HomeMy WebLinkAbout05-4610
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
4610
Permit Number: 4610 Issued: 7/06/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Sq. Feet: Est. Value:
Cost: 11,600.00 Total Fees: 135.00
Amount Paid: 135.00 Date Paid: 7/06/2005
Address: 6851 WIRE RD
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
A N ALUMINUM
9216 LAZY LN
TAMPA,FL. 33614
Phone: Lie: Phone:
Work Desc: SCREEN ROOM & PATIO COVER ON EXISTING SLAB
ELKS L
6851 WIRE RD
ZEPHYRHILLS, FL. 33542
TER
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."
NO OCCUPANCY BEFORE C.O.
,s-J~&( ~
CONTRAC RS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o GAS
o ROOFING
o SPECIALTY
o OTHER
,",To' (Y\N!'Fl'RUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
~u T.'T linn ZONE AREAD YES 0 NO
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A. NOT,IC,E OF DEED RESTRICTIONS
Th~ undersigned understands that this permit may be subject to ndeed restrictions" which
may be more restrictive than city regulations. The undersigned assumes responsibility for
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
lieensed as required by law, both the owner and contractor may' be cited for a misdemeanor
violation under state law. If the dwner 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 nCohtractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, ydu 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 rEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, haye been provided with a copy 'of nFlorida's Construct~on
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 nowner" 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 p~rformed 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 appiy 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 nA" or nA, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted wh~ch
is prepared by a professional engineer registered in the State of Florida prior to perm~t
issuance. '
A permit issued shall ,be construed to be a license to proc7e~ with the work a~d not as
authority to violate, cancel, alter, or set aside any prov~s~ons of the techn~?al.codes,
nor shall issuance of a permit prevent the Building Official from thereafter requ~ring a
correction of errors in plans, construction, or violations of any code. Every permi~ .
issued shall become invalid unless the work authorized by such pe~it is commenced w~th~n ,
six months of issuance,' or if work authorized by the permit is suspended or a~andoned. for ,a
eriod of six months after the time,the work is commenced. One 90 day extens on of t~me
~ay 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 eriod, or the project will be considered abandoned. ,
WARNIN~ TO OWNER' YOUR FAILURE TO RECORD A NOTIC~ OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR' IMPROVEMENTS ~O YOUR PROPERTY. IF YOU INTEND T~O~~~~~~ANC~~~S g~~~~LT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF ".
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF C~MMENCEMENT .
",JJL,~ ?lie . '-.J-t c_ J:!(
'..J SIGNATURE: CONTRAC
SIGNATURE: OWNER Olt-' GENT
Permission To Pick Up.txt
A01IP,:) Au- r--. f,.)vl''''',
Company Name
ul '].. l V; L4c:_v\ Lr-J
Address '
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To Whom It May Concern:
Please be advised that Suzanne Bahr, Debbie Dokendorf,and
Stacie Zullo of Pasco Permit Service have my permission to
sign and pick up permits for me until further written notice.
Sincerely,
~~d~~
Authorl d si' ature
SCt.:'0 I:-t Iq "2. E cD ~; <.::-
Print Name
SCCC'5t':::bS~ /
License #
<d'i -I (p
County LD. #
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrurne:~as sworn t~ J.i , i")?r7\ 5' .
subscribed before me this day of ~ ~~
Personally known___ or Produced identification vi
Commissioned Stamp
and Expiration Date
c2/VL)
\J AOEDIGREEN
Notary PlMc, SIBle 01 Fbfda
My Com..iIwb. Exphs MlM>7
Com.1fl.dIun No. 185719
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State of
NOTICE OF COMMENCEMENT
F {~r (riA- County of fJ r1<f(JO
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.
OJ - clJ.R -021- dO / () - oj aLOO - 0 ()C) r)
ftgs / (;U~ Rd
(Legal description of the property and street address if available)
2. General Description of Improvement \SCu.ej) /YJO/YJ I- /Jell-eo UJC~r
I
1/111/1 11111 11111 1111/1111111111 111111/111111111111111111111
2005136133
3 0 If' N 2E/<- :LAIc
. . wner n ormatIOn: ame
Address ;>. o. 80 X /</ ()fp City 4?p ~ rll fir
StateJ!, .J,jJ,J9'/lj()t.
Interest in Property:
Rcpl: 900676
DS: 0.00
07/07/05
Rec: 10.00
IT: 0. 00
Dpty Clerk
Name of Fee Simple Titleholder:
(If other than owner)
Address
4. Contractor: Name
Address ,) j 17
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
A c.luO!L
Hell 6/ f/d,
City
/) Uf.JL~ 17 if /J1 SC1..eLU1 I- t-I Cf,J:f II..- c
City Zep0r ,L~I/J
State
State F/. .]1 j~
.
City
State
JED PITTMA~ PASCO COUNTY CLERK
07/07/05 0:::J : 04am 1 of 1
OR BK 6460 PG 420
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.)
f Signature ofOwner: ~/Jj~ ~
0:. ,
Sworn to and subscriBe efore me this 15'f'^- day of
Notary Public:
---
-JUY1(..
, 20 o!:/ .
My Commission Expires:
PC93053048/ A
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