HomeMy WebLinkAbout05-5139
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5139
Permit Number: 5139
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: RV PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 3438 TOURMALlN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number:
15,000.00
11/17/2005
276.50
276.50
11/17/2005 Phone:
LANAI,SCREEN ROOM AND CONCRETE
Name: HACHE RONALD
Address: 3438 TOURMALINE DR
ZEPHYRHILLS, FL. 33542
HOMEOWNER
HOMEOWNER
PLUMBING FEE
52.50
,,(\fY olP
< J';Y1;;:'-/ ~
LUM
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.
REINSPECTlON 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.
~ ~~
CONTRACTOR SIGNA T PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED II !is /cis
/ /
PASCO PERMlI SERVICE
PHONE CONTACT FOR PERMITTING 1-'6lQ(r'B).t{-7g9L#
OWNER'S NAME
JOB~DRESS r
LEGAL DESCRIPT ION: LOT (S) ;1 ~ :2. BLOCK SUBDIVIS ION -
PARCEL ID # ;l2:21, - d- 1-{JiJ l? Q- 0 Q:'t:O- dX'dQcamN
WORK PROPSED: NEW CONSTRUCTION 0 ADDITION o ALTERAT ION 0 REPAIR
o INSTALL
:r o MOVE 0 DEMOLISH
PROPOSED USE: SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
DESCRIPTION OF WORK
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
I Qna.-i "'if- ~~cf.e()_J1 roo m y C6ncr~
J;1. x Lj;) SQUARE FOOTAGE s- () 1- rb
HEIGHT
BUILDING SIZE
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~UILDING
$ l~ (J/)(J ~
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
i C;/,f
$
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 NO
SIGNATURE
A fi I _ _ j .4~/J/1//M"OMPANY
~~~TATE CERT OR REGIST #
************~*****************************************************
CZON'PRACTOR . SEST;[(:):tJ
() tlJ n.e;/"'
i57,50
BUILDER
SIGNATURE
a'j 11ff' t.," 50
~~ COMPANY (.. _ID,
**************************~**:::::*~:~:*~:*::~~::*~**********
5 -S'i:;)
"1.....
ELECTRICIAN
PLUMBER
~ ;J, /t COMPANY I') U ) t1P A/'I
D<I1lMd~ STATE CERT OR REGIST !
******************************************************************
SIGNATURE
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 ndeed 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 nContractor 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 nFlorida'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 nowner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the nowner" 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 nA" or nA,etc.", it is
understood that a drainage plan addressing a ncompensating 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 fora
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 nNOTI E OF COMMENCEMENT".
SI~~
STATE OF FLORIDA ~
COUNTY OF lIe;, CD
The foregoing instrument was
Before me th~s f7H da of
by
(name of person acknowledged)
o is personally known to me, or
Owho has produced
(type of identification)
and ~iL ~d not take an oath
Signature of pe~on taking acknowledgment
punuc.sr~rn OF FLORIDA
t5~m sSlon # DD482036
ExplIes: Ocr. 16 2009
Bonded Thnt Atlantic Bonding Co" lnc,
D:ISCLOS'ORB S~ FOIl 0WlIJm
crry 0.. ZBPB!'mI:ILLS Bm:LDDIQ DBPUTJlBll'1'
I, RonrJd 11 fkrk/
agree 'to the provisions of this instrument.
have read and fuJ.ly understand and.
The undersigned states and. affirms that he or she is desirous of construct:i.D.g,
renovatiag, .""01 D'g to or reroofi.Dg his or her own ciom:i.cile, that he or she
actually occupies, or will occa:py by said ciom:i.cile, and. same is not for
rent, l.ease or sale. That he or she shall. compl.y with the foll.oring conditions:
l.. That the owner and he or she al.one shall act as the buil.der for al.1 phases of
COJ1Struction.
2. '!'hat the owner will comply with al.l provisicma of the City of Zephyrhill.s
orn" ftanc.-es and codes pertiDent to the building.
3 . That in the event various phases of CODBtruc::tion are subcontracted., he will.
engage OD.1y properly licensed subcontractors' and. will persODally supervise
such work..-
4. '!'hat in the event the Building :rnspec:tor shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. 'l'hat the owner shall assume full. responsibil.i ty for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Depart::maDt.
6. That prior to final. inspection any a.dd.i tiODal fees, including re:i.nspection
fees, must be paid in full. A written. request from. this office s.bal.l
constitute an official notice to pay addit:i.cm.al. fees.
7. That the owner shall. comply with all City,' State and Pederal laws in regard to
social sec:uri ty, workman's compensation, lien l.aws, etc., where applicable.
