HomeMy WebLinkAbout06-5976
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5976
Permit : 5976
Permit Type: ALUMINUM
Class of Work: ALUMINUM PACKAGE
Proposed Use: MOBILE HOME SUBDIVISION
Sq. Feet: Est. Value:
Cost: 22,042.60 Total Fees: 252.50
Amount Paid: 252.50 Date Paid: 7/28/2006
Address: 37545 LILLY BEA AVE LOT 252
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): 252 Block: Section:
Book: Page:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0170-00000-2520
f!f~wDP
, ID C$
T
FRAME
ELECTRICAL ROUGH
B
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 encement. II
~~
~~ - ~~
CONTRACTORS SIGNAT PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o I C)-I OV-VV'::U
LillY UI LefJIIY" IIII~ ,ell IIIl t\fJfJlll."dllUII
Building Department
Date Received
~
Owner Phone Number
Owner Phone Number L
Owner Phone Number [
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Own.Co'dd,," hi. ~N'\l"'f\~~
Fee Simple Titleholder Nam
Owner's Name
JOB ADDRESS
I
I
Fee Simple Titleholder Address I I
~~~~:~~:IG::L:b:~~\~~~ :
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
SUBDIVISION
~ .-NEWCONSTR ~ADD/ALT D
cg.-.--- INSTALL 0 REPAIR
PROPOSED USE D SFR D COMM D OTHER 1t='\'\~{'\.~C'\'\.
lYPE OF CONSTRUCTION ~: ~ D__~ OTHER I
DESCRIPTIONOFWORK ~\.l'tm~~_ ~U _Ci\--.
\ \
BUILDING SIZE I I SQ FOOTAGE A~ I HEIGHT I
~II/IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII"IIIIII'"I11111111111111111111.11111....111......11111111111111111111111111111111111111111111111
~ BUILDING I$~~ .\<f:) VALUATION OF TOTAL CONSTRUCTION
~ECTRICAL 1$ , AMP SERVICE D PROGRESS ENERGY ~ ~ C
1$
1$
DGAS D
FINISHED FLOOR ELEVATIONS I
WORK PROPOSED
DEMOLISH
D
PLUMBING
NOL-
D
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
ROOFING
D
I
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
. _ QlD License# l~ c:f:"J\l~~
C~a~N~'J I~\? l:: \~ ~. ~ ~
REGISTERED L.CY' N' 'I FEE CURRENT 'U/N
I License # I \'(\
COMPANY I
REGISTERED Y I N FEE CURRENT Y I N
Address
PLUMBER
SIGNATURE
Address
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNATURE
Address I
License #
COMPANY
REGISTERED
Y I N FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Y I N FEE CURRENT
Y/N
License #
1'1111111111111111111111111111111111111111111111'1111111111111111111111111111111111111111111'1"11'1111111111111111111'11"1111111111111111111"'1
RESIDENTIAL 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
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTy SURVEY required for all NEW construction.
I , I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I ~ I . I I I I I II I I I I I , I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I l . I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I [ [ [ 1
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 Attomey (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 Driveways Fences (ploVSurvey/Footage)
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
~nder state law. If the own.er 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 Pascu
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. \ 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 Watervvays.
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
W1IH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR OTICE OF COMMENCEMENT
FLORIDA JURAT (F.S. 1 1.03) A ' ~
OWNER OR AGENT CONTRACTOR
Subscribed and s or to Subscribed and s b me his
by by
Who is/are personall kno Who Is/are pe~onally known
O"'YP"b1~
ublle
~p Nola'" u It
cfJt~n t'SJbrina Rae Canl
. . ,Z My commIsSIOn 00463268
~ 0'''' ExpIres 08118/2009
o otary typed, printed or stamped
06/07/06 WED 15:43 FAX 8137823966
GRAND HORIZONS HOMES
":llW4lU:l
FREE ES'I1NfA YES
B & R CONSTRuctION" OF CENTRAL FL, INC.
~ MORRIs BRIDGE ROAD
ZEPRYRlDLLs, FL 33543
III 001
1.M\ll'
1.800..214-1106
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."UCENSEO · BONDED "'INSURED · SKIIt.11NG" STEPS · ROOM AD.DITIONS '" ALUMINUM .. CONCRETE.'"
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'I'hRsboId _i~......... ... _ EA X
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.. S~ *lIIk..__........... ..LX~ - ~ Sq. }''t. ll: $).06
_00 ~.............__ .. x ;p 01; 11:= Sq. Ft. x $3.06
.. '........... -;- x -;- - -;- ScJ. FL ~ ".06
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.... ..1 r....StIp...................... _ EA x $1~.J7
2 TreM SIzp...................... _ EJ\ X $218.14
1).110.14 lTI'IMdStep____..._...m........ ~ &0\ x S328.l.Z
4"4 Stoop......................... _ EA x $275.52
$tllUO 8riat $tiniq .,.. 5 Hip
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SIGN: ALl~
'0.00 bAlE: - 7~ 6 PERMIT
FAX TO: JI3-715-fin5 TAX
FOR ENGI'NIiStJNo. TOTAL
$3.20
$351 J)()
S2!.13
$9L'-5
ALUMINUM TOTAL
$2..29
U52
$131.10
$100.00
x S357.00
112.755.38
53.936.72
$3.50.00
SO.OO
S22.042.60
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