HomeMy WebLinkAbout06-5383
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
.,--'--
5383
Permit #: 5383
Permit Type: ALUMINUM
Class of Work: SCREEN ENCLOSURE
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 4,385.00 Total Fees:
Amount Paid:
Address: 6536 NORTH LAKE DR.
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: SILVER OAKS
Parcel Number: 03-26-21-0120-00000-0790
Name: AHR, RANDY KE H
Addr: 6440 FT. KING ROAD
ZEPHYRHILLS. FL 33542
Phone: 813782-3513 lic: Phone:
Work Desc: SCREEN ROOM AND CONCRETE SLAB
BROOK ,JUDITH A.
6536 NORTHLAKE DR
ZEPHYRHILLS, FL. 33542
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REINSPECTION 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
--s.ff<~ ~ f~~
CONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 89 St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IWD
PASCO p~RMlr SE:'RIfIC~
PHONE CONTACT FOR PERMITTING 1-'8(q(q-S"l.{-7S9Q
l( 31
OWNER'S NAME :r//di~ A,6rooks
t;~ ~~ IJlorM/akp., 7};nv/!/)
LEGAL DESCRIPTION: LOT (S) '79 BLOCK
PARCEL ID # ;)3.- ;2h-:2.I-()/dJJ-()tJ{)ttJ-tJ 790
WORK PROPSED: ~W CONSTRUCTION o ADDITION
PHONE
lPt~jj~ R- J3sz1~
SUB IVISION 51 /Vev Oak!;
JOB ADDRESS
(OBTAIN FROM PROPERTY TAX NOTICE\
DALTERATION
o REPAIR
o INSTALL
DSIGN
PROPOSED USE:~FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
D RESTAURANT & HEALTH DEPARTMENT APPfOVAL
Scr-ee V1 IVtJ rvl + CtJAf . ,S[/ab
SQUARE FOOTAGE c1;;J. </- 1:'
HEIGHT
DESCRIPTION OF WORK
Itf X /~
,
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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
Noe.... /'
PERMITS REQUESTED
~ILDING
o ELECTRICAL
$
Jf38'5 ~.E.
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL $
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
d
k.t"""
/~~r
sf6~
'-./
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
SIGNATURE
.,-.-- '.-'."--' '-_.._-_...-.~.-. ."- .".-,." --.........-." ..~.. ,.- ,... -.."
eo~mRXS~C'JM[01l1
1 '_ -. .:. ' '. ,'. ; _.,: . ":.: '; '. ~,"': ...,. ',.' ,:.", . ,': -,,, . . - ,"' - '. . . .." . . '".
<1.z, )'\:) ~ . L .5
o COMPANY ~r'
,~~ STATE CERT OR REGIST * -;:?Y'(;;h
*********~**************** ***************************************
BUILDER
ELECTRICIAN
Z I L'" r1:.:fr()CJ:{ CS1f5COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions'" ',I''''''i.ch
may be more restrictive than City regulations. The undersigned assumes responsibility ~or
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 misdemeanor
violation under state 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 "Contractor Sections" 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 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 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 "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.
Appli~ation 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 take to
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 "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 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 'a
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 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 VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
.~~~
SIGNATURE: CONTRACTOR
STATE OF FLORIDA fJC{<ft(}
COUNTY OF
The foregoing ins~rument was acknowledged
~~fore .llJLulI1J1 ~/Jf:KJOf7dAIIMJ ,2~
(name of person acknowledged)
~WhO is personally known to me, or
STATE OF FLORIDA ~~C-
COUNTY OF ()
The foregoing inst1ument w~~noWl.edged
Before me this 3/4 daY.... of t/w:[. 20 ~
by ~.-btJ;:;;J.;"" S. 7),.. ~f
~ (name of person acknowledged)
LHho is personally known to me, or
o who has produced
(type of identification)
and whoO ~i? 90did not . ~ke an oath.
