HomeMy WebLinkAbout06-5453
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
\.
5453
Permit #: 5453 Issued: 2/14/2006
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 5,000.00 Total Fees: 117.50
Amount Paid: 117.50 Date Paid: 2/15/2006
Address: 38749 5TH AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-14700-0090
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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.
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."
~.
TRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DISCLOSURE STATEMENT FOR OWNER
([.,../ -1t1J.. ~ I. Cr;UF ZEPImlllr;LLS BtT.[LDDIG DEPAl!_
I, ~~ have read and fully understand and
agree to the provisions of this instrument.
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
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1.
That the owner and he or she alone shall act as the builder for all phases of
construction.
That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an officia~ notice to pay additional fees.
That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable.
That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. 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 improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building ,or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withhOlding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction m t comply with all applicable laws, ordinances, building
codes, and zoning r lions
2.
3.
4.
5.
6.
7.
8.
9.
OWNER'S
ADDRESS
PHONE
DATlp --I Lf --,~ (0
WITNESS
PERMJ:T #
CI1!'Y OF ~J!iJ:'n .I..t\n.....u.uu ... .......-- - --- - --
BUIILDING DEPARTMENT 5335 8~B at, ZephyrhiJ.ls, FT... 33542 .. ~
813-780-0020 FAX: 813-780-0021 . CO\^ CI~
J DATE RECEIVED~
PHONE GONTACT FOR PERMITTING<t\3,-nL- 56)"9
OWNER'S NAME ~ VV\€J\~n~~ . PHONE <('\)-1~l-%5f)
.JOB ADD""SS 3:1 C{ 9 >>A:t 1?r~ "\ rh.U,S FL--- "3 2,Sl{ 0
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 it
WORK PROPSED: []NEW CONSTRUCTION
DS~
PROPOSED USE: ~GL FAMILY DWELLING
o COMMERCIAL
o MOVE
o ALTERATION
o DEMOLISH
o REPAIR
o INSTALL
OMULTI-FAMILY
o INDUSTRIAL
Of OF UNITS
o SWIMMING POOL
o MOBILE HOt-:
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APrROVAI,
C1l7U;tN ~.+
BUILDING SIZE
SQUARE FOOTAGE
(of/sO P1'
HEIGHT <;; Fl-
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.
tJo<..
~os -/0
PERMITS REQUESTED s\f-' t4fr..~J.-
$
5,COQ
~UILDING
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAY $
o GAS~OOFING 0 SPE?ALTY
TYPE OF CONSTRUCTION: eyfBLOCK
AMP SERVICE
o Progress Energy 0
W.R.E.C.
VALUATION OF'MECHANCIAL INSTALLATION
o yfHER
dFRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
:::::E~rneN~e~~ett
STATE CERT OR REGIST i
EUCTRICUN lh~~;;Z~*i*****=H***::?i::* e OWNrI"
SIGNATURE v'/\JV~ STATE CERT OR REGIST I
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
********************************************~****~***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST .
A.. NOTIGE OF DEED RESTRICTIONS
Th~ undersigned understands that this permit may be subject to "deed restrictions" which
maybe more restrictive than. City regulations. The undersigned assumes responsibility for
compliance with any appiicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
If the owner has hired a contractor or contr<;\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 misdemea~or
violation under s~ate law. If the owner or intended contractor ar~ uncertain ~s 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 "Gohtractor. Sections" of this ~pplication for which they
will be tesponsible. It ydu,'as ~he 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' li~ensed and is
not entitled to permitting privileges in the city of Zephyrhills.
C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECT,I,ON FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STArUTES, AS AMENDED)
I certify that I, the applicant, haYEi! been provided with a copy'of "Florida's Construction,
lien Law _ Homeowner's.protection Guide" prepared by the Florida Department ot Agriculture I
and Consumer Affairs. If the applicant is someone other that the "owner" I I cerify that I I
h~ve obtained a copy of the above d~scribed document and promise in good faith to deliver '
it to the "ownerif 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
I development. ' '
Appli,ation ia hereby made to obtaIn a permit to do wnrk and inataliacion aa indicated. I i
certify that no work or installation has commenced prior to issuance of a permit and that Ii
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 I
certify that I .underatand chat the reguiations of other governmental agencies may appiy to ]
the intended work, and that it is my responsibility to identify what actions I must take tOll
be in compliance. Such agencies inolude but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, wetland Areas and Environmentally Senaitive I
Lands, Water/Wastewater Treatment' i
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, !
Altering Watercourses I
*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 certity that, if fill material is to be used in Floqd Zone "A" or "A, etc.", it is i
understood that a drainage plan addressing a;~'compensa,ting volume" will be submitted which I
is prepared by a prOfessional engineer registered in the State of Florida prior to permit '
. ~
J.ssuance.
A permit issued shall ,be ,construed to be a license to proceed with the work ~nd 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 l~
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 INTENU TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A 'INOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
ackndwledged
, 2~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me, this ~day of ',I 20_
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
(name' of person acknowledged)
D who. is personally known to me, . or
(name of persor acknowledged)
C1ho is personally known to me, or
D who has produced
(type
and wrioD did D did not
of identification)
take an oath.
D who has produced
(type of identification)
and. who Odid [}:iidnot take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
"
Name typed, printed or stamped
Name typed, printed or stamped
FLA. 1977 LAWS
FS 713.13
11111111111111111 UIII 11111 11111 11111 11111111111111I11111111
2006031467
NOTICE OF COMMEN.CEMENT
...REP...RE IN DUPLICATE' Rept: 969980 Ree: 10.00
State of Florida } OS: 0.00 IT: 0.00
County of \ 02/15/06 Dpty Clerk
The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance
with section 713.13 of the Florida Statutes. the following information is stated in thi.s NOTICE OF COMMENCEMENT,
Description of property . .~.~7. t '9. . . %~ . /1V: . . . . ~. p ~.~ 11~~~ . . .~~ . . .~). ? .? 'f .~. . . . . . . . . . . . . ..
