HomeMy WebLinkAbout06-6300
1-
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6300
Permit Number: 6300
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 4,760.00
Date Issued: 12/12/2006
Total Fees: 117.50
Amount Paid: 117.50
Date Paid: 12/12/2006
Work Desc: STEEL SHED
Address: 6144 17TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0180-00000-0270
Name: BACON, JOEL
Address: 6144 17TH ST
ZEPHYRHILLS, FL. 33542
h,t ~ :I
~0tu\ V \ ~/D
qy
PRE-METER ELECTRICAL FINAL
SHEATHING BUILDING FINAL
FRAME
MISC
MISC
MISC,
REINSPECTlON 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.
~t-uU ~~
CTOR SIG TURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6300
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost: 4,760.00
Date Issued: 12/12/2006
Total Fees: 187.50
Amount Paid: 187.50
Date Paid: 12/12/2006 Phone:
Work Desc: STEEL SHED 10x14 ANCHORED WITH ELECTRIC
6300
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
SINGLE FAMILY RESIDENTIAL
Address: 6144 17TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0180-00000-0270
Name: BACON, JOEL
Address: 6144 17TH ST
ZEPHYRHILLS, FL. 33542
B
ELECTRICAL ADDITIONS
PLUMBING ADDITIONS
PLANS REVIEW FEE
ROUGH ELECTRIC
PRE-METER
SHEATHING
FRAME
MISC
MISC
MISC.
REINSPECTlON 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.
\'f,C\ :SD ~
-\'0
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
nWarning 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.
~'-- ~-~
RACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zepnyrnllls t'ermlll-\jJjJllvQUVII
Building Department
~A( eN
Owner Phone Number
Owner Phone Number I ~'"3 - ~'3'ls' - o/~1
r 'i' \ 3 _171.'1 - \ q q C
Owner Phone Number l
Owner's Name
Owner's Address I b ~ l\ l\
Fee Simple Titleholder Namel
-o~
Date Received
II t'-
S,(l...c.E.T
Fee Slmpl. Tlll.hold" Add"",' [
I
I
:rN~\A\.LI.v~ iO\ b ,~I S\-\€t) "STEEL" AlJo~o~~~ w,~.... ~L.cc.TR'c..
DESCRIPTION OF WORK
BUILDING SIZE I \ 0 '\" \ ~ ' Isa FOOTAGE l I yo ',<- (+ I HEIGHT! I 0 ' I
,........;.....................,.............................................................................................,....................
o BUILDING 1$ a '-\00 .()C, I VALUATION OF TOTAL CONSTRUCTION
O A 1$ I AMP SERVICE .---, PROGRESS ENERGY
ELECTRIC L 7. ~ IOU oil" L--I
, '4?OD
o PLUMBING 1$ I
o MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
o GAS 0 ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11111" t '1'1"': ';:: I' ~II""" I'" '1"""" .1.1'..'.1' '1'1"":'" '; S'Z: '5~'I'I'I""'" '1" '1'1' .,. ~.~.~'~~,..., 1'1 t 1'1' '1'1' III' '1'1' I' Ii
BUILDER Ljot.,.J[ 0 t"JO,){.r
SIGNATURE rl.... FEE CURRENT
E3
o
o
ADD/ALT
REPAIR
COMM
FRAME
LOT # I 2 7
02- Z(p_U-DI6o - O()fXX)- 02- 70
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE 0
DEMOLISH
JOB ADDRESS
b\'-{u" \i-\-'
~\(2..f.:E--r
PARCEL ID#I
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
I
8
D
D
o
o
o
OTHER ISH ~ C
STEEL 0 OTHER I
SUBDIVISION
WORK PROPOSED
o
W.R.E.C,
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y / N FEE CURRENT
Y/N
I
I
I
I
I
I
I
I
License #
\{cM.~ OVNc(L
I Y / N I FEE CURRENT
Y/N
ELECTRICIAN
SIGt.jATURE
License #
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y / N FEE CURRENT
Y/N
License #
Address
License #
Address
Address I License # I I
1I1I111111111I1 I11111111I1111111111111111111111111111111111111111111111111111111;1111111111111111111111111111111111111111111I11111111111111111111
RESIDENTIAL 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 w/ Silt Fence installed.
