HomeMy WebLinkAbout05-5256
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5256
Permit Number: 5256
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: 3532 TOURMALINE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number: 24-26-21-0080-0000-2690
12,600.00
12/15/2005
252.00
252.00
12/15/2005
LANAI AND SCREEN ROOM
Name: O'DWYER MICHAEL
Address: 3532 TOURMALINE DR
ZEPHYRHILLS, FL. 33542
PLUMBING FEE
64.50
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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."
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.
\\J{~~- )7<11 ~.
CONTRACToR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
-lP
4 ~9'0
CIjI'Y OF ZEPHYRHILLS PERMIT APPLICATION ';)._,"-cKO ',€('rru.;I;-
BUIrING DEPARTMENT 5335 B'lB st, Zephyrhil1s, FL 33542 1--SS'<<:,w-~-2'-\- 'T~lY
a13-7BO-0020 FAX:B13-7BO-0021
,1 DATE RECEIVED \3-/, ~ / O'~
PHONE CONTACT FOR PERMITTING L-~&:r g:;...lf7fl1'f
1/))/
70ur
LEGAL DESCRI PTION: LOT (S) d- 69
;)J-f/;)'/p -- ~I-- t1 () 8lJ-otJtYJd-dIo q 0
WORK PROPSED: ~W CONSTRUCTION
DSIGN
OWNER'S NAME
BLOCK
:"-7&b-~J/f7gCf
~ Fi.3 3810
E:tr;tJfald, HJ'rt/e;
JOB ADDRESS
PARCEL ID 41=
(OBTAIN FROM PROPERTY.TAX NOTICEl
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
Of OF UNITS
o SWIMMING POOL
~OBILE HOMI
o OTHER
BUILDING SIZE
D RESTAURANT
IIUJ til
l ;).. i Lf fL
& HEALTH DEPARTMENT APfROVAL
DESCRIPTION OF WORK
't :::; dMJ1 r IJ ~ n1
SOil f.
SQUARE FOOTAGE 7
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
~ILDING
~LECTRICAL
o PLUMBING
o MECHANICAL
,,--
, 2.., ~~."
dJ
$~-E
@
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy
o
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
~~=-~~..~~~ =~~~~~~~=~=_:~~~~__-___~__~__=- - - ~ -~--- --~_:__~ _ ~~~ - ___ ~ _____~~I- -, -- - --~. r,
SIGNATURE
COMPANY Otuhe4' 14-1, ,.0
A~~Af~~Ih1~~ STATE CERT OR REGIST f
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BUILDER
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COMPAN'0 Lfj lu~: r If A)fu l:AP)l.h...-
STATE CERT OR REGIST 41=
PLUMBER
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SIGNATURE
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST f
********************************************~********************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST f
A. NOTI~E OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to. "deed restrictians" which
may be mare restrictive than City regulatians. The undersigned assumes respansibility far
campliance with any applicable deed restrictians.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the awner has hired a cantractar or cantr~~tars to undertake wark, 'they may be required
to. be licensed in accardance with state and iocal regulatians. If the cantractar is no.t
licensed as required by law, bath the awner and cantractar may be cited far a misdemeanar
vialation under s~ate law. If the awner ar intended cantractar are uncertain as to. what
licensing requirements may apply far the intended wark, they are advised to. cantact the
City af Zephyrhills Building Department, 813-780-0020.
Furthermare, if the awner has hired a contractar ar contractars, he is advised to. have the
cantractar(s) sign partians af the "Gahtractar Sectians" af this ~pplicatian far which they
will be respansible. If you, ,as the awner signs as the cantractar, you are indicating that
you, rather than the contractar, are respansible far the wark.If the cantractar wishes
you to. sign as contractor that may be an indica~ion that he is nat praperly licensed and is
nat entitled to. permitting privileges in the City af Zephyrhills.
C.' TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES '
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STArUTES, AS AMENDED)
I certify that I, the applicant, haYE;l been provided with a capy af "Flarida's Canstructian
lien Law _ Hameawner's,protectian Guide" prepared by the Flarida Department af Agriculture
and Cansumer Affairs. If the applicant is sameane ather that the "awner", I cerify that I
have abtained a capy of the abave described document and pramise in gaad faith to. deliver
it to. the "awner" priar to. cammencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the infarmatian in this applicatian'is accurate and that all wark will
be dane in campliance with all applicable laws regulating canstructian, zaning, and land
develapment. '
Appliqatian is hereby made to. abtain a permit to. do. wark and installatian as indicated. I
certify that no. wark ar insta11atian has cammenced priar to. issuance af a permit and that
all wark wiil be perfarmed to. meet sta~dards af all laws regulating canstructian, City
cades, zaning regulatians, and land develapment regulatians in the jurisdictian. I also.
