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HomeMy WebLinkAbout05-4021 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4021 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 4021 ADDITION/AL TERA TION SCREEN ENCLOSURE SINGLE FAMILY RESIDENTIAL Address: 37404 PICK TT'S MILL AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: SILVER OAKS VILLAGE Parcel Number: 5,564.00 3/30/2005 92.56 92.56 3/30/2005 SCREEN ROOM Name: BETTY JOHNSON Address: 37404 PICKETT'S MILL AVE ZEPHYRHILLS, FL. 33542 Phone: U 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. REINSPECTION 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. ~ ~~~ ./ TRACTOR SIGNATURE PERM~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECE lVED cJ -:29 .-iJS- PHONE CONTACT FOR PERMITTING PASCO PERMIT SERVICE PHONE 1-866-824-7894 Toll Free OWNER'S NAME !3~ 1/-4 70 !ijN Of) J J 7 If(JlI (J If! R ells /11/1/ ~a JOB ADDRESS LEGAL DESCRIPTION: LOT(S) SUBDIVISION ~/jI~r t1~~ t;/~~q~ /IJ- / .r (OBTAIN FROM PROPERTY TAX NOTICE) PARCEL ID # 5'1 rJ J -rY-~ -J-I- ()d.-f)() - OO()(X)- O,)'ltJ BLOCK WORK PROPSED: ~NEW CONSTRUCTION bSIGN PROPOSED USE: ~SGL FAMILY DWELLING o COMMERCIAL o ADDITION DALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME D OTHER DESCRIPTION OF WORK c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL 0" f!A.UJ) /100//1 BUILDING SIZE 1& x/I/; SQUARE FOOTAGE e2 f;& if HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY FORMS. c.....-'" v'~ ,ru, 2; sb FORMS. (!,LJ) G. {liJ jJo,.J PERMITS REQUESTED rp BUILDING o ELECTRICAL $ 5", )0 tj. 0 () VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o Progress Energy D W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION D GAS o ROOFING D SPECIALTY o OT HER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL o OTHER FINISHED FLOOR ELEVATIONS I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO BUILDER COMPANY A (L;lr.s 4lUj)( fIJi//)( :v C . SIGNATURE sJl{ r!~~ ~/l' STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # *******************************************************k********** 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 udeed 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, 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 UContractor 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~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 uFlorida'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 Uowner", I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the Uowner" 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. 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 UA" or uA,etc.", it is understood that a drainage plan addressing a ucompensating 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 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 uNOTICE OF COMMENCEMENT". ,(lcLC~ ~i/--- SIGNATURE: OWNER OR A NT ~ e';,- r;yJL- SIGNATURE: CONTRACTOi/ STATE OF FLORIDA r:) COUNTY OF ra..sw The foregoing instr~ent was acknowledged Before me this ~ of mtJ..A..~.L. , 2rer by Sf-ac,' (name of person acknowledged) ~o is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this 015""" d~ of rnl'V'o"~ , 20 0 <F by I....S-h1.