111111
2005018007
. . .. . . . . .. .. . . . .. .. .. ... .. .. . .. .. . .. - .. .... .. .. .... .. .... .. " ...... .. ...... .. .... .. .. .. .. .. .. .. .... . .. .. .. .. .. .. . .
.. ........... ...............................
General deaoriptloll of bnprovementu .. ?/~&J.f.. .r-. 11!':! t ?-:V . 7:>. 0!6("{,/ ~':-! (? . . . . . ' . . . . . . . . . . . .. ~ . ~ ~ : .. . . . . .. .. . .. . .
own.;]J.A://r.l),..iN. .:Y.H.tI.?Qt:I......., ........ ..... ............ '_'" . .. ............
AddrGss ". 7f/ ~~f .6::i':'r.. g!(v.~.B~t1:I)... .l!gPtf. <to/" R~.:: ~ ;~;~4..:::~:::::.:::::::::'::::
Owner's inler... in .Ite of dut ImprOWlhlllln1 .... . .. . . . .. . . . . . . . . .. . . .
Fell SImp11l Tlifll holda, (lr oUi., 111"" aWIIII"
Rcpl: 851060
OS: 0.00
01/31/05
Rec: 10.00
IT: 0.00
_______ Dpty Clerk
R
Nllmu ..' .....'.... ... - . . . , . . . . . . . .. . . , . . . . . . . . . . . . . . . . . . . . . . . . . . .
- - . . . . . . . . . 'jEli . p'i TTMANi' PASCO COUNTY CLERK . . .
01/31/05 1 :08am 1 of 1
AttdrssS........................................................... .......... OR BK 6209 PG 1093
Cnntronror .fllJ.V~' t? .w.-.:JJ:J:f.~,{2~~/~'!.~~?'~.((I((._....... ..., ..."............. .......... ..............
Addres51 ...1. f..:t!. to. .8?i!.r.1< flJlt? . KP ~.. !?/J!!.~. .?(~E':::. .~.~?~::;.. .... . . . . . . ,. . ... . . . . "0' ... -. .
Surety fif any) .,....,....,...................................... -' . . .
AddrD85 . .,...................., . . . . .. . . . . . . . . . . . . . - . . . . . , . . . . . . . .. ...........,....,........ A,noum of bond I . . . . . . . . . . . . . . .
AnV pe)'l!IQn mining D loan far aha llooltrUcllon of tile Imp.ovumer as;
NamD ....
..................... ..- ................. .................. -......
.. ..... .... ...... ....... "....,.... '.' ........ ..--...... ......., .....
Addross , . .. ,..............,.... . . . . . , . . . . . . . . . . . . . . . . . . . . . . ., . .. .......................,....... ....,.,...,..,...........,
Per!Jon withi.. 'tho SCalD or florida dft8lgn.twd by ownar upon wh. m notim18 or ather documontB mav bo 8ltrved:
I\f~me ,.......,.....,.........................'.,.................,.
. .. .. ... ..., .. , .. "" .. .. .... .. . . . .. . . . . .. . . . . . . . - . . . . .. .. . . .. .. .. .. .. . .. . .. .. .. . .. .
AddraBII .', . , , . . . . . . .. . . . . . . . . . , . . . . . . . . . . , . . . . . . . . . . . . . . . . . . .. . . . .. ......,...........,.......,............. . 0 . . . . . . . . . . . . . . . .
Ih IIL1dAtlon to hlmau". ClWIIIII' deslgnatln the fallawlng pur.on to re JOlva . aupy of the lIoltor's Nntit:8 liB provided In Sact40
113.13 (1 J lhl. "Iarids ScatUltls. (POI III aC Owner's ......
::::..rH,..,.~~,~~.=:;.~~:~;v - -, - -:' -::: - -::: - : : _: B~;J::: u, _,',Up::: u-:
STATE OF FLOAI'DA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE. WITNESS MY
HAND AND OFFICIAL SEAL THIS~ DAY OF
-.JIJN -RO.:5
JED PI MAN, CLERK OF C CUfT COURT
BY , DEPUTY CLERK
SWDfll1ll fir d lIubucribBd bofor. mo this .
m,_,J.!..,._ ...~~t~~.' '.', ",,~,~~:~:,p~~
~.".YPIl4. . ~
~PM'<;. C,t( MAN HARTZOG
~"t".~ MY COMMISSION # DO 145085
OF 1\..,'" EYOIF'"'' A
. '" 'ev: ugust 27, 2006
HlOO.3-NOTAAY FL Notary Service & Bond I
__________-_________ lng, nc
PASCO COUNTY, FLORIDA
Permit No., o3><?J9
Date Permitted
Builder Name/Owner Name DAu\D ~~tJY\
Control #
County Parcel No.
SubDiv:
Address/Location ~43~ V,cJu...its \'\1\\ \ \ .-Ave 2-h:J\ <\ s3)L{j
ClassificationfType of Use Single Family Residence
TRANSPORTATION IMPACT FEE
Rate:
Sq Ft Unit:
Exempt DYes D No
How Determined
Impact Fee Amount
Zone No.
TAl:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) Other Residential
.J:123) Collection Fee
Exempt U Yes D No How Determined
Amount $
PARKS AND RECREATION FEE
Land Account Land Credit
Land Total
Recreation Account
Recreation Credit
Recreation Total
Zone
TOTAL AMOUNT
Exempt DYes D No
LIBRARY FEE
Land Account 157
How Determined
Land Credit
Land Total
Facility Account 240
Facility Credit
Facility Total
Exempt DYes D No
How Determined
Total Amount
RESOURCE FEE
TOTAL AMOUNT
d L (od-
ERU
IIi-
Prepared By
Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
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Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form, placing
the building permit owner on notice of this assessment and the conditions of payment for same.
DATE
RECEIVED BY
RECEIPT NO. '&4 8/43
DATE ~ /18/6S BY
I /
Gct~.
~(j~
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C GC 060316
David W. Johnson/Builder Inc.
9504 Fort King Road
Dade City,FL. 33525
(352)523-0473 Fax:(352)523-2802
I STATE CEFfIFIED GENERAL CONTRACTOR / RESIDENTIAL / COMMERCIAL
August 23rd,2005
To all City of Zephyrhills building inspectors,
Please accept my apolgy in allowing the home owner to occupy the residence at
- 7;(3f
icketts Mill Ave. I would like you to know that the electrical problems were
corrected before the family "moved in".
Thank you for your patience.
/' Sincerely, / /!
" / ~/
, (, !////
^-.//~ ~
David W. John~ll