HomeMy WebLinkAbout05-4946
I I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4946
Permit Number: 4946
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 15,100.00
Date Issued: 9/23/2005
Total Fees: 205.00
Amount Paid: 205.00
Date Paid: 9/23/2005
Work Desc: GLASS ROOM
Address: 5815 17TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
VIN T BULLOCK
5815 17TH ST
ZEPHYRHILLS, FL. 33542
Phone:
',I
. , \ I
\
i 1
DUCTS INSTALLED PRE-SLAB----j CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED L1NTEL~ PRE-METER WATER
SHEATHING FRAME. MISC SEWER
MISC INSULATION ALL MISC MISC,
MISC. INSULATION ElLING 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
nWarning 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 erformed in accordance with City Codes and Ordinances
o OCCUPANCY BEFORE C.O.
~~
PERMIT OFFI
sPECTION - 8 HOUR NOTICE REQUIRED
OTECT CARD FROM WEATHER
SIGNATURE
CALL FOR I
P
I I
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 ~~ /?1--
813-780-0020 FAX: 813-780-0021 .< 2/ u ~
D~PBQI\ [RViCe
PHONE CONTACT FOR PERMITTINk866-824-7894
Toll Free
OWNER'S NAME
Y/~~/Lf 13t///O{!J::
StJS /71-1, J'/~I
PHONE
JOB ADDRESS
SUBDIVISION C~/.J Of' Z-#-t.}/f
LEGAL DESCRIPTION: LOT(S) ~ 0' j-{, BLOCK 7t(
i & .('J' <.l oJ^-- e:JJ I J() f- 0
PARCEL ID # //-Ji, ..J-I-001di- 0 7<J()O - dO yo
(OBTAIN FROM PROPERTY TAX NOTICE\
WORK PROPSED: fSNEW CONSTRuaTION
o SIGN
o ADDITION
oALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY dWELLING
o COMMERCIAL
oMULTI - FAMIL Y
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
I
frY xl/; (
lj/Cl-fS
rOd /i1
BUILDING SIZE
SQUARE FOOTAGE
/9eJ-i
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SE~S OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) S~TS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURV~Y REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
'tJL BUILDING /S-, /00. OJ
$ VALUATION OF TOTAL CONSTRUCTION
0 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 AREAo YES 0 NO
BUILDER
COMPANY
SIGNATURE
cSfa.{!0-
STATE CERT OR REGIST #
ELECTRIC
*************************************************
..:;:.'';:) . / /
Jt~. COMPANY ~1A..sf c/a.r..j' [(p~tr~
STATE CERT OR REGIST # Koo /) :? <:)7 cJ
*~**************************************************
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 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 portions 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.
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".
1. s' IGNAT~URsiE ". ~CON~TRAC lz I
SIGNATU~<~ oi!ii!.~ ~
STATE OF FLORIDA ~
COUNTY OF la-SO)
The foregoing instrument was acknowledged
Before me this 2.LsTday ofS~. , 20 l>5
by (<S+ac t'.C/ 7 c....1Lo
(name of person acknowledged)
~hO is personally known to me, or
STATE OF FLORIDA '-/
COUNTY OF .u3-5('A"/
The foregoing instrument was acknowledged ~
Before me this c2b:Lday of 5,0('+ - , 20 D~
by (~-t.uo:C ?u(to
(name of person acknowledged)
~o is personally known to me, or
o who has produced
(type
odid not
of identification)
take n oath.
~hO
has produced
(type of identification)
Odid not take an oath
,;,.,;,1:;.1'15713'
, ..."".-" b'.)'4"\i...t.:.....",.\.;}I,.'e..i3. >lliih
Name typed, Ii;'ln c~,'tc.u '" ~\"!( I':;"
Name typed,
taking acknowledgment
.' '., de: H~lil.
.p.,. .. i..I,.;1lL;.,!J.l.J:)1:71~'
pJffnted - CDr,~:t;a11lWF!d,'i!'
- \ ,,(
/'n \'-1"
9,-"J
/
/0,
--
- .1
~
--I
_. t
I r
/7 TIf OT/CEET
+
I
, !
