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HomeMy WebLinkAbout05-3876 .. 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 @ 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. 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