certify that I understand that the regulatians af ather gavernmental agencies may apply to.
the intended wark, and that it is my respansibility to. identify what actions I must take to.
be in campliance. Such agencies inolude but a~e nat limited to.: *Department af
Enviranmental Regulatian-CypressBayheads, Wetland Areas and Enviranmentally Sensitive
Lands, Water/Wastewater Treatment
*Sauthwest Flarida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercaurses
*Army Carps of Engineers-Seawalls, Dacks, Navigable Waterways
*Department af Health & Rehabilitative Services, Enviranmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Enviranmental Pratectian Agency-Asbestas abatement
I also. certity that, if fili material is to. be used in Flaad Zane "A" or "A, etc.", it is
understaad that a drainage plan addressing a "campensating valume" will be submitted which
is prepared by a prafessianal engineer registered in the State af Flarida priar to. permit
issuance.
A permit issued shall ,be ,canstruedta be a license to. praceed with the wark and nat as
autharity to. vialate,cancel, alter, ar set aside any pravisians of the technical cades,
nar shall issuance af a permit prevent the Building Official fram thereafter requiring a
carrectian af errors in plans, canstructian, ar vialatians af any cade. Every permit
issued shall hecome invalid unless the work authorized by such permit is commenced within
six manths af issuance, ar if wark autharized by the permit is suspended ar abandaned far la
period of six months after the time. the work is commenced. One 90 day exteusion of time
may be allowed for the permit with fee charge of $15.00. The oxtension shall be requested
in writing to.the Buildiug Official. An approved inspection must be logged during each six
manth periad, ar the project will be considered abandaned., '
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. It yOU INTEND TOOB~AIN 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".
/0 1. I II. ,J ,J{lLJIJI/I/~ 11it!!:..1,{{/~A JJhI -
SI~~~:'~NE~~~(A~~1--- SIGNATURE' co~;:;;:~;~~'-'-o
STATE OF FLORIDA D
COUNTY OF r(}~('1)
The faregaing inst~~ent wa~ck~ledged
~;fore ~~~ ~2X lJd u r, 20!lL
(name of person acknowledged)
~ha is persanally knawn to. me, ar
o who. has praduced
(type of identification)
and who. ~did Diid~t take an aath
,~~ 'jJ( ,',
Signature af per san taking acknawledgment
NOTARY PUBLIC-ST~TE OF FLORIDA
Name t ~ri amped
commISSIon #DD482036
l' ' Expires: Ocr. 16, 2009
Donded rhru Atlantic Bonding Co., Inc.
STATE OF FL~LDA
COUNTY OF .r(LSC-{)
The faregaing ins~iument wa~ ac~np~ledgedr
Beforel'\lIl~_ thj..s fa!'^: daYLof ~r, 2~
by IVl-l)O"'/\ ~I/ fU,.../I '
Id (name' of persan acknawledged)
~wha is persanally knawn to. me,ar
o who. has praduced
(type af identification)
and wtia~ d~dJ . Odid nat take an aath.
~..e:!L .
Signature af Qersan aki.!!9 acknawledgement
, NcyrMY PUBUC-STA'rE OF FLORIDA
Stacie Zullu
Name typed, &.amtl1isslslti~2036
Expires: ocr. 16, 2009
Bonded Thru Mantlc Bonding Co., Inc.
NamelY/tcitJpJ [)' DIl)/lA
35<3:;L. 0Uf fr1oJ'~-0 7)ovvJ ~'f~
Address I
hp~/L/L'3 FIo((dfL 336'1Q
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.
Sincerely,
~~
s ~ture
CJr~
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this / ~ 1"'- day of Dee. , ~o -:r .
Personally known or Produced identification ~_
Commissioned Stamp
and Expiration Date
L~p~
Page 1
DI:SCLOst1.RB S~r FOJl 0WlI1BR
crJ."Y OF ZBPBDB:ILLs BUI:LDDlQ DBPAB.TJIBIf'l'
,. ml chad 0 'lWt/' have read ....... fully UDderataDd ....
agree to the provisions f this iDstrument_
The undersigned states and affizms that he or she is desirous of constructing,
renovating, .....i Tig to or reroof2.ng his or her own domici~e, that he or she
actua~~y occupies, or w:i~~ oCC'tlpy by said doaici~e, and same is DOt for
rent, l.ease or sa1e. '!'hat he or she sha1~ comp1y with the fol.l.owi.ng COD.d:iti.OD.S:
~.