':!l
~I
~l
----L
I
SQ. 9'
~
~~
~~
~
EXISr+IVG-
HOrE
I
I
~"lTh--
116,' i~~J-r,..^
_ . ~~~i~~
...,
~
.,)-1./.00'
'-!.
~~ 8
E~ ~
l..u'b
I
~I
~
'61
I
C)
'0
~
try
If).
--
"J
:::,..
gk.
I 4..1
~-<..u
~~
~-t;
"'~
~'(
"J 0;;;:) ~
~"'....
--.j~r-.
~~"'-
~"-
~
~~
~~
"'-
-.....
,
~
"'J
''<;;:J
12:-
I
I
I
!
._--X~~----_.._-
70, OJ
Ie OA, ( IJIIl-T)
I I'
CAPTlV A GLASS ROOM
I I COMPOSITE PA EL ROOF - FL 2291 I I I
16'
1-
BACK ELEVATION
B tempered T CUSTOM V\l1NDCIVVS
L H SERIES 6200 - FL 153
0 0 glass
C M 8' CUSTOM V\l1NDCIVVS
K E PRIME ENTRY DOOR - FL 161
1 PARTIAL SLAB EXISTING
ADD NEVV CONCRETE &
FOOTER TO MEET ROOM SIZE
12'
SIDE ELEVATION
~~
I I
-------~
=-:c:-:-~---:---=-----,-------',c-~_:--"~
I-
r
III
I
II
P
III,
II
-
3
,rr...-=r- 3
Ur---+---\-
SUN ROOM
II
~ ~
, USE SPACE HEATER I,I
II. I
IIII I
II I I
'...., - III,
n '], i U "
~.....:.1:==~~j f==~-'~-'~_.'.~ '='~-=_~~~=~-c~-==~~d
li!1
ELECTRICAL PLAN
, , ',','.} :~ ~.l. .__ ~'."'l. L Y WIlli ALL
f ~~E V AlLL~G COD:::':;, rLOmDA BUILDING
CODi:. NATIONAL EU-:C1RICCODEA.J.'\:
C~\ C;:- ZEP; lY:'; .;' .S CRDfNANCES
I 11
Q vy Df [-Ij.t,jM
State of
NOTICE OF COMMENCEMENT
F to ('('cI L. County of P (t\f(!--O
THE UNDERSIGNED hereb~ gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement!:
1. Description of Property: P~rceINo. //-~ft, -,)...1- dOlO -0 7tfdd- rjOtjJ
[ol-s ,f) f {p ILfl<- 7l( C-c-I-- tyF Z-e r,LJIJ
(Legal descri tion of the property and street address if availa Ie)
2. General Description of Improvement q / u,f -f r()(} /f1
v
1111I11111111111I11111111111111111111111I1111111111I11111111
2005197543
3. Owner Information: Nam~ J/~A...LR J.- f
Address S-R IS- 11-f^- J )Iell
13 t.LJ /0(1 Ie
City 2~PJ;/0hl/[
State FI' 33JYoL
Interest in Property:
Name of Fee Simple TitleIlolder:
(If other than owner)
Rcpt: 925129
OS: 0.00
09/21/05
Rec: 10.00
IT: 0.00
Dpty Clerk
Address
4. Contractor: Name (] (~;)/' 1..(
Address f..p Cjlj() P6 r-/- /.c. ell 'i
City
A!Aflt. :LA L
d City ZRfJ4rWlr
State
State /--/, J3J~
5. Surety: Name
Address
City
State
Amount of Bond: $
JEO PITTMAN PASCO COUNTY CLERK
09/21/05 02:12fm 1 of 1
OR BK 659 t PG 27
6. Lender: Name
Address
City
State
7. Persons within the State o~ Florida designated by Owner upon whom notices or other
documents may be served ~s provided by Section 713.13 (1) (a) (7), Florida Statutes:
I
Name
Address
City
State
8. In addition to himself, Ow1er designates
of. '. I to receive a copy of the Lienor's Notice as
provIded In SectIOn 713.13 (1) (b), Florida Statutes.
9. Expiratio!l date of Notice df Commencement (the expiration date is 1 year from the date
of recordmg unless a different date is specified.)
]SignanrreOfownerv.CJ<'~ 4" 4.A<~
13 f( day of S ep fe~~r
Notary Public: ~
My Commission Expires: '
PC93053048/ A
,20 os-.