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;~"
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print~Go~ 'WtN3.rlttJ~3 :::\0 ':~:
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Si nature ~erson taking acknowledgment
Name typed,
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SCREEN ROOM / Z. X q F< iO C, f. 13 E /1'-'
2x3 .050
POSTS
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0.'1:3 AT EDGES
16'
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2x9 RIDGE BEAM
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I : - I. ~ 1 ~ composite roof wI 1 I
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shingles ,
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eXisting slab
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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.
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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.
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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.) ~
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Not~ry,Public:
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My Commi?sion Ex}?iJ;es:..
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PC93053048/A. '..'./ _ '
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