HomeMy WebLinkAbout08-5826
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5826
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
5826
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
SINGLE FAMILY RESIDENTIAL
Address: 4732 18 H ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-02600-0100
39,168.00
6/01/2006
356.52
356.52
6/01/2006
TWO STORY GARAGE ADDITION
E
:y, lJ\"A b l () ~ R'.e.-
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DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING '1-~-{)~ A- FRAME ").. -lG> -07 A- 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.
~~q..~ t'~ ~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERMLT A~~LL~AT~U~
BUIiLDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
'5 ! d~/o(p
- OWNER'S NAME 0lr. '-P '0\r~, T \"t:(')(~ D n~ 'R. PX).R r
"JOB ADDRESS Lf7~'J )iStlr ~t.,
LEGAL DESCRIPTION: LOT(S) Ii)
PERMITTING
(1(17 - d?~1..\; CC~')
PHONE (1S'r~J 7~7->'. d(r)71lr,
PHONE CONTACT FOR
BLOCK
';J.lr.
SUBDIVISION fY\N.,i-e'v fl~+ AL\c\\.\ibl,
... PARCEL 10 # )If .,20 - 2.' ,- 00/0 - 0'l,000 ~ 0/00
WORK PROPSED: DNEW CONSTRUCTION ~DDITION
(OBTAIN FROM PROPERTY.TAX NOTICE)
o ALTERATION
o REPAIR
o INSTALL
OS~
PROPOSED USE: ~GL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
OMULTI -FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE Hm
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL
. DESCRIPTION OF WORK --r\:bo
21/' >< 2t.(
9-mf.,Y,
G.AA~ AthI1'-,()~
BUILDING SIZE
IISl.
HEIGHT
2..,'/0"
SQUARE FOOTAGE
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.
& (1) SET ENERGY FORMS.
FORMS.
~OL--
~
~D V\ 0 ,'('\ '0 t () S 01 \l\.;L.c.X'1.
/
~UILDING
/
~LECTRICAL
o PLUMBING
o MECHANICAL $
o GAS ~OFING
PERMITS REQUESTED
$
0/0DO
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
~RAME
o STEEL
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES ~O
~'~..,.~~.~.~_._ -:._....~._____.... ..... , :--.---.~~---.~ -...- -~'i' . ... ..--- ".--,' '--~~-,"~----:~,
rl I' I I \ .' , j f ' tr I, 'I
II I 1 J ' ! I
-~-~_.~-~--~---'-~~-- - - ---------~--------~--- - --- - -----~----~~~
. BUILDER
COMPANY
OI..;I.ueQ..
SIGNATURE
'/~~~'
STATE CERT OR REGIST #
******************************************************************
ELECTRICIAN
~~/...~
COMPANY
OuJf'J~
SIGNATURE
STATE CERT OR REGIST #
SIGNATURE
****************************************************~(.;~*~ ~~
~ Q::::,~ COMPANY r~~
STATE CERT OR REGIST ~~~ ~~
* PLUMBER
*********~********************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
********************************************~****;***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
~ O(\lLt .~ ~ -I VI ~ "\n+o ~,.
A. NOTI~E OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restricTions~ which
may be more restiictivethanCity regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions;
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES
If the owner has hired a contractor or contr~Ftors to undertake work, 'they may be required
to be licensed in accordance with state and 10cal 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 pOftions of the "Contractor Sections" of this ~pplication for which they
will be responsible. It you, as the owner signs as the contractor, you are indicating that
your rather than the contractor, are responsible for the work. ,If the contractor wishes
you to sign as contractor that may be an indica~i6n that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C.' TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI,ON FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~tiTES, AS AMENDED)
I certify that I, the applicant, haye 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. '
Appli~ation 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 wiil be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land developmerit 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 inolude but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetiand 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 ~nd 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 RECbRDAND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
a'cknowledged
, 20...-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me, this _day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this_ day of
by
acknowledged
, 20_
(name' of person acknowledged)
o who is personally known to me, . or
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type of identification)
and whoD did Odid not take an oath.
o who has produced
(type of identification)
and who [] did O:l.id 'not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
GRAPHIC
o
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10
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( IN FE!