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL 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 w/ Slit Fence installed.
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
11.1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111I1111111111111111111111
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 Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
COMPANY
REGISTERED
OTHER
SIGNATURE
Y / N FEE CURRENT
Y/N
NOTICE OF DEED RESTRICTIONS: The undersigned undersumds that this permil may be subject to "deed" restrictions'
which may be more restrictive than County regulations. The undersigned essumes responsibility for compliance with any
applicable deed restrictions. ' ". ",'
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILmES: II the owner has hired a contractor or
contractors to undertake work, they may be required 10 be licensed In accordance With slate and local regulalions. If the
contractor Is notltcensed as required by lew, bolh the owner and contractor may be cited lor.. misdemeanor \liolalton
under state law. lithe owner Of Inlended contrilclor are uncertain as 10 whallicenslng requirements may apply lor the
Intended work. they are edvlsed to contact the Pasco County Building Inspection Dlvlsion-tlcensing Seclion at 727-847-
8009. Furthermore. il the owner has hired e contraclor or conlractors, he is advised to have the contractor(s) sign
portions 01 the "contractor Block". 01 this appli~tlon lot which they will be responsible. II 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
~~~PORTA nON IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERYFEES: The undersigned linderstands .
that Transportation Impacl Fees and Recourse RecoverY Fees may appiy to the constrUction 01 neW buiidlngs. change 01 .
use In existing buildings, or expansion of existing buildings, as specified In Pasco GOlJnty Ordinance hllmber 89-07 ehd
90-07. as amended. The undersigned also understands. that such .Iees, .as may be due. will be Idenlilied at \he time of
pennJijlng. It is further underslood that Transportation I,!,pacl Fees and Resource "Recovery FeBs",usl 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 lees must be paid prior to perinlllS"Ouance. Furthermore, Ii Pasco County Water/SeWer impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco CoLlnty, ordinance~.
CONSTRUCTION LIEN LAW (Chapter 713, Florida statutes. as amended): Ii valualion 01 work i~ $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 t~e applicant is so~eone
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'5/0WNER'5 AFFIDAVIT: I certify that all the information in this application is accurate and that all work
'will be done in compliance ~ith all applicable laws regulating construction, zon1ng 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 ineet standards of all laWs regulating
construction, County and City codes, zoning teguh:itions, 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 Managelllent 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 ranks. '
US Environmental Protection Agency-Asbest9s abatement.
Federal Aviation Authority-Hunways. '
I understand that the following restrictions apply td the use of fill: ,
Use of fill is not allowed In Flood Zone "V" unless expressly permitted:
If the fill m~erialls to be used in Flood Zone "N.)it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of p~rmitting 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 wail
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 wili not adversely affect adjacent '
properties. If use of fill is found to adv~rsely affect adjacent properties. the owner may be cited for Violating
. the condllions 01 the building permlllssued under Ihe a"ached pennll application, lor lols iess thah one (1)
acre which are elevated by fill, an ellgineered 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 commfilncing construction. I understand that a separat~ permit may be required fot electrical work.
plum~l~g, signs. wells, pools, air conditlonlng.gas.:or olher Ih.tallations hot spacmcally Included In tho eppllcation. 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 lor a period nol to exceed ninety (gO) days and Will demonstrate
jlJ5tlflable cause for the 'extension. If work ceases for ninety (90) conseputive days, the job Is corisider~d abandoned.
" CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as IdenUficaUon.
OWNER OR AG!=NT
Sub5cribed and swom to (or affirmed) before me this
by
Who 15/arE! per50nally known to me or haS/have produced
a5 Identification.
Notary Public
Notary Public
Comml5slon No.
Commission No.
,.
Name of Notary typed, printed or 5tal11pe!i
Name of Notary typed. printed or stamped
j
NOTICE OF COMMENCEMENT
State of Flori QLL
County of In:-,r..o
THE UNDERSIGNED hereby gives notice that improvement will ~e ~ade to ce~ai~ real pr.operty,
and in accordance with Chapter 713, Florida Statutes, the followmg mformatIOn IS provIded m
this Notice of Commencement:
1. Description of Property: Parcel No. D ~ 1- b 2.-\ 0 \ ~ 0 00000
La-\- '27 I PARK \-l\LL ~u~\~)\\JlS IOU ut-h, o~E. ,ItJ ~LAT DOo\( l'f J PS.10
. (Legal description of the property and street address if available)
2. General Description of Improvement _tD I 'i 14/ shd 111111111111 111111I111111111111111111111I111111111111111111I
2006246225
02.'0
P. <<.. p. c.. . ( L.
1'3.
Owner Information: Name JDeJ
Address ~ 1'1 #) ~+Y"ee..,-+
e. Baron -t- ~Q.()I)l-fey Ba con
City Zephyr-hi liS' State H.:.
Rcpt: 1056849 Rec: 10.00
DS: 0.00 IT: 0.00
12/12/06 Dpty Clerk
Interest in Property: O\lInd
Name of Fee Simple Titleholder:
(If other than owner)
Address
City
State
4. Contractor: Name bv.JrJE~
Address u City l \ State \ (
5. Surety: Name tV/A
,
Address City State
Amount of Bond: $ JED PITTMAN, PASCO COUNTY CLERK
12/ 12/06 03: 397 1 of 1
6. Lender: Name rJ I A OR BK 730 PG 731
Address 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 m SectIOn 713.13 (1) (b), Florida Statutes.
9. Expiratio!l date of Notice of Commencement (the expiration date is 1 year from the date
of recordmg unless a different date is specified.) . ~
(~
,2odb .
Signature of Owner:
Sworn to and sub
Notary Public:
:tv1y Commission Expires:
PC93053048/A fl f6 a~' 4~'--ll.P~ U7'1 D
CL fb ~~ 0 If'U, to ;)...~ 0
c ""p~ LESLIE 1-'''
c #..~ MY COMMISSION # D0573386
EXPIRES: July \2. 2010 ~
..~ df DI_n' ""''''', Co, >
HI,t~~OTARY fl. Notary
City of Zephyr hills
BUILDING PLAN REVIEW COMMENDS
Site:
!3lfeM J ad '
. }
/Z~f1"Ob\
o /'f<f /7Yi dI-,
~d 11Jx /1 ~
Contractor/Homeowner:
Date Received:
Permit Type:
Approved wino comments: 0
Approved withe below comments: ~ Denied withe below comments: 0
(0 -Y\l\A~ <'''91 u:-)
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bt"
~ 5~~1"\111JZ:J) ))tt~lrCb' ~ O~
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J---i) L_
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~l ~ IN f~f
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This comment sheet shall be kept with the permit and/or plans.
12-. If !~
Date
ntractor and/or Homeowner
equired when comments are present)
BOUNDARY SURVEY
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25.0'
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EAST
ro.
5/8" /.R.
30.30'
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18
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25.91'
ro.
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I 20.0'
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0, ,. ':" 5ft" IR.
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LOT
28
105, n2' M.I
105.00' P."
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SINGLE FAA/IL Y
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'6144
12,0'
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LOT
27
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1 OF LOT 25
ro. 5/8"
I.R. ,DES
25.0'
GENERAL NOTES:
,.. f) LEGM. DESCR1PT1ON PROVIDED BY OTHERS
,-' 2) 1HEW#JS SIOM/Hf'RE(]N Itt'RE NOT.4BSTRACTED FOR EASEMENTS
OR071ERRECORDEDENC1JMiJIWiCES NOTSHfYWN ON THEftAT.
.". 3) /JNDERGRC1t.N} POtmONS OF FOOTNGS. FOIJNlJI.TICWS OR OTHER
-;- IIIPRO\IEJENTS ltERIS NOT LOCATED,
4) Wo4U. TESAIE TO 1HEFACE OF 11E WAlL AND
ARE NOT 1DBEIJSED 1DRBXJNSTRUCT BOUNDARY UNE5.
51 NOTVAUD wrTHOIIT THE SGlM7tIE & ll'llGIIIW. RAJSEl) SS4L OF A Fl()lM)\
UCENSED.stmamANDM4IftR
, . 6) 0Nl. Y VISIBLE ENCIlOAl:H/I/U/ LOCATED
C 7) NO DEN11FICAT1ONFOtIND ON PRa'EHTYCORIERS U1LESS 01llERWlSE SHOWN,
l ' , I) OMIENSIONS SHOfMIAREPUT AND MEAStRED /HESS OTHERWISE SHOWN.
