HomeMy WebLinkAbout05-4261
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4261
4261
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost: 24,608.00
Date Issued: 5/23/2005
Total Fees: 267.50
Amount Paid: 267.50
Date Paid: 5/23/2005
Work Desc: SCREEN ROOM,SHED AND CARPORT
Address: 37317 GILL AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): 170 Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Phone:
ACE AIR CONDITIONING & ELEC,
F 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.
~ ~ '1Z_~
.. ~A. - ~ ~
CONTRACTOR SI NATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021 ~/ C//
DATE RECEIVllD II / ;! tlS
'PLANS' REVIEW FEE
OWNER'S NAME '\:. ,,\~ ~<.'\C~ ~\-\\:) PHONEl)~-:t~-\~L\
JOB ADDRESS~!0.\ ~ ~\\ ~~~ ~ \\(:)
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION\,~,,~ ~\1'\(:::.::s:\ \\'\'\?
PARCEL 10 # ~\-c'0~-0\-u"'"')\(y--~~Q.::)~D\\(:) (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~W CONSTRUCTION ~DITION OALTERATION 0 RE:PAIR ~STALL
OSIGN
PROPOSED USE: ~ FAMILY DWELLING
OCOMMERCIAL
o MOVE
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
~~'?~,~
( \
DESCRIPTION OF WORK
-+
BUILDING SIZE
SQUARE FOOTAGE ~
HEIGHT
, (l)j SET ENERGY
FO Rl(ff.
)Z~Lt )~'
'i'r .....~
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.
FORMS.
i ~ 'Lf)(,
~ILDING
~ECTRICAL
PERMITS REQUESTED
$~~b~~
\
f2-\fLc
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
FLORIDA POWER
o
W.R.E.C,~\\~~~
o PLUMBING
o MECHANICAL
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
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
... ... "... ,- .. .
. ... .. ,....
. . . , '.' ' . . . ... ,. . . , . . .. .
.; ::; ~.: ",; ;;! .; I . .; .:,;;; :'j . :,; i;!' :.;. .
:-.;..,.....'"
i;~ ;;. . . H;'
.'''~~~~A~~\\.~ ~\ lL~~ ~~Q~\K
STATE CERT OR REGIST #~~~~-l~.u---
CITY PROCESSING # ~)~ c-..,
, I:
BUILDER
SIGNATURE
--;7 /7 IJ /) f}
fCn~ 1'-1, v~~
******************************************************************
SIGNATURE
~j)~U~
COMPANY \=\"\-0 e "'\- \?-\{ ,L
STATE CERT OR REGIST #
CITY PROCESSING # \~~
ELECTRICIAN
******************************************************************
.....,
COMPANY
STATE CERT OR REGIST i
CITY PROCESSING #
PLUMBER
SIGNATURE
******************************************************************
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
**.*.************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
OTHER
SIGNATURE
*******************************************************~-*********
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 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 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 ot 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-Asbesto. 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 let aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter ~equiring a
correction of errors in plans, construction, or violations of any 'code. Every permit
issued shall become invalid unless the work authori~ed by such permit is commenced within
six months of issuance, or it work author1;ed by th.permit is suspended ,or abandoned for a
period of six months atter the time the work 1s commenced. One 90 day extension of time
may be allowed for the permit with tee 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".
A~ 13~
SIGNATURE~OWNER OR AGENT
'-'''''''.'__........J.-VH..., .....,.0,; J,....L;.i.\J,..lJ..&. n~J,;..LL)~vJ.J.
rl4 ~ -o~
SIGNATURE: ceN'TRACTOR
STATE OF FLORIDA P/l r
COUNTY OF rv (, 0
The foregoing instrument was acknowledged
Before l!!e this&day of /!-RUL ,20.0S--
by ~0 (!,f: ", '
~ame of person acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowle~ed
Before me this / 'j d~ of ,ApRJ f , OS-
by (;/Z.Ej; g)-_~i.J L
~ (name of person acknowledged)
~ho is personally known to me, or
P 1-1 S C c
Dwho has produced
.....--(-t yp e
0Cfid not
of identification)
take an oath.
Owho has produced
(type of identification)
~ not take an oath
and whoO did
~ J-J-
~i
and who 0 did
~A,
{fgt.d(!
