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Home My WebLink About05-4844 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL ~ 4844 Permit Number: 4844 Issued: 8/17/2005 Permit Type: NEW SINGLE FAMILY DWELLING Class of Work: 1 01-NEW CONST/SFR Proposed Use: SINGLE FAMILY RESIDENTIAL Sq. Feet: Est. Value: Cost: 87,050.00 Total Fees: 3,208.96 Amount Paid: 3,208.96 Date Paid: 8/17/2005 Name: TENBRINK & ASSO IATES Addr: 36805 SR 54 WEST ZEPHYRHILLS, FL 33541 Phone: 813 782-0678 Lie: Work Desc: NEW SINGLE FAMILY DWELLING Address: 4737 5TH ST ZEPHYRHILLS, FL. Township: Range: Lot(s): 5 & 6 Block: Section: Book: Page: Subdivision: MOORES FIRST ADDITION Parcel Number: 14-26-21-0010-03500-0060 WATER CONNECTION RESIDENl RADON (. ~'(5) '(,,,", I ~ ~1.0 0 MANN, MICHA L 4737 5TH ST ZEPHYRHILLS, FL. 33542 Phone: )/ebP J;;vj1rw D- tlPd$ {!r!trf1rP I ~.Q. Y-/1 hI bvto u I "";,,?r OAIO , r I leL-of 3/11 fI; FO 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 followin r charge of Thirty-Five Dolla... ($35.00) shall be made for each trip for each tradeh Vc .R- / ~J)$~&lJ :} (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs o~ctionftt 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 NO OCCUPANCY BEFORE C.O. ~;;Jg5 Y'-~ CONTRACTORS SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER "' Tenbrink & Associates 4737 - 5th St. SQ. FEET PRICE MAIN OR LIVING: 1,741 $ 50.00 OTHER AREA UNDER ROOF: $ 50.00 OTHER: $ - VALUATION $ 87,050.00 FEE SHEET $ 432.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 708.00 CREDIT: $ - BUILDING LESS CREDIT: $ 708.00 ELECTRICAL: $ 105.70 PLUMBING: $ 92.50' MECHANICAL: $ - 70.35 SUB-TOTAL $ C '97.6-,55 ) r- RADON: :I) 17.41 ~ IVI~L 0) """"993:96 SEWER: $ 1,616.00 WATER: $ - 419.00 IRRIGATION: $ - TOTAL: $ 2,035.00 WATER METER:I $ 180~00 I IRRIGATION METER $ SUB-TOTAL $ 3,208.96 ~/ I PARK IMPACT FEESI $ 769.56 PUBLIC SAFETY IMPACT FEES POLICE $ 254.00 FIRE $ 273.00 5% $ 26.35 DUE AT TOTAL: $ 553.35 C.O. SIF'S: $ 4,314.00 100.0% $ 4,314.00 1.0% $ 43.1-4 TOTAL: $ 4,357.14 TI F'S: $ 1,588.00 99% $ 1,572.12 1% $ 15.88 $ 7,268.05 TOTAL: $ 10,477.01 !r-'j ('-, r1 n n n 105763 (i () n (i ~ PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-71110 C- 5 J 15 CITY OF'ZEPHYRHILLS ZEPHYR HILLS, FLORIDA WATER ACCT. NO. DATE <Z-/1-a5 OWNER/ RENTER t>L1~ Q~.i Of U5$OL ~ ~h 9o~ ~72 Sf (.J~c:, ~~~. rJ- _3.3511 t/7~7- AT!! dt 't WATER o SEWER o MAILING SERVICE ADDRESS SHUT OFF SERVICE TURN ON SERVICE ~ ~ o CHECK METER o o GARBAGE ~ IN CITY D. OUT CITY -L. No. OF UNIlS INSTALL METER READ METER OTHER o . ( _ DEPOSIT AMOUNT -t I{ tJ;i;;-~ L--- _ AMOUNT LAST BILL _ DATE _ MISC. CHARGE WORK COMPLETED BY ORDER TAKEN BY & DATE COMPLETED 4 ~v~c3-:-5 Retain white form in office at all times. Send pink & yellow forms to Water Service Depl. Water Service Depl. to sign yellow form & return to office, CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 -~~~~ __ DATE RECE IVED /_ ( 0) PHONE CONTACT FOR PERMITTING~r~-7~d--Ol~nc:r- OWNER'S NAME /t1. Cfw. e I JOB ADDRESS--.!:f 1 '3 '1 YJt'\t.L " /11. 