HomeMy WebLinkAbout08-5443
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5443
Permit #: 5443 Issued: 2/13/2006
Permit Type: ALUMINUM
Class of Work: ALUMINUM PACKAGE
Proposed Use: MOBILE HOME PARK
Sq. Feet: Est. Value:
Cost: 4,800.00 Total Fees: 82.50
Amount Paid: 82.50 Date Paid: 2/13/2006
Address: 3426 MALACHITE DR LOT 142
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: EMERALD POINTE
Parcel Number:
Name: SUN STATE ALUMN.
Addr: 6148 FT KING RD
ZEPHYRHILLS,FL. 33542
Phone: 813 788-7308 Lie:
Work Desc: VINYL ROOM ON EXISTING SLAB
Name: PROIETTI, MIKE
Address: 3426 MALACHITE DR LOT 142
ZEPHYRHILLS, FL. 33542
Phone:
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FRAME
ELECTRICAL ROUGH
1ST ROUGH PLUMB
FINAL
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."
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CONTRACT RS SIGNAT PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8m St, ZephyrhillsT FL 33542
813-780-0020 FAX: 813-780-0021
PHONE CONTACT FOR
DATE RECEIVED ;:ll ~ I Dlo
PASCO p~RMlr SC:R\
PERMITTING 1-.gIQ(q-8;l..L{-78Q
OWNER'S NAME
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LOT (S) /:JJ--
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PHONE
JOB ADDRESS
SUBDIVISION -r-I..R E/MmLi 1:n:k
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(OBTAIN FROM PROPERTY TAX NOTIC-E)
LEGAL DESCRIPTION:
BLOCK
PARCEL ID #-
WORK PROPSED: ~EW CONSTRUCTION
DSIGN
o ADDITION
o MOVE
DALTERATION
o DEMOLISH
o REPAIR
o INSTALL
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
DSWIMMING POOL
o MOBILE He
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
-ft/J/. \f{~/;
9~ if
VI /)!J /
r(}()/l)
011.
DESCRIPTION OF WORK
I
ff-/J-'
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
NC~
PERMITS REQUESTED
r:jBUILDING
o ELECTRICAL
$
t( J?JO. (J)
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
o PLUMBING
o MECHANICAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
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~ L )~ COMPANY ~ Lt./)
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BUILDER
SIGNATURE
STATE CERT OR REGIST #-
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
SIGNATURE
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST w
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" w!)ich
may be more restrictive than City regulations. The undersigned assumes responsibility fo
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 require
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 th
contractor(s) sign portions of the "Contractor Sections" of this application for which th
will be responsible. If you, as the owner signs as the contractor, you are indicating th
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
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 Constructio
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agricultur
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that
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.
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 t
the intended work, and that it is my responsibility to identify what actions I must take
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 whic]
~s prepared by a professional engineer registered in the State of Florida prior to permit
-':'''''''UdLlce.
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
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 requestec
in writing to the Building Official. An approved inspection must be logged during each sj
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, CONSUl
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VAl-'UE DO~NOT ~ED TO( RECORD AND POST A "NOTICE OF COMMENCEMENT".
;'F[f//!r-t ,JJ ;,,;:;/tf" ~ \s,'IIi.l'~ I' 2l'-K
~']I~: OWN'tR R AGENT SIGNATURE: CONTRACTOR
STATE OF FLORIDA /7 ~
COUNTY OF l~ ~
The foregoing instrument was acknowledged
Before me this -3D~day of :la.1f\L<Aj , 20 D~
by M ; c:.ha... ( I 1"0 i c t! \"
(name of person acknowledged)
Owho is personally known to me, or
~/ has produced -PL.
(type of identification)
~id not take an oath.
Name typed, printed or stamped
hi if [10
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this ~day of r~~ ' 20 O~
by S-hul-~~S<;'
(name of person acknowledged)
~o is personally known to me, or
Owho has produced
(type of identification
and who ~id not take an oath
Sign
son taking acknowledgment
Name typed, printed or stamped
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2006027670
NOTICE OF COMMENCEMENT
State <Jf
,
~ to Irt c!tL
County of
fJe'llitb
THE UNDERSIGNED hereby gives notice that improvement will be made to c2rtai
real property, and in accordance with Chapter 713, Florida Statutes, tr
following inforr:lation is provided in this Notice of Commencement:
1.
Description of Property: Parcel No. Lol If,).. ['hera/! ~(//Aie
~'/ -~~ '- ~J- oO'!(} - OOOOJ- J'IJfJ ji.j~ /lJ1t./c,L L-lr 4.
(Legal description of the property and street address if available)
2 .
General Description of Improvement
.,l. X/J f l d;JJ
lJ L ~,J /
rOO/I] 0/\
Rcpt:968256
os: 0. 00
02/10/06
Rec: 10.00
IT: 0. 00
Dpty Clerk
3.
O\vncr Information: Name t7Lr../6.
l~ddress J lj.:;./r ftJa../1i.. C it it /)1. City
fJlY;;' e 1//'
o/~;d~'Jtl!J
Statel/ .50S-yO
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
JEO PITTMAN. PASCO COUNTY CLERK
02/10/06 09: 21am 1 of 1
OR BK 6835 PG 1091
city
State
Address
R4:
Contractor: Name
~ U /) "J' /4-lf .4u.<J)t, Lc
Address (fIr'! rt'/'f k(~J 12c1 City 2tfJLyr,l..1h
State r/ .'j35~
~. Surety: Name
City
state
Address
Amount of Bond: S
6. Lender: Name
Address
City
State
7.
Persons within the State of Florida
notices or other documents may be
713.13(1)(a){7), Florida Statutes:
designated by Owner upon \vhc
served as provided by Sectic
Name
Address
City
State
8. In addi tion to himself t O~vner designates
of to receive a copy of th
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes
9 .
~xp.lrnt_.i()r: dl'l-t.e of Notice or Commencement. (the expiration date is 1 yea
rr0m the date of recording unless a different date is specified.)
Signature of Owner: ~t:-~~..f ~
Sworn to and subscribed before me this 3/le
day of
r t IJrll a::1ll
J
+9- l'J.0X0 .
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. .....
\1y Commissibn Expires:
/~PL!{ NOTAll" pI /J3IIC.STATfl rw flT emmA
{/ W Stacie Zullo
. Comltll~5iol1l DD~203(;
Expires: ocr. 16, 200c
Bonded Thru Atlantic Bonding Co., L
Notilry Public: