HomeMy WebLinkAbout08-7817
CITY OF ZEPHYRHILLS
~
780-0020
BUILDING PERMIT
~
ermit um er: 7 17
Permit Type: ADDITION/ALTERATION
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:
ress: 4644 EAGLE RANCH DR L
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0170-00000-0080
6,045.00
5/12/2008
97.50
97.50
5/05/2008
SCREEN ROOM & CONCRETE
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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."
I CONTRAC ~ IGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7817
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: SCREEN ROOM & CONCRETE
7817
ADDITION/AL TERATION
434-ADD/AL T RESIDENTIAL
SINGLE FAMILY RESIDENTIAL
6,045.00
Address: 4644 EA NCH D L T 8
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0170-00000-0080
97.50
1~{'
R I U
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."
CONTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Name () If (C6~ Vc:c.
Qwne(. Add.... I t/{, t..fe f??j k.cs 1?:Jty ~ J:r.
Fee Simple Titleholder Name 5Cl me... d. 5 a. v--€-
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address
.s t{ m.e- a 5 a..h () v..e..-
Eo. fe.s
~ NEW CONSTR c=J
E=I INSTALL CJ
PROPOSED USE D SFR D
TYPE OF CONSTRUCTION D BLOCK D
DESCRIPTION OF WORK I 5 C-(lavt 12c:lJyY'l '+- Co ncrk2- ~
I/o 'lIt 1 sa FOOTAGE I
1111,11111111'1'11111'1111111"11111111'1111111111111'r"IIIII"IIIIIII"'IIIIIIII'IIIII,IIIIIIIIIIIIIIIII"1111111"111""111111"""1111'1'111
1$ f#I!J- ~
1$
1$
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D
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
ADD/ALT
REPAIR
COMM
FRAME
D
D
D
BUILDING SIZE
/70P
D
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AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
BUILDING
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D
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ELECTRICAL
PLUMBING
SIGN
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DEMOLISH
OTHER
STEEL
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HEIGHT I
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W.R.E.C,
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MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
GAS
ROOFING
FINISHED FLOOR ELEVATIONS
OTHER
DYES
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BUILDER
SIGNATURE
COMPANY ~~_ Ex/(:no(-s
REGISTERED ~Lv N , Y FEE CURRENT ~/ N I
/[33 SI- License # l"ex; l()ht7 /i
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
Y/N
Y/N
Y/N
Address License #
111111111111111111111111II111I111111I11111111111111I111I11111111111I1111111111111111111I111111I11II1111111111111111111111I111111111111111111111111
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, Stormwater Plans w/ 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.
DI~~~ti~~~':' . . . , , , . , . , , , . , , , , , , . , , , , , , , , , . . . , , . . . . , , , . , , . , . , , . . . . . , , . , , . , , , , , . . . , , , , , , , . , , . , , , , , , , , , . . , , , , , , , , , , , . . , , , , , , . , , , , , , , , , , , , , , , , , , , , , , , ,
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 AlC Fences (PloUSurvey/Footage)
Driveways-Not over 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 fora 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, 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 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 proce?d with the work a~d not as authori~y ~o viol~t~, 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 ninety (90) consecutive days, thEl,)ob 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 NOTICE OF COMMENCEMENT.
FlORIOAJURAT(F.S.'~.;..c.C j{)o.-"'V -~"'~-()
OWNER OR AGENT C # I~ CONTRACT
Subscribed and sworn to (or a Irm~)?J!,e me this b~c ibed ani:i m or affirmed) b
~ ~
Why Is/are persqnally known to me or has/have produced 0 is/are ers nally known to m r
C1('W~ ! (~s-<-- as identification.
