HomeMy WebLinkAbout06-5959
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
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5959
ermit #: 5959
Permit Type: ALUMINUM
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 14,080.00 Total Fees: 166.70
Amount Paid: 166.70 Date Paid: 7/19/2006
Name: A I RANDY KEITH
Addr: 6440 FT. KING ROAD
ZEPHYRHILLS, FL 33542
Phone: 813782-3513 Lic:
Work Desc: INSTALL SCREEN ROOM
Address: 38939 1ST AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-20000-0100
F LLlS, MARTIN
38939 1 ST AVE
ZEPHYRHILLS. FL. 33542
Phone:
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FRAME
ELECTRICAL ROUGH
1 ST ROUGH PLUMB
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."
C\.(1-6l~ ~ &~- ~
CONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Owner Phone Number
Date Received ;1 - l ~ - 0 f..o
Owner's Name m a.r.f-t/? F (}J)i~
Owner'sAddress I 31939 /Sl ,4t/e/Jt/e
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
Owner Phone Number
Owner Phone Number
I
LOT# ~ 1/014'1
PARCELlD#1 J/-d.~-c)/- 00/0- cJ-()(XJO - CJ/OeJ I
JOB ADDRESS
I .3J'93'j /~f dte/Jt/e
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m NEW CONSTR D
[C] INSTALL D
PROPOSED USE 0 SFR D
TYPE OF CONSTRUCTION 0 BLOCK D
DESCRIPTION OF WORK loSt /'eR./} rtYJ/n
ol(J I X VIP J SQ FOOTAGE I
SUBDIVISION
ADD/AL T
REPAIR
COMM
FRAME
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLISH
WORK PROPOSED
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OTHER I
STEEL D
OTHER I
9 r.UJ [1J
HEIGHT I
BUILDING SIZE
D ELECTRICAL
D PLUMBING
D MECHANICAL
1$ /~ off), {JJ I
1$ I
1$ I
1$ I
D GAS 0 ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
1111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111I1I1111111111111I11111111111111I1111111111
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COMPANY
REGISTERED
I
AMP SERVICE
D
PROGRESS ENERGY
D
~OC-
W.R.E.C.
BUILDING
VALUATION OF TOTAL CONSTRUCTION
VALUATION OF MECHANICAL INSTALLATION
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License # I I
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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.
11.111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111111
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
13 tLA~ 0"4h/ll.;/lt/ /7J
I (;JI N I FEE CURRENT I @ N I
License # I
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
YI N
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y I N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
Fences (Plot/Survey/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 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 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
WITHYOUR LENDER OR AN TIORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S,1,~!~~~)r;/7 "' I A
OWNER OR AGENTc:" ~-- ,\: CONTRACTOR S~e.U. ~
Subscribed and sworn Jd (or affirme..d.) be ore me this Subscribed and swom.to (or jlffirme~ before me this
7-!"{-Or., by tUft..... ,..-01/($ 7-f1-0~ by /V'fftrr,;." !:E.11"j
Who Is/are person Y known to me or has/have Droduced Who isfare personally known to me or has/have produced
D.L. as identification, - as identification,
c2lb~ ~om~PUbIlC Co ~ NomryPubllc
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Name of Notary typed. printeoor stam~ed
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Name of Notary typed,ptintellpt'sUtmped . .
NOTICE OF COMMENCEMENT
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State of ;::/or/d a..
County of Fksco
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. /(- ;<(p- p(!-DOID- eJ.ooot)- 0100
3'OCj39 Isf fJve. . Zeohlfrhi/Is, Ff. 335l/:L
(Legal description of the property and street address if available)
2. General Description of Improvement '- Sc. ree Y} Rt')Drn
11111111111111111111111111111111111111111111111111111111111I
2006145702
Foll,s
City Zephy rh,' / 15
State Fl. 335L{;;L
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Rcpt:1016287 Rec: 10.00
DS: 0.00 IT: 0.00
07/18/06 ______Dpty Clerk
R'
Address City
Contractor: Name Ba.I1r1ls If! umlntll"Yl ,I!/1c.
Address (Pt/'IO Fort K{~ Rd. City 7eph'lrhr' {Is
5. Surety: Name
State
State FI. 3:3 5'1 ;t.
Address
City
State
JED PITTMAN, PASCO COUNTY CLERK
07/18/06 10:49am 1 ~f.1.
OR BK 7089 PG 13~
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:
Sworn to and SUbxefore me this -3 g ~ day of J i<..iZ;
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PC93053048/ A
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'SCALE:
S 1" = .30"
NW CORNER - BLOCK 200
T F.C.M, JXJ
Broken Top
_,. NO 1D#
BUILDING SHALL COMP~ WITH
AL. L APPLICABLE BUILDr,
ELECTRICAL, PLUMBIN
MECHANICAL CODES.
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BUILDING SHALL COMPLY WITH
.ALL A?PUCABLE CITY OF
ZEPHYRHILLS ORDfN ANCE.
HR. 1/2"
NO ID#
F./.R, 112"
L8 #107
LOT
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MASONRY RES.
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1ST AVENUE
20' Asphalt Pavement
lOTES:
R.OOO ZONE CERnFICATE: This is to certify that the property shown hereon falls
with Flood Zone .X. os per the Flood Insurance Rote Mop,
Community Panel Number 120235 0005 C _,dated --.-l2..L1.lLE.L_"
urvey, made on the ground unqer thf'! I!upervislon of a Florida Reglatef"'lld Surveyor
Ney wae completed on o~~
'"' tn.. Nnrln..rlv R/W lin.. nf f ST AI/F'NIIF "'"
N. scrOO'OO.E.. assumed.
.., undsrground encroachm..,ta or building foundatlans wars measured or lacated
""Y. unlsoa otherwiee shown. T......s and .hrub. not locoted, umsoa otherwise shown,
lucted for the purpaae of a Boundary Survey only, and i. not inlanded 10
.ry Jurfedlcllon of any fedoral s1a1e, regional or lacal agency, board, commloslon or
:al agency. board, commislIion or other similier entity
LElJEND NlD AlJBRa'M77ONS:
F.I.p.aFOUND IRON PIPE
F,I,R.=FOUND IRON ROD
S.I.R.a$ET IRON ROD
FND,-FOUND
~.r~K':':'~~~~~,E!SK
F.C,M.=FOUND CONCRETE MONUMENT
F,F,E,=F1NISHEO FLOOR ElEV"TIQN
P,Q,B.=PQINT OF BEGINNING
P,Q,C.-POINT OF COMMENCEMENT
G,T.I.=GRATE TOP INLET
,. . _~ ....1.1_ ""'__4__ ....__ __. ..... ............
R/w _RIGHT -or - WAY
P,B.=PLAT BOOK
PG.=P"GE
W IF -WOOD FENCE
C/l -CHAIN lINK
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