HomeMy WebLinkAbout05-4431
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4431
Permit Num er: 4431
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5730 CRANBROOK ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
7,425.00
6/13/2005
175.00
175.00
6/13/2005 Phone:
ROOM ADDITION ON EXISTING CARPORT
1- \.i 1'1 -.:; ) (p > 0 <.0
(- f\\(O
'~III00
F E L 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. n
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.
~rkiJ!~lt/C t'~ .
CONTRACTO SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZJ!;.I:'t1~~n.J...u.&.l"" ... ....-----
BUILDING DEPARTMENT 5335 8TH st, Zephyrhills,
813-780-0020 FAX: 813-780-0021
PHONE GONTACT FOR
FL 33542 I ~P1~~
DATE RECEIVED ~
PERMITTING
LEGAL DESCRIPTION: LOT(S)
BLOCK
~o PERMIT SERViCE
1-866-824-7B~4
Toll Fr~p.
SUBDIVISION Tru L ti/Je J/;//"q(
</
JOB ADDRESS
Lv/II/am /~/j/Jq .ff
v
S 7 JO C IY)J) D/7YJf:- ,j/fef f
OWNER'S NAME
(OBTAIN FROM PROPERTY TAX NOTICE)
PARCEL 10 #
/0 -~ ~ -02/- O()()() ~ (YJI lkJ -ooaJ
o SIGN
PROPOSED USE: ~SGL FAMILY DWELLING
o COMMERCIAL
~ ADDITION
o MOVE
o ALTERATION
o REPAIR
o INSTALL
WORK PROPSED: ONEW CONSTRUCTION
o DEMOLISH
OMULTI - FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HO~
o OTHER
DESCRIPTION OF WORK
//'(p(' y..
c=J RESTAURANT & HEALTH DEPARTMENT AP?ROVAL
('Cvl.fJOrf - f2u;tJ~J..
e Y.I ~I-/ II!)
J.7' bJ'
mVJ
a.cI~ /1 ()'/J
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING, PLANS & (1) SET ENERG~,rORMS.
.T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~.
P OPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ," K ..::. -~ ,
I~' j~\..'D6.
PERMITS REQUESTED f)~-Jj7\..h.. ,j?J'-A)V1Jl
I.. IX> ~ _ . n;-fi- IN 0-0 YJ>. D
$ /;). '~ c./l..':, VAL~ATION OF TOTAL CONSTRUCTI~t!..,.,-
}tI BUILDING
~ ELECTRI CAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E,C.
$
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
COMPANY
00~r
BUILDER
SIGNATURE 1~
. ~
STATE CERT OR REGIST #
***************************************************'k**************
COMPANY
o {J.j P r
ELECTRICIAN. ~
SIGNATURE ~
STATE CERT OR REGIST #
******************************************************************
COMPANY
PLUMBER
STATE CERT OR REGIST #
SIGNATURE
******************************************************************
COMPANY
MECHANICAL
SIGNATURE
STATE CERT OR REGIST #
**************************************************k**************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A, NOTIGE OF DEED RESTRICTIONS
Th~ undersigned understands that this permit may be
may be more restrictive than city regulations. The
compliance with any appiicable 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 E"EES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, haye 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.
Appliqation 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 psrformed 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 bf 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 proc7ed with the work a~d not as
authority to violate, cancel, alter, or set aside any prov1sions of the techn1~al.codes,
nor shall issuance of a permit prevent the Building Official from thereafter requ1ring a
correction of errors in plans, constructionl or violations of any c~de. Every permi~ .
issued shall become invalid unless the work authorized by such perm1t is commenced w1th1n
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 t1me
may be allowed for the permit with fee charge of $15.00. The extension shall b7 requeste~
in writing to.the Building Official. An approved inspection must be logged dur1ng each S1X
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 ~O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANC~~~~ g~~~~LT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE~ENT.
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT.
~~ .
SIGNATURE: OWNE OR AGENT
subject to "deed restrictions" which
undersigned assumes responslbili~y for
.0~-<
SIGNATURE: CONTRAC
STATE OF FLORIDA ~~L
COUNTY OF r..A..-;;;7W
The foregoing instrument was acknowledgeds-
Before me this~ day qf::r~ ' 2~
by L.J i II i 4.-.. -:r::>D..u l r'1
(name' of person acknowledged)
Owho is personally known to me, 'or
~o has produced V. L-. .
