HomeMy WebLinkAbout05-4181
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4181
4181
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost: 17,471.00
Date Issued: 5/05/2005
Total Fees: 215.00
Amount Paid: 215.00
Date Paid: 5/05/2005
Work Desc: SCREEN ROOM,CARPORT AND SHED
Address: 37325 ILL AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Name: GRAND HORIZON
Address: 37325 GILL AVE
ZEPHYRHILLS, FL. 33542
Phone:
N
ACE AIR CONDITIONING & ELEC,
~ 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.
~~
ATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
"
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8" Str.ot, Zophyrhills, FL 33542 ~ ~
813-780-0020 FAX: 813-780-0021 ~ . ~ P' 5'
DATE RECEIVED...., ,
PLANS REVIEW FEE
OWNER'S NAME '-';)\~\ \-\Ci ~u-"5'\ ~\\'V PHONE~~ ~ - \D\.c:>'--\
JOB ADDRESS ?)\?J~~~ "'--c-.:.,\ \ "\..~ ~\- \\ \
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION,\\'i~\-~'\C~\,\\\..Y
PARCEL ID # ~~-~\-f').,)\\.')~~~-~\I\
(OBTAIN fROM PROPERTY TAX NOTTCF,)
WORK PROPSED: ChfEW CONSTRUCTION
~DITION
OALTERATION
o REPAI R
Q.--rTJSTALL
OSIGN
PROPOSED USE:~ fAMILY DWELLING
OCOMMERCIAL
o MOVE
o DEMOLISH
OMULTI-FAMILY
0# OF UNITS
o MOBILE: HOME
~)~,~~
DESCRIPTION OF WORK
\...
BUILDING SIZE SQUARE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS Of BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS,
FORMS. 'v 0 ~..O ~\..J) (;;.
/ D " r
'7;7 ') ~ ~~ bJ-h.[ ,
PERMITS REQUESTED
~JILDlt~G
~LECTRICAL
s \\ "--\ \ \ . i;:)~
.
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W, R, E , C ,.._,,\~<c... ~~
o PLUMBING
o ~~F::CHANICAL
s
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
SIGNATURE
~ /l. /W~
f
-
COMPAN~\\t
STATE CERT OR REGIST # I
CITY PROCESSING # ~
BUILDER
******************************************************************
ELECTRICIAN ~
SIGNATURE 7 ~ 4, a&Y
COMPANY \\.~ ~ ~~\-(' :t
STATE CERT OR REGIST #
CITY PROCESSING #
\~I
******************************************************************
'-
PLUMBER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
'-''-''.1...1../..1........ ..I....'-'J.'O...J v.L J... .i..:..i.N'.\..l J.. i\r::.r:::. }..\..;'j-\V _I.:.
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 intende~ work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, h~ 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 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 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 Guide" prepared by the Florida Department of Agriculture
and Conswner 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 conunencement.
E. CONTRACTOR'S/OWNE~'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,
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 cake 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, 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 ~bandoned.
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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNA8'~NER1J~ SIGd:1E~NT:Eo~~
STATE OF FLORIDA P A~( C
COUNTY OF
The foregoing instrument was aCknolledged~
Befo~.e ~, thiS!k!it day of iJ'IAJZC.t1 , 20_~
by {b /Lt:{;? 13 f '
~(name of person acknowledged)
~who is personally known to me, or
STATE OF FLORIDA Pf~ 5 ( C)
COUNTY OF
The foregoing instrument was acki7wlectztjd S
Before ~ th~s ~da~ of/YiAtL I , 12-
by wI! f (,.7 jJ....f:,Lil/~
_~(name of person acknowledged)
~ho is personally known to me, or
Dwho has produced
.....(type
and whoO did Q1lld not
_13~ A - OofA
signature of person taking acknowledgement
of identification)
take an oath.
Dwho has produced
~e of identificatlollJ
and who Odid u;}:lld not take an oath
T3~ J.IU /i1 ~
Signature of person taking acknowledgment
3{lJc[ /l A5(}()/
Name typed~%}U~~~6eJ stamped
,~) My Commission 00116710
0, '" Expires June 22, 2006
[)QJLC I~, A 5(jf L
Name type~W~&~~1 stamped
,~ ; My Commission 00116710
o,,.'of Expires June 22, 2006
B & R CONSTRUCTION OF CENTRAL .FL me.
4025 MORRIS BPTnGE ROAD
FREE ESTIMATES ZEPRYIUIILLS.. n. 33543
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SubdIvt$ioQ:
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1--800-,224-1206
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GRAND HOIlIl.ON 37J2S OILL AVE
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2xlO SMac.m "... ,.....".. _ UF::c 59.a:!
