HomeMy WebLinkAbout06-5297
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5297
Permit Number: 5297
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost: 22,667.42
Date Issued: 1/05/2006
Total Fees: 252.50
Amount Paid: 252.50
Date Paid: 1/05/2006
Work Desc: SCREEN ROOM
Address: 37533 LILLY B A L
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0010-02800-0250
ACE ELECTRICAL SYSTEMS,INC
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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.
REINSPEC110N 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.
-:~~~ '" ~-~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
"'dq I
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(.;J.'.I.'X OJf li.Hi~tiXKtiJ.LLS ~lllRMl'J.' A~~LJ.CAtJ.'.LO~
BUILDING DEPARTMl!:NT 5335 8th Street, Zephyrhill., FL 33542
813-78P-0020 FAX:813-780-0021
DATE RECEIVED \ 11..4/0<0
PLANS REVIEW FEE
OWNER' S NAM~(~ \-\(~\ -C- ~'f\ ~\\-:=> PHONE'~C)~~~\~~
JOB ADDRES[-=5\~~~ L\\ ~~C:L ~)\ ~)
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISIO~ C'(~\-\(~( ;~
PARCEL 10 #~~~\~~\~:)~.:::::J~n--~ (OBTAIN FROM PROPERTY TAX NOnCE)
WORK PROPSED: ~CONSTRUCTION ~TION OALTERATION 0 REPAIR ~ALL
o SIGN
PROPOSED USE: ~AMILY DWELLING
o MOVE
o DEMOLISH
o COMMERCIAL
o MOBILE HOME
~.
o SWIMMING POOL \=\\~:~~"'"
~~RANT & HEALTH D~~~~APPROVAL
\'C=;)\L~ ( ,~N\ I r0~d ~((0q)
SQUARE FOOTAGE~~
OMULTI,,"FAMILY
0# OF UNITS
o INDUSTRIAL
DESCRIPTION OF WORK
BUILDING SIZE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS &. (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~oc _
~l~G
~CTRICAL
PERMITS .. UgUESTED
, . .
~'-~\. ~ '4~ VALUATION OF
l
AMP SERVICE
o
TOTAL CONSTRUCTION
FLORI'DA POWER ,~. R, E. C:~
"---..>\\ Q ~~
o PLUMBING
o ~~"=CHAlnCAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TY [oE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
fINISHED fLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO
:~::~~ ,0 '~~ C'~
. ~PANY '- .cA'
~ . ST TE CERT OR REGIS~ #
~ CITY PROCESSING # ~
* * * * * * * '" * * * * * * '" * '" *'" '" * '" '" * * * '" '" '" * '" * '" "'''' '" * * '" * * '" * '" * * '" '" ... '" '" '" '" '" '" '" * * * '" * * * * * ~._ .~ 0::-
ELECTRICIAN ~~' ~~PANY'Nt \)'1='-\QA(~ :>.
~.." '. STATE CERT OR REGIST #
SIGNATU ~ C r ~~SSING # \'~)
****************"''''**'''*************'''***'''*************'''*"'******"'****
'.
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**************************"'******"'*"'**"'''''''**'''**'''********"'****"'*****
S I Gl~ATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
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SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
OTHER
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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 mlsdemeanor
violation under state law. If the owner or intended contractor are uncertain as to \;,hat
licensing requirements may apply for the intende~ work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, h, is advised to have the
contractor{s} sign portions of the "Contractor SectionsH 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 indication that he is not properly licensed and l~
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 "ownerH 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.
Application 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 ~ake tc
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 "AH 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 perffilt 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 ~equiring 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 ,
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with tee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each 51
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, CONSUL
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 COMMENCEMENTH.
~~ 1 f~e~
S NATURE: '<. NER OR AGENT
~'"~ -t?d J'(
SI ATURE: TRACTOR
STATE OF FLORID~~\~ .~
COUNTY OF
The foregoing instrument was acknowledged
Bef,\:e me t~ '-\ day of--S~ , 20U-~
by N~ 00R .