5tl S-/-. PHONE 'if) 3- 3 <.t;;2. - OS7"'" Lo+-:# 5-J.-(p LEGAL DESCRIPTION: LOT (S) S + ~ BLOCK 3 S- PARCEL ID # \It: - ~lo-.J.\-OOl D-D~DO-~DlaO SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~NEW CONSTRUCTION DSIGN D ADDITION D MOVE DALTERATION D REPAIR D INSTALL D DEMOLISH PROPOSED USE: PlSGL FAMILY DWELLING DMULTI-FAMILY D# OF UNITS D MOBILE HOME DCOMMERCIAL DINDUSTRIAL DSWIMMING POOL D OTHER -$ D RESTAURANT & HEALTH DEPARTMENT APPROVAL 1:: /!Itvers e flfrl1' 11<<11 DESCRIPTION OF WORK ('cjY\.s,--trlA-c...+ Nt.uJ c.. ~ 5"; ~l ~ ~ f M-wt€- BUILDING SIZE bO'(. L.oO SQUARE FOOTAGE nl/ I -Sb~' HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 0' BUILDING ~ ELECTRICAL $ //3,700. 0.9- . VALUATION OF & (1) SET ENERGY FORMS. FORMS. Citic.ll ~lA- P-1~f) f)J-.hV )'7T r-4~ qkl/f)<.J4f~ tI,7(\.\ ~ 1'.. T ~ c I D TOTAL CONSTRUCTION PERMITS REQUESTED D GAS D ROOFING AMP SERVICE ~ FLORIDA POWER D / I I $ VALUATION OF MECHANCIAL INSTALLAT ON D SPECIALTY D OTHER 13 PLUMBING 2i MECHANICAL TYPE OF CONSTRUCTION: Pi BLOCK FINISHED FLOOR ELEVATIONS D FRAME D STEEL D OTHER IS PROJECT IN FLOOD ZONE AREAD YES D NO SIGNATURE ~2~ CPNWBAQIJ;'9RSECTIQ1i COMPANyleJv\.~V~ ~k. ~ A-<;Soc.. . ~. I' STATE CERT OR REGIST # ~GC 04~4-~ BUILDER SIGNATURE ****************************************************************** COMPANY VV\.A..v-\-', V\. E \-e..'-- {.r: c.l~. STATE CERT OR REGIST # 6C-/30013 J-.3 ELEC ******************************************************* PLUMBER COMPAN~D~\I\ y\'L-S W~ \~l(;..~'3. ,L~. . STATE CERT OR REGIST # ~~~ \lf~S~~::J , SIGNATURE **********************************~~~;~~***~~~;;/**~jt2:**~~fJQLvL)f je,wU ~uV STATE CERT OR REGIST # 'C.JIZOSlrS" ***************************************************************** MECHANICAL OTHER COMPANY SIGNATURE STATE CERT OR REGIST # 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 responsib lity 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 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 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. 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 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 fora period of six months after the time the work is commenced. One 90 day extension of time may 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 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 STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 2~ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknowledged , 20 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or Owho has produced (type and whoO did Odid not of identification) take an oath. Owho has produced (type of identification) and who Odid Diid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped S J TF. l'I.AN (RESIDENTIAL USE ONLY) PARCEL 1.0. ~ SEC ~ 1'WP d-\ RNG LJ..) I D SUBD O?>SOD BLOCK OOtaO LOT DATE: 7P;J-jO) I f All drawings shall be drawn to scale or fully dimensioned for all parcels. , ~ ~ 4 .. 