HomeMy WebLinkAbout07-6441
, I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
6441
Permit #: 644
Permit Type: ALUMINUM
Class of Wor: ALUMINUM PACKAGE
Proposed Us,: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 8,075.00 Total Fees:
Amount Paid:
Address: 39645 COG HILL LO
ZEPHYRHILLS. FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0030-00000-0850
~ () ~J)
ID--4-07
l~
SLAB
RAISED SLAB
DRIVEWAY
FRAME
FINAL
REINSPEcn N FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are nec ssary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty c nstruction c) repairs or corrections not made when inspections calledJd) work not ready for
inspection w en called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In ad ition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found i the public records of this county, and there may be additional permits required from other governmental
entities such a water management, state agencies or federal agencies.
The payment inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to wner: Your failure to record a notice of commencement may result in your paying twice for
improvemen to your property. If you intend to obtain financing, consult with your lender or an attorney
before rem ing your notice of commencement."
Ik-k ~~.
CTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
In,j- f tlU-UJLU
vllY UI L.l:::IJIIYII III I i:> ,- viII ilL ntJtJ"V<.ALIVII
Building Department
Date Received ,
Owner's Address
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
JOB ADDRESS gS
SUBDIVISION 0
(
WORK PROPOSED ~ NEW CONSTR B ADD/ALT D SIGN 0 MOVE D DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR D COMM D OTHER I ~
TYPE OF CONSTR D BLOCK [$J FRAME D STEEL 00 OTHER I
DESCRIPTION OF I sited 1- Carport' ~1~~
BUILDING SIZE /~. sl X 3&1 SQ FOOTAGE I HEIGHT I
D BUILDING 1$ ~ . LfOO. 00 ~)- VALUATION OF TOTAL CONSTRUCTION
ELECTRltL I D D
D 1$ I AMP SERVICE PROGRESS ENERGY W.R.E.C.
~ 6 L_ t$1l---
D PLUMBIN~ 1$ I 17. u~ '>/}f 7~T
D MECHANI . AL 1$ I VALUATION OF MECHANICAL INSTALLATION
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR E EVATIONS I I FLOOD ZONE AREA DYES DNa
!tach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
inimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans wI Silt Fence installed,
anltary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
ttach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
inimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed,
anitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
ttach (2) sets of Engineered Plans.
. "PROPERTY SURVEY required for all NEW construction.
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
COMPANY
REGISTERED
FL 3aSc 2- License #
COMPANY I
REGISTERED Y/N FEE CURRENT
License #
YI N FEE CURRENT
License #
YI N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N
Y/N
Y/N
Y/N
Directions:
Fill out appllcatio completely.
Owner & Contrac or sign back of application, notarized
If over $2500, a otice of Commencement is required. (AlC upgrades over $5000)
Agent (for the co tractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTE PERMITTING (Front of Application Only)
Reroofs ewers Service Upgrades NC Fences (Plot/Survey/Footage)
Driveways-Not 0 er 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 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, 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 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 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 Officia~ for a period not t~ exceed nin~ty ~90) da~s 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) ,. (" _' II t.'
CONTRACTOR ~ c....., N-M--'I-W If
Subscribed and sworn to (or afflrme ) before me this J2f.nW"i-r':j
. by ~5; .;).Oi) 7 b ~r rre.{ I
Who Is/are Who Is/ar rsonally kno me or has/have produced
as Identification.
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commlsslo~
~~":/\~Y PUBUC,STATE OF FLORIDA
Notary Public
~~~ NoW.bI"
~ommissio o. uG 5Tf\I.I'. OfPLORID'
NOTARY PUI1 ' ,.
""....."" Suzanne Bahr
Name oi;Wt!~em\@\! .,~g~llnO
~,,~.: Expires: NOV. 15, 2010
llO:-.oDW THRU J'J1..'c\j'T!C BONDING CO., lNC.
....\\11//"
Name of Notary~7.'~~~~S10n p. ~D601110
'-.""",/ ExpIres: NOV. 15, 2010
..,l.,w ihRU AL__\TlC BONDING CO.,lNe.
State of
County of PaSCO
uJtj ~ rl
Z. -jjJv
NOTICE OF COMMENCEMENT
THE UN ERSIGNED hereby gives notice that improvement will be made to certain real property,
and in acc rdance with Chapter 713, Florida Statutes, the following information is provided in
this Notic of Commencement:
1. tionofProperty: Parcel No. J,<{--J-.b-:1/-00DO -00/00-0010 Lof fS
3'1 '/5' Co Hill Loo Z ,"/15 FL 33SlfL
(Legal descriptIOn of t e roperty and street address if available)
2. Gener I Description of Improvement Shed + urpor r
/111111/11111111I1111I11111111111111111111111111111I11111111
20070225!54
3. Owne Information: Name NHC. -FL //5 LL C / Care Free .1-f7Vf5fmBrl.is
,
Addre s 3104-5' CrJJ Hill Loof LofgSCity Zep'1yrhil/5 . State FL 33:St.f2-
Interes in Property:
Rept: 1071838 Ree: 10.00
D0S: 0.00 IT: 0.00
2/07/07 Dpty Clerk
Name f Fee Simple Titleholder:
(I other than owner)
H4.
Addre s
Contra tor: Name OrA n~ 5-f<<--fe-
Addre s ~ /5 t..f For + Kiry fd.
City
Alum/nufYl Tf1c.
City ZtrAyrA//ts
State
State FL 33SLf L
5.
Addre s
City
State
JED PITTMAN, PASCO COUNTY CLERK
02/07/07 11: 12am 1 If 1..
OR BK 7378 PG .l.3D3
Amou t of Bond: $
6. Lende: Name
Addre s
City
State
7. Person within the State of Florida designated by Owner upon whom notices or other
docum nts may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Addres
City
State
8. In addi ion to himself, Owner designates
of ~ to receive a copy of the Lienor's Notice as
providc}d in Section 713.13 (1) (b), Florida Statutes.
9. Expirafon date of Notice of Commencement (the expiration date is 1 year from the date
of reco ding unless a different date is specified.)
My Commi sion Expires:
Signatureo Owner: ~ ~
subscribed before me this ft; ~ day of ,z:e.6~
r-I_ - ~
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1 '..... .J..f1.J~~ 1:" PI',' '.- (''"PI'"''''
, U')L~. '-'\IE OF FLORiD' .
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, 20 (Jb .
PC93053048/
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Ho eowner:
5o~ s+a..:bl fu.u...r.-.r, cPn..r..rn P~'Y)4)
;;)./~ 107
Date Received
Site:
~q <04 5 CDc:s. 1+, \ l ~9 -iJ <65
SILor\ I CJ. cu. 1">0\ +-
I r-
comments: ~ Approved withe below comments: 0 Denied withe below comments: 0
Permit Type:
Approved win
This comment heet shall be kept with the permit and/or plans.
Contractor and/or Homeowner
(Required when comments are present)
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