That the owner and he or she a10ne shaJ.l. act as the buil.der for a1J. phases of
construction.
'!'hat the owner wi~l. comp~y with a1l. provisiOD.S of the City of Zephy:rh:i.~l.s
or"i ft;ll'Qces and codas pertixLeu.t to the bui~ding.
"!'hat in the event various phases of construction are subcontracted, he wi~l
engage OIll.y properly licensed subcontractors. and w:i~~ perscma.l.~y supervise
such work..
That in the event the Bui~ding J:nspector shal.~ require correcticms to be made,
the owner wi~~ assume fuJ.~ respcmsibi~ity to insure they are made, and upon
camp~etion wil.~ cal.l. for a reinspection before proceeding with the bui~ding.
That the owner shal.l assume fuJ.~ responsibi~i ty for the construction and wi~~
DOt expect supervision of his work frOlll the City of Zephyrhil~s Bui~diD.g
Department.
That prior to final. inspection any additicma.l. fees, including reinspection
fees, must be pai.d in ful.l.. A written request from. this office s.haJ.~
constitute an official. notice to pay additional. fees.
That the owner shal.l comply with all. City, State and Pederal. ~a.ws in regard to
social security, workman's COIIIpaDSation, ~ien l.aws, etc., where app~ioable.
That the owner shal.l. comply with all the s~ety codes issued by the Pl.orida
I:ndustria1 COIIIIIl:i.ssion.
State ~aw requi.res construction to be done by ~icensed contractors. You l:aave
app~ied for a permit under an exeIIlPtion to that ~aw. The exemption al~ows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do DOt have a license. You DlUSt provide direct
OD.S:lte supervision of the construction yourself. You may build or improve a
one-fami~y or two-fami~y residence or a farm outbuilding". You may a1so bui~d
or improve a cOllllllercia1 bui~diDg, provided your costs do DOt exceed $25,000.
The bu:L~ding or residence aust be for your own use or occupancy. I:t My DOt
be built or stlhstantia1l.y improved for sa1e or lease. I:f you se1l. or lease a
. bui~ding you havebuil.t or stlhstantia1ly improved yoursel.f within 1 year after
the ccmstruction is comp~ete, the law will. presume that you buil.t or
substantial.~yimproved if for sal.e or l.ease, which is a viol.ation of this
exemption. You may DOt hire an UDJ.icensed persOn to act as your contractor or
to supervise peop~e working on your building. I:t is your respOD.Sibi~ity to
make sure that people emp~oyed by you have 1icenses required by state law and
by county or JIl1D1:i.cipal ~icensing ordi"l-nces. You may DOt de~egata the
responsibility for supervising work to a licensed contractor who is not
licensed to perfOJ:Dl the work being done. Any person working on your building
who is Dot licensed must work under your direct supervision and must be
emp~oyed by you, which l118ans that you must deduct !'.I:.C.A. and withho~diD.g tax
and provide workers' compensation for that empl.oyee, al1 as prescribed by l.aw.
Your construction must comply with a1l applicable laws, OrfU'ft~"lces, bui~ding
codes, and zoning regulations.
..........
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REVIEW DATE: I Z- I r tI)
CfTYOFZEPHYR ~/l.J J4~)1
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BUILDING SHALL COMPLY WITH
ALL APPUCABLE BUILDING,
ELECTRICAL, PLUMBING AND
MECHANICAL CODES.
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State of
NOTICE OF COMMENCEMENT
. FlorI dcu County of Pa.sCO
Cd;
cY Z -JWIS
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
)- S COM {--Ij 07Y1
1111I11111111111I1111111111111111111111111111111111111111111
2005264763
Interest in Property:
Owner Information: Name I
Address 353dv /iJUlflhd/tit~ ])(1
f)wn.e-r
g~
State FE- 33gf()
R 3.
Name of Fee Simple Titleholder:
(If other than owner)
Rcpt: 951445
DS: 0.00
12/14/05
Rec: 10.00
IT: 0.00
Dpty Clerk
Address
4. Contractor: Name
Address
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
City
State
Oil) n~
City
State
City ·
State
i~91~~~!MA~i:G~S;O fOUNToYf C1ERK
OR BK 6745 PG 388
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.)
Signatureofowner:1dr~~ ~. s:'-,-
Sworn to and subscribed before me this /<31-"- day of ~&/}t.Iu-
Notary Public: ~4 MPTmlT('-~TATEOHI.OIUJJ..A.
~ Stacie Zullo
My Commission Expires: Commission # DD482036
Expires: Ocr. 16, 2009
PC93053048/ A Bonded Thru Atlantic Bending Co., Inc.
, 20 dr .