HomeMy WebLinkAbout05-4966
1 I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4966
4966
Permit Type: ADDITION/AL TE TION
Class of Work: 434-ADD/AL T RES DENTIAL
Proposed Use: MOBILE HOME S BDIVISION
Square Feet:
Est. Value:
Improv. Cost: 18,587.00
Date Issued: 9/29/2005
Total Fees: 222.50
Amount Paid: 222.50
Date Paid: 9/29/2005
Work Desc: screen room,shed
Address: 37244 NEUKOM AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Name: GRAND HORIZON
Address: 37244 NEUKOM AVE
ZEPHYRHILLS, FL. 33542
Phone:
ACE AIR CONDITIONING & ELEC.
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION MISC MISC.
MISC. INSULATION MISC. MISC,
MISC, DRIVEWAY MISC. MISC.
REINSPECTlON 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 COrd 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 comm ncement."
Complete Plan , Specifications and Fee Must Accompany Application.
All work shall be rtormed in accordance with City Codes and Ordinances
o OCCUPANCY BEFORE C.O.
~.
PERMIT OFFI
SPECTION - 8 HOUR NOTICE REQUIRED
OTECT CARD FROM WEATHER
CONTRACTOR SIGNA RE
CALL FOR I
P
CITY ~~ ZEPHYRHILLS PERMIT APPLICATION
BUILDING D~PARTMENT 5335 8~ Street, Zephyrhill., FL 33542 t
813-78P-0020 FAX:813-780-0021
DAT! RECEIVED 0 ~~ ~
PLANS REVIEW i'EE
LEGAL DESCRIPTION: LOT(S)
".J.
PARCEL 10 # ~~
WORK PROPSED: ~ CONSTRU
OWNER' s NAME'\_~:,(~~ \-ti\-c~ \\\ \-\ P PHONE'K\~-~R;;)~\~",'--\
JOB ADDRESS~'C3)'-\,,---\ I\~QG~~ ~~'Q ~~~~ -
BLOCK SUBDIVISIO~'~~\ \-\N'\~
~,
.-r
I
I
1WELLING
o MOVE
OALTERATION
o DEMOLISH
o REPAIR
~TALL
o SIGN
PROPOSED USE:~ FAMILY
OCOMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
DESCRIPTION OF
BUILDING SIZE
,
SQUARE FOOTAGE ~
HEIGHT
RESIDENTIAL: ATTACH (2)
COMMERCIAL: ,ATTACH (3) SET
PROPERTY SURVE
PLANS &. (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
OF BUILDING PLANS & (1) SET ENERGY FORMS.
REQUIRED FOR ALL NEW CONSTRUCTION.
~ING
~ECTRICAL
PERMITS REQUESTED
$\~~~(I'~'
~ AMP SERVICE
I
VALUATION OF TOTAL CONSTRUCTION
o
FLORIDA POWER
o W.R.E.C. '
'-'--.), {\:L ~
o PLUMBING
o M8CHANICAL $ i
o GAS 0 ROOFING 0 SPECIALty
TYPE OF CONSTRUCTION: 0 BLOC
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO
BUILDER
c::::=.' --
SIGNATURE
COMPANY~ ~ ~ \~~ ' \~
STATE CERT OR REGIST #
CITY PROCESSING # \~ ~
**************** *************************************************
"',
PLUMBER COMPANY
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING #
MECHANICAL COMPANY
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING #
**************** *************************************************
**************** *******************,*****************************
OTHER COMPANY
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING #
**************** **************************.~*********************
'-''-''''~JJ..J..J....I..V4~o.J V~ ~.w.t\,.~'.I.J_..\. J-\.,t.'~~I...\.)r\V_'....'.
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictio~s" ~hich
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 intende~ work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, h~ 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 indication 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 ~equiring 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 ~bandoned.
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 COMMENCEMENTH.
AI1~ 0.uf<f J::1~ V~
SIGNATURE: NER OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORID~~~
COUNTY OF \
The foregoing instrument ~~ledged =
Be ore thi day of , 20,0-=::::'
by
STATE OF FLORIDA(~~~
COUNTY OF
The foregoing instrument w~~wle~~~~~
Bef e me ,...this ay. of , ~
by l)
_ ~name person acknowledged)
~o is personally known to me, or
acknowledged)
known to me, or
Dwho
Dwho has produced
of identification) (t~of identification)
and ,WhO Odid ~n?t J: an oath &
~~' L~ ~
~ ^ ~----"~ J...
taking' acknowledgement Signature of person taking acknowledgment
---~
signature of person
Name t
Name t
" ~
-,
~ r i \1lIlllarf:P~it S~ tl
~ ~"''"'f, Sabrina Rae Cant
. ,Z My commissiOn 00463268
~ Of ",' Explfes 08I1BJ2009
,-J
1;
~Of",j
Notary Public Slate of Florida
Sabrina Rae Cant
My Commission 00463268
Expns 08/1812009
I Ii
This space for use by Clerk of the Circuit Court only.
