HomeMy WebLinkAbout06-5723
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5723/
Permit Number: 5723
Permit Type: ACCESSORY BLDG.
Class of Work: SHED INSTALLATION
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 3,264.00
Date Issued: 4/24/2006
Total Fees: 75.00
Amount Paid: 75.00
Date Paid: 4/24/2006
Work Desc: SHED-DETACHED
Address: 6443 ASHVILLE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS VILLAGE
Parcel Number: 03-26-21-0220-00BOO-0140
Name: NEAL HARTLEY
Address: 6443 ASHVILLE DR
ZEPHYRHILLS, FL. 33542
Phone:
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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
~mprovements to your property. If you intend to obtain financing, consult with your lender or an attorney
~fore recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
<S<LUfu ~ ~~
~ONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
NOTICE OF COMMENCEMENT
Cz-i{5 ~I:
z- /J.{]iJ.
State of
F lore'la..
County of
fYa I[f!()
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. Description of Property: Parcel No. 03- N~ -;2/ - OrJ"')O- (Y}136J -0/(/ J
L 0 I /1 e LA:. B ~ I 1t'1I- OLt-.J )/; / /ritj~
(Legal description of the property and street address if available)
2. General Description of Improvement rk jue!J.1 v-~. J
11111111111111I1111I111111111I11111111111I111111111I11111111
2006082513
~ 3.
Owner Information: Name /(P 6-/ }-/a..rl/-l-~
./
Address (PLJLJ3 A.sAI/I//-t !)UH City
uf~r/-L//J
StateP' .JJJfJ--
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address
4. Contractor: Name () lj)/..f r
Address
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
Rcpt:991233
os: 0. 00
04/24/06
Rec: 10.00
IT: 0.00
Dpty Clerk
City
State
City
State
City
State
JEO PITTMAN. PASCO COUNTY CLERK
04/24/06 09: 37am 1 of 1
OR BK 6950 PG 400
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 m SectIOn 713.13 (1) (b), Florida Statutes.
9. Expiratio,n date of Notice of Commencement (the expiration date is 1 year from the date
of recordmg unless a different date is specified.)
My Commission Expires:
PC93053048/ A
day of
Hpf"'-/
,
, 20 0&2.
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8" St, Zephyrhills, FL 33542
813-180-0020 FAX: 813-180-0021
PHONE CONTACT FOR
DATE RECEIVED 4/1c{ /Ol.i/
PASCo Pt;RMlT' SERVICE
PERMITTING 1-<6/Q(,,-g;l..z..t-7S9Lf
OWNER'S NAME
() e,r;J /ltlr Ill' v
(pl/lj3 mAt/III., ~/'/t~i
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT (S) Jtj BLOCK 13
PARCEL ID # o3-rUto-cN- oNdo- ()O~Or)-O/VO
SUBDIVISION IS';' /yer Oa.k.J 11/lt/f/f
'pI) 6.1Jc oL v
(OBTAIN FROM PROPERTY TAX NOTICE\
WORK PROPSED: 90NEW CONSTRUCTION
OSIGN
o ADDITION
o MOVE
o ALTERAT ION
o REPAIR
o INSTALL
o DEMOLISH
PROPOSED USE:OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK rip to t! it dsi{ J
BUILDING SIZE g j 1- /~/ SQUARE FOOTAGE 9~ 1/
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.
~ BUILDING
o ELECTRICAL
~i 2 ~ -+~~...
J>
! (jOO.
PERMITS REQUESTED
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
OGAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
SIGNATURE
~m__ , "
~R ,'S:&;CT,iOlg
~, ,I .' " ~
;tJ t J/ -//.-..1_' 75, ,," COMPANY Ok').N -
~ - STATE CERT OR
/J ~ t(j // (j "llt-fI
./
r
BUILDER
REGIST #
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SrGNATURE
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 restrictions" 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 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".
l:!u/!)Id!::rGENT s~~d~
STATE OF FLORIDA P ....
COUNTY OF tUc{)
The foregoing ins}lument was acknowledged
Before me this 4:--: ~ay of ../fjJ.A..d , 2~
by /J~a/ ~/tf
(name of perso~acknowledged)
~WhO is personally known to me, or
Dwho has produced
(type of identification)
and whoD did ~did not take an oath.
~:;//f-e t~ lUJ.1J.~
Signature of person taking acknowledgement
NOTARY PUBlle-STATE OF FLORIDA
~ Stacie Cr.oss
Name typed, p O~~~fi~10984
Expires: OCT. 16, 2009
Bonded Thru Atlantic Bonding Co., Inc.
STATE OF FLORIDA
COUNTY OF
The foregoing insj~urnent wasac~owledged
Before me )1),iS !!!iilaYIOf ~,4J4.;; , 2001-
by '14./ U'f-/~ <t
/
Ctn (name of person acknowledged)
7~'0 is personally known to me, or
Dwho has produced
. (type of identification)
and who ~)Hq ~~d not take an oath
~hj t{ Cl... ( 4-at.L
Signat~~Qf.~~rson taking acknowledgment
l'lU.lllli! PUBUC-STATE OF FLORIDA
~ Stacie Cross
Name ~O~spj~~IIID5W@8.mped
r..xplres: OCT. 16 20(j')
Bonded Thru Atlantic Bonding CO..i.~.
