HomeMy WebLinkAbout05-5029
I' r
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDINGI PERMIT SINGLE FAMILY RESIDENTIAL
5029
Permit Number: : 10/18/2005
Permit Type: DWELLING
Class of Work: 101-NEW CONST/S R
Proposed Use: SINGLE FAMILY R SIDENTIAL
Sq. Feet: Est. Value:
Cost: 89,800.00 Total Fees:
Amount Paid: 3,224.08 Date P i
Address:,3'~(Ql CAMDEN AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-2 ' -0\. \ - 005 A - cocco. \ \SO
Name: GENERAL HOME DEVELOP
Addr: 13924 7TH ST
DADE CITY, FL 33525
Phone: 352 567-6581 Lic:
Work Desc: NEW SINGLE FAMI
Name: GENERAL HOME DEVELOPMENT
AddreJ5~: .. ~AMDEN AVE
3~~~~~: ZEPHYRHILLS, FL. 33542
PLUMBING FEE
WATER CONNECTION RESIDENl
WATER METER RES 3/4"
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FOOTER BOND FOOTER
DUCTS INSTALLED PRE-SLAB
DUCTS INSULATED LINTEL
SHEATHING FRAME
MISC INSULATION
MISC. INSULATION
MISC, DRIVEWAY
REINSPECTION FEES: When extra ins
charge of Thirty-Five Dollars ($35.00
T
CONSTRUCTION POLE 2ND ROUGH PLUMB
PRE-METER WATER
MISC SEWER
MISC MISC.
MISC. MISC.
MISC. MISC.
ction trips are necessary due to anyone of the following reasons, a
hall be made for each trip for each trade:
(a) Wrong address (b) Condemned work ~sulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for i sJj>ection when called
(e) Permit not posted on job site (f) Plan ~ot at job site (g) Work not accessible
The payment of inspection fees shall be m
"Warning to owner: Your failure to r
improvements to your property. If y
before recording your notice of comm
e before any further permits will be issued to the person owning same
rd a notice of commencement may result in your paying twice for
intend to obtain financing, consult with your lender or an attorney
cement. "
OCCUPANCY BEFORE C.O.
~~
PERMIT OFFI
PECTION - 8 HOUR NOTICE REQUIRED
TECT CARD FROM WEATHER
11"
G.H.D.
38402 Camden Ave.
SQ. FEET PRICE
MAIN OR LIVING: 1,796 $ 50.00
OTHER ARE :~ UNDER ROOF: $ 50.00
OTHER: $ .'
VALUATION $ 89,800.00
FEE SHEET $ 440.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 720.00
CREDIT: $ -
BUILDlfI LESS CREDIT: $ 720.00
ELECTRICAL: $ 100.10
PLUMBING: $ 103.00
MECHANICAL: $ 68.02
! SUB-TOTAL $ 991.12
RADON: $ 17.96
TOTAL $ 1,009.08
,
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
I ATER METER:I $ 180.00 I
IRF I ATION METER $ - I
S ... B-TOTAL $ 3,224.08
PAl IMPACT FEES $ 769.56
PUBL 10 SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SIF'S: $ 4,314.00
100.0% $ 4,314.00
1.0% $ 43.14
TOTAL: $ 4,357.14
TI F'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
TOTAL: $ 10,492.13
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APPLICATION FOR PERMIT
CITY OF ZEPHYUIILLS
BUILDING DEPM.TMENT
75/tt/P5
DATE RECEIVED ,
PLANS REVIEW FEE
OWNER'S NAME General Home I Development Corp.
1. Q'lo I t1 I
JOB ADDRESS .t U'1 J t- Camden !\venue
LEGAL DESCRIPTION: LOT (S) ~ 1)5 BLOCK 00000
PARCEL ID # 35-25-21-005A~()0000-emo
WORK PROPSED: KlNEW CONSTRUCtlON 0 ADDITION
DSIGN I 0 MOVE
^ I
PHONE (352)567-6581
. \
1\
SUBDIVISION ~O~~~C!~ip!~i~ :2
(OBTAIN FROM PROPER;Y ;: ~OTTCEl
o ALTERATION
o REPAIR
o INSTALL
o DEMOLISH
PROPOSED USE: ~SGL FAMILY D.ELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
ct new sin Ie famil home
STAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
SQUARE FOOTAGE 'T'nt- rI 1 17Qf;
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOPLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SET OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVE REQUIRED FOR ALL NEW CONSTRUCTION.
melt tS
PERMITS REQUESTED
OCI BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
IKJ ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
00 PLUMBING
IX) MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o OTHER
TYPE OF CONSTRUCTION: 129 BLOC
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
[XI NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING # 267
**************************************************
COMPANY MarT-in F.1p-r.~ric
STATE CERT OR REGIST # F.~ 11001 ~R1
CITY PROCESSING # 97
MECHANICAL
**************************************************
PLUMBER
COMPANY Rust 's Plumbin
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
I)
SIGNATURE
*************************************************
OTHER COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*************** ~************************************************
I
CONDIT iONS OF' PERMIT AFFIDAVIT
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 responsib~lity for
compliance with any applicable deed r,~strictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor 0 contractors to undertake work, they may be required
to be licensed in accordance with sta+e 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, 813-788-6611.
