HomeMy WebLinkAbout06-6235
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6235
Permit Number: 6235
Permit Type: ADDITION/ALTERATION
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: 4912 19TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-00100-0090
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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.
~'~OL ,,' 3)~oS ~ ~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
~ \ L\C)<(3gQS
OWNER'S
NAME 60~ ,v~~~j~
ADDRESS \ \d y-\h. '-../ .
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT S335 8~h STREBT ZBPHYRHILLS, FL 33540
Phone:813-780-0020 FaxI813-780-0021
DATE RBCE:IVRD 1\ -Cl -DG:,
PLANS RBVIEW FBR
~,(\ c...
PHONE CONTACT 40'7 t...lloA ,t::).J:)Cj',
JOB SITE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # iL\ - ~<O-d.-l..,.. (.:.016- b(::)jOO--co9o
WORK PROPSED: oNEW CONSTRUCTION 0 ADDITION
(OBTAIN FROM PROPERTY TAX NOTICE)
o ALTERATION
DREPAIR
~ INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: ~GL FAMILY DWELLING
D COMMERCIAL
oMULTI - FAMILY
0# OF UNITS
o MOBILE HOME
o OTHER
o INDUSTRIAL
o SWIMMING POOL
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
'I~S-\-a..\\ lAJ\nrlD.-L1) ,~;(~ -Pry l~\ 7~ (II)
BUILDING SIZE
SQUARE FOOTAGE HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~~~
~ 0(:. ~- Ene:::... .
PERMITS REQUESTED
[JI'BUILDING
$ (o4QQ. Q;;:;2
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R,E,C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAo YES
BUILDER
~"CP.",,,,
q~ > >.
COMPANY TI-h\ A-.\- - Home ~;.e")
STATE CERT OR REGIST # _ C ' ~ } r:pqL2,
CITY PROCESSING #
SIGNATURE
******************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REG 1ST #
CITY PROCESSING *
SIGNATURE
******************************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***********~**************.~*************************************
OTHER
~ ~ COMPANY
STATE CERT OR REGIST #
'-~l r~ ~ITY PROCESSING #
~
**************************t~*1******************************
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SIGNATURE
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictionsU which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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 misderneanor
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
City of Zephyrhills Building Department, 613-766-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsU of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guideu prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owneru, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ~owneru prior to commencement.
E. 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 installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies rnay 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 Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater 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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~Au or "A,etc.u, it is
understood that a drainage plan addressing a "compensating volumeu will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to pennit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned tor a
period ot six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00, The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IM~ROVEMENTS TO YOUR ~RO~ERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~~~~~~NTP'
SIGNATURE: OWNER OR AGENT SIGNATUR~~
Dwho has produced
(type
and whoD-ciid Ddid not
STATE OF FLORIDA
COUN'n OF thu$
The foregoing instrument was ac~~dged
Before me this 3W day of ^-Jell , ~ 2!T{p
by W GUIL-VOVi
:-....."c. -...~ (name of person acknowledged)
! I Co j ia;"ho is personally known to me, or
I I' i ~ who has produced
of identificatif.)~ ... ~E (type of identification)
take an oath. it) j I~d who Ddid ~id not take an oath
,a; M I~ fUAJ PIPflW
I
~'ignature of person taking acknowledgment
_'Na~~e:J~~~~ or stamped
....--...1
STATE OF FLORIDA
COUNTY Ol!'
The foregoing instrument was
Before me this _ day of
by
acknowledged
19_
(name of person acknowledged)
Dwho is personally known to me, or
Signature of person taking acknowledgem
Name typed, printed or stamped
Return to: .
Name: lHD At-Home Services, Inc.
dIbIa The Home,Depot At-Home Services
Addres\: 3200 Cobb Galleria Pky, Ste.
