HomeMy WebLinkAbout05-4942
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4942
Permit Number: 4942
Permit Type: ADDITION/ALTERATION
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
47,850.00
9/21/2005
532.60
532.60
9/23/2005
INTERIOR RENOV TIONS
Address: 7335 ALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Phone:
N E
ADVANCED ELECTRIC OF WEST FLORID
CHRIS BAHR PLUMBING
B H
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 c1:EILlNG MISC, MISC.
MISC, DRIVEWAY MISC. MISC.
REINSPEcnON FEES: When extra in pection 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 i spection when called
(e) Permit not posted on job site (f) Plan 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 rd a notice of commencement may result in your paying twice for
improvements to your property. If y u intend to obtain financing, consult with your lender or an attorney
before recording your notice of com encement. "
Complete Plan , Specifications and Fee Must Accompany Application.
All work shall be rformed in accordance with City Codes and Ordinances
o OCCUPANCY BEFORE C.O.
~-~
PERMIT OFFI
SPECTION - 8 HOUR NOTICE REQUIRED
OTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
PHONE CONTACT FOR
DATE RECEI
OWNER'S NAME :i;; L.4u-L:> '?2 c ~ d",. -> PHONE
JOB ADDRESS I ~ '?J ~ C"7 ~ \ \ B \ \..) b (\M e-{t(~~~-d f::>l-,a. '.:2-..4-
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
(OBTAIN FROM PROPERTY TAX NOTICE)
/-
OALTERATION . ~ REPAIR 0 INSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
9f;MMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
D RESTAURANT
I P ~. J2 \ 1) .2.-
,
(g P PO
& HEALTH DEPARTMENT APPROVAL
e..1!f?:-~ 0 V' A- -t I; J.-,:; <>
SQUARE FOOTAGE / 55 ~
HEIGHT
DESCRIPTION OF WORK
RESIDENTIAL: ATTACH (2) PLO~ PLANS & (2) SETS OF BUILDING PLANS & (1) SET
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.C ,e~~1 ,/
NO JV\) qJ)-
V jLJ-t. U1
ORMS.
u5
~UILDING
~LECTRICAL
PERMITS REQUESTED
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
Progress Energy
o
\
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALty
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST # t: )3C-! d 1) tJ6-':!J.3
*******************************************
COMPANY
'vv' .Art... ti. e c- J
OR REGIST #
PL"')}"'d:.,~ ~.
SrGm;. G ' 12 6r-L.
COMPANY (I f<<-~ ~ ~"
STATE CERT OR REGIST # eF=e I flz. g y/tJ<
MECHANICAL
******************************************************************
COMPANY
SIGNATURE
I
* * * * * * * * * * * * * * * *1* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
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" whi~h'
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 stat& 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 Clone 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, 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 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 COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
,20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
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
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid Odid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
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'111I111111111I11111'111I1111'111'''' 1111111111 '111111I1111I
2005197324
FLA. '977 LAWS
fS 713."3
NOTICE OF COMMENCEMENT
seMINOLE FORM 408
State of Florida }
County of SeV\\\\\~\e.... t
The undersigned hereby informs all qoncerned that improvements will be made to certain real property, and in acoordance
with section 713.13 of the Florida Stat\.ites, the following information is stated in thi.s NOTICE OF COMMENCEMENT.
tPREPAlIE :IN DUPUCATr::1
D~riPtion of property ..,.,..."...,......,:,...,...,.."..,.,...".,..,...,..,.,.,...,....,.......,.,. .."".,.,.".,.,......
.... ~.\.',c~,. IX?,., ,~tJ. ,c?l.~. ~,I" OPOo. . ,OD."~OP"" 0 ,~,o..,.... ,.". ,.,... .. ",,'...... .,. ....,."
..".., .,..,."......., .., ",........,. .,f,..,...., ... ,.",.". ". ,.,... .,...... ".. ,. "., . " ".,.,....,.. ..,....,..,. ,.,.'., ...
G."".1 d_o,;,tion of 1m,'0..m.m,~~QF .'V!il~:.I. 0. V\!'l<3.?>~.;l. .IJo .1 ~ ~e . . 'l ~~ futlR>iyJ
Own" .+.n~~~\U++. .V\\ft@~~v.cJJ:~. kllt1.,14~r::l-11~~k 1'.... .p,....
