HomeMy WebLinkAbout06-6057
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
6057
Permit :6057 Issued: 8/23/2006
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 9,000.00 Total Fees: 112.50
Amount Paid: 112.50 Date Paid: 8/23/2006
Name: AH, NDY KEI H
Addr: 6440 FT. KING ROAD
ZEPHYRHILLS, FL 33542
Phone: 813782-3513 Lic:
Work Desc: ENCLOSE CARPORT AS GARAGE
Address: 5829 12TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-03700-0090
HABER TED
5829 12TH ST
ZEPHYRHILLS, FL. 33542
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MISC
MISC.
INSULATION WALL
MISC.
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MISC.
BUILDING FINAL
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INSULATION CEILING
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."
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CONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
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City of Zephyrhills Permit Application
Building Department
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Date Re,ceived
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I,), -fh Sf: I Zephyr;" ills 335lfOl
Owner's Name T-e
Owner's Address I S-g J ~ .
Fee Simple Titleholder NamJ
Fee Simple Titleholder Address I
1J.+hSf. " Ze(Jhyrh,l/~. FL- 335tfO . .. .. I LOT;
. I PARCELlD#II/-~-J./-OO/O -0370D -009D
(OBTAINED FROM PROPERTY TAX NOTICE)
o NEW CONSTR r=J' ADD/ALT 0 SIGN D MOVE 0
D INSTALL CJ REPAIR
PROPOSED USE D SFR 0 COMM 0 OTHER I
TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D OTHER I
DESCRIPTIONOFWORK ItloS"e /1'1 Exisfinj (ltlr;O{)rt ,-10 ~r~e- .
BUILDING SIZE I frJl X ~ 3/ I SQ FOOTAGE I 3q I rp. I HEIGHT I I
,.,." ,."..,.,... ,."". ,.~"',.,"" .",:.".. ,.."'~ ,. """." ,. ".", ,.., .,." ,. .", ,.. ,. .", ,.." ",.""..,.",., ,.",.." ,.", ...,."" ..
18 BUILDING 1$ q, 000. 'H2 I
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D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS 0 ROOFING D
SUBDIVISION
ISR;). q
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JOB ADDRESS
DEMOLIsH
WORK PROPOSED
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VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
PROGRESS ENERGY c=J
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VALUATION OF MECHANICAL INSTALLATION I J ~ JV'-f -'\..)'.
. . 1 .u(l.. O?~l~b-
SPECIALTY 0 OTHER
FLOOD ZONE AREA DYES [=:]NO
t=J
W.R.E.C.
BUILDER
SIGNATURE
~~
FINISHED FLOOR ELEVATIONS
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNATURE
Address I
Y/N
Y/N
1111111"1111111111111'1111111'11111111111111111111.111111111111111111111111111111111111111111111111111111111111111111I11I111111111111111111111I1I1
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) liet of Energy Forms.
Minimum ten (10) working days after submittal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for alj NEW construction. ,
11111111111111111111111111111111111111111111111111..11(1111111111,1111111111.,illllllllliiilllllillillllilil1IIIilillllillliilllilliiliiiiiliitiii
Directions:
Fill out application completely.
Owner & Contractor sign back of application. notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A1C Driveways Fences (PloUSurvey/Footage)
NOTICE OF DEED RESTRICTIONS: The underslgn~d understands that this permit may be subJect to "deed;' ~estrictloris"
. which may be more restrictive than County regulations. The unde~slgned assumes tesponslblllty for 'compliahce with ;;tny
applicable deed rf:istrlctions. .' ., . .
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:. If the owner has hired. a contractor or
contractors to undertake work, they may be required to be licensed In accordance wltli state and local regulatlohs. If the
contractor Is not licensed as required by law, both the owner and con~actor may be cited fQr a inlsdemeanotvlolatlon
under state. law, If the ~wner or intended contractor a~e uncertain as, to what lI<?enslng reqUlreinent~ may apply .f~r the.
Intended work, th~y are advised .to contact the Pasco County Building Insp~ctlon Divlslori-Ucensl~g SectlOh at 727-84.7-
8009. Furthermore, If the owner has hired a contractor or contractors, he Is advised to have the contraclor(s) sigh
. portions of the .col"'!tractor Block" of this QPpllcatlon for which they will be responsible. If you, as the owher sign as the, .
contractor, thatrriay be an Indication that he Is not properly licensed and Is hot entitled to permitting prlvllege$ In Pasco .
County, , . . . .
TRANSPORTATION I...,PACT/UTILlTIES IMPACT AND RESOUROE REOOVERY FEES: The underslgnedUndeirstahds
that Transportation Impact ~ees and Recourse Recovery Fees may apply to the construction of heW buildings, chahge of
. use in, existing buildings; or expansion of existing buildings. as specified In Pasco County Ordinance hllinber 89-07 and
.. .. 90-07, as amended. The (mderslgne~ also understands; that such fees, as may. be due; \NJII be Identified at the lime tif
permitting. 'It is further L!nderstood that Transpol1atlon Impact Fees and Resource Recovery Fees must be paid prior to
. receiving a .certiflcate of occupancy" or final power r~lease, If the project does hot Involve a certificate. of occlip~hcY or
filial power. release, the fees must be paid prior to permit Issuance. Furthermote; It Pasco County WateriSewer 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 .ownet", I certify thl:lt I,have obtained a copy of the above descrlbl;!d 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 compllanqe with all applicable laws regulall!lg construction, zonlhg and land development. .Appllcatlon is . .
hereby made to obtain. a permit to' do work and Installation as Indicated. I certify that no work or !nstallation has
commenced prior to Issuance. of a permit and that all work will be p~rformed to meet standards of all laws regulating
construction, County' and City codes, zoning regulBtlons, and land development regulations In the jurlsdictloh. I also
. ,certify that I understand that th~' 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 agen~les Include but are hot limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive .
