HomeMy WebLinkAbout06-5640
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5640
Permit #: 5640
Permit Type: ALUMINUM
Class of Work: ALUMINUM PACKAGE
Proposed Use: MOBILE HOME SUBDIVISION
Sq. Feet: Est. Value:
Cost: 23,170.27 Total Fees: 260.00
Amount Paid: 260.00 Date Paid: 4/04/2006
Address: 37610 COREY LEWIS AVE L T 220
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0170-00000-2200
Name: B & H CONSTRU TION OF CENTRAL FL.
Addr: 11494 SEDATE ST.
BROOKSVILLE, FL. 34614
Phone: 813782-1064 Lic: Phone:
Work Desc: 14x17 SCRN RM, 12x17 SHED, 17x30 CARPORT
GRAND H RIZON
37610 COREY LEWIS AVE LOT 220
ZEPHYRHILLS, FL. 33542
, ~J cY
I 0tY L9/
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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 co ncement."
~~~
RS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
NOTICE OF COMMENCEMENT
~State o~N \ cl~___ County o~ ~J
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:
I. Description of Property: Parcel No.3 b\ \:::, \:- C\( \2.\.1 'Llli ~\-;'j ""'l 12:-=*:-~C\D
~\~~~~c:V\ ~D~m:r- ~~
(Legal description of the property and street address if available)
2. General Description of ImprovemenDU ,(I \\\~~~ci\-~l(\)(.\ .
1111111111111111111111111111111111111111111111111111111I1111
2006065387
3. Owner Information: Nam~cc\ \-\ti\c:'f) \\\\-\V
Addre;s\UJ--Dl ()\~~~~\) Citr\10\)~\~St:> Sta~ ,33'j~\ l
Interest in Property:
;/
R4.
Name of Fee Simple Titleholder:
(If other than owner)
Address City
Contractor: Na~\~ b\\~ cf' ~ \::'-L ~ .
Addres's\ \:)~-:'J'\\\~i 6Y1 ~) ciJ:"~h\\ \~
Rcpl:984190
os: 0.00
03/31/06
Rec: 10.00
IT: 0.00
Dpty Clerk
State
St~~ .~?)~~\3
S. Surety: Name
Address
City
State
Amount of Bond: $
J0E30/3Pl/IT06TMA0N. PASCO COUNTY CLERK
9:39am 1 of 1
OR BK 6913 PG 1080
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 III SectIOn 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the exoiration date is 1 vear from the date
of recording unless a different date is specified.) ~ 01"
Signature of Owner:
~C\'---~\h\=:iuD '
, 2cf:Jlo,
My Commisfion Expires:
PC93053048/ A .
.. .
No Public State of Fbrida
Sabrina Rae Cant
My Commission D0463268
Expwes 08/1812009
','.', "
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
JOB ADDRESS
I
I
Fee Simple Titleholder Address I I
~~~6\\"~ I LOU ~ I
c--- '\""G PARCELID#I~ -~'2>~\-<::xJ\<::'\-~~-D~ I
(OBTAINED FROM PROPERTY TAX NOTICE)
D SIGN 0 MOVE D
Date Received
f\\. \:>
Owner's Address h~~\~\' ~l Q\2n~\iJ ~
Fee Simple Titleholder NamJ
Owner Phone Number D'\3-,
Owner Phone Number I
Owner Phone Number I
Owner's Name
SUBDIVISION
DESCRIPTION OF WORK
~NEWCONSTR ~ ADD/AlT
~ INSTAll t=l REPAIR
D SFR D COMM 0 OTHER I'--\\~('\'\\\\:~
o BL~ D FRA~ STEEL ~THER I
~ "-\ 'l \1. . \0:> "\-\ '\ ~ \ '\ )...~ Q'=J( .\--
I sa FOOTAGE I ~ ':J~ I HEIGHT I
DEMOLISH
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
BUILDING SIZE
BUilDING
~ \,(2) '~ll
1$ I
1$ I
1$ I
D ROOFING D
VALUATION OF TOTAL CONSTRUCTION
~ElECTRICAl
AMP SERVICE
o
PROGRESS ENERGY
c==J W.R,E,C,
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D PLUMBING
D MECHANICAL
VALUATION OF MECHANICAL INSTAllATION
NOC-
D GAS
SPECIALTY D
OTHER
Address
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNA TURE
Address I
~~~.'~,~~.~ ,~~~:~ ~~~~~~~:~~~,,!.,:.,.... .~....,."",..... .1.;, ~;;~:;:~~....... =~~,:,',. =:..",,,,.,,,.,....,,,,,,,,,, ,
BUilDER ~\-\ ~~'Y~\'cl);::""\ ., COMPANY ~~--::::f\~ ~\:L~\iC' \:+--\ I
SIGNATURE p~ c--.- _ _ __ ~ REGISTERED I'--n~ N I FEE CURRENT 1...;;Ll. N I
Address h~~~ 'f\'Gf ( I~b l~t rJt \ \s~~'-\~ V ~ License # rt-,~l\.::y~ \\ ~~ I
ELECTRICIAN! r? ;1 /::~() I~~~MPANY I~'B--c=\u..\-\':L -~ \~\ I
S'GNATURE. &.~~ LV , /C~, "'",..,"" L N I '" C""",,, I..YJ N I
Address . I License # I \ <6", I
I
I
I
I'
I
I
Y I N
FEE CURRENT
Y/N
PLUMBER
SIGNATURE
COMPANY
REGISTERED
License #
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
License #
111111111111111111111111111111111'11'1"11'1'11111'11111"1'11111111111111111111""1111111111111"1'111111'11111111111111'111'11111111111111'111'
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTy SURVEY required for all NEW construction,
I I I ~ ~ I I I I I I I I I I I I I II I I I I I I I I I I I ~ I d I I 111111 III II II II II I 111111 I I 1111 I 1111111 I I I I III I I II I 1111 I II I 11111 II I I I I I I II I I I I i I II III I III 11111 III I I I I I I I I I I I I I
Directions:
Fill out application completely.
Owner & Contractor sign back of application. notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with any
applicable deed restrictions, ~
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 Pasco County Building Inspection Division-Licensing Section at 727-847-
8009, Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible, If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended, The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release, If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, If the applicant is someone
other than the "owner", I certify 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.
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. 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 will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-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,
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted,
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida,
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties, If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required,
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction, I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 codes, Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the job is considered abandoned,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT INYOUR
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 C MMENCEMENT.
FLORIDA JURAT (F,S. 117: 0 ) '1 n ~ V - _,I). -
OWNER OR AGENT . , g,j/UJ CONTRACTOR ,~
~scri ed and 5 rn t (or e elo m~ "-pI cri d nd ~rn tO~Ipn,~ b~~ me this
S --;S:,:) by ( \ Y:i ~ by\ \:'{ ~p~
ho is/ re personally knD 0 me or has/have produced 0 is/a personally kno me or has/have produ~ed
-=--~' O,","tI""\), v==~- ~ ;~fl"'O"~
_~Q-'\ 2\\.'~ot"YP"bll' /~ _.J.Jt'~ot''YP"b'"
Commission No.
Commission No,
Name 01 Notary typed, printed or stamped
?J Notary Public State of Florida
~ Sabtina Rae Cant
~ ,i My CommiSSion 00463268
Of ~dI' ExpllllS 0611812009
Of
Sabrina Rae Cant
My Commission 00463268
ExpllllS 08/1812009
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ZEPIIYRRILLS, FL ~43
FREE ESTtMA n:s
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