HomeMy WebLinkAbout06-6056
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
6056
Permit :6056
Permit Type: ALUMINUM
Class of Work: ALUMINUM PACKAGE
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 5,399.00 Total Fees: 91.60
Amount Paid: 91.60 Date Paid: 8/22/2006
Address: 37516 LAUREL HAMMO
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: OAK RUN
Parcel Number: 34-25-21-0100-00000-0150
Name: BAHR, RANDY KEITH
Addr: 6440 FT. KING ROAD
ZEPHYRHILLS, FL 33542
Phone: 813 782-3513 Lic:
Work Desc: SCREEN RM 16x10
WAR ,MARY
37516 LAUREL HAMMOCK DR
ZEPHYRHILLS, FL. 33542
Phone:
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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."
,~~ C~ ~~
CONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
State of
THE UNDERSIGNED hereby gives notice tbat improvement will be made to certain real property.
and in accordance widl Chapter 713. Florida Statutes. the following information is provided in
this Notice of Commencement:
L Description of Property: ParceINo. LOr lJ 0 rl-,t 1!f.L/1 Uu./J .
,]'1~cl,~ ~/- D/dO - d<KXXJ- 6/SV (]7S/fp Lti"'/~/ Iktfil/lU'ff "ot.
(Legal description of the property and street address if available)
2. General Description ofhnprovement ~ ew 17 /'00111
;NOTICE OF COMMENCEMENT -:.'.
F Ion riB- Countyof rt{v(1-O
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Of
Zt}JAjrAl/lJ"
111111111111111111111111111111111111111111111111111111111111
2006161855
. 3. Owner Information: Name m tL ry 10ftJ'cI . . .
Address J TSJ & LA..l.Jlf/ !J{.IJJf!!ttci(1' ZrJ-Jr~//r State ,PI J.35Y /
Interest in Property:
Name of Fee Simple Titleholder:
(If other than owner)
Address City
4, Contracror:Name !3aJ;/l IS 4fflJ)il/}V;n ~ ~C.
Address (j, '/'ld H/lf- k:fl-f /C.i City aJ'/itf/'/~'/ir
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Rcpt: 1022606 Rec: 10.00
DS: 0. 00 IT: 0. 00
08/08/06 Dpty Clerk
State
Slate F/ Jj~ R
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
City
State
JED FiiTMAN, PASCO COUNT~ CLERK
08/08/06 01: 59~m 1 if 1.
OR BK 712:::) PG .L0;J0
City
State
7. Persons within the Stale of Florida designated by Owner- upon whom notices or other
documents may be SClVed as provided by Section 713.13 (1) (a) (1), Florida StaWtes:
Name
Ac:Idress
8. In addition ro himself. Owner designates
City
State
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My Commission ExpIreS: .. . . . .. .
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of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b). Florida Statutes.
9. Expiration date of Not,ic;e of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
813-780-0020
City of Zephyrhllls t-'ermn Applllii:H1UII
Building Department
Date Received
f 13 - J IJ - irJl J...
Owner's Name
Owner's Address
Fee Simple Titleholder Nam~
Fee Simple Titleholder Address
DESCRIPTION OF WORK
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NEW CONSTR
INSTALL
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BLOCK
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ADD/ALT
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FRAME
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(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0 DEMOLIsH
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
BUILDING SIZE
If; ( "/.! () /
OTHER I
STEEL [1J
'S ! CLJ
HEIGHT I
OTHER I aiwn rnl/I'JJ
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PROPOSED USE
TYPE OF CONSTRUCTION
1$ S,J71 (fl. I
1$1. AMP SERVICE
1$ I
1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES [=:JNO .
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 . 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 .
BUILDER Cfe ,,~. <>J COMPANY
SIGNATURE . U ~~'-- [~ J REGISTERED
(p lPla Fp/'I ~ M. i . ki~ ~
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BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
t:::J
PROGRESS ENERGY
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W.R.E.C.
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PLUMBING
.f.Jo&
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
ELECTRICIAN
SIGNATURE
YI N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y IN FEE CURRENT
Y/N
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Address
Lic!!nse #
COMPANY
REGISTERED
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
I COMPANY
REGISTERED
I COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
Y/N
Address
OTHER
SIGNATURE
Y/N
License #
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Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Sanitary Facilitles & 1 dumpster
Attach (3) sets of BUilding Plans; (1) liet of Energy Forms.
Minimum ten (10) working days after submittal date. Required onslle, Constructlon Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
.***PROPERTY SURVEY required for all NEW construction.
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Directions:
Fill out application completely.
Owner & Contractor sign back of applicatlon, notarized
If over $2500, a Notice of Commencement Is required. (A/C upgrades. over $5000)
Agent (for the contractor) or Power of AlIorney (for the owner) would be someone with notarized leller from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A1C
Address
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
Driveways
Fences (PloUSurvey/Footage)
, '
NOTIqE OF .DEED RESTRICTIONS: The und8rslgn~d understands that this permit may be subject to "deedh restrictions';
, which may be more restrictive than County regulations. The undersigned' assumes responsibility for compliance with any
appllca~le deed r~strlctlons. ' , " ' ' " '
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:' If the owner has hired, a contractor or
contractors to undertake work, they may be re,qulred to be I\censed in aCcordance with state and local feQulatlohs. If the
contractor is not licensed as required by law, both the owner and con~ractor may be cited fQr a misdemeanor violation
under state, law, If the ,?wner or Intended contractor a~e uncertaih as to what "C?enslil9 reqUlr~inent~ may apply .f~f the'
Intended work, th~y are advised ,to contact the Pasco County Building Insp~ctJon Div!sI0ri-L1censl~9 sectloh at 727-84.7-
8009. Furthermore, If the oWner has hired a contractor or contractors, he Is advised to have thB contrac\or(s) sigh '
, portions of the .corltractor Block" of this ElPpllcatlon for which they Will be responsible. If yoti, as the owner slgrl as the. . .