(type of identification)
and 'did Odid not ke an oath.
STATE OF FLORIDA 'Pa..'sU'O
COUNTY OF
The foregoing instrument wa5GaCknOWledged
~ f .,........ 20 oS"
Before me, this day ? ,-
by LA): II .. "-'- l..V ',~
(name of person ac nowledgad)
C1ho is personally known to me, or
~ has produced V. L . . .
(type of identificat10n)
and who aid ~id not take an oath
person taking acknowledgement
"',,,,\"/ P
, ~:;/ -
Name typed, pr:l..riteq
., uzanl1e Baht'
o~r,~'t~tll:m 157131
, ;. ',-,net,,' Nav 15,200(-.
,:';undcd TLl',;'
Name typed,
rson taking acknowledgment
.,": Li,ani1~ oatH
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gr:L '" . - ",.,", ':"31\)0\ 15 2(i,..
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1<..;; /11 tthJ
Name
iJOIU I//lq
\/
S 730 r {"1t11> b/'tXV( J'/.
Address
Z~p4/'iL"ffi' pi, 33SV~
To Whom It May Concern,
Please be advised that:
Stacie Zullo, & Debbie Dokendorf of Pasco
Permit Service have my permission until further written
notice to sign and pick up permits for me.
Sincerely,
1 ~ ~.CL{;~31:
signature '-..
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
Subscribed before me this ~ day of I~ , ;;wo~ .
Personally known or Produced identification ~
" U/,,;Fde Balu
,:nD]~7iJ
,2Cfir
He::;deuI/jfi:
'\~i:::nii(: 130nding Co" lnc
ature
Commissioned Stamp
and Expiration Date
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D:rSCLOS'DJitB ft"ATlaIJDtr POll OIIJIBR.
c:r.rY OF ~.Ib:arR'TT.T.s BU:tLDDIG DBPAllTIIIDIT
r. /'u;/J/ivn &J/~, JL
agree to the provisions -of this instrument.
&ave read and :fuI.~y understand and
The undersigned states and affizms that he or she is desirous of constructing.
renovating. .....-t ~ig to or reroofing his or her own dcmici~e, that he or she
actuaJ.~y occupies, or wi~~ occupy by said dceici~e, and same is not for
rent, 1ease or sal.e. That he or she shal1 CClllllp1y w.ith the fo~1owiDg conditions:
L
That the owner ancl he or she a10ne shal1 act as the bui1der for aJ.1 phases of
CODStruction.
That the owner w.i~1 COIIIp1y with &11 provisions of the C:l.t:.y of Zephyrhi~1s
ortU ft~9S ancl cocles pertinent to the bui1d.:iDg.
That in the e'V8D.t various phases of ccmst:ructiou. are subcontracted., he w:U1
engage only properly licensed. subcontractors and will pex'SOD.al.ly 8Uperv:ise
such work..
That in the event the Bui1cl:i.ng J:nsp8ctor sha1l require corrections to be made.
the owner wi~~ assuae fuJ.l respou.sibilit:.y to insure they are made, and. upon
ccmp1etiou. wi1~ ca1~ for a reUulpectiou. before proceecl:i.ng with the bui1ding.
'1'hat the owner shal1 as8Ullle fuJ.1 respcmsibi1i ty for the CODSt:ructiou. aud wi11
not expect 8Uperri.siou. of his work fraa the City of Zephyr-hi1ls Bui1d.:1.ng
Department.
That prior to f:iD.aJ. inapectiou. any add:l.tiODal fees, including reinspection
fees, DlDSt he paid in fuJ.~. A written request from this office shal.~
constitute an official. notice to pay additiaual fees.
That the owner sha11 COIIIp1y with aJ.1 City, State aDd Pecleral. laws in regard to
social security, workman's COIIIpenaatiou., ~ien laws, etc., where app1icab1e.
That the owner sha1.1. camp~y with &11 the safety codes issued. by the Florida
J:nclustri&1 COIlIIIlissiou..
