HomeMy WebLinkAbout06-6094
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
/
6094
Permit umber: 6094
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 4829 5TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-01400-0060
3,950.00
9/13/2006
75.00
75.00
9/13/2006
WINDOW REPLACEMENT
BA , JERRY
4829 5TH ST
ZEPHYRHILLS, FL. 33542
Phone:
I\~
~i v\' 161
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."
NO OCCUPANCY BEFORE C.O.
~J~ Cu- ~-~
CONTRACTOR SIGNATURE PERM IT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrnms J-'ermll J-\\J\JlllidLlUII
Building Department
Owner's Address
Fee Simple Titleholder Nam~
I
I
F.. 51mplo TItloholdo, Add.... [ !
I 1-/ '6:L q i=t ~ .ft1?/ ,(ilVAtv('~ I LOT. I b+ 7 I
I (YJoo(is hVS+ f-lJil PARCELlOO[ I /..f - .;;L& -.;;LI - 00 10- 6/ '--105- (J 00,0 I
(OBTAINED FROM PROPERTY TAX NOTICE)
o SIGN 0 MOVE 0
o
o
..)
Owner phone Number
Owner phone Number I
Owner phone Numb~r l
Date Received
Owner's Name
JOB ADDRESS
SUBDIVISION
DEMOLIsH
@'
o
o
DESCRIPTION OF WORK ! \1\/1 hdo'J) ~_p-lacevn;'?J7+
BUILDING SIZE I~, SQ FOOTAGE I') HEIGHT I
l' , . . 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
o BUILDING 1$ 3Cf50 ~ I VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL 1$ I AMP 5ERVlCE t::J PROGRE55 ENERGY 0
o PLUMBING 1$ I ,JOC-
o MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
o GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
" , , . . 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
~~~~~RE I ~ ~'l 'i.: ~::rrn () TOlIN I I
36Lf~ I
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I
:
MECHANICAL I COMPANY ['
SIGNATURE i REGISTERED Y I N FEE CURRENT Y I N
Address Ucense # I
OTHER I COMPANY I
SIGNATURE i REGI"""D Y I N FE'CURRENT Y IN
I'" ,~~~~::, """" """ I'" """ """ """"," '" II" """," II'" , ""!",, II""" II"" I~:':'.':~~ ~"'! "'" II" 1'1'" 'I'" I" IIII""!
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
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for ali NEW construction,
111111111111111111111111111.111,.,11111..11111..11.111l'II.I,II.i.I.IIIII.lllllilllllill,iiiillllillillllili1IIIIililillillllilllilliil'iiililiillli
Directions:
PROPOSED USE
TYPE OF CONSTRUCTION
8
o
o
NEW CONSTR
INSTALL
SFR
BLOCK
ADD/ALT
REPAIR
COMM
FRAME
OTHER I
STEEL 0
OTHER I
I
r
I
WORK PROPOSED
W.R.E.C.
Address
License #
ELECTRICIAN
SIGNATURE
COMPANY [
REGISTERED
YI N
FEE CURRENT
Y/N
Address
COMPANY ,I
REGISTERED
License #
PLUMBER
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
License #
COMMERCIAL
SIGN PERMIT
Fill out application completely.
Owner & Contractor sign back of application. notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone With notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)
NOTICE OF ,DEED RESTRICTIONS: The underslgn~d understands that this 'permlt may be siJbJec;:t to -deed;' restrictions"
. which may be more restrictive than County regulations. The undsl:'Slgnea assumes tesponslblllly for Compliance With any
applicable deed r~s,trlctlons. . '. . , , '
UNLICENSED CONTRACTORS AND C.ONTRACTOR RESPONSIBiLITIES:. If the owner has hired. a contractor or
c~nb:actors to undertake work, they rriay be re,qulred to be licensed In aecordance wltti state and local regulations. If the
contractor Is not licensed as required by law, both the owner and con~ractor may be cited fQr a inlsdemeanot violation
under state law. If the C?wner or Intended contractor are uncertain as to what licensing reqUlreinents may apply for the .
IntEmded work, th~y are advised ,to contact the P~sco County Building Inspection lJiv!sI0fi-L1censl/.l9 Section at Ti.t -84..,-
8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to heivEdhEl contraptor(s) sign
. portions of the .contractor Bloc~" of this ~ppllcatlon for. which th*:,y,WIII be te~ponslble. If you, as the oWner sign ?IS the, . '
contractor, that:may be an Indication that h~ Is not properly licensed and Is hot entitled .to permlUlng prlVllege$ In Pasco
County., "',,.. : . ' ' , .
TRANSPORTATION I~PACT/UTILITIES IMPACT AND RESOUROE REOOVERY FEES: The undersigned Understands
that Transportation Impact F: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 hUinber 89-07 and
.", 90-07" as amended. The undersigned also understands; that such fees, as may be due; will be Identlhed at the thne of
permitting. 'It Is further l:Inderstood.- that Transpo~atlonlmpact Fees and Resource Recovery Fees must be paid pi"lor to
. receiving a .certiflcate of occupan~y" or final power r~lease. If the project does hot Involve a certiflca~a of occupancy or
final power, release, the fees must be paid prior to permit Issuance. Furthermote; If Pasco CountY. WateriSewer Impact
. fees are due, they must be paid prior to permit Issuance In accordance w,ith applicable Pasco County ordinanCes.
