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HomeMy WebLinkAbout05-5255 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5255 Permit Number: 5255 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: RV PARK Square Feet: Est. Value: Improv. Cost: 12,600.00 Date Issued: 12/15/2005 Total Fees: 187.50 Amount Paid: 187.50 Date Paid: 12/15/2005 Work Desc: LANAI & SCREEN ROOM Address: 3422 TOURMALlN ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: EMERALD POINTE RV RESORT Parcel Number: Name: PAT & BERNIE ETHIER Address: 3422 TOURMALINE DR ZEPHYRHILLS, FL. 33542 Phone: ~ {<~L'\ - ("\0 o.d~ IJ '~CO-..i'<\-\-- _ Lrn ,-.t \ I '10 _ c, f'9 olf , 0~\(f/ \if <\ ~ 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. " dCl i'=--cflc { ~ . CONTRACT SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CIf!'Y OF ZEPHYRHILLS PERMIT APPLICATION q~-oc:<>~~-~\'nL-~ .., BUIWING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 1- {,$tbto -5....'-1 - 7<69 \.f 813-780-0020 FAX: 813-780-0021 I~, '-_ J_= ,1 DATI: RECEIVED ~ PHONE CONTACT FOR PERMB~TING l-<6{h..L6~4-1F!1J/ OWNER'S NAME Barnar cL E +/-}Jir 3 4c1~ 10 /JV in ttll (1'~ DY;. d-~& ;;Ltf~ dJo -9-1 -IJ() <t O~tJ 6(jiJ.CJ-~ 0 ~ CONSTRUCTION OSIGN PHONE f~&-81-1I~1t~~ JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION ~{fJff/Jd ~I n-k. PARCEL ID ft (OBTAIN FROM PROPERTY.TAX NOTICE) WORK PROPSED: o ADDITION o ALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL OJ OF UNITS o SWIMMING POOL ~BILE o OTHER HOMI c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL BUILDING SIZE I axf./{L SQUARE FOOTAGE r [J"t7YY1 5() '-I HEIGHT DESCRIPTION OF WORK I (J no.. i Y scr,(JCJf/ 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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~UILDING ; 21 ~c 0,") qli(j/) ~ PERMITS REQUESTED /'<~ ~ $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o Progress Energy [J W.R.E.C. o GAS o ROOFING o SPECIALTY 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 AREAO YES 0 NO SIGNATURE ~ ~ COMPANY Or.JIJr f11 STATE CERT OR REGIST # *************************** ************************************** BUILDER EIiECTRICI~~dJ d jJ~. SIGNATURE /'7 / '(){IJ7fiZ. STATE CERT OR REGIST # 6"" ................... ..~... ::......... ........ ............. .~ ~ _ i $~ PLUMBER ;;1( COMPANY If' ~?\.i. fl>1r- SIGNATURE STATE CERT OR REGIST ft COMPANY O(JJ/J. ,.. ~S, ,:,~ ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST ft ********************************************~******************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST t A. NOTI~E 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 16cal regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under s~ate 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 "Gohtractor Sections" of this ~pplication for which they will be responsible. If ydu,as the owner signs as the contractor, you are indicating that you, rather than the contractor, are respon~ible for the wo~k. .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 CONNECT~ON FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, .AS AMENDED) I certify that I, the applicant, haye 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 conunencement. 