HomeMy WebLinkAbout06-5483
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5483
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
5483
MOBILE HOME RV/PARK
PARK MODEL SET-UP
NOT APPLICABLE
Address: 39810 COG HILL LOOP LOT 169
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): 169 Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0030-00000-1690
4,200.00
2/23/2006
355.00
355.00
3/01/2006
PARK MODEL SETUP
Phone:
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessaiy 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.
~&W~ t'~~
CONT CTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
cIrry OF l6~.t'n~~n..L.u~.... ... ......--- - --- ---
BUIILDING DEPARTMENT 5335 8u at, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
2~ 7:J....-D(o
PHONE GONTACT FOR PERMITTING t-/Ol- qD'Z- 5~
OWNER'S NAME Wh'l+t-e.JllOI~ Rotv'"+- ~ Sh\r\eJ.1 PHONE
JOB ADDIlEB~'&lb Cixj~l .L.oo9 ~(hiL~) fL.-. ~...
LEGAL DESCRI PTION: LOT (S) 111)q , BLOCK SUBDIVISION mCt.-:fst\ G (Jaj:(S
PARCEL ID it
WORK PROPSED: ONEW CONSTRUCTION
D SIGN
o ADDITION
(OBTAIN FROM PROPERTY,TAX NOTICE\
o ALTERATION 0 REPAIR &'iNSTALL
DMOVE
D DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
[]t OF UNITS
o SWIMMING POOL
~BILE HO~
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL
DESCRIPTION OF WORK ~ ~ ros \L mcdeJ
BUILDING SIZE \,2')( ~~' SQUARE FOOTAGE 320
HEIGHT
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.
& (1) SET ENERGY FORMS,
FORMS.
~~. ~ 2.!:\ '? ~~
CiA.
tJot'.. ../
PERMITS REQUESTED
~UILDING
~LECTRICAL
~LUMBING
~ECHA~ICAL
$ 1/, ~()[).. 00
\CO
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE ~progress Energy 0
W. R. E. C. (;1.,e"
(lJl
o GAS
o ROOFING
o SPECIALTY
VALUATION OF.MECHANCIAL INSTALLATION~O
o OTHER
$ ~SO ,dO
TYPE OF CONSTRUCTION: (;( BLOCK
o FRAME
[] STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES [] NO
BUILDER. ~ .
SIGNA;URE " ," ~,
COMPANy(re'er rf)ObL~ Ho~ ~\(D~
---..
STATE CERT OR REGIST i ll1-{~~W
******************************************************************
ELECTRICIAN ~ ,/~
SIGNATURE -1? ri ~ " fill Jut! t11l /LV'
COMPANy6N~Y ltuilde.r
, I
STATE CERT OR REGIST .
******************************************************************
PLa=E~ ~ C
SIGNATURE_ ?..cZ
COMPANY[{xSW nlob, \L. \-\()Y'\'L ~n(IQJS
STATE CERT OR REGIST i I~-(j)(f)~\~
MECHANICAL -.ll' . . /
SIGNATURE 0-( er [if /(tV Ch ~
******************************************************************
COMPANY nWrv f ) hll~ ltier
r -
STATE CERT OR REGIST i
********************************************~****~***************
OTHER ~
COMPANY
STATE CERT OR REGIST i
-
SIGNATURE
A. NOTI~E 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 applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
If t~e 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 maybe cited for a misdemea~or
violation under s~ate 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 ~Gontractor Sections" of this ~pplication for which they
will be ~esponsible. 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'licensed 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 STA~tiTES,'AS AMENDED)
I certify that I, the applicant, hay!:;! 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;I 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. '
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 wiil be performed to meet sta~dards 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
be in compliance. Such agencies inolude but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetiand 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 protecti6ri Agency-Asbestos abatemen~
I also certify that, if fill material is to be used in Flo~d Zone ~A" or "A, etc. Ii; it is
understood that a drainage plan addressing a;~'compensa,ting volume" will be submitted which
is prepared by a professional engineer registered in the state of Florida prior to permit
. ~
J.ssuance.
A permit issued shall ,be ,construed~o be a license to proceed with the work and not as
authority to violate, ,cancel, alter, or, set aside any provisions of the te~hnical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, cons~ruction, or violations of any code. Every permit
issued shall become inv.lid 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 pe~it with fse aharge of $15.00. The extension shall he re~ested'
in writing to. the Building Official. An approved inspectiou 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 'f0 YOUR PROPERTY. IF YOO INTENU TO OB1AIN FINANCING, CONSULT
WITH YOUR LENDeR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNUER
$2,500 IN VALUE DO NOT NEED TO RECORD 'AND POST A "NOTICE OF COMMENCE~ENT".