CONSTRUCTION LIEN LAW (Chapter,713, Florida Statutes, as amerided): "fvaluatlon ofY/ork,ls $2,500.00 or more, I
certify that I, the applicant, have been prOVided with a copy of the -Florida Construction Lien Law-HomeoWner's
Protection Guide" prepared 'by the Florida Department of AgricUlture and Consumer Affairs. If the applicant Is someone
other than,the .ownet", I certify thl:d I,have obtained a copy of the above described document and promise In good faitH to
, deliver it to the .owner" prior to cOl1Jmencement. . .
CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the.lnformatlon In this application Is accurate and:that all Work
will be donE! lri compllanqe with all applicable laws regulating construction, zonlrig and land develop"inent. -Application Is ' '
hereby made to obtain' a permit to' do work and Installation as Indl.cated. I certify that ho work or !nstallatlon has
commenced prior to Issuance' of a permit and that all work will be p'!lrformed to meet standards of all laws regulating
construction, County' and CitY codes, zonh)g' regulations, and land development regUlations In the jUtlsdlctloh. I also
,certify that I understand that the' regulations of other government agencies may apply to the Intended livork, ahd that it is ,
my responsibility ,to identify what actions I must take to be In compliance. Such agencies hlclude but are not limited to: '
_ Department of Environmental ProteCtion-Cypress Bayheads, Wetland Areas and Environmentally Sensitive .
Lands, Water/Wastewater Treatment. .'
Southwest . Florida Water Management District-Wells, cypress i:3ayheads,' Wetlahd Areas, Alteririg
Watercourses. . . . " , ' ,
Army Corps of Engineers-Seawalls, Docks" Navigable Waterways. ' " " .
Depar1m'ent of He~lth & Rehabilitative SerVices/Environmental H$alth 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.filllsnot allowed in'F1ood Zone -V. unless expressly permitted; .
'If the fill material Is to be .used In Flood Zone .A", It IS understood that a drainage p'lan addr.esslng a
.compensatlng volume" will be, sub'!1ltted 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 uA" In connection With a permitted bUilding using stem wall
, construction, I certify that fill will be used only to 'fill the arE!a within the stem wall. ,
. If fin, material Is to be used In' any area, , certify that use of such fill will hot adversely affect adjacent
properties. if use of fill 18 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 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 sep~rate perml~ may be required for electrical wor~,
, ' ' plumbing, signs" wells, pools, all' condltlorilng, gas,. or other installations 'not speCifically Included In the application. A
permit Issued shall be construed tl? be a llcens,e. to proceed with the work and not as authority to violate, c,an~el, alter, or
set aside any provisions of the technlcaloodes, nor shall Issuance of a permit prevent the Building Official ~om .t~e~ea~~r
requiring a qorrectlon of errors In plans,construct,!on or violations ,of any code~. Every permit lssu~d shallb~come Invalid
unless the work aulhorlzed by such permit Is commenced within six months of permit Issuance, or If work authorized by
the permit is suspended or ab,andoned for a period of.Slx (6) months, after. the tlm,e t~~ ~~rk IS commenced. 'An extension
'may be requested; in Writing, .from the Bul.ldlng Official fora period not to exc~ed ninety (90) dars,ahd Wlll,~em~nstrate
JustlflaiJle cause for the extension. If work ceases,for ninety (90) consecu,tlve days, the Job Is conSidered abandoned. .
, WARNING TO OWNER: YOUR FAiLURE TO REC~RD A NOTICE OF COMMENCEME;NT MAy ~ESULt IN ~OUR '
. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. I,F YPU INTENP TO, O,BTA~N F~~ANCING; OOt.JSUL T
WIT OU LE E 0' AN 0 NEY BEFORERECORDIN OU 0 OF CO E T.
. FLORIDA JURAT (F.S. 11.7.03) I,---,;i! ~ . b ,
. OWNERORAGENt 6LY'''''/OL. l~rY!c;S
Subs bed and siNo or affl e e this,
, ,~by ~ '. .2--
Isfare personally known tb e or haslhay!! produced
. VJ .' :" as IdeoUflcaUon.
~~~pmk
Commlss No. ,
, '..e-- ~NolarY Public
No.
Name of Notary lyped. printed or stamped
Name of Notary typed. prIiltlMi or stamped
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Swe of
NOTICE OF COMMENCEMENT .,
r:/ 0 r\~{0 Countyof Pas eD' .
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.
2.
3.
rne
Address Lf6 ~ City 5 State R....- 3~;l.
InterestinProperty: ~~ ////\ /~
Name of Fee Simple ~Older: ." V V,)
(If other than owner)
4.
Address
R
State, FL 3 ?6t..fd-..
5.
6.
Address
7. Persons within the State of Florida desi by Owner upo om notices or other
documents may be served as provided by Section 713.13 (1) (a) (1). Florida StablteS:
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 dale of Notj~ of Commencement (the expiration dale is 1 year from the date
of recording unless a different date is specified.)
..-->qi/i~Ul;? ~ .
swomtoandSU~bedbeforerr.tbis, /ol-I-A dayof ~.p./t-/k"r .20 OfJ.
Notary Public: ~ ~cl ~ ~
My Commi~n Expires:
PC93053048IA
NOTARY PUBLIC-STATE OF FLORIDA
~ Stacie Cross
Commission # DD510984
Expires: OCT. 16, 2009
Bonded Thru Atlantic Bonding Co., Inc,
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