Signature of person taking acknowledgement
Signature of person taking acknowledgment
13 (L vq::-
Name typed,
~1, Ii S/JCL
printed or stamped
~J' Bruce A Asbe!
~ CJ>: ~ My Commission 00116710
Of fl.'" Expires June 22, 2006
D(2J~
Name
j), (...kSfJE"L
typed, printed or stamped
i~' ~ Bruce A Asbel
. ~ ~ My Commission 00116710
'%;'Of fl.'" Expires 'una 22. 2006
V"&r "'''''1 \Iv .U.V.\..t._.....t. c.\.A O..t..) I O,".JttQ\)
~-J 7-,,:,n'6 12: 1 ~1 FROM
"~'!.I nVlU J.V.\:' nV.llL:'
B a B CONS'IllUcnON OF CENTRAL FL, INC.
40%5 MORRIS BRIDGE ROAD
FREE EmMATES Z&rIlYRJITI~l~ FL 33543
~VV.l.
p=:
~
1-100-114-1106
I JI A.Ut
..UCENSED · OO'N"DF.D · JNSURED · SJiOkTING. SlEPS · ROOM ADDmONS · ALUMINUM · CONl~ETE'-.
n.c:
C1.Vl6lOS
Lol':'!'!!"
Subdivisicla:
GkAM)HOmZON ml7GILL AVE
I
0IA9S ltOON WAUS
Walls + + T .. ~ L/f' "
K Sy1lI:a ...,~ =,,= ~-;-$q.FL x $3.)4
GIaJ Door ........................... " $300.00
...., ~"'" ........... .... ... lJf 1r $21.'70
-
S-.p Raaliq ......,................. l EA x S9J.~
(JIap I)acr ........ ~ !A ~
- - -
GIaIfI ~....... ~ EA :t:
- - -
OInF[Jou(~ '1t ~!\ ...
- - - --
Mite:
-
W""~.... T~
;rt!ll."~ ~~i'9i1 Nt B
:r.- ..~.~ (fL ul.l-re
u.r SIdina ColCll':
H<JMe s.ial ":
.... Model ~
BclIIIl CoJor:
,IlJl aJurn11lUlD toOTS Ift.el1.*: r.u. Trtm. 0UIIer. DcIIa
I~ 3d Posts, ;pId Slrill21e Fldtitl..
I'1IlIS _ 1'l..lMlt ...l:..1!q. f\. x ~~. ..)4
P.- ~. '<OIlS . Sq. Jl't.. 3.5'. "1"
"- - F\. JAI'" -;- Sq,f\.1l; l."-~.14
Pas - Pt. Long :I: Sq. Pt. x ).::SI.4.14
Vu..cc ............................ Q lA x $4..64
o.acrOP KDt~ ................ -;- l.Jf':Jl. suo
Bcum Work SJ".'~
~"SM Sam ................ ~ Ut" x 1336
ZlI6SM&.m ......,........." tJF l\ SSoS:
-
~7S.M Be8m .....,......... _ I)f x IS."
2d $M..... ................ _ LIF x S1-*1
2x9SMBnm............ _ UP x SI~
hllJ&M'8erIa ........,....... LIF ~ 8m
-
Carporto.wc f\~ ......... _ ". $100'-
SCREEN ROOM WAU-S
Lap KP ~ + ~ + ~_.... _;<. ~ LIF x
Sc;rQ:U Doclr lAcIudcla;
CJosr,:t aftd ThrahoLl
(iabk fill C* Si4e .........
1ft$..I.a.cl Kick PlaM .. ... ....
rllD IkIInJ (nat wiTcd) .. ..... .. ....!...
MDe.: uX'Z n\.'lCTU1l&. '....
UTlUlY kOl)M W A1..LS
Wa.JJ$ J..... 1= +...!:.. + ...!:... .. ~ LJf A
h4 ~lb \,. OC
SJ.i Door....t J WiDdu'.w .. J
Single Window (Exva) ....m.. ~
Bv,SbieId ....................... _
Doabk Sbcd Dnors
1clIIiIIW6_ +_ + __+ _ --;-
V1NY~ ROON WAl.U.
vUI)1 Wall
JlI$lde KIc1 p~
~ Top J.... and OU&
floIilk Olau
~ Top and BoVCft,
~ inch* (2) Z T~k time.
n.n.8old.-4 U- bA.. Sl4e.7Z
BaH wiD DOl be 1aplIL......_1ab
iD VINYL RooMS X
U9..J:
..l..
