HomeMy WebLinkAbout05-3876
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3876
Permit Number: 3876 Issued: 2/21/2005
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 103-NEW CONST DUPLEX 2-UNIT
Proposed Use: DUPLEX
Sq. Feet: Est. Value:
Cost: 50,025.00 Total Fees:
Amount Paid: 2,836.41 Date Paid:
Address: 4733 6TH T
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: Il -2lo - 2\ - DOlO -o3'-too -0070
WATER CONNECTION RESIDENl
WATER METER RES 3/4"
398.05 MECHANICAL FEE
180.00 RADON
1.
60.00
10.01
/' lJO
,/. rIel I
r I \ \ 1-2 Lo ().O
\),,- c:) L
rA;~ l1.D
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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."
NO OCCUPANCY BEFORE C.O.
fl_~
TORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Alvin Bachtel Canst., Inc.
Lot 7 - 6th St.
UnitB
SQ. FEET PRICE
MAIN OR LIVING: 1,000.5 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 50,025.00
FEE SHEET $ 284.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 486.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 486.00
ELECTRICAL: $ 88.65
PLUMBING: $ 78.50
MECHANICAL: $ 60.00
SUB-TOTAL $ 713.15
RADON: $ 10.01
TOTAL $ 723.16
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER:I $
IRRIGATION METER $
PARK IMPACT FEESI $
180~00 I
769.561
3,707.721
SUB-TOTAL $
SIF'S: $ 722.00
97.5% $ 703.95
2.5% $ 18.05
TI F'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
TOTAL: $
6,017.721
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8~B St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-7BO-0021
DATE RECE lVED
~fo/lJ5'
,
PHONE CONTACT FOR PERMITTING (~/ 3) 9~K'... S ~8 /
JOB ADDRESS
NAME BAc/YA~ f>l!tJjJE~F<:; Tue.
- ~, LI '131 ~~ s\ d-' LJ'" 33
BLOCK /5
PHONE
~ -f} ~{:
tR/.'lJ 9~SO?/
OWNER'S
LEGAL DESCRIPTION: LOT(S) ~
PARCEL 10 # /9''()'c,-~/-IJOI{) .0/,0 0- OO'ltJ
WORK PROPSED: '~W CONSTRUCTION D ADDITION
SUBDIVISION #/JdRB.s ALJ/.J.
(OBTAIN FROM PROPF.RTY TAX NOTICEl
DALTERATION
o REPAIR
o INSTALL
D SIGN D MOVE D DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING ~LTI-FAMILY D # OF UNITS D MOBILE HO
D COMMERC IAL D INDUSTRIAL D SWIMMING POOL o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK f)tI!JLE ~
BUILDING SIZE J. '9'K~ 9
SQUARE FOOTAGE ;;;t)t) /
HEIGHT / S J
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.
PERMITS REQUESTED
o BUILDING
$ ~ s: ~I.?~
3.t)~
VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL
AMP SERVICE
~FLORIDA POWER
o
W.R.E.C.
D PLUMBING
b MECHANICAL
$
~OOQ
VALUATION OF MECHANCIAL INSTALLATION
DGAS
D ROOFING
D SPECIALTY
o OTHER
FINISHED FLOOR ELEVATIONS
t1 FRAME
8 "AOtYa RI)
~t.-
cq~g~~i't.~E9~~9N :
COMPANY.A!. p..IJ/-~lIrEL Ct?M T~
D STEEL
D OTHER
TYPE OF CONSTRUCTION: D BLOCK
IS PROJECT IN FLOOD ZONE AREAD YES ~ NO
BUILDER
ELECTRIC
STATE CERT OR REGIST # C(JC a~;;).q r
SIGNATURE
*************************************************
COMPANY ;:j.;-;f (1~~:? E~ci7<.~
STATE CERT OR REGIST # Ec "'-c:'vUZ~?8
*********
****************************************,~***********
PLUMBER
~ ~ ~. COMPANY ~/h 1/ \ hVI7f'5 I/t/m/;fd~ IVlC,
It( STATE CERT OR ~EGIST/ It CFC )L/:J.. 65/3
** *******1.* ***************************************.~*********** .
COMPANY ~m 4' J 1&7'G- T Ca:,/r'e)
STATE CERT OR REGIST # <LAc./t!H g~;:>b
SIGNATURE
MECHANICAL
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REG 1ST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictiqns" which
may be mor~ restrictive than City regulations. The undersigned assumes responsibility fOl
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 requirec
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 ~ephyrhills 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 Sectionsd of this application for which thE
will be responsible. If you, as the owner signs as the contractor, you are indicating thi
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 nbt properly licensed and i
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 Constructior
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]
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. ]
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 tc
the intended work, and that it is my responsibility to identify what actions I must take
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 whict
is prepared by a professional engineer registered in the State of Florida prior to permit
issuanr::e.
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 p~rmit is suspended or abandoned for
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 requestec
in writing to the Building Official. An approved inspection must be logged during each si
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, CONSUl
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".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2CL-
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)
Owho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
Owho has produced
. (type of identificatior,
and who Odid D:Hd not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
NOTICB OF COMMENCEMENT
1111I111111111111111111111111I111111111111111111111111111111
2005034681
state of P? 1J/f2'/)~
County of Pd-SCO
TUB ImnERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
follo~ing infor~ation is provided in this Notice of Commencement:
1. Oeser iption of Property: Parcel No. /~-;2tP' -;;? / - tJ tJllJ -~) Sf/,(/ - tJt' 7?'
J PA t. Prr -
the property
2. General Description of Improvement JiI~u~ i?t/~~~~
Rcpt: 858627
OS: 0.00
02/25/05
Rec: 10.00
IT: 0.00
Dpty Clerk
J. Owner Information: Name ~ C /~A~ /J/2o,KJ/? Jf? r.'/ ~~L:-
llddress tP ~ AOk /6 g;;2. City LAA/// 'fJ ;!AIr5.5" State ~t:-"
Interest in Property: A/Ew L)V//LG K
Name of Fee Simple Titleholder:
(If other th~n owner)
JEO PITTMANA PASCO COUNTY CLERK
02/25/05 0=, : 10am 1 of 1
OR BK 6243 PG 1808
City
Stilte
Address
4 .
Contractor: Name ALI/..T/I/ /t;fc#TFL cLJ/f/S:/I?t/c7T/JA/ T/IIC.
Au d res s /..2 ).J L.:Z'W A/{}.f7"tJ A/ IaI C i t y L. VT:?
State FL.
S3SS''1
5 .
Surety: N<lme
City
State
Address
Amount of Bond: S
6. Lender: Name
City
State
Address
Persons within the State of Florida designated by Owner upon whcrn
notices or other documents may be served as provided by Section
7!.3.1J(l)(a)(7), i-lorida Statutes:
tlt:mc
l\ddress
City
State
8. In addition to himself, Owner designates
of to receive a copy of t::e
Lienor's Notice as provided in Sect~on 713.13(1)(b}, Florida Statute~.
<} .
::'"xp.irn1 .L'Jll dnt.e of Hut.lce of Commencement. (t.he expiratic,n d.::.te ls 1 ye.:l'::-
ir~m the ~utc of recording unless a different date is specified.}
Slg:1ature of Owner:
as
day of F€.BftvAfU'
Sworn to and
20 c) 5
Notury'," Public: O"~ if l5~Oh-
My C ~:":1.;1i S5 ion-Expires:
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