3D' ___">I ;r "'" ~ .'" ~ ~ ~ r i:1 ! J ~u $-'1 h:-JVVl ~jvO LrJ) lJ-.~;=" ~1\J1J1$() ~) ) 'c1 )D)" (J'{) I \. , '=> '\9 I&' j~/ "7 \J I , ~t " ,j! J2// . z.... ::'ilAi...L COMt'L Y WITII ALL !NG CODES, FLORIDA BUIlDING A TIONAL ELECI'RlCCODEANr, '. F ZEPl {,'i'P' ::~LS ORDINANCES - SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE ANY BODIES OF WATER, TREES (INCLUDING SIZE, DIAMETER, TYPE), AND ROADWAYS (INCLUDING NAMES) ADJACENT TO THE PROPERTY. INDICATE THE SIZE, YEAR, AND NAME OF MOBILE; SUCH AS 12' X 60'. 1981. FLEETWOOD. ALL "EASEMENTS", "PROPERTY LINES", "RIGHT-Of-WAY", and "JURISDICTIONAL LINES" IlUst be shown on all site plans. DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE. III ~ c z o c o II: ~ ~ 0 ~ ~ .... . ~ .'! .. '. ~ ~b ~ :: ;:. .... NOBILE HONE SET-UP r.ar (1150') 40' 50' .... B HOUSE CO"STRUCTIO" r.ar C80') ~ : a; .; Eaiuin. 8".. . .. .. eo' ROAD "ANE "OAD NANE "OAD NANE PL = PROPERTY LINE R/W = RIGIlT-OF-WAY 0 - TREES APPROVKD SITB PLAN MUST BE POSTKD AT JOB LOCATI(If. NOTICE 01' DIBD USTIlICrI(If THIS PKRHIT ..y be subject to .~ R..trictiOlW" which are ~re r..trictive than County regulatiOlW. The perait holder ..~ rasp0n8ibility for c~lianc.. with aay applicable deed r..trictiOlW. site05:ce PC95035005/A ~~~W!~~~!~II 1111111111 1111I11111 11111111I11111111I Rec: 10.00 IT: 0.00 ---------- Dpty Cle~k ~;92~~~~MA~: fCS;O fOUNToYf C\ERt<. OR Bt<. 6486 PG 1872 THE UNDERSIGNED hereby gives notice that improvements 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: XXXX 5th Street Zephyrhills, FL 33541 Pacel # 14-26-21-0010-03500-0060 Moores First Addition, PB 1 PG 57, Lot 7 & South 29.66 Ft of Lot 5 & North 30.34 Ft of Lot 6, Block 35. 2. General Description of Improvements: Smgie Family Dwelling 3. Owner Information: a. Name and Address: Michael L. Mann 31229 Masena Drive, Wesley Chapel, FL 33544 b. Interest in property: FEE SIMPLE c. Name and address of fee simple titleholder (if other than owner): 4. Contractor: Ten Brink & Assoc. Inc. 36805 SR 54 W Zephyrhills, FL 33541 Surety: a. Name and address: b. Amount of bond: 6. Lender Information: a. Name and Address: First National Bank of Pasco 13315 Highway 301 Dade City, FL 33525 b. Designated Contact: Ralph W. Cumbee, Amy Pollock, or Sandy Ca1zon 7. Persons within the State of Florida designated by Owner upon whom notice or other Documents may be served as provided by Section 713.13(1)(a) 7., Florida Statutes: First National Bank of Pasco 13315 Highway 301 Dade City, FL 33525 8. In addition to himself, Owner designates Ralph W Cumbee, Amy Pollock or Sandy Calzon of First National Bank of Pasco to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), FloridaStatutes. 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified). Other expiration date: a V" /~.-Jh~ ; .~ Signature o~~9t NOTICE OF COMMENCEMENT Rcpt: 905468 OS: 0. 