HomeMy WebLinkAbout06-6154
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
Permit Number: 6154
Permit Type: ADDlTIONIAL TERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 3504 AQUAMARINE WAY LOT 17
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number: 24-26-21-0020-00000-0170
16,000.00
1 0105/2006
235.00
235.00
10105/2006
LANAI & SCREEN ROOM
Name: ROSE,LAWRENCE
Address: 3504 AQUAMARINE WAY
ZEPHYRHILLS, FL. 33542
Phone: 703 928-4690
PLUMBING FEE
35.00
J
/ ^()/ \c \01
y\ \ . '})\' (Y'
PRE-SLAB
WATER
INSULATION WALL
MISC.
MISC.
2ND ROUGH PLUMB
SHEATHING
MISC.
MISC.
ELECTRICAL FINAL
LINTEL
FRAME
MISC.
MISC.
PLUMBING FINAL
PRE-METER
MISC
INSULATION CEILING
MISC.
BUILDING FINAL
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.
~JVtiC~ WilL-- &tZ~ ~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhllls t-'ermll I-\JJJJllvdllU11
Building Department
Date Received
ol,R
Owner's Name LrtfUrlACe. ,e{)U..
Owner's Address I ..JsCf./ Ae 1I1i../J1 a...r/IJ't
Fee Simple Titleholder NamJ
PASCO PERMIT SERVICE
14
JOB ADDRESS
tUrLq
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PARCEL 10#1
Owner phone Number ( c) 7d 3 - 'l,,).j - <ib I()
a/I) S 7/- ;)Jf - r; (,.31\
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Owner phone NumberJ IVI';:~ ~
Owner phone Numb~r I
Fee Simple Titleholder Address I
SUBDIVISION
I JS ot.j A ftlU-/YltL/'l/;f
I ThR [n(ra-LIAJ/l7k
LOT t#
1/7
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WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
I
El'
D
D
o
o
o
OTHER I
STEEL D
ADD/ALT
REPAIR
COMM
FRAME
(OST AINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLIsH
OTHER I
I
I'
I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
ELECTRICIAN
SIGNATURE
4fttJ- .s/-u;' ~,,p
COMPANY
REGISTERED
~ oY'"'lf\.Q C'i1.. lllY\ Q ./.-..
I Y / N I. FEE CURRENT
License # I
Y/N
Address
Afi~A-1 . v~ etA-
-
3 /' ;;>
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PLUMBER
SIGNATURE
COMPANY
REGISTERED
UO"YOl" CYI .2. Nt 0 Ii..
'I' Y I N I FEE CURRENT
License # I
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Y/N
FEE CURRENT
Address
License #
I
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/ N
FEE CURRENT
Y/N
Address
License #
111111'111' I' 'I 111'11'11' III"" 1111111111111111' '.11111" 111111111' 1111' 11111111111111111111111111111111111' 11111' 'Il 1111I11111 I III i 11111111111'1
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns
Minimum ten (10) working days after submittal date. Required onsite. Construction Plans. Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) liet of Energy Fonns.
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 ali NEW construction. . . .
I I I I I I I I I I II II I 11111 I I I II I I . II , II , I11I 1I1I1 I I . . I II . I I 11'11 . . II I , III , III1I1 II . j III I I I I ~ III i i i I II I I I I I i II IIII i II I II i . i I II I i II I I i I I I i I Iii I Iii I i Iii I Iii
Directions:
Fill Qut application completely.
Owner & Contractor sign back of application. notarized
If over $2500, a Notice of Commencement Is required. (Ale upgrades over $5000)
.. Agent (for the contractor) orPower 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)
. .
.>. .~P"'"
..commission No.' .
Commission No.
Name of Notary lyped. printed or stamped
Name ~f Notary typed: printed or stalTiped
Permit Application Review Comments
By: Bill Burgess
Date: I b - '3 --(:::)(0
Address:
rO-'J C 0 P..Q.,cn ~
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3564 D.1JU0--Y'C)0-~~ W~
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BUILDING SHALL COMPLY WITH
ALL APPLICABLE CITY OF
ZEPHYRHILLS ORDINA1'1CE.
