HomeMy WebLinkAbout07-6639
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6639
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees: 97.50
Amount Paid: 97.50
Date Paid: 4/18/2007 Phone:
Work Desc: 10 WINDOW REPLACEMENTS SIZE - SIZE
6639
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
NOT APPLICABLE
6,888.00
Address: 5410 TANG RI DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYR HEIGHTS
Parcel Number: 12-26-21-0040-00400-0070
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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 pennits 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.
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CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COM1\.1ENTS
Contractor/Homeowner:
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L\- 1/-0,
Date Received:
Site: 5L\lo \Q;~OJ2.Ju.:"'-'Q ~ .
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Permit Type: I k\~rl("l "'--~ ~\a...c-Q/Y""(\.Q.I')\j::O Co)
Approved wino comments: / Approved withe below comments: 0 Denied withe below comments: 0
This comment sheet shall be kept with the permit andlor plans.
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Date
Contractor andlor Homeowner
(Required when comments are present)
30 l fl;1F;(
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fa,-813-780-0021
Fee Simple Titleholder Address
Owner Phone Number,
Owner Phone Number I
Owner Phone Number I
Date Received
JOB ADDRESS
,;;t
o NEW CONSTR D ADD/AL T ~ SIGN
D INSTALL D REPAIR
o SFR D COMM 0 OTHER I
o BLOCK D FRAME 0 STEEL 0
I w\iulowS ~laa~- SJ u"-.{-Or Sf U"
BUILDING SIZE I sa FOOTAGE I r HEIGHT I I
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SUBDIVISION
WORK PROPOSED
DEMOLISH
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER c::=
DESCRIPTION OF WORK
0 BUILDING 1$ ~ffK. 00 I VALUATION OF TOT AL CONSTRUCTION
0 ELECTRICAL 1$ , AMP SERVICE D PROGRESS ENERGY 0 WR.E,C,
0 PLUMBING 1$ I
0 MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
0 GAS 0 ROOFING D SPECIALTY 0 OTHER ./-
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO en, '::> v
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BUILDER
SIGNATURE
Address
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT I Y/N I
Add ress License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT ~
Address License #
MECHANICAL I COMPANY
SIGNATURE REGISTERED Y/N FEE CURRENT L~,L~
Add ress I License #
OTHER I COMPANY
SIGNATURE REGISTERED Y / N FEE CURRENT ~lLJ
Add ress I License #
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RESIDENTIAL Attach (2) Plot Plans; (2) 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
COMMERCIAL 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.
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
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Directions:
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Com men cement is required, (AlC upgrades over $5000)
Agent (for the contrac~or) or Power of Attorney (for the oYlller) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Serv ice Upgrades AlC
Fences (Plol/Survey/Footage)
Driveways-Not oller 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
contraclors 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 projecl 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 py 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 govemment agencies may apply 10 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, WeIland 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 Ihe 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 10 commencing construction, I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations nol 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 permil 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 N TICE OF COMMENCEMENT,
FLORIDA JURAT (F,S. 117,03) ~
v~OLY 3:)7~s
f'r/c I< .be b,'", 5
Notary Public
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OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
Commission No.
Commission No.
lS/<v\ 1</ I
Name of Notary typed, printed or
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'~""("'''''''''''''iAN KIRBY ~,
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: ~,-,,:'"tc.f\.()~.i FkJnda NotafY AsSn,. iOC
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Name of Notary typed, printed or stamped
Return to:
R Name: THD At-Home Services, Inc.
d/b/a The Home Depot At-Home Services
Address: 3200 Cobb Galleria Ply Ste,
200, Atlanta, GA 30339
//1111111111111111111111111111111111111111111111111111111111
2007066551
Rcpl: 1091838 Rec: 10.00
OS: 0. 00 IT: 0. 00
04/17/07 Dpty Clerk
go ( (Q 3 f (
This Instrument Prepared By:
Name:
Address:
~S91~~~;M~:JiASC01CO~~Tl CLERK
OR BK 74621' PG 147
Property Appraisers Parcel Identification:
NOTICEOFCOMMrnNCEMffiNT
Penn it No.
Folio No.
-1.~ -2,(0-2,'1'--0040- CD4<::J:J - 0010
STATE OF FLORIDA
COUNTY OF
+>A~
The undersigned gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this NOTICE OF COMMENCEMENT.
Owner Information - name and address:
250'lCF ~ Lo0\S 1>E K~E:
Interest in Property:
Name and address of fee simple titleholder (if other than Owner):
FL oo54<J
Contractor - name and address: The Home Depot At-Home Services
6422 Harney Road Suite A Tampa, FI33610
Phone Number: 813-383-7000
Surety - name and address:
Fax Number:
Fax Number:
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8 I3-630-41I 2
Lender - name and address:
Phone
Number:
Amount of
Bond:
$
Persons within the State of Florida designated by Owner whom notices of other documents may be served as provided by Section
7I3.I3(IXa)7., Florida Statues:
Name and address:
,~ttr
Fax Number:
~l '"
Phone Number:
In addition to himself; Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(lXb), FIClrida Statures. (Fill in at Owner's option)
Phone Number: Fax Number:
-"7'
E"l'iratio date ofNotic~ Ofco~~~m~e,~~iration date is 1 year from the date of recording unless a difterent date is specified).
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Signature of Owner Signature ofO""ler
L
Printed Name of Notary:
Commission No./Expiration:
DGNN.D W. HAClCER
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...... .... (100)432-4254 E
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