HomeMy WebLinkAbout05-4888
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
4888
Permit Number: 4888 Issued: 9/01/2005
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 100,150.00 Total Fees: 3,310.75
Amount Paid: 3,310.75 Date Paid: 9/01/2005
Name: K.C. JENSEN CONS RUCTI N, INC.
Addr: 30921 SATINLEAF LANE
WESLEY CHAPEL, FL 33543
Phone: 813973-2162 Lic:
Work Desc: NEW SINGLE FAM L Y DWELLING
Address: 38235 "C" AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot{s): 10 & 11 Block: Section:
Book: Page:
Subdivision: MOORES FIRST ADDITION
Parcel Number: 14-26-21-0010-03600-0100
MANN, MARL NE
38235 "C" AVE
ZEPHYRHILLS, FL. 33542
Phone:
I
WATER CONNECTION RESIDENl
RADON
~. ~/ ~0
\. .\1
~/
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POL 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 m~de 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 yqu intend to obtain financing, consult with your lender or an attorney
before recording your notice of com encement."
NO OCCUPANCY BEFORE C.O.
/
V4~URE. PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
K.C. Jensen Construction
38235 'C' ave.
SQ. FEET PRICE
MAIN OR LIVING: 2,003 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 100,150.00
FEE SHEET $ 483.00 -
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 784.50 V
CREDIT: $ -
BUILDING LESS CREDIT: $ 784.50
ELECTRICAL: $ 114.25 '"
PLUMBING: $ 1 03.00
MECHANICAL: $ 73.97 -'
SUB-TOTAL $ r- 1.0751 ~
RADON: $ C2'0.
TOTAL $ 1,095.75
v'
SEWER: $ 1,616.00 v
WATER: $ 419.00 l;.
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER: $
IGATION METER $
180.00 ,
PARK IMPACT FEESI $
3,310.75
769.56 tv:-
SIF'S: $ 4,314.00
100.0% $ 4,314.00
i 1.0% $ 43.14
TOTAL: $ 4,357.14
,/
v
O.La- tJvf;
d.O'
PUBUC SAFETY IMPACT FEES /
POLICE $ 254.00
FIRE $ 273.00
5% $ ,- 26.35:: /
TOTAL: $ 553.35
TI F'S: $
99% $
1% $
1,588.00
1,572.12
15.88
TOTAL: $ 10,578.80 I
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PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-7111-711111
WATER ACCT. NO.
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105763
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CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
~- G-1'~ 3
DATE 9-/-06-
!.{. e. C7e4/~ ~!J~ tJAf~.
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SERVICE ADDRESS '$ :;] :; 3 S lle.. 1/ Ch.c.. m /0 1'1/
~ WATER
OWNER/
RENTER
MAILING
SHUT OFF SERVICE
TURN ON SERVICE ~
INSTALl METER \1Zf
READ METER 0
CHECK METER 0
OTHER 0
o
o SEWER
o GARBAGE
~IN CITY
o . bUT CITY
~ No. OF UNITS
_ DEPOSIT AMOUNT
_ AMOUNT LAST BIU
weRK COMPLETED BY
& DATE COMPLETED
_ DATE
_ MISC. CHARGE
ORDER TAKEN BY
Retain wh e form in office at all times.
Send pink i& yellow forms to Water Service pI.
Water Service Dept. to sign yellow form & return to office.
I
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
B13-780-0020 FAX: 813-780-0021
OWNER' S NAM~ Q (' \ () f\ ~ n Q,JI 0
JOB ADDRESS oJ?? Z:3s-' "(! /~ ~.
LEGAL DESCRIPTION: LOT(S) ~ BL~CK 3(, , SUBDIVISION Moore i,6 fTrsl-~
PARCEL 10 # ~ d..,lD ~ \ ('t:) I D a,~m 0J06 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~NEW CONSTRUCTION
DATE RECEIVED >/-:;--0:5-
PERMITTI~nJi~3:~ I ~~
(f.<J ?
PHONE (. ~/ ~) ]g;J- d. ) Lf?
PHONE CONTACT FOR
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
PROPOSED USE:~GL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
Joci
~ 7)() ~~~-t HEIGHT \ b )~ Ii
BUILDING SIZE
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.
