HomeMy WebLinkAbout05-4678
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4678
Permit Number: 4678
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 6,166.17
Date Issued: 7/13/2005
Total Fees: 132.50
Amount Paid: 132.50
Date Paid: 7/13/2005
Work Desc: GLASS ROOM ON EXISTING SLAB
Address: 37424 TEABE RY LP
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: WEDGEWOOD MANOR
Parcel Number:
R T ZINK
37424 TEABERRY LP
ZEPHYRHILLS, FL. 33542
Phone:
CRANDALL. RICHARD
R 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.
v:iA-~ ~JL ~-~
CONTRACTO SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS !:,j!jJ:{J.VlJ.".1. .nJ:"J:".L.I.'-'~"'~""'"
BUILDING DEPARTMENT 5335 8TH st, ZephyrhillS, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
7J/ids
, r
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
f-tJ~ f Zt;k'
JOB ADDRESS 3 7r;~f/ 7i2(i~v'J..l{ [(X}jJ
, J
LEGAL DESCRIPTION: LOT(S) /&
/0 ~rJ& -c)/- O/rlO -oct11J- O/ft;()
BLOCK
PHcf~SCO PERMIT SEBViCE
1-8GC-824-7894
Toll Free
SUBDIVISION WtX/~euo:Jrll7la /}()r
(/
(OATATN FROM PROPF.RTYTAX NOTICEl
WORK PROPSED: ~NEW CONSTRUCTION
OSIGN
PROPOSED USE: ~SGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
PARCEL 10 #
o MOVE
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOM]
o OTHER
DESCRIPTION OF WORK
I I
R,,/3
c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL
fi!a J J" r(X)1n
v
! XlJ <()~
exr"sl /~ dd;
frJlI f HEIGHT
~
BUILDING SIZE
RESIDENTIAL' ATTACH (2) PLOT PLANS & 121 SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
SQUARE FOOTAGE
~UILDING
1A. ELECTRI CAL
o PLUMBING
o MECHANICAL
RMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
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
SIGNATURE
~<<-C~ :fjc
STATE CERT OR REGIST
41#x.. ' .71 C
1Jct7, ~
#
COMPANY:- SUit J
BUILDER
ELECTRICI~
SIGNATURE -~ ? ~
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COMPANY C rtiA riel; {(PC./l'K
~-9<:; ~ '
STATE CERT OR REGIST #
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COMPANY
PLUMBER
STATE CERT OR REGIST #
SIGNATURE
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COMPANY
MECHANICAL
STATE CERT OR REGIST #
SIGNATURE
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTI~E OF DEED RESTRICTIONS
The undersigned understands that this permit may be
may be more restrictive than city regulations. The
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 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 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 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 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.
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 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 Protectiori 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 a~andoned.for\a
period of six months after the titne,the work is commenced. One 90 d~y extenS1.on of t1.me
may be allowed for the permit with fee charge of $15.00. The extenS1.on shall b~ requeste~
in writing to 'the Building Official. An approved inspection must be logged dur1.ng each S1.X
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, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE 00 NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
. ~b~ ;)b1
SIGNATURE: CONTRAC
subject to "deed restrictions" which
undersigned assumes responsibility for
~K C~ J:-li
SIGNATURE: OWNER OR AG T
STATE OF FLORIDA Fa~l..O
COUNTY OF '
The foregoing inst~ent was~acknowledged
Before ~ ~his_lt'" :j,a~Aof ~~ ' 2~
by ~/" ALLD
~name of person acknowledged)
~ho is personally known to me, 'or
STATE OF FLORIDA r-;:::>
COUNTY OF r a 5 co
The foregoing instrument wa~cknowledged
~ lt~~ f .,J....J..P~l 200S
Before me s __ _ay 0 ,-
by "1~ (J (L.u
(name of person acknowledged)
~o is personally known to me, or
o who has produced
(type of identification)
~id not ta th
o who has produced
(type
o did not
Name
ture of erson taking acknowledgment
:->uzanne Bahl
'",'if',".. ". ~IS413;
tYPitI9,:~;(j:n~~~?~l~~d
t; /; - t50ntk~J. TLJ.-li
"I' ;~ qn:\,jir,~" (;e; 1!1'..
Si of p rson taking acknowledgement
" :'lUzanne Bahr
'>5>',"'" " '"DD\51\3;
~'~"\.." .-:(j(~:..,~_ ;ntril"L1S.~~lon It. .
Name typed, pr.f'~1:~~l~~[~~15, 2006
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ELECTRICAL PLAN
J-;,LL \VORKSHALLC0MPLYWTTHALL
; 'REV AlLING CODES, FLORIDA BUlLDIN,]
CODE. NA 110NAL rLEC'TRlCCODEAY
CITY OFZEPHYr.: ::L: ~ ('''f)!','' ~:r7
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2005139220
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:~P.~~U\i tN.o.
::.; . ...:~ 1:.: ~ -: '.
\ State.of
NOTICB OF COMMENCEMENT
F~/L~
County of
TUE UNDERSIGNED hereby gives notice that improvement wi11 be" made to certai
~~raa1:) ptopel:'ty, and in accordance with Chapter 713, E'lorida Statutes, th
following information is prDvided in this Notice of Conunenccmcnt:
~', , ". . ...;.
1.
2 .
3.
R4.
"D~scription of Property: Parcel No. Jo-tJ!c -cJl- ()/Jd<r)eXX)- oJfvd
Lo f- / {p {(/€ r4 e t~(YJtI m ~/)(Jr I'h / 1-cJ- 37'/ J.1/7i U}6C~'irt
(Legal description ~f ~he property and street address if ava able)
GC1""l.ul Das':;l.-il--'tion of Ir.\prOVcrOlcnt 4/tlJ'.J /'oa/l?
J
Rc:pt.: 901804
DS: 0.00
07/11/05
Rec:: 10.00
IT: 0.00
Dpty Clerk
Owner Informa tion: Name
I(.~ d'--21"
LoOLJ City
,
Z,UJ~
2-Lf>4rL/k
, ..! -:. .,,:
^ddres s .]7 YJ.'/ / ~(Ju/'J,.AJ
,Interest in Pr7operty:
State;:/ 3JrybL
JED PITTMAN PASCO COUNTY CLERK
07/11/05 0i:0Zrm 1 of 1
OR BK 646D PG 1608
Name of Fee Simple Titleholder:
,(If other th~n owner)
Address
City
State
Contractor: Name ,Sf/!> ~/..t<...6- A!.lLllL;/J///lJ JJ,.C.
Address U /S-tj ;C~I'I-- kL~J J2c!City afJljr-4/1r
5. Surety; N.:lHle
Stateq. ,dJj0J-'
Address
City
State
~nount of Bond: $
6. Lender: Nams
7 .
8.
9.
Address
State
designated by Owner upon what
served as provided by SectiOI
City
Persons within the Stat.e of E'lorida
notices or other documents may be
713.13(1) (a)(7), Florida Statutes:
llama
Address
City
State
In addition to himself, O\vner designates
of
Lienor's Notice as provided in Section to receive a copy of the
713.13(1)(b), Florida Statutes.
l~xpL1f1LioJl ulILo _01' NuLico or L:ullll/lLlllCOJlluuL (Lho expiration datcf ia 1 Y611r
fr0H\ the date 0:: recording unless a different d .
ate ~s specifLed.)
Signature of o\mer~~
Sworn to and subscribed before ...8 t.his
~ OlOOS- .
Notary Public: ~~-<- ~~
Fly Commission Expires: (
_5-t"'- day of
~~
I
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