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Home My WebLink About05-5128 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5128 Permit Number: 5128 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: MOBILE HOME SUBDIVISION Square Feet: Est. Value: Improv. Cost: 19,369.00 Date Issued: 11/14/2005 Total Fees: 237.00 Amount Paid: 237.00 Date Paid: 11/14/2005 Work Desc: SCREEN ROOM,CARPORT AND SHED Address: 7718 KAY MARIE AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s):234 Block: Section: Subdivision: GRAND HORIZONS Parcel Number: Name: GRAND HORIZONS Address: 7718 KAY MARIE AVE ZEPHYRHILLS, FL. 33542 Phone: N ACE AIR CONDITIONING & ELEC. . ii- d.p oY / 0/ ~J' ,/~ \~ ro T 1 DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. INSULATION CEILING MISC. MISC. MISC. DRIVEWAY MISC. MISC. REINSPECTION FEES: When extra inspection 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 inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. I . ~~ OR SIGNATUR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER "-'.I. oJ.. VJ; ....t.:.l*" U . "'-u.......1oJ *" .t.:.l.'-I..... .no. '" ......'-.."'. ........., BUILDING DEPARTMlCNT 5335 8t!l,Street, Zephyrhil18, B'L 33542 . / 813-780-0020 iAX:813~780-0021 ;1;1 ~7~~ DATE RECE PIED " _ PLANS REVIEW FEE OWNER' S NAM~ \.."'~ ~ ,C'f\ '\'\\\\? JOB ADDRESS .\::.:s:~' r~~, "- ~~~~ II \"& l,~.i\'L \v" . \......,' . LEGAL DESCRlE'TION: LOT(S) BLOcK SUBDIVISICN~~ ~t.:::1\G\. PARCEL ID # ~ -~~c::0\-a)'c'V-~U~'-\ (OBTAIN FROM PROPERTY TAX NOTTCF, WORK PROPSED: ~CONSTRUCTION PHON~\?J=-l~\~~_ t\J,..A'015ITION OALTERATION o REPAIR ~ALL OSIGN PROPOSED USE: ~ FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH DESCRI PTION OF OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBI LE HC'-1:O ~THER ",~ BUILDING SIZE SQUARE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT pLANS &. (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~LDIt~G <1Sl-~TRICAL PERMITS REQUESTED /.-"l","- '."'1 ',I'," $ ~ 3~~ ':-\~ VALUATION OF TOTAL CONSTRUCTION \ AMP SERVICE o FLORI DA POWER . P W. R. E . C . \. '---J\ \ \l. ~'\\~\ o PLUMBING o ~~SCHAI-HCAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 rK BUILDER C. " SIGNATURj: .~~A *****************************~~~*******************************. ELECTR~ ~ . &COMPANA~ \----\LV~ ~" STATE CERT OR REGIST # SIGNATURE ,. ~ S-::::>..... CITY PROCESSING # \~"( . * * * ******** ***** ******'***~~.* ** ** ** * *** ***** * * * *** * * * * ~ l.Q lYr Oi}~' "'0.1""-- .. " SIGt~ATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING * PLUMBER **************************************************************-*** SIGHATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING * MECHANICAL ***************.**.*********************************.********..~. COMPANY STATE CERT OR REGIST # CITY PROCESSING # OTHER SIGNATURE ...... *************************************************'1'1'***** * * .....**.." "oj, .'" 'IJ ,.. A. NOTICE Of DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" \~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 requlre( to be licensed in accordance with state and local regulations. If the contractor is not llcensed as required by l.aw, 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 wnat licensing requirements may apply for the intende~ work, they are advised to contact the City of Zephyrhills Building Department, 613-766-6611. Furthermore, if the owner has hired a contractor or contractors, h~ is advised to have th, contractor(s) sign portions of the "Contractor Sections" of this application for which th' will be responsible. If you, as the owner signs as the contractor, you are indicating th 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 not entitled to permitting privileges in the City ot 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 Constructio lien Law _ Homeowner's Protection Guide" prepared by the Florida Department of Agricultur and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that 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 indica~ed. 