1/"'" "'" "I" "I" '''I' ""I "~III '1'" "'" "'" "" "~'I
2005204213
"
.',
Rcpl: 927846
OS: 0. 00
09/29/05
Rec: 10.00
IT: 0.00
--'-----:_ Dpty Clerk
JEO PITTMAN~ PASCO COUNTY CLERK
09/29/05 0",: 26pm 1 of 1
OR BK 6611 PG 1204
.. fQ11C!; pF COMMeNcgM"~"
Slale of Florida i
The undersigned ~OrObY glvo. notlcolhollmprovements will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes. th following Into:matlon Is provided In the NOTICE OF CO~NCEMENT,
1. Legal Description of property (8treet ad 81 reQUlred),:2.J--;C:0Y"- \ ~ ~ )\L~\ ~ *' ~ ~
~\ -, b' -():)\ -' a~' ;(S
2. General description of Improvements:
3a. Owner Name:
Owner Address:
3b. Owner's interest In site:
I
I
Fee Simple Tille holder (of other than olYner)
Address: I
3c.
R
5. Surely Name:
Address:
Amount of bond:
Phone:
6. Lender Name:
Address:
Contact:
Phone:
7. Person within the State of Florida deslg Ited by owner upon whom notices or ottier documents may be served as provided by
Section 7.13.13(1 )(8)7. Florida Statutea
Name:
Address:
Phone Number:
8. In addition to hlm~elf. Owner designate the fQllowlng person to receive a copy of the Lienor's Notice as provided In Seclion
7.13.13(1)(b), Florida Statutes.
Address:
Phone ,Number:
9. Explralion dale of Notice of Commence~8nt (expiration date Ii on8 (1) y,ar (ro,m date of recording unless a different date Is
specified).
Name:
STATE OF FLORIDA
,;'._.1 .-
-." .
'f~0 L\lm~'l~ro otOw"
o e ~ t Is~.5=:\ date Of~ --=::;\.)~ ' 2~bY
who (Is) (are) personally known (0 me or
II IdentlflcaUon, who did/did not take an oath,
Signature. Notary Public
'iJ NO.tal)' Public Slate of Florida
. . Sabrina Rae Cant
\; Oli '''; My Commission D0463268 '
I'll exPIreS 0811812009
C._.. -,-
(A copy or any bond must be altached 81 the lime of recordallon of this Nolle. of Commence men I)
tl 6 H CONSTRUCTION Of CENTRAL FL.. INC.
.Z~ MORRIS BRIDGE ROAD
ZEPIfYRIIILLs. FL 33543
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-"LJCFNSED · ~NDF.1) · INSURED · SJeJRllNG · STEPS .. ROOM ADDJTfONs · ALUMINUM. CONC..RETE..
...-
Lot#.; ~ S\1bdivi""ion:.JIJ7'Y NEUKOM AVE
GltAND HOtUZONS
Date:
Lap W~ COIlor. l J ~n~~
Home Serial II: ~
tJoo~ ~I #; rn~" tilt , B . "'"
~... Color. = __
,<\11 ~lIUlmum roof.. i~P..., TtiIn.. ~.
~ _~"(J PoIrs. Wld '. .
lJ I"lIM ZI ~~ 41J1 Sq.h x J 70-4.2.7
lA Pans ~ fl.l..onI -ru- Sq. ft. x ) 70- 4.21
hu - Fr. ~ --;;- SIJ. FL ~ .3 10 - ...27
p~ - Ft. l..ontl -;- Sq. Ft. ~ 3 1D - .27
VatAnee, .. . .... =:... . .. .. ... ---;;;- LIF x S4. n
G.ln.ronHorhe.................,. ~ LIF x I IS.05'
Be.aa W9tk., ..... ......................... ,... '.. SIS4.11
fb'4SM&ea.n..... .............. Zl IJF)( I Sf,OJ
11ld; SI\4 8~........,.... ....... I.. lJF.II: , $5.~
ZX7SMae.a..................,., _ LIF x $S."
2lc:. SM BeaIl1. . '" . .. . .. .. ,no .. . ~ lJF:It I 11.03
ZX9SM 8nrn........:,... ...... _ lIf' x I $1,66
2dOSMBe.m................., LIP It I S9~
C~OaMe..~......... = It ISlo"..oo
SCP.EEN ROOM WAu...~
lAp KP' ~ + -!l.. .. .2.. + _ =.2!... UF Il
~ 0.-- JncluMs:
CIo,.or ... ThraboId.... ..,.... ~
GaWe Pill DQr Side.....".........
rl1~ Kict Plait',. ...', ........
F_ a-r.. (~ wire.d). .. .. .. . .. .. -1-
~ise.:
-
JTJUTY ROOM W~s.
Nalls -E- T...E... + ...!!.. '.. _ " ~ UF x
~ SIud5 J6" OC
a.e.t TJtJcr APd J Wi__.......
;fq.l~ W__ (Ema~..........., -!-
Jug Shit-Jd... ...................... .....:!!...
)guble ~ Doors........ '..,..
EA X
lfto. X
LlFll.