.. ..'ParU~. m~... U ::.~b. :-~\ .-:. .QO.l. Q. ~ .l.~ ~i6.Q~O.990................... ......................
JEO PITTMRN PASCO COUNTY CLERK
.... ............................................... <.... C.....+............. ~:~~06t;42m ~G i969
Gene,a' de.c'JptJ~n otlmpm.amanta ..~Jf)....~..................................... f............... ......
Owna, " .~r1t.J'(\ellhe.(\ ne,:l:t./.~k ~ .!11B.t').\.1.E'.t'1I1.e. .1.......................
Address..;>' .....If.9.... .5rh.. ..IN. .-..:~~th ~~$..'~ .f~~.. 3 3S~f~?.. ....... ........... ......
Owner's interest in site of the improvement. . . . own. e.r. . . . . . . . .. . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . .
Fee Sims,Title hOI~e,r :ic~t~an oh~e~ Y\et\ C~eAL Of\ f\e Wlet1he Ilrle-tt
Nama ..!~ k (1.. . .. .. . ... Y.\ . . . . . . .. . . . . . " . . ../! . 'h; .. . . . . .. . . .. . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . .. .. . .
Address . .-~<{;l. .Lf9... .~.. JrJ.~... .~.~Yr... .l.~?.. .R:-~. 33S.~ .q..............................
C..I ~ .
Contractor . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address.. .~~. 71>. p~Q~............................................................. ............................
Surety (if any) ................................................:....................................................................
Address ...............................:......................................:............... .Amount of bond $ .. .. . ... .. .....
Any person making a loan for the construction of the improvements:
Name ..............................................................................................................................
Address .....................................................,.................. .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name
. .
.... .....0 '_..0 ...... ......... .... ........ ... .... ..... ... ........ ....... .......................... .......... ...............
Address ........................................................................................................................
In addition to himself, owner designates the following person to receive a copy of the Lienor's Noti'ce as provided in Sectiol!-/'
713.13 (1) (hI. Florida Statutes. (Fill in at Owner's option]. V
Nam.e :.............. ~... .;.~....~.._~__ ... ..................... .......... .................................... ........ ......
Address ..................... ~ ~
. THISSPACEFORRECOR~.~~.~.~~.~~.~~~......................... ................."(\.~. .... ......... . ............
....~..V..................................
. Owner
Sworn to and subscribed before me this. . .I~. . . . .~~~.C{~.'!-.~ .. .. . . .
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. ---- -.--- \
"ofJ.~ r~ o A""'" v:j r" I JOHNSON I
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~~~:T~I<Y ~:::;if~;,~.~::~~~~~
-------------.......-
........................day of ........ . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . .~ Gl.qr:!...
........~~~;~~;:............ ..... .....
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ALL APPLICABLE BUILDING,
ELECTRICAL, PLUMBING AND
MECHANICAL CODES.
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FLORIDA APPROVED PRODUCTS LIST
Parent Aooroval Manufacturer Category Subcate20ry App/SeQ # Product Model # or Name Model Description
FLl170 Therma-tru Corp. Ext. Door Swinging
FL1328 The Stanley Works - Door Systems Ext. Door Swinging
FLl321 Plastpro, Inc. Ext. Door Swinging
FLl9.1 Masonite Ext. Door Swinging
FL Windows Single Hun{!
FU92 Jacobson Window & Co., Inc. Windows Single Hung
FL663 Better-Bilt Window & Co., Inc. Windows Single Hung
FL Garage Door Sectional
FL22/285 Wayne-Dalton Garage Doors Garage Door Sectional
FL697 Amarr Garage Doors Garage Door Sectional
FLl606 Georgia Pacific Panel Walls Vinyl Siding
FL406 Cameron Ashley Building Products Panel Walls Soffits
FLl83 GAP Roofinq Asphalt Shingles Laminate
FLl96 GAP Roofinq Underlavments Waterproofing Underlayment
FL85 Owens Coming Roofinq Asphalt Shingles Laminate
FLl 00 1 Owens Coming Roofinq U nderlavments 1001.1 WeatherLock Mat Wateroroofing Underlayment
FLl793 Metals USA Roofinq Aluml1. Riser Pans Galvalume
FL474 Simpson Strong-Tie Co. Structural Components Wood Connectors Anchors H16 Truss Tie
FL474 Simnson Strong-Tie Co. Structural Comoonents Wood Connectors Anchors lI5 Truss Tie
FL474 Simmon Strong-Tie Co. Structural Components Wood Connectors Anchors HID Truss Tie
FL474 Simnson Stromr- Tie Co. Structural Components Wood Connectors Anchors SPl Stud Plate Tie
FL474 Simpson Strong-Tie Co. Structural Components Wood Connectors Anchors SP2 Stud Plate Tie
FLl901 Simnson Strong-Tie Co. Structural Components Wood Connectors Anchors LSTA 12 Strao Ties
FL474 Simnson Strong-Tie Co. Structural Comoonents Wood Connectors Anchors HUS28 Joist Hanger
FL474 Simnson Strong-Tie Co. Structural Components Wood Connectors Anchors CBQ44 Post Base
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ZfPHYKi1lllS, FlORIDA :?:?S42
REVIEW DATE:
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BUILDING OFFICIAL
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