, 9) FENCE OWNERSHIPNOTOETERMINEll
10) arVAfioN:H'$:iO'I>".l7f:4.S1,D:/Pf)f':,'iGVD ~'OT1/F !1Sf,',))7':'
If) 8EAR1NGS~ :v !.INt:NOrWa.H.
105.00' P.
105.00' M.
LOT
26
Leg..1 Description
a~
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ro. 1/2"
I.R. , 6J87
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LOT
134
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35
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136
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Lot 27, PAR.l{ HIJ.L SUBDM~lON UNIT ONI':, according to the plat
thereof, lllil recorded in PIL.L Book 14, P..ge 70, of the Public
Records of P88CO County, norida.
Community Numl,er: 120235 Panel: 0005
Suffix: C F'I.R.W, Date: 12/17/1991 Flood Zone: X
Field Work: 3/22/2004 Compl(,ted: 3/24/2004
Cerlified To:
Jemuter O. Ba.:on; Surnrtate Title "'gene-y, inc.; First American Title
Jhsurance Company; Stl\teside Worlgl'\ge Lending. Inc., its
successors and/or a8lIillns.
Properly Addres..:
6144 1'/th Street
Zephyrhills, Florida 33540
Sllrvey Number: 0-127448
30 0 15
~t,~~ MW~J..r'-
GRAPHIC SCALE (In Feet)
1 inch = 30 ft,
LEGENf)
--u....,~ K\")t..J!)1m':f
-1(--,- t1o:"t~:rLICE
. PHrJPfRFYCORNER
. .'1111= RFNf'H WRIt
m fVlJN'l
:.,,'1.; Ol~JAn;.'\'t-'S
P.P. PVMf:I/ pt... 'C
3D
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~'"3l WfXJOorcx
awe 1,..c'-X~llL T'rp.
~'::J COIIEREDARE;4
BOUNDARY SURVEY
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S89'58'27"E
EAST
FD.
5/8" I.R.
30.30'
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f8
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25.91'
FD.
5/8" I.R.
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to)
t'.,j
-
2~9'
1 STORY
SINCI.E FAl/ILY
RESlDCNCE.
, 6144
M'ST
N89'58'27"W
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tti tti LOT
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26
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1 OF LOT 25
25.0' FD. 5/8"
I.R, 'DES
"
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GENERAL NOTES:
I) LEGM. DESC'/W>T1()N FROYfJED BY OtHERS
C, 2} >>E lNIJS 5HOWNHEREllN m;RE NOT ABSTRACTEO FOR EASEAefrS
OR UTHER RECORDEDENClJM8RANCES NOT SHOWN ON THE flAT.
.". 3} /HJERGRO/H} POR71ONS OF FOOTINGS, FOIJNa4T1ONS OR OTHER
,. MIPROVEJENTS Itl9lE N(H ux.41ED,
4} w.4U TESARETO >>EFN:Ea:>>EWALL AND
ARE NOT roBE USED ro REWItS1RUCT lIOtA'lOCRY LINES.
$} NOTVAUJ WfTHOUT THE SdlI4711l1E''' ORJGINAL RAISED SEAL OF A fl~
L/CENSEDSlfiIE)'OR ANDAWftR
,:'. 6} tN.Y\IISIB/E~ux.4n:v.
7) NO DE1I1F1CAT1ONFC1tJND ON PROPERTYCORNERS UNlESS OTIfERWISE ~m,
\ '.' B) D8ENSIONS SHOWN ARE PIA T AND M54SIJlie) /JME5S OTHERItfSE SHOWN.
9) fENCE OWNERSHIP IIOT OETERMN:D.
to} ELd(;l(/'W.:; 'Uki(]'(oN.Hi:;-\Sl-V:IP'1f.'NGVD UNI.E~'01HE' .I;SC....l'..::'
(1) 8EAR1NGS REf'ER<'.JtCI:J. :v UNt.- NOTED tIll
,..1
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LOT
28
105, n2' M.I
105.00' P.....
It)
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12.0'
LOT
21
b
~
105.00' P.
105.00' M.
