HomeMy WebLinkAbout05-3850
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3850
Permit Number: 3850 Issued: 2/15/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 18,000.00 Total Fees: 180.00
Amount Paid: 180.00 Date Paid: 2/15/2005
Address: 5815 17TH T
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: AMSC BUILDERS,INC
Addr: 809 E. BLOOMINGDALE AVE
BRANDON,FL. 33511
Phone: Lie:
Work Desc: DETACHED GARAGE
Name: VINC ULLOCK
Address: 5815 17TH ST
ZEPHYRHILLS, FL. 33542
Phone:
" CONDITIONAL USE APPROVED L 2/14/05
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,
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
NO OCCUPANCY BEFORE C.O.
~-.
-
S SIG :ATURE PERMIT OFF I
cALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
AMSCO BUILDERS, INC.
CBC#059036
December 16, 2004
Contractor Licensing Division
City of Zephyrhills Building Department
5335 8th Street
Zephyrhills, Florida 33542
Dear Sir or Madam:
This is authorization for Debra J. Ames or Ryan Simmons of Amsco Builders, Inc., to apply for, sign
for, pay for, and pick up any and all building permits within the jurisdiction of the City of Zephyhills, Pasco
County, Florida, on behalf of Steven C, Ames as Qualifier for Amsco Builders, Inc" from this date forward and
until otherwise notified in writing
Contractor:
Steven C. Ames/Amsco Builders, Inc.
State Contractor License No. CBC059036
Agents:
Debra J. Ames,
Ryan Simmons
State of Colorado
County of Boulder
Sworn to and Subscribed before me this 16th day of December, 2004, by Steven C. Ames, personally
known to me,
/~
Notary Pubbc, State of Colorado
7616 WEST DRIVE
WESLEY CHAPEL, FLORIDA 33544
www.amscobuilders.com
TELEPHONE: (813) 994-9292
TOLL FREE: (800) 200-1560
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 ::<- ,/-05
fC-rptN Sl~~
PERMITTING ~\']- 9' l' -'729.:2
OWNER'S NAME \)1 f\)~f\,(l 8\.J LLC>c...c.<- PHONE
JOB ADDRESs5€' ~~ J? M 5T Z~i2.l..U c..L5 t Fl
LEGAL DESCRIPTION: LOT(S) LJ, ~~ BLOCK ?Lf. SUBDIVISION
PARCEL ID # ll-;2.G:, -~, -nO\ O-D?I./CP - OOl,lOOBTAIN FROM PROPERTY TAX NOTICEl
<813 - c,g, - 30;;)3
3s5l/-n
WORK PROPSED: ~EW CONSTRUCTION
DSIGN
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
~THER
f\1_1 RESTAURANT
DESCRIPTION OF WORK ~1f""'A.cHt3D
.
BUILDING SIZE Ot 1/ --{ 30t
& HEALTH DEPARTMENT APPROVAL
C~c3
SQUARE FOOTAGE
/020
I
HEIGHT 7 9 @'WQ
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PE~ ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
~I~~PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~\f\~'\ , ~~ ' A\\1
t'-\ -))~~, -\\OQ) ilf'
...J ~~" ,1\ l
o BUILDING $ )~l Q"""~
& (1) SET ENERGY FORMS.
FORMS.
~~
IoU. fSw~-
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
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
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
COMPANy1)W1SLD Bu), .L)~
STATE CERT OR REGIST #
******************************************************************
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 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 conunencement.
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 conunenced 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 conunenced 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 conunenced. 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 inspect' n mu t be 1 d during each six
month period, or the project will be considered abandon
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A
"-42~~~4~
SiGNATURE: OWNER OR AGENT
STATE OF FLORrD~'-~ . ~ j)
COUNTY OF _'::/ a....s c...-</
The foregoing in~trument wa)!'l"-a'cknowledged.v
Befor~e. this -P-dtPJ).' of ~",i)l ' 20-Z
by i/~1Cl.//I[-t ~~J1fOC~
(name of person acknowledged)
Owho is personally known to me, or
~~ has produced rJ J)L, t ~,}o-~-11-c163o
(type of identification)
and take.. an oath.
