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Home My WebLink About05-4902 I ' CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813}780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 4902 Permit Number: 4902 Issued: 9/09/2005 Permit Type: GENERAL BUILDING PERMIT Class of Work: NEW CONSTICOMM Proposed Use: SINGLE FAMILY RESIDENTIAL Sq. Feet: Est. Value: Cost: 249,000.00 Total Fees: 52.50 Amount Paid: 52.50 Date P id: 9/09/2005 Address: JENO ST ZEPHYRHILLS, FL. Township: Range: Lot{s): Block: Section: Book: Page: Subdivision: CRESTVIEW HILLS Parcel Number: Name: ASSOCIATED CONST. PRO UC Addr: 25352 WESLEY CHAPEL BLVD LUTZ, FL. 33559 Phone: Lic: Phone: Work Desc: MODULAR BLOCKiRETAINING WALLS 2 & I EXTENSION Name: LENNAR HOMES/US HOME Address: JENO ST ZEPHYRHILLS, FL. 33542 d~ V , ;7/0 ~\ {\ (\/t,~~/ \~ R WM DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATIONWALL MISC MISC. MISC. INSULATION CEILING MISC. MISC. MISC. DRIVEWAY MISC. MISC. REINSPECTlON FEES: When extra inpection 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 ncement." NO OCCUPANCY BEFORE C.O. CTOR551 NAT RE , PER~ CALL FOR n~SPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I ' CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED 9f /~S PHONE CONTACT FOR PERMITTING OWNER'S NAME L(!-NtVA./Z kbM~ ( / US I-fPf./lt:. ~ PHONE / JOB ADDRE S S LOT It> .:( TD'\J " .5; T~-.u.. T ZLp I-, ;U2. ~ , f ( s f=' I SUBDIVISION (!e<'S7'LI,U._~ J..// I (s LEGAL DESCRIPTION: LOT(S) (02' fP~ BLOCK PARCEL 10 # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~NEW CONSTRUCTION o ADDITION DALTERATION o REPAIR o INSTALL DSIGN PROPOSED USE: ~SGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH oMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK MC/du I.:J<A R(tJ<:1:.: KLTC. 'v I w y !.rJCA... J f ( :2. ) SQUARE FOOTAGE /2, V(JO s~F; (t- 1- ~ (::YS' <" (r 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 ~ORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~'--7. )-..:.:> !;)J))~, JL. I?'- 1r~ PERMITS REQUESTED t.; 7 7 ~ 31/1 0 BUILDING $ Z'-f 1, ()t?'O VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. 0 PLUMBING k~~O?- 0 MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION 0 o ROOFING o SPECIALTY 0 GAS OTHER TYPE OF CONSTRUCTION: ~ BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAo YES 0 NO BUILDER COMPANY SIGNATURE 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 # . ****************~*******.***************************************;**\ (~J3) q7_1-Ll'-l~~ i 7""{)dvcr~ (l.....r1--:l-'" F~I~...J J // .0 d /1 ;e/ 5.~'r1LII"N ?rtJdvt-G OTHER ./9<;"st>c-/o...r~c C.:.o,yf'-r-e,,h..T''''N COMPANY rYSS/J..It:>..T"fi'. , CO' ' SIGNATURE ~ ~.-j STATE CERT OR REGIST # 611:>z2U, O€.r' (Qu<-.!' r;'l/r; C<.wr'-"'c.t.- 1=-1111." CaL \'2.5'0373- A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be may be more restrictive than City regulations. The 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. Appliqation is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has cowuenced 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 cowuenced 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 ."N VAL?E 0/2''"0 TO RECORD AND POST A "NOTICE OF COMMENCEMENT". -/?'