HomeMy WebLinkAbout05-3914
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3914
Permit Number: 3914 Issued: 3/01/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: SHED INSTALLATION
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: Total Fees: 52.50
Amount Paid: 52.50 Date Paid: 3/01/2005
Address: 38427 NEW CASE AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Phone: Lic:
Work Desc: SHED 16 X 22
KAREN SHOREY
38427 NEW CASE AVE
ZEPHYRHILLS, FL. 33542
Phone:
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.
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.
~.
-. -
NTRACTORS SIGN URE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
"
CITY OF ZEPHYRHILLS PERMIT APPL~CA~~U~
BUILDING DEPARTMENT 5335 8~H st, ZephyrhillS, FL 33542
813-780-0020 FAX: 813-780-0021 v2- r2q ~ S-
DATE RECE IVED (J
PHONE CONTACT FOR PERMITTING
OWNER'S NAME .kdl~ 5AtJrf...J
JOB ADDRESS . 3 f{' '/ c1. 7 IV e"':'" Cq s e
LEGAL DESCRIPTION: LOT(S) ~
P~;
'~)3 -7~~ -J;!)"3'1
-::- - . ------
jY50l1 .
Ave..
BLOCK
I
SUBDIVISION
(OBTAIN FROM PROPERTY.TAX NOTICE\
PARCEL 10 . 0 ~ -;l.. t -J J - 00 gO - aOJ "0 - 00 k'6
WORK PROPSED: ~NEW CONSTRUCTION
Os I GN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
0. OF UNITS
o SWIMMING POOL
o MOBILE HOME
.J8( OTHER
c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL
DESCRIPTION OF WORK ff/'J ,.." J e 5 A Ie:''/ .-
I~ ~ ~~ w~./X6i. tl1~f.{f -? ~U.
BUILDING SIZE Jl ~ / &- SQUARE FOOTAGE .:> 7
/.r-l I
HEIGHT _ L/
~~~~ E~~~Y FORMS.
52,;J 6~G
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (l) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED,
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION,
PERMITS REQUESTED
--..s BUILDING
$
/t'~
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
D PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E,C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL '\m OTHER
IS PROJECT IN FLOOD ZONE AREAO YES ~ NO
FINISHED FLOOR ELEVATIONS
COMPANY
J
BUILDER
STATE CERT OR REGIST it
************************** **************************************
ELECTRICIAN COMPANY
******************************************************************
COMPANY
PLUMBER
SIGNATURE
STATE CERT OR REGIST .
******************************************************************
COMPANY
MECHANICAL
STATE CERT OR REGIST .
SIGNATURE
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST .
A. NOTIGE OF DEED RESTRICTIONS
Th~ undersigned understands that this permit may be
may be more restrictive,than City regulations. The
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 "Cohtractor 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~i6n that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C.' TRANSPORTATIbN IMPACT FEES AND UTILITY CONNECTION FEES
D, CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I; the applicant, haye been provided with a copy 'of "Florida's Construction
lien Law - Homeowner's.Protection Guide" prepared by the Florida Department or 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 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.
Appli~ation is hereby made to obtain a permit to do work and instaliation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work wiil be psrformed 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.", i't 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 YOU~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".
~~~~~- ~IGNATURE' CONTRACTOR
STATE OF FLORID~ STATE OF FLORIDA
COUNTY OF LJ.J......5t!../J COUNTY OF
~he foregoing instrument was ~ck~owledged~,- The foregoing instrument was acknowledged
Before m his .d ~ of .. ~, ,2~ Before me this _day of , 20_
by by
subj ect to "deed restrictions.i whioh
undersigned assumes responsibility for
(na e' of person ac owledged)
Dwho is personally known to me, 'or
~who has
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type of identification)
and who Ddid Q:iid not take an oath
Signature of person taking acknowledgment
Signature of person
~;~ Bobbie Swetland
6L. '. tMCOt.:lMI~' 0024813 !XPI~~.
Name=',~,. . '..' prJ.l"1-... r.fif. 2& ampea
i:.. "." G~;r,oeo fHRVTROYFAlNINSURANCf, INC.
