HomeMy WebLinkAbout06-5296
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5296
Permit Number: 5296
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use:. NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 3527 TOURMALINE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s):261 Block: Section:
Subdivision: EMERALD POINTE
Parcel Number: 24-26-21-0060-00000-2610
6,000.00
1/05/2006
125.00
125.00
1/05/2006 Phone:
SCREEN ROOM AND LANAI EXTENSION
Name: SIMMONS, GLENWOOD C & BETTY P
Address: 3527 TOURMALINE DR
ZEPHYRHILLS, FL. 33542
/. ~~o.
y \ ~/ ~
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.
REINSPEcnON 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."
NO OCCUPANCY BEFORE C.O.
vsl,U'~ . I f~ ~
CONTRACTOR IGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
OWNER'S NAME
CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
BUIrING DEPARTMENT 5335 8u st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
, J DATE RECEIVED
PHONE CONTACT ~.~~~t~~~_d" ~:L..
1-8136-824-7:894
C/e n IVOO cI ~/ /It /)1(}/lJ PHONE To!! free,
3:;-61-7 Tdtlr;rz ~ j;IJ( 111 /~
'!4:IDV
,.~CE
JOB ADDRESS
PARCEL ID #
(OBTAIN FROM
.E~hlcI //;/~{
,t.p ;U~{}/'-f P/}-0
PROPERTY.TAX NOTICE)
LEGAL DESCRIPTION: LOT (S) J&/
cJ V-c)t, - J/- 007(}~()OOOd-~/O
BLOCK
SUBDIVISION
WORK PROPSED: ~~EW CONSTRUCTION
o SIGN
PROPOSED USE:pgSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
o MOVE
o ALTERATION
o REPAIR
o INSTALL
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
Of OF UNITS
o SWIMMING POOL
o MOBILE HOMI
o OTHER
DESCRIPTION OF WORK
BUILDING SIZE 10;< /0
,S" C'/UR A-
-f /0 X/O
c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL
/ tl /l6.-.{ yj-k/J~t~:^
SQUARE FOOTAGE ol()()',~
roO/iL
I
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
f/J.: BUILDING $ &, . ()(X) ,'3J VALUATION OF TOTAL CONSTRUCTION
'fj. 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 AREAO YES 0 NO
BUILDER
COMPANY tJcviPr - f-{P/} A.J()():/ tJ/fJf./flO/JJ
SIGNATURE
~rllit,-H(
STATE CERT OR REGIST f
ELECTRICIAN
****************************~***********************************
0-)~ COMPANY otUMr- ?t/ltVOdd tSL~/JLt!M
SIGNATURE
L.s-itl t____ (~/L
. '
STATE CERT OR REGIST f
************************************************~*****************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR ~EGIST *
******************************************************************
COMPANY
MECHANICAL
SIGNATURE
STATE CERT OR REGIST t
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST *
A.. NOTI~E OF DEED RESTRICTIONS
The undersigned understands that this p~rmit may be subject to ~de~d restri~tions" which
may be more restiictivethan 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 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, B13-780-0020~
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the ~Gotitractor 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 responsible for the work. .If the contractor wishes
you to sign as contractor that may be an indica~i6n 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 STA'I'UTES, .AS AMENDED)
I certif~ that I, the applicant, hays b.een 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 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 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 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 ~anks
*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 ~compensa,ting 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 abandoned for la
period of six months after the time. the work is commenced. One 90 day extension of time
may 6e allowed for the permit with f~echarge of $15.00. The extension shall 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 '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".
. t,:/ltiC, ~J{. . . \'J"ItC~ ')J(
SIGNATURE: OWNER/OR AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA ;J tl.Ja~
COUNTY OF . ..'
The foregoing instrument was ackndwledged
Before me thi;;i~ d,ay q!tJ . , 2CL-
by . "yfaClC ZLf.J .
~} (name' of person acknowledged) .
Lfwho is personally known to me,or
o who has produced
(type of identification)
Odid not ke oath.
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me thissi. QE.y n,f ' 20_
by . . \ __tit N Dd/fl
~ (name of person acknowledged)
~ho is personally known to me, or
/ a<P{)
Owho has produced
(type
and who Odid no
Si
.,
Name typed, printed or stamped
Name typed, printed or stamped
NOTICE OF COMMENCEMENT
C-l: ~ (1/' Z -4/11-
1111111 1111/1111I11111111I111111 11111 1111111111 111111111 1111
2005273609
F /0;-'( a{
County of
jJ 11 vt'-{)
State of
THE tmOERSIGNED hereby gives notice that improvement will be made to czrtain
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. .)t.j-~t -t)/- O()70- OOO()U- ~/()
La f ~(p I flU IYL/cI ;J };;J ;0;) -,)
(Legal description of the property and street address if available)
General Description of Improvement ,S tLU.A roOfi\- .j., I a/?IL/' J/k/1{/OA
2 .
3.
Rcpt. : 954789 Rec: 10.00
DS: 0.00 IT: 0.00
12/27/05 ___Dpty Clerk
Ow'ner Information: Name {:./~f)tuOJd S'~/)J/)?ON
l~ddress 35" J. 77fj{/r/nlij IN 4. City '2e.,:Jt./J"L/1r State;l. 31fY()
I v
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
1~~J;)~~"~~:3~~~COICOUNr,.v CLERK
OR BK 6766 PG d0~
Address
City
State
o LLI I-..e..r
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 to receive a copy of the.