~ .rL~ SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR . subject to "deed restrictions" which undersigned assumes responsibility for STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this _____ day of , 2~ by (name of person acknowledged) owho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this __day of by acknowledged ,20_ (name of person acknowledged) [1ho is personally known to me, or owho has produced (type and whoo did 0 did not of identification) take an oath. o who has produced (type of identification) and who odid Odid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped Sep.~14. 2005 9:44AM I AC P No. 3239 P. 3 ASSOCIATED CONSTRUCTION PRODUCTS, INC. I Lawrence Falls give permitslon to Timotbv Carmichael to sign for all documenu pertainiDI to the permitting or Creatvlew:mn, retaining wall project Icated ia ZepbyrhiUl, Fl. ;~.".. ~ siaa dated oa *rlY- 20/)~ Lawrence ~ ~ ~~~ Dut Lawrence Falls ~ Tlmoth Carmlcbael sign dated on.('~7 /.y20~- T~m.1 GMII"L../~rlat TImothy earmicbael State of pt~19 Couaty~ rTHJong~~tFta~~~...~1~. O.).L ~2~by, H.y ~ "leT", _&It for c.c'ati'd 7N4J /tICMc~~ Notary Seal: ~~~ -~5:l .. ....~_.... ....... I . otal')' My cOOlQlillioa expiree: ~,o...uy known -produced Identification i 25352 Wesley C~IVd-Lutz, Florida 33559-(813)973-4425-Fu (813)973-0485 , -Cell (813)477-3919 Sep~14. 2005 9:44AM ACP No. 3239 P. 2 ACORD,M CERTIFICATE OF LIABILITY INSURANCE T DATE (MMIlIDIYVV't) 09/U/05 "RODUC~ 1-113-229 .son THIS CERTIFICATE IS ISlUED AS A MATTER OF INFORMATION K. g. WilBon Co., :tnc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOE8 NOT AMEND ExTEND OR 300 W. nll~t It. ALTER THE COVERAOE AFFORDED BY THE POLICIES BELOW. Its 200 'fillip'; rL 33605 INSURERS AFFORDING COVERAGE NAIC. INIURI!D INSU"'''A: IuuzobllZ" %1I8'1I:aaoa ClMIpll:t.y Allac1ated conBtruol:ion '~o4uatl, :tnc::. INSURERI:luuri8Ilre ~tua1 J:nlUI'Ulae CO=UlY 25352 Wesley Chapel Blvd IN8U~R C: ..ir8ll&ll' 8 .q4 :t1l8UZOlUloa Lutz. ~ 33559-7202 INSU~" D: INSURER E!: COVeRAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEIIIISSUEO TO THE INSUREO NAMED ABOVE FOR 'l'HE POLICY PERIOD I/IlDICA no. NOTWITHSTANDING ANY REQUIReMEN'l', TERM OR CONDrTlON OF A~Y CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 'THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TI'lE POLICIES DESORIBEO HEReiN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND OONDITIONS OF SUCH ~EB. AGGReGATE LIMITS SHOWN MAY HAVE l!l!EN REDUCED BY PAlO CLAIMS. ffiiiii"'~ . ~ IIOUCYNUMllliR "O[JCYI"'~~ UMITI I ..!!NERA~UAllllTY' ClL201!lOU Ot/Ol/OS 04/01/05 I!ACWOCCUI\RENCE ,1.000,000 .!. ~MMEI\CIAL GENeRAL LIAIIIUTY ""'eMI $I O. 000 ~ W Cl.-'IMS MADE 0 OCCUR ME!O exi> tAllvOlle Il"'on) SS. 000 ~ COnl:uotual PEQONAl, lADV INJURY ,1.000,000 '-- lJl!NEAAL AGGREOA'Ie I 2 . 