HomeMy WebLinkAbout06-5664
CITYOFZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5664
5664
PermitType: ADDITION/AL TERATION
Class of Work: 434-ADD/ALT RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5108 17TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-20200-0120
Name: WILLIAMS. DENNIS LEE
Address: 5108 17TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813714-0978
Extended-re ermited 5-31-07
191.25
~~c. ~~
~.
, h (Of)
MISC INSULATION CEILING
SEWER MISC.
MISC MISC.
INSULATION WALL MISC.
MISC DRIVEWAY
MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
iRElNSReI,;I;10Wi,FEES:iReinspectionfees 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 finandng, consult with your lender or an attorney
before recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
)0. ~ _ ~. J Lu~QL~ t'~ ~
OONTRACTOR SIGNATURE PER~
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5664
Permit Number: 5664
Permit Type: ADDITION/AL TERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5108 17TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-20200-0120
Phone:
o
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.
~~ I tJdi!~ ~~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
1'-' '/- () fe
PHONE CONTACT FOR PERMITTING
OWNER' S NAM~JeAl))e'.s
JOB ADDRESS S} O~
L-<- <-
/7t-~
lJ,~ J {,'~ s.
/<31- LefJh)~J.J.'tl.s
BLOCK 2 c.'L SUBDIVISION C ,'-I-( of 2-.etfo/ ftl!.ylS
01 <::J 0 (OBTAIN FROM PROPERTY TAX NOTICE)
PHONE
(=z~
~ /3(-7/4-0 'Y7?'
---=.,:::,,:"-"_......~..---"
3 3sV '?-
LEGAL DESCRI PTION: LOT (S) J:J i {"\
PARCEL ID # 1/- 2.Cc- 2/- co/ c - 2. o'LOO-
WORK PROPSED: ONEW CONSTRUCTION
OSIGN
~DDITION
OALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK -Act:f/,()1 A- CJ74U.7~
BUILDING SI ZE .:J 7 >l " f... L.(? ( SQUARE FOOTAGE l::l q (,
HEIGHT
10'
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~ :~O 1~.i\. ~. fro
~4Iulo\..t..:>P
$ dO,COo.OD
& (1) SET ENERGY FORMS.
FORMS. J
.,JOe-
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
E ECTRICAL
~JMBING
Y#NICAL
o GAS 0 ROOFING
AMP SERVICE
wr Progress Energy 0
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
SIGNATURE
~~~~ ~f-
3)z-,
.' C)f'i
U"J..c. >-- /'-- / .~
COMPANY
BunDER
STATE CERT OR REGIST #
******************************************************************
ELECTRICIAN \'\ "' J ('-:: "'1"1. <JO COMPANY vQ 0J7.v,)
SIGNATURE V~ '-'-"--..1, ( iJ-;--z k.,z .....~ STATE CERT OR REGIST #
******************************************************************
PLUMBER
COM NY
11/'/1- STATE CER'OR REGIST #
. ,..~,~" -------
*************************************************;~ ************
SIGNATURE
SIGNATURE
Jill-
f f
COMPANY
"
MECHANICAL
********************************
STAT ERT OR REGIST #".....
~
*******************************,
OTHER
COMPANY
SIGNI\TURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned underatands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes respon~ibility. for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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.
E. 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation-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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for 'a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
_8~~ ! tujft~
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA~~
COUNTY OF \ C\.b..r....J:\
The foregoing instrument was acknowledged
Before me this ~ daX of ""~~~" 2~
by 'V::>\H,"':,"'-., \._- ~,'\\....~<'<'-.s
~ (name of person acknowledged)
~who is personally known to me, or
o who has produced
/ (type
and whoD did c;tdid not
of identification)
take an oath.
of pe on taking acknowledgement
. ~_H_
. . ~ "......-..;"" DD13t531
Name typed, pr __~
(() M11J/L)
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
acknowledged
, 20_
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type of identification)
and who Ddid [)did not take an oath
Signature of person taking acknowledgment
Name typed, printed or stamped
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I, Df:NJJI~~ LeE 1,0: J(\'~s
agTee to the provisions of this instrument.
have read and fu~~y understand and
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she
actual~y occupies, or will occupy by \ I-,;)}- c5" said domici~e, and same is not for
rent, lease or sa~e. That he or she shall comply with the fol~owing conditions:
l.
That the owner and he or she a~one sha~l act as the bui~der for a~~ phases of
construction.
That the owner wi~~ comply with a~~ provisions of the City of Zephyrhi~~s
ordinances and codes pertinent to the building.
That in the event various phases of construction are subcontracted, he wil~
engage on~y properly licensed subcontractors and will personally supervise
such work.
That in the event the Building Inspector shall require corrections to be made,
the owner wi~l assume full responsibility to insure they are made, and upon
completion will ca~l for a reinspection before proceeding with the building.
That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable.
That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, 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 sell or lease a
building you have built or substantially improved yourself within I year after
the construction is complete, the law will presume that 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
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regulations. '
~":~~ 5Si~ ~ I "!~ :n SR DATE
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CII.
NOTICE OF COMMENCEMENT
State: of r:Lovt:oQA- Countyof~ASco
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. Description of Property: Parcel No.
:Z::-I-s
!I~ 2C: -ol J - co/O - L(:'COC - b/LO
I,;) 'f- I ~ i\ l Lt 00 <... U. ,!-jJ.{4 ,,5-/08- /7 r ~ F _?3:5'1c
(Legal description of the property an street address if available)
2. General Description of Improvement
01+l.45 E Mer (I/J
I
, I
27'y-y2'
111111111111111111111111111 1111111111111111111111111111I1111
2006068026
R3.
Owner Information: Name ----DC'AitJ.r S. L '<-C- l0 ,'II, 'tl-&-"''--':~
Address S-J C 8' J Tf"- 3-1- I ~ S-l/~City Z Ef /1'1 te.JI/ J/<Y..
Interest in Property: (q LV'IV {.ItC
State
/,L.
33sY2-
Name of Fee Simple Titleholder:
(If other than owner)
Address 9c' &---x: L{ 0 d.. ,5"'
.J:--J IV) A- c..
Rcpl:985454
os: 0. 00
04/04/06
Rec: 10.00
IT: 0. 00
Dpty Clerk
City (orCc~<9f>cL":)
CON }cL+c 1(\i.
State fA
/~/c -~,9Z.S-
City
State
City
State
JEO PITTMAN, PASCO COUNTY CLERK
04/04/06 12: 54~ 1 it..l..
OR BK 691~ PG .I.orJ3
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. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
Signature of Owner: O.l.~/ k(L{!f{~
Sworn to and subscribed before me this ~ day of
Notary Public: ~=--~"'- '\\._~ ~'- >--
My Commission Expires: \ 0: _H_
PC93053048/A ~==
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