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Home My WebLink About06-5951 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5951 Permit Number: 5951 Permit Type: ADDITION/ALTERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 9,856.00 Date Issued: 7/21/2006 Total Fees: 116.60 Amount Paid: 116.60 Date Paid: 7/21/2006 Work Desc: ENCLOSE EXISTING SCREEN ROOM Address: 37423 WEDGE 00 ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: WEDGEWOOD MANOR Parcel Number: 10-26-21-0120-00000-0770 r\ :\ ~J \,JJ (~\' DUCTS INSULATED FRAME FINAL MECHANICAL SHEATHING ELECTRICAL FINAL 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 commencement." NO OCCUPANCY BEFORE C.O. ~. CONTRACTOR SIGNA TUR PERM IT OFFI CA OR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department ..--,. I hc..rr"nCLD Fax-813-780-0021 Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I / Owner's Name ,J 1-1 A'/ f<- / Owner's Address I 374-;;.3 W E 6 (., ~ W (J(J I) l) Ii.' . Fee Simple Titleholder Namel Fee Simple Titleholder Address /SUBDIVISION W/)O LOT # 77 /' JOB ADDRESS I D NEW CONSTR [=:J ADD/AL T D D INSTALL D REPAIR PROPOSED USE D SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D /DESCRIPTIONOFWORK I eN CJ..,.() s.~ <rx/sT/rJC:. SCt2-eef'J QDOtvl /BUILDINGSIZE Ill.,4 ;i~ ftQ FOOTAGE LI rl.. ~ HEIGHT 1C!.lA.rr~te-ld.{ f '~ll 1111111"I",rlllllllllll"'lllllllr""",,1111111111111111"111111111111"1'1'1111111"111111111111111'11111111111111111111'11111111111111"'1'1 1$ oJ> d-tJOIJ -- WORK PROPOSED O-J.b- '-Of~O~ OC/{)(J() - O' 0 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH OTHER I VALUATION OF TOTAL CONSTRUCTION D PROGRESS ENERGY D W.R.E.C, VALUATION OF MECHANICAL INSTALLATION MECHANICAL / SIGNATURE I I I I I I I I I License # I 111111I1111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster Attach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance, Attach (2) sets of Engineered Plans, ....PROPERTY SURVEY required for all NEW construction. 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 AlC Address License # ELECTRICIAN ! SIGNATURE Address .------~ ~ .- ,/' COMPANY REGISTERED Y/N FEE CURRENT Y/N License # PLUMBER SIGNATURE (\J 0"f\JL-- COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # . '0 1'..; r\.L. COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW 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 arnisdemeanor 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 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. FLORIDA JURAT (F.S. 117.03) CONTRACTOR Subscribed and swom to (or affirmed) before me this by Who Is/are personally known to me or has/have produced as identification. OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who Is/are personally known to me or haslhave produced as Identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped Vanater-37423 Wedgewood Dr SQ. FEET PRICE MAIN OR LIVING: 224 $ 44.00 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ 9,856.00 FEE SHEET $ 80.00 ADDRESS $ - DRIVEWAY $ - BUILDING: $ 81.60 ELECTRICAL: $ 35.00 PLUMBING: $ - MECHANICAL: $ - SUB-TOTAL $ 116.60 RADON: $ - TOTAL $ 116.60 SEWER: $ - WATER: $ - IRRIGATION: $ - TOTAL: $ - WATER METER:I $ IRRIGATION METER $ - I FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ . PUBLIC SAFETY IMPACT FEES POLICE $ - FIRE $ - 5% $ - TOTAL: $ - SUB-TOTAL $ 116.60 I - ~ PARK IMPACT FEESI $ SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ . : I I I TI F'S :1 $ 99% $ 1% $ TOTAL: $ 116.60 I Fee Sheet Oi,~]'lb{L 1747-'1 v~PO bfi-w~~~O Comm Res Square Feet 21>-1 a 'b 5~ ,~u ~I' Dollar Amount 4Y.~'I:. Valuation (Use System for calculation offees) ~1A- &j)6. J- ~rUL ~L--I Radon Connection Fees Sewer % (180.00) _ 1 (250.00) _ 1.5 (650.00) _ 2 (875.00)_ 3 & 4 (Contact Louie)_ Water W. Meter (All Residentials - % ") I /VI it Irr. Meter Irr.Conn Impact Fees School tJ)i1- Transportation ~IA Park ai)fT Public Safety N/ft DJ:SCLOSlJRE STATmmHT FOR OWNER CITY OF ZEPHYRHJ:LLS BO'J:LDJ:NG DEPARTMENT J:, a'}~~ &, J~ e;I.- ~ I-- . agree to the provisions of this instrument. have read and f~~y understand and . . The undersig1;l.ed states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domici~e" that he or she actua~~y occupies, or wi~~ occupy by said domici~e, and same is not for rent, ~ease or sa~e. That he or she sha~~ comp~y with the fo~~owing conditions.: ~. That the ow.D.er and he or she a~one sha~~ act as the bui~der for a~~ phases of.. construction. That the ow.D.er wi~~ comp~y with a~~ provisions of the City of Zephyrhi~~s ordinances and codes pertinent to 'the bui~ding. That in the event various phases of construction are subcontracted, he wi~~ engage on~y proper~y ~icensed subcontractors and wi~~ persona~~y supervise such work.. That in the event the Bui~ding J:nspector sha~~ require corrections to be made, the ow.D.er wi~~ assume fuJ.