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Exp~ration dnte or NotIce or Commencement (the expiration date is 1 year
fr?m the date of recording unless a different date is specified.)
SignatureOfowne~~ ~,~~
Sworn to and subscribed before me this IS Y( day of .0.l?e~~r
-T9,~1ur; .
Notary Public: ~<::;;d~ ~~ ~A
NOTARY PUBUC.STATE OF FLORIDA :'~",,:o,Aj ~. ~0.rt6"t,i~ :;.:i~::'F;j":.
My Commission Wi~~~~: l-~,~~::~~\q"
Bonded Thru Atlantic Bonding Co., Inc.
PC93053048
DISCLOSORB ~.I5IUUI"r ll'OIl 0WJl1BR
CrrY OP ZDBYJUIJ:Lt.s BUJ:LDD1G DBPA1rDIID1"l'
&- (p t{ )00(./ tS-'Lm In eM
agree to the provisions of t:his instrument.
I,
have read. and. fully understand and
The undersigned states and affizms that he or she is desirous of constructing,
renovating, a......hig to or reroofing his or her own ClaD:i.cil.e, that he or she
actually occupies, or wil.l. occapy by said c:lomicil.e, and. same is not for
rent, lease or sal.e. That he or she shal.J. campl.y w:l.th the foJ.J.owing CODdi.tions:
1. That the owner and he or she al.one shal.l. act as the buil.der for al.1 phases of
construction.
2. That the owner wil.l. compJ.y with al.l. provisions of the City of Zephyrhil.J.s
ord" n,,:aces and. codes pertiDent to the buil.d.iD.g.
3 . That in the event various phases of CODStruction are S1Jhcontracted., he wil.l.
engage only properl.y licensed subcontractors. and wil.l. persona1.l.y supervise
such work.-
4. That iD the event the Buil.ding XDspector shall require corrections to be made,
the owner wil.l. assume full. responsibil.ity to insure they are made, and upon
compl.etion wil.l. cal.l. for a reiDspecti011 before proceeding with the building.
5. That the owner shal.l. asS1Jllle full. responsibil.i ty for the construction and. wil.l.
not expect supervision of his work from the City of Zephyrhil.l.s Buil.d.iD.g
Department.
6. That prior to final. inspection any a.dd.i.tiODaJ. fees, in.cl.uding re:i.Dspection
fees, must be paid in ful.l.. A written request from this office shal.l.
constit:ute an official. notice to pay add:i.ticmal. fees.
7. That the owner shall. campl.y with all. City, State aDd Federal. l.awe in regard to
social. security, workman's compensation, l.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
J:nd.ustrial. Commission.
9. State l.aw requires construction to be done by l.icensed contractors. You have
appl.ied for a parmi. t UDder an exeDQiltion 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 DOt have a l.icense. You JIl'QSt provide direct
onsite supervision of the construction yoursel.f. You may buil.d or improve a
one-famil.y or two-famil.y residence or a faxm outbu:l.l.di.ng. You may al.sa buil.d
or improve a cOllllllercial. buil.ding, provided your costs do not exceed $25,000.
The buil.d.iD.g or residence mnst be for your own use or occupancy. It:aiay not
be buil. t or substantial.l.y improved for sal.e or J.ease. If you sel.J. or l.ease a
- buil.d.iD.g you havebuil.t or substaDtial.l.y improved yoursel.f wit:hiD 1 year after
the construction is campl.ete, the law wilJ. pre&1D88 that you buiJ.t or
substantial.l.yimproved if for sal.e or lease, which is a viol.ation of this
exemption. You may not hire an tml.icensed persOn to act as your contractor or
to supervise peepl.e working on your build.iD.g. 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 ordi "l.'1ees . You may DOt c:lel.egat:e the
responsibility for supervising work to a l.icensed contractor who is Dot
l.icensed to perfor.m the work being done. Any person working on your building
who is Dot licensed must work UDder your direct supervision and. must be
empJ.oyed by you, which means that you must deduct F.I.C.A. and. wit:hhol.ding tax
and. provide workers' compensation for that empl.oyee, al.l. as prescribed by l.aw.
Your CODStrue. ~:onmn.lIillt c'~Ilt>l.y with al.l licabl.e l.aws, or"';n.'1ces, buil.d:i.D.g
codes, and. zoIu.D.g' r ons. ....
OlIlIIIIl'S SIGIllI: , ~ DArB I af y to:r
ADDBBSS J),.) 7 /O(t'l/>> {L).,p lflll'l
PlIORB
~r/&L~~ ~l
PBRJIJ:'J.' #
WITBBSS.
!7 tl1 toM \.![ In ftJd /J.I'
Name
J )627 7(;tvV1t~ ~-M (it JL,~
Address
2e b L" r L'J1t F /. 31PJ<)
, J
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,
ciI2~~~
signature
NOTARY
STATE OE' FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this /5-f'- day of De c.
Personally known or Produced identification
;;2005
, .
...---
Commissioned Stamp
and Expiration Date
Y3ak
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