HomeMy WebLinkAbout05-4100
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4100
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:
4100
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
MOBILE HOME PARK
Address: 6132 HARRIET ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: PINE CREST M.H.P.
Parcel Number:
5,350.00
4/14/2005
90.00
90.00
4/14/2005 Phone:
REPLACE CARPORT ROOF AND ADD NEW PATIO COVER
Name: B GOEN
Address: 6132 HARRIET ST
ZEPHYRHILLS, FL. 33542
R 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."
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.
"~eci ~/L ~ ~
CONTRACTO IGNATURE PERMIT OFF I
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 RECEIVED
if /~/O)
PHONE CONTACT FOR PERMITTING
OWNER'S NAME 1:30.6 G-oe/J - f?/~o'Nf m,/I. Ptu/( ~(~/.J I PHPASCO PERMIT SERVICE
. II . I / f^C. of- ZR-/lLyrlJ/f 1-866-824-7894
JOB ADDRESS (p/3J- 17(i.-/'rLR.-. S'/-fiU Toll Free
LEGAL DESCRIPTION: LOT (S) ~ BLOCK SUBDIVISION !J{M tAP[i m./l fJaAA
00 -.)&, -J 1- ()~/ 0 - (J(}(X)J- OJM
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: 94NEW CONSTRUCTION
DSIGN
PROPOSED USE: ~SGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
OALTERATION
~. REPAIR
o INSTALL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK NI;lt:LC~ (a/pUt,f 1i))I'~S(t//'IA.. r(r;iJ)(Ciy-{
R(fAir IIX~q' ,PAlld {(jur
BUILDING SIZE 1J~\.C) - l~ x 'A"" SQUARE FOOTAGE
-I CLcll tV ie'
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLA.~S & (1) SET
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERG FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. 0
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.L1'[)\~
ENERGY FORMS.
PERMITS REQUESTED
L! BUILDING $ S I j5"o ,ex> VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C.
0 PLUMBING
o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
o GAS o ROOFING o SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
FINISHED FLOOR ELEVATIONS
BUILDER
COMPANY
13 (,,-ILl' <J ,41 iJJr)l/Jt j)\. .:rite
SIGNATURE
~si<<eA-- JzjL.
STATE CERT OR REGIST #
*******************************************************~.**********
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" 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 "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. 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 I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ~owner" prior to commencemen':.
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.
Appli~ation 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, constr'Jction, 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 "NOTICE OF COMMENCEMENT".
,-Wad>L ~! L
SIGNATURE: OWNER OR GENT
. l~\t(tL;~.~J:
SIGNATURE: CO CTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument waFiacknOWledged
Before me this I;>t'-day of v...n' , 200S
by
~. (name of person acknowledged)
~o is personally known to me, or
Pasta
STATE OF FLORIDA 0
COUNTY OF Lu...st.fl
The foregoing instrument was acknowledged
Before me this I ;;>il... day of ';fn I f 2QQ5
by
(name of person acknowledged)
~hO is personally known to me, or
Owho has produced
(type
Odid not
identification)
ath.
erson taking acknowledgement
Name typed,
,,)~J'~', ";lIz<lnnp Bal:u
pri~~r~if~~'= a:bIaI~~ #D,r~15713 i
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Name type#tY~i:f}t~M~a~etDwd
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~;,.~'~ ExpIres: Nav 15, 2006
'.\", ... Bonded Thru .
"","nlle Bonding Co., ln~
R')r"c!:r'L, :) ;f1:'
ENGINEER'S NOTES:
l.THE 'WIND LOAD DESIGN COMPLIES 'WITH 110 MPH 'WIND SPEED
(3 SEC GUST) 90 MPH FASTEST MILE
2, THE 'WIND IMPORTANCE FACTOR IS 0,77
3, THE 'WIND EXPOSURE CATAGORY USED IS *BN
4, THE INTERNAL PRESSURE COEFFICIENT FOR OPEN BUILDINGS S 0,00
5, DESIGN 'WIND PRESSURE =+20/-25 PSF
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State of
Ftc ILIIA.
NOTICE OF COMMENCEMENT
;J (('.It' (;
County of
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. ().-5- .~Ii: -d.-/-().Y.--Id- tXJOr):)-().Y-trO
&/3rJ.. J./arrkf \Sj.~-I - ~c~eM.J1
(Legal description of the property and street address if available)
2. General Description of Improvement )-~~u. SfOrm Olfc_fJit(q.ecl
, 1./
(' tL !-'1X)!' .;. rCX) I- I- )....e lc) fJU/ iJ ( Obc /"
, /
1"'''' 'I'" ""1 "1" 1111' II11I '1'" "'" 1'"''1''' 1'11""
2005069919
3. Owner Information: Name (jUh
Address (;iI3J ;j1i.1Y'L~ l.sl ,
~(jf /)
City
z~ j--it, r,;G) Ir
I ../
StateR, 33Sl/~-2
Interest in Property:
R4.
Name of Fee Simple Titleholder:
(If other than owner)
Address
Contractor: Name I) UI'> ~J
Address &> Y'/.I) ):' d rf- Klt<-f
Rcpl: 873461
OS: 0. 00
04/12/05
Rec: 10.00
IT : 0 . 00
Dpty Clerk
City
4- !1-l/11 . -J: ^- c
Rj City Zc/ly/'kl!J-
State
StateP . J35J/J-
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
"
City State
JEO PITTMAN PASCO COUNTY CLERK
04/12/05 0i: 27pm 1 30~51
OR BK 6318 PG ~
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 in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
Signature of Owner: j('~~ .(rij?~.0L-
Sworn to and subscribe fo~ day of Itfr/ I
Notary Public:
, 20~S- .
My Commission E
PC93053048/A
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