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Home My WebLink About05-3855 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 3855 ermit Number: 3855 Issue : 2/17/2005 Permit Type: GENERAL BUILDING PERMIT Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: MOBILE HOME SUBDIVISION Sq. Feet: Est. Value: Cost: 2,250.00 Total Fees: 155.00 Amount Paid: 155.00 Date Paid: 2/23/2005 Address: 37616 NEW HORIZONS ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: GRAND HORIZONS Parcel Number: Name: HOMEOWNER Addr: Name: RONALD FRISCHMAN Address: 37616 NEW HORIZONS BLVD ZEPHYRHILLS, FL. 33542 Phone: Lic: Work Desc: CLOSING IN CARPORT Phone: R UGH ELE 1 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 M1SC, 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. ~-~ - TRACTORS SIGNATURE PERMIT OFFI 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 PHONE CONTACT FOR t2 ~/t7 5 DATE RECEIVED ~ PE~AS'CrrPERMIT SERVICf: 1-866.824-7894 Toll Frp.e OWNER'S NAME IZOflt2-! J ;C:r~.scJ m ajJ IJ ~ t(). /k;/' / Z O/l .s PHONE JOB ADDRESS 3 7(P/~ 6/ j/ cI PARCEL 10 # 3Y -clS"- cJ-/ -0090 - OCJ1X) - 0&3 () (OBTAIN FROM CruA cI 'fI()r/2~I7S f'1l 4-u / PROPERTY TAX NOTICE) LEGAL DESCRI PTION: LOT (S) (P J of- &, f/ BLOCK SUBDIVISION WORK PROPSED: 0 NEW CONSTRUCTION o ADDITION tXALTERATION o REPAIR o INSTALL PROPOSED DSIGN USE:yqSGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK (II Cfi./1 /)() /' f I BUILDING SIZE SQUARE FOOTAGE o 9~" HEIGHT 9 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. BLVb. c=:f>LJ:L . '\ ~-c.. J2~ , PERMITS REQUESTED CfBUILDING o ELECTRICAL $ .,J, t2S"O, 0<1 VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL 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 SIGNATURE ~r~-- COMPANY /)()/Le1JlUl-l r - Ro/?o/' P./~cA/1I. a/J BUILDER STATE CERT OR REGIST # SIGNATURE ...~....................:::::::.~~.~:~..~ STATE CERT OR REGIST # ELECTRICIAN ****************************************************************** 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 restrictionsh which may be more restrictive than City regulations. The undersigned assumes responsibility fQr 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 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 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. Application 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, Waterlwastewater 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 cer~ify 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~Jae'u. ;R/{ SIGNATURE: OWNER OR AdENT STATE OF FLORIDA 11z.$~ COUNTY OF ' , The foregoing instrument was acknowledged~ Before me this ~ day of Fe.Iorw:o:.r"1., 200 by c:;fa.c..l~ 7~ :J (name of person acknowledged) ~hO is personally known to me, or Dwho has produced (type o did not . f0S-/t2('~ ~/L SIGNATURE: CONTRACT STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged :~fore m~~ ~~f febntF-"~), 20 ~ (name of person acknowledged) ~ is personally known to me, or ~5CD of identification) take an oath. o who has produced (type of identification) [}jid not~h son taking acknowledgment Suzanne Baht , ", Commission #DO j 5i13l Name typed, p:t:.i.j:iu{lir~rN!S'tIili.~~~ ','>-_'C:J' ~\..oQ,:;':' ~onde.~ ! ;\ll; _ .. , '"" AtlantlcB(li""'l\glu"lnc, Sig rson taking acknowledgement "" Suzanne Balir ",~~,s>o~PUI?(-b" i'ommission #DD 1 57131 printi~ --~:~~~ Nov I:>, ,'wu6 '-;'j ',oJ'/ Bonded Thru ',< o,"C ,,' ,\!lantic Bonding Co" Inc, Name typed, D:ISCLOS1DlB S7A'rBIIBII'1' JOlt OIIIIBR. C:tft 0:1' Zl&r.X~RTT.T.R BtJ:tLD:tJIG DBPA'D'PM1nPJ.' .e~f}ajJ Fr/:Schm CU) agree to the provisions of t:h:i.s iDst:rmaent. I. have read. aDd ful1y u:aderstand aDd The 1U1c'lersigned states and. aff:l.%1Ds that he or she is desirous of constructing. renovating. addi -rig to or reroofing his or her OIID dc:8ici1e. that he or she actual1y oac:upies. or w:l.11 occupy by aa:i.d domici1e, and. same is not for rent, l.eaae or sal.e. That he or she 8hal.1 ~1y w:l. th the :fo1.1owing c::cmdi. tions: 1. That the owner and he or she a10ne lIhaJ.1 act as the bui1der :for al.J. phases of construction. That the owner wi11 comp1y with a11 provisions of the City of ZeplI.yrhi11s ordi ft~ft("es aDd codes pertinent to the bui1di.D.g. That :in the event various phases of c:onstruation are subacm.tracted, he w:l11 engage onl.y proper1y 1icensed. subcontractors aDd w:l.11 perscmaJ.1y supervise such work.