PERMITS REQUESTED
$~ ,C~ cJl) VALUATION OF TOTAL CONST
,31 OM, ~P SERVICE
~UILDING
'~LECTRICAL
1p)LUMBING
~ECHANICAL $ 3 ()~ .a-C') VALUATION OF MECHANCIAL
( -.. )
o GAS ~ROOFING 0 SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION ~ BLOCK 0 FRAME
Ci-L 1 I
FINISHED FLOOR ELEVATIONS ~
'G
Progress Energy
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE
SIGNATURE
COMPANyJ- . C. J p" 5~ Qn I COi1~\ ~r M-
-It C
STATE CERT OR REG1Vft (;..{{j3 C/O~ ':s
BUILDER
******************************************************************
PLUMBER...." .. ('0
SIGNATURE ~)J2N\i!l \,~~
COMPANY
**".* *** * * ** * ***7*."!! * *.. ** * ***** * ************** *~*** * * **** * * * * * ** * * *
MECHANICAL./ /.' / COMPANY 0
/ ,,'"
SIGNATURE j/1.t1-~ 1';(/1 ("~/l/"(- STATE CERT OR REGIST # A C.
./
*****************************************************************
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 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. 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 Hone 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 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, Wetlard 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 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
$2,500.IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF CO MENCEMENT".
~
OWNER OR AGENT
STATE OF FLOR~,.~
COUNTY OF F.tJ..~
The fOregOingi~n :.~tr ment was ac}}nowledge<;.\,r
Befor~me this .) day of JI1 Jlt} , 2~
by ----\.-)0 i' \ P ~ (I, " I')
\v1), (name of person acknowledged)
~ho is personally known to me, or
o who has produced
(t &e of identification)
~i ~,)\ f1"'tf~e an oath.
~ rL.Co~~
.......... ~
~ .
p~sirt ..,,$'f 1.~ ~"kr\wledgement
~*: ..... :*:
.' . -
Name typed, pr!~~ =;'~m~;
",:..;;-) ..'FaRJ.~.. ~ ~
./;,~ /-Vel........ (f<: ~
"/II/, ~/C, ST~~ ~,,~
II',,,,,,,",,,\,~
S
STATE OF FLORIDA /)
COUNTY OF r a~ A )
,
The foregoing instrument wasIi9~owledged^~
Before me this ~flY of. ~ ' 20 ~
by l-C {? n n p ~ L ~ '---~
~ (name of person acknowledged)
~o is personally known to me, or
Name
FLA. 1977 LAWS
FS 713.13
NOTICE OF COMMENCEMENT
SEMINOLE FORM 408
State of Florida }
County of I
The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance
with section 713.13 of the Florida Statutes, the following information is stated in thi.s NOTICE OF COMMENCEMENT.
Description of property .. J..O ./s... / D. . .0.11 d .11. . . !'.t oaf. .e . !. '-'? . . E. ~rs..h: . . A . ~iC/7.? . . . . . . .
./ts.....~../)1.f/aJ..&L/..R~..57............... ...... .................
..... furceJ .1:./)-/' jy. d {. d I.. .uQ IP.. (Jd6 Q(5.. % 0..................
Gone,,'dosc,;p,'on 0' 'mp,ovemoots .... 's1n&1 e.. FQna /~. KeSJd.~........................
Owner.. ... ../1 (lr.!eI7e:.... /1.c.~/U).... ............. . . .., . . . . ... . . . . . .. . . . .... . .. . . . . . ... . . .. .. . . .. . ... . .. . ..
Address .,. ..,--1..9/~..J. ...L0.{}o.d/~r?d.]) f. ... .21Jl~... X.fL....... ........... ........... ...
~;:n;~~~7;e~~~: i~::~:~f(~h:~;:~r::::::~~r) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1111I/111I111I11I11111111111111111I11 11I111111111111I1111111
::::s...................................;. .tt. .1/................. ~~:~i:::~_~iT: ~::~: Cle"
R contr.>..mjCC..Jensen.C . . ...~an,.Ln-c,........
Addmss. .to &. )(X3 ().. . ,,5h.n. ~/t. 33 5) 6...........
Surety (if any) ...................... .~. . .1;./.. .. .1!}. . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .... ...............................
Address ............................. ... L~.. ... .f/... . .. . .... .. . . . . . . . . .. .. .. . .. . . .. . . . . Amount of bond $ . . . . . .. . .. .. . . .
Any pemon making a loan 10' 'he c no"ucti7' the Im",ovoments, AN PASCO COUNTY CLER~
::::s~": :.......... .................. ./tl /fl........................ .~~~~~~~2~m. .~G .9~9..
::::n~':~.'h{.atll;;:te;;'{;;t;;:;:;x;~nJ3;~O_'he' documen', m.V be. se~~ . . . . . . . . . .
Address.... !?().. bCU.. .!().34.... .S4/?..~. T .h..... .3.3?7~................
In addition to himself, owner designates the following person to receive a cppy or th~ hanor's Notice as provided in Section...
::::3.111 .lhL. F10"d~mtu'~".'/iJ It~~'.~'O~I....................................... ...................... ....
Address T~I~'~~~~~.F'~~.~~~~~~'E'~~'~~'~~'iv'" .... ...... ...... ....... .~. ..~}:1.""'.". ;jf;...............