~ responsibi~ity to insure they are made, and upon comp~etion wi~i ca~~ for a reinspection before proceeding with the .bui~ding. That the oWner sha~~ assume fuJ.~ respo:nsibi1.ity for the construction and wi~~ not expect supervision of his work from the City of Zephyrhi~~s Bui~ding Department. That prior to fina~ inspection any additiona~ fees, inc~uding reinspection fees, must be paid in fu~~. A written request from this office sha~~ . constitute. an officia~ notice.to pay additional fees. That the ow.D.er sha~~ comp~y with a~~ City, State and Federa~ ~aws. in regard to socia~ security, workman's compensation, lien laws, etc., where applicable. That the ow.D.er shal~ comp~y with a~~ the safety codes issued by the Florida J:ndustria~ Commission. State law requires construction to be done by licensed contractors. You have app~ied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain. restrictions even though you do not have a ~icense. You must provide direct onsite supervision of the construction yourse~f. You may bui~d or improve.a one-fami~y or two-fami~y residence or a farm outbui~ding. You may a~so'bui~d or improve a commercia~ bui~ding, provided your costs do not exceed $25,000. The bui~ding or residence must be for your ow.n use or occupancy. J:t may n.ot be built or. sUbstantia~ly improved .for sale or lease. J:f you sall;or' lease a building yotihave built orsubstantia~ly imp~oved your.se~f within 1 year after the construction is complete, the ~aw will presume.that you built or substantia~ly improved if for sa~e or lease, which is a. violation of this exemption. You may not hire an un~icensed person to act as your contractor or to supervise people working on your building. J:t is your responsibi~ity to make sure that people employed by you have ~icenses required by state law and by county or municipal licensing ordinances. You may. not de~egate the responsibi~ity for supervising work to a licensed contractor who is not licensed to perform. the work being done. Any person working on your building who is not J.icensed must work under your direct supervision and must be employed by you, which means that you must deduct F.J:.C.A. and wj,thholding tax and provide workers' compensation for that employee, al~ as prescr:ibed by 1aw. Your construction must comply with a~~ applicable laws, ordinances, building codes, and zo:c.i.ng regulations. SJ:GNATURE ~'eZ- ~.t#~I/h~ DATE 0 -17 - 0 ~ ~;cp.1 W6,~~ 01' Or' .2IWk "JCl5<1:J- .--1_'7~- _00 . 2. 3. 4. 5. 6. 7. 8. 9. OWNER'S ADDRESS PHONE r WJ:'l"NESS PERKIT # .,2 )<: 0,6./ /~<:,. ---- L 't!) :>.( - tA ?'- ~. "" 0- " I '1-> " ~ ... t- , ~ ,..... E I t rg I {; I It I I- \ t i Ii :W \j !, \1 i {) \~. 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J V ~> ~ ~!r ~ ..sO- ~ ~ Ff'!.~~'--_.'-'-- .._-_....~. ._.-.".=.==_.....L=..~~~::JJ~.L \ r;;;;;; $_.. __ \" \ ~ I J 1 ...... ........~\........._"..,.""......,..=""'-._._....-'._.......__._..n...\";=..~:::.;:;...__._ l_ . __ _._. __.. \ R Y ~, ~ r '" ~ "'f>. _ V'J }."'. -'>. "- -.. -... ...... ~ ~ '- ,-\:. .. \\\ '\ t. i<:""t> . ::: IJ' ....c ~ 1- \"\ t- ~ ~ ~ 1.\... ~ u t ~ ~ ~ t ^ ...... -. ~ t~ ~ '~~, ~ t~ ? ~-.r .~ '( f ~ t ~ :, tVt + ~ t ~ ~ >0 ~ 11 t c- _ .. .;\~ l f ~ t " ~ o. . ~ " ~ , '- Address - 4. Contractor: Name LJ uJ ~'t"(r Address ;S ~me as a.lo tJ .; (2- ~ :~ ~ :7 ~ ~i -N~~ ..... <~ ~.~~6. " ~~ ?~~ :> ( . ...... l~. ~.~~ ~ --!:IN ~ r NOTICE OF COMMENCEMENT State of P/orid~ County of PItSCAJ THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: . 1. Description of Property: Parcel No. \0., d.l.o -ti i _ 6\ d-O - 0000 - 0770 31 Lf~~ W~d.3evJDvJ :0r'l Zephyrhd/s-, FL ,.,3~t.f V (Legal description of the property and street address if available) ~ 2. General Description of Improvement ''':'-'.~. \oSe... ~C<.0V- p oj' (...LA 11111111111111111111111111111111111111111111111111111111I11I 2006146883 Rcpl:1016746 Rec: 10.00 .1 / ~ DS: 0.00 IT: 0.00 ~3. Owner Information: Name--LlIII.V2,J{ \" av\.G....l'€r 07/19/06 ___________Dpty Clerk Address :; 74)..5 [,ve&5 {. 11/00& ~ City 1/ C.p k r f' t""US' State-B--.i3$t('b Interest in Property: () ~ VI. € r Name of Fee Simple Titleholder: Itwl/l1\IL~ Y- 4t tt'-l l!~l;\.c(' t-e r (If other than owner) City State ~ City State S. Surety: Name Address City State Amount of Bond: $ J0E7D PITTMAN, PASCO COUNTY CLERK /19/06 01:09~m 1 iB.J. OR BK 7091 PG 06 Lender: Name Address City State 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: t~;--;?/.:.R C a 7{ U iT" /~ Sworn to an~ SUbSC::i~bef{W~~;V"'_~is~~?:-. day of (~j<J Notary PublIc: U .~~ __ __ ,\ ~-- My Commission Expires: ~",.1PIJ. CARMAN HARTZOG .,. .. MY COMMISSION II PC93053048/ A "'EOFlI.",$ EXPIRES: August 27,2006 r~ Notary Service & Bonding, Inc. 1.eoo.3-NOT^RY , 20L2.L-.