HomeMy WebLinkAbout05-4782
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
..
4782
Permit Number: 4782 Issued: 8/04/2005
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 1 01-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 87,500.00 Total Fees: 3,204.10
Amount Paid: 3,204.10 Date Paid: 8/16/2005
Name: NEW MILLENNIAL LC
Addr: 7303 N. NEBRASKA AVE
TAMPA,FL. 33604
Phone: Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
Address: 5736 9TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-03500-0110
Name: NEW MILLENNIAL LLC
Address: 5736 9TH ST
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
WATER METER RES 3/4"
419.00 MECHANICAL FEE
180.00 RADON
67.50 BUILDING FEE
17.50
708.00
(',iJ~l'
'< \01
\ \ \,0 \ 0"
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.
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.
/~ .
CONTRACTORS SIGNATURE _______ PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
~
Mew Millennial, LLC
RIf- 9th St.
.5:13'-
SQ. FEET PRICE
MAIN OR LIVING: 1,750 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 87,500.00
FEE SHEET $ 432.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 708.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 708.00
ELECTRICAL: $ 100.10
PLUMBING: $ 96.00
MECHANICAL: $ 67.50
SUB-TOTAl .~ ...,.. An
r I"UUJON: $ 17 .50' ~
'- 989.10
_.~- ...
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
I
I
WATER METER:1 $ 180.00 I
IRRIGATION METER $ -
SUB-TOTAL <L3:204:~
PARK IMPACT FEES $ 769.5
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SIF'S: $ 4,314.00
100.0% $ 4,314.00
1.0% $ 43.14
TOTAL: $ 4,357.14
TIF'S: $ 1,588.00
'99% $ 1,572.12
1% $ 15.88 --
TOTAL: $ 10,472.151
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PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7910
CITY OF ZEPHYRHILLS
ZEPHYRHILlS, FLORIDA
6- 5 j q ~
WATER ACCT. NO.
DATE 9-jC,-05
~~~ER~ /Zvli :nl-~ L e,
730g /I. /2~L Ck...
~J~~fJ-J R .J:3~O.y
SERVICE ADDRESS 51$ ~ 91':ti X
MAILING
SHUT OFF SERVICE 0
TURN ON SERVICE i1
INSTALL METER ~
READ METER 0
CHECK METER 0
OTHER 0
)( WATER
o SEWER
o GARBAGE
~ IN CITY
o OUT CITY
I
_ No. OF UNITS
. (
_ DEPOSIT AMOUNT
-i'1 w;M 411~
_ AMOUNT LAST Bill
_ DATE
f
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form in office at all times.
Send piQk & yellow forms to Water Service Depl.
Water Service Depl. to sign yellow form & return to office.
OWNER' S NAMEA.f~ 7YJ/l/llrJrll~.1 LL C
JOB SITE ~1:3ft 57311 9,f,t. ,\ I-
LEGAL DESCRIPTION: LOT (S) /1 f 1 c?
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th STREET ZEPHYRHILLS, FL 33540
PhoneI813-780-0020 FaxI813-780-002D~TE RECEIVED '7;?7t~~
PLANS REVIEW FEE
PHONE CONTACT(g/3) d.f 0 - '1351
(7.T?) S'~-~.. I 3 LP'I
BLOCK
.35"
SUBDIVISION
PARCEL ID #
WORK PROPSED: ~EW CONSTRUCTION
OSIGN
11-~~-J.I-OOfO- 035"00-0/10 (OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE:~GL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
0# OF UNITS
o MOBILE HOME
o INDUSTRIAL
o SWIMMING POOL
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
tJ <W SF!<-
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
~ BUILDING
~ ELECTRICAL
~ PLUMBING
IE MECHANICAL
$
g~Orx>.