contractor, that rriay be an Indication that h~ Is not properly IIcerised and Is hot entitled to permlttlh9 priVilege!;! In Pasco
County. ' ,., ' . ' ,
TRANSPd~TATION I,-,PACT/UTILlTIES IMPACT AND RESO~ROE REOOVERY FEES: The underslgnedUilderstahds
that Transportation Impact F:ees and Recourse Recovery Fees may apply to the construction qf heW buildings, chahge of
'use In existing buildings; or expansion of existing buildings, as specified in Pasco County Ordinance humber 89-07 and
0.., 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 ~nderstood, th.at TranspoJ1atlonlmpact Fees and Resource Recovery Fees must ~e paid prior to
, receiving a "certificate of occupancy" or final power r~lease, If, the project does hot Involve a certlfica~e of occllpahcy or
filial PQwer. release, the fees must be paid prior to permit Issuance. Furthermote; if Pasco CountY, Water/Sewer Impact
, fees are due. they must be paid prior toper!TIlt Issuance in accordance with applicable Pasco County ordlhances.
, cqNSTRUCTION LIEN LAW (Chapter,713, Florida Statutes, as amerlded): 'lfValuatlon 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 th~t I, have obtained a copy of the above descrlbl;td 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,informatlon In this application Is accurate and:that all Work
will be don~ In compllanqe with all applicable laws regulatl!1g construction, zonltig and land development. .Appllcatlon is ' .
hereby made to obtain. a permit to. do work and Installation as Indicated. I certify that ho work or Installation has
commenced prior to Is sua rice 'Qf a permit and that all work will be p~rformed 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 agenples hiclude but are hot limited to:
_ Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Envir,onmentally Sensitive '
Lands, Water/Wastewater Treatmemt. . ' '
Southwest 'Florida Water Management District-Wells, Cypress Bayheads,' Wetland Areas, Altering
Watercourses, ' , ,
Army Corps of Engineers-Seawalls, Docks, ,Navigable Waterways,. ." " . ,
Depar1m'ent of He~lth & Rehabilitative SerVices/Environmental Ht;lalth 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 permitted,'
" 'If the flll material Is to be used in Flood Zone "A?, it Is understood that a drainag,e p'lan addressing a
.compensating volumeD will be, subJ'!lltted at time of permitting which Is prepared by a ptofesslonal engineer
licensed by the State of Florida. ' . '
If the fill material Is to be used In Flood Zone "AD In connection wlth a permitted building using stem wall
, c;:olistructlon, I certify that fill will be use.d, only to fill the art;la within the stem wall.. '
. If fill ,materl~1 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 properties, .the owner may be Cited for violating
, ,: the conditions of the building permit Issued under the attached permit appllcatlc;m, 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 permlttln~ ~ondltlons set fo~h In
this afIIdavll prior to oommenclng.constructlon. I. underslend ~hat a seperate penn~ may be reqUIred for e1eclrlcal wo~,
..' plumbing, slgris, wells, pools, air conditioning, gaS, or Dther ,"slellatlons nDt specillcally Included In the eppllcaliDn. A
pennl! Issued shall be cDnstrued to be ellcense.to proceed wllh the work end not.. euthorlly to vlDlate, cancel, aller, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building Official from ,t~ereat.ted
,.,qulring a correction Df SlTois In pten., con.trucitDn or vloletiDn. of eny codes. Every pennll Issued. shell become Invell
unless the Work authorized by such permlllli commenced within six months of pennlt Issuence, Dr d work eulhotlzed by
the enilllls su" ended or abandoned for e period of six (6) mDnths efts< the time the WOrk Is commehCed. An .xtenslDn
ma: be reqtiEist:d, .in wrltlng,'from the Building Official for a period not to exce,ed hlnetYb(90.> days..ahj ~II,~emodstrate
JusUfleble cause. for tho extenslDn. If work caeses for nlnely (90) consecullVe days, the jo Is considers e an one. .
WARNING TO OWNER' YOUR FAILURE TO RECORD A NOnCE OF COMMENCEME;NTtl'" .JA~~~~t d~k~~~~
'PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I.F YPU INTENP TOo.BTA~ F,. ' '
WIT OU LE E OR 0 NEY BE ORER CORDING YOUR,. 0 C ?F co NCE, ·
, FLORIDAJURAT(F,.S.11?03),<) /1' CONTRACTOR ",~<;JG., CA.- C'LtJ~ '" A1f'J-t
OWNER OR AGENT Ma vv~~. rI ~ nd to (qr smnned) before me this .
, S~bscrlbedsnds mto(ors ,?b me this , SUb~~e ~::x,~;om S+c...U( l:roJl.
$ 17 ~(p by . Who Islare personslly known to me or haslhave produced ,
. ' Who Istare personally " ~ ~ BS Identification.
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commls No. '
Na;"e ~f Notary typed: printed or sterriped
Name of Notary typed, printed or stamped
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