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 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 AMENI;>ED)
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".
~-k i?J~
GNATURE: OWNER OR AGENT
~~k~U'
SIG URE: CONTRACTOR
STATE OF ~~" ,
COUNTY OF (j. > <-0
The foregoing instrument wa~knOWledged r
Before )e thiS& day of ~a..J: , .bv,/
by \ lLM., 1- . J kUJe..t
(name of person acknowledged)
~ho is personally known to me, or
STATE OF FLORIDA P
COUNTY OF a > Co
The foregoing instrument wa~knOWledged ,_
Before mj ~his ~day of . CJ..A.7 , , J...cc.->
by (vyl. '" l' /-<- B I fiL c/<.<.LJ c l (
(name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type
and whoO did Odid not
8~Q.
Signature of person taking acknowledgement
Name tYPe~~ I
of identification)
take an oath.
1">-,
f1Sle..--
o who has produced
(type of identification)
and who Odid DUd not take an oath
'-,
S'
acknowledgment
Name tYP~~l
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Mears, Terry&. Deborah
Alpha Village SID
Camden Avenue
Zephyrhills, FL
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1111I1111111111111111111111111111111111111111111111111111111
2005181681
Permi t No.
NOTICE Or: COMMENCEMENT
Stule or Florida
County of Pasco
TilE UN()r=r~SIGNED ho'.el>y HI es nolice lhill improvoll1cml will be milde ~l.o corlilln
reDI properly, ilnd In iJCCor(/iH\Cp wllh.Chuplcr 713, r:loJ"ldn Slull/los, the fol.lowlllU
IlIformilllon Is provided In lhls Notice of Commenccment:
I '
1. Descriplion of Property: r Clrcel No. 35-25-21-005A-OOOOO-1l60
38625 Camden Aven
ltegc:J/ description of the p
Ze h rhills, Florida 33540
perty ilnd slreet address If available)
2. General Description of Imp Qvernenl ,Construct new Home'
Rcpl: 918719
DS: 0.00
08/31/05
Rec: 10.00
IT: 0.00
Dpty Clerk
3. Owner InfornHllion: Name
Address. ~6402 Austin Smith
Illlerest In Property:
City Zeohv.J:"hiJ,ls'
Slate FL 33541
Name of Fee Simple Titleholder:
(If other thel/l owner)
N/A
JED PITTMAN PASCO COUNTYfCLfRK
08/31/05 02:4!rm 1 8067
OR BK 656~ PG
Address
_City
Stilte
II.R,pnlra~lor: Nume Genera
'Nddl'ess 13924 7th Str
Home Develo ment Corp.
t
C.lty Dade Ci ty
State FL
33525
5. Surely: Name N/A
Address N/A
Amounl of Bond: $ N/A
6. Lender: Name
Address
.
-Sily
Stale
City
Slate
7. Persons wilhln the State of Iflorlda designated by Owner upon whom nollces
or olher documents may be slerved as provided by Section 713.13(1)(a)(7), Florida
Statutes:
Name
. .~
Address
City
Stale
o.
III uddilion to himself, OWn "" designates
of " . to receive a copy, of the Lienor's Nolice
as provided in Section 713:l3(1)(bL Florida Statutes.
Expiro tlon dole of ,Notice ofl tom/,nencemen t (the explraUon date Is 1 year from
the elate of rccorcJ/Ilg un/es1a dIfferent dale Is specified.)
9.
Sworn lo llnd
dClY of-19LL~u ~ r-
Signall,.lre' of Owner
c.Wl ;).00<.
Notary Public:
My Commission
.JANET K. BLACKWELL
My Comrn. ExP. SllIll18, 2008
Comm. # DO 344331
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PERFORMANCE BUSINESS PRODUCTS. INC, 813-71&-8008 FAX 813-719-7918
,.....,
105763
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CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
5"_ 5'f'1 ~
WATER ACCl. NO.
DATE
Ie //?)s
I
G<Yv\W..J ~ ])~e(~~
s~c~
OWNER/
RENTER
MAILING
SERVICE ADDRESS :3 ro L{() :<
SHUT OFF SERVICE 0
TURN ON SERVICE ~
INSTALL METER ~
READ METER 0
CHECK METER 0
OTHER 0
C~d.e~ fL)v-c. y
~R
/-JJ f- .
lilt
o SEWER
o GARBAGE
~Y
o OUT CITY
r
_ No. OF UNITS
_ DEPOSIT AMOUNT
_ AMOUNT LAST BIU
0/" --A- ~
l/ -- w~
WORK COMPLETED BY
& DATE COMPLETED
tain white form in office at all times.
~nd pink & yellow forms to Water Service Dept.
Water Service Dept. to sign yellow form & return to office.
_ DATE
_ MISC. CHARGE
ORDER TAKEN BY
/0 -./ g - tJ 5 /L4---
ORDER GIVEN BY
(jXJ
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