8. That the owner shall. comply with all the safety codes issued by the Florida
J:ndnstrial. Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit UDder an ~tion to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certa:i..u
restrictions even though you do DOt have a license. You DlUSt provide direct
onsite supervision of the constructiOD. yourself. You may build or improve a
one-family or two-family residence or a faJ:Dl outbuilding. You may al.so build
or improve a cOlaerC!ial building. provided your costs do not exceed $25,000.
The building or residence JDWIt be for your own use or occupancy. :It JlaY not
be built or substantial.ly improved for sal.e or lease. :If you sell or lease a
,building you have built or substantially improved yourself w:i.t:hin 1 year after
the cOllStruc.tiOll is complete, the law will presume that you built or
substantially improved if for sale or lease, wh:ich is a violation of this
exemptiOll. You may not hire an UDlicense4 person to act as your contractor or
to supervise people workiD.g on your building. :It is your responsibility to
make sure that people employed by you have l.icenses required by state law and.
by county or DlUD.:i.cipal licensing ordimmces. You may not c:Ielegate the
responsibility for supervising work to a licensed COD.tractor who is not
licensed to perform the work be:ing done. Any person workiDg on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct ".:I.C.A. and. wit:.hholdiDg tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, orlU~"~ces, building
codes, and zOniJlg r tions. d / /
OWBBR' S ~ DATE II - cr - () c;:
~mms 33~o
PBOJ.IIB
WJ:TBBSS'
PBRII:IT #
1? 0 nCLI d ~J. ,/-Ia che-
Name
2tf3R J;jU((Y1J/~-e~ Vov-0
Address
ltrhqdl lis EL 33P-/D
( )
To Whom It May Concern,
Please be advised that:
Stacie Zullo, & Debbie Dokendorf of Pasco
Permit Service have my permission until further written
notice to sign and pick up permits for me.
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this / L/ y.t.... day of !Jov/3.,u3l::;~, ~ .
Personally known or Produced identification v/
Commissioned Stamp
and Expiration Date
vi Y3uf:
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Approved Product List
Product Category Sub Category Manufacturer State of FL
Approval #
Roofing Composite Pane Metals USA FL 2291
Roofing 3" Riser Pan Metals USA FL 1793
2" Prime Entry Door Swinging Custom Windows FL 161
Exterior Door Swinging Therma- Tru Corp. FL 1170
Glass Patio Door Sliding Custom Windows FL 157
(9000 Series)
Garage Door Sectional CLOPAY FL 549
Glass Window Single Hung Custom Windows FL 163
(3500 Series)
Glass Window Horizontal Slider Custom Windows FL 153
(7000 Series)
Glass Window Single Hung Phillips Shed FL 2333
Acrylic Window Horizontal Slider Custom Windows FL 5200
(5200 Series)
Vinyl Windows 2 & 4 Track Vertical Custom Window FL 1575
Siding Vinyl Siding Georgia Pacific FL 1606
Struct. Component Wood Connector Anchors Simpson Strong-Tie Co. FL 474
Struct. Component Wood Connector Anchors Simpson Strong-Tie Co. FL 474
Struct. Component Wood Connector Anchors Simpson Strong-Tie Co. FL 1901
Struct. Component Wood Connector Anchors Simpson Strong-Tie Co. FL 474
Struct. Component Wood Connector Anchors Simpson Strong-Tie Co. FL 474
NOTICE OF COMMENCEMENT
, )
State of FI DV! d ~ County of f 0. 6 C 0
0-Yj (JT L -)I.-<-/IJ
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No.
'43<6 TDu(m (
,Sc(.eeVl roo (Y) T
2. General Description of Improvement
C/O n C( eJL
R 3.
Owner Information: Name Kv
Address 3L{3 C;;/;jJ( m()J,n~
Interest in Property: () W l00/l
Name of Fee Simple Titleholder: OCl Vr;-e.-,
(If other than owner)
"" I I
/
"'-
City
S State I~ ,?i3':JLj[1
1111111 11111111111111111111111111111111111111111111111111111
2005245031
Address
4. Contractor: Name
Address
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
City
State
O'LI ne-t/"\
City
State
City
State
Rcpl:943530
. os:' m. 00
11/17/05
Rec: 10.00
IT: 0.00
Dpty Clerk
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiratio.n date of Notice of Commencement (the expiration date is 1 year from the date
of recordmg unless a different date is specified.)
JED PITTMAN, PASCO COUNTY CLERK
11/17/05 12:09pm 1 Of11260
OR BK 6700 PG
Signature of Owner:
t
Sworn to and subscribes! before e this 9' ;11 day of //oJe/k-6,-
Notary Publfc:~ '~~(,f.ST.^T1! OF 1'10RlD^
My Commisg~{)n Expires: , .J~ ,~.ta.cie. Zullo
. .,. U~J J ..i..., V",.
PC93053048/A ..":t,, Expil'~:;: .OCl: 16. 2009
Bonu~cl 111m AtJanoc Bonding Co.. Ine.
,2oOf .