HomeMy WebLinkAbout06-5466
.
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5466
ermlt Number: 5466
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 3517 MALACHITE DR LOT 153
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number: 24-26-21-0040-00000-1530
2,400.00
2/17/2006
112.50
112.50
2/17/2006 Phone:
SCREEN ROOM ADDITION & REFRAMING OF STORAGE ROOM
Name: GIER, RON
Address: 3517 MALACHITE DR LOT 153
ZEPHYRHILLS, FL. 33542
~ \01"
~,{' '(). -:F ~\ (9J"
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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.
REINSPECTlON 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 SIGNA ~M~
CALL OR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, ,
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 STH St, Zephyrhills, FL 33542
813-780-0020 FAX:S13-780-0021
DATE RECEIVED d -17- 0(0
PASCO p~R'Mtr .s~IfICE
PHONE CONTACT FOR PERMITTING 1-'BiOlD-S),Lf:-7g91.f
OWNER'S NAME
Lv t /s3,
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID #
FROM PROPERTY TAX NOTICE)
WORK PROPSED: []NEW CONSTRUCTION
[] SIGN
PROPOSED USE: DSGL F.AMILY DWELLING
[] COMMERCIAL
~ADDITION ~TERATION o REPAIR o INSTALL
o MOVE 0 DEMOLISH
[]MULT I - F.AMI L Y []# OF UNITS o MOBILE HOME
o INDUSTRIAL o SWIMMING POOL .%OTHER
S J::J RESTAURANT & HEALTH DEPARTMENT APPROVAL
cr~e~- d" 'r
DESCRIPTION OF WORK () d t-+run 'Y (f 07 I n or store<.! e- rVVl..
BUILDING SIZE <:j '/. 13, {L SQUARE FOOTAGE D5, b 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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~ILDING
~LECTRICAL
$ J,J-f DO O.Q..
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
.AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
[] PLUMBING
[] MECHANICAL
$
[] GAS
[] ROOFING
[] SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
[] OTHER
TYPE OF CONSTRUCTION: [] BLOCK
o FRAME
[] STEEL
[] OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[] YES 0 NO '
.......-..."..--. ,--,---",~,~,-",-",--"---,,-,,,'-'., ..,--.' ... ---......-,
~$~mc>;Ry,$~CIJMtOb.l
BUILDER Ot.U(\e% _ " ~'1,'jDcoMPANYi<()n Ge.q~ DUJher
SIGNATURE (Mjlz~J!",.(;(jJM~.z;:-. STATE CERT OR REGIST #
******************************************************************
ELECTRICIAN () /'un,';/,'/. l-'f):,:5>J COMPANY Ron &tel - o~ n .f?A--
SIGNATURE tfJtl!t7A'::~'W ~Y-- 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 restriction~" 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 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 Servlces, 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 COMMENCE NT. JOBS UNDER
$2,500 IN VALUE DO NOT A TO RECORD AND POST A "NOTICE OF COMMENCE"
~1~44d;~/
SIGNATURE: OWNER OR AGENT
~~~~~Y O~FFL78\c u
The foregoing ins~ument was apknowledged .
Before ~. thi,13 c).,A- day of Pl'..bItU~.;}, 2Q..1Lb
by !<OYl-r:..-l,rr;:;:e-v
(name of person acknowledged)
Owho is personally known to me, or
~~ho has produced cI;, flU Ii t/Atf-,('
(type of identification)
and whoO dl,' d, /0, ,did not take an oath.
U)L fi a~ C/L{J-D L
STATE OF FLORIDA-r::::;> _
COUNTY OF -L-(.L~ C [)
The foregoing i~stlument wa~a~k9~wledged
Before me Jebi1:j ~dg.y: of F,dJ91l((j.~ ' 20 C (;
by hl~,~ &ze r
(name of person acknowledged)
C1ho is personally known to me, or
~ho has produced cA ,'wr j h~A...r-t
(type of identification)
~id not take an oath
and who ~ qdid .
~a fit
01 tr VC
Signature of person taking acknowledgement
Signature of person taking acknowledgment
NOTARY PUBUC-STATE OF F:, ".!
~ Stacie C,,:,,:,,',:
Name ty '~oflWl~~i';~~ed
,Exp1l'eS. OCT. '\; ..
Bonded Thru Atlantic: BonciiLg '~>, '
Name typed,
(;0 n (;l-t ("'
Name
35/7 mttlaeh~fe-lJrIVe/
Address
ZCfh"d,k /~ h 33WC
To Whom It May Concern,
Please be advised that:
(.J"Olr
Stacie Zullo, & Debbie Dokendorf of Pasco
Permit Service have my permission until further written
notice to sign and pick up permits for me.
