HomeMy WebLinkAbout06-5811
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5811
Permit Number: 5811
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: 5525 17TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-14000-0030
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t1 j?/ JUT
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."
NO OCCUPANCY BEFORE C.O.
l:xuwJ~~c:L - ~.
CONTRA OR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 'Sit ~O(P
7 CTl- 375 -7300 DATE RECEIVED .---
L- OO.n;eJlL PLANS REVIEW FEE
OWNER'S NAME -6nan...L.paW\dCl e:tcK ha rV\.
JOB ADDRESS 55~5 17'thJ+. Zf~l<';}fL.
LEGAL DESCRI PT ION: LOT (S) '3, 4 BLOCK ~
PARCEL 10 # ~l. 0010- LtDOO - ODZ D
PHONE iJ3 - 363 -6F L/1
g~ S' ~ ~
SUBDIVISION
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
(OBTAIN FROM PROPERTY TAX NOTICEl
o ALTERATION 0 REPAIR Ji INSTALL
PROPOSED
OSIGN
USE:~SGL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
OMULT I - FAMI L Y
o INDUSTRIAL
0# OF UNITS
o SWH1MING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 9 I V'e{)\ace ~ry)eJl+- UJtV\r\l1-US OjL~ -fir- /:;tL-t:..,
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$ 8, 05~
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o t->IECHANICAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OtHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER
SIGNATUREm() ,Qjio Gel
Cm1PANy-Jk,.KetmCl.r\ c~~c.
STATE CERT OR REGIST # - '1
CITY PROCESSING #
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ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*******************************************************~*********
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictiohsU 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 portions of the "Contractor SectionsU 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 wislles
you to sign as contractor that may be an indica~i6n 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 Guideu prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerU, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owneru 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,
. I
Wastewater Treatment, Septlc Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "Au or "A,etc.u, it is
understood that a drainage plan addressing a "compensating volumeu 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 COMMENCEMENTu.
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
, 20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 20
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
Ovho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid Q:lid not take an oath
Owho has produced
(type
and whoO did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
111111111111111111111111111111111111111111111111111111111111
2006101902
Rcpt.: 999201
NOTICE OF COMMEi\;CEMENT DS: 0.00
05/18/06
cO~n~.Of_j)o.s(i 0
. !, ': ~
Rec: 10.00
IT: 0.00
Dpty Clerk
State of ~Oy
..
THE UNDEBSLGNEDherr:.by gives not:o;; that improvement wHlbemJad~ tq certain reai prope.lty, and in aCCOrdance with
Cf12.pter 713, Florida Statubs, the fol/oyving information is prov:d~~JD thi~No.tic~ Qf Commencement:,
Description Of; Property: Parcel No. it ~ b~ ~ l::rol 0. l if() CO, m~o -Z H p~ 1 PG 54- Lob B, L/
~() 55~ 17+h~~+1
(Legal description of the property and street address if available)
General Description oflmprovement~en1Ite.n.} lVlndrt.lJS c.~'f?e .-(ilr .....~tc::...G
JED PITTMAN PASCO COUNTY CLERK
05/18/06 0~:38.m 1 of 1
OR BK 6993 PG 38
1.
2.
3.
Owner Information: Name -&1'0 n
55~S 17th _~+ I
Address
fL " 33.'=)lfO
State
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
State
R.
Address , .. . . '.' . City
Contractor: Name~erW,l11\ O~J'(}C .
1l5~l'Lp\Jrt4mi d dr, IXk~<SCL
Address . City
~L . 33556
State"
5. Surety: Name
.4.ddress
City
Stat?
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida de.:;iOi'!::lted by Owner upon whom hotices or other documents may be served
as provided by Section 7'13.13(1 )(a)(I} ,:!orida Statutes.
Name
Address
City
Stale
8. In addition to himself, Owner designates
of
Notice as provided in Section 713.13(1 )(bj, Florida Statutes.
____ to receive a copy of the Lienor's
9. Expiration date of Notice of Commencement is one year from the date of recording unless a different date is
speCiiied.
~
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STATE OF FLO. R"IDA'~. . (1\
COUNTY OF
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known to me or ~ho has produced pu>$f[)
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REVIEW DATE: I
CITY OF ZEPHY L .
BUILDING OFFICIAL
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