_ )..name of person acknowledged)
~o is personally known to me, or
STATE OF FLORIDA? <::.,.~ ~
COUNTY OF )~ .
The foregoing in trument ~wledZb~
Bef e me thi ~ of ~ ,-
by ,
_ ~m of person acknowledged)
~o is personally known to me, or
Owho has produced Dwho has produced
~type of identification) _ {tp:l-.e of identifica.Clor
an'\c"hoOdid g-8id no; 'l an oath. ~nd ~~o 01id'DW8~n~, .:} anoat~
~{.; A. ~_,~ ?C11 '( ~~ . '- ~_A ~ LC')e~ ,~
Slgnature of person taking' acknowledgement Signature of person taking acknowledgment
Name t
~ r ~~lItbfci1opl1ed~
, SabrIna Rae Cant
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Of XpII8I ..,.w=""".~,.
Ndll1e ty
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or stamped
NotaIy Public Slate ;'f-;~rl(J~"
Sabrina Rae Cant ~
My Commission 00463;>ti~
Expwes 0811812009
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ZEPJIYlUIILLSy PL 33S43
7REE ESTIMATES
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2006003302
This ~pace for use by Clerk of the Circuit Court only,
"
Rec: 10.00
IT: 0.00
Dpty Clerk
I
JEO PITTMAN. PASCO COUNTY CLERK
01/06/06 08: 56 am 1 of 1
OR BK 6784 PG 413
Rcpl:957883
os: 0.00
01/06/06
~PTIC!; OF COMMENCEMEN!
Slale of Florida
The undersigned hereby gives noUee that Improvements will be made to certain real property, end In accordance wilh
SecUon 713.13 of the Florida Slalules,lhe folloWing Informallon Is provided In Ih.e NOTICE F COMM~ENT,
. ~ ' -t-\-~
1, Legal Descrlplion of property (.treet dr.. r ulred): \ \, ~ -
'~
2, General descripUon 0' Improvemenls:
J. ~;:; ~:::~;~ ~~~ ~0"'tt ~ I:"> ~'I .<; :>'~Jc,\ \
3b. Owner's inlereslln slle:
3c, Fee Simple Tille holder (of other than owner)
Address: .
R · ~:::~..~~~M~~~~;;" t<;\-~"~-\0~L\
5, Surety Name: Amount of bond:
Address: Phone:
6. Lender Name:
Address:
Contact:
Phone:
7. Person wilhln the Stafe of Florida designated by owner upon whom nollces or olher documents may be served as provided by
Section 7.13.13(1)(a)7, Florida Statutes,
Name:
Address:
Phone Number:
8. In addition 10 hlms.ell, Owner deslgnales lhe lallowlng person to receive 8 copy of lhe Lienor's Notice as provided In S,eclion
7.13.13(1)(b), Florida Statutes,
Name:
Addre..:
Phone Number:
9. Explralion date of NoUce of Commencement (explraUon date Is one (1) y,ar fr~m date of recording union a dlfferenl dale Is
""III'dl /~, ~~' 1,~J1I,-<- ~.
~r~~E,OFFLORIDA ' ~~~'L. ~~~~'~'fO"""~
~~ \\ . 2~bY
who (Is) (are) persqnally knnwn In mLor
" nllncaUon, who did/did not take an oalh.
(Drl.""L1C~.~.... ) . ~
C:::>-=--~=Z~<~_~Q SiJ ~ ~ --. ~PubllcSlateofFIorida
Signature. Notary Public MyCom~t
ExP/fes 081181200900463268
The foregoing instrumenl
.. produced
(A copy of any bond musl be attached elthe lime of "cordellon of thl. Nollce 01 Commencement)
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CEFHlFV THAT THE POREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE
OR OF PUBLIC REC.ORO IN THIS OFF~T.NESS MY
HAND ANq OWCIj.L SEAL THIS ~ DAY OF
V4N' 200
JED ;!ttN. ~K O~TCOURT
BY ,a.& DEPUTY CLERK