HomeMy WebLinkAbout06-5805
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5805
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost: 4,080.00
Date Issued: 5/17/2006
Total Fees: 82.50
Amount Paid: 82.50
Date Paid: 5/17/2006 Phone:
Work Desc: 12x10 SCREEN ROOM ON EXISTING SLAB
5805
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
SINGLE FAMILY RESIDENTIAL
Address: 38719 EVELYN LN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0230-00000-0310
Name: HALL, HAROLD
Address: 38719 EVELYN LN
ZEPHYRHILLS, FL. 33542
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REINSPEcnON 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."
J NO OCCUPANCY BEFORE C.O.
~ ~~
CONTRACTOR SIGNATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5805
Permit Number: 5805
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38719 EVELYN LN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0230-00000-0310
4,080.00
5/17/2006
82.50
82.50
5/17/2006 Phone:
12x10 SCREEN ROOM ON EXISTING SLAB
Name: HALL, HAROLD
Address: 38719 EVELYN LN
ZEPHYRHILLS, FL. 33542
~~ b~/v."tJ/P
REINSPEcnON 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."
/f NO OCCUPANCY BEFORE C.O.
~ ~~
CONTRACTOR SIGNATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PASC8 F\..~Mlr :5co/ltv I<=E
PHONE CONTACT FOR PERMITTING -+ ~,,6, 13'" t '1~"'"
JOB ADDRESS
J/719
JJ tLro/ c/ J/ 4... 1/
E ;e &11
.51
OM - ~~ -J/- ()02~- a::tUJ- ()Jlu
PHONE
7/S- Dirt?
OWNER'S NAME
L tL,A...L
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION OuJ( CrNf &. fJA-/
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: yQNEW CONSTRUCTION
DSIGN
o ADDITION
o MOVE
DALTERATION
o DEMOLISH
o REPAIR
o INSTALL
PROPOSED USE:~SGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK \S~I/ rO()ln a.A.-I ~b .LX./;.J-IA.5
BUILDING SIZE fJ. 't fO I SQUARE FOOTAGE Irl()1
<fk/;
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
L{-/ i) '6 D. .r
~, GOO. (}J
.
PERMITS REQUESTED
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
D ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
D STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUIlDER ~
SIGNATURE ,~
COMPANY
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STATE CERT OR REGIST #
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~\) ELECTRICIAN
SIGNATURE
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COMPANY
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REG 1ST #
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.
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, 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 ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. J BS UNDER
$2,500 VALUE DO NOT NE TO RECORD AND POST A "NOTICE COMMENCEMENT".
SIGN
STATE OF FLORIDA ;?~~
COUNTY OF
The foregoing instrument was acknowledged
~;fore me Jj~~fHtl! of may , 20~
(name of person acknowledged)
Dwho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing ins~ument was acknowledged
Before me tl;l:j.s /J, 7/;y,pf ~ ' 20 ~
by J-tfLr(){tf "-If
(name of person acknowledged)
C1ho is personally known to me, or
jJl) r/t!(;
~ who has produced DL
(type of identification)
and Wh~r.id ~e an oath.
Signature of person taking acknowledgement
NOTARY PUBLIC-STATE OF FLORIDA
. Stacie Cross
Name typ ~~fiU!si61f#fflma~84
ExpIres: OCT. 16, 2009
Bonded Thru Atlantic Bonding Co., Inc.
~ who has produced lJL
(type of identification)
and who 0 did DUd not take an oath
~~
Signature of person taking acknowledgment
NOTARY PUBLIC-STATE OF FLORIDA
~ Stat Cm~~
Name t ~~1sS1 ~D 098,fd
Bonded J;p:j~ti?BCT.d.16, 2009
on lng Co., Inc.
State of
..
NOTICE OF COMMENCEMENT
F tDtd~ County of ICI..J~
Co) 4rJJir
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 ofProper~: Parcel ~o.
o~ - ~~-tJ../_ tJJ.JO- OO()j()-()3Jo
R.
General Description of Improvement
sfYL..e.tLn
rOGA
3. Owner Information: Name
J.l0A~1 cI
;.kll
City ~J.yrLIIr
1111I11111111111I1111111111111111111111111111111111111111111
2006101829
Rcpt: 999168 Rec: 10.00
os: 0.00 IT: 0.00
05/17/06 __________ Dpty Clerk
Address J f7/ f [(Jell{ jJ L a..M-
l./
StateR sssyJ.
