HomeMy WebLinkAbout05-4853
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780.0020
BUILDING PERMIT
4853
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
4853
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
RV PARK
Address: 3411 PYRITE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number:
15,500.00
8/19/2005
235.00
235.00
8/19/2005 Phone:
LANAI ON EXISTING SLAB WITH EXISTING ROUGH PLUMB
Name: LAWRENCE CLINE
Address: 3411 PYRITE DR
ZEPHYRHILLS, FL. 33542
UN T
CRANDALL, RICHARD
CHRIS BAHR PLUMBING
PLUMBING FEE
35.00
.~
(J' \ \u \0 ,(\}f'"'
~ \()'
F T
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. n
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.
~-.
RACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICAT~U~
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 ~I ~
DATE RECEIVED "/ /s /0 S-
PHONE CONTACT FOR PERMITTING tS!rt('a (f/3)
997-///9
OWNER'S NAME
r. /1 lie
(}z jtlf
PHONE
Lawr-eAl'.R
3'-1// . Pyrik.
LEGAL DESCRI PTION: LOT (S) 02 90
;) <j -rJ& - J.j-OO f ()- o(X))) - J,Jj () 0
JOB ADDRESS
SUBDIVISION [/J)~ra II ?o/;;k
p#-(fl
(OBTAIN FROM PROPERTY.TAX NOTICE)
BLOCK
PARCEL 10 #
WORK PROPSED: ~NEW CONSTRUCTION
DSIGN
PROPOSED USE: ~SGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
DMULTI - FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
/ fl.ntl;' Dn eJ.(( ;:l,
/ oJ.. ''1 3d-. '
SQUARE FOOTAGE
BUILDING SIZE
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
'P BUILDING $ /5",S()().OV VALUATION OF TOTAL CONSTRUCTION
~ ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C.
0{ 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
SIGNATURE
~jCLC~ ~
1 to~ .~~
COMPANY
~ u/1 JI Ci..;~ Ak/?l ;/}tlfi. 7A.c.
BUILDER
STATE CERT OR REGIST #
******************************~***********************************
:>
ELECTRICIAN .. /) , .. r;f) .
SIGNATURE /~~-f. C6A-_k-q
COMPANY
C~ n:LHdt1./i{ [;"1 €c -fn.(.....
STATE CERT OR REGIST #
PLUMBER
****************************~************************~,***********
:>
,~').
COMPANY (!h t~t~ [-2;,':217""
Plu~lJI'~
SIGNATURE
,4y~
/
~
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 undersigned assumes respon~ibility 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 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 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 p~o~isions of the technical,c~des,
nor shall issuance of a permit prevent the Building Off1c1al from thereafter requ1r~ng a
correction of errors in plans, construction, or violations of any code. Every perm1t
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 time the work is commenced. One 90 d~y extens10n of t1me
may be allowed for the permit with fee charge of $15.00. The extens10n shall b~ requeste~
in writing to'the Building Official. An approved inspection must be logged dur1ng each S1X
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".
~/~C~ ~/L
SIGNATURE: OWNER R AGENT
dil ,,: ~'-
SIGNATURE: CONTRAC OR
STATE OF FLORIDA ~
COUNTY OF ~~co
The foregoing instrument was acknowledged~
Before me this ~ day of A~l.A.s+- , 200~
by ...S--r-a..c.I-t'_ Zl.A-llo
~name of person acknowledged)
GYWho is personally known to me, or
STATE OF FLORIDA 'R
COUNTY OF a.s (,,0
The foregoing instrument wa1.+acknoWledged ~
. II.}<-'d f. LI..~lA." f- 20 05
Before me th1s ~ ay 0 , ,-
by ,--"Sta..r l'~ ? oA r It.>
(name of person acknowledged)
Ekho is personally known to me, or
o who has produced
(type of identification)
Odid not take n oath.
Owho has produced
(type of identification)
D:iid not
Signa
~~
of B rson taking acknowledgment
,,,,,'junnne Baht
<"~'PlJ"", :. ~
ff?~:.~ \', Celf,ffiI33IBJ. HOD IS7
typ~d~ tQ J..a.-P~r8~NO\t~~ ','
>~:~'~");i:~;~~~"':'" BOf~~~~i:!::n:o. Ine
:,,~~,;.~IU';"?'
Suzanl1e Bahr
Name typed,
prirfte(E~-d:~ f!xJ'}re' ov 15 200~
. tJ~'> . .J '~"f:: ,-,. I _' . ' J
'., "l.'h., .;''' ..:. Uonded rhru
. "', L;," ,\~\\ \l.~~i.'llir Bonding Co., Inc
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IIIIIIIIIIIIIIIIIIII~ 1II1II11111111111111111111111111111111
2005168864
NOTICE OF COMMENCEMEN'l.'
state of
F-~h.'4-
County of
~Orfl!l!J
TilE UNDERSIGNED hereby gives notice that improvement vlill be made to c8rtai!
real property f and in accordance with Chapter 713, Florida Statutes, thE
follm,,'ing information is provided in this Notice of Commencement;
1. Description of Property: Parcel No. ;2tj-~-02/- ()jro-():YJ}}-02.9rJO
:JljJI ~r/k iJ? UJ I- cJ-fJ E/JUrtL/cI /1;/;t/e p~- (;;
(Legal descripti n of the property and street address if available)
2 . General Description of Improvement UJ1 0.../ /J. X 3cJ--
Rcpl: 913877 Rec: 10.00
DS: 0. 00 IT : 0 . 00
08/17/05 ______ Dpty Clerk
3 .
OVJncr Information: Name
L u/;;)f--e)..u C//jje
City ~hr,Ljk
Stated, 33.)10
l\ddress 34// fJq/"/k 1Jt.
;}
Interest in Property:
Name of Pee Simple Titleholder:
(If other th~n owner)
JED PITTMAN~ PASCO COUNTY CLERK
08/17/05 00:33am 1 of 1
OR BK 6535 PG 379
Address
City
State
R..
Contractor: Name ~un
Address (p jSt.j ;-/Jr/- kc.ft
sk~
,€cf
Akfrl' IAC .
City ~f/'Jrk)!r
S to. te Fl 33Sl1..L
;). Surety: Name
.
Address
City
State
Amount of Bond: $
6 . Lender ~ Name
Address
City
State
7.
Persons ,-,i thin the State of Florida
notices or other documents may be
713.13(1}(a)(7}, Florida Statutes:
designated by Owner upon whon
served as provided by Sectior
Name
Address
City
State
8. In addition to himself I O~'mer designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Exp.i.rl'1t..ion date or Notice o:f Commencement. (the expiration date is 1 year;
fr~m the date of recording unless a different date is specified.)
Signature of Ovlfler:
Sworn to and subscrib€.l~ before me this I S1- day of H1A.j fA. &/
~ ;2.006-
r:'
~Jo.t<lry Public:
,\~~~;ori"',,, S'llZanne
(;';"':"'V""":~.'" ':.'.,~.~..'..\",:.;~E~ ~\~:,~' L~:~D/~ : 5Zci 5 6
, . '. ',_ ''',,~ ~)"..i. ..L,.'- .,.~ :', ,;, '.1
:~i.;'~L;c g~_;:,i>':^, ' ',L
"~Y Commission E~pires: