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HomeMy WebLinkAbout09-8713 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8713 BUILDING PERMIT IiIUMU Permit Number: 8713 Address: 38532 13TH AVE Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s):1 & 2 Block: 38 Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-03800-0010 Improv. Cost: 970.00 Date Issued: Name: DLJ MORTGAGE CAPITAL INC Total Fees: 52.50 Address: 3815 S WEST TEMPLE Amount Paid: SALT LAKE CITY UH 841154 Date Paid: Phone: (813)325-9228 Work Desc: ENCLOSE EXISTING GARAGE DOOR OPENING HAMMOND BROTHERS CONSTRUCTION BUILDING FEE 52.50 �f� I &� 1r - m00% e1 is fh7 L1 °9 W q, s arm FOOTER 2ND ROUGH PLUMB ISC INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY FARE-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 any one 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 R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 2009-01-071153 Hammond Co 13527964155 813 760 0021 P 215 o y � � W �N 9oc�t!w�s r N O NV �yMw•• "3 W ON �xO;3 i in o on YC OOj O4QOHW WH 041►9M aOH ° W tl yrr4to W xtx r+awn c tl H hd to Ow 90a tl H a �w Om tg tlW Ut•�a yb y wea 0 �QA 2MjAG0�qH m :0 OQ w rj to 0ilf►j] "Iy r n '✓51 n wO MO A r ng V X w W hW+M b~tl M H O r o to r r1i W ld n n Z H tU H rOOtl`Z '' y0 w Nrtl N 40 O wl H N OD W C� m Ob b Jn bd tl 1 o Z 2q r. m� Htl N n0 H� ?7 OM O M W zH �q9�0 o Q Ho it m p �H ra bo j< �b nay n� A W HO HO o� r ba bo o o W& j wr 90H M WH H wd1 yW x i r o v G I O V N V 1 C~ w O G O O Ir J tors Hn •t t n.. IL MZN O V rnv ; VJ X1170 .+o C 2009-01-071152 Hammond Co 13527964155» 813 780 0021 P 115 HAMMOND 1BROTNERS CONSTRUCTION 'I-6-2009 Permit Agent Authorization Letter I, Stephen T. Hammond Contractor License No. CRC I255278, hereby authorize (Frank Hammond, FL. Driver License# H553-279-51-348-I), (Daniel Hammond, FL. Driver License#H553-172-53-050-0)and (Vance Hammond, FL. Driver License#H553-868-83-178-0), to act as my agent in tiling permits in the City of Zephyrhills . This authorization is to remain in effect, unless cancelled in writing, by the undersigned. 4iii q Contr etor's signature State ol�r l0i'\ dG✓ County offer The forgoing instrument was acknowledge before me this day of ,c u%LMrt,(,{ B, 71WJ W3L 11:T3r>A Who is L '— personally known to me, or who has( ) produced as identification THERESA A, BRATCHER /� ,, MY rOMMISSION#DD662135 CL• �7���^-Lv}y",am EXPIRES April 11.2011 Signature of Notary Public 0 9eu1s3 FwWalloliyaeMce.com Print/Type/Stamp Name of Notary My commission Expires: U4( 4( 18215 Edgewood Dr. I Springhill,Fl.34610 1 Phone: (866)553-2007 1 Fax:(352)796-4155 2009-01-0711:53 Hammond Co 13527964155» 813 780 0021 P 4/5 i & N�►S wn . ��sas An HNZ fC , C) O z 1MX OM i� r�N w p ACo , ERIN r'' C h , o .:.'1 z ry" e NrP W� p M dN nN .,� -.. C C 70 f* C) z UI 2009-01-0711:53, Hammond Co 13527964155 813 780 0021 P 315 HAMMOND YY BROTHERS CONSTRUCT I ON 05-21-2007 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law, EFFECTIVE DATE: 0512112007 EXPIRATION DATE: 05/20/2009 PERSON! HAMMOND STEPHEN T FEIN: 364805847 BUSINESS NAME AND ADDRESS: KAM40HO BROTHERS CONSTRUCTION CO 14219 EDOEW000 OR SPRING MILL FL 34010 SCOPES OF BUSINESS OR TRADE: 1 REMODELING 2- CERTIFIED BUILDING CONTRACTOR IMPIINIANI: Perse.al i. Chapter 440 . UblF41, IS., Sc officer of a earporelloe who elects eeempii.e Tram ills chapter by ldiet a terldic.ts of elicllsh utter this cocllon say set tenser benefits ci cowpanaatlun ands, this chapter. Poraaehl to Caepler 440.051111. r.5., Cerllllcltec of election to be except . apply only witbin lht step of too ball.... or tutu flutes .s the nonce Si elocilea to be eaempl. Perauet I. Chapter 440.U6(13), F.S., eetices of d evi1M to be pump! and rsidlleeeee s1 )!Truro is be rxrmpt Jell he sableel to revec.lioe if. at say lime slier the filing at Me a lice or the icseeoce al the certlllcate, the parses selaee Si the nclic. or ceriliicais so longer meal. the requirements of this section for isseuce of a cerfllicae, The depanmeel