HomeMy WebLinkAbout05-3994
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3994
3994
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5721 19TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
5,124.00
3/18/2005
90.00
90.00
3/18/2005
WINDOW REPLACEMENTS 8
JEFF HAL EY
5721 19TH ST
ZEPHYRHILLS, FL. 33542
Phone:
OU
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."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~.
.URE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
OWNER'S
NAME j~f ft(J~Ci
ADDRESS S 7"2. ( (Cf 1]. ~.
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8~h STREBT ZBPHYRHILLS, PL 33540
Phoner813-780-0020 Paxr813-780-0021
DATE RECEIVED
PLANS REVIEW PEE
:3/t,~ <:
PHONE CONTACT 81"3-780 -fz?,~
JOB SITE
LEGAL DESCRIPTION: LOT(S)
1 {
BLOCK '2.6
SUBDIVISION
07,~
PARCEL 10 #
- 0 () <to (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
o ALTERATION
ri REPAIR
o INSTALL
DSIGN
PROPOSED USE:~GL FAMILY DWELLING
D MOVE
o DEMOLISH
DMULTI-FAMILY
0# OF UNITS
D SWIMMING POOL
DMOBILE HOME
D OTHER
D COMMERCIAL
D INDUSTRIAL
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK l"^,~~, ~ ~ ~~M.~:-\- ~, \,J\v\~OuJS
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS. ,
90, v) f;U)~.
PERMITS REQUESTED
o BUILDING
$ -5;J~L.\
VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o N.R.E.C.
D PLUMBING
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
. ,
INSTALLATION WeJYl\ ~
t-j 0 7- l.f b 7- S-S-ct 1
~r bLf'T- o~t.f3
o MECHANICAL $
VALUATION OF MECHANCIAL
o GAS
o ROOFING
o SPECIALTY
D OTHER
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER
COMPANY~ ~ ~
STATE CERT OR REGIST
CITY PROCESSING #
****************************************************
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
******************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
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 advised to contact the
City of Zephyrhills Building Department, 613-766-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsH 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 aa contractor that may be an indication 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 GuideH prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify that I
have obtained a copy of the above described document and prolnise in good faith to deliver
it to the "ownerH prior to conunencement.
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 conunenced 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 "AH or "A,etc.H, it is
understood that a drainage plan addressing a "compensating volumeH will be subrutted which
is prepared by a professional engineer registered in the State of Florida prior to pennit
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 peumlt 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 IMI?ROVEMENTS TO YOUR PROPERTY. IF YOU IN'fEND TO OBTAIN FINANCING, cONsur:r
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NO'f NEED TO RECORD AND POST A "NO'nCE OI!' COMMENCEMENT".
SIGNAT~~~R OR AGENT
(--~~
SIGNATURE: CONTRACTOR
aCknOltll edged
19_
STATE OF FLORID~II (do..O~()6-tr
COUNTY OF u....>ur-
The foregoing in~!fpment waS~ledged
Before me this ~ay of ,7:Jt:;)f2.:>
by ~LJ~/"-rlkrl-
~ (name of peraon acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
(name of person ackno~ledged)
Dwho is personally known to me, or
of identification)
take an oath.
o who has produced
(~e of identification)
?r~ who Odid [)1:iCi rlOt take an oath
LLlk1Al .4M~
Signatu on takin acknowledgment
o who has produced
(type
and whoD,did Ddid not
Signature of person taking acknowledgement
Name typed, printed or stamped
Name t
Return to:
Name: THD At-Home Services, Inc.
d/b/a The Home Depot At-Home Services
Address: 3200 Cobb Galleria Pky. Ste.
200, Atlanta, GA 30339
~~~~~~~~!'J'I'IIIIIIIII'I"II'II'I'IIIIIIIIII'IIIII
This Instrument Prepared By:
Name:
Address:
Rcpt.:864833
OS: 0.00
03/16/05
Rec: 10.00
IT: 0.00
Dpty Clerk
Property Appraisers Parcel Identification:
~~~I=~~~MAIN0~4PASCO COUNTY CLERK
. 4am 1 of 1
OR BK 6273 PG 108
NOTICE OF COMMENCEMENT
Permit No.
Folio No.
1.\ - ').. ~ - ').., . 00\ (). .01- ~ '00. O~()
STATE OF FLORIDA
COUNTY OF
~~('D
The undersigned gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this NOTICE OF COMIvIENCEMENT.
Legal description of property (include street address, if available:
General description of improvement:
t..\.....~ 9'J"
~~ ~C: ~r~l\~ ~b l ~S"'" .
L.h ~.Ct ~~ Ii.. ~O\ ,r 4~C(~ ffi~S5Y
a.f~I-"-^k :
Owner Infonnation - name and address:
Interest in Property: O...........e: ~
Name and address '?.f fee siJlllle titlehol~er (if other thap Qwqt;r):
. ~ . '. .
Contractor - name and address: The Home De t. At-Home Services
207 Kelse Lane, Suite G, Tam a, FL 33619
Phone Number: 813-630-4111 Fax Number:
Surety - name and address:
813-630-4112
Lender - name and address:
Phone
Number:
Fax Number:
Amount of
Bond:
$
Person's within the State of Floridadesignated by Owner whom notices of other documents may be served as provided by Section
713.13(I)(a)7., Florida Statues:
Name and address:
Phone Number:
Fax Number:
In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statures. (Fill in at Owner's option)
Phone Number: Fax Number:
<<
r
fCommencement (the expiration date is 1 year from the date of recording unless a different date is specified).
Signature of Owner
.t)e.II,v;u {).. fli41-;j e...1
Sworn to and subscribed before me by ~ who is personally known to IJ,lll o,r produc~d
as identification, and who did~ake an oath, this ~ day of~, 20~
Printed Name of Owner
Printed Name of Notary:
Commission No./Expiration:
'\""'" M k S N rth
,''b",~Y'~~<i;, ar . 0
~:'~":J Co~ission #DD246843
~~'. ~'i1~ Expires: Sep 26, 2007
''''~~b~f\.~~'' BondeaThru
"'1 \ \ Atlantic Bonding Co., Inc.
Signature of Notary
~ t!l.A-~f.. oS, I~~
State of Florida
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