..' .,,<, /
,/ 1.7 . (),
. ,-,J
Signature of person taking acknowledgement
S R
,,(-'~
STATE OF FLORIDA ,~
COUNTY OF' '--;t t1-<5i' "I:;
The foregoing instrument w~\acknowledged ./
h' ~- d f' ~)'-~ 20 ()/f
Befo:r?e t 18 .' .ay 0.7, . ' ~
by ~<l? ---:> I~ _JI'~<
(name 0 person acknowledged)
C1ho is personally known to me, or
~~ has produced A l> J.. ,-(S-.,5;J-7Jt.-Ioj" 32J'()
(type of identification)
and Who-EI~,)O ~it noya~e/:;, oa,:>
.'?<) o-tff-rA.-<.- ~ -/1 ~ f #d< -V'
Signature of person taking acknowledgment
...\"'~""'I,
Name ~~J:"~ print~iw~ped
ff,*: :~ rvlY COMMISSION # 00268763 EXPIRES
.,;>;'." ,..:'ij February 22, 2008
';'f.,rjf"f,;if.:' BONDED THRU TROv FAJN INSURANC~ INC
Name t~, n~Il1I~8SIOIU ~waRES
O~', ~i February 22. 2008
......1,i-:jjf.~~...:- BONDeD THRU TROY FAIN INSURANCE lNi-,
in""'s \?JIS/04 . ueceUl,,", IS, 2004
lie Ylon Re'llevI Co""",..... at \he
ing lie"'" wete dlSC"ssed 'oY \he S
d yLll ~l' """eodUleot j;\0ll Vlill coOSist 01
I C....ldy _ ^"ooesatlOO 0: d east 01 \he CS1l y.a\ltoad. '{b.e """e1<8' j;\on, ""d will jur\h<'
o\"'''''' Is located ootlh o~ 6 A. v.e. "'; 9S S ""'os. S~ <<""UlUlen.ds \he "",",1<8'
,teS. '{b.e tplal l'<oject w,ll cOosts\. 0 . .. I10w lot
. \he fLuMi' 1""it\0ll as ~::: be~W ~ 01 btd"sttlal ""d tesldellua\, '" oro<;:.:: """....uon
stali will inves\igale\he fLU ~w <>I' ,"" ~'\ ...t-<lff ~i\\ ptoceed sepatate\)' ~\
. \ . d use 1Aean~llJ. e, ;:,.....
ind,:,sttiallteSlden.tta Ul~ 2005 YI""",Og ConuolssloO.
~,"Oll to \he J~ul\t\'I "\h \.,Oule abOut utll\t\OS.
c) '{b.e de..lO\"" ""ll "'~ w'
. I -rb . t will be "sed axe a ""CK . . .
fI. '{<"c\dOg _ S\le l' aO f III A.ve ""d SKY 1)1.. L""e. e Sf e d '\h \he lollowing cond"'o\\S'
[his ~l"""i Is loeated at teC a. ,~Icin!\- 1"Ile "I"" was ",,1"0" w'
",inalI"""'011. ua\letS ""d do"'~ Ul"'o
1) subUllt s~~ 1"""',t 0 00
2) subUllt SIIe ylon RevieW f~ ~~~OoO
3) s""""t '{teC Jl&Uloval fee 0 . .
4) subUl\t l\ovitontllen.tal tel""'. .r ' - \he tegulat londsCat''''!\-
S~ ~:::;:o;\:;~~I;::i~:J:::::U~;"~;:; wrning lonOS !toUl
1) S",fl will alSO coo...t \he colUl"f g . I""os on Cb""ceY
Ch""ceY Rd. onto fteCfall A..... st ~ to cOnstt"ct tlte """",11.
g) \.etUly Zullo will l'<ovlde to \he C\"f a CO
9) ~~de "" etly,lneefs slle "",,<oval lette'. .
. yLll ~l' ......""dUleot, ReWoUlg e "",ad just south 01
1l"",._1 St<llct\ltd, lo" _ ~~o~ tewoed Is 9 59 ~os located Oll ~~~tcC""""ends """,oval
1"Ile ~l"""i to be "",",,,cd, . b I;' \eatinl!, Ul.tal cano",es and o~etballg h Ittal 01 \he slle "lon ate
Ql\>ltal Cot\'. 1"b\s cOUl"""y w,11 e a.' Is"".. to be addtessed d-I!, \he SU .Ul
01 \he """e"",,Oll, fLmM'- and tet<>n"'l!,. b ~e~ and conseT"ation
. . ..,^",d irnoact, U'l~ '"
as 101l0WS: . DC 401 (0) l""""""'1!, to we- .r
1) LoOK at \he wetlond ,SSues Q.- .'
ellS""'ent. ,,0 t"1 ",\tit tcl!1"ds to \he wetlonds.
2) stali will lOOK at the ~~~I~ te~1!, utilities.
3) '{b.e de'lelo\"" w,ll '" w' Issloo on Janul\t\' \I, 20l1S.
'{b.1s 1\eUl Vlill l'~ to YI"",,\\ll\ Cot<a1\
. . uesting a cOnditional
Vlo" \In_I< _ Coodltloo.,lll': SSI S and S S 11 11'" Stteet- 1"Ile """I'can' ": ~ Iette< ~ ..m'! \he
'f\tis 1"""""", lsa d<>l'l"" loeal." at r~ls nto"""'J }lit. \lullocK w.ll ~'" e .t .-n..e building ~i\\ be
. .~. at _e in \he ,.at O' ~ rr' . . d t \he otltet lUl" · ~ r<
use to lnl,ld a =..... . . llc t will II.. in ()1le """ an tel'. d deC"tauoos. S"',.
condUlooal use Is te<\n"ed. 1"Ile """ all' twO cat" and stote la"'" o<\",,,.,,,ot an e weSt ""d ""tIh
1245<\. l\:. \Ie will use tIt\S V"''II' to :':;:IC)' setbacK to IS' and to ~ al~~~cO".uocted of blocK.