shall revsh a certlllute .t .ay limp, lei failure of the person named of lea cellllic.0 to most the regoliemeetl of This caction. QUL'STIONS? (850) 413-1000 DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT D!PARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION O Pursuant to Chapter 440,051141, F.S.. an officer of a corporation who CONSTRUCTION INDUSTRY elects exemption from this chapter by filing a certificate of election IFI CERTCATE OF ELECTION TO BE EXEMPT FROM FLORIDA I L under this Section may not recover benefits or compensation under this WORKERS'COMPENSATION LAW D chapter. EFFECTIVE: 05/21/2007 EXPIRATION DATE: 05/20/2009 Pursuant to Chapter 440.05(12), F.S., Certificates of election to be PERSON: STEPHEN T HAINAOWD H exempt.. apply only within the scope of the business or trade listed on roN: 394605447 E the notice of election to be exempt. R OU51NE55 NAME AND ADDRESS: E Pursuant to Chapter 440.05(13). F.S.. Notices of election to be exempt MAMM6ND CROTMFRS CONSTRUCTION CU and certificates of election to he exempt shall be subject to revocation )axle arscawOOD Dot if, at any time after the filing of the notice or the issuance of the SPRING HILL, FL 34610 certificate, the person named on the notice or certificate nc :unger meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this I- IIEMODELING 1 CFRTIFIaD BUILDING CONTRACTOR section. OUEsTIONS7 (850) 413-1609 18215 Edgewood Dr. I Spring Hill,1.134610 I Phone:(866)S53-2007 I Fax:(352)796-4155 01/072009 10:12 (386)775-3666 Tina DeVan PAGE 12 CERTIFICATE OF LIABILITY INSURANCE DATE 010709YYI PRODUCER First Commercial Insurance Agency THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O.Box 295 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Cassadaga,FL 32706 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone(386)775-1781 Fax (386)775-3666 INSURERS AFFORDING COVERAGE NAIC# INSURER A SUA INSURANCE COMPANY INSURED Hammond Brothers Construction Co. : INSURER B: 18215 Edgewood Drive INSURER C: SPRING HILL, FL 34610 INSURER 0: INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR A00'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATON LTR INSRD DATE MIDDfYY DATE MMIOOVYY LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000 ®COAAYERCIAL GENERAL LIABILITY DAMAGE TO RENTED 1 00,000 10AUTAG-103824-GL 04/09/08 04/09/09 PREMISES(Ea occurence) ❑❑ CLAIMS MADE © OCCUR MED EXP(Any one person) 5,000 A ❑ ❑ PERSONAL&ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 1,000,000 PRODUCTS-COMPIOP AGG 1,000,000 GEN'L AGGREGATE LMT APPLIES PER: © POLICY []PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LINT 0 ❑ ANY AUTO (Ea accident ❑ ALL OWNED AUTOS BODILY INJURY 0 ❑ ❑ SCHEDULED AUTOS (Per person) ❑ HIRED AUTOS BODILY INJURY ❑ NON OWNED AUTOS (Per accident) 0 ❑ PROPERTY DAMAGE 0 (Per accident GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 0 ❑ ❑ ANY AUTO OTHER THAN EA ACC 0 ❑ AUTO ONLY: AGG 0 EXCESSIUMBRELLALIABILITY EACH OCCURRENCE 0 ❑ OCCUR ❑ CLAIMS MADE AGGREGATE 0 ❑ 0 ❑ DEDUCTIBLE 0 ❑ RETENTION $ 0 WORKERS COMPENSATION AND ❑ WC STATU- ❑ 0TH- EMPLOYERS'LIABILITY TORY LMTS ER 0 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 0 OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE 0 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMT 0 OTHER 0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAR TO MAIL City of Zephyrhills 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 5335 8th Street THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Zephyrhills, FL 33542 AUTHORIZED REPRESENTATIVE Fax: 813-780-0021 ACORD 25(2001/08)GF ©ACORD CORPORATION 1988 01/072009 10:12 (386)775-3666 Tina DeVan PAGE 1/2 d4 R1 ccR " CERTIFICATE OF LIABILITY INSURANCE DATE 01/07/09(MMIDDIYYI PRODUCER First Commercial Insurance Agency THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O.Box 295 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Cassadaga,FL 32706 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone(386)775-1781 Fax (386)775-3666 INSURERS