HomeMy WebLinkAbout06-5295
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
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5295
5295
Permit Type: ADDITION/AL TERATION
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: 3531 TOURMALINE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): 'dt(o~ Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number: 24-26-21-0070-00000-2620
4,500.00
1/05/2006
125.00
125.00
1/05/2006 Phone:
SCREEN ROOM AND LANAI EXTENSION
Name: DAVID & GERTRUDE CUSICK
Address: 3531 TOURMALINE DR
ZEPHYRHILLS, FL. 33542
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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.
REINSPECT10N FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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
NO OCCUPANCY BEFORE C.O.
\).f{ek~( ~~
CONTRACTO IGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
BUIrING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 ,I"I~/.-,
,1 DATE RECEIVi:o ~
PHONE CONTACT FOR ~lJ:N.G- il.... ''''r''~ E ~iC.:
~;\S>>,;::U "'... ....l1 ~ ""'t........i~'W~'-i'6
OWNER'S NAME
/)f1 t/ l! ttl<1 If /G
J 5""J I 7(;U1.Ill9- Ii jJ
1 -BG6-8;24:-789t
PHONE To~! FreE
JOB ADDRESS
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LEGAL DESCRIPTION: LOT(S) o1~cL BLOCK
PARCEL ID # ;;'1 ~ol fr -,)1 - ()() 70 -()Oo()O - rJ~J()
SUBDIVISION ENrti II ALlYe
K!P !2.Ndrf j?/) -,)
(OBTAIN FROM PROPERTY,TAX NOTICE)
WORK PROPSED: ~NEW CONSTRUCTION
o SIGN
o ADDITION
o MOVE
o ALTERATION
o DEMOLISH
o REPAIR
o INSTALL
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
Oft OF UNITS
o SWIMMING POOL
o MOBILE HOMI
o OTHER
c=J RESTAURANT &
,fCu(' /) i'OOfi-
. I
f 10 I y/()
HEALTH DEPARTMENT APPROVAL
!r2 A tL/ 1~J f}tl/~/.)
SQUARE FOOTAGE tJ.()O i
I-
DESCRIPTION OF WORK
BUILDING SIZE
10;< Id
HEIGHT
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.
PERMITS REQUESTED
~ BUILDING $ tj S-aJ. (J VALUATION OF TOTAL CONSTRUCTION
9i ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C.
o PLUMBING
o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
o GAS o ROOFING o SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
. 0 OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
SIGNA;URE ~I a ~'-
Jzj(.
COMPANY O&.)/.-P r - [)ti.' if; ;
STATE CERT OR REGIST *
ELECTRICIAN
*************************~~~************************************
-~ ') l COMPANY tJ4.)JlP'r - /Jti'tl( 'J t u~J(
SIGNATURE
~(Ice ~~ },,-i
,
STATE CERT OR REGIST *
************************************************~*****************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR ~EGIST #
******************************************************************
COMPANY
MECHANICAL
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
A. NOTIGE OF DEED RESTRICTIONS
Th~ undersigned understands that this permit may be
may be more restiictivethan city regulations. The
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner. has hired a contractor or cbntr~ftors 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 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, 813-7BO~0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions of the ~Goritractor Sections" of this ~pplication for which they
will be responsible. If you,..as the owner signs as the contractor, ydu 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 STArUTES,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 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.
Appliqation 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 wiil be performed to meet standards of all laws regulating,construction, City
codes, zoning regulations, and land developmerit 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 inolude but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, wetiand Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management Distriot-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Dooks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septio ~anks
*U.S. Environmental Proteotion Agency-Asbestos abatement
I also certity that, if fili material is to be used in Flood Zone "A" or ~A,eto.", it is
understood that a drainage plan addressing a ~compensating volume" will be submitted whioh
is prepared by a proiessional 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 for la
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 b7 requeste~
in writing to'the Building Official. An approved inspection must be logged dur~ng each s~x
month period or the project will be considered abandoned. ,
WARNING TO O~NER: 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 NOT~CE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'INOTICE OF COMMENCEMENT".
"'.<;;/4 e~ 4i:=/{
SI~NA~URE: OWNER R AGENT
subject to ~deed restribtions" which
undersigned assumes responsibility for
.. . '0'J4C, ij
SIGNATURE: CONTRACT R
STATE OF FLORIDA fJ({..[eO
COUNTY OF .. .
The foregoing instrument was acknowledged
Before me(this~. ,,day of ' 2U--
by u<t-~ca (:<< do
. (name' of person acknowledged). .
~WhO is personally known to me, 'or
o who has produced .
(type of identification)
Odid not take an oath.
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this I day?of/t0 ' 20_
by . . . l ~ VfU'l{J l ~ .
M. (name of person acknowledged)
~ho is personally known to me, or
Owho has produced
(type of identification)
D:iid not
jJti.J~
and
erson taking acknowledgment
acknowledgement
.,
Name typed, printed or stamped
Name typed, printed or stamped
(t' ~ tJ-f Z --Milt
111111111111111111111111111111111111111111111111111111111111
2005270300
NOTICE OF COMMENCEMENT
State of
,
F IOrtrlil
County of
fJ tl vell
THE lmDERSIGNED hereby gives notice that improvement will be made to c~rtain
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. .;}.tJ-;)b-cJI- {XJ7rJ-{}aW-~O
LoI J-hJ- Eh-l/'62{~ fJOL~ ,e j/ ~S(/I'I-
(Legal description of the property and street address if available)
2. General Description of Improvement ~f/u2t~/l /"OO/X I / till k-l' -t y-kd-/ol7
Rcpt : 953441 Rec: 10.00
OS: 0.00 IT: 0.00
12/21/05 ___~ Dpty Clerk
~...'.":iiJ,','h.'.3
rl .
