HomeMy WebLinkAbout06-5845
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5845
Permit #: 5845 Issued: 6 05 2006
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 23,936.00 Total Fees: 225.00
Amount Paid: 225.00 Date Paid: 6/05/2006
Address: 5943/ 594520TH
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-04500-0010
Name: KELLER, ALLEN H.
Address: 5943/5945 20TH ST
ZEPHYRHILLS, FL. 33542
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CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL
PRE-METER WATER SHEATHING FRAME
MISC SEWER MISC INSULATION WALL ,/'
MISC MISC, MISC. INSULATION CEILING
MISC. MISC. MISC, DRIVEWAY
MISC, MISC, FIRE DEPT. FINAL ELECTRICAL FINAL
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
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
-,111M. j1c ~ t'~ ~
CONTRACT S SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Square Feet
Valuation
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Plumbing
Mechanical
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School Impact Fee j{ h
Transportation Impact Fee
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Park Impact Fee N j A
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Public Safety Impact Fee ,J ))1
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,,~l/'r~'< Bobbie Swetland
!.:.~./'X"'~ MY COMMISSION # 00268763 EXPIRES
=,.;.Jll!b.i;o'ff February 22. 2008
~~.. ";-:-::'. -;~':3' BONDED THRU TP0'! ~ .'\clN 1~,:S:':j;'/1"JCE. IM(
Key No.
Permit No~
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICE, WITNESS MY
HAN AND OFFICIAL SEAL THIS0- DAY OF
2~-
AENC CIR TCOURT
.' -, .
. DEPUTY CLERK
OTlCE OF COMMENCEMENT
1111111111111111111111111111111I1111I11111111I11111111111111
2006113853
Rcpt: 1003909 Rec: 10.00
OS: 0.00 IT: 0.00
06/05/06 Dpty Clerk
JEO PITTMAN PASCO COUNTY CLERK
06/05/06 10: 44am 1 of 1
OR BK 7019 PG 1162
State of ~Lo r2..t l)A
County of V.A'?CD .
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, a nd in accordance with
Chapter, 713, Florida State Statutes, the following information is, vided in th~ NORc~of ComrJencsmepJ: J ')
. c----. OF '"2..~ 1-4. PL,..'f+ lttTlfl:J.. P'V.e D( E- I,~ OF u} 1Lc1- 4. -F 'b' · lf~ ,oj .fIJiI-I .,
1. Description of Property: Parcel No. r ;fI, 9o-lSt!l 2 e. 4 /J. '1/ LLJ Pi .
(Legal description of the property and street address available)
2. General Description of Improvement i.elfAoAel,..... Ct.I1l1frf Ua(J(),.J Ie H.~/~~ ).dl1ll
Persons within the State of Florida designated by Owner upon whom noti~s or other documents may be served
as provlcjedby Section 713.13(1)(a)(7), Florida Statutes: >f<-.4 ,
Name Hkl,-ed Ja"d~ )QI1 . Address rg 3iP U"Aflt;t.l ~Ctty ~r';J Il,ll State FL.
Phone No. S r;; - ~ - Ja?lP FaxNo. 1f'd- _ 1- 1 rf
In addition to himself, Owner designates HtA.~'f,f J4hdf\tJd~ ... of J ,,'
to ~cejvea copy of the Lienor's Notice as provided in Section 713.13(1 )(b), Florida
E.xpiration date of Notice of Commencement (the expiration date is 1 year from the date of reCOrding unless a
different date, is specified.)
The recorr:Jing of this Notice of Commencement does not constitute a lien, cloud or encumbrance on the described real
properly, but gives constructive notice that claims of lien may be filed under Chapter 713 of the Florida Statutes.
Signature of Owner: ~ I-J. l~
STATE OF PI D.t..,\d~ COUNTY OF 17/1 Seo
Swor ,to !(or affirmed and subscribed before me this J sf- day of JZ.. y->e... , 20 CCo, by
I lL.e. who is L) personally known to me or L~oduced
, 'l e. as identification.
~(,Vrv--::::::::::: Notary sea~-~"'I
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E:\WPD.^.TA'PERIo..1!TS\.l\!OCWPD . . ........_
03/23/04 tsg ............... tII4!
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Owner Information: Name // Ll"n R eLL ffl..
Address ~q4) At. I).I/~' H. City 2.~phvd "llL}
Interest in Property: (} w ,,(! IL
Name of Fee Simple Titlehotder (ff other than owner):
Address City
.. Contractor: Name
Address: r;) 3/0
Pllone No. 1 f;) ~
State ~Zip J:1 .rVd.-
State Zip
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Phone No. Fax No.
Zip
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Lender. Name
Address
Phone No.
Zip
City
State
Fax No.
CIrry OF ZEPHYRHILLS PERMLT A~~~L~Ar~u~
BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
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PHONE CONTACT FOR PERMITTING :>Cd - '3'17 - ~ 6'31'
(rl UA.-'::' 3ft,
;fLlIEJ1J k ~II E/C..
JOB ADDRESS '5'9~3 ~ .2,.., ~<(;--i- ~c.,hr12-~1 /~/
OWNER'S NAME
PHONE
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LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID * \ \ - ~ tL> _;)\ - 0010-- () 456{j- 00 \(~ (OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: DNEW CONSTRUCTION 0 ADDITION ~RATION 0 REPAIR 0 INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0* OF UNITS
o SWIMMING POOL
o MOBILE HO~
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL
DESCRIPTION OF WORK ~ U
BUILDING SIZE 2/IlfJ'rK 2~' b II
WtPtL ~
d~- .CtAf1-f~ -In ~tf*1 R.
FOOTAGE 5' tf-4-. HEIGHT [?"
SQUARE
IlJ'13UILDING
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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~cx:
, \ ~r,)W~-r;~ ?~ iNcLu~J-
PERMITS REQUESTED W~&:ttl~ {)fi'6- ~
o . ~'")fiI'Kr J~v~ ,oF ()'11~
VALUATION OF TO'l',AL ~TRUCTIOtJ.~ Cf) LlA 10 :'\ {"ltO
" -. It S L\JdNJ>~)"'fJ f]f>vJ./ O/')c.....\.:l::;)P6
AMP SERVICE 0 Progress Energy 0 W.R.E.C.
It( f1f''''tf.- (~I-:' 1~?fio-,TI4\J,
VALUATION OF 'MECHANCIAL Ga. 4.~it AT IdR"ii 'L.._ ~:. ::.
-_. . L'-.il~{fz-JUiQ.~nh..:-
o OTHER __ ..... f.~-.lN L~o.l~__,
$
IS-S-~
/
~ECTRICAL
iVt4- 0 PLUMBING
~ MECHANICAL $
~ GAS t?fEJ ROOFING ItMD SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
IS PROJECT IN F~~~~-~~~E ~;~.~-- YE~--~
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
L~:=-~ ~_~-=-~~_~,_~~~~.__'_.~___~ -~- . .~- _' ~-- -~__~~~. _~t~~~~~~~ -~~ -',-:\;~;-,0~!
SIGNATURE
~L ~4~
-
COMPANY ~\v't'LL\ (' ~~/U/j-.r-, t illfh,/Ik
STATE CERT OR REGIST * C.B=. J 2.517-.(, I
BUILDER
ELECTRICI~ '-, . 1
SIGNATURE \. m. a:J~
******************************************************************
{h. *-, e.. 0e.dnc..
COMPANY Al" ~ I ~. C'o.
STATE CERT OR REGIST ft EC-- -~t1(j /,(.6~
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST *
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST *
********************************************~********************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
A. NOTI~E OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" ~~hich
may be more restrictive than City regulations. The undersigned assumes responsibility fo~
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
If the 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 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 ~pplication for which they
will be responsible. If ydu,as ~he owner signs as the contractor,ydu 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 CONNECTI,ON FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, haye 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. '
Appliqation 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 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 td
be in compliance. Such agencies include 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 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;~'compensa,ting '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, cons~ruction, 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 la
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 reques~ed
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. JOB'S UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A '\NOTICE OF COMMENCEMENT".
~ a_~ ~~-
,
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA .~ .
COUNTY OF ' ....-L. Q..5a?
The ~oregoing instrument wa~ ~x~ndwledged
~~f~eli ;~~A~~~/J~:r:<P/V' 2QQ..0
(name' of person acknowledged)
o who is personally known to me, 'or
\ JiWhO has produced iF' /.- .]),. L- '
, . , (type of identification)
andw';?$o<ll::r~ a}:;;J
'" /' 7--
Sl<;jnaturli\..,.Qf person taking acknowledgement
~&J'l\Y':st- Bobbie Swetk:jnd '
{*: ':~ MY COMMISSION # 00268763 EJ6lIRES ,
~'_ :"l F9bf"QrI' 12. 1008 '
Name typ~,""prillff@~l!fRU~~Fl>lftima~l2!l!i
"~~~r.
. ,
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
knowledgedh
' 20
,.f.5 ,
(name of persor acknowledged)
C1ho is personally known to me, or
\iWho has produced F /- :]), L
~(type of identification)
and who Odid ~id not take an oath