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. . Appliqation is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has conunenced prior to issuance of a permit and that all work wiil 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, Wetiand 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 fili 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 ~nd 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 hecume iuvalid uuless the work authorized hy such permit is commeuced within six months of issuance, or if work authorized by the permit is suspended or abandoned for \a period of six months after the tiwe.the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The .xtension ehall 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 ~o YOUR PROPERTY. Ir 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 RECbRDAND POST A "NOTICE OF COMMENCEMENT". ~PAiMI oiJt1A'jJ~A,lAd SIGNATURE' WNER OR~;r- SIGNATURE' CONTRACTOR~ STATE OF FLORIDA f>,/Lr-/M STATE OF FLORIDA pa.[~ COUNTY OF . . "'\1 ~ '. COUNTY OF The foregoing ins~lument waJ)~::k~wledge~~ The foregoing ins~ ~~fore ~~ hd~' 2<eL :~fore me. is (name. of person acknowledged) . ~. (name of person acknowledged) ~hO is personally known to me,or ";hO is personally known to me, or o who has produced . 0 who has produced (type of identification) . (type of identification) and WhO~~d tlta.e an oath. and who ~~tke an oath Signature Re~~~~~~fwledgement Signature of person taking acknowledgment _Stacie Zullo' . Name typed ~t~to~6 '~es: "'Oct-T6; 2009 . Bonded Thru Atlantic Bonding CQ., Inc. Name NOTARY typ rinSmti@rztifiamped Commission # OD482036 Expires: OCT. 16 2009 Bonded Thru Atlantic Bonding Co., Inc. Bunt/f d. 12#)/ e(- Name ~ 7) -3Jt;Ja J()urm(fj{n~ Address ~hy (A {Vf:./ FG 33S1-{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. )1l1Y' signature NOTARY STATE OF FLORIDA - COUNTY OF PASCO The foregoing instrument was sworn to and subscribed before me this 1::2. -r-- day of D ~--c. , ~o S- . Personally known or Produced identification ____ ,~;6~ ~ary s'gnature Commissioned Stamp and Expiration Date Page 1 DJ:SCLOSlJRB ~J: l!'OJ1 OIIIIBR CJ:TY OP ZI.l5A"JlZ wATT.T.R B1JJ:LDDIQ DBPAlr1.'MIIIr.r 3:, Bertwd/ 67fJ1f2r agree to the provisions of this iDstrumeD.t. have read and fully UDderstaDd and The undersigned states and affirms that he or she is desirous of constructing, reu.ovating, .....ofnSf to or reroof:i.Dg his or her own &:.:Lcil., that he or she actually occupies, or will 0CC'Dpy' by said domicile, and same i.s not for rent, l.aase or sa1e. '!'hat he or she shal.l cOlllply with the follow:i.ng conditi.ons: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will cOlllply with all proviSions of the City of Zephyrhill.s om of ft~("es and. codes pertiDfmt to the building. 3. That in the event various phases of ccmstruct:l.on are subcontracted., he will. engage on1y properly licenaec:l subcontractors and will perscmal.ly supervise such work. 4. That in the event the Buil<'IiD.g J:nspector shall. require corrections to be made, the owner will. assume full reap0D8ibil.ity to iDaure they are made, and upon campl.et:l.on ril.l. call. for a reinapection before proceeding w:l th the building. 5. "l"hat the owner shall. assume full r88pODSihil.i ty for the construction and will. not expect supervision of his work from the City of Zephyrhil.ls Building Department. 6. 'l"hat prior to fi.nal. iDapection any add:i. ti.onal fees, incl.uding reinspection fees, must be paid in full.. A written request frOlll this office shall consti tute an official notice to pay addi i:.iona1. fees. 7. 'l"hat the owner shall cOlllply with all City, State aDd. PederaJ. laws in regard to social security, workman's COIIIpeDSai:.ion. lien 1_, etc., where applicable. 