State 1aw requires CODStructiou. to be d.ou.e by 1icensed. CODtractors. You have
applied for a permit 1DI.cler an ezemptiou. to that ~aw. The exemptiou. a110ws
you, as the owner of your property, to act as your own contractor with cert:ain
restrictions even though you do not have a 1icense. You DlDSt provide cfirect
onsite Supervisiou. of the CODStruction yourself. You may bui1.d or improve a
ou.e-fami1y or two-fami~y r..iclenae or a farm out:bui1ding. You...y &1so bui1d
or improve a c~rcia1 bui~cl:i.ng, provided your costs do not exceed. $25,000.
The bui~d.:iDg or :resic1ence DItUIt be for your own use or occupancy. :rt may not
be bui1t or substant:ia1~y improved for sa1e or 1ease. :rf you .e1~ or 1ease a
. build.:iDg you have bui~t or substantia1~y improved. yourseI.f w.ithin 1. year after
the constructiou. is campl.ete, the 1aw wi~~ presume that you bui~t or
substantial.~yimprovecl if for sal.e or ~ease, which is a 'Vio~.tiou. of this
e:xeIIIption. You may not hire an uuliC8DSecl persOn to act as your cou.tractor or
to SUPervise peep1e working ou. your bu.i~ding. :It is your responsibi1ity to
make sure that peop1.e emp~oyecl by you have 1ic8D8es reqairecl by state 1aw and
by county or DlUDicipaJ. 1icensing ordi'IJ-ucea. You may not de~egata the
respcmsibillty for superv:i.sing work to a licensed. cou.tractor who is Dot
1icensecl to PerfOXDl the work be:iDg done. Any persou. working OD your bui1diD.g
who is Dot 1icensed must work UDder your direct 8lXperVisiou. and. must be
emp10yecl by you, which "-ft" that you BlUSt dec1uct 1".:r.C.A. and withho~ding tax
and provide workers' CClIIIIpeDsatiou. for that emp1oyee, a11 as prescribec1 by 1&w.
Your constructiou. must camp1y with al.1 app1icable 1aws, ord;"'iJlnces, bui1diDg
codes, and zoning reguJ.atiODS.
OWJ1BR.'S SIGIIATORB l,L)~~ DAD
ADDOSS S 730 era. 7/KJK S Z -).k);.r F/.33YJ.L
PBOIIB 7ii-~~ ifp
~r;:jR. ~ )u /C PDlD:T #
{/ PASCO PERMIT SERVICE
1-866-824-7894
Toll Free
2.
3.
4.
5.
6.
7.
8.
9.
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WXTJIBSs'
State of
NOTICE OF COMMENCEMENT .
,e hht/u.. County of fJ4:vt!O
D. t!j (J/ 2.er1:y r.-k.
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.~ 7,]{) e /tlA./JrOoZ <f1N--€-f-
TA-ff 4h Y/I/d.4l /0 -cJ-fo -cl-/- JtJOO--OOld()-OcVU
(Legal description of the" property and street address if available)
2, General Description of Improvement /'(JOm JL/'/(!/l {Uu!dtr
.f- XI { ,L; fi J ~L4fJtJI' r 1111111111111I11111111I111111111111111I111111111111111111111
2005120017
W{U 1/ /Jj
City ~~4rUiJ
Raitt I 883788
DS: 0,00
06/15/05
State ?/. J3JVd--
Reel 10.00
IT: 0,00
Dpt.y Clerk
City
State
City
State
.
City
State
JEO PITTMAN~ PASCO COUNTY CLERK
06/15/05 1... : 17am 1 of 1
OR BK 6423 PG 1014
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: (JJ~.h ~
Sworn to and subscribed fore me this 1'-/'1'-
J~
~
, 20 tJ 6 .
Notary Public:
My Commission Expires:
PC93053048/ A
"~~~~~(;~;" Suzanne Ba'h
.::-~'~-,r, -''0...... "'-~(,' c:~ r
:*: ~\.:. Lomr:;fSslOnHnpl",""~~.
~-~~~~,~c~~~;,:~ ~;;'~)I~;~;'n~;~.~v j ';i;")r