VALUATION OF TOTAL CONSTRUCTION
Jt L'l1 %'J-
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
~OOU'
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION:)Z9 BLOCK 0 FRAME
FINISHED FLOOR :ELEVATIONS '1 S.37
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
SIGNATURE
COMPANY N-aJ m; [fen/I'Ll Lv
( .J ~ STATE CERT OR REGIST # CGCJ507(r,07
0\A.AA.sU:"1 '~U(j-~ CITY PROCESSING #
******************************************************************
BUILDER
SIGNATURE
$///% )1---
COMPANy]),4-(JfD ({. Lu.J<.e-EIECT~I(At C~fI/~dd~
STATE CERT OR REGIST # l3K-t)~/'f:Q"3'1
CITY PROCESSING #
ELECTRICIAN
******************************************************************
PLUMBER ,..J c:Jh"" B",..i<e~
SIGNATURE '9/~~
c::-
COMPANylt-- ~~.,,~ ~1ffr.>4~ ;4t--
STATE CERT OR REGIST # c.~ /9"2.c:;. 3~
CITY PROCESSING #
SIGNATURE
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ~ * * * *lit* * *,. 5et.
COMPANY I<.-L n,111'.s A) c. Vk- J. JlIl~ II ICeS
~ _ STATE CERT OR REGIST # Cv1 c.v /r8LfC,'l
~ CITY PROCESSING #
MECHANICAL
*********~***********************************************
OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
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 [or
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, 813-788-6611.
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 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 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 rllust 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 "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 a
period of six months after the time the work is commenced. One 90 d~y extension of tlme
may be allowed for the permit with fee charge of $15.00. The extenslon shall b~ requested
in writing to the Building Official. An approved inspection must be logged durlng each six
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 DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
, 19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
19
(name of person ackno~ledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
Dwho has produced
(type
and whoD did Ddid not
of identification)
take an oath.
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
State of r::r () f (' cL 0,
NOTICE OF COMMENCJE~T"
County of J CL.:> C ( )
1111I1111111111111111111111111111111111111111111111111111111
2005162530
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.
2. General Description of Improvement
Rcpt.: 911254
OS: 0. 00
C.08/09/05
Pc.
Slate
Rec: 10.00
IT : 0 . 00
Dpty Clerk
3.
';::;'::u/!t/
J .....71.; Ci I
Interest in Property: cx...::.~
Name of Fee Simple Titleholder:
(If other than owner)
~~~0~~~!M'Wi: GCS;O fOUNToYf C1ERt<
OR Bt< 6520 PG 1972
Address
Slate
R4.
r
Contractor: Name ,/'J... ~ (" ~ l:l e L.sh re (l "....
7~ J tJ Ve6(1l...d\U\. Ave ~ IOVht:Jc'(
Address City I
FL 3:,c.C'i
Slate
5. Surety: Name
Address
City
Stale
6.
Amount of Bond: $
Lendor. N.~ ~ 9 ~
36iJ [<',,1m 1_ , -- lG,h Floor Sf ale
Address City J
r-L -;; "3 70/
Slate
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
Slate
8.
In addition to himself, Owner designates
of
Notice as provided in Section 713.13(1)(b). Florida Statutes.
to receive a copy of the Lienor's
9. Expiration date of Notice of Commencement is one year from the date of recording unless a different date is
specified.
i -,3---05
Date
STATE OF FLO'fr,A "c 4
COUNTY OF - 0' I .f c1
3rc~
dv/pc053048
"....,~, J
~~w'~~y~ N . Usn.N HATFIELD NO
{. . . ~~'ary ~Ic - Stale of FlOrida
\1 r"~'~'~J.n23.2007
. ;'l''lf.r..~ CommmlSSlon # 00225842
~BYNoflonal Notary Assn.
AUG-03-2005 13:40
PASCO COUNTY DEV REVIEW
727 815 7000
P.01/01
6335 - at! St. ,
Zephyrnllle, FL 33s.Cz
C~ty of Zephyrhills
Bui~ding Department
'. .. i'
"
Fax
rnJJYr1 ,
JUDY OR GAIL
Fax: 721.e1~7000
1!
KITlY
P8ges: 1
Phone:
Date: B/a/2005
.2
ADD~
eC:2
D U",ent x.'POt Review
[J.~ .C:.mm."t Please Reply
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PARCEL lOtI 11t28-21-o010.:o3500-0110 glli ST
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1313 780 0B21
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