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address
JEO PITTMAN1 PASCO COUNTY CLERK -
05/17/06 ~~i3'!pm 1 9f t._
OR BK 699~ PG 1835_
City
State
4. Contractor: Name
(){j)ur
Address
City
State
5. Surety: Name
Address
City
State
Amount of Bond: $
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 in Section 713.13 (1 ) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
~/
Signature of Owner: /~ . :f~~
Sworn to and subscribed before me this /~ day of
Notary Public: ~O\f:P~C STP~
M C " E . .. Stacie Cross
y o~mlsslOn xplres' r.nmmission #nn~10984
Expires: OCT. 16, 2009
PC93053048/ A Bonded Thru Atlantic Bonding Co., Inc.
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DJ:SCLOSOlUI S'l'ATBIIBR".r FOR OWIIBR
crrY OP ZBJ?!IDBJ:LLS BUJ:LDDIG DBPAll".rJIID1'l'
!ki/
have read and fu1l.y understand and.
agree to the provisions of this iDstrument.
The undersigned. states and affi%ms that he or she is desirous of constructing.
renovating. .......:r(g to or reroofing his or her own damicil.e. that he or she
actually occupies. or wil.l. occupy by said &:.dcil.e. and same is not for
rent. 1.ease or sal.e. That he or she sbal.l. compl.y w:l.th the fol.l.ow:i.ng conditi.cms:
1. . That the owner and he or she al.one shal.l. act as the buil.der for al.1 phases of
ccmstruction.
2. That the owner wil.J. compJ.y with al.J. provisions of the City of ZephyrhiJ.l.s
ortH ftBces and codes perti.D.ent to the buiJ.ding.
3. That in the event various phases of ccmstruction are subcontracted. he wiJ.1.
engage onl.y properl.y licensed subcontractors and wil.l. personal.l.y supervise
such work.-
4. That in the event the BuiJ.diD.g :Inspector sbal.J. require correcticms to he made.
the owner wiJ.J. assuae fuJ.J. reapODSibil.ity to iDaure they are made. and upon
ccmpl.etion wiJ.J. cal.J. for a reiDapection before proceeding with the buil.ding.
5. That the owner shal.l. aSB1DD8 fuJ.l. respcmsibiJ.i ty for the ccmstruction and wil.l.
not expect supervision of his work from the City of Zephyrhil.ls Buil.d.ing
Department.
6. That prior to fiDal. inspection any additional. fees. .incl.uding re:iDspection
fees. must be paid in fuJ.l.. A written request from this office shal.l.
ccmstitute an official. notice to pay additional. fees.
7. That the owner sbal.l. compl.y with aJ.l. City. State aDd Pederal. l.awe in regard to
social. security. workman's compensation. J.ien l.aws, etc.. where appJ.icabl.e.
8. That the owner shaJ.l. compJ.y with al.l. the s~ety codes issued by the Pl.orida
:Industrial. Comm:ission.
9. State l.aw requires cODStruction to be done by licensed contractors. You have
appl.ied for a permit under an ex-.ption to that l.aw. The exemption al.l.ows
you. as the owner of your property. to act as your own contractor with certain
restricticms even though you do not have a l.icenae. You IIlUSt provide direct
oD.Bite supervision of the COD.Btruction yoursel.f. You may buil.d or improve a
one-family or two-famiJ.y residence or a farm. outbuil.ding. You may al.so buil.d
or improve a cOlBl8rcial. buiJ.d.ing. provic1ed your costs do not exceed $25,000.
The buil.ding or residence DlDBt he for your own use or occupancy. J:t.BY not
be buil. t or substantial.ly improved for sal.e or l.ease. J:f you se1J. or 1.eaae a
. buil.ding you havebuil.t or substantial.l.y improved yourself within 1. year after
the ccmstruction is comp1.ete. the l.aw wil.l. presume that you buil.t or
substaDtiaJ.l.yimproved if for sal.e or lease. which is a viol.ation of this
exemption. You may not hire an unlicensed persOn to act as your contractor or
to supervise peepJ.e working on your buil.ding. J:t is your respcmsibiJ.ity to
make sure that peopl.e empl.oyed by you have l.icenses required by state l.aw and
by county or municipal. l.icensing ord",,?1Pn.,es. You may not deJ.egate the
responsibility for supervising work to a l.icensed contractor who is not
l.icensed to perform the work being done. Any person working on your building
who is not li.censed must work 1UUier your direct supervision and must be
empl.oyed by YOU. which meaDS that you must deduct P.J:.C.A. and withhoJ.ding tax
and provide workers' compensation for that empJ.oyee. al.1. as prescribed by l.aw.
Your ccmstruction must camp]; with al.1 appl.. able l.awe. orlHft=aftces, buil.d.ing
codes. and zoning regul.ati
0_ · S
ADDItBSS
PBORB
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