~~~_t{,-- ~LI(
Signature of person aking acknowledgement
Name
. . I prmyTr.~,.,:r"" ",., T"T,..~m ,
typed,;~R 'ln~~_~;,~ i~_fi~~:ed
. "'\"t"2')
. C. .omn.llSSlO~i :'f, 0~)' ~\ \., 'J
Exnircs: OC 1. 16, 2009
Bondedi lli'U' Atlantic Bonding Co., Inc.
Owho has produced
(type of identification)
and who Q.,o/d ~id not take an oath
C:SV cL(~ ftt/(
signatureN~'~S~~1L~~nowledgment
_ Stacie Zullo
~lBffii~iefi 'Ii D~4tJ2. O~ d
Name typ ~. ~ ~ ~~e
Bonded Thru Atlantic Bondin:,; (.)
NOTICE OF C()MMENCEMENT
'Stateof P/bf''1d./l/ County of Pa~'CD
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:
t('~ Of z4r/1r
1. Description of Property: Parcel No. 6;3-:J-6- r2/- 6f...20-{)tJotJo-tJ}9oJ
C':( - l)~ Go + 79 I ti-- 33!>""l.f ~
(Legal description of the property and street d ss if aVailable)
2. General Description of Improvement
< <;/L[b
SC.(f?P.n rOom tll1d QJ77cr~k
1111111111111111111111111111111111111111111111111111111I111I
2006021337
3. Owner Information: Name .5;WI--!I1 -srooks
Address {;z~3/p Ivfx-M hlffl [).r City Jrirh ,fk,
Interest in Property: f)o..J oe r
Name of Fee Simple Titleholder: sam~
(If other than owner)
State R- 33SY3.
Rcpt.:965748
DS: 0.00
02/02/06
Rec: 10.00
IT: 0.00
Dpty Clerk
Address
". ";l;.,i~,
'.... .,,'u~i.f.:."';
,'i't""l~
:. ~ ."1.
City
Contractor: Name .73-t:r.h r S 11I1/ mll1 (u;n
Address (LILlo WI- iirt Ad City 'ffj./i
5. Surety: Name
.-
State t1.-:535}ft;2->
State
Address
City
State
Amount of Bond: $
JED PITTMAN, PASCO COUNTY CLERK
02/02/06 12: 01pm 1 of 1
OR BK 6822 PG 1619
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 subsc . ed before me this " 0/( day of ~/}I/~(,
{' j "/I J
Notary Public: "'--. _:r~V {( L-,- ~. fL-
.. . NOTARY PUBUC-STATE OF FLORID/.
My CommIssIOn ExpIres: W Stade Zullo
PC93053048/ A Co~mission # DD482036
ExpU'es: ocr. 16, 2009
Bonded Thru Atlantic Bonding Co., Inc.
,20a.
.,?::
BAHR'S ALUMINUM INC.
6440 Fort King Rd
Zephyrhills FL 33542
(813-782-3513) Toll FI98:(866) 296-4316
Invoice No.
.
JINVOICE
Customer I
Name Judy Brooks
Address 6536 Northlake Drive - Silver Oaks
City ZephyrhiUs State ~
Phone 312-6533 cell#
I
ZIP ~S"if
Mise I
Date 1/1312006
Order No.
Rep
FOB
Description
Unit Price
TOTAL
Screen Room 14' x 1
- 14' x 16' Concrete Slab (Bugsrayed & Pumped)
_ 3" Composite Roof ( 141 sq ft ) wI Gutter & 4" Downspouts
Gutter Guard
- 30' Screen Room Wall
36" PH Screen Door
2" x 3" Extrusions 116" Kickplate I Fibreglass Screen
Permit & Enginering Included
1
$4,098.13 $
4,098.13
Tax Rate(s)
4,098.13
Payment I
286.87
..
4,385.00
Comments
Name
CC#
Expires
IOffice Use Only
I
We guarantee all material used in this contract to be as specified above and the entire job to be done in a neat,
workmanlike manner. Any variations from plan or alterations requiring extra labor or material will be perfonned only
upon written order and billed in addition to the sum covered by this contract.