~ ~ (name of person acknowledged) ~ho is personally known to me, or Rts~ o who has produced (type and 0 did not of identification) take an oath. Owho has produced (type of identification) O:iid not ta Name typed, erson taking acknowledgement JU\' OJ iimpuog JI1UP-il\. """ illY' P~pu08 ,"o',.;o;~" .L ~ i'~ ' ' , '''';'. print~Go~ 'WtN3.rlttJ~3 :::\0 ':~: (tlLSlOO# UO!SSIWWOJ -:",~~~~~,,: IQUg ~uuuzns'~?~~~:" Si nature ~erson taking acknowledgment Name typed, ':)UI '.OJ 8u!puog :'J!lUBir'J "~~'!"~O~/,,/ 'U'1.Lp~pu8e ...~u. "x: pri~5~~~1\O~~~:~\ .~' ItlLSIOO# UOISSIWWO:1 '~'~',o"c .TI1UH ~uuuznc ,.s' SCREEN ROOM / Z. X q F< iO C, f. 13 E /1'-' 2x3 .050 POSTS --1 3><"3 2.xro S.M. B. 0.'1:3 AT EDGES 16' ~ 2x9 RIDGE BEAM IT u / I : - I. ~ 1 ~ composite roof wI 1 I 1 J I shingles , ~ eXisting slab ..5TRUC1Ai.L .-. 13~;7, 3 H o S T 16' PASCO PERMIT SERVICE Suzanne 8ahr 1.&66.82 Engineered by: David W. SmIth, P .E. ., S 0 I hereby certify thelt I hlllYe performect and reviewed this plan and found I to be In comp//ance with design requirements for 11 wind load per secIIon 1608 of the FLORIDA BUIl.DINO CODE, 2001 EDITION. f;.:Q /) ,....;07 ;.:,i'~- '1'7~ , ~-~ , . -);2n ~ - , ... t~)? ~-< '~., ,,' I ..-- AVe:. . NT. LL- p1-C/(J,rs '" t;.'I:t:ST.T:Nt;- - /1/,' ~----~..,,--_.~ I 1 ~I ! 8:i~ '-. i 'I. ~! I~t .1 i Crj I I W I I -I I i 'I \ 5, i........... LoT to 0 I I~ I t /I. ---t'f" - - -\ I " I ' tl , I 8. - I I \ '\ \ ';'<:. ~1 f'l1 ~ >~ "" H ;;i"" ~:l (\.; tt ~~ / ! cJO, ~-J E. xx.snN6- HOME'" ! wi ~l . I gl , I I ! i \~ \ . \~ \ \ I. \ \ s " , \ \ -"~~\ , , ~ , J9 f. ~~/-;;()~:.'~--I S:;.L -. 6tleECf:f ?' I /!.i)OM - L lip, -~-..~ A I 1V I I \~ \ , \ \ ( \ \ \ \ \ \ \ \ \ t _~______~___~~ /' Lor 5"7 U)T S,f .-/ 9 (); J. 7 ' 70 II MSu/v (JJ-;l &. - JI- ()C).(KJ,.GCXJOJ- OS9rJ cOr S9 01 LYER O/l.kS !/ZLL/)6[ PIIAJ'r CJ/VF NOTICE OF COMMENCEMENT .~.,~ State of f./O/'( dc,,- County of fJ ClJ e (.I THE UNDERSIGNED hereby 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 Commencement: 1. Description of Property: Parcel No. 03 -J.f.c-rl../- dclOr)- O()Oc);)- of"C)O {ol ,c;9 S/ It I( I OllfZ-.( ////~ tI ,oj; - / .J7VoLf P/e/{'elrl7Lc!/t/te (Legal description of the property an street address if available) 2. General Description of Improvement \fe>U-i /'-- 1'00/11 /1111111111I111111111111I1111111111111111111111111111111 1111 2005056415 3. Owner Information: Name &~ IJLI J 70 A.1l'J-~il City Zz:fJ iJr/u.I/~ Rcpl: 867873 Rec: 10.00 DS: 0.00 IT: 0.00 03/28/05_____ Dpty Clerk Address P: <7. !Jot Jf 7 State If. 3dS-tfJ- Interest in Property: "...- Name of Fee Simple Titleholder: (If other than owner) Address City Contractor: Name 6 c<. 11' t,s /4fu.ftt[/Jt~P\. Address [(J'ILJd f--:trf !It.~ Il/ City JED PITTMAN PASCO 1COUNTYf CLfRK 03/28/05 09:34am 10335 OR BK 6288 PG State R 4. "Ii.. (' Z.(f) i~N' it/!{ I ./ Statefl 3.l5t}J- 5. Surety: Name Address Amount of Bond: $ 6. Lender: Name Address City State City State 7. 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 8. In addition to himself, Owner designates of. . . to receive a copy of the Lienor's Notice as provIded m SectIOn 713.13 (1) (b), Florida Statutes. 9. Expiratio.n date of Notice of Commencement (the expiration date is 1 year from the date of recordmg unless a different date is specified.) ~ X, - /-) '~;J . /~ vV ::::~:e ::d~~2~~b~1 :g~hist fi:;;-A- day of Pf FeJ,rtAar~ U Not~ry,Public: .. ~~,-,,- ,20~ .' ~~.:o.;-':::~"~__'\ -':_,:....." My Commi?sion Ex}?iJ;es:.. . , PC93053048/A. '..'./ _ ' ~~, i ; ,.<,.: r.: ; ! ':'. i'\ 1:"<