HomeMy WebLinkAbout05-4095
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
4095
Permit Number: 4095 Issued: 4/13/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 7,480.00 Total Fees: 105.00
Amount Paid: 105.00 Date Paid: 4/13/2005
Name: HAWLEY ALUMINUM INC
Addr: 32552 GREENWOOD LOOP
ZEPHYRHILLS, FL 33544
Phone: 352 588-2775 Lic: RX 0034241
Work Desc: SCREEN EXISTING POOL
Address: 4829 18TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name:
Address:
Phone:
R L 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,
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.
/ .
. -':' .;R.-
RS/S TU ~ PERMIT OFF I
CALL #0 I :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 RECEIVED
Ji- f- () 5-
PHONE CONTACT FOR PERMITTING ./.r.z-.f?/..I. 71s
OWNER'S NAME
//1#~) tC.yAJ /J?r- ~if~7!
/r-~ Jr-
.
6
/'1- ').6 ~ )-1- OC>/O 0)..).00
PHONE
71:7 ,9t:;.:J/
JOB ADDRESS
~?/9
LEGAL DESCRIPTION: LOT(S)
BLOCK 1-2.-
c::>06"O
SUBDIVISION
;fel/)" ~
PARCEL ID #
(OBTAIN FROM PROPEJ3,TY TAX NOTICE)
WORK PROPSED: []NEW CONSTRUCTION ~ADDITION
[]ALTERATION
o REPAIR
o INSTALL
OSIGN
PROPOSED USE: 0 SGL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
OMULTI-FAMILY
[] INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
):Q OTHER
DESCRIPTION OF WORK
~~
9-~ ~ ~J
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~/ r,)'n.,q ;/./00 L
--J
SQUARE FOOTAGE /7-0 y
"
HEIGHT '7
BUILDING SIZE
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMI'l' ONLY (2) SETS OF' ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
;, ,~~r~
/D).
o BUILDING
$
7~fO~
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
,$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING $SPECIALTY
o OTHER
TYPE OF' CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
J2g OTHER /f/v~
FINISHED F'LOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
L_..._---.:______.__________
BUlLOE~
SIGNA1
QQN'J:M~>>~Uel'mQN
'''.....".U::P::.~-ty ~..,
STATE CERT OR REGIST # /2..)cOOjY~/
~
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST # .
*********************************************************,,********
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"" whicl)
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 ttle 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 "Contractor Sections" of this application for which they
will be responsible. If you, as ttle 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 "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]
have obt?ined a copy of the above described docum~nt 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.
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 e~rors 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 DQ NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
... - //~-
~ CONTRACTOR
SIGNATURE:
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
Refo, e me this _ day of
by
acknowledged
, 20_
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who 0 did D.:Iid not ta ke an oa th
Dwho has produced
(type
and whoO did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
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 REX HAWLEY of HAWLEY ALUM
to receive a copy of the Lienor's Notice as provided In Sectlon 713. 13(l)(b) , Flonda Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording
unless a differe~~is SP~jfied.) . ,
Signature of Owner: ~/J1 vl1l~
II ~ J ~t;;C):;-
The foregoing instrument was acknowledged before me this 'r - . day of 7/~1 L~ , :w
, by who IS (_) personally known to me or (_)
produced as Identification. __ I
~ I
Notary Public: if d/~+?<P' d ?;-;;!L
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2005062177
Rcpt: 870362 Rec: 10.00
OS: 0.00 IT: 0.00
04/04/05 ____- Dpty Clerk
JEO PITTMA~ PASCO COUNTY CLERK
04/04/05 lla: 15am 1 of 1
OR BK 6301 PG 894
Permit No.
Key No.
NOTICE OF COMMENCEMENT
County of PASCO
State of FLORIDA
THE UNDE~SIGNED hereby gi~es notice that improvement ~i11 .be mad~ to ~ertain .real prop~rty, and in
accordance With Chapter 713, Flonda State Statutes, the foIloWlOg mformatIon IS provided m thiS Notice of
Commencement:
1.
2.
3.
OwnerInfonnation: Name MARILYN MCMICHAEL
Address 4829 18th S'l' City ZEPHYRHILLS State FL
InterestinProperty: OWNER
Name of Fee Simple Titleholder (If other than owner):
Address City State
Contractor: Name HAWLEY ALUM.
Address: 32552 GRENWOOD LP City ZEPHYRHILLS. State FL. 33544
Surety: Name
Address
Amount of Bond: $
5.
State
City
6.
Lender: Name
Address
State
City
',.
,~~'" Jacqueline A Valdez,
\~ ; My Commission 00135535
off~'.I Expires July 21 , 2008
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PARCEL 1. D.
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SEC
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1'WP
SITR l'LAN
(RESIDENTIAL USE ONLY)
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carD
LOT
DATE: f/~f-
,
All drawings shall be drawn to scale or fully dimensioned for all p'arcels.
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SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE
ANY BODIES OF WATER. TREES (INCLUDING SIZE, DIAMETER, TYPE), AND ROADWAYS (INCLUDING
NAMES) ADJACENT TO TIm PROPERTY. INDICATE THE SIZE, YEAR, AND NAKE OF MOBIL!; SUCH AS
12' X 60'. 1981. PLEETWooD.
ALL uEASEHENTS". "PROPERTY LINES". "RIGJIT-OF-WAY". and "JURISDICTIONAL LINES" be
shown on all site plans.
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