1 INCH =
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ONE STORY
MASONRY RES.
#4732
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BUILDING SHALL COMPLY WITH
ALL APPLICABLE CITY OF
ZEPHYRHILLS ORDfrjAN~1 !
>(2-'1 ;:> t
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NOTES:
1) METRO SURVEYING. INC. AND CERTIFYING LAND
SURVEYOR. ACCEPT NO 'RESPONSIBILITY FOR RIGHTS OF
WAY, EASEMENTS, RESTRICTIONS. OR OTHER MATTERS
AFFECTING TITLE TO LANDS SURVEYED. OTHER THAN
THOSE RECITED IN CURRENT DEED AND/OR OTHER
INSTRUMENTS OF RECORD FURNISHED BY CLIENT.
?\ IINnl='~r.~OIINn I='Nr.~O....r.~UI='NT" II=' ....NY NOT "~OWN
PER THE FEDERAL INSURANCE ADMINISTRt
HAZARD BOUNDARY MAP COMMUNITY NO.
PANEL NO. OOOSC ,DATED 12-17-9
SHq,~ AND DESCRIBED HEREON APPEAR~
_-1L-_, WITH A BASE ELEVATION OF
.1
City of Zephyrhills
Building Department
5335 Eighth Street
Zephyrhills, Florida 33540
(813) 780-0020
Fax (813) 780-0021
February 20, 2006
W. A. "Bill" Burgess
Director of Building
Licensing & Zoning
Mr. & Mrs. Theodore R. Baer
4732 18th Street
zephyrhills, FL 33542
Re: Minutes from Board of Adjustment Meeting
Dear Mr. & Mrs. Baer,
Enclosed please find copy of minutes from Board of
Adjustment meeting of 2/14/06 regarding your
variance request.
Please note your variance approval needs to be
noted when you turn in plans for your building
permit application.
If any questions, please do not hesitate to give us
a call, 813-780-0020.
Sincerely,
(~~\~bt~
Bobbie Sharon Swetland
Licensing Official
Bss
Enclosure: Copy of minutes from BOA meeting
2/14/06
DISCLOSlJRE STATEHENT FOR OWNER
CI,TY OF ZEPHYRHILLS BUILDING DEPARTKENT
I, I ~~ t... o4crl'\-.. have read and ful~y understand and
agree to the provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domici~e~, that he or she
actua~~y occupies, or wi~~ occupy by said domici~e, and same is not for
rent, ~ease or sa~e. That he or she sha~~ comp~y with the fo~~owing conditions,:
L
That the owner and he or she a~one sha~~ act as the bui~der for a~~ phases of
construction.
That the owner wi~~ comp~y with a~~ provisions of the City of Zephyrhi~~s
ordinances and codes pertinent to "the bui~ding.
That in the event various phases of construction are subcontracted, he wi~~
engage on~y proper~y ~ice:c.sed subcontractors and wi~~ perso~~y supervise
such work..
That in the event the Bui~ding Inspector sha~~ require corrections to be made,
the owner wi~~ assume fu~~ responsibi~ity to insure they are made, and upon
comp~etion wi~i ca~~ for a reinspection before proceeding with the 'bui~ding.
That the owner sha~~ assume f~ respoI1Sibi~i ty for the construction and wi~~
not expect supervision of his work from the City of Zephyrhi~~s Bui~ding
Department.
That prior to fina~ inspection any additiona~ fees, inc~uding reinspection
fees, must be paid in fuJ.~. A written request from this office sha~~
constitute an officia~ notice. to pay additiona~ fees.
That the owner sha~~ comp~y with a~~ City, State and Federa~ ~aws' in regard to
socia~ security, workman's compensation, ~ien ~aws, etc., where app~icab~e.
That the owner sha~~ comp~y with a~~ the safety codes issued by the F~orida
Industria~ Commission. '
State ~aw requires construction to be done by ~icensed contractors. You have
app~ied for a pe:cmi t under an exemption to that ~aw. The exemption a~~ows
you, as the owner of your property, to act as your own contractor with certain,
restrictions even though you do not have a ~icense. You must provide direct
onsite supervision of the construction yourse~f. You may bui~d or impr'!Ve ,a
one-fami~y or two-fami~y residence or a farm outbui~ding. You may a~so bui~d
or improve a commercia~ bui~ding, provided your costs do not exceed $25,000.