Lands, WaterIWastewater Treatment. ' . . .. . '
Southwest . Florida Water Management District-Wells, Cypress. i3ayheads, Wetlahd Areas, Altering.
Watercourses. ' .' .
Army Corps of Engineers-Seawalls, Docks"Navlgable Waterways. . ... .. .
Departm.ent of HeEllth & Rehabilitative SerVices/Environmental H~alth Unit-Wells; Wastewater Treatment,
.' Septic Tanks. , .. , . .
US Environmental Protection Agency-Asbestos abatemant. .
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 aV" unless expressly pBrmltted; . ....
.If the fill material Is to be .used In Flood Zone "N, It Is understood that a dralnag.e p'lan addressing a
. "compensating volumen 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 use.d only to 'fill the ar~a within the stem wall.. ' .
. If fill. material is to be used In' any area, I certify that use of such fill will hot adversely affect adjacent
properties, if use of fill Is found to a~versely affect adjacent propBrtles, ,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 fo~h In
this affidavit prior to commencing. construction. I understand that a separate permit may be required for electrical wor~,
. ' . plumbing, signs, wells, pools, air conditioning, gas, or other installations not specffically Included in the application. A
permit Issued shall be construed to be a license to proceed with the work and not as authorl~Y to violate, c.ancel, alter! or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the BUilding Omclal ~rom ,t~erea~er
, requiring a correction of errors In plans, construction or violations, of any code~. Every permit lssu~d shall become Invalid
unless the work authorized by such permit Is commenced within six months of permit issuance, or If.work authorized by
the permlll. .u.p.od.d or abendon.d for a p.rlod of six (6) month. all.r the tim. the WOO< I. comm.nced. Anexl.n.lon
'may be requ..I.d, In writing, from the Building OflIcfel for a period not 10 .xceed nlnely (OO) d.!'". .nd Will. d.mon.hal.
Ju.liflabl. cau.. for the .xt.n.lon. II work ce.... for ninety (OO) con.ecub.. d.y.. the job I. con.,der.d .bandoned. ,
WARNING TO OWNER' yOUR FAILURE TO REcORD A NOTICE OF COMMENCEMEiNT MA V REsuLt I\VOUR
, PAViNG lWlCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND, TOO-BTAIN FINANCING; CO SUL T
WITH OUR LENDER 0' AN ATTO NEY BEFORE RECORDING YOUR., OT~ E OF CO ENCEME T. .
FLORIDA JURAT (F... ~ ' ~ L. I- CONTRACTOR ~ . ,~ . . it.. r r1.._
OWNER OR AGENt' ~--t .' th 1'/ 0 n"'-]'
i!j.bscrlbed ~d swo~o or affirmed) befOre me this, Subscribed and sworn J.olor afll!"ledl.before me Is .
. II_I.. ..-.- ,;LOpe., by ":;:>l~CL~ Crt:> S $ .
~. IOJ by it: /'""n":i.nef, I y. - ===~~..iiVki1Own tn.mB h sIh v produced
Wh stare personallY known to me or haslhave pmrt""Ari Who Is/are ~ or a as ~d:nuflcauon. '
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Name of Notary typed. prlnted or stamped
Name of NOt,ary typed, prlnl*hid;ftnttped
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NOTICE OF COMMENCEMENT
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7-AJJa
St.ate or F-[v r[dtL
County of fa 5 ('1)
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 ofPropeliy: Parcel No. /1- ~b ~ - 0010 -0.3'700 -0010
"58'JQ l~tl.1 S+, 2~hyrhdls FL 33SlfL
(Legal des6ript on of the pfoperty and street address if available)
2. General Description of Improvement Close in J;;~i6-h~ Carport -to -Ga.r~e...
H-~er J r:
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City Zephy rhi 115
111111111111 1111I 111111111111111111111111I11111111111111111I
2006169458
3. Owner Information: Name Te~
Address :;;~ ;;l.q~ st.
State F L -3 3SCf L
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address City
R 4. Contractor: Name BtLhr:s AILtminlLVY1 Inc.,
Address kir"\ RJ.. City uphyrh/lls
Rcpl : 1025575 Rec: 10,00
os: 0,00 It: 0.00
08/18/06 Dpty Clerk
State
State fL 23:3 s:tJ ') ~
5, Surety: Name
Address
_'_ City
State
Amount of Bond: $
JEO PITTMAN, PASCO COUNTY CLERK
08/18/06 12 : 08pm 1 of 1
OR BK 7141 PG 1986
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: t.-:Z-if ~?/~4 /
Sworn to and subscrib dU fore me this /0'1'-'. day of
~
Pu~
, 20 1)t(P.
Notary Public:
My Commission Expires:
PC93053048/ A
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