000 , 000 ~'l.AOORE~UMITAP~81'EA: PROOUCT8-COMPIOPAOO $2.000,000 I I POUCY I x 1~:,9r I I LOC ~TOMOIIL! LJAIIILlTY .!.. Nf( AlITo _ AU.OWNEOAlITos _ IlCHEOULEOAUTOS .!.. HIReO AUTOS .!. NON<OWNI!O AUTOS - A CA20!J03& 0./01/05 04/01/0. COMllNED SINGLI! UMIT lea IalIIdem) $1.000,000 IODI~VIi'lJURY (Pet",mn) $ eOOI~VINJURY IP.,lOClIdenl) $ RAGi LIAIILITY AUTO ONLV -EAltoCCIOENT $ ANY AUTO OTHER TIoiAN EAACC . AUTO ONlY: AQa $ A 1XC!ItI\lM8R1LLA LlAIIILlTY Ot72 019 031 0./01/05 04/01/05 EACH OCCUFtRENce $3,000,000 ::~j"OCCUR 0 CLAlM.SMAOE AOOREGAT! 13,000.000 $ ~ ,DEDUCTIBLE . X R~NTION ,10,000 ~1l,J~ S B WOllKI!'" COMPINSATION AND "C201U34 04/01/05 0./01/0& IMPlOVl!Rl' UAIIUTY ,500.000 ANY PROMI!TOM'AATNI!IlIEXiCUTlVI!X :g, E.L. EACH ACCIDENT OFFtC&RlMI!MBER EXClUDI!D? I!.L. DISEASE.I!A I!MPLO'1eE $ 500 , 000 ~ne~peeerfbt ""- !AL PRoliis'iONA below E.L. DISEASE - POliCY LIMIT ,500,000 OTH!R nn7!lOSU2 C COlI trao to~' e Jilqu1p111S11t 04/01/05 04/01/05 Lsa..4/R_t.ed 150.000 Th.ft Deduot1~le 10;000 AOl' pa4l1.cUbl. 5.000 DEaCRlI'TlON OP OI'iRATlClHI / I.OCATIOHS I YEHlcLlS II!I(CLUIIOHI ADDIlO 11'1' iNDORaEMENT IIPICIAl, ,I\OYlIIONI ~ROPERTY DAMAOE (PIt8CCIlle"1l . CERTIFICATE HOLDER SHOULD ANY Of Till! AIOYli DilClWll!D POLICIIIII! CANCELLliO II!I'OIIE THii iXPlUTION A'8oaiat.4 COllstrUotion DATI THI!RI!OI', TH& ..IUING INIUIlIII W1U,I!HOIiAVOll TO MAIL --!L DAYI WRlTTI!N I HlmCI TO THe CI9tTIFlCATI! WOLDER HAMID TO M LIiPT, IUT ~A1LUMi TO DO 10 'HAL.~ IMpOle HO oeUIIATlOH OR ~1AI1~1TV O~ ANY KIND UPON THE INIUllIll, IllI AIIENTI Oil RiPRUI!I\ITATlI/EI. , AUTHORlZID R1!PREtliIilTATIYII ~ . ~ """ A.. CANCELLATION ACORD 2S (2001/08) .n.001 3381403 Powered ByCertJflclfUNOW'" CACORD CORPORATION 1988 .Sep,.8, 2005 9:21AM I ACP No. 2860 P. 1 -. ......._---~.-._-~. .--..- ,. .- .':' f-.:"" ,... -j A".",/ I,., 'j : ; ".1., I t..I*'.ol.. ~'_' '. '_J ...' 't.... . --------....-.... -... --.....--.... .... ... .- .- .... STATE OF FLORIDA DEPAR!'HENT OF Busnmss AND l:'~OFBSSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L04081304J SE NB.R 08 13/2004 040134998 CBC125 0373 rhe BtJILDmG CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AOG 31# 2006 FALLS, LAWRENCE RAYKOND INDIVIDUAL 193.47 WEYHOtlTH DR. LAm> 0 LUES FL 34638 ..lEB BUSa GOVERNOR OISPLAY AS REQUIRED BY LAW DI.ARE CARR SECRETARY _'0 __.._.___.__......___ ... ___..___ ...,- --'---'-.-.......---.--..- . ..... . . .. .... " .. ... . -- -... ." Ac#1056328 ....~....._.. ..-.........-..-.-- . . , STATE OF FLORIDA DBPARTHBNT ,OP BUSINESS AND .PROFBSSIONAL REGDLATIOW COWSTR17C'l'ION INDUSTRY LICENS:tNG BOARD SEQ#L030.9 09013 0: 09 09 2003 0301678J.9 B22 08 The Bt7SDmSS ORGARIZATJ:ON Named beJ.ow IS Q'UALIFIBD Under the pro~isiODS of ChaPter 489 PS. ~iratio21 date: AUG 31, ~0.05 ('!'EJ:S J:S NOT A LICENSB TO. PBRPOD "OU. THIS ALLOWS COJa>>ANY TO DO B17SIDSS 0Nt!'" IF IT HAS A QUALIPIBR..) ASSOCUTBD CONSTRUCTION ~ODl1C'.l'S me 25352 SR S4 LUTZ PL 33559 U:BB BUSH GOVBRNOR D,~p.~r_~.~~v~~ ~y LAW DUHB CARR SBCRB1"AltY