EA X
'" "
EA x
EA 1(
l..IFx
EA. S
LIF Jl
_'III" ... ~.
'JNYL ROOM WJ\'-LS ~
'iIIyl W.II,........"............... _
ui.kKidlPlaR. ................
..TOpJ~lWIdOUt.......... _
IuritkGIass".............. ..
ISUlate T ~ and BOClofq, .... .. . _
lOOff UIc'_ (2) 1 Tnd lJllif$
I'lrcslla(chnd Closer........ ..... EA ~
-
&.tt will DOt k ~lr to.-..", lab
'VINYL ROO~ X
1/F x
LlFx
LJFx
(.JF l(
J./f :II;
GLASS ROOM WALLS
Walk + -+ ... =" LIF X
-....- - .-.-... - -
M.SY*mt~ _x_ = ... Sq.ft.
OtaIs~...................,.,..... _ EA
H.Dd lbIitinc-... .... .. ........ ..... , .. _ LiF
S~bilin........................... -L ~A
$l.1t'1.IG w.~........... _If._ _ ~A X
JUS""11 0.. ~HeMer ~x _ _ EA x
JO,ClCI ~ DDor()pMer _ _ _ fA x
..00 Mife;
I1!IUI
W1~S
Sl~n COf'\IatETEANDRIlR:"K WORK
"'::1 ,.S,............... ~~~ - ~ Sq,Ft. X
S56..,~S................ :IU X 11 = 41J) Sq.fL )(
ID.CIIl 'P.~......__..__.. -X - - -;- Sq, Fl. X
---
USU2 PIIio SIR.............. x "" II Set. Fl. )II;
SD.OO Sidt 'M*___....... .., .2... Jl. ~ ="'W" Sq. 1'1. x
...... Drj".way..,............ +' II. lY =... Sq. F\.. I(
".\10 om-., F_......,., -:- 'l( ZJ = ~ SfI. Ft. IL
Ratsed Utiliry........... _I 1/,:- I ...- Jl
130J% 11.0''-'2 ll.ieod hdo 'C- 12 It u OS loW Sq. Fl, )(
~PaQI),C I( - = 0 Sof. Ft, x
...Of Over 45 per a pel' - -::- x -;- ... I. LIF Il.
St1_Fooe<<Ik.Z...,.. -4=..-=- 7 UF "
""-
so.no Feuer 12x12 Jt.Qaf'arc.d.......... Jf ur
w~ StQ.ties J;"OOIU....... ...... ......... -=- LIF
.,00 I TftlIIdS1ep...................... _ EA
I ~ ~ s.,.....,................ _ !.4
SJ~.34 $1,.rru4 3 'ltqc! SIep....,......... ........ , EA
..-4 SlImp.. ......--............... _ EA
SISUS ... SIrinmJ Ma; 5 H"1&ft
~56.1'J SpJit Brick Air - UF @ ClJW'MS x
.J.~ $pJh 8ridt Solid - -;;- l.JF @ -;- Cowse$ X
..\10 [Fill Dirt...... ..........:==....... -;;- lOlIdi x
10.011 ~.......,.."... ..........., ............. ,., ... ...
~;
SO,(JG LoI GtMiIrtJ.. _. ...... .... . ., .. . . .. .
10.011 NOTE: ~_to'" fL IIUI"~
".110 . ClnIctt is not. ~ ~ aMi. it
lO..oa ~ J/"- iawidrb.
aoo ~:.JZ)
Jo.CIO DATe: K -II-./')f\
PAl( TO: 'J~7IUSIS
Y;01t. E'NGINJauNG.
"'.04
$1$~
53"5
$65.20
1SU5
56.17
S5.1l
041.34
! 5O.J4
SS.t2
~ JS.JO
1 10.07
S$.J'
$H4.72
'/QIII2OOI
x $.),14
)0; $350.00
x S2J.1O
:l( 19U)3
J\LUWlWulI( TOT 41.
CONCRF.TE
AL~M
PEaMrr
TAX
TOTAL
$.3_00
13.00
$..1.00
SMO
S3.00
$3.00
k.SO
$..lJ.9J
19.11
$9.'.
$2.91
S5.11
r S7 .1.4
x $4.0$
x $J07.2..1
::.: S2J4..~
ll. tJU~
.I{ $270,12
S2.2S
$2.41
SBS,OO
$100,00
ll. 1J5U.OO
AJI - r '~ .......--... _".... .A.... _,.,. A .INUIQ ~.. J..~~..... _.......... _........ __...........
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SO.Q11
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SO\.ll
,"00
$(1.011
Sl),11lI
S'1.CM' .1'1
"),2,011
11.Jlifl.00
SO.OO
"'),00
~Sl.OO
RC1,Oo
Sol 14,00
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$I.JZI,~;;
so 00
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SO.ClO
UoI3.J'
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S2.6111.4ll
IIl0.r1O
$lil1l,llll
10.00
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IJ '.1.19.!IO
S1.lI9f, ..,
S'.'IO.OO
S1!-.,oo
$1'.~7,.'
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