Address .~\.. ,~~~~~+ .~. ,~~,'=f'J' ,~~~.4l~ ,Ho~.~. ~J.,. ~.I"~,. ~~~ f~q6
Owner's interest in site of the improvem~n1 . . , . . , . . , , . . , , . , . . . . . . . . , . . , . , . , , , . . . . . . . . , ,
Fea Simple Title holder {if ctner than ~wnerl
Rcpt: 925057
OS: 0,00
09/21/05
Rec: 10.00
IT: 0.00
Dpt,y Clerk
Name ,. .....",.,...",.. ,... .,.,...,..;., '..,...,.., ...,. ." .."..,.. ,. ...,. ..".
R
Address ,.,.,....,.",. ....,..,.,.,..,...,.".,....,....,........,..,....."....,.,.",.., . , , , . , . , . . . . . , , . . , . , . .. ..,.,..,..,.
Contractor. j:V\,~,~pJ...,CQ.!~~+'~~~\.~'.~,~,............,..".......,.. .......... ,......,.....".....
Address.., 1,"7. !7..., ~ .~. ~ .2. c~~.. .7~.\':-!. .~.".. .=~~.., .f,~. ,':?~ fe..\..~
ulA-
Surety lif any] ...,....".,.....,.."',.....,....,..,....,..,...,.,...,.,......,....,..,...,.......,.,.,,.,..,...,..
Address .:....."... t-,..? (J*.,."'., ., ',." . ,. ,. . , ., " ,. ,., . .. ,. , .. .", ... ., " . ,. .. . .. " ., .. . Amount of bond $ .
Any person making a loan for the cons~ruction of the improvements:
Name .". '.,...,.., ,.".. ..,.,.. ..,,'.. ..,.....,..... ...,. ."'.'....,,, ,......
JED PllfM~N PASCO COUNTY CLERK
09/21/05 12:28pm 1 of 1
OR BK 6596 PG 1001
Address .....,. .,.,',.........,."...,......,.".....",....,.".,..,.,.."....,....,..., ... , " .. . . , . . ,.,. ,. ., , . . .. ., , . . . . .. .
Person within the State of Florida de*nated l>y owner upon whom notices or other documents may be served:
Name ~\q\,\& ..~~Wt.. ~~..~,Ke>.~........,. ...................... .... .. ,.... ...........
Address .~ .k~~.K-o.w'~r... .U.4. ,W.l.n-k~..PO"t:k.. .... F~..... .a~J1.~..... ........ ........
In addition to himself, owner designate the following person to receive a copy of the Lienor's Notice as provided in Sec1iol1c......
713.13 (1) IhL Florida Statutes, (Fill in at Owner's optionl, '/
Name...,......., .wJ,~, -',......,...,_L_,............."..,...,.............. .,....,..... .....,..... .....,........ ...
Address .....,.,......,........,.....".i.."...
THIS SP'ACE FOR RECORDER'S USE Q.NLY
.'..'.........:............ ......-.\...':....'....... ,.. ...........,..
,~'i~, PitOf.~~~~.~r
.1" ,~~C\ ~u,",~t+ ~ ~(St to'~
Sworn to and subscribed before me this. ... .. .....,........".,.. ...
--+
I
.....~,q.......day of ,.,~;)- v. oS. f.. .. .. . . . . . , , . .... ..,. ,.)S.;).gp,r-
~~.,~.~:.~.......
,~ MIilNa K.y.........
\... j My Commie.ion D03407o7
.." expq.;/uly2s; 2001 -
~.d
8trlrV-L9~ (8 ~8)
Z30NVN~3H >fN'vC:I::I
ep~:80 90 6~ flnV
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Matcon Construction
7335 Gall Blvd.
Interior Renovations
SQ. FEET PRICE
MAIN OR LIVING: 1,595 $ 30.00
OTHER AI1EA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 47,850.00
I
I FEE SHEET $ 270.00
I
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 405.00
CREDIT: $ -
BUILDI G LESS CREDIT: $ 405.00
i ELECTRICAL: $ 35.00
i PLUMBING: $ 35.00
I MECHANICAL: $ -
SUB-TOTAL $ 475.00
! RADON: $ -
TOTAL $ 475.00
I SEWER: $ -
WATER: $ -
i IRRIGATION: $ -
! TOTAL: $ -
~WATER METER:I $
IRIGATION METER $
S~B-TOTAL $
PA1K IMPACT FEESI $
~ I
475.00 f ~
- ~
I
I
~
PUBLI C SAFETY IMPACT FEES
POLICE $ -
FIRE $ -
5% $ -
TOTAL: $ -
I
I SIF'S: $ -
I 100.0% $ -
1.0% $ -
TOTAL: $ -
TI F'S: $ -
99% $ -
1% $ -
TOTAL: $
475.00 I