IJo&'o
/1pa./ J/Cirl/~ft
Name p. () . I3rJY 02S J- ./- ,335"-31
&1'/3 AsAv/lh f)uie
Address
~pL,rj-L/I-J I II- ]3ftfJ..
, '.I
To Whom It May Concern,
Please be advised that:
Stacie Zullo, & Debbie Dokendorf of Pasco
Permit Service have my permission until further written
notice to sign and pick up permits for me.
;u ;;jj:J4
signature
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this {~fV' day of 1JIY'1 { , ;2.fJC4>
Personally known or Produced identi ication ~
Commissioned Stamp
and Expiration Date
NJ:-~e '6~
Page 1
D::ISCLOSURB S~___r Ji'Oll OIIJIBR
crJ.'Y OP ZBPBYllB:ILLS B1JJ:LDDIQ DBPav.......-.r
I, 17~A.1 )/It./'; /"fj have reacl and fu11y 1U1.derstaDd and
agree to the provisionS" of this instrument.
The undersigned states and affizms that he or she is desirous of COJ1Structing,
renovatiAg, a(lI"i Tig to or reroofing his or her own domici1e, that he or she
actua11y occupies, or w:i.ll occapy by said domici1e, and same is not for
rent, ~ease or sal.e. That he or she sbal.1 comp1y with the fol.~ow:i.ng CODd:itiOJ1S:
1. That the owner and. he or she al.one sbal.1 act as the bui1der for al.1 phases of
COJ1Struction.
2. That the owner wil.1 comply with aJ.J. provisiOJ1S of the City of Zeph.yrhilJ.s
omi ftilTl<<es and. codes pertiD.ent to the bui1ding.
3. That in the event various phases of ccmatruction are subcontracted, he wiJ.J.
engage onl.y proper1y licensed. subcontractors and w:i.11 personally supervise
such work..
4. That in the event the Buil.ding :rnapector shall require corrections to be made,
the owner wi11 assume ful.J. respcmsibility to iDaure they are made, and upon
campJ.etion wiJ.J. caJ.l. for a reiD.spection before proceeding with the building.
5. That the owner shal1 asswae ful.1 respcmsibiJ.i ty for the ccmatruction and. will
not expect supervision of his work from the City of Zephyrhills Building
Depart:ment.
6. That prior to final. inspection any additional. fees, iDc1uding reiD.spection
fees, must be paid in ful.J.. A written request from this office sl1a.1.J.
cOJ1Stit'ute an official notice to pay additional fees.
7. That the owner shal1 comp1y with all. City,' State and Pecleral laws in regard to
social. security, workman's compensation, 1ien J.awa, etc., where app1icab1e.
8. That the owner shaJ.l. comply with aJ.1 the s~ety codes issued. by the Pl.orida
J:nc:lustrial. Commission.
9. State J.aw requires ccmstruction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption al.lows
you.. as the owner of your property, to act as your own contractor with certain
restricticms even though you do DOt have a license. You JaUSt provide direct
onsite supervision of the construction yourself. You may bui1d or improve a
one-famiJ.y or two-family residence or a fa:r:m outbuilding. You may al.so buiJ.d
or improve a cOllllllercial. buiJ.ding, provided your costs do not exceed. $25.000.
The building or residence DlWIt be for your 0W31 use or occupancy. ::It.y not
be buiJ.t or substantial.1y improved for sal.e or l.ease. ::If you selJ. or 1ease a
. building you havebui1t or substantial.ly improved yourself within 1 year after
the construction is complete.. the 1aw wi1J. preauae that you buiJ.t or
subatantia1J.yimproved. if for sal.e or 1eaae, which is a vioJ.ation of this
exemption. You may not hire an UD.1.icenaed persOn to act as your contractor or
to supervise peepJ.e working on your building. ::It is your responsibiJ.ity to
make sure that peepl.e empJ.oyed. by you have J.icenaes required by state J.aw and
by county or !IlUD.i.cipaJ. licensing ordiuaDCes. You may not delegate the
respcmsibilit:y for supervising work to a J.icenaed contractor who is not
licensed to perfozm. the work being done. Any person working on your building
who is not licensed must work UDder your direct supervision and must be
emp10yed by you, which l118aDS that you 1Il11St deduct P.::I.C.A. and. withho1ding tax
and. provide workers' COIIIpeIlSation for that empJ.oyee, al.J. as prescribed by J.aw.
Your construction must comply with all applicable laws, or";-.uaftces, buiJ.ding
codes. aDd .- reyr.a"j':?!_ '~J
owmm.'S S::IGJ1ATDRB 1&4/ 6. ~ DATE LJ-/J>-a;.
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