AFFORDING COVERAGE NAIC# INSURER A: SUA INSURANCE COMPANY INSURED Hammond Brothers Construction Co. INSURER B: 18215 Edgewood Drive INSURER C: SPRING HILL, FL 34610- INSURER D: INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AWLTYPE OF INSURANCE POLICY NUMBER POLCY EFFECTIVE POLICY EXPIRATION LTR INSRD DATE MIDDIYY DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000 DAMAGE®COMMERCIAL GENERAL LIABILITY 1 OAUTAG-103824-GL 04/09/08 04/09/09 PREMISES D a ocNTED urence 100,000 ❑❑ CLAIMS MADE © OCCUR MED EXP(Anyone person) 5,000 A ❑ ❑ PERSONAL 3ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPAOP AGG 1,000,000 © POLICY ❑PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ 0 ANY AUTO (Ea accident) ❑ ALL OWNED AUTOS BODILY INJURY 0 ❑ ❑ SCHEDULED AUTOS (Per person) ❑ HIRED AUTOS BODILY INJURY ❑ NON OWNED AUTOS (Per accident) 0 ❑ PROPERTY DAMAGE 0 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 0 ❑ ❑ ANY AUTO OTHER THAN EA ACC 0 ❑ AUTO ONLY: AGG 0 EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE 0 ❑ OCCUR [I] CLAIMS MADE AGGREGATE 0 ❑ 0 ❑ DEDUCTIBLE 0 ❑ RETENTION $ 0 WORKERS COMPENSATION AND ❑ W C STATU- ❑ OTH- EMPLOYERS'LIABILITY 0 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 0 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE 0 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 0 OTHER 0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAL City of Zephyrhills 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 5335 8th Street THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Zephyrhills, FL 33542 AUTHORIZED REPRESENTATIVE Fax: 813-780-0021 ACORD 25(2001/08)OF t0 ACORD CORPORATION 1988 01/07/2009 10:12 (386)775-3666 Tina DeVan PAGE 2/2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon. ACORD 25(2001/08)OF 2009-01-0713:34 Hammond Co 13527964155» 813 780 0021 p 111 Business Professional DBPR ONLINE SERVICES Log On Home , Help Site Map '11:4303 AM 1!7t200 A Put)"C Set i.'li ca'i It?r r! II!"l".Il'iUU Apply (irr Data Contained In Search Results Is Current As Of 01/07/2009 Vri,w Ap1ilirntior- tit ii; 1135 AM. ntil,ly I n kt t'Jkc: r"x3111 1-ind txdn nrurn iiluiir File u CompidirIL Please see our a:c .,.i t n.:, for an explanation of the Alit;T 17rami4urnt license status shown In these search results. lrrvrirc i t. A,tivity For additional information,including any complaints or Li�,l _'' 'irrl' discipline,click on the name. Renew o i-l;evi:.r; License License Name Change l rrr,r,;t: �,i;jt:a:; Type Name Type Number/ Status/Expires Maintain Arcrunt Rank (_Ir(inyr; My nIcLrr . Vii:w Mr. ;:,ages Certified CBC1255278 Current,Active O1311cly My I'll) Building DBA Cert Building 08/31/2010 Vii v (.nntinuunl I iT Contractor Main Address :410 TWEED AVE.SEFFNER,FL 33584 Certified CBC12S5278 Current,Active uril;iir I l nri (r:,o Building . Primary Cert Building 08/31/2010 Contractor Main Address*:410 TWFFO AVF.SFFFNFR,Fl.33584 'denotes Main Address- I his address is the Primary Address on file. Mailing Address This is the address where the mail associated with a particular license will be sent(if different Irvin the Main or license location addresses). License Location Address-This is the address where the place of business is physically located. https://www.myfloridalicense.com/wi I I 1/7/2009 Pasco County Parcel: 11-26-21-0010-03800-0010 001 Page 1 of 2 Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: Weekly Archive - Saturday, January 03, 2009 Parcel ID II 11-26-21-0010-03800-0010 (Card: 001 of 001) Classification II 01 - Single Family Mailing Address Property Value DU MORTGAGE CAPITAL INC Ag Land $0 3815 S WEST TEMPLE Land $44,184 SALT LAKE CITY, UT 841154412 Building $56,925 Physical Address Extra Features $2,046 38532 13TH AVE ZEPHYRHILLS, FL 33542 Market Value $103,155 Legal Description (First 4 Lines) Assessed (Save Our Homes) $0 CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 1 &2 BLOCK 38 Taxable Value $103,155 OR 7930 PG 603 Land Detail (Card: 001 of 001) Line II Use IlDescrIptionIl Zoning