HomeMy WebLinkAbout05-4980
I I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4980
4980
Permit Type: ADDITION/AL TERA ION
Class of Work: 434-ADD/AL T RESI ENTIAL
Proposed Use: MOBILE HOME SU DIVISION
Square Feet:
Est. Value:
Improv. Cost: 20,238.00
Date Issued: 10104/2005
Total Fees: 237.50
Amount Paid: 237.50
Date Paid: 10104/2005
Work Desc: SCREEN ROOM,C
Address: 37519 GILL AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Name: GRAND HORIZON
Address: 37519 GILL AVE
ZEPHYRHILLS, FL. 33542
Phone:
H
ACE AIR CONDITIONING & ELEC.
B
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 ins ection 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 esulting 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 r rd a notice of commencement may result in your paying twice for
improvements to your property. If y lintend to obtain financing, consult with your lender or an attorney
before recording your notice of comm "cement."
Complete Plan I pecifications and Fee Must Accompany Application.
All work shall be e ormed in accordance with City Codes and Ordinances
o OCCUPANCY BEFORE C.O.
~~
PERMIT OFF I
~PECTION - 8 HOUR NOTICE REQUIRED
OTECT CARD FROM WEATHER
CITY
BUILDING D
ZEPHYRHILLS PERMIT APPLICA~rION
ARTMENT 5335 8th Street, Zephyrhills,I1'L 33542 ~ i
813-78P-0020 FAX:813-780-0021
DAT]t~ RECE IVED ~ :.2 ::;2...{ S"'
PLANS REVIEW FEE
JOB ADDRESS
OWNER'S NAME
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PL
ATTACH (3) SE
PROPERTY SURV
ION ~ITION OALTERATION o REPAIR ~ALL
o MOVE 0 DEMOLISH
OMULTI-FAMILY 0# OF UNITS OMOBILE HOME
o INDUSTRIAL o SWIMMING POOL o OTI\ER
~\~\,,~~
&
WORK PROPSED:
PROPOSED USE: ~ FAMILY
o COMMERCIAL
DESCRI PTION OF
BUILDING SI ZE
I
SQUARE FOOTAGE~~
HEIGHT
PLANS &, (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,
OF BUILDING PLANS & (1) SET ENERGY FORMS.
REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
~I LDI l'1G
~CTRICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER 0 W.R.E.C.
~',{ '-- ~y..,..,<,:::~
o PLUMBING
o ~1E:CHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o S PECIA~i'y
o OTHER
TY PE OF CONSTRUCTION: 0 BLOC~:
!
FINISHED FLOOR ELEVATIONS ~
I
o FRAME
o STEEL
o OTHER
I S PROJECT IN FLOOD ZONE AREA 0 YES
o NO
PLUMBER COMPANY
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING #
BUILDER
SIGNATURE
COMPANY\=\~ S? ~ '\z...~' ~
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING # \ ~ \ ~') ..'~ I.
************** **************************************************
"
* * * * * * * * * * * * * * ,I *1 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
MECHANICAL COMPANY
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING #
************** *************************************************
OTHER COMPANY
ST~TE CERT OR REGIST #
SIGNATURE CITY PROCESSING #
************** *************************************************
'-'''''......,..... ........-.;......., """... .... .h.<.I,u........... ..\.~ J.,; ..l.U~\i..l.,.I..
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 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 ot 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 conunencement.
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 conunenced 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 cake 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,ete.", 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 COMMENCEMENT".
J:j ~ J]~'-{
SIGNATURE: NER OR AGENT
rii ~7 ^
~ ~)~
SIGNATUR~ONTRACTOR
STATE OF FLORID~~ ~
COUNTY OF
The foregoing ins rument ~~~wle~e~_
Bet e me sa, ~~
by
~ame person acknowledged)
~o is personally known to me, or
Dwho has produced
j.t-Yp e
.[J..eH:"Cf not
Signature of person taking acknowledgement
Signature of person taking
Name typed
!"'iI'
~ 0, r-:#
Notary Public State of Florida
Sabrina Rae Cant
My CommiSSion 00463268
Expires 08/18/2009
Name typed, printed or stamped
'Ft Notary Public Stale of Florida
Sabrina Rae Cant
"- l . Z My CommiSsion 00463268
."9to,r-'. Exptres 08118/2009
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4OZ~ MORRIS BRIDGE ROAD
ZEPHYR~ FL 33543
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FREE ESTIMATES
"UCENSED · OONDfD · INSUJED · SJOkTING · STEPS · R.OON ADDITIONS · ALUMINUM · CONCRETE..
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IFOR.EN<ilNEI!IUNG. TOTAL
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This space for use by Clerk of th Circuit Court only,
111111111111 11111111111111111111 1111111111111111111111111111
2005204211
"
.'.
Rcpt: 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 1202
~pTIC~ OF COMMENCEME~!
Slale of Florida
The undersigned hereby gives nollce t at Improvements will be made to certain real property, and In accordance wilh
Section 713.13 of lhe Florida Statutes, the following Information Is provided In the NOTICE OF COMMENCEMENT
'- Legal Description of property (.treet ddren re>lUlred):? '~\C::::::: \) \Y~-c;)\
. '--:J '-Q,:) \.-- \
2, General description of Improvemenl :
!
3. g:~:~ ~:::~ ~S'~l ~~'f'~~~i\~~ b ~ . -9b'--'\ \
3b. Owner's interest In site:
3c. Fee Simple Tille holder (of olher tha owner)
Address:
f\4'
Amount of bond:
5, Surety Name:
Address:
Phone:
6, Lender Name:
AOdress:
Contact:
Phone:
7. Person within the Slale of Florida d slgnated by owner upon whom notices or other documents may be served as provided by
Section 7.' 3.13(1 )(a)7, Florida Stat t.s,
Name:
Address:
Ph9M Number:
8. In addition to himself, Owner deslg 81es the fQllowlng person to recelv. a copy of lhe Lienor'. Notice as provided In Seclion
7.13.13 (1 )(b), Florida Statut... '
Name:
Address:
Phone Numbor:
9. Expiralion date of Notice of Comme oemont (expiration date Is one (1) y~ar from dale of recording unless a dlHerenl date Is
specllied).
, ~~l~A,1J L~~
V"',;,\, \r-",/" \ \ \()., \-..\ - .~ature of Owner.
,-,U ~~~\(-~ O\u.'1 .
STATE OF FLORIDA
'.,;.. I
'~~.'. /
dateot~0\-. ,2~bY
who (Is) (are) personally known 10 me '
uldentlflcaUon, who did/did nol lake an oath.
ar--
!;j\
~ Of~;/
Notary Public 1:"
Sabrina R~
Myel".
Explre~
c:::=-----
Siona\ure . Notary Public
(A copy of any bond musl be attached al the tlmo of roeordaUon of thl. NoUee of Commoncement)