SA x ~
IJF ~ 115.10
[If x SJ.')
EA x S6Uo
x s::s.2Q..oo
S34.:M
BA x
EA Ii.
LJF x
l!A S
LJFJ(
SJS1.'S
$~.11
$5.12
MCU4
J.JP x
LlFx
LIP x
LIF'l(
Uf'll
SSO.34
SS.n
SU.10
S10,.O'T
55'>>
-,.
..110
'lIlIJJI
fO,IIO
sa.rM
$>>&.10
"..., ~
J'lO".
MUO
SII.lIU
..00
.,..
SlJ.IIl
so..
$1""'0
Sl~..
-ill.OD
.,.
t6UO
.~.
II$&U."
II~~
SSUt
..aD
SlIGll
"GO
ALOMlNUM TOTAL
~.lIO
..00
".00
llD.CIIJ
.,\lIII
c::oNCJtSFE AND 8ItJCK WOIlK
p.,sw, ......... ~~...!:.... ~ Sq. Ft. x ~.42
NoSI.. .........~x~ -~ Sq.f\. X Il.4Z
PmC) Slab OHmm ~ X ~ - "11 Sq. Ft. l( SZ.4Z
PIdo Slab .... ,.... --.;- . lQ ... ~ Scf. pt)i U.4.2
Side ow. ......... -=- x ~ "" 2- 8q. PI,.' >>..Q
DriVCWllY ......... ~~..!:... - ~ Sq. FL x S.z.4~
Dd~ f1Iir ~~~....::::.. Sq. f\.. 'It $l.~
~ UtilitY ...... _1 UZ" -L ..- x 133.'"
JlaiM4P1dC) , c.. ~ x....!:... ... ~ Sq. ft. x $I..{,O
RaUedPltio6-C. _x_" -L %Ft. x $I.Q)
0Nr,6....,.- ~.x. , '", ~ lA -" S2.33
,_ txJ% kemtoa:ect 4] lil' X $4.1f
Poar. Il:I;12 R..in...... 2:.. J..IF .' $0.14
FoarcrSkiniq ............... 2a IA' " $3.05
I n.dI_ .................... _ EA II 1102.23
2TRWtSlcp .................... _ U x S.204.46
J TIWMI_ .................... z FA :'t goe;~9
~~4 S\o(lp .... . .... .. .. . .. ' .. ... _ Ell 'll. $:!~.11
Brick Sfdrdna M':IX S Hiah
Spld Bride: Air . l.tf @ ~ x
SpliJ ~ Solid "6 UF A -;- Couna x
PlIIJ)lIt ...............=....... i I..o.d. x
P'fc8al ...._.........n...~.__........ .... .... ......
Mix;
(.QI[ GnldiQC ......' ....' ........
JllOn: ~ Ul dw FL BWIdiDJ Code
. CDC& 1S8Ol.~..... unal n
....-s~/4.iII .
srOl'l:
DATE; - - _
FAX TO: ('13)71~!
"OR ENGINEEJtlN'O
s~.'"
S2,J)
$110.00
$100.00
'X $3"'.00
.-
~,n
ALUMINlIM
l'BNlT
TAX
TOTJ\L
All ~........ iv ~___.......11 fl r' iJr.. Y'" .A ~ CHAJlOE OF 1.$"'......-h will .,. Wl g_ III
o)Il ..II1D-'iI......... in .TGI,. AMNtJAl. ~Aoe: kAl'2 or 1.,. ...~ 1DCon.v'1I fees if IWft$.'lIIY 111 CQlICI,
I
$0 Ill.
SQ,aa
SO,(J(I
~rJ,fll)
51'~~
~ClIi
S\).I1I1
1O.ao
10,00
311.:"0.0
$.11I,CN
$4lI6,.
S1.'''',14
13",7.
$/11,:100
SlIC1.S2
$.13Ul
$JJ,)IJ
IIjYoI,1II'
SO.ClO
$4IIi6.CIlI
JI7914
s:l7, I;
S369.0$
..aD
SO,IlO
$1"'.JI
~.\lI)
$0,01)
PIWO.72
J6ell,Of)
$'lllI.GD
SlUM!
SIl,lJl)
'n.~,l"
$1'.1.1I0.a.::
$J:50.cw
$0.00
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