- That in the event the Buil.d:i.ng ZDspec::tor sha11 require corrections to be made. the owner vi11 asSUlDe fuJ.1 resp0D8ibi1ity to iJulure they are made, and. upon cOllllJ?l.etion vi11 caJ.1 for a re:lJuspection before p:roc:eed:ing with the bui1ding. That the OIIDer sha1l. asS1llll8 :fu11 reapcmsibill ty for the c:onstruation aDd wi11 not tapect supervision of his work from. the City of zephyrhi11s Bui1diD.g Depar1:lllaD.t. That prior to final. inspection any additional. fees. iDc1ud.iD.g :reiDspection fees, IllUBt be paid :in ful.1. A written request from. t:h:i.s office shaJ.1 constitute an officia1 notice to pay additional. fees. That the owner shal.1. c:aap1y with &11 City. State aDd P~ 1_ :in regard to soc:i&1 seauri. ty. workman' s c:clIIIIpeD8ation. 1.ien 1_, etc.. where app1iaable. That the owner sha11 c:aap1y with &11 the s.:rety codes issued by the P1ori.da J:D.dustria1 Commission. State 1.aw requ:i.res construction to be d.cm.e by 1icensed contractors. You have app1ied for a permit 1DLd.er an exemption to that 1aw. The exemption a110ws you. as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a 1icense. You aust provide direct onsite supervision of the conatruction yourse1f. You may bui1.d or improve a oue-fam:i1y or two-fami1y reaideDce or a fara outbui1diD.g. You may a1so bui1d or improve a c..........~c:ia1 bui1.diDg, provided your costa do not exceed. $25.000. The bui1diD.g or resideDce aust be for your OIID use or oac:upanc:y. It may not be built or substantial.1y improved for sal.e or 1ease. :I:f you se1l. or 1...e a - bui1d.iD.g you have bui1t or substantia11y improved. yourse1f within 1 year after the construction is CCIIIIIp1ete. the 1aw wi11 preau:aaa that you bui1t or substantia11yimp%'OYed. if for sal.e or 1ease, wI1:i.ch is a vio1ation of this exemption. You may not hire an UDl.iceused. person to act as your contractor or to 81Jl)erVi.se peop1e work:iJ1g on your bui1ding. :It is your respons:ibi1.ity to make sure that peop1e emp10yed by you have 1icenses required by state 1aw and by county or Dl1U1i.cipa1 1icensiDg ordiftaDces. You may not del.egate the resp0D.8:ibillty for supervising work to a 1ic:eD8ed contractor who is not 1icensed. to perfO:r:Dl the work being done. Any person working on your bui1cti.ng who is not 1icensed must work under your direct supervision and muat be emp10yed by you, wI1:i.ch __ft.. that you aust deduc:t P.:I.C.A. and withho1.diD.g tax. and provide workers' c~"ation for that emp1oyee, a11 as prescribed by 1aw. Your construction aust camp1y with a11 app1icab1e 1aws, ord:inaD.ces. bui1cti.ng codes, and zoning regu].ationa. ~ == s~an7r (}.t"-'~ LW'; - DM'B..? Ir/os- PBORB 7/S- 97ft) , ~e~ ~/l.. II 2. 3. 4. 5. 6. 7. 8. 9. W:ITRBSS' PBRIItIT . > ROil 6- lei J:"'r/sc h/ll a /J Name .3 7& ItA Address ~ p ~ I' lu-JIr .r/, SJSW /Le tV J/oli~1J IJ.J rt/ t c/ . To Whom It May Concern, Please be advised that: Stacie Zullo, & Debbie Dokendorf of Pasco Permit Service have my permission until further written notice to sign and pick up permits for me. NOTARY STATE OF FLORIDA - COUNTY OF PASCO The foregoing instrument was sworn to and subscribed before me this )f+J..- day of f~1r~ Personally known or Produced identificat. n """ Suzanne Balif ';,.~~',s>.~;Ue({,__ Commission #DDI5713\ -i .: Expires: Noy 15,2006 '-~, ~'~'<j Bonded Thru "i'~" o'lf, , C 1 -'",~:;,;\\' AtlanticBondmg 0" nc, - ,0l005 . ~ Commissioned Stamp and Expiration Date g '64 NjJ1:a~re Page 1 \'-G,,; ~~ i; ~i, ~~~ \Y- a, 'i ~"'O~ ~r..., 'i'.l~ r\)'~ ~ ~" c:::. ~ B~, < I ~~ N ~, N ~ V) ~ , "- cJ~"~'-'-''''.".--''-'-'-"'''--'''- _'.P".,.-_..~---..".---- ----.....----------- 100' 001 I I I ! , . (JI ~ ""- '-I 'f::..i st I ...~-- I (X)'()("'- I I i i ...... ~ ! i, I ! /i+- -- -- l ,00#- ------------._.._.._,~-_..__..- ~ ~ (' /"lj ........ ~ .. ~ <::::. t I~ j?1 I ~- r, -.-------~-- ,00' flf, --t ~....""=-'..............-.-...~- ~ . ) i I ! IOO'~c:" 1"1) ~ y ~ ! I I I I I ~!i ~ C, OJ I ~ ~I i n, I j i I ! I ! i '_~g.7J>~5n:~ L i . 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