HomeMy WebLinkAbout08-8367
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8367
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:
8367
ADDITION/AL TERA TION
434-ADD/AL T RESIDENTIAL
NOT APPLICABLE
ddress: 6007 lOG WAY DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYR RIDGE
Parcel Number: 03-26-21-0130-00000-0540
4,525.00
9/29/2008
82.50
82.50
9/29/2008
SCREEN RM ON WOOD DECK 8X8
Name: SMITH, JANET
Address: 6007 RIDGEWAY DR
ZEPHYRHILLS, FL. 33542
Phone: 813 782-7011
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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.
REINSPECTlON 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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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 - Z 1- -()
Owner's Name LTtL/Jel- 0" /J1/Y- J;
Owner'sAddress I ~()o-7 A(;je~ /J/'Jte
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
,(J/'.
Fee Simple Titleholder Address
JOB ADDRESS
tJ do 7
z~f4r
UrtelU1l/
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z e~41' t-/ II . f(. .33JT/d- LOT # I s</
PARCELlD#\ {)3 - olb-J/- 0/3d -(XJJ:JJ- cJS9'O
SUBDIVISION
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B
D
[$J
S C /' an room (J/J
sa FOOTAGE I
D
D
D
tuaJcl ck~
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IU~
WORK PROPOSED
t8
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I
NEW CONSTR
INSTALL
SFR
BLOCK
ADD/AL T
REPAIR
COMM
FRAME
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING SIZE
f' f >{. it
1$ L.I o:J
. 7, 0020.
o ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS D
FINISHED FLOOR ELEVATIONS I
I
I
I
I
D
I
SPECIALTY D
FLOOD ZONE AREA
BUILDING
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN
D
MOVE D
DEMOLISH
OTHER I
STEEL D
OTHER I a...Iu/fl///!//J1
HEIGHT
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
D
D
W.R.E.C
VALUATION OF MECHANICAL INSTALLATION '- ""is ;~;:;~~~~AVICE
- "Xi -066-824-7894
Address
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNATURE
Address I
1111111111111111111111111111111 " 111111 " 1111 " " 11111111 " III " 1111 " 11111 " 1111 " 11111 " III " 111111 " I " I " I111111111111111111111111111111111111
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) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required on site. Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must nieet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A1C 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 A/C Fences (Plol/Survey/Footage)
ROOFING
BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
Driveways-Not over Counter if on public roadways..needs ROW
OTHER
DYES
DNO
4/an-. ~~ .
FEE CURRENT I Y / N I
License # I
~cJJ /LJ
I Y / N I
Y / N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N
Y/N
Y /N I.
Y/N
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 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 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 s.eparate perm~t may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCIfically In?luded. In the applicatIon. A
permit issued shall be construed to be a license to proceed with the work a~d not as authorl~y !o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o~ any codes. Eve'!' ~ermlt Issued. shall become. Invalid
unless the work authorized by such permit is commenced within SIX months of permit Issu~nce, 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 Official for a period not t~ exceed nrn~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. 3) r. j _ _ - j j" . /_ .
CONTRACTOR ~L<- fI-lVllI-W If
OWNER OR AGENT tho
S~~i~~m ~)b~;XmiS c.lft~cr' edfd~to(0~~~efor~Nto/J
Who Is/are personally known ..Jo me or haslhav~ produced Who Is/a e personally known to me or haslhave produced
as identification. - as identification.
~~~O~:;~~~:"' cl~~~:~:...:~;~~::P"~~
Name of Notary typed, ~nt~mStafflpetf:1C;n.~' '"
.u
)
Name of Notary typed, printed ~ sMrtpeO'>
",:~ 11 -1 r)
cL4 01 2-JJJ/J
1""" ""111"111111 1111111111111I111111 1111111111111I1111
2008136336
NOTICE OF COMMENCEMENT
Rcpl: 1204080 Rec: 10.00
g~~ 0.00 IT: 0.00
18/08 Dpty CJerk
Property Identification No.
o 3 -~ -r}../- tJ/JeJ- ctll::V- dSYO
~i91~~T0T8MA0N~'4P6ASCO COUNTY CLERK
~. pm 1 of 1
OR BK 7928 PG 466
Permit No.
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.
l.Description of property (legal description:) Z.
a) Street Address: (J()7 e
2.General description of improvements:
\j c.J.l!tUl /"'dJ /Y7
3.0wner Information . /~ '"i.
. a) Name and address: T ru...e.f S /U..."'n- {4(J:} 7 ~...,...~
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
{Contractor Information , /' _ ,... '"
~) Name and address: 136-/lr 'S 4~. -.L-^J.. .
") Telephone No.:
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.Lender
a) Name and address:
.
/)IYU
o/L,rM .Ff. 3iJYJ..
UJ VIIl ~rI- i!..L~
Fax No. (Opt.)
/LeI ~ ly/'iJIr FI dJJYd-
Fax No. (Opt.)
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713. 13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
specified):
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, SECTION 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
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
\.
~~ fer's ~~/)4terlDlrector
Print Name
The fOregOin&.i~e t was acknowledged before me this /7 ~y of ~b...&r ,20 dI, by
. r . as . OWPI' (type of authority, e.g. officer, trustee, attorney
ill fact) for if', . (name of party on behalf of whom instrument was executed).
Personally Known Y OR Produced Identification _ Notary Signature ~ ~u ~~ iJ
Name (print)
<J/feie //IiNfL/~
Type ofIdentification Produced
Verification pw:su~nt toSection 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated ill It are true to the best of my knowledge and belief.,
Natural Person Signing ove
N?:.~: PUBUC . STA TE OF FLORIDA
(bi\ Stacie Hartwig
\.lCo~m.ission #DD652189
'1,....".' ExpIres: OCT. 16, 2009
BONDEl) THRu ATLANTIc BONDING co., INC.
FORMS/NOC,rvsd2007
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