1!-a5 E
LOT /7 7.#E E"1e~A L.O ;t'J()ZIv'TE
&Z t1.~ -~/. cx>:JO ~ cax>u - () /70
~ I!Wf!..G'J1cl.; RoSE
Name. ,
.3 5 0Ii AtQfJA- Ltt.\ ~ N l? WA-Y
Address
~e ff) Y (( fhU-/~ . fL. 335"'-10
(
To Whom It May Concern,
Please be advised that:
Stacie Zullo, & Debbie Dokendorf of Pasco
Permit Service have my permission until further written
notice to sign and pick up permits for me_
Sincerely,
~A -rOb
ignatu
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this JAR day of ~pr/~1 , .~~ .
Personally known or Produced identirication ___
~~~
Nary s gnature
Commissioned Stamp
and Expiration Date
Page 1
D:ISCLOSURE STATEMENT P'OR OWNER
C:ITY 01' ZEPBYRB:ILLS BU:ILD:ING DEPARTMENT
:I, LAlli/fief-/, c. r:: ((.0 Sli have read and fully understand and
agree to the provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile,. that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1.
That the owner and he or she alone shall act as the builder for all phases of
construction.
That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to 'the building.
That in the event various phases of construction are subcontracted. he will
engage only properly licensed subcontractors and will personally supervise
such work..
That in the event the Building :Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice, to pay additional fees.
That the owner shall comply with all City, State and Federal laws' in regard to
social security, workman's compensation, lien laws, etc., where applicable.
That the owner shall comply with all the safety codes issued by the Florida
:Industrial Commission.
State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or impr~ea
one-family or two-family residence or a far.m outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building ,or residence must be for your own use or occupancy. :It may not
be built or substantially improved for sale or lease. :If you seal:o~ lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. :It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct P'.:I.C.A. and w:i.thholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
Oc::"SanS:Id......z"'o~,ning regula "ons.
n.._ - ----'- ~ IlATE 4-3-ap
ADDRESS 3 ~o ~e ((~ _ .
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WJ:TNESS {)IJ..{Ju ~~ 0 IUY""'VW' 1-
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I>ERMJ:T #
State of
NOTICE OF COMMENCEMENT
p tonlr... County of fJticret;
~~ ~ ~~rJJb
TH~ UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and III accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. '2-1.[- 2 f.,.. ~ \ - t; 02..0 - (j l>>OcO- f> (76)
J
General Description of Improvement
t ~n nxJ/17
II111I1 11111 111/11111111111111111111111111111111111111111111
2006163497
3. Owner Information: Name Ltf6J f2.(iIJ,C C J). RoSE
Address -3sot{ AWA-~.,ln\e- LVtt( City EI?/H'ff-H,Lt~' State rL- J3S~lJ
I
Interest in Property: Iw i;'
Name of Fee Simple Titleholder: NOj-l(!
(If other than owner)
Rcpt:1023265 Rec: 10.00
os: 0.00 IT: 0.00
08/10/06 Dpty Clerk
R 4.
Address City
Contractor: Name L ~k-ev...Ct7 !4:61F
Address 35ol( AUc/A--f'ltt-AI.eF eVA>( City ~el/ft.(,etjllLS
State -
. ":'r:~-""
State fL 3JJy'O
City
State
JEO PITTMAN, PASCO COUNTY CLERK
08/10/06 10: 48am 1 if 1..
OR BK 7129 PG .L3l!J0
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.)
SignatureOfOWr€Xo_~ cO ft <>
Sworn to and subscribed I::f<ye m~ this ~Yl.... day of
Notary Public: ~<<- ~ {/.~
" . NOTARY PUBUC.STATE OF FI.ORlDA
My CommIssIon ExpIres: . :;5
Co~ssion # DD5109B4
ExpIres: ocr. 16 2009
Bonded Thni Atlantic Bonding {;o., Ine.
/Yl~
,20 (J~.
PC93053048/ A