SincerelY~ ____
-/A2~ .~~
signature
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this C;~ day of C6br-vClfl;t:' ,,:;)60 b .
Personally known or Produced identificatio _~
L" .~
~ ;,:...:
~~~-
Nary s. ature
Commissioned Stamp
and Expiration Date
Page 1
I,
Kon
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
{;er
have z'ead 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 c.omicile, that he or she
actually occupies, or will occupy by saic; domicile, and same is not for
rent, lease or sale. That he or she shall comply ~'ith 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 constructie,n are subcontracted, he will
engage only properly licensed subcontractors ~.d 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 iZ:.sure they are made, and upon
completion will call for a reinspect ion before proceeding with the building.
That the owner shall assume full responsibilit}. for the construction and will
not expect supervision of his work from the Ci t,y 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 official notice to pay additional fees.
That the owner shall comply with all City, Stat:e 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 licElnse. 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 otLtbuilding. 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 preelume that you built or
substantially improved if for sale or lease, wlLich is a violation of this
exemption. You may not hire an unlicensed perElon 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 licElnses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibili ty for supervising work to a licenEled 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 emp:.oyee. all as prescribed by law.
Your construction must comply with all appl'c~)le laws, ordinances, building
codes, and zoning regu ons . ,.,..-'
2.
3.
4.
5.
6.
7.
8.
9.
OWNER'S
ADDRESS
PHONE
~" b - {j,h
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WITNESS
PERMIT #
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Approved Product List
Product Category Sub Category Manufacturer State of FL
Approval #
Roofing Composite Panel Metals USA FL 2291
Roofing 3" Riser Pan .030 Metals USA FL 1793
2" Prime Entry Door Swinging Custom Windows FL 161
Exterior Door Swinging Therma- Tru Corp. FL 1170
Glass Patio Door Sliding Custom Windows FL 157
(9000 Series)
Garage Door Sectional CLOPAY FL 549
Glass Window Single Hung Custom Windows FL 163
(3500 Series)
Glass Window Horizontal Slider Custom Windows FL 153
(7000 Series)
Glass Window Single Hung Phillips Shed FL 2333
Acrylic Window Horizontal Slider Custom Windows FL 1575
(5200 Series)
Vinyl Windows 2 & 4 Track Vertical Custom Window FL 1575
Siding Vinyl Siding Georgia Pacific FL 1606
Struct. Component Wood Connector Anchors Simpson Strong-Tie Co. FL 474
Struct. Component Wood Connector Anchors Simpson Strong-Tie Co. FL 474
Struct. Component Wood Connector Anchors Simpson Strong-Tie Co. FL 1901
Struct. Component Wood Connector Anchors Simpson Strong-Tie CO. FL 474
Struct. Component Wood Connector Anchors Simpson Strong-Tie Co. FL 474
Metal Bldgs & Roof Galvalume Sheet Metal ALL FL 677
I
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t ~A.D,S. Signs, Inc.
. A FUll SERVICE SIGN COMPANY
'V' ,.............. ,--'"
VI
1607 N. Hercules Ave.
Clearwater, Florida 33765
Voice 727-441-8989
Fax 727-441-8889
SALES, SERVICE, INSTALLATION
CHECKED BY
DATE
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," -ho. - . h" ve ~eV"'C("'r""eCl o.nd reViewed thiS Dlo.n
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[NGjN~ER '_!ctNCE: IiS36GS
ENCLOSE CAR PORT
'H(,: or
CONCRETE SLAB 8. FOUNDATION
REVIEW DATE:_Z /[2 ) ,
CITY OF ZEPIIYRlti~ \
BU'LDlNG OFFrCIAL_ /1 ~ J I~
3068 PH DOOR MAY BE
LOCATt::D AT EITHER SIDE DR END
RA~ED FOR 120 MPH , 3 SEC GUST
OF 2
D.\iV.SMITH, F.E.
rlJRIOA "RorESSi::.NAL. ~NGlI,jEER l.iCENSr ~a(R 5J~08
Projects Consulting, Eno.ineer
9909"IJALL.ASTIJN DRIII[-DADE Cln.rlOR"'L,IA, 33525
PrIM, 35C-~,i-0865 lAX, 352-521-0867 [-w.,A.ll 1t';i'\yr?7Egit, rlf'j
, PASCO PERMIT SERVICE
I SUZ,~~JN:: 3AHR 813 783-5314
seALE ! 0 1,i ,,_D, ;T/[ (', ~
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