C~G.bkFJ_inS ......... _ x 5100.00
SCRUNROOM 11{ Al.LS
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FauB\.'1W(nutw.red) ,....""-.!-
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UTILITY ROOM WAlLS
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Single Wi..w (Exn) ......... ,
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"-",Rail" ..,...........,..,.. _ Lff ~ nl.70 fllnt'
~ l\3ilina .................... ' FA ~ WI.U3 \h'::'l'l,:
~Door ...... _J>; . eA x s.~:.(JO ",'.t1lO
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0.-.. DuGr 0patcI' _" _ _ !:A ... ''',flu
Mise: $0">0
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P'alio $I.. ......... ..!!!. x..!!.. ..... Sq, FL A ,tz,4:! $45HS
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$iclc1l1alk .......2...JC.2:..-~ Sq.a. x $2,42 U4e.~
~ ......... ~ x ;III .. ,to Sq. fit, ~ S1,A2 n.oIOHiO
Drivc....y FIlIi, -:- x -;- 0& -;-- Sq. Pl. ^ $3,63 s..llll~
itlNsed Willy ..... J 11],- . 4~ -" $33.9J S)).Y)
baed Pacio 6 C- -:;- A ,. - -=- Sc" pl., $1'-60 'l,~,")
JW.scd PlIlio' c- = x= ,.. -:- ~. 11. x $3.60 $0.00
~ 6 J*' n "... J'" -!.. · I... LJF '\ S2.Jl~. S40U,1V
y<lOtel'IXU....~ -;;- LIF " $4.11 illl......
F~ IZXJZ kciafOrwd .2t.. LIf " $6.24 ~),~
fDGCcrstirlin, ;,............. ''', LIF " $3,0; )ZY~lW
l1'n:ad SIcp .................... _ I!.A 11 Slin.2:\ mOll
:z TtadStcp .................,.. _ EA ~ 1204,-'0 ~lOlIU
)Trojs.p ................... z ~ ~ nO<i.6' ~\1,1'
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NOTE: Accordina 10 tbe Fl. Bui14iq Code-
. or8I:k IS........,., proN_ ..... II
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(III all lIDDIIid IIOl>>UnII iIl.-an. ~ "EIlc:::EllffA(.iI;; #CATS 0'- 11% '$ tees;r w ~Uc:\1.
This space for use by,Clerk of the Circuit Court only.
" \1
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111I1111111111111111~ 1III1111111111111111111111111111111111
2005090586
I
Rcpl : 882308 Rec: 10. 00
DS: 0.00 IT: 0.00
05/09/05 Dpty Clerk
JED PITTMAN I
05/09/05 02~~ASC01COUNTY CLERK
OR BK 6360 PG oS51
"
Slale of F,lori~8
, .
The undersigned hereby give, nollee Ihallmprovemenl, wlll ba made to certain real property, and In ecoordenee with
Secllon 713.13 of the Florida Slalule', the following Informallon I, provldad In the NOTICE OF COMMENCEMENT,
1. Lecol OoscripUon of proporty (.u..\Odd""" ~~~): ~ "L">>. '0' ~, \) -~<?' \.::6 ~\" \ :
2. G.no,,1 d"cripllon o'lmprovo'moni'?"> ~. -<L ~ ~':'" <0, \,-'"'i','.-
"
-=
3.. g:~:; ~~~:~~~':.~~%' ~\'\9
-=
.
3b. Owner's interest In slle:
3c. Fee Simple Tille holder (of other than owner)
- Address: .
,r) onu'ClorNemo~ "\ ~~\i ~~ \~, '
~dro..: ~'" -., .. l\ '< ~.. , .. .. ) .\<S ,', phono:~'~- ~~-\a\c~
, ;::'''-\3,
5, Surely Name: Amount ot bond:
Address: Phon.:
6, Lender Name:
Address:
7. Person within \he State of Florida d8$lgnated, ~y owner upon whom no\le.. or other doeuments may be served as provided by
SecUon 7.13.13(1 )(8)7, FlorIda Statutes.
Contact:
Phone:
Name:
Addr...: '
. Ph9n. Num~'r:", ' .
'...
6, In addlll~~ \0 hlm~elf, Own.ideslgnat.. \he fo.llowlng p.rlon to r.o.lv. . ooPY of the LI.nor', NoUce IS 'provided In Secl/on
7.13.13(1)(t));"Florldl Statut..., '
Name:
Addr...,; .
".'
Phon. ,Number. "
, '
9, Expiration date of Notice of Commeneoment (expiration date I. one (1) y,ar fro,m date of recording unlns a dlfferenl dal~ Is
: 'i,~p.~l!l;d). .:..~, '
~~cl ry~",,~~ Signature of
~ '
STATE OF FLORIDA
,', ,I ",'
9
date or' fI/J A L( I 20 oS: by
. who (Is) (er.) personally known 10 me or
II Id.ntlneaUon, who did/did not take an oalh.
\
~ A- (lJ~
Sign.lure . Nol'ary Public
~~, Bruce A Asbei
,,~,i My~mmiSSionDD11&ml
or...' ~plres June 22, 2006
(A copy 01 any bond mus\b. altached a\ the lime of recordaUon of thl. NoUc, of Commencement)
.' ,