HomeMy WebLinkAbout05-5170
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5170
Permit Number: 5170
Permit Type: ALUMINUM
Class of Work: ALUMINUM PACKAGE
Proposed Use: MOBILE HOME SUBDIVISION
Sq. Feet: Est. Value:
Cost: 17,778.00 Total Fees: 215.00
Amount Paid: 215.00 Date Paid: 11/22/200
Address: 37325 NEUKOM A
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): 246 Block: Section:
Book: Page:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0010-02800-0246
Name: B & H CONSTRUCTION OF CENTRAL FL.
Addr: 11494 SEDATE ST.
BROOKSVILLE, FL. 34614
Phone: 813 782-1064 Lie:
Work Desc: SCREEN ROOM, SHED & CARPORT
RAND HORIZON
37325 NEUKOM AVE
ZEPHYRHILLS, FL. 33542
Phone:
~,~~
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. n
CCUPANCY BEFORE C.O.
~ ~
~
-
ONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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BUILDING DEPARTMENT 5335 8th,Street, Zephyrhilb I i'L 33542
.'3-7.P-0020 F"Xi.'3-7.0-002' Ilffle'S'
DATE RECEIVED . v
PLANS REVIEW l1'EE
OSIGN
PROPOSED USE: ~MILY
I,' !
o s, Vf / I D ~
f' . ut ~/
n'~'/'
~, u /"
, yeSCRIPTION
".-.~--,?^'/
o MOVE
o DEMOLISH
DMlJLTI-FAMILY
o INDUSTRIAL
Djf OF UNITS
o MOB I LE. ,c<C',,;:
DWELLING
OCOMMERCIAL
,.._-"..,-~
( \~ RESTAURANT
O~ "\- @~
BUILDING SIZE
SQUARE
HEIGHT
~DII~G
~TRICAL
PERMITS RmQUESTED
$ \\ lies ~ VALUATION O;TOTA~ CONSTRUCTION
I
ENER" GY tORMS'\
/~-;o )
!J
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
AMP SERVICE
o
FLORI DA POWER 'p, W, R, E, C , :\
---~\( 'Q.~Q.~\,
[J PLUMBING
""
u ~~CHANICAL $
VALUATION OF MECHANCIAL
o FRAME
o STEEL
INSTALLATION
, ./,
~
o GAS
o ROOfING
o SPECIALTY
o OTHER
TYPE Of' CONSTRUCTION: 0 BLOCK
o OT HER
FINISHED fLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA 0 YES 0
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BUILD~ ,~...,......,'," lfj):P ."'~~~~~;iERTO~~~~~.. ~~
S'GNATUR~~" ~ . ~ ~_ ,~ CITY PROCESSING I <::0,-=
ELECTRICIAN
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~ ~)d--COMPANY ~ ~ \::\\L.\i'~
STATE CERT OR REGIST #
. ~......... CITY PROCESSING # \~I
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
PLUMBER
SIGNATURE
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MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
S I GI~ATURE
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
OTHER
SIGNATURE
:r 1r .. .. * ... .. .. .. * * * * * * * * * * .. * * .. * * * .. * * * * * * ... * * * * * * * * * * * * * * '* * .". * * * '* * * .. * * .. .. * ;* .
A, NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" Whicfl
may be more restrictive than City regulations. The undersigned assumes responsibilir-y 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 requlreO
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 intende~ 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, h~ is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which the
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 ot "Florida's Constructl0
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 indicated,
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 regulation. in the jurisdiction, I also
certify that I understand that the regulations of other governmental agencies may apply t
the intended work, and that it is my responsibility to identity what actions I must take
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 i$ to be used in Flood Zone "A" or "A,etc,U, it is
understood that a drainage plan addressing a "compensating volumeH will be submitted whi
is prepared by a professional engineer registered in the State of Florida prior to permi
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 ~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 after the time the work 'is commenced. One 90 day extension of time
may be allowed for the permit with fee charge ot $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 abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTI'CE 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 UNO!
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
1-1 ~ 7?p,b 1:1 ~ -;~M
SIG~E: WNER OR AGENT SI~TU~~ CONTRACTOR
STATE OF FLORID~c-~
COUNTY OF ~..:;>
The foregoing instrwment was acknowledg~
Bef re me th \ day of U;).( , 2~
by ~
STATE OF FLORID~~ '~
COUNTY OF "")~
The foregoing instrument wa~owle~
Befor me this Y of ,
by
acknowledged)
known to me, or
o who
of identification)
take an oath.
of person taking. acknowledgement
Signature of person
Name typ
t
My Commission 00463268
Exp11'8S 0811812009
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40%5 MOIQUS BRIDGE ROAD
L..KPII rIUIIl.J--S, FL 3350
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1-880-2U.U06
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CONCRETE
ALVNINUM
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This space (or use by Clerk of the Circuit Court only.
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2005248033
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Rcpt: 944760
DS: 0. 00
11/22/05
Rec: 10.00
IT: 0.00
_________n__ Dpty Clerk
JED PITTMAN~ PASCO COUNTY CLERK
11/22/05 00:56am 1 of 1
OR BK 6706 PG 1728
~QrICE OF COMMENCEMEN!
Slale of Florida
The undersigned hereby gives notice that Improvements will be made to certain real property, and In accordance Wllh
Section 713.13 of the Florida Statutes, the following Information Is provided In the NOTICE OF COMMENCEMENT
1, Legal Description of property '(Itreet addres~ requlred):5\?::>;)~ "-~ l \~.\\J Q ,~ C\~~
, ~\ -~<0\ -('c)\(::::)~~~\"C')-(::)0'-\w>
General descriplion ot ImprOv8ment~ S~ ~xi ~ ~ {~=::f\-.
) ,
2,
3. Owo" Nam.~ ,\~i \~\ ~ :-.;:
Owner Address: " ti'\) ,~ V\L ~. . 0"'\'\{~~\~ \. '.::S~~L\ \ .
3b. Owner's inlerestln site:
R'
3c. Fee Simple Tille holder (of other than owner)
:::::::'O'Nam'~~~~~~r~" .
AddreH\\\:~C:;;)S ..[ , 0' 'V,' ~ ' Phone~\,~-::-\,~,~,-\a~Y
Surely Name: Amount of bond:
Address:
5,
Phone;
6, Lender Name:
Address:
Contact:
Phone:
7. Person within the Stefe ot Florida designated by owner upon whom nollces or other documents may be served as provided by
Section 7,' 3.13(1 )(8)7, FlorIda Statutes.
Name:
Address:
Phone Number:
8, In addition to himself, Owner deslgnatu the fo.llowlng per~on to receive II copy of the LIenor', Notice as provided In Section
7,13,13(1 lIb), Florida Statutes.
Name:
Address:
Phone Number:
9. Expiration dale of Notice of Commencement (expiration date Is one (1) y~ar tro,m date of recordlno unless a different dale Is
specllled),
~\~[~\~f2~
date of' ~c.:>J . 20 (~~ by
who (Is) (are) personally known 10 me or
ealdenUflcaUon, who did/did nol take an oath,
STATE OF FLORIDA
:i:...t, "
The toreooing i
" produced
(Driver'. LIcense #)
(i)
~~=OfFlorida I
My Commission D046326B
Expwes 0811812009
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Signature. No\ary Public
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\n~"-' ~ ,---,~,)
"- ._,-:,- y '--- \1, - D- ~ ' -------
(A copy ot any bond must be allached at the tlmo of recordation of thl, Notice ot Commencement)