HomeMy WebLinkAbout06-6026
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
RESIDENTIAL SWIMMING POOL
6026
Permit Number: 6026
Permit Type: SWIMMING POOL RES.
Class of Work: SCREEN ENCLOSURE
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 6,000.00
Date Issued: 8/21/2006
Total Fees: 90.00
Amount Paid: 90.00
Date Paid: 8/21/2006
Work Desc: POOL ENCLOSURE
Address: 37618 LAUREL HAMM
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 34-25-21-0100-00000-0290
Name: ALDERMAN, JAMES JR
Address: 37618 LAUREL HAMMOCK DR
ZEPHYRHILLS, FL. 33542
Phone: 813778-6367
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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."
--0f& ~-~
~ CONTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. This space for use by Clerk of the Circuit Court only.
1111I1111111111111111111111111111111111111111111111111111111
2006170502
Rcpt: 1026032 Rec: 10.00
DS: 0. 00 IT: 0. 00
08/21/06 ____ Dpty Clerk
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JED PITTMAN, PASCO COUNTY CLERK
08/21/06 11: 04am 1 4f 1
OR BK 7144 PG 0
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NOTICE OF COMMENCEMENT
State of Florida
County of Hillsborough
The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in the NOTI~E OF CO~ENCEMENT.
1. Legal Description of ro rty (street dress required : ~ ()cJL <I
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2. General description of improvements:
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3b. Owner's interest in site: f")~
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3c. Fee Simple Title holder (of other than owner)
Address:
Contractor Name: -~(.. ~ J:l-,:,LS I1JC-
Address: .1/,,3 ).../J4..JL~. . J.>,~ .1-4:-. ~;~i.(\ ~t ~11
Surety Name: _____I / Amount of bond:
Address: ~( (J.--
Lender Name: J H 1\
Address: ~ (~
4.
'ill~ _1J(/4 ~~.~9
Phone:
5.
Phone:
6.
Contact:
Phone:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by
Section 7.13.13(1)(a)7, Florida Statutes.
Name:
Address:
Phone Number:
8. In addition to himself, Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
7.13.13(1)(b), Florida Statutes.
Name:
Address:
Phone Number:
9.
Expiration date of Notice of Commencement (expiration date is one (1) year from date of recording unless a different date is
specified) .
j-fi
---
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
~~ .
The foregoing instrument was acknowledge before me this .)-4 date of ~ ~ . 20 ~ ~
by , who (is) (are) personally known to me or pro"cJuced
as identification, who did I did not take an oath.
Signature of Owner
(Driver's License #)
rJJf7
(A copy of any bond must be attached at the time of recordation of this Notice of Commencement)
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
RESIDENTIAL SWIMMING POOL
,?;'\
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6026
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc: POOL ENCLOSURE
6026
SWIMMING POOL RES.
SCREEN ENCLOSURE
SINGLE FAMILY RESIDENTIAL
6,000.00
Address: 37618 LAU EL HA
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 34-25-21-0100-00000-0290
90.00
ALD MAN, JAME
37618 LAUREL HAMMOCK DR
ZEPHYRHILLS, FL. 33542
Phone: 813778-6367
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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
nWarning 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."
~~
CONTRACTOR PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
-~,5~J~ \ Q>.~~3-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner Phone Number h. \ ~ -1 , ~
Owner Phone Number I
Owner's Name
JOB ADDRESS
I
I
Fee Simple Titleholder Address I I
(
1.?J1lc,( 't ((,-u ~ ~~.JL ~...... I LOT # I ;L9 I
PARCELlO# 1.3'1 . :l~'..)../ - oj 00 - ca'1O V -"Dol',e I
(OBTAINED FROM PROPERTY TAX NOnCE)
Owner's Address
Fee Simple Titleholder Name I
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D NEW CONSTR n ADD/AL T D
D INSTALL D REPAIR
PROPOSED USE D SFR 0 COMM ~. OTHER
TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL
- DESCRiXN?j;ORK I ~Oo \ S~. {..A....i \ ~~~
~~~~NG SI~ I <t ~ t.{ .50~+ SQ FOOTAGE I <6"- <..{ / t/(d HEIGHT I '2'
I
VALUATION OF TOTAL CONSTRUCTION "GOOD
SUBDIVISION
WORK PROPOSED
MOVE D
DEMOLISH
SIGN
o
.~\ &.c.'Cll.~
o OTHER L-
D
BUILDING
1$
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS D
FINISHED FLOOR ELEVATIONS I
ROOFING
I
I
I
I
D
I
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
*(3un+ ~
dO.dO
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
BUILDER COMPANY I
SIGNATURE REGISTERED L.:0...!:!....J FEE CURRENT ~
Address License # I
ELECTRICIAN I COMPANY I
SIGNATURE REGISTEREO Y/N FEE CURRENT U:~
Address I License # I
PLUMBER I COMPANY I
SIGNATURE REGISTEREO L.:0...!:!....J FEE CURRENT ~
Address I License # I
MECHANICAL I
SiGNATURE L.:0...!:!....J FEE CURRENT ~
I
OTHER ~
SIGNATURE I *'q., :.-=>
License # L.ec..O ':;' ~ b S" C,
U.