Owner Information: Name 1Jt2t/; / C{lJ~t
l~ddress 3J:J/7;ii'I'/11 diM Ih , City "JjJ~rljlJ
Interest in Property:
State /1, 33Jt/(j
Name of Fee Simple Titleholder:
(If other th~n owner)
JED PITTMAN, PASCO COUNTY CLERK
12/21/05 10: 31am 1 ,iltl..
OR BK 6758 PG ~ ~
Address
City
State
It) k)).i ;/
4 .
Contractor: Name
Address
City
State
5. Surety: Name
Address
City
State
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
Lienor's Notice as provided
to receive a copy of the
in Section 713.13(1)(b), Florida Statutes.
9. Exp1.rl'lt.ion d8te ot Notice of Commencement (the expiration date is 1 year
fr0ffi the date of recording unless a different date is specified.)
Signature of Owner: AJ../ ~
Sworn to and subscrib~d before me this /~C day of IJtI...fJJ-btr
,
1-9-.:J .},1S- .
My Commission Expires:
.s-'i ti C v Jz-, / e.-
NOTARY PUBLIC-STAn: OF FLOIUDA
~ Stacie Zullo
Comml~slon # DD482036
Expires. ocr. 16, 2009
Lc';;u"d Thru Atlantic Bonding Co., Inc,
Notary Public:
PC93053048
Name
j]t2t/ {. / titV' t~k
3 J3/ 7!Jlitfi-l(-tl:c ,()/.
Address
?ep iil I'lll/I
, J
Fl. J3Sfd
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,
i?uwU/ /: ~
si ature
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this /~<(A day of Dg-c. , ;J..aJ5.
Personally known or Produced identification ~__
Commissioned Stamp
and Expiration Date
~ ~
N ar~re
Page 1
I,
agree to the provisions of t:his instrument.
Da tiC I
DISCLOSlmB SDTBIIBIlr POll 0WJl1BR
CrrY OF ZlIPBYJUIJ:Lt.s BUJ:LDD1G DUAB.TIIID1T
(U.J L~ /(.
have read and. full.y understand and.
The undersigned states and affizms that he or she is desirous of constructing,
renovating, ........." 7'-g to or reroofing his or her own dom:i.cil.e, that he or she
actual.l.y occupies, or wil.l. occapy by said dom:i.cil.e, and. same is not for
rent, l.ease or sal.e. That he or she sbal.l. compl.y with the fol.l.ow:i.D.g CODdi.t::i.ons:
1. . That the owner and. he or she al.one sbal.l. act as the bui1.der for al.1 phases of
construct:i.on.
2. That the owner wil.l. compJ.y with al.l. provisions of the City of Zephyrhil.J.s
or"''' naces and codes pertiDent to the buil.d.iD.g.
3. That in the event various phases of CODStruction are S1Jhcontracted, he wiJ.l.
engage only properl.y licensed subcontractors. and will. personal.ly supervise
such work..
4. That iD the event the Building XDspector shall require corrections to be made,
the owner wil.l. assume full reaponsibil.i ty to insure they are made, and upOD
compl.etion wil.l. cal.l for a re:i.nspection before proceeding with the buil.ding.
5. That the owner sbal.l. assume full. responsibil.i ty for the construction and. will.
Dot expect supervision of his work from the City of Zephyrhill.s Buil.d.iD.g
Department.
6. That prior to final. inspection any addi tiODaJ. fees, in.cl.ud.iJ1g re:i.Dspection
fees, must be paid in ful.l.. A written request from this office shal.l.
constitute an official. notice to pay add:i.t:i.cmal. fees.
7. That the owner shall. campl.y with al1 City, State and. Federal. l.awe in regard to
social. security, workman's compensation, J.ien l.aws, etc., where appl.icabl.e.
8. That the owner shal.l. compl.y with al.l. the s~ety codes issued. by the Fl.orida
Industrial. Commission.
9. State l.aw requires construction to be doDe by l.icensed contractors. You have
app1ied for a parmi. t UDder an exemption to that l.aw. The exemption al.l.ows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a 1icense. You DlDSt provide direct
onsite supervision of the ccmstruction yoursel.f. You may bui1d or improve a
one-famil.y or two-famil.y residence or a fa:rm. outbuil.ding. You may al.so buiJ.d
or improve a COllllllerCial. bu:il.d:i.ng, provided your costs do not exceed $25.000.
'!"he bu:Ll.ding or residence must be for your own use or occupancy. It Diay not
be bu:L1t or suhstantial.J.y improved for sal.e or J.ease. If you sel.l. or 1.ease a
. buil.ding you havebui1t or suhstantial.J.y improved yoursel.f wit:h:i.D. 1 year after
the construction is compJ.ete, the 1aw wiJ.J. presume that you buil.t or
suhstantiaJ.l.yimproved if for aal.e or l.ease, which is a viol.ation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise peopl.e work:i.J1g on your building. It is your responsibil.ity to
make sure that peopl.e empl.oyed by you have l.icenses required by state l.aw and
by county or municipal. l.icensing ordinances. You may not del.egate the
responsibility for supervising work to a 1icensed contractor who is Dot
licensed to perfoz:m the work being doDe. Any person worJdng on your building
who is Dot licensed must work under your direct supervision and. must be
emp10yed by you, which means that you must deduct F.I.C.A. and wit.hhold.iD.g tax
and provide workers' compensation for that empl.oyee, al.l. as prescribed by 1aw.
Your construction must campl.y with al.l. app1icabl.e 1aws, or"';n~..,ces, buil.ding
=:sand.S~~: r~1.~S.~. /l "' 4
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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