HomeMy WebLinkAbout06-6028
t
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
6028
Permit : 6028
Permit Type: ALUMINUM
Class of Work: ALUMINUM PACKAGE
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 12,793.00 Total Fees: 212.50
Amount Paid: 212.50 Date Paid: 8/10/2006
Address: LOT 122
ZEPHYRHILLS, FL. 3'8 \0 qoo.Yll ~
Township: Range: ~-\-.
Lot(s): Block: Section:
Book: Page:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0000-00100-0090
Name: SUN A E ALUMN.
Addr: 6148 FT KING RD
ZEPHYRHILLS,FL. 33542
Phone: 813 788-7308 Lie:
Work Desc: ROOM ADDITION
JAVON, R BERT
37G1 LAURCL VALLCY DLVD LOT 122
ZEPHYRHILLS, FL 33542
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Y C\ \ if 0 \&Y'
FRAME
ELECTRICAL ROUGH
1 ST ROUGH PLUMB
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."
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CONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
.,
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8T11 St, Zephyrhills, FL33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED 13 - ~ -Cia
PASCO PERMll SE:R\
PHONE CONTACT FOR PERMITTING 1-~(q(g-g~1{-7gq
OWNER'S NAME
(OBTAIN FROM PROPERTY TAX NOTICE\
o SIGN
o ADDITION
o MOVE
DALTERATION
o DEMOLISH
o REPAIR
o INSTALL
WORK PROPSED:
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
M MOBILE HO
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK room ~ dd.f-/-r/)(7) <5' hed -f 5c~r.el?fl.fo() rT1
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
/
~ILDING
~LECTRICAL
PERMITS REQUESTED
Noc- J
~~
$ 1;)/ 7q3 L32
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o
FLORIDA POWER
[J
W.R.E.C.
, 0 PLUMBING
~ECHANICAL
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
$
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
E S~m()I{SEC'll:rON
BUILDER , ~. /12.?-'C COMPANY 511 f) ~ hk !iiL! rn / n / tL/fh-
SIGNATURE ~~~~....~~:~~.~~~~.~~.::~:~:.:***.*.*..*
ELECmICIAN - 9!-'.'l''' ..35:"~0> COMPANyOtUney- 1@lwf-J#c.vEm
SIGNATURE ~~~~ STATE CERT OR REGIST I
******************************************************************
PLUMBER
COMPANY
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SIGNATURE
STATE CERT OR REGIST #
SIGNATURE
****************************~************************************* ;/c
, 7j:'':Sv COMPANY hahr'.s PnpClI<.€- Gc;s.,. it C
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STATE CERT OR REGIST #
MECHANICAL
*****************************************************,~***********
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICT lONE
The undersigned understands that this permit may be subject to "deed restrictions" whicL
may be more restrictive than City regulations. The undersigned assumes responsibility ic
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be require,
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 thl
contractor(s) sign po~tions of the "Contractor Sections" of this application for which th,
will be responsible. If you, as the owner signs as the contractor, you are indicating th,
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licensed and
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's ConstructioJ
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agricultur'
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that
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.
Application is hereby made to obtain a permit to do work and installation as indicated.
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, 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 t(
the intended work, and that it is my responsibility to identify what actions I must take
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "An or ~A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted whid
is prepared by a professional engineer registered in the State of Florida prior to permit
l~::;uance.
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 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
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 requestec
in writing to the Building Official. An approved inspection must be logged during each s1
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, CONSUL
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2, VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
/i' j ~' I ~(i. 1 1
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SIGNATURE: CO TRACTOR b
STATE OF FLORIDA u~~CC)
COUNTY OF [!
The foregoing instrument was acknowledged
Before me...,t,hj"s ~da~ o~ ~_../" 20 ~
by 1l..cvtJr~ f/ol~/_~
u1. (name of person acknowledged)
~o is personally known to me, or
STATE OF FLOR
COUNTY OF
The foregoing instrument was acknowledged
Before ~ tpis ~~y of .J~Y':J r 20~
by _n..t>~,~o.-V~_
(name of person acknowledged)
Dwho is personally known to me, or
~hO has produced V L.-. .
(type of identification)
and ~id not take an oath.
~
Dwho has produced
(type of identification
~id not take an oath
taking acknowledgement
Si
:~
Name typed, printed or stamped
Name typed, printed or stamped
Cc. ' ~ tJP Z --#-<.'jlr
~~~~~~~~lW' 11/111111I I111I 1I11I III/I I1I1I 11111111
State of
?=lor ld.~
Io.JO=J..-:-I CE ()F CC~lr"!E.NCEf$illN'l~
County of me b
'THE UNDERSIGNED hereby giv'es notice that improvement "';,;'ill be made to c8rt
real property, and in accordance with Chapter 713, Florida Statutesf
follo<,,'ing information is provided in this Not.ice of COmlTI0DCcmc:n::. ~
L
"3 7s: / I-cUi r
(Legal descrlptlon
Elvd
roperty
~
.i of
General Description of Improvement
Name of Fee Simple
lIf other than
.. ~
Rcpt: 1021590 Rec: 10.000
OS 0 00 IT: 0.0
: . D ty Clerk
08/04/06 p
Owner Information; Name '~()W+--~VV-n
Address 375) 4ur'P) ~ lhu ~{Zity -;, hcJfl IUs
Interest in Property ~ P ()...J n
51'1~ ~
JEO PITTMAN PASCO COUNTY CL1ERK
. . 08/04/06 12: 2~m 1 of
Clty _ OR BK 711~ PG 1603
c5 c( eeh r~
rDom
3 .
State ~~
Tit:leholder:
owner)
Address
f 8.
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Contractor: -=,~me -5 un. ~-k- . fUj"m/ ~h V VYL
;~ddress . 01 ~Z-J 6Y+~nqfJ _ Cl.ty lq;i.~ ills
G / 'J
c:+-"'T-.C. c~
.............- ~ - -r0_ '--
Surety: Ntime
Ad.d.ress
City
State
Ail10un t of Bond ~
6. Lender: Name
Address
Ci-ty
St.at.e
"7 .
Persons "\;-llth.l.D the State of Florida
notices or other documents may be
713.13(1)(a) (7)f Florida Statutes;
designated by O\-,711er UpOiJ. \v1
served as provided by SeaL
Name
Address
,~:i t.:{
State
8 .
In addition to himself; Or..-Jner designates
-'"------
of
Lienor's Notice as prov~ded In Section
-to rece.i ve a copy of 1:
713_13(1)[b)f Florida Statute
9. r:::Xp1..r?l.-t...ion date of Not..lce o:f Commen.cemen.t.. {t.he expLr:at.Lon date is 1 ye
rr?ffi the date of recording unless a different date is specified.)
_c3~ day of Aj~L
S,Lana ture or Ot'l.f1er:
oJ
Sworn to and subscribed before
~~~._-
.-?ottir\T Ptrblic;"
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N01:A ny PUBLIC STArE OF FLORIDA. .
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Expires: OCT. 16, 2009
Bonded Thru Atlantic Bonding Co.. Inc.
'~:'" C-orniIij. ss i.Oil E~:pi.res :