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HomeMy WebLinkAbout05-4992 II' CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4992 Permit Number: 4992 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: 7,850.00 Date Issued: 10/11/2005 Total Fees: 140.00 Amount Paid: 140.00 Date Paid: 10/11/2005 Work Desc: SCREEN ROOM T Address: 37540 LILLY BEA AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: Name: FRED SISK Address: 37540 LILLY BEA AVE ZEPHYRHILLS, FL. 33542 Phone: F 1 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. REINSPECTION FEES: When extra in pection bips 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 II intend to obtain financing, consult with your lender or an attorney before recording your notice of com encement." Complete Plan I 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 $PECTION - 8 HOUR NOTICE REQUIRED OTECT CARD FROM WEATHER I r CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 37S<;O PHONE CONTACT FOR /OJ~5 D.MSO&PtiiJMIT SERVICF 1-866-824-7894 PERMITTING Toll Fr-cc OWNER'S NAME PHONE JOB ADDRESS {Jet( Ave PARCEL 10 # l/3 3lf oLJ - / 0/70 - O()o()U -d- t/J(J BLOCK SUBDIVISION t:r((j'~Jj I!dl/21Yu P3 LEGAL DESCRIPTION: LOT(S) WORK PROPSED: ~EW CONSTRUCT ON OSIGN o ADDITION o ALTERAT ION o REPAIR o INSTALL o MOVE o DEMOLISH PROPOSED USE: []SGL FAMILY OW LLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK DEPARTMENT APPROVAL SQUARE FOOTAGE (S'~/l /JYO f I?XJ /?f... JLO 4'lctifJ (./ /(J(JfrJ BUILDING SIZE IS f 1\ I &- f HEIGHT RESIDENTIAL: ATTACH (2) PLOT COMMERCIAL: ATTACH (3) SETS IF SIGN PERMIT ONLY (2) SET PROPERTY SURVEY PLANS & (2) SETS OF BUILDING PLANS OF BUILDING PLANS & (1) SET ENERGY OF ENGINEERED PLANS REQUIRED. REQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY FORMS. FORMS. PERMITS REQUESTED 7 iSO. 0 P BUILDING $ VALUATION OF TOTAL CONSTRUCTION 9i ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALT 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME [] STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDER COMPANY SIGNATURE ~Uk STATE CERT OR REGIST # ************************************************* SIGNATURE wi~ ~r; ,~~) COMPANY ~/A61 Clads {'tee/rIA! ELECTRICIAN STATE CERT OR REGIST # PLUMBER ****************l************************************************* . 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 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. Appli~ation 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". ~ q'C,- ~/L SIGNATURE: OWNER 0 GENT STATE OF FLORIDA ~ COUNTY OF t:ls~ The foregoing instrument wa~~~ledged Before me thiS~ day of ~ , 2~ by ,-"'S~Cl'." -0 ~(name of person acknowledged) ~who is personally known to me, or Owho has produced (type o did not person taking acknowledgement :'<~';';,~~I~'~{/, , ._~:U~~.:t\1-d(~ lJan! -.: (I -- _ <'/. - " __ __ , ., ,_ )~ _r~ ---'~ 1 -... . ~ Name typed, prin~e-'d')9r. ~~~r~~,t,:,! L, . ~Lc.~ Js/( SIGNATURE: CONTRACTOR Bsco STATE OF FLORIDA COUNTY OF The foregoing instrument walJa~knowledged Before me t.f;}s ~ ~qay of r),. "t\)lo~, 20 oS- by , c:::; LvI (r /) (name of person acknowledged) ~is personally known to me, or o who has produced (type of identification) ~id not take an oath ;"i;tn~ Name typed, prin~~d .0'1: stranlpellY'{ ,>~ I I Permission To Pick Up.txt . f/!.\JI Com ary;;ameC-CL// Add.e.ss. iI' / .//~ ~ u,p~r/LttIJ I CIQJJ C &{!!ftL l5/tld. {:/ . 3Jjtj / To Whom It May ~oncern: i Please be adVi1ed that Suzanne Bahr, Debbie Dokendorf,and Stacie Zullo 0 Pasco Permit Service 'have my permission to sign and pick p permits for me until further written notice. / SS7? County 1.0. # NOTARY STATE OF FLORID~ - COUNTY OF PASCO The fJregOi~g instrument was sworn to and subscribed beforje me this Lf day of Ocio b.er;- L. c:os-:- Personally know or Produced identification ~/ !....:\~~:,~,~:,;........KiMiEii.y.t..s E "'s'''! i (~~l Com=.D \1337 ~ : "~,OFv.~,\,~i Bonded thro h : . 11Im' . : (800-432-4254) Florida Notary As nO. Inc. : ................ ........................ 11.1,.1.1... Commissioned Sta and Expiration Da e Page 1 I I Cc~ (J-/" Z--;.L-tllf State of F tort 'ria. I County of ;; Civ(!~ THB tmoERSIGNED hereby g~ves notice that improvement will be made to c~rtain real property, and in ccordance with Chapter 713, Florida Statutes the following infor~ation is provided in this Notice of Commenc~ment: ' NOTICE OF COMMENCEMENT 1111I111111111I11111111/1111111111111 1111111111 /1111111I1111 2005206197 1. Descr iption of Prop rty: Parcel No. . Ira. A.-J /k 1'/ l(J/I./ ? the property a~ General Description of tmprovement I ~pltt. C~ {.(.,) /;r!t'UJI ~. q..u f\- roO/YJ it; , I6lJ'J rrJ () /11 Ldl- ~V3 (Legal descr~pt~on 2 . LA- Rcpl:928780 os: 0.00 ~/~/( 10/03/05 2( JJ All r Lit / ./ Rec: 10.00 IT: 0. 00 ___ Dpty Clerk 3 . O\Yncr Information: ~ame Flee! llddress 37Sf./o / ~r~ 13efA. ,4ve City Interest in Property ~ State pI- 33jt,// ~14. , Name of Fee Simple T~tleholder: (If other th~n otner) I . I C~ ty . do-AI' (.{ Ak/KU7VA IJ.-c Address &'ff/O J:or /(./~ - 12-/ City 2et0rkliI JED PITTMAN, PASCO COUNTY CLERK 10/03/05 01: 24iU' 1 if 1- OR BK 661~ PG 4:)4 Address Stilte Contractor: Name StateH. 3JS}/O 5 . Sure t y: N.-:une l Address City State Amount of Bond: 6 . Lender: Name $ ; I Address City State 7. Persons within the State of Florida designated by Owner upon whcm notices or o~her documents may be served as provided by Section 7l3.1J(1)(a)(7), ['lorida Statutes: tJ"mc Address City State 8. In addition to himself, Owner designates of to receive a copy of the Lienor's Notlce as ptovlded In Sect~on 713.13(1) (b), Florida Statutes. <). ~xpi.rnt .l'Jn dnte of ?lea.lce of Comm~ncement. (the explratl,=.,n d.::.te is 1 yedr fr~m the U.:ltc of reCrrding unless a different date is specified.) Sl<J:1ature of Owner: Sworn to and subscribed before me this O<~~day of cSept~~~ 20 07" . 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