It'd wiv'ilh'v'- h~/W-
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
STATE OF F4QRJ.DA.
COUNTY OF J:j2/L ' ,
The foregoing instrument was ackndwledged
Bef~r~ me tli,.ifj.../S!!:::- day off7~ I 2~
by ~lleU'1 ' Wfll-l!uru:,-r:- ' '
(name' of person acknowledged)
[] who is personally known to me, '.or
~o has produced mf bL ~ qif 3a'D~
(type of identification)
Odid not tak an oath.
STATE OF FLORIDA ,I,
COUNTY OF /~Jl~
The fO,regoing instrument was ~Wledged
Before me this -1:1!!:day ofl1~ '-, 20 ~
by LA'adl z-usl<r '
(name of persop acknowledged)
~ is personally known to me, or
o who has produced
(type of identification)
[llidnot ke an oath
..
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'1rt..p3 - Ljd-4-101~
~o -7- 8go-g~85 ('.JlJ
Lionel Easler
State License # m-OOOO216
2823 Ham Brown Road
Kissimmee, Florida 34746
407-908-5806 or 407-908-5807
407-932-2148 (Fax)
This agreement made thislSth day of February, 2006, by and between Lionel
Easler, hereinafter called the Contractor, and Robert & Shirley Whittemore, hereinafter
called the Owner.. The Contractor shall perform all of the work described in the
following section of this Contract.
The following constitutes substantial commencement of work pursuant to this
Contract: Breakdown a park trailer located at (Lakewood RV Resort) 7800 Osceola Polk
Line Road, Lot I 13, and transport to Majestic Oaks, Lot .1.Ut;L, Zephryhills. Block,
anchor, level, hook up water and sewer, and haul off Florida room. Owner will remove
siding from Florida room.
The Owner shall pay the Contractor the sum of Four Thousand Dollars
($4,000.00). Payment of the contract price is due in the following manner: $1,000.00 is
due in advance and a balance of$I,OOO.OO is due at time of completion (not inspection).
Majestic Oaks will be billed for the remaining balance of $2,000.00.
The Contractor is not responsible for mechanical and/or structural failure, impact
fees, drywall, electrical and/or mechanical work, carports, screen rooms, Florida rooms,
and/or, reinspection fees due to someone else's error, skirting, septic systems, and/or
driveways.
Sign~"ddJ!i "SSthdaYOf~
~,J1-. (!. ~_
Signature~er and/or Responsible Party
~~~ ~/~ unu ~'~ ~
.
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LIMITED POWER OF ATTORNEY
Date: e2--jg-fYIJ
I hereby name and appoint f!7/6hj m:;/cr
of7/Jsb r1J/)bi IL f-/()fY'L ~V~~
in fact to act for me and apply to 6~ of 7./ rJiyrh i J is for
a IlL; Idil1J :;f p/WYlbiy permit and to sign my name and
do all necessary to this appointment.
UtJn-ej &~/cr
to be my lawful attorney
/ 1-/ ~ DO()()c/)J h
ed Contractor and License #)
/g-l/- Day of k-hY~~
A.D. 2DbL-
Notary Public, State of Florida
~,~~~~~~ C,M,eH~RR^AO
(8 1) ... MY COMI4ISSIO"l4 DO 385978
ea * . ..
EXPIRES: Feoruary 17,2009
"'~,.. ,00""< Bonje~ T'ru BUQ~el Notary Sef'lices
~OFh
My Commission Expires: 2-/7- 2ao:7
PASCO COUNTY
CENTRAL PERMITTING DIVISION
OWNER-BUILDER AFFIDAVIT
STATE OF FLORIDA
COUNTY OF PASCO
Before me, the undersigned authority, personally appeared {(DbeJ+_W h', -\-\cJy--orG
Who being by me the first duly sworn, under oath, deposes and states as follows:
I do hereby swear/affirm:
That I own the property described as m ~ Chax i at ~l1..~ k: _ lint ltnbJeJ) ,
IDCated on D- 'D+ 'In ~c. CbIL~ at 318ID ~..Hilllwp lLot 'lo~
Disclosure Statement
State law requires construction to be done by licensed contractors. You have applied for
a permit under an exemption to the law. The exemption allows you, as the owner of your
property, to act as your own contractor even though you do not have a license. You must
supervise 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 at a cost of $25,000.00 or less. The building must be for your own use and
occupancy. It may not be built for sale or lease. If you sell or lease a building you have
built yourself within one year after the construction is complete, the law will presume
that you built it for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person as your contractor. It is your responsibility to make sure that
people employed by you have licenses required by State laws and by County or
municipal licensing ordinances. Any person working on your building who is not
licensed must work under your 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 must comply with all
applicable laws, ordinances, building codes, and zoning regulations.