,ecotnltl"nds tlte """llcant .~.,..,., de ~s of \he londsCat>inl!.. '{b.e ~ ;~""""'11. co"""lsslOn Oll
""lUldaJles. '{b.e 0""'''' w' ~v'r \he _dIUonaln", '{b.1s Vlill 1"""" to
'{b.e sllllf teContUletlds a"""'va ·
JanuarY H, '2005.
~et \5, '20M .
t, CI"f colUlcl\, ""d SyR co""",.....
~ \loe
NOTICE OF COMMENCEMENT / / - ;;2 (., - ;)../-
OdO-O?4CJ::::> -
PERMIT NUMBER PARCEL I.D. NUMBER OC> 'fa
STATE OF FLORIDA
The UNDERSIGNED hereby gives notice that improvement will be made to certain real property ,
and in accordance with Chapter 713, FLORIDA STATUTES, the following information is provided
in this Notice of Commencement.
11111111111111111111111111I1111111111111111111I11I1111111111
2005022238
Rcpl: 852894
OS: 0.00
02/04/05
Rec : 10 , 00
IT: 0 , 00
_______~ Dpty Clerk
Return original copy to the:
Amsco Builders, Inc.' PIne#' 3<6f{ c:g09 @'tSi
711,v6D1Ll3AJ~ ~) r:-L- 335/1
JEO PITTMAN~ PASCO COUNTY CLERK
02104/05 0~ : 03pm 1 01' 1
OR BK 6218 PG 723
OWNER INFORMATION
NAME VI ~c..t3A.f\ ~Cj;L
INTERESTINPROPERTY ~/AJN~
NAME & ADDRESS OF FEE SIMPLE TITLEHOLDER (if other than owner)
ADDRESS Sg/5" + Sgl 7 I?'~T ~IL~A_
33~q~ .
/1//+
NAME/L1/5CO
BOND AMOUNTS
,
H()iuJ@2S
A-// G-
ADDRESS
NAME & ADDRESS OF SURETY
/V/#-
(Name and Address)
Persons within the State of Florida, designated by owner upon who notices or other documents may be served as provided by SECTION 713,13 (1) (a) (7),
FLORIDA STATUTES,
LENDING ORGANIZATION
of
M/Cf-
(Address)
NAME
ADDRESS
In addition to himself, owner designates
(Name)
to receive a copy of Lienor's as provided in SECTION 713.13 (1) (b) FLO
EXPIRATION DATE NOTICE OF COMMENCEMENT
------- ---
--
SignatureofOwne~~ .J'...4.~~
Printed Name L.J. I J)' a. .JZ.~"- ,!;. 13 iY 1. .L D L 10(
(One year from date of recording, unless specified)
Commission Number
CERTIFICATION
COUNTY OF
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TOP C~RD 1.2-0118. 2~"101!31,~, 4-F-37I86. ~&.lUO, 807..1I111llS, 7.5",'E1'0ll.~"t1'25, ~10~11l11'1O, 1~'1.."ll138,
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NOT!S
1) UnIMl8noeQ IWf II" k>aItt haw """ (anIICleNcl !'or W. *'lIn,
2) l/IAncI; A8CC T.": 1 ZOmp~ <J.-IUJQ: M1 S'l: rCOl",. IlCOl -e,ep.t; CeIlIgory II; EJ(I) 8: tIIdOMcI: MV#M lJIIblt 8flCl zone; C&nItilMlr left end
I'lGIlI tlCPOMCl : InG ~ "" IN ..,. 8IlpOItd: limber OOl=l,eo .. n DOL-tOO,
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4) nit fIIIf n. llM\ deIiOlled fOr . , 0.0 pIf 80lIIlm crIG'd IIIIIIMcI non_mlf1I with any llIh<< U.. kotdi.
5) All pl_ .. , ,boa MTzo un.. oltwwIlIIl~,
6) TtII. tuN rwqui1NI" ~ tM lIlI TOO'll COIlnl MtIVIOCI wtlIIllllla lIUA II c:I!clMn 1clr queIlI)o _\AIIC1lI ~,
7) GColt ~ /lOIltiftueUI ~ -'IlINWIg,
8) GlIIIIe etuclIlptIOtd 111-40ClC:.
e) p~ ~ ~ (lIy -l tlIlIUu 10 ~ p_ cap8Ilte of wIln~ eo III upIIIlSll)ginl Z. 106 ~ "Illlll" joint ,e, llZ III UplIIlll JOIn! ze.
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