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HomeMy WebLinkAbout05-4852 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 4852 ermlt Number: 4852 Issued: 8/19/2005 Permit Type: GENERAL BUILDING PERMIT Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: SINGLE FAMILY RESIDENTIAL Sq. Feet: Est. Value: Cost: 4,801.60 Total Fees: 82.50 Amount Paid: 82.50 Date Paid: 8/19/2005 Name: SUN T ALUMN. Addr: 6148 FT KING RD ZEPHYRHILLS,FL. 33542 Phone: 813 788-7308 Lie: Work Dese: REPLACE SCREEN ROOM Address: 39133 5TH AVE ZEPHYRHILLS, FL Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: MI LINE LEBLAN 39133 5TH AVE ZEPHYRHILLS, FL. 33542 . to; j {& ~ tKf~o\Jr/ ~/~~Y~l ;r if.ii ~ 'X~ ~.j' ~Q <-:J 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, REINSPEcnON 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. ~-~ . NT CTORS SIGNATURE. PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION PASCO PERMIT sBAV4C8G DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 . 866-824-7894 813-780-0020 FAX: 813-780-0021 1- DATE RECE IVED Toll Free 8';/ {o ) , PHONE CONTACT FOR PERMITTING OWNER'S NAME (f) J C h e / In e Le (j/((Il e.. JOB ADDRESS 39 J 33PJ... Ave PHONE s4c/~ (Ill) 99'7-/1/7 .....; ~-' , LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # / 6L -~ .-Jj - O()lO - ckJJ.&)- 0080 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~NEW CONSTRUCTION o SIGN PROPOSED USE: ~SGL FAMILY DWELLING o COMMERCIAL o ADDITION o ALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER D RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK re/JI eLf! e , \J t1..u1l IOO/Y) ( if ~/'Jn. 17&1 c1CLht life. ) BUILDING SIZE II x /10 SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) 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. PERMITS REQUESTED ~ BUILDING $ ~ f oj. ro() VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO BUILDER COMPANY f,<fJtI/]//A}..LK . ~ l, 5.0 SIGNATURE ~/J.C~ ~!( STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** 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 unde~signed assumes responsibility 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. ~f 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 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 conunencement. E. CONTRACTOR' S/OWNER' S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be aone 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 conunenced 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, wetla~d 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 Shrll issuance of a permit prevent the Building Official from thereafter requiring a correc ion of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is co~nenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for la period of six months after the time the work is conunenced. 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". ~JJi...~ }tLI{ SIGNATURE: OWNER ~ AGENT ~ia, ~ ~/{ SIGNATURE: CONT~CTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was acknotledged Before me this ~day of A"'5''<'<; , 20 00 by (name of person acknowledged) ~ho is personally known to me, or P a. s <:..0 STATE OF FLORIDA D COUNTY OF I~S60 The foregoing instrument was acknowledged Before me this ~day of A~lA-s+- , 200S- by (name of person acknowledged) ~ho is personally known to me, or Dwho has produced (type Ddid not of identification) take an oath. Dwho has produced (type of identification) ~id not take an oath ~ f person taking acknowledgement erson taking acknowledgment Name typed, d;ip t )l,zannC Batu printe.uo\r'i'sfa~~:1 hUll!) ii' ';i~.;~r \cl;;' >ic.\ I L~L,<djtl,~', <,.. me Name typeQ:~~KfPf~o~~~~~~~~~! :~'~;'~.',<:, v', ,', :..'\:,_,:,1~.:~,'~:: N (} \' 1:-: " ',' L: ~J: l';.i;,~j i.~'~~>:~': f~;,: .;>j(:J T!in; E':;;;'iJ: NOll 'rf ^313 30lS l ,~ ~ r T ,9 1 ~ .6 1 3 S n o H NOll 'rf ^313 >fJ'rf8 -I ,9~ 8'rflS 313~DNOJ E:lNllSIX3 r 31 'rfld>fJI>f ,,9~ l^I'rf38 3E:103 SVO' 8X(: SlSOd SVO' 8X(: I I I I I 86L ~ 1.:1 - .:IOO~ N'rf d ~3SI~ ,,8 I I I I I WOOlf Nl:RI:>S OlSOdOlfd "- "" .. q;, >-- ~" "" \ I v:> 'n- ~ v.... -u. , 9l--. 0/ 0- ...- -J.~ 6- 0-- '" '3/1 (/ 11.1-)> E'&' ( /;2 Ogc.:o - (lO-rOQ - OEOQ -j-e- 0/"'(1- ~/ :J IV tT7fJ.3 7 L/y 01 ',. 2-yiJrkllr 1111111 11111 111111111111111111111111111111111111111111111111 2005168866 NOTICE OF COMMENCEMENT F {r;rUl-C0 County of fJ (1r,feo state of THE llliDERSIGNED hereby gives notice that improvement will be made to c~rtai: re'al property, and in accordance with Chapter 713, Florida Statutes, tho follov.'ing information is provided in this Notice of Commencement ~ 1. Descr iption of Property: Parcel No. / .l-r;>.h -I!J.I- OfJ30- dOoLOO- 0080 09'/33 sf/.. 4t<e (Legal description of the property and street address if available) "' L. General Description of Improvement 0' t/1..12.L1J ckL!J1 tl e.. ,r-txJlJ1 3. O\mcr Information: Name /7} /Cl;e//;7e l~ddress J7/,33?h AVe City L-e 8/ CUt C Zep~rUk State/!,33SVbL Interest in Property: Rcpt: 913877 DS: 0. 00 08/17/05 Rec: 10.00 IT: 0.00 Dpty Clerk Name of Fee Simple Titleholder: (If other th~n owner) Address City State R: 4. Contractor: Name UU/J cS I~ 4tun.//7tllYl,:Lee. Address UISlj ~Ol'/- k!iy IZcI City ZejJiyrD/r StateR ,3Jr-0>L Surety: N<:lme . Address City State Amount of Bond: ~ JED PITTMANft PASCO COUNTY CLERK 08/17/05 00:33am 1 of 1 OR BK 6535 PG 381 6. Lender: Name Address City State 7 . Persons within the State of Florida designated by O\Vner upon who] notices or other documents may be served as provided by Sectio: 713.13(1}(a)(7}, Florida Statutes: Name Address City State 9. 8. In addi tion to himself, O\Vner designates of to receive a copy of thE Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes ~xp.irl:1t_.i.on dote of Notice of Commencement. (the expiration date is 1 yecu Ir?m the date of recording unless a different date is specified.) Signature of Owner "\..--~ ' , - - Sworn to and subscribed he fore me this /01 #-- day of HI4:Y,u. f- ~dlOO=r. ~otary Public; ~~ ~~ -1y COIDinJ sSJ.on E~p~~,e~.~ ,~,~YPU';" ,SuzannPo t'ah.. ~~,;~:&] ~:;'", ;~i'D~~"