HomeMy WebLinkAbout07-6914
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6914
Permit Number: 6914
Permit Type: ADDITION/ALTERATION
Class of Work: GLASS ROOM
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 37418 GILL AVE LO
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0140-00000-1940
6,150.00
Name: BELLlO, RALPH & ROSEMARY
Address: 37418 GILL AVE LOT 194
ZEPHYRHILLS, FL. 33542
98.50
98.50
8/03/2007 Phone:
CHANGE EXISTING SCRN RM TO GLASS RM
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~TY
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FOOTER BOND 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."
4 fL C ~ Jk- c/tu'~
CONTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills Permit Application
Building Department Pa5CD
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lab
tIS a00/(0
lit PI- 339f( LOT# I/o/Lf
PARCELlD#13tf-;25-:lI- 0 ILlIJ -OtYJ{X)- jCflfO
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
1$ ~ /JjO ~ I
1$ I
1$ I
1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES 9\[NO
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BUILDER liI?7 ~ COMPANY I ~r~ IlILu?1Jn ~ 7.h c- I
SIGNATURE tv REGISTERED N I FEE CURRENT 1611 N I
813-780-0020
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
e
D
D
COMM
FRAME
ADD/ALT
REPAIR
PROPOSED USE
TYPE OF CONSTRUCTION
BUILDING SIZE
~
~
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
DEMOLISH
OTHER
STEEL
I
D
OTHER I
Glass n:;ol'Y\
-",-'" ~
ELECTRICAL
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
BUILDING
D
D
PLUMBING
~
D
W.R.E.C,
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
NO~-'
Address
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNATURE
Address I
'11111111111111'111'111'111111111111111111111111111111111111111111111111111111111111111111111111'1111111111111111111111111111111111111111111111I11
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, Storm water Plans wi 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/ Silt 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.
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111I1111111111111111111111
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)
Address
ELECTRICIAN
SIGtoIATURE
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
Driveways-Not over Counter if on public roadways..needs ROW
License # I (L1C.0C261) 77
l!!f&An i;Jedrt~
N I FEE CURRENT 1('0 N I
License # I e (!C.. /3:J!; /38':3
YI N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N ' FEE CURRENT
License #
Y/N
Y/N
Y/N
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive thl;!n 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 und.ertake work, ther 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
~nder state law. If the own,er or intended contractor are uncertain as to what licensing requirements may apply for the
mtended 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 humber 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 applicatioh. 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 th~ work is commenced: An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln~ty (,90) da~s 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 NOTICE OF COMMENCEMENT,
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR
Subscribed and sworn to (or ijlfflrm be e t s 7
C::ZVO 7 by V..eoPTt '
Who is/are oer.Benally ~ me or has/have produced
~ as identification.
~~~~
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Notary Public
Notary Public
;,JTf\RY FUBLlC:::T\rE OF FLORlDA
Name of Notary typecJ.,\-enn~ or s@Wl!~~n2 BahT
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Name of Notary type~?~~!~'fmll OF l'LOhKlUA
/' '\ uzanne Ba r
~. ~Commission #DD6011l0
"'"""",/ S'pires: NOY. 15, 2010
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REVIEW DATE <t -'1 .~Ol
CITY OF ZEPHYRHILLS/ .
PLANS EXAMINER~
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ALLW ORK SHALL COMPLY WITH ALL"...
rREVAILlNG CODES, FLORIDA BUlLD~: J
CODE. NATlONAL ELECTRIC CODE ~N'
CTY OF ZEPHYRHILLS ORDINANCES
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State of Fkr,dd...,
NOTICE OF COMMENCEMENT
County of Pel.5t{)
CAJxr 1 2H-
THE UNDERSIGNED hereby 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:
1.
fi335Z1(
2. General Description of Improvement
--Ib f}h~5rcnm
rffJ/Yl
1111111111111111I1111I111I11111I11I1111111 11111111111111 111I
2007131088
3. Owner Information: Name 'R:1 /"Ph & //10
Address 37L117J &ill ~ !o!-tt;CJcf' City 7tfr/;;/&
Interest in Property: Ot(J np. r
Rcpt.: 1119069
Name of Fee Simple Titleholder: Sa m~ "~:/.0~/~~
(If other than owner)
State R3Y9f/
Rec: 10.00
IT: 0.00
Dpty Clerk
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Address City
Contractor: Name fS:J h r ~ fl--1t/~/11 ~ .:lAC.
Address hLftl() fiYf 1fy R:i City'7-t!,-htl/S
Surety: Name
State
State h3:357-lz
Address
City
State
Amount of Bond: $
~190~~~~"Art : .1:;0 fOUNT:, C'iERK
OR BK 7588 PG 397
6. Lender: Name
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 in 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.)
['0 ~{.~~'7I~'~ ~ RJr
Sworn to and subscribe fore me this
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,
;;?'f<#L day of
J~
STATE OF FLORIDA
,20~.
Notary Public:
My Commission Expires:
PC93053048/ A
NOTARY PUBUC-STATE OF FLORIDA
~~~~ Suzanne Bahr
~.~~ )Co~mission #DD601110
'",,,,,," ExpJIeS: NOV. 15, 2010
!)OSiJED THRlJ AfLsnc BO:>:DING co,. 11\C,
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE
011 OF PtlBLlf: REel3RElIN TillS (JFFll;:e, WITNESS ~AY
HAND AND)J.FF1C1AL SEAL THIS~ DAY OF
L<- 0-- 2 00/
JED j)~AN.t~~F CIRClJlT COURT
BY "'1fr! DEPUTY CLERK
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City of Zephyrlrllls
BUTI:DING pLAN REVIEW COIv.llVIENTS
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, Date Received:
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Site:
permit Type:
APPrOved wino co~ents:D
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