200, Atlanta, GA 30339
IHlI\ 1111
\ 1"\11 \\1\\ "\11 ,1\" "I" ""I 1\"1 '1111
200421S471
Rcpt.: 832220
DS: 0.00
11/18/04
10.00
0.00
Dpty Clerk
This Instrument Prepared By:
Name: Team K5 Const. & Devel
Address: 614 E Hwy 50 # 320
Clermont, FL 34711
Property Appraisers Parcel Identification:
N PASCO COUNTY CLERK
1~:43.m 1 1of1610
114 PG
NOTICE OF COMMENCEMENT.
Permit No.
Folio No.
~ ,Z(P ,1... \ · 6 thO '<:::lC)\ (X:) . Ooq(.)
STATE OF FLORIDA
COUNTY OF
ff/40t:t'75
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The undersigned gives notice that improvement will be made to certain rcaI property, and in accordance with Chapter 713, Florida Statutes, the
following infonmtion is provided in this NOTICE OF COMMENCEMENT.
Legal description ofpropcrty (include street address, if available: 4q l'Z. \ q '"' ~ ~"''':oI ~.\\b,R "334$..4"z.
~"""~~. \S-\:~\\\.~~~~~ ~:~~tor(<-'~ ~ (p3~'
General descnption oflll~rovemcnt: _ _~___
Owner Infonnation - name and address: . Q B~ ~ ~~ - ~.--..&.-.
~ I / 7- I + hw -II s r L
Interest in Property: I
Name and address of fee sinple titleholder (if other u.n Owner):
~'3St.f-z,
813-6304112
Fax Number:
Fax Number:
Amount of
Bond:
s
Persons within the State ofFloridadesi
713.13(I)(a)7., Florida Statues:
Name and address:
by Owner whom notices of other dClQlments may be served u provided by Section
Phone Nmnber:
Fax Number:
In addition to himself, Owner designes of
to receive a copy of the Lienor's Notice u provided in Section 713.13(1)(b), Florida Stanaes. (Fill in at Owner's option)
Phone Nmnbcr: Fax Number:
Expiration date of Notice of Commencement (the expiration date is 1 year from frecording unless a different date is specified),
Signature of Owner ~ Signature of
Printed Name of Owner ()( ~~E:xrli: I('~ I'J rL~4
Sworn to and subscribed before me by 11'.e r-r -I U~,JeJ '( who is personally known to me or produced 4& b L
as identification, and ~hO did.Abdl&ke an oath, this.a.r ~ay of ~ 20~ . ·
Signature of Notary ~~ 5- ~cd
State of Florida
Printed Name of Notary:
Commission No./Expiration:
:*:
"'"'''' -a.6-..;k S N rth
...~y.~... lVUU-, . 0
g *:~'.:: Commission #00246843
~~-\; . ".~org Expires: Sel> 26, 2007
""""~~"""",,, ~nded'Thna
Atlantic Bonding Co., Inc.
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OR BK 7266 PG 1726
2 of 2
STATE OF FLORIDA
COUNTY. OF PASCO
" THIS IS TO,CERTIFYTHATTHE FOREGOING IS A
. . ' TRU,E AND CORRECT,COPY OF rHE DOCUMENT ON FILE
OR OF PUBLIC REC,ORD ,t~ THIS OFFICE:,~NESS MY
HAND NO OFFICI~L S-EAL THIS~ DAY OF
'.' 2~
,.CLERK OF CIRCUIT COURT
DEPUTY CLERK
STATE OF FLORlDA.
COUNTY OF P~SCO ,
nus IS TO CERTIFY THAT THE'FOREGOING IS A
TRUE AND CORRECT (;OPY OF THE DOCUMENT ON FILE
OR OF PUBLIC RECO~D IN THIS OFFICE. WITNESS MY
HANO AN~EAL THIS_~ DAY OF
.J2U2("
JED PITTM~F CIRCUIT COURT
BY ,L..-/ DEPUTY CLERK
Permit Application Review Comments
By: Bill Burgess
l-\~!- ~D!- @.
H-O'Y'YU!... '5;Jcs
Date: i \ - q -OCo
I No Comments
Address:
J1q1~ 1'1-tn ~+
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