~ Nola<YPU'"
ommisslo o. r'~T; -.. "':(:I?U'" ~~.= ~FFLOItlDA
Notary Public
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~~UC-~_:L\TE OF FLOpJDA
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Name of Notary typ~, pnnte<ror$~El<:;I";LSOll':)
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Name of Notary typed, printed~r ~pe~u",:
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
IIM- (/y[tlt/e {;)QcinJrs
tf- 29-oi
tf~<N 6cyk kct:
S'Ct-eel1 bnt f!/h~M
Date Received:
Site:
Permit Type:
Approved wino comments:t
Approved withe below comments: M Denied withe below comments: 0
This comment sheet shall be kept with the permit and/or plans.
Kalvin Switzer - PI
- -0 1>
Contractor and/or Homeowner
(Required when comments are present)
NOTICE OF'COMMENCEMENT
111111111111 1111I11I111111111111111I11111I11111 1111I1111 /11I
2008064536
Permit No.
Rcpt: 1177468 Rec: 10.00
OS: 0. 00 IT: 0. 00
04/30/08 .Dpty Clerk
Property Identification No.
IiM.c~L J:I? / ~ ;l.(..~. :J.t.-- 01 UP -{X')(}O 0-0 () ~ u
, THE UNDERSIGNED hereby give' informs you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
. t?-ndt:: /?~NG/r' Sv~O((/(~(i~~ ,'. "
l.Description of property (legal descriptiqn:) y:J, t;- ., -/~ , ~ I- 8 01(,; 7'~7 /Lr/
a) Street Address: ,,,5 0 . b LID
2.General description of improvements: 5 c- /:!CCl
R
3.0wner Information
a) Name andaddress: f '
b) Name and address of fee, simple titleholder (if other
c) Interest in property
4.Contractor InfonIiation
a) Name and address:
b) Telephone No.:
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.% /~
6.Lender
a) Name and address:
, ' 'Z-(Ej/fJlN,..1I It..LS
JV6 /I- LJ 0 ' /Z--('Or-;-
,/IFL/J~' Lfi;e/pt 11~~~.oVIe:&V O/l....'~~~-::
''''Fax No. (Opt.) , ',' , ,
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Fax No. (Opt.) :3 r:: J- -~ Ul -' ~,:l..O-'
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or otherdocmnents may be
a)Nameandaddiess: lL 12 .i~,M '13, I ~~ _
b) Telephone No.: I?:>- Fax No. (Opt.)
, 8.In addition to himself, owner designates the foll9wing person to receive a copy of the Lienor's Notice as provided in: Section
713.13(1)(b), FlOrida,. Statute" A /;4
a) Name and address: . r
'b) Telephone No.: " .FaxNo. (Opt.) _
9.Expiration date of Notice ofCormnencement (the expirationdate is one year from the date of recording, unless a different date is
specified):
lS)t.o
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WARNING TO OWNER: ANY'PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION,OF THE NOTICE 'OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECI'lON 713.13, .
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE .JOB SITE BEFORE THE FIRST
INSPEC1:ION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT youR. LENDER OR AN ATI'ORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. '
STATE OF FLORIDA
COUNTY OF PASCO
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{{; GIJ~I'UJ --r;J CJ L ,/tll:./ va
rint Name , ; , , ..----./
The fo goin~ ins~ent was acknowledged before me this O(q ~y of ' A pr i l '.2003. by' R, c.~
a 1 ( ti r I ,as COl'\. tre..e- -h,r , ' '(type of authority, e.g. officer, trustee, attorney
in fact) (name of party on behalf of who tnunent was executed.
Personally Known V OR Produced Identification ~
Notary Signature
T;ye ofIdentification Produced
Name (print) \~7?ti\.,1I\.~ ~
Verification pursuant to ~.ec:t~9~,Q2~;Z5... ,f~~dd~t~~tutCs.Under alties of perjury, I dec1arethat I have read the foregoing and that
the facts stated in it are tiUet61;he beW(jfniyJ1O:l6~W~~'hd, elie . , < ,
, ' ",' , ..,' f ,i,Ll., ( y~' " ,
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