HomeMy WebLinkAbout05-5202
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5202
Permit Number: 5202 Issued: 12/01/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: MOBILE HOME PARK
Sq. Feet: Est. Value:
Cost: 6,366.00 Total Fees:
Amount Paid: 65.00 Date Paid:
Address: 6116 LINNET ST
ZEPHYRHILLS. FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: BAHR, RANDY KEITH
Addr: 37827 EILAND BLVD
ZEPHYRHILLS, FL 33541
Phone: 813 782-3513 Lic:
Work Desc: REPLACING WINDOWS
Phone:
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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."
NO OCCUPANCY BEFORE C.O.
~/tZ~~ )~/( ~-~
CONTRAC-fORS SIGNATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICA.'l'.lU.N
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
,\-30 -oS
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
\TaJ~,k;fj kt~~
&/I~ t../f1f1d 5ff?(/,;C
PHONE /- r~6-fJ-Y-101tf
JOB ADDRESS
SUBDIVISION tJ&Asd~ !lJltk Uz
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID # 02... - r2/r;-- ;;"/-O().J..,O -CrJ3l)tJ-OO /0
(OBTAIN FROM PROPERTY TAX NOTICE!
WORK PROPSED: 1ItEW CONSTRUCTION o ADDITION DALTERATION ~ REPAIR o INSTALL
o SIGN o MOVE 0 DEMOLISH ~LE
PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
BUILDING SIZE
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
ch{J1~' ~ td O/ri Wlrdot/(/<; Itl/:W (Jew /6/) nc/t>>.l5
SQUARE FOOTAGE HEIGHT
DESCRIPTION OF WORK
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.
PERMITS REQUESTED
0 BUILDING $ C, :itt VALUATION OF TOTAL CONSTRUCTION
I
0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C.
0 PLUMBING
o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
o GAS o ROOFING o SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
~HER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER COMPANY
SIGNATURE STATE CERT OR REGIST #
******************** ********************************************
ELECTRICIAN COMPANY
SIGNATURE STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
SIGNATURE
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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 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 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 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 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.
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 "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 a?andOned,for ~a
period of six months after the time the work is commenced. One 90 d~y extenslon of tlme
may be allowed for the permit with fee charge of $~5.00. ,The extenslon shall b~ requeste~
in writing to'the Building Official. An approved lnspectlon must be logged durlng each SlX
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".
SIrt~&~# SI~~ti!:~
STATE OF FLORIDA 7/_
COUNTY OF Cfi.S cJ)
The foregoing instrument wa5? acknCledged
Before me this JtJf1..-day of 'OJoU)L ~ 20 dr
by
(name of person acknowledged)
)t1hO is personally known to me, or
o who has produced
(type of identification)
and who ~d~ DHd not take an oath
~~L..- ~II
Signature oMO~~~aon.taking acknowledgment
. ti\JU YUJ5uC.STATE OF PLORIDA
~w Stacie Zullo
Name tYPe~~;~~
Bonded Thru Atlantic Bonding Co., Inc.
STATE OF FLOR,U)A
COUNTY OF f1Is ( /")
The foregoing instrument was aCkntWledg~~
Before me this JO'l"-- day of f)nbCl~ l! r, 2~
by
(name of person acknowledged)
~WhO is personally known to me, or
Owho has produced
(type of identification)
and whor;i1didj Odid not take an oath.
SY-~~ ~(
SignatuN~~VPRm!~~~~~e~knowledgement
~ Stacie Zullo
Name t CelDBti~'t * :a~~ d
y mxpfi.'eS. er.~, ~
Bonded Thru Atlantic Bonding Co., Inc.
State of
NOTICE OF COMMENCEMENT
~
F!otlc/v County of fa5co
~ Iff' 2.11
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.
2. General Description of Improvement
3. Owner Information: Name
--
\ Ja e..k ,~
Address ~ /1 b /1 i711~f- Sired
Kt U;A'
.
City *fyI/is
111111111111 1111I1111111111111111111111111111111111111111111
2005253510
State fi 33.9kJ
Interest in Property:
O/2~/J.er-
~
Name of Fee Simple Titleholder:
(If other than owner)
Repl: 946969
os: 0.00
11/30/05
Ree: 10.00
IT: 0.00
Dpty Clerk
Address City
4. Contractor: Name &h~:s ;f/U4?1'n/~
Address ~tfifo fid-irll1Cltt CitY*~/!s
5. Surety: Name
State
State fi; 3~;L-
Address
City ·
State
JEO PITTMAN PASCO COUNTYfCLfRK
11/30/05 02:4Zf>>m 1 4024
OR BK 671~ PG
Amount of Bond: $
6. Lender: Name
Address
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. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
, 20 CJ 5 .
Notary Public:
My Commission
PC93053048/ A