00 07/21/05 Building Permit No. Tax Folio No. STATE OF FLORIDA COUNTY OF Pasco R N/A N/A Signature of Owner Signature of Owner Signature of Owner STA TE OF FLORIDA ~ COUNTY OF YCf').C.t Cl The foregoing instrument was acknowledged before me this "1-1::'.> -(:;) OCS by who are p~rsonally known to me or who have produced as identification, '-':"-C::--~:"\yitness my ?~nd andlofficial s~al in the County and State named above this IS-C~fa1, of l'\k.4~,:>.; ,200 S 'j \ ~',->:>"-L( ~\(). ~ '- Il/1 (}; - ) (seal/expiration dat~) i./ Mary Public _ _ _ _ . --------/ j Lesendra A. Carver m"~ LESENDRA ANN CARVER ' /.J "Notary Public-State of Florida typed/print name of Notary =. =. . i My Commission Expires May 2. 2007 ~ ~~_....~l Commission # DD206807 ~.r Bonded By National Notary Assn. ~ <W~~ ~ u:>::::!::I;O a: -u.,. > w ~OZ~~ d - w 0 :> g!z~~ ~ ~ ~ ~ ~~ 5 a.. ~~u..i I U ~ g u ... '1)1 ~ ~oU:<n05' ~w~ I 0 ~~ <(~~~ NU <(Q:ru...r-J L4- CO ~oo-:;3 0 -,^ l..L >- ~ CJ) ~ /I"r'''~ - &:l. a: O.....<(~OCl-J u.J,\ a.. UJ <.> ex: <( -' . .'. -J U )- 0 u u. X' u.lJ..o<.>U N" O~~~tE-.J -' LA.. V) ex: U o:::r <( 0> ~8::; a:J-. ~ wt- :ro~ Z f- t-Z >-Za.. <( - <(:::l <(.... Cl a.. .-0 ~Oz Cl Cf)U ~~ ~ ~ i;; PASCO COUNTY, FLORIDA Permit Nr(:~y f#/ Date Permittea~ g ,n-=-o5 ~nderN~/ownerNa~1-M1f7i;,~/ 9~Control# _ . County Parcel No. II/~~. c2/'/JIJ/tJ.O ~{),f)a&,,) SubDiv: ~mp&1..t} /5WiZ. Address/Location /j'1~7 - s 9:!' ,~j , ClassificationITypeofUse '07~_ L-9 ~jf TRANSPORTATION IMPACT FEE Rate: Q w.dLt>j(~ ~/ Sq Ft UA1f: Exempt DYes D No How Determined Impact Fee Amount $ /. ~~iq Zone No. SCHOOL IMPACT FEE Account (056) Single-Family Detached House (057) Mobile Home (058) Other Residential J.:123) Collection Fee Exempt U Yes D No How Determined TAZ: Amount $ ~ j /1.( . PARKS AND RECREATION FEE Land Account Land Credit Land Total ...----'.,-- Recreation Account .--Retfeation Credit ~ ......-- ,""" E~:~'~ Yes D No ---' LIBRARY FEE __ ____ ...,.-' Land Account ~It Facility Account ~ Facility Credit ---- .--- EX~l]J.Pt---Lf Yes D No ---- Recreation Total Zone TOTAL AMOUNT $ How Determined Land Total Facility Total How Determined Total Amount RESOURCE FEE TOTAL AMOUNT ERU Prepared By Checked By 1/ . '/IO,?r! NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INS ECTION II (' PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this form, placing the building permit owner on notice of this assessment and the conditions of payment for same. DATE RE RECEIPT NO. tf!SlJ / 70ATE #6- BY DBY DATE: CITY OF ZEPHYRHILLS BULDING DEPARTMENT COMMERCIAL CHECK INSPECTION - APPLICATION FEE-~60' GROSS SQ. FT. PHONE # APPLICANT: ZONING CATEGORY & CONFIRMATION: ~J ADDRESS: PRESENT USE: IF VACANT, PROPOSED USE IN DETAIL: 'P~.+ G 'C:OM;n~ ARE THERE ANY FLOOR PLAN CHANGES? t\J 6 HOW LONG? J JIV)(')J.J +~ IMPORTANT: SOMEONE MUST BE PRESENT AT TIME OF COMMERCIAL CHECK. ******************************************************************** ,uLS- 3/~1 @ Tins SECTION FOR CITY USE ONLY. DATE: \ \:oo~ . COMMENTS AND/OR REQUIREMENTS: Building, Electrical, Plumbing & Mech. INSPECTOR SIGNED