8. 'l"hat the owner shall. comply with all the s-.fety codes issued by the Florida J:nclustrial Commission. 9. State law requires cODStructiOD. to be done by licensed contractors. You have applied for a permit UDder an 8Z8111ption to that law. The exemptiOD. allows you.. as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a lic8DSe. You must provide direct ons:l.te stlperVision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or iBlprove a cc:m.ercial build:l.Jlg. provided your costa do not exceed. $25.000. The building or res:l.denc. -.zat be for your own use or occupancy. :It may not be built or substani:.ially improved for sale or lease. Xf you sell or l.ease a - building you have buil.t or substantially improved yourself with:in 1 year after the construction is complete.. the 1aw will Pre&1D8e that you built or substanti.ally improved if for sale or lease.. which is a violation of this exearption. You may not hire an UDJ.icenaed person to act as your contractor or to supervise peopl.e worJd.Dg on your build:l.ng. :It is your responsibi1ity to make sure that people -.ployed by you have 1icensea required. by state 1aw and by county or DlUD:l.cipal licensing ordof'q.uces. You _y not cJeJ.egate the re8pODSibillty for Superv:l.s:i.Dg work to a licenaed contractor who is not licensed to perfoxa the work being dcme. Any persOD. worJd.Dg on your building who is not licensed must work under your direct supervision aDd. must he employed by you, which -us that you must deduct P.X.C.A. and withholding tax and provide workers' COIIIpeDSation for that employee, all. as prescribed by 1aw. Your const:ructiOD. must cOIIIply with al1 applicable laws, ord;ft~"1<"es, building codes, and. :CODing regul.a 0101BR.' S ADDUSS PJlORB J?AT>> ~- ();(.- 65 vln'lls I R- 3'.s~'Y6 W..lr.-S- PBRIIJ:T # . . \---.. ~ te ~ ~ ~ ~ ("b ~ ~ ~ B ~~ ~ ~~~ ~ ~ ~ "J K~ I ~ -...j If...-.. ;; ~Oi lii---.J~ ~ ~ '1l ~~.- REVIEW DATE: L /5 ) CITY OF ZEPHYRHlL ~l [l ~ HUILDING OFFICIAL-;~./-l) 75 / / /1 r I / / / ! I I / /~I , / / , / &/ / :}! / / II II 1/ / / ~. / ~/ !~I/; ~, / / ("'5< U"~ / / ;?--1'~ ! '4<<~~ , <?-t: .J ~ K '""'\ 'Si {j ~Iy,~ ~ #S~ . ;$3 t rS ~ "( , ~ I~' ,,~ ,"<1 '1;' t \" ~ \J I' I / ;1 / ./ ~ '! . / ! I' I .I , l / i ,/ i ;' / s u rl... '\{~i W1 J4U'-P\) <)O.4U J~~ o C -,/ lJ)'ji/) r1T ) - II M)i:.- OJ I r..[) pfi-L-TibrJ . State of NOTICE OF COMMENCEMENT r 'F-I () r { d L County of Pan CD cJy~ 2 - ;jJ1r 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. f -S"" c.Y l2JZA\ ~ 1111111111111111I1111111111111111111111111111111111111111111 2005264764 2. General Description of Improvement OwnerInformation: Name ~~I1t1rd ~/er Address ~'iitl(oJM ~ ltJnf6~City ~M~ Interest in Property: iftL{IJ .er ~ Rcpt: 951445 ~~ DS: 0.00 12/14/05 R 3. StatR-3,~ Name of Fee Simple Titleholder: (If other than owner) Rec: 10.00 IT: 0.00 Dpty Clerk Address , .....-c: .f 4. Contractor: Name '.__~..(~r(l-(J ~ Address -R9-Bx 1~ City State Ai wn I n I UL-1'YL 0 ().}u r CitY~~~. ::itate fl,c.g3.)dJf ~. Surpot". N'lm"" -- A. "'" ] . U. 1'-" Address . City State Amount of Bond: $ JED PITTMAN~ PASCO COUNTY CLERK 12/14/05 0~:0!pm 1 of 1 OR BI< 674:) PG 389 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.) Signature of Owner: ~ , Sworn to and subscribed before me this Ja 'fA. day of iJe~kr Notary Public: ~i... ;~~C"U.I' UFPWIUDA M C ,. E ' ~b;;Jl_ Stacie Zullo y ommlSSlon xplres: ~is3i6fi;; DD482836 PC93053048/ A Bonded ~~~tiC~S;di;~CO:~~ , 20 OJ .