HomeMy WebLinkAbout06-6231
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6231
Permit Number: 6231
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: 3940 QUAKER RIDGE ST L
ZEPHYRHILLS. FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0030-00000-0750
5,900.00
11/09/2006
90.00
90.00
11/09/2006 Phone:
WINDOW REPLACEMENTS 2 SIZE FOR SIZE AND 1 DOOR
Name: MUNROE, WARREN
Address: 3940 QUAKER RIDGE LOT 75
ZEPHYRHILLS, FL 33542
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REINSPEcnON 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. II
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6231
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:
6231
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
NOT APPLICABLE
Address: 3940 QUAKER RIDGE ST LOT ~7G.
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0030-00000-0750
5,900.00
11/09/2006
90.00
90.00
11/09/2006 Phone:
WINDOW REPLACEMENTS 2 SIZE FOR SIZE ~nD
Name: MUNROE, WARREN
Address: 3940 QUAKER RIDGE LOT 75
ZEPHYRHILLS, FL 33542
REINSPEcnON 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.
~-.
TRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-78G-0020
Date Received
Owner's Name
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W'o..rrtf\ !n",,, rot.
1'3 q'fU (if/llktr
Owner's Address
Fee Simple Titleholder Name I
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
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Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address I
I 3'1'(0 "v,,-her
Im~)tJn'v O"/U
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
B
o
o
IrlPI.,.u
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
DESCRIPTION OF WORK
BUILDING SIZE
D BUILDING
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS 0
FINISHED FLOOR ELEVATIONS I
ROOFING
I.,~, ST LOT #
I PARCEL 10# I J. 'f-){,.,)./ -0030 -tJtP~t:I() - (7)0
(OBTAINED FROM PROPERTY TAX NOTICE)
fi3 AD DIAL T 0 SIGN D MOVE 0 DEMOLISH
REPAIR
-
CJ COMM 0 OTHER
CJ FRAME 0 STEEL D OTHER r:==
.f / DuD!" S/~ /-. f Sn.-!
I HEIGHT I
{,ALUATION OF TOTAL CONSTRUCTION
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AMP SERVICE
PROGRESS ENERGY
WREC,
VALUATION OF MECHANICAl INSTALLATION
DNO
},.-vi'n l.0/Tt rn (i"'("" &~o..dcl""'"
',I)~ ~ III do"
SPECIALTY 0
FLOOD ZONE AREA
OTHER
DYES
BUILDER
SIGNATURE
Address i350
ELECTRICIAN
SIGNATURE ,
Add ress I
PLUMBER I
SIGNATURE
Add ress I
MECHANICAL I
SIGNATURE
Address I
OTHER I
SIGNATURE
Address I
COMPANY
REGISTERED
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License # I CGc. \ ~50 l f:3 7
$,(<,54 W.
LrrY'"\,.t...\"'ln.~ ~_
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COMPANY
REGISTERED
FEE CURRENT
~
~
License #
COMPANY
REGISTERED ~ FEE CURRENT L~L!:U
License #
COMPANY
REGISTERED ~ FEE CURRENT ~~
License #
COMPANY
REGISTERED ~ FEE CURRENT ~~
License #
RESIDENTIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns
Minimum ten (10) working days after submittal date, Required onsile, 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 onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans,
--PROPERTY SURVEY required for all NEW construction,
COMMERCIAL
SIGN PERMIT
Directions:
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. lAIC upgrades over $50001
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 Fences (PloVSurveylFootage)
Driveways-Not over Counter if on public roadways"needs ROW
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 compliance 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 in:>tallation 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, WaterlWastewater 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 offill 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 Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension, If work ceases for ninety (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 NOTICE OF COMMENCE NT.
FLORIDA JURAT (F,S, 117,03)
OWNER OR AGENT
Subscribed and swom to (or affirmed) before me this
by
Who is/are personally known to me or haslhave produced
as identification,
CONTRACTOR
Subscribed and s
by
is/ar
Notary Public
~/fl~
Commission No.
Notary Public
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
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Penn It Number
Parcelldentific:atlon Number ;2 r"J-{, -,,2./ -0630 -OIKJOO-07.>(;
Prepared By: Team K Five Canst. Be Devl.
614 E Hwy 50 #320
Clermont, FL 34711
111111111111 1111I11111111I11111111111 11/1111111 111111111 1111
2006218873
Return to:
Rcpt: 1045716 Rec: 10.00
DS: 0.00 IT: 0.00
10/31/06 -______ Dpty Clerk
JED PITTMAN1 PASCO COUNTY CLERK
10/31/06 ,0 :2Jpm 1 of 1
OR BK 724 I PG 10
1. Description of property: (legal description of property, and street add..... If aj(~lIable) (J,' (fl'" I" c.I v1, ~t:..
/J1~e.-~1i(, Oo.Jc5 Ca"'~VI1:7Y ,~p.,}l ()f1( pb3.5"~.s 1{)7-1I;l 'bTs 7S" rv I
3?Y~ ~vc$Ker R,J;,e sT
2. General description of Improvement(s)
/)"0 r + lAI,"c!d IV ~1..u~"'T
, WA~ttI
3. Owner Infonnatlon'M foe
Name ,~~:!"{n(2:. .5' ", ~
Address '3.qLj 0 Qv-,,- ke f' I<. i ~e..
'2e.PV\~""~\ \\ '5" I Fl. 33542-
4. Fee Simple 'Title Holder (If other than owner ahown above)
Name Telephone Number l( () 7 - Ss- '!:> 1-06 Oc.;
Address Fax Number
Telephone Number Q It ~_ 1 ~ g , I q '-I q
Fax Number
Interest In Property ~cY"\eo'-' t.!Je ~
5. Contractor
Name Pf \I~ W'''.!,D....$ + bDor.s
Address 3s-0 s..~. <(3'1 w
lO""-'WbO), f/ 3.1 ., ~o
6. Surety {If any)
Name
Address
R'
Telephone Number
Fax Number
~;14-
,Telephone Number
Fax 'Number
Amount of bond $
7. Lender (Ifany)
Name
Address
tv/'l1
Telephone Number
Fax Number
8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Section 713.13(a)7.. Florida Statutes.
Name Telephone Number
Address !\I;1t Fax, Number
9. In addition to himself or heraelf, Owner designates the following to receive a copy of the Lienor's Notice as
provided In SectIon 713.13(1)(b), Florida Statutes.
Name fl/' /In,.. Telephone Number
Address I r, Fax Number
10. expiration date of notice of commencement (the expiration date Is 1 year from the date of reCOrding unle.. a
different date la specified):
/!lJJ~1.
Date S~~ .
$wom ~ ,ft. ...bqrtM .,.fo,. pt. this
W"rrt... (rJVraroe .
who Is pe..onally known to me OR
a8 identification.
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/ Ignature of Own.[Note: per Section 713.13(1Xg), ..o~r.......
8ign ...and no one elae may be pennltted to "'gn In his or Iwr "
stead."]
~S1J., dayof (}LTtbr
II prodUOecl rl/)L
:20P(
~
:
Fonn Revised: 3/98
~~~ T1MOTH Y ROLAND O'MALLEY Jgnature of Notary (notarial seal to appear below)
"A.9. '"' MY COMMISSION '* DD4S8845
~0IV1."~ EXPIRES: Aug.7,2OO!I
(407) 398-0153 Florida Notaty SerIIlcacom
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Permit Application Review Comments
By: Bill Burgess
Date:
Address:
Type:
10- ~\-o(o
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No Comments
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BUILDING SHALL COMPLY WITH
ALL APPLICABLE BUILDING,
ELECfRlCAL, PLUMBING AND
MECHANICAL CODES.
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REVIEW DATE: ~
CITY 0'1' 'LEPHY lL , ~
ll\lILDING OFFICIAL j)~
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