HomeMy WebLinkAbout06-5393
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5393
Permit :5393
Permit Type: ALUMINUM
Class of Work: ALUMINUM PACKAGE
Proposed Use: RV PARK
Sq. Feet: Est. Value:
Cost: 9,600.00 Total Fees: 170.00
Amount Paid: 170.00 Date Paid: 2/06/2006
Address: 3520 TOURMALINE DR L
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number:
Phone: Lic:
Work Desc: LANAI
Name: BASTARACHE,RAYANANDA
Address: 3520 TOURMALINE DR LOT 272
ZEPHYRHILLS, FL. 33542
Phone: 519374-5657
Name: HOMEOWNER
Addr:
~p\P
< '" 01f'd ,(Y
ELECTRICAL ROUGH
LA
1ST ROUGH PLUMB
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."
~~~)b ~~
CO CTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
BUI:LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 d -i3-O~
813-780-0020 FAX: 813-7BO-0021 1- /
DATE RECEIVED It~;/ / pc/-?
PHONE CONTACT FOR PERMITTING
OWNER' s NAM~R A 'I....
JOB ADDRESS 1 c;+ ~ ...,~
W r:\.v:l\A
35;).0
BAs7ARAeH~
--ro v ,;? M. it ) I W'l e
PHONE S,q'.371J -'51o~7
DR..
LEGAL DESCRIPTION: LOT(S)
d-I d-
BLOCK
SUBDIVISION
PARCEL ID #
WORK PROPSED: ~W CONSTRUCTION
OSIGN
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
(OBTAIN FROM PROPERTY.TAX NOTICEl
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOMI
~THER
c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL
DESCRIPTION OF WORK L P. tJ ~~ S
BUILDING SIZE I ~ "'1; '3,J.-"' SQUARE FOOTAGE 38LJ
PJ.-lIS ):J.~/O SC(ipn Yl>N~
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
HEIGHT
I
10
& (1) SET ENERGY FORMS.
FORMS.
$
q,bCV,"..-'"
.. ~
~eJ'
/25
,
PERMITS REQUESTED
ijY1'iUILDING
roI'ELECTRICAL
~LUMBING
VALMATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
Progress Energy
o
W.R.E.C.
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS ~OOFING o SPECIALTY 0 OTHER
RMe\
TYPE OF CONSTRUCTION: 0 BLOCK ~RAME 0 STEEL o OTHER
3 :Vf '/- ~O
FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA 0 YES
r;r..,.l..-,..""'II"fr;-r......-'....~."'~-,,.~- -~--'~...-.,...,..,...-,..-,...,,-..!-..........~~- t~....,_.-t r~~ --~ -------<>---,--..~-~- - ~ 1-'" ~- i ... ~-'-\ .~-~ . ~1--' -"~--="~~...,r\'j:'~?
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~~~-'___.____~" il_~.~_ ___.._~_______ .. .,.- -.. "00'- ~__~.__oo__._
SIGNATURE
120.~V
~J<,."~,,,1le.
COMPANY
~~ .... r-.n..AA...-.
BUILDER
STATE CERT OR REGIST #
ELECTRICIAN
SIGNATURE"
************************~o*~~**********************************
/J /2 j :). cOMPANY~..m.~.~
~ ~ STATE CERT OR REGIST #
I __. ~ ***********************************************************:**!*** .
~ ~ .,'._ 'Lrrll.ILlJ1-. J~ ~ (~lI\AnLP---112. }f\$S,Tw<;ll'tHi.:.;v
PLU!ffiER ~~:~~ .,,-,,,,, COMPANY ~
SIGNATURE ~ ~~ STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTIC.E OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" whic.
may be more restrictive than City regulations. The undersigned assumes responsibility
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 requ.
to be licensed in accordance with state and 16cal 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 "Cohtractor Sections" of this ~pplication 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 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
,,20_
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
./'1type
and whoD did 0 did not
ot identification)
take an oath.
o who has produced
(type of identification)
and who Odid Oiid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
I, ~A'f
agree to the
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRBILLS BUILDING DEPARTKENT
Sa sfa tet\ej\e.
provisions of this instrument.
have read and fully understand and
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile" that he or she
actua1ly occupies, or wi11 occupy by said domicile, and same is not for
rent, lease or sale. That he or she shal1 comply with the fo1lowing conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comp1y with all provisions of the City of Zephyrhil1s
ordinances and codes pertinent to .the building.
3. That in the event various phases of construction are subcontracted, he will
engage on1y proper1y licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner wil1 assume full responsibility to insure they are made, and upon
completion wi1l call for a reinspection before proceeding with thebui1ding.
5. That the owner sha11 assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhil1s Bui1ding
Department.
6. That prior to final inspection any additiona1 fees, inc1uding reinspection
fees, must be paid in fu11. A written request from this office shall
.constitute an officia~ notice. to pay additional fees.
7. That the owner sha1l comp1y with all City, State and Federa1 laws' in regard to
social security, workman's compensation, lien 1aws, etc., where applicable.
8. That the owner sha11 comp1y with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that 1aw. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or ~r~ea
one-family or two-family residence or a farm outbui1ding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The bui1ding "or residence must be for your own use or occupancy. It may not
be bui1t or substantia11y improved for sale or lease. If you s&al;or lease a
bui1ding you have bui1t or substantia1ly improved yourse1f within 1 year after
the construction is complete, the law wil1 presume that you built or
substantia1ly improved if for sale or 1ease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise peop1e working on your bui1ding. It is your responsibi1ity to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not de1egate the
responsibility for supervising work to a licensed contractor who is not
1icensed to perform the work being done. Any person working on your building
who is not 1icensed must work under your direct supervision and must be
emp10yed by you, which means that you must deduct F.I.C.A. and withho1ding tax
and provide workers' compensation for that emp1oyee, all as prescribed by 1aw.
Your construction must comply with a1l app1icab1e laws, ordinances, bui1ding
co4es, and zoning regulations.. __ ~_
=~~ :3Q~ -rt~~'~ DATE --:JOv, 3OJOep,
PHONE .5' lq- 371{- SIo t:;'7
WITNE~
PERMIT #:
1977 ~Awi;
'3.13
SEMINOLE FORM 408
N.OTICE OF COMMEN.CEMENT
co.:;' o~'O"d. . } ..:.... ,. ou..,cn., ~~~W~~~!WIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
The undersigned hereby informs al1 concerned that improvements will be made to certain real property. anti in accordance
with section 713.13 of the Florida Statutes. the following information is stated in thi.s NOTICE OF COMMENCEMENT.
Description of property.. .3.$~.Q.. ..~Vam.19: f.:l.ty:~..... ptf..:.............. .4?:t.. ~ 7:)................
.............................:......... .~I!PH. .'181:1:1.'-:-.4-.>...;. .~./~.?9.I?~.Qff..... .~~~1J;~1 ~P.f.Q~~7;{ c
..........................................................~:;, ~.C:;;.rQ...:.......,.................................................
.. . L LJ il fA -r.. Rcpt: 966261 Rec: 10.00
General descriptIon of Improvements .......... /./. (Y. . ............................. DS: 0.00 IT: 0.00
owner..R A~...:'... .WltlVPfl....... .B..4$TfI:~4clf~,......... .~~.~~~.~~~.. ~~~~.~~~~. .~~~~.k.
Address. .3.$'r??O. ... .'. .1J?C!..R.m.4.""-I.N..~...... .~f<...'..... .'.:?fP;JYRHN:,.'-:.>;... &.?44~.. ~.i.~LjO
. rE"" 5 C
Owner's interest in site of the improvement. ........... .t;;... .... lm P~... .'...... . ... ...... . . . .. , . ". ...... . '...... .. .. ... ... .
Fee Simple Title holder (if ether than owner) .
JED PITTMAN, PASCO COUNTY CLERK
02/03/06 12: 53=, 1 .If \.
OR BK 682:) PG :)84
Address .........................................................................................................................
,
Name .......:...... :'.:. .::. . . .. ... . . - . . . .. . . . . . .. . . .. '.' . . . . . . . . .'. . . .. . . . . . . . . . . . . . . ..
R
Contractor. .R.fI:.i...tlt1:~-r:lJl?Ac;l.e,..:....... ...... -......... ... ...........................;......................
Address .~.$;k?'7fi(//~m.q, bd.e.. .j)tf....... .2.~I'!IYlfjJl4-.(.... RA/{'(o/J:.... .~3$.~O'""""",,,
Surety (if any) ................................................:...................................................................
Addres,s ..-..........,..................:........ '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . Amount of bond $ . . . . . . . . . . . . . . .
Any person making a loan for the construction of the improvements:
Name ............................................................................................................................
Add.ress ........... ..........................................'.:...... ........... .,...................:..............................
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name ......-.........................,...........................................................................................
. -
Address ........................................................................................................................
In addition to himself. owner designates the following person to receive a copy of the Lienor's Notrce as provided in Section ---
713.13 (1) (h). Florida Statutes. (Fill in at Owner's option). 'Vt'-
. Nam.e :.. ..... ....... ~... "'~'.'~"~--"""""""""""" .,........ ........................... ............... .......
, STATE OF FLORIDA.......'.,
COUNTY OF PASCo' . ",
THIS IS TO CERTIfy' THAT THE FOREGO.LN~IS A
TRUE AND CORRECT COfl,Y OF !HE DOCUMrNTON."FILE
OR OF PUBLIC RECORD 1\1 THIS,OFFI~!JNES.S MY
HAND AND OFFICIAL'~~L THIS ' UAi~OF
~ " iA'70) . .-
~~ '" 2': "VIP '" '
JED p~ RK oi6,'Rti;tr'miBRT'
BY .' ""-- DEPUTY CLERK
Address T~I'S' ~~~~~.;~~.~~~.~~~.~~.~. ~~.~ ~.~~~....................... ...... ./).... /j ._-.:.:;t-~~.. .fL.............................
. ) ..l~rJ~l.~..~~... ............... .........
{};rl&rl{J-' L7;JJJ- 13077'L/- 6-'i~~-.Y/oo2-
Sworn to and subscribed before me this ...............:...............
'~a> "~ s:A1. .:. ,/a)~
,..2"d'Vor ....;. pailJllii1};,. . . '1 . . ./. . .Ukmm.
....~~..1(!~...0~.....
Notary Public
. ,'\~'Lf.UI Eileen R. Weber
l~ti'/i.'~A commission # 00422728
~E\~~!\ti Expires April 26. 2009
fJ,7-;.'~. t?~ Ilonded Troy Fein .1...I1Inc.. Inc, 800-385-7019
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REVIEt.v DATE: 2. /'
CITY F ZEPHY {,
BUILD NG OFFICIAL
Ie
1115>"1'
BUI DING SHALL COMPLY WITH
ALL PLICABLE CITY OF
ZEP LLS ORDIN ANCE.
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