Leg..l DesCription
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I.R. , 6J87
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Lot 27, PARK HIJ.L SUBDM~ION UNIT ONF-. according to the- plat
thereof, a8 recorded in Pl",~ Book 14, Puge 70. 01 the Public
Rel.'Ords of Pasco County, Florida.
Community Num"er: 120235 Panel: 0005
Sulfix: C f'I.R.W, Date: 12/i7/1991 Flood Zone: X
Field Work: 3/22/2004 Compl(,ted: 3/24':2004
Certified To:
Jenn1ler O. Ba.:on; Sunstate Tl.Ue "gene-y. mc.; F1rst American Title
l..surance Comp<my; Stnt.eside Worlgnge Lending. me.. its
IIUccesaon and/or amgna.
Property Addres..:
6144 l'Ith Street
Zephyrbills, Florida 33540
Survey Number: 0-127448
30 0 15
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GRAPH1C SCALE (m Feet)
1 inch = 30 ft.
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DJ:SCLOSlJRE STATEMENT FOR OWNER,
C:c.'XY OF -ZEPHYREJ:LLS BO'J:LD:ING DEPARTKBNT
J:,
agree to the provi'sions of thi-s' instrument.
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have read and f:uJ.~y understand and
The undersi~ed states and aff:ir.ms that he or she ~s 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, ~ease or sa~e. That he or she shall comply ,with the zollowing conditions,:
~.Thatthe owner and, he or she alone shall act as the builder 'for all phas~s of
construction.
2. '!'hat the owner will comply with all proviJ;!ions of the city of Zephyrhills
ordinances and codes pertinent to -the building.
3,. That in the event various phases of constructi~n are subcontracted, he will
engage o~y properly licensed subcontractors and will personally supervise
such work..
4. '!'hat 'in the event the Building :Inspector shall require corrections to be made,
the owner will assume fuJ.lresponsibility to insure they are made, 'and upon
completion wi11 call for a re:i.nspection before proceeding with the building.
S. That the oWner shall assume full responsibi~ity for the construction and will
not expect supervision of his Work from the City of Zephyrhills Building ,
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in fuJ.l. A written request from this office shall
,constitute' an official notice. to pay additional fees.
7. '!'hat the owner shall comply with all City, State and Federal laws'in regard to
social security~ workman's compensation, lien laws, etc., where applicable.
8 . '!'hat the owner shall comply with all the safety codes issued, by 'the Florida
Industrial Commission. -
9. State law requires construction to be don~ by licensed contractors. You have
applied for a pe:cni. t under an exemption to that law. The exemption allows
you, as the own,er of your property, to act as your own contractor with certain
restrictions even though you do not have a license. YOU; must provide direct
onsitesupervision of the construction yourself. You may build or improve ,a
one-family or two-family residence or a far.m outbuilding. You may also 'build
or improve a commercial build:i.ng, 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 seJ..l:or' lease' a
building you, have built or ,~Ubstantial.ly impr.oved you:r::8e1fwitll.iri; 1 year after
the construction is complete, the law will presUme'thcLt 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
lica:c.sed to perfo= the Work being done. Any person working on your building
who is not J.ice:c.sed must work under your direct supervision and must be
employed by you, which means that you must 'deduct F.I.C.A. and wi.thhoJ.d.i.ng tax'
and provide workers' compensation for that empJ.oyee, aJ.1 as prescr:ibedby 1aw. .
Your const~ction must comply with all applicable laws, ordinances, building
codes, and zoning re lat'ons.
OWNER'S
ADDRESS
PBON.El
DATE
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WJ:TNESS
PEIUa"r#
S1A1E OF flORIDA
o E PAR T MEN T 0 F C 0 ~i't ~A U NIT Y A F F A IRS
"Dedicated to making F/oridaa better place to call home"
JEB BUSH
Governor
STEVEN M, SEIBERT
Secretary
MEMORANDUM
FROM:
Building Officials, Manufacturers and Agencies
Ila Jones, Department of Community Affairs ~ \~
Requirement for Raised Seals for Manufactured Buildings/Sheds
TO:
RE:
DATE:
March 15,2002
The Florida Building Code does not require original signed and sealed plans be submitted tathe
local building department to obtain a permit for installation or erection of a closed structure
manufactured in a manufacturing facility. The insignia issued by the State verifies the plans have
been reviewed and the buildings inspected for compliance by the State and deterrnineQ to comply
with applicable codes, r , ".., ,
The State of Florida maintains a set of sealed plans reviewed and approved by a Florida licensed
Modular Plans Reviewer and inspection reports conducted at the manufacturing facility by
Florida licensed Modular Inspectors, The manufacturer should supply a copy of the approved
plans with the pennit application.