STATE OF FLORIDA 2(.. .r~~:'Y.. o't;,eJ ,,~....
COUNTY OF PASCO :2 (" I-.~/,
THIS IS TO CERTIFY THAT THEFOREGOINGIS A Sworn to and subscribed before me this. . . . .,-" - .S\,J\~lr"!I"III"'.'.'
TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE j / f '.' #\\~~~~.~.~E~v6':~ "v_
~: o~ ~~~'~F~~~:~ ~~;~~~Ei:2ftll~~ ~; .m..um.......day 01 .. .. ~: .~<-l t . .1(f~~'i4~;;,'
JE9,P1 MAN,CLERKAFCIPfU!TCO.URT ........ .,. ..LI..~~~;}~~.~~~~....~~~:. 7j;1
n" f/l I'd to~./ '1f"~DEPUTY CLERK ~g..'. "k'$
~~'" ~80nded~~ ..'f!~
;Z r ,.v)"i'aJn.InS\l''''~-.' ~*
~ ;OUJ'l......... ~ ~"'"
:;rIll cOe STA1t. \,.......
~IJI'..J 111111\\\"
(PREPARE IN DUPLICATE'
AUG-08-2005 08:36
I
PASCO COUNTY DEV REVIEW
727 815 7000
P.01/01
I
5335 -: e" St. I :
Zephyml1ls, FL 33542:
!
Crtv of Zephyr-h.Us
Bui~d~ng Department
Fax
-P~&AJ~:
~ ,~ - Pa~oo county ,Addres~ing
,
Fa: 727.815-7DOO
,
00:
,~ Bobbie SweUand
./
Pages: Fax cover only
. Phone:
'Date: 08/0512005
Ita: Address r~uest
cc:
"
o Urge"t far ..vieW
CU-'_ 'CoIIPnent, xx: PI__ R~
CJ It,... fleCyct.
,
"
Dear Judy,
, .
I would like to,irequest an _ddress for a pfoposed single family hams' to front "C" Avenue.
Parcell.D.14;-28-21-OO10-03800-0100
lots 10 & 11, ,Moore'. FK'st Addition.
Thanks for yO,u helpl If any qlJestions,.~ give me a call, 813-780.0020.
",
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AUG-ElS-288S 15:12
813 780 13021
....,-.--- .- ~-~
P.01
TOTAL P.01
I "I'
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
ADDRESS DATE PERMIT.,.
'1 ~~) G ~6- JB1~) 4-8~<B
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
CD ~u~~\i-S 51Yt\..\. 13ti- &t~c.p-v pfVt. M(s,~'N<S CJ~ t4\.'"(j)~J)
~a .lrU'T1J.1..L.
o \..$. ~ P") 5 hL\. J??ti:.. q.... f-ul. 'c-'rJ5~' N.
(j) -\ 1Wt OJt- ))\5,J>~\~ ~ pl'ftA~~ >. ~\N'TS t"^' '>Si~<r r'1 uC b~{) (.\.\y)}
S1~ ~f3A..J~c\.8.P
@ ALL G ""-)~ Tvt~'7*> s,~\..\. g~ N~l~,) 'l,Cs-fi.:rIff:-^ \2~ \~~')) ~t:r\,..(~'N;""
-- AU- '-t\..v)SiL) )~v. DJi- S'~Pfp,J ~ V"~lL pPt'- 7',,-.))<j ~bi~IN<':'
Bnc-\L.. ~-.x.~ ~~ 5)~u.. f-3.~ H~,,-.1U- p~ --C\iL~) ~Nfi(U't,J~-
~~~~ ~i~~t~~~uii 111~GvJ i~L-Q(~ r~/~c,,~
,
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It is unlawful for any Carpenter, Contractor, Builder, or dther persons, to
cover or cause to be covered, any part of the worK with1f100ring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR -J~~')")
I !'
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADDITION OR CORRECTION
BUILDINO
DEPARTMENT
DO NOT REMOVE
I ADDRE~. DATE PERMIT +1
. Sea 2?4 (, /V-I Ir~~ 1~rJ .
THIS JOB HAS NOT BEEN COMPLETED. T~e following odditiqns or corrections sholl be mode before the job
will be accepted.
@ r:v ,~ck~~ 0111 Cbrs g~ 6'e ~rr'X(l
OfFICE HOURS 8 - 5 MON.-FRI.
. AFTER CORRECTIONS ARE MADE CAlL
788-6611 RE-INSPECTION
I
~;; /
It is unlawful far any Carpenter, Cantractor. Builder, qr other persons, to
cover or cause ta be covered, any part of the work with floaring, lath, earth
'or other material. unllllhe proper inspector has had ample lime to approve
tt.e installallon.
INSPECTOR