That I have read the foregoing, and am aware of my responsibilities and liabilities for
construction work on the above described property and do hereby agree to each of the
aforesaid stipulations.
FURTHER AFFIANT SA YETH NOT. ;( j/_____
acid wkMn"~
Owner's Signature
~C\~ D Cflj \-\' \\ l DCr) 2e~"\ \l't-i \\<s) fL 33SLI 2..
Address
~/I~00
I Date
Sworn to and subscribed before me this
-qot ( 20~.
6tary, blic
- Stat f Florida at Lar
My ommission Expires: Z-~/7.-Za:::J7
~,
;)5J7S
o 21J9
.- '. "1; \",\lI~d
NOTICE OF COMMENCMENT
111111111111 111111111111111 11111 1111I11111 1111111111 11111111
2006034424
Permit Number:
Parcel Number:
Rcpl: 971349
DS: 0. 00
02/21/06
Rec: 10.00
IT: 0.00
~_'____m_m_ Dpty C le,.k
Prepared by: Misty Easler
2823 Ham Brown Rd
Kissimmee, FL 34746
~S92~~~~f'lArt : fr:;o fOUNT:, C1,ERK
OR BK 6848 PG 1980
STATE OF FLORIDA
COUNTY OF PASCO
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.
1. DESRIPTION OF PROPERTY
Majestic Oaks, 39810 Cog Hill Loop (lot 169), Zephyrhills, FL 33542
2, GENERAL DESCRIPTION OF IMPROVEMENT
Set up a, park trailer and hook into water and sewer
3. OWNER INFORMATION
Robert & Shirley Whittemore, 39810 Cog Hill Loop, ZephyrhilIs, FL 33542
4. CONTRACTOR
Lionel Easler, 2823 Ham Brown Rd, Kissimmee, FL 34746,407-932-1497
5. SURETY
NA
6. LENDER
NA
7. Persons within the State of Florida designated by Owner upon who notices or other
documents may be served as provided in Section 713.13 (1) (a)7., Florida Statutes
8. In addition to himself, Owner designates the following person(s) to receive a copy of
the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes
Sworn to and subscribed before me by5h; r/r:c./ klJe-/lf-t.r-rur<. who is..personally known to me or
produced /nt,- Dl _ as identification, this l/ftt-day of Fr.h'~i /- ~ ~
~ ~ 8'~D IS-" ~ ~;, :::---'.' '
SEAL: .', ' ~ (.,_
, ,..-:; to/ M~ T Y PULIC
, ','$ I
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,...,.... "'<[;., \",1 ~' "0385971"
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...... ~.:;; Bond" Thru b,Jget Notary S,~tee~
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CITY'"o:F-Zit-PHYimILLS BUILDING DEPARTMENT
OWNER' \f\lh\ \\:.r<'Of L
JOB ~OCATION \Il:l~ Dc~ 39'6'\0 I'.~ If, I \ lcvp (Lot 1&'1; 7c:~-V~S
PARCEL I.D." 1#
SHOW ALL EXISTING & PROPOSED STRUCTUR&~r -GIVING DIMENSIONS & SETBACKS.
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MUST SHOW SIZE &
FOUNDATION INFOR-
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FRONT PR PERTY LINE
(ijOTE EXAMPLES 1 & 2)
STREET
( \ (~ \-,\\ \ \ leY )'(~
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 ' DUPLEX
1 0'
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
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PERFORMANCE BUSINESS PRODUCTS. INC, 813--71\1-8008 FAX 813--719-71119
to--"b5)&'
CITY OF ZEPHYRHILLS
ZEPHYRHlJ,.LS, FLORIDA
WATER ACCT. NO,
DATE 3/1/ ote
OWNER/ I
RENTER Whi~n---x---,n? i f.<nbo.r-!-, Sh \,~
MAILING
SERVICE ADDRESS 3q~l(J C 05 \-h \ I Lp - Lo+- I 09
Gr'" WATER
SHUT OFF SERVICE 0
~ 0 SEWER
TURN ON SERVICE
g/' 0 GARBAGE
... \>~ ~ INSTALL METER
~N CITY
READ METER 0
0 0 OUT CITY
CHECK METER
"',-- -L No, OF UNITS
OTHER 0
- DEPOSIT AMOUNT
3/4'1 Wcd:s--A- ~
Pex-rru3:- - 5 <-t<63
- AMOUNT LAST BIll
_ DATE
_ MISC, CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
ORDER GIVEN BY
Retain white fo,m in office at all times,
Send pink & yellow forms to Water Service Dept.
Water Service Dept. to sign yellow form & return to office,
H,s+
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