The URL can be used to link to this page

Home My WebLink About05-5097 II" ,/ , .. . CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5097 Permit Number: 5097 Permit Type: ADDlTION/AL TERA ION Class of Work: 434-ADD/AL T RESI ENTIAL Proposed Use: MOBILE HOME PA K Square Feet: Est. Value: Improv. Cost: 16,800.00 Date Issued: 11/01/2005 Total Fees: 261.60 Amount Paid: 261.60 Date Paid: 11/01/2005 Phone: Work Desc: ROOM ADDITION, RPORT,SHED & UTILITY Address: 3qG~5 ~ZE:,\.hme. (We. ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): '1&.\ Block: Section: Subdivision: MAJESTIC OAKS Parcel Number: ~4 ._a,tQ -.;t\ -OC::t:::f:) --00\60-60'1'0 Name: TERRY LOCKNER Address: 3751 LAUREL VALLEY BLVD ZEPHYRHILLS, FL. 33542 A N. JAMES 0 MORTON ELECTRIC CO.,INC. CHRIS BAHR PLUMBING ,/ 0~\OLP Y' \\\Y \~ f&p.~ ~ F.ea.J.:> nL~ DUCTS INSTALLED PRE-SLAB DUCTS INSULATED LINTEL SHEATHING FRAME MISC INSULATION MISC. INSULATION MISC. DRIVEWAY REINSPECTlON FEES: When extra in charge of Thirty-Five Dollars ($35.00 H ELE L B CONSTRUCTION POLE 2ND ROUGH PLUMB PRE-METER WATER MISC SEWER MISC MISC. MISC. MISC. MISC. MISC. ion 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 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 hot at job site (g) Work not accessible The payment of inspection fees shall be m e 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 u intend to obtain financing, consult with your lender or an attorney before recording your notice of com e cement." Complete Plan "Specifications and Fee Must Accompany Application. All work shall be rformed in accordance with City Codes and Ordinances OCCUPANCY BEFORE C.O. ~-~ PERMIT OFFI PECTION - 8 HOUR NOTICE REQUIRED TECT CARD FROM WEATHER TOR SIGNATURE CALL FOR I P ll' CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING D PARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED 10/87/0;; I OWNER'S NAME PHONE CONTACT FOR PERMITTING PASCO PEH~ln S~RViCE Ilf.s Or! l.l,C - 74 &/(ndHONE 1-866-824-7694 IJ / V cI. -+- ~~"<'ec-+ Md <":'e8 "Tell Free SUBDIVISION f)Jry~.jtt ()4/tr ~JI JOB ADDRESS LEGAL DESCRIPTION: LOT( BLOCK PARCEL ID # WORK PROPSED: }QNEW CONSTRUCT ON DSIGN o ADDITION DALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH PROPOSED USE: 0 SGL FAMILY o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER BUILDING SIZE c , 'I X. '10 I TAURANT & HEALTH DEPARTMENT APPROVAL /VOr>1 JMo,i SQUARE FOOTAGE ...sU of S"~O , tJ4 DESCRIPTION OF WORK ~ BUILDING ~ ELECTRICAL o PLUMBING o MECHANICAL $ /, IbO. (JJ VALUATION OF . E . C . b \'- , <9 i- t'\>Z\ Pr o RESIDENTIAL: ATTACH (2) PLOT COMMERCIAL: ATTACH (3) SETS IF SIGN PERMIT ONLY (2) SET PROPERTY SURVEY PLANS & (2) SETS OF BUILDING PLAN OF BUILDING PLANS & (1) SET ENE OF ENGINEERED PLANS REQUIRED. REQUIRED FOR ALL NEW CONSTRU ION. PERMITS REQUESTE AMP SERVICE 0 o GAS o ROOFING o SPECIALT VALUATION OF MECHANCIAL INSTALLATION o OTHER $ TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO SIGNATURE w-/6-t- "1I.ij~ BUILDER IL STATE CERT OR REGIST # ELECTRICIAN ****************************************************;1T~~~**~~~Iit #5"- o::>~ COMPANY b,(JiI &Ar fJkA6},trJ STATE CERT OR REGIST # SIGNATURE ~k ****************************************************************** PLUMBER '- I "2<u$"V '/ 7). COMPANY (!hrr"~ &Jv f1uJ/~ STATE CERT OR REGIST # SIGNATURE ~&- IV ' ,,~ ********************~\***~*********************************** 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 restrictionsU 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 SectionsU 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 Guideu prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "ownerU, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ownerU 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 "AU or "A,etc.u, it is understood that a drainage plan addressing a "compensating volumeu 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENTu. SIGNATU~~ l:f.~T SIGNA~~TRAJ!L STATE OF F~ COUNTY OF 5ro The foregoing instrument was ~edged Before ~e t~iS~ay of 0 , 2~ by ,"S-ta..cl~ V\,... ~name of person acknowledged) ~ho is personally known to me, or STATE OF FLORIDA Fl1 COUNTY OF .~Lr~ The foregoing instrument was ~~~ged Before me this ;;277day of 20.aS by ~~(name of person acknowledged) ~o is personally known to me, or o who has produced (type Odid not of identification) take an oath. o who has produced (type of identification) ~id not take an oath acknowledgement erson taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped II' Cc-:'6 0 I- - 2 ffilLJ 111111111111 Ifill 1111111111 1111I 11111 1111111111111111111111I 2005233788 ~ P.~rU\.$.. t~.o. ' SD11 .- ~~; . ''';'1:." ~ : \. \ State .of NOTICE OF COMMENCEMENT F ior~'-~ County of jJQuc.o TUE UNDERSIGNED hereby ~haa:l:) property, and in fallowing information i 1. ..:..... ;.. " Description of Prop .ir:ty: . J71/1 Ck~CL (Lega escr~pt~on ^f t ives notice that improvement will be'made to c~rtai ccordance with Chapter 713, Florida Statutes, th provided in this lJoticeof Conunenccmcllt: t'" ....\.oJ Parcel No. /(){)>>t U Lot e property an 2. Go=ln::.L ,"1 Das'::l.-li-' ti.on .::!l f Improvement ~ k. J .J- Uti. e ~,;rl , I 3. O~'lncr Infor,ma tion: Lnck/;~ r ~cI City Rcpt: 939146 DS: 0.00 11/03/05 , L .r"tA i::. . r' <.A- A.L . o/4rUJ Rec: 10.00 IT: 0.00 Dpty Clerk .. .J r..:..$.. ' Address J7PII StateFI. J3r';/ Name of Fee Simple T' tleholdor: ,(If other th0n wner) Address JED PITTMAN PASCO COUNTY CLERK 11/03/05 11:08am 1 lOfSS1 OR BK 6676 PG City State R Contractor: Name ~ I fc..1t Akiu... :rA ( . City 2~ rOt Stater/ ~~ Address C,/Sl/ FN'I 5. SUL"cty; N.:llUe Address City Amount of Bond: $~ 6. Lender: Name State . 7. City State Address Persons within the Stat.e of Florida designated by Owner. upon whon notices or other Qcuments may be served as provided by Sectior 71J.13(1)(a)(7), FI( rida Statutes,: l~ame Address City State 8. In addition to himseJ f, O\vner designates of t . L' I 0 receJ.ve a copy of the l.enor a Notl.ce as p,::-oV.l.ded in Section 713.13(1)(b), Florida Statutes. l~x{l Ll. (1 L i l)l1 UII Lo .ut Nl Llco or c.:UllIllIOUCOUltluL (Lho axplratlol1 <.fate' ia 1 fr~," the date oc. rec,ording unless a different date is specifi.ed.) year 9. Signature of O\Yner: me t.his _ILf~ day of OCToher Sworn to and subscribed t;p _ ;,z005 . , Notary Publ ic : ~ ."