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, Clty 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 I the intended work, and that it is my responsibility to identify what actions I must cake 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 whi is prepared by a professional engineer registered in the State of Florida prior to perml issuance. A perffilt 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 unle.. the work authorized by such permit is commenced withi six months of issuance, or it work authorized by the permit is suspended or abandoned fc period of six months .fter 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 request in writing to the Building Official. An approved inspection must be logged during each 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, CON: WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UN DE $2,500 IN VALVE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". A;;;::j 7) Ptl^<: A ~ 7J (~ SIGNATURE: OWNER OR AGENT SIGNATURE ONTRACTOR STATE OF FLORI~\~~ -...~, '""" STATE OF FLORI~ ~ COUNTY OF ~ COUNTY OF ~ -- The foregoing instrument was acknowledged ~ The foregoing instrument w~nowled~e Before me this""-\ day of t-...-..\-:J"" , 20tr...J bBeyfOr~~~~~ ~a.y of ~ .- , ~cS by\"c--..l\~'b'O~ .' ~~~ ~na of person acknowledged) ~name of person acknowledged) ~ho is personally known to me, or ~ho is personally known to me, or Dwho has produced Dwho has produced . ~type of identification) ~pe of identiflcat ~ and WhoO,did O<f~d not~e an oath"if:), and who SJdid on:~t-:k~ ~~ A~Q,9'\-.,.." ~ .. ~,~Qs . Signature of person taking acknowledgement Signature of person taking acknowledgml Name typ'ed rinted or stamped ,.,~ NoIaty PubIc Slate of Florida' . . . Sabrina Rae Cant ~ . -; . My COIMlission DD463268 OJ": . Ex(ltf8S 0811812009 Ndme ty This space (or use by Clerk of the CIrcuit Court only, ~'STATE 'OF'F.LORIDA " : 'COUNTY OF'p,ASCO : '. ,THIS IS TO CE'RTIFY THAT THE FOREGOING IS A . , TRUE AND CORRECT GOPV OF THE DOCUMENT ON FILE " OR OF P~BlIC RECO!\DtN THIS OFFICE. WITNESS M~ . . .HA~O 1N1l OFF/.CfAL $.EAL THIS ~ DAY OF " .~~J 2~ JED PittMAN, ~ OF CIRCUIT COURT BY ~ DEPUTY CLERK . .. ,', IIIIill 11111 11111 11111 11111 11111 1"" 11111 1111111111 1111111I 2005243084 Rcpl:942919 DS: 0.00 11/15/05 Rec: 10.00 IT: 0,00 Dpt.y Clerk JED PITT"AN, PASCO COUNTY CLERK 11/15/05 03: 261:' 1 if 1.. OR BK 669D PG 9aS NOTICE OF COMMENCEME~{r State of Florida .' The undersigned hereby gives notice that Improvements will be made 10 certain real property, and In accordance with Section 713.13 of lhe Florida Slalules,lhe following Information Is provld I l~ \QOMMENCEMENT. -=%- ~ L\ 3'- 1. Legal Oescrlpllon of property (Itreet ~ddre.. req 2. General description of Improvement~\:..f . ~I ~~OC-\ ~ c---.{ 0~ '\- . 3. ownorN.mo:~~~ffi~ : < Owner Address: . . ,\~~.\~ ~ . ~~~\ \ 3b. Owner's inlereslln slle: 3c. Fee Simple Tille holder (of other than owner) Address: . ~~~~;t ~~~ . 4, Conlrac 0 Name: . . Addr...~CX:; __ _ J __ - - _~ ~ _ ~ -- ~ .Phono:~\~-IO~ -\a..c '.-\ 5. Surety Name: Amount of bond: Address: Phone: ..~ R 6. Lender Name: Address: Contaet: Phone: 7. Person withIn the State of Florlda designated by owner upon whom notices or olher documents may be served as provided by SecUon 7.13,13(1 )(a)7, Florida Statutes, Name: Address: Phone Number: B. In addition to himself, Owner designates the f~lIowlng person to recelv. a copy of lhe Lienor', Notice as provided In Section 7.13;13(1 )(b), Florida Statutes. . Name: Addre..: Phone ,Number: 9. Expiration dale of Notice of Commencement (expiration date I. on. (1) y~ar fro,m date of recording unless a dlfferenl date Is .poem,d)- Q ~~~ ST~rE OF FLORIDA :-e..,'-.r:./ The foregoing i_ dale of' ~ . 20~y who (Is) (are) personally known 10 me or aaldentlflcaUon, who did/did nOtlake an oath, ," produced (Orlver'1 License #) -= ~ ~ '. I;'-. (l C)~ s;:--. - ~ Signature. Notary Public 'i) Notary Public State of Florit; _. . Sabrina Rae Cant ~ ~ .4 My Commission OD463268 . Op " Exp11'8S 0811812009 (A copy of any bond must be attached at the time of recordation of thl. Notlc. of Commencement)