The bui~ding or residence must be for your own use or occupancy. It may not
be bui~ t or sUbstantia~~y improved 'for sa~e, or ~ease ~ If you seJ.~' ;or' ~ease a
bui~ding you,have bui~torsubstantia~~y improved you:r.se~f within ~ year after
the construction is comp~ete, the ~aw wi~~ presume 'that you bui~t or
substantia~~y improved if for sa~e or ~ease, which is a vio~ation of this
exemption. You may not hire an un~icensed person to act as your contractor or
to supervise peop~e working on your bui~ding. It is your responsibi~ity to
make sure that peop~e emp~oyed by you have ~icenses required by state law and
by county or municipa~ licensing ordinances. You may not de~egate the
responsibi~ity for supervising work to a ~icensed contractor who is not
licensed to perform the work being done. Any person working on your bui~ding
who is not ~icensed must work under your direct supervision and must be
empJ.oyed by you, which means that you must deduct F.I.C.A. and wj,thho~ding tax
and provide workers' compensation for that emp~oyee, aJ.~ as prescribed by ~aw.
Your construction must comp~y with aJ.~ app~icab~e laws, ordinances, building
codes, and zoning reguJ.ations.
~~
OWNER'S SIGNATURE '.. .'
ADDRESS 4731.. te,/'- St-~
PHONE C!.17.-76J-U1'-
2.
3.
4.
5.
6.
7.
8.
9.
DATE
aY--z.5 - 00
r
WJ:TNESS
PERMJ:T #
6 LI..JN~--
if? JjL r/)~ 51.
GIYli)cY- /ND J f, ~
.square Feet } 1 '12-
Dollar Amount ~ct. i> ~
Valuation ~llJV.Yv
Building
c1- ?(17 .1,~
51.1 '5
Electrical
Plumbing
rJ/t)
~i)of'l
rJ/J1
/jl)~
.
Mechanical
Connection Fees
Sewer /
Water /
Meter /
School Impact Fee t..J 1ft
Transportation Impact Fee tJ ~
Park Impact Fee f0bt
d~
Public Safety Impact Fee I'\J ~
State of
NOTICE OF COMMENCEMENT
k...oruuA County of '? AS c..o
TH~: UNDERSIGN~D hereby gives notic~ that improvement will be made to certain real property,
and III accordance wIth Chapter 713, FlorIda Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. J L./_ 2.0- L I - 0010 - 02'=-<90 .. oS I DoO
'-17'3 2. I B"" 5 6 , Ce-1>;-IIt't' i +-1 U....S pc,
(Legal description of the property and street address if available)
2. General Description of Improvement
-L - c~a. (QAt<A<2e"' A--bo n-, ON
8
r
0)wner Information: Name ~tiet>\)""'Rt7' ~ /GA;(l.A_" ~~.s1'\...
.
Address C/7 , -z, 11tf/1... <; b- .
City ~rf'r'~l/JU--S
State
,::,(... ~ 35 4-J-
Interest in Property:
(2..~ ;-k)~ G..r
City
11111111111111I111111111111111111111I111111111111I1111111111
2006111603
Rcpt: 1002971 Rec: 10.00
os: 0.00 IT: 0.00
06/01/06 Dpty Clerk
JEO PITTMAN PASCO COUNTYrC1ERK
06/01/06 08: 5 lam 1 3017
OR BK 7014 PG
State
Name of Fee Simple Titleholder:
(If other than owner)
Address
IV/A
!
4. Contractor: Name
NIA.
I
Address
City
5. Surety: Name
Address
NIA
/
City
State
Amount of Bond: $
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:
N/A.
!
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:
Sworn to and subscribed before me this ~ day of
Notary Public: .. >>~~9.-~
My Commission Expires: ~,,\;' .2...~'( ~ 00 7
PC93053048/A
rv\a '-( ,20Q{e
SONIA SANDERSON
NOllry f'UDIIC, ::irate Of FlOrida
My comm. expo Oct. 28, 2007
Comm. No. DO 261451