HomeMy WebLinkAbout06-6029
. CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6029
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:
6029
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
NOT APPLICABLE
Address: 38706 DAUGHTERY RD LO
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-25-21-0010-1260-0140
3,200.00
8/10/2006
75.00
75.00
8/10/2006 Phone:
RE-ATTACHING COMPOSITE ROOM WNINYL WINDOWS
Name: TEU, BOB
Address: 38706 DAUGHTERY RD LOT 10
ZEPHYRHILLS, FL. 33541
J 10
I ~ \\l\Q
"< \. C\\
LE R
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
Mise INSULATION WALL Mise MISC._
MISC. INSULATION CEILING MISC. MISC._
MISC. DRIVEWAY MISC. MISC.
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."
NO OCCUPANCY BEFORE C.O.
(~i~~ ~ ~~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8'13-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received .
,
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address I
13531Dt, Dtitljhfery Rd/ 1.fpAfrhil[~ FL 335'10
Ic.oun+ry Oaks Soufh I PARCELID#la5-J.5--d./-OOID -/;LIoOO -DODD
(OBTAINED FROM PROPERTY TAX NOTICE)
m ADD/ALT 0 SIGN D MOVE 0
D REPAIR
D COMM 0
D FRAME 0
JOB ADDRESS
SUBDIVISION
B
PROPOSED USE 0
TYPE OF CONSTRUCTION .0
Re-A+t~d1ih tOm
g x 4- 0 SQ FOOTAGE I
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
05/'fe.- rOOm fA}
I
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TTTTTTTIIII till. . I . I . , . . I , II I r 1 , , , , I . II , 1IIIII I . , I , I , I , III , II , , 111 , I1111I1III1II111111111111111111 . , . . . I r , , IIIII , IIII , , , , , , I . , I , IIIIII1IIIII111111
BUILDING SIZE
D
BUILDING
:$-~e(). 00 ....}
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$ -----'7 \ .
1$ I
1$ I
o ROOFING D
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
W.R.E.C.
D
ELECTRICAL
D
PLUMBING
D
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
D
~
10
LOT #
DEMOLISH
OTHER
STEEL
OTHER I
D
D
PROGRESS ENERGY
GAS
SPECIALTY 0 OTHER
FLOOD ZONE AREA DYES
DNO
FINISHED FLOOR ELEVATIONS
BUILDER
SIGNATURE
~fv' tt_d,
~ 75.'~
COMPANY
REGISTERED
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
1 RiJn !f)u5ser
I Y / N I FEE CURRENT
Y/N
LIcense #
Y/N
Y/N
FEE CURRENT
License #
Y/N
FEE CURRENT
Y/N
License #
Y/N
Y/N
FEE CURRENT
License #
Y/N
FEE CURRENT
Y/N
Driveways-Not over Counter if on public roadways..needs ROW
Fences (PloUSurvey/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 compliatlce 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 Officia~ for a period not t~ exceed nin~ty ~90) da~s and will demonstrate
justifiable cause for the extension. If work ceases for mnety (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 TICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER ORAGENT~J L -r~
. SlJ.bscribed and sworn to t;;7rrr1:/ bef6re me this
i -F -.(Hi by ILtJ .e t/
Who is/are person~!'Y...kno~ to me or has/have produced
...:-- --- as identification.
CONTRACTOR
Subscribed and sworn t21(P':. a ef re me this
f-J>~' by /~. /Y)1J..J..sd'
Who is/are personally known to me or has/have produced
----------. as identification.
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Notary Public
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Notary Public
Commission No.
Commission No.
NOTARY PUBLIC-STATE OF FLORIDA
NOTARY PUBLIC-STATE OF FLORIDA
Name of Notary ty ted 0 S5
Commission # DD510984
Expires: OCT. 16, 2009
Bonded Thru Atlantic Bonding Co., Ine.
Name of Notary typed, printed or sta
Commission #DD510984
Expires: OCT. 16, 2009
Bonded TIlm Atlantic Bonding Co., Ie",-.
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BUILDING SHALL COMPL V WITH
ALL APPLICABLE CHV OF
ZEPHYRHlLLS.DRDINA NCR ,_
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REVIEW DATE: . ." "~
ClTYOFZEPHY IL ~fL 7-
BUILDlN(; OFFICIAL jLU ~ <'
TEV
LOT /cJ c(kJAJT/fY 0,4):0 JOvTJI
35" - r>1S -r;)J -- aJ/O- /cJ4,Q) - a;u:J
3! 7cYo M?~h"T~ V A?OA'LJ
NOTICE OF COMMENCEMENT
c( ~ tll 2 -/A.i/J
State of- FI 0 n- dt<-
County of Pasc-v
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. 35-d-..5-J/-OOID-/J.hOO-OOOO 1...-0+ 10
3 2 70 ])a. ~ e Rd.. l h rAiI/5 FL 33:5'lfD
(Le I des ription of t e property and street address if available)
2. General Description of Improvement Ke - MfCtch i v'j c.-O Yf1 r"O 5" fe.. ,00 rn
- I/J I + ~ V i v. y I wi h d 0 tV 5 1111111 1111111111 "'" 1111I 11111 11111 1111I 1111' 11111/11I1111
2006163496
Rcpt: 1023265 Rec: 10.00
os: 0.00 IT: 0.00
08/10/06 Dpty Clerk
City Zephyrht-I/'S
State Floridcc
JED PITTMAN, PASCO COUNTY CLERK
08/10/06 10:48am 1 if 1..
OR BK 7129 PG 2~9
R4.
State
5. Surety: Name
State F ~~
Address
City
State
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 r.nless a different date is specified.)
Signature of Owner: a~~:t ~
.---
~
/
d ~ 'P"-
day of
~T~
, 20 t>~ .
Sworn to and subscribed
Notary Public:
PC93053048/ A
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