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
Ail commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
-PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
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 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 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 property licensed and is not entitled to permilling 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
permilling. 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, WaterNVastewater 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 offill is not allowed in Flood Zone "V' unless expressly permilled.
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 submilled at time of permilling 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 permilled 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 allached 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 permilling 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 job is considered abandoned.
~
-'
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU I
WITH YOUR LENDER R AN ATTORNEY BEFORE RECORDING YOUR
FLORIDAJURAT(F.S.117 ) ~_
Q~ \ ~~NotaryPUbIiC
\ - ,
Commission No.
Notary Public
Name of Notary typed, plli1h!tJor stamped
Name of Notary typed, Pri~?~t~~ped '
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HARTSHORN CUSTOi\Jl CONTRACTING
CUSTOM ENCLOSURES
No. -AL~
License #
CRC054659
8813 Venture Cove
Tampa, FL 33637
Phone (813) 620-0931
Fax (813) 626-5075
2857 Work Drive
Ft. Myers, FL 33916
Phone (239) 332-8043
Fax (239) 332-8046
SOLD TO
Sf<-
Aldc.rn>ar.
PHONE
DATE
7AI
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,200k
ADDRESS
INSTALLATION ADDRESS 37 fv I ~
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Or.
CITY
CITY
ZIP
ZIP
PROPERTY OWNER
PROPERTY OWNER'S ADDRESS
PHONE
CITY
ZIP
TERMS & FINANCE
APPROX. DELIVERY DATE
ROOF:
WALL: 1
fLAT:
GABLE:
COLOR:
COLOR:
BUBBLE:
MANSARD: u(
IICETOf
DIVING DOME:
BEAMS:
COLUMNS:
ALUMINUM ROOF: p- k'ft ;::;"';0;
1-
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DOORS: 2-
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CHAIR RAIL: J ~
fLORIDA GLASS:
KICKPLATE:
GUTTERS: p ~ r. -/3eam
WINDOWS:
FRAME COLOR:
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PERMIT: C . ()
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SUBDIVISION C9ak 1(.1./ I')
R.T.M.
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COMMENTS
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Thia propoeal does not become a contract until accepted
and ,il11ed by an officer of the Contractor and if not ac.
cepted, any cuh payment will be returned. Contractor
ezpreulr reMrve, aU contractors, machanica and
materia man', lien which may be __rtecI under llDY
proviaiona at law to -=ure payment at the contract price
and may _rt and fix the same u a lien upon the real
property on which in8taUation i, made. Purchaaer
agree' to ,upply electrical power at job lite.
PRICES BASED ON II' HEIGHT UNLESS OTHERWISE NOTED.
ANY CHANGES AFTER FINAL MEASUREMENTS WILL BE CHARGED ACCORDINGLY
MATERIAL AND WORKMANSHIP GUARANTEED FOR 1 YEAR
ALL C.O.D. JOBS - 50% DEPOSIT REQUIRED
A survey sheet or a plot plan and complete legal description
is required on all pool and patio enclosures
"Section 501.025, Florida Statute.. (Consumer Protection) provide, that ". . . the buyer has the right to cancel a home solicitation ..Ie until midnight of the third buaineaa day
after the day on which the buyer S;I11' an agreement ....
I/We have read the foregoing proposed contract and accept the same on the terms and conditions printed
above.
CONTRACT PRICE
Purchaser:
,
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DEPOSIT
Date
HCC Enclosures. By
THIS PRICE IS BASED
ON DIMENSIONS SHOWN
IN THE ABOVE SKETCH.
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BAL. DUEt~uu
See Conditions on Reverse Side
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