You may also review the approved plans by accessing the Florida Building Code Information
System website at( W\vw,f]oridabuilding,org), Manufactured Building Program,
Site-related installation requirements (foundation, etc.) are specifically and entirely reserved to
the local authority
If you need additional infomlation, please do not hesitate to contact me at 850-922-6091 or
e-mail: iJa.iones(a)dca.state.f].us
2555 SHUMARD OAK BOULEVARD. TALLAHASSEE, FLORIOA 32399-2100
Pf,one: 850_488 8466/5uncofT' 278.8466 FAX: 850,921.0781/5uncom 291.0781
Intern'.'l dddress: hltp://www.dca slale.fl uS
CRrlICAL STAlE CONCERN FIELD OffiCI
U\TJ'>ea::. Highway. Suite 212
"'.;r31hOll. fl 33050-2227
130S,789-240?
COMMUNITY PLANNING
2 SSS Shumard OaJ.c 50ulevard
l;)lIa;\.:6~e. fl 31)99-21()l)
[850} 488-235&
EMERGFNCY MAN4GEMENT
25 S S Shumard Oak Boulevard
l"lIaha~s.e('. ~-l 3::399.]100
(850) 41 3-1J ;&9
HOUSING & COMMUNITY DEVElOPM1Nl
2SSS Shumard Oak Bovlevard
Tallaha;.~ee_ rl )])99-:(100
1850) 48B-79')~,
STATE OF FLORIDA
DEPARTMENT OF COMMUNITY AFFAIRS
"Dedicated to making Florida a better place to call home"
JEB BUSH
Govemor
THADDEUS L. COHEN, AlA
Secretary
Certification Number: MFT-114
Manufacturer: Lark Builders, Inc.
Address: P. O. Box 629
Vidalia, GA, 30475
Expiration:
December 16,2007
Certified for Manufacturing: Storage Sheds
This will confirm that Lark Builders, Inc. is certified to manufacture manufactured
(modular) buildings, as defined by Rule Chapter 9B-1, F AC, and Chapter 553, Part I, ,FS,
for location or sale in the State of Florida. The condition of this certification is limited to
authorization specified in the above references. Each building shall bear a State Insignia
located on the electrical panel box cover.
This certification renewal shall be for a period of three years, as indicated above. The
manufacturer will receive a renewal notice by E-mail, generated by the Building Code
Information System (BCIS) 90 days prior to expiration of this notice. The manufacturer
must submit the information required in s. 553.381 F,S. and Rule Chapter 9B-1.007 FAC
online at www.f1oridabuilding.org. ..,
If you have questions regarding licensing requirements for site-related permits for
installation of manufactured buildings, you may contact us, your local building
department or the Department of Business and Profession Regulations at (850) 487-1395.
Sincerely;
b6~
Michael D. Ashworth
Program Manager
Manufactured Buildings Program
Building Codes & Standards
Phone: 850-922-6075
FAX: 850-414-8436
cc:NDI
2 5 5 5 S HUM A ROO A K B 0 U LEV A RD. TAL L A HAS SEE, F LOR IDA 3 2 3 9 9 -2 1 0 0
Phone: 850,488.8466/Suncom 278,8466 FAX: 850,921 ,0781/Suncom 291.0781
Internet address: http://www.dca.slale.fl.us
CRITICAL STATE CONCERN FIELD OFFICE
2796 Overseas Highway, Suite 212
Maralhon, FL 33050-2227
(305) 289-2402
COMMUNITY PLANNING
2555 Shumard Oak Boulevard
Tallahassee, Fl 32399-2100
(850) 488-2356
EMERGENCY MANAGEMENT
2555 Shumard. Oak Boulevard
Tallahassee, FL 32399-2100
1850) 413-9969
HOUSING & COMMUNITY DEVELOPMENT
2555 Shumard Oak Boulevard
Tallahassee. FL 32399-2100
(850) 486-7956