HomeMy WebLinkAbout05-4243
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4243
Permit Number: 4243
Permit Type: ADDITION/AL TERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: RV PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 3443 MALACHITE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number:
18,500.00
5/19/2005
232.50
232.50
5/19/2005 Phone:
SCREEN ROOM,ROOM ADDITION DRIVEWAY
Name: JOHN HOGAN
Address: 3443 MALACHITE DR
ZEPHYRHILLS, FL. 33542
H EL 1
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.
~ ~ ~-~
CTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPAR'l'MENT 5335 8ft! St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
OWNER'S NAME
JOM
.3 tjtJ3
H 09 Q f)
mfL/(~jJJit IJr/Ve
/I.//;
tJ- '/ - ,).~ -r),/- 00 l.j() -0ct:k)J - / f/ & ()
DATE RECEIVED
PASCO PE Mlr 5E:RV'I(
PHONE CONTACT FOR PERMITTING 1-'iSccG,-gAt(-7Sc::pl
PASCO PERMIT SERVICE
, PHONE 1-AAfi-R?4-7R~4
To!! Free
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
SUBDIVISION:rk fmra/tl Po/Ilk If//
J:Nd/' f PIJ-oL
lORTAIN FROM PROPERTY TAX NOTICE)
BLOCK
PARCEL ID #
WORK PROPSED: '~NEW CONSTRUCTION
OSIGN
o ADDITION
o MOVE
OALTERATION
o DEMOLISH
o REPAIR
o INSTALL
PROPOSED USE:OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
.sC-'LUA room room a.drt'I-/(J~ +
SQUARE FOOTAGE 5(YI f
DESCRIP'l'ION OF WORK
BUILDING SIZE
/
3(; X Icj
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.
?' BUILDING
o ELECTRICAL
$
les{X).fYJ
PERMITS REQUESTED
& (1) SET ENERGY FORMS.
FORMS.
r~7 ,)0 fjwG.
~)~_ ~':. ~C
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W..R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
o GAS
o ROOFING 0 SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER
SIGNATURE ~Jt1c'\... jut[
..... ..--". .,'.' _, _,' __d__',
C~TQR.f;Sii:CTI()N
.'.; -' .'- ;.' ..... . -;.. -' - ,-' .;;: ?:-,<.... :~,'.- '. :".J~'~ ""':;"',,,,:',.".:;~.: . _'.. _." -;. .. .., . .. ," ..:., n' .l
COMPANY- 0C//) s4)? .4tu./J(. n c
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLtlHBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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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 fo:
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 require<
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 contra~tor 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 thE
will be responsible. If you, as the owner signs as the contractor, you are indicating the
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 j
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 Constructior
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 obtained a copy of the above described document 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.
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 t
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'.
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 si:
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, CONSUL'!
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".
~/dC~
SIGNATURE: OWNER
~J/~
<6I{ AGENT
~~~, ;pJ{
SIGNATURE: CONTRAtTOR
STATE OF FLORIDA re>
COUNTY OF r a $t:'o
The foregoing instrument was acknowledged
Before me this~da~ of ~ ,2000-
by 5ia.c:I'C.. 7~ l~
~(name of person acknowledged)
~who is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this ~~ ~1 of ~ ,20 oS-
by ~c. L lc::>
(name of person acknowledged)
~ is personally known to me, or
~.st"o
o who has produced
(type
Odid not
Owho has produced
(type of identification)
O:iid no~th
person taking acknowledgment
Si
erson taking acknowledgement
Name typed,
""'~aAB:e :SaM
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pnnted~~~'S"" _ ission #00157131
~{~,~:J Expires: Noy 15,2006
<',,~~ OF f~O~" Bonded Thru
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.\\"~L'II Suzanne Baht
Name typed,.::~~~OIm1i~~\1l.~712
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1111I11111111111111111111111111111111111I1111111111111111111
200509.7588
Rcpl: 885169
DS: 0.00
05/18/05 ____~
Rec: 10.00
. IT: 0.00
Dpty Clerk
NOTICE OF COMMENCEMENT
Flori aI~
County of
,/J11.r,J(!O
State of
TilE UNDERSIGNED hereby gives notice that improvement will be made to c2rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1.
Descr iption of Property: Parcel No.
(;lJj-Jfr ~/- tJOtj()-()OO()j- /Y'hU
L()f / l/ & ~Iu r(L I j jJrY~lt.,.e t/ I!N (I/' I- 3 'I'/J /J1 a fa ~i.Je ill
(Legal description of the property and street address if available)
/lJ01YI ~o!rL..J-/dA..
tJettJ.efJ
/'00 /YI
2.
General Description of Improvement
+ c:b\ i t~~
"
JED PITTMANA PASCO COUNTY CLERK
05/18/05 0~:16am 1 of 1
OR BK 6375 PG 77
3 .
O\.mcr Information: Name J oLA floJall
l\ddress 3ljIJ3 (l)u-!a.cLt'lt lJA. City CL,P4I"L/Ir
Interest in Property:
State Fl. J.JrvJ
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
City
State
4.
Contractor: Name ~Lu.... J'~6
Address f.p/5lj Fbr-l k.-~ ((.d
.4!u/J.. . I^t
City ~;:;LyrJ.J/f
StateR. 3J5~
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
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
9.
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
~xp.lrl1t.ion date of Notlc.e of Commencement (the expIration date is 1 year
rr?m the date of recordlng unless a different date is specified.)
Signature of Owner:
Sworn to and subsc iied
V'
11 d<OOtJ .
I{'~ day of yY)fL1
Notc1ry Public:
"" >,;: Baht
..,~~yp'~~" ,-,uzanne ' ..
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~;;.. \~.';l Expires: Nav 15 20'~6'
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"\llaJmc tionamg Co., Jnc,
PC93053048