Name typed, printed or stamped
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Department of Health · Vital Statistics
STATE OF FLORIDA
MARRIAGE RECORD
TYPE IN UPPER CASE
USE BLACK INK
Thl. Iic"".. not valid unl..a ...1 01 CI.r1<,
Circuit or County Court. app.... th.rec~,
(STATE FILE NUMBER)
/ /11I1//111/11I1111I1//(11I11I11/1/1111111 lllll I11I1 IIII lilt
2002095955
J0ESD/2P1I/TT"AN... PASCO COUNTY CLERK
02 14:16am 1 of 1
OR 81< 4984 PG 1412
02748
(APPLICA TION' NUMBER)
~ "'~' 1 GROOM'S NAME (Fi,S1. MIddle, LaSl)
APPLICATION TO MARRY
/~~~~
:ta
2 DATE F BIRTH (Momh, Day. Ve..)
LINWOOD
38 REStDENCE. CITY, TOWN. OR LOCATION
36624 SR 54 W
ZEPHYRHILLS
Sa BRIDE'S NAME (First, Middle, 1.1$1)
EARL
j3b ;:;:
SHOREY
I 3c STATE
IFL. 33541
I 5~. MAIDEN SURNAME (If Cliffe",nt/
05-06-47
4. BIRTHPLACE (Sl.t" 0' FOreign Country)
I ME.
8, DATE OF BIRTH (Month. Day. Yea,)
KAREN ANN MORRIS
7a, RESIDENCE. CITY, T~ OR lOCATION
3842, NEWCASE AVE
ZEJ:>HYRHILLS
VEENSTRA 06-11-59
7- COUNTY 7c. STATE e, BIRTHPlACE (Slete or FO'#IIgn Count,y)
PAbCO FL. IMl~HXGAN
WE THE APPLICANTS NAMED IN THIS CERTIFICATE. EACH FOR HIMSELF OR HERSEtF. STATE THAT THE INFORMATION PROVIDED
ON THIS RECORD IS CORRECT TO THE BEST OF OUR KNO~OGE AND BELIEF. THAT NO LEGAL OBJECTION TO THE MAIlRIAGE
NOR THE ISSUANCE OF A LICENSE TO AUTHORIZE THE SAME IS ~ TO US AND HEREBV APPlY FOR LICENSE TO MARRV
9. SIGNATURE OF GRO n.fuN ".me using bI_ ink) 10. SUBSCRIBED AND SWORN TO IlCFORE ME ON (DATE)
06-05-02
.... .
JED PITTMAN, CLERK 01:' THE CIRCUIT COURT ~ BY
13 SIGNAT RE OF BRIOE (Sign full n'lIne USJnIl blltCk Jnk) 14. SUBS
~ vY\~
SEAL
JED PITTMAN,
u.
~ BY
06-05-02 06-09-02
2Ob, TITLE JED PITTMAN, CLERK
D THE CIRCUIT COURT
CERTIFICATE OF MARRIAGE
2Oc, BY DC
SEAL
KRG
SEAL
I HEREBV CERTIFY THAT THE ABOVE NAMED GROOM AND BRICE WERE JOlNED BV Me IN MARRIAGE IN ACCORDANCE WITH T>iE lAWS OF THE STATE OF FlORIOA.
2i-oATe OF MARRIAGE (Montn, Day, Yell') I 22 CITY. TOWN, OR LOCAnON OF MARRIAGE
I
'.) i . iJ - (j 'J-... __ i Z, f'1... . .' I,; lIt -::/1(.;"
23.. S. IGNATUR{;..OF PER)lON pERFORMI~ CEJjlEMONY (u. ~t:. ink) I '23c, ADDReSS {Ol~ performing ceremony}
.... ,.,~, / A . ',_.~ .;,' /' --" :}") ".A" C I, ~ ...',;.- '~I." .~ C; .....'1 C h' r,
" ~ /' .:""""" ~'v . ;>.."...:.----, .., I..' /, .., ',. ..;:) ::J'i.,.. '"
23b, NAME Al'lO TITLE OF PERSON PERF"ORMING CEREMONv 24, SIG NATUR . W1TN€.S"T~CEMONY (Use black ink)
(Df'noI...,"ornp) I ~ .,./ /' _____~ .,--".
i-..L' ~ ~,---
CHARLES W. THRASHER .. ~! '25 j~'1b~E o.~ T <' EMONY (Use blllCk ink)
Notary Public, StaIB of "lor/da . !..-- L (.. \ "\ 'U lex.. ~ }~,.xl
STATE OF FLORIDA
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 WlTJ:i.SS MY
H/o\ND AND OFFICIAL SEAL THIS ~l~AY OF
~2&o~
JEJ PITT A~CLE~T COURT
BY L-:-. DEPUTY CLERK