HomeMy WebLinkAbout05-3992
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3992
Permit Number: 3992 Issued: 3/17/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: SCREEN ENCLOSURE
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 3,790.00 Total Fees: 75.00
Amount Paid: 75.00 Date Paid: 3/17/2005
Address: 5835 12TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: HAWLEY ALUMINUM INC
Addr: 32552 GREENWOOD LOOP
ZEPHYRHILLS, FL 33544
Phone: 352 588-2775 Lic: RX 0034241
Work Desc: SCREEN EXISTING POOL
Name: JEAN SAROKA
Address: 5835 12TH ST
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 SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
A;r fbo L-
r,T1f~
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 ..3 _ I ~ _ oS
DATE RECE IVED / I
PHONE CONTACT FOR PERMITTING
OWNER'S NAME J 7;=-"'/J
JOB ADDRESS ..rcPJ.J'
..J'rrAt>kA
PHONE
/ ;;J --d ...r r
LEGAL DESCRIPTION: LOT(S)CP~~~7 BLOCK
PARCEL ID # / I -26-..2/ - CJoIO ~d)')oo ""0070
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTTCF.)
WORK PROPSED: [JNEW CONSTRUCTION
[J SIGN
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
~ ADDITION
[J MOVE
[JALTERATION
[JREPAIR
[J INSTALL
[J DEMOLISH
(]MULTI-FAMILY
[J INDUSTRIAL
(] # OF UNITS
[J SWIMMING POOL
(] MOBILE HOME
[J OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
SCR~
C)l7Sfi'"1t Go
~cL
BUILDING SIZE
1).)/;< S/'6C?/
SQUARE FOOTAGE
~?o
HEIGHT t?'
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.
- u-~
<7'7,
;'3l}) ~ .
PERMITS REQUESTED
)!f BUILDING
[J ELECTRICAL
$
379o~
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
(] FLORIDA POWER
[J
W.R.E.C.
[J PLUMBING
[J MECHANICAL
$
[J GAS
[J ROOFING
[J SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
[J OTHER
TYPE OF CONSTRUCTION: (] BLOCK
[J FRAME
[J STEEL
~ OTHER AL.u""" - r'~
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES [J NO
I 9()N~Q~:E(';l~.9'I'*9~
BUILDER Rt::X ~/67 ...... COMPANY ,~~ ~IW
SIGNAT~ STATE CERT OR REGIST # ~YOO.21'2?1
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REG 1ST #
******************************************************************
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 advisee 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. IJ_the"o.ontractor 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 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 ~aws 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, 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 commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned fora
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 ~AILURE 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 bENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VA DO NOT NEED TO RECORO AND Pc~:E~C~M~NT'"
SIG ATURE: CONTRACTOR
acknowledged
, 20_
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)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid Oiid not take an oath
Dwho has produced
(type
and whoD did D did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
,;,'
, I
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LEON.. OEseRIPTION: (PROVlOEQ BY OTHERS)
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SHE;ET 1 OF 2 .
'.. SURV~ 'IOTVAlUi_WflWOUT SHEET 2 Of:-2 (SURVEYOR"'S REPORT
^ Survey of lot , Block , of the Plat of
a. recordad In Plat BooIl , PoV. of lhttPubllc Record. 0' IlIIllhomll\Jll County, rlotldlt.
FLOOD ZONE INfOR&MTW.I. (SEE SHEET 2 OF 2 "SURVEYOR'S REPORr" NOTE ,.)
SubJect PJoperty ,hOWR ....... ftftn..n.. I" Ita ... n..-... ,,_u _
, lot 7, Ie.. the North 8.88 feet thereof together with Lot &,,:".
Block 37 of the plat of A IMP OF THE TOW,., OF ZEPHYRHlltS";~
os recorded In Plot Book 1, page 54 of the Public Record.. of'
p~c:o County, Florida, , ..'.; ::.
DOf/HOARY ,SURV}}Y,
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I REREB~ CER~IFY THAr I HAVE REVIEWED TIS PLAN AMD'FIftD IT TO
B2 'IN COMPLIANcE WITH THE FLORIDA BUILDING CODE 2001 SICTION
1606. WIND BASED ZONE 130 MPH. THREE SBCONDGUSTSO.77.
EXTERNAL PRESUR;S.O C.C DESIGN PRBSURB +10- -25 pa,.. THRBE
SECOND GUSTS 0.77
DAVID W. SMITH P.E. Ft,oRIDA 153608
9909 WAIiLASTONDJlVE DADE CITY, PLORIDA 33525
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Lender: Name
Address City State
Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Section 713. 13(1)(a)(7), Florida Statutes:
Name Address _ City State
In addition to himself, Owner designates REX HAWLEY of HAWLEY ALUM
to receive a copy of the Lienor's Notice as provided in Section 7l3.13(1)(b), Florida Statutes.
Expiration date of Notice of C mmencemen xpiration date is 1 year from the date of recording
unless a different dat is spec' d.)
Signature of Owner:
The foregoing instrume was acknowledged before me
. by IJ I :]0& ~~ ~'t(li ~C:L
produced as J entl Jcatlon.
Notary Public: ~~1ltt: .J)dYi!a~~
';,
,
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R4.
7.
8.
9.
STATE OF FLORIQA.
COUNTY OF PAScoe ~ r ' ,
.; THIS 1& TO Q:RTIl'V "HAT rI(~REGOING IS A
TRUE AND CORRECT COPY OF f~E D6GUMENT ON RlE
OR OF PUBL.IC... .RECPAIiIIN THIS,OFF~TN. ESS MY
HAND AND OFFIC1Al SEAL THIS . DAY OF
JED PI~.J ~K (O~ ~'~LT'~=.r
BY .~-- .' DEPUTY CLERK
, ,. ,
Permit No. ,,)\' '
/111I/11/11I11I//11I111111/111111111/11I1111111111111111111I
2005050402
Rcpt: 865456 Rec: 10.00
OS: 0.00 IT: 0.00
03/18/05 Dpty Clerk
JED PIlTMAN,( PASCO COUN'fY CLERI<
03/18/05 00: 43am 1 of 1
OR 81< 6275 PG 1839
Key No.
State of
FLORIDA
NOTICE OF COMMENCEMENT
County of
PACSO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in
accordance with Chapter 713, Florida State Statutes, the following information is provided In this Notice of
Commencement:
1. DescriptionofProperty: Parcel No. II- U. ;)1- CbIO oJ7oU t?D7D 5835 12 st
(Legal deSCription of the property and street address if available)
2. General Descriptionoflmprovement screen existing pool
3.
Ownerlnfonnation: Name JEAN SAROKA
Address 5835 12th ST. City ~EPHYRHILLS, State FL
Interest in Property: U W N ER
Name of Fee Simple!'ltlcholder (If oUler than owner):
Address City State
Contractor: Name HAWLEY ALUM
Address: 32552 ~1:<.t;.t;NWUUV Ll:' City L;t;l:'HYRHILLS, State FL33544
Surety: Name
Address
Amount ot Bond: $
s.
City
State
6.
~ ptoc)~
this / Z day of , ~
- ~o IS _) personally known to me or (~
!l '"''''''
~ /i;.l.,"" !~t-. BRIDGETTE DEL CASTILLO
.fl~*/""~'\.~ MY COMMISSION' DO 118433
\ I ='~i-~~; EXPIRES: June 29, 2006
I. "'4lf.,W.'" Bonded Thru Notary Public Underwriters