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HomeMy WebLinkAbout06-6269 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6269 Permit Number: 6269 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: 37622 NEW HORI ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: 34-25-21-0090-00000-0620 5,298.00 Name: MARTIN, PHILLIP 90.00 Address: 37622 NEW HORIZONS BLVD 90.00 ZEPHYRHILLS, FL. 33542 12/22/2006 Phone: 813788-7574 REPLACEMENT OF TWELVE WINDOWS SIZE FOR SIZE \J!& J "ef \01 \ \ \1>0\ J ~~~ I FOOTER DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB. SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. 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. ~~~ r~-~ CONTRACTOR SIGN RE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6269 Permit Number: 6269 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: 37622 NEW I ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: GRAND HORIZONS Parcel Number: 34-25-21-0090-00000-0620 5,298.00 Name: MARTIN, PHILLIP Address: 37622 NEW HORIZONS BLVD ZEPHYRHILLS, FL. 33542 Phone: 813788-7574 REPLACEMENT OF TWELVE WINDOWS SIZE FOR SIZE 90.00 NtJ~J LuJo/ QJt<\--\-' UO'" ~ // ~ ~ ~o' ';jf-ort ~ L~r 1 T DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. INSULATION CEILING MISC. MISC. MISC. DRIVEWAY MISC. MISC. 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. ~~ CONTRACTOR SIGNATURE PERMIT OFF I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED . . PROTECT CARD FROM WEATHER 81 :3-780-0020 City of Zephyrhills Permit Application Building Department Date Received , 1- '2. g. - 6G::, 111111111111 Owner's Name P hi' I i (! . rYlax-+.... Owner's Address I '3 1 tn.;Jd Nw.J-loy I "2 D Y1 s 13\ V d. . Fee Simple Titleholder Namel Fax-813-78~,t#1 Ten() ,"e.. Owner Phone Number <?J 3. 78<6- 757'-1 Owner Phone Number I Owner Phone Number I JOB ADDRESS Fee Simple Titleholder Address I 13,1.,,;);;/ New t1t>("\ 'ZDV15 B)",d. I GrOYld -Hori zaYlS LOT # BUILDING SIZE I ,......11....11............'.....11..11.11.."'"1.11....'"11..11........11111........11...11............,...11'.11.111....'"1......11...1111111111 I D NEW CONSTR D ADD/ALl J2CI D INSTALL D REPAIR D SFR D COMM D OTHER D BLOCK ~ FRAME D STEEL D I ~-\- 0+ +we've- ~5SI2e- -Fr>Y-Size I SQ FOOTAGE I I HEIGHT I PARCEL ID#I SUBDIVISION 34. :lS-~' , 0 oct 0 - (jOf)OO -O~J-O (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH WORK PROPOSED PROPOSED! USE TYPE OF CONSTRUCTION OTHER I DESCRIPTION OF WORK ~ BUILDING 1$ 5/~q<6'aV I VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. ~,(/ D PLUMBING 1$ I D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION Q(.f('l\-v- - /Se n. \- \ G.. Ie ~ 0\ Au--\"ho (I 2- D GAS D ROOFING D SPECIALTY D OTHER $ 20 .C:YD FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 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 P , , . . , , I , , , , I I I I I . I III I I I III11 I I I , I , , I I ~ I I . I I . II , , , , , , II , II I I , . I . I , I . , . . . . I I , , , , , I I , I I , II , , , , I I , r . I . Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT Y/N I I I I I I I I CjD +.~ BUILDER SIGNATURE: COMPANY REGISTERED Address ELECTRICIAN SIGNATURE: COMPANY REGISTERED Y/N Address PLUMBER SIGNATURE: COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE: COMPANY REGISTERED Y/N License # I A~ ~A M JJ.I ~ A A 1_ COMPANY I3ozar.J-h Ins-kLLUch'rrn5> SIGNATURE: ~VY~'O~aa/t::i17-. REGISTERED I YI N I FEE CURRENT I Y/N I IIIII~I~~::~:IIII~~ I ~~~ ~~'II~ l~t;I~~~~~ I ~~I~~~III! 1111111111111111111 ~:~~~::I~IIIIIII~~I~~~~~ 1I1111 " RESIDENTIJ~L Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 Directions: 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 NC Address OTHER COMMERCIAL SIGN PERMIT Fences (PloUSurvey/Footage) Drivew~lys-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 Ordihance 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 installation 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, 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. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill 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 thah 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 violat!o~s o! any codes. Every ~ermit iSSUed. shall become. invali~ 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) mo~ths after the time th~ work is commenced: An extension may be requested, in writing, from the Building Offlcia~ for a period not t~ exceed mn~ty ~90) days and Will demonstrate justifiable cause for the extension. If work ceases for mnety (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 COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNERORAGEN~ .~~ Subscribed and sworn to (or affirmed) before m his by Who is/are personally known to me or haslhave produced as identification. CONTRACTOR Subscribed and sworn to (or affirmed) before me this by Who Is/are personally known to me or has/have produced as Identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped 11111111111111111111111111111111111111111111111111111111111\ 2006212707 Permit No. P-I :r3X FQOO # 34 .00G'~I-ccRo-oca:o-.o(Pa..o State of Florida n......."" County of: ~O Rcpt: 1043063 Rec: 10. 00 DS: 0. 00 IT. 0 00 10/20/06 ___m_~ Dpty Clerk 1. Legal description of property: .# 3'4 -~ -.;2/-co::ID-CIXXX)-OCe-Jo J 37~;;l;;J Ne.w HiJrizc.1YlC; Blvd, zephr~hi\I5,..Gr~HoriZ.Q\& P~e.r P834,Ft?S.QQ-llJd t.d-t,.J t)J<Lf1wl./. 2. General description of Improvement: (ep~ of +u.:e.1IJe. w.i'denv5::': Si ze t'G 18/9 .foe- $\ze. 3. Owner(s): Name & Address: PhI/lip (), rntuh"11 37u,'J.;J. New l-k>~iZL1YlS R/vd. 2eph''jhills. 1=L 3~5LJI.'7wqD a. Interest in property: b. Name & Address of fee simple titleholder (if other than Owner): NOTICE OF COMMENCEMENT F S 713.13 The undersigned hereby gives notice that Improvement will b e made to certain reai property, and in accordance with Chapter 713, Florida Statutes. the following information is provided in this Notice of Commencement. 4. H 8-3 '7.;;J..7- 3Qt..f-RGIC) R 5. Surety: Name & Address: Bond $ 6. Lender: Name & Address: a. Phone Number: Fax: Persons within the State of Florida designated by Owner upon notices or other documents may be served as provided by section 713.13 (1) (a) 7., Florida Statues: (name and address): a. Phone Nurriber: -, Fax: 7. In addition to himself. Owner designates to receive a copy of the Lienor's Notice as provided In section 713.13 (1 ) (b). Florida Statues. 8. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified) , 20_ ~~ ~~~~~ Sign at of Owner State of Aorlda County of PaSl!.D The foregoing Instrument was acknowledged before me this :day Of~, J.5'. 20 ~ by Phi /I ip (!, mal-fi () who Is personally known to me or has produced 1)( IV erS, u-c.e~ as JdenUflcaUon. ~\\\\\\ \1111/1 ""'/, ~"", ~ eOZARr, ~I',I.: ~ ~\,.: ........ Ii ~ ~#..:~c:,<:.\ON f,yp':". ~ .;:::: 'V · -'-"'- "20 ::S>..... ~ ~ J..:::. ..o~. !b~\J1 '0 ~t.r.. iC ~ :: :~4 ~ :::: = ::E _... : ~= -. -- '2. . '--'- ~~ ~ ,,\)<jQ<j~1 ~:g~ '" .. %,v ....... .:!t}. ~ .... ~ 4-' _A"'v~<:;., i.i:. ;::; ~_...o . Bond'iSV- tf'". ;:. ~ /4;"~~'YPub\\C\}~",.~~ ~ '7/7'}' ........ ,,!\'v ~ ;1;;11 PUBLIC. S\\,'~ "0111I1111\\\\\\ (Seal) ~-/i~L/-~!.t~ fjty:L.~ Notary Public ...~ OSm ;:0 ,0 CD ~." " ,- S-' ~.cn~ ~S:D t\)~.z WN." .. -.g':D \N'3 (I) o o 'V... Cl 0 o c ~z ~...~ ~o (JIm " Permit Application Review Comments By: Bill Burgess '~6 "2. CL L~ h :.1-n~.\. Date: I \ 12:Z..lo~ [Q] No Comments Address: .37 (0 d. d. ND g 1 "\ .\-\ on -z. o--n"'5, & I.Y\' Type: C 12) (D, nA cO..u ~ /0 COne.... Q n-+~ . Bozarth Installations, Inc. Jesse Bozarth City of Zephyrhills Attn. Contractor Licensing: Please be advised that I, Jesse Bozarth, license # CBC1253999, hereby authorize the following persons to purchase and receive a permit on my behalf as authorized agents: · Tennille R. Bozarth · Paul S. Bozarth ~V~~ 80 I~taIlatiOns, ;: Jesse Bozarth CBC 1253999 NO&09 t d~L /;2~.,;) / - d6 lf1A~f~o CAROl E. HUMPHRIES J~ MY COMMISSION # DD 240502 '$'~ EXPIRES: Oct009r 24, 2007 8o/Jded Thru Notary PUblic Undlrwrllors 9996 56th Place North St. Petersburg, FL 33708 Phone: 727-504-4957 Fax: 727-394-8519