Units Type Price IlConditionhl Value* 1 0100 SFR 00R2 8,400.00 II $5.26 II 1.00 $44,184 Additional Land Information Acres II 0.19 Tax Area II II FEMA Code u Residential CJI ZHLHLP2 Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1952 Stories 1.0 Exterior Wall 1 Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air- Ducted A/C Central Baths 1.0 Line Description Sq. Feet Repl. Cost New 1 BAS 1,036 $68,511 2 FOP 24 $397 3 UOA 168 $1,653 4 FGR 384 $10,184 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DWSWC 1952 J 444 $167 2 UDU-M 1985 1 $64 3 � CLFENCE 2001 1,280 $993 4 DCFENCE 2005 600 $822 Sales History Previous Owner WILDER LINDA Year Month Book/Page Type Amount 2008 09 7930/0603 CT $0 2005 09 6625_/_1682 WD $92,100 1994 10 3351 /0550 WD r $42,000 http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&bl... 1/9/2009 813-780-0020 City of Zephyrhills Permit Application ( i 3 Fax-813-780-0021 Building Department Date Received Z6_01 Phone Contact for Permitting F��J ? I_ 2 ? I Owner's Name C t 1 -e •�� • `n0. Z) Owner Phone Number Owner's Address 3 b z sa / ! _Nv MS Owner Phone Number Fee Simple Titleholder Name �� Owner Phone Number Fee Simple Titleholder Address kA✓ - J'�^• �- JOB ADDRESS 373 a- I h L Z-6 h rII1�`1 .. LOT# I SUBDIVISION PARCEL ID# _ bb 1)- 0_35O ) 01 OI (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM Q OTHER TYPE OF CONSTRUCTION BLOCK LIiiI FRAME j- STEEL Q OTHER DESCRIPTION OF WORK toS k scj 5c cbz'r 6 ht BUILDING SIZE SQ FOOTAGE / _0 HEIGHT BUILDING $ _ VALUATION OF TOTAL CONSTRUCTION(5Zj ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. 0 PLUMBING $ Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION GAS Q ROOFING 0 SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO BUILDER COMPANY 7 r'°"r` �. SIGNATUR 2 REGISTERED Y/ N FEE CURRENT ,, Y/N Address / /51 *L. IV License# I c$c- /a-Scz;7t& ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I_Y/ NI FEE CURRENT Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ NI FEE CURRENT Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ NI FEE CURRENT Y/N Address I License# 11111 IIIIIlIIIIIIIIIIII 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&I 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 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. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C 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(Plot/Survey/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 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 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 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 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 Official for a period not to exceed ninety (90) days 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 OBTAtN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR ICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) / OWNER OR AGENT CONTRAOR Subscribed and sworn to(or affirmed)before me this Subscribbd„y nd sworn to o a ed)before met 's b Y Who Is/are personally known to me or has/have produced Who is/are perso�y known to me or has/have produced as identification. L- -- '" as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ' HAMMO N D Estimate BRO THERS Date Estimate# C O N S T R U C T 1O N 12/23/2008 265 18215 Edgewood Dr. Spring Hill FL. 34610 Phone : 866-553-2007 Chad Pettinato E-Mail : 38532 13th Ave. frank@hammondbothersconstruction.com Zephyrhills, FL. 33542 License: CBC 1255278 Description Total We propose toprovide services, labor remove garage- .._r_ __ cc p p p and materials to remove door. On acceptance of this estimate we will produce drawings to be submitted to the city of Zephyrhills code compliance department with permit application for plan review purposes. Plans and Permits: City of Zephyrhills 225.00 Wall Framing: Remove existing 9'X 7'garage door fastened to the interior wall on the face of the 745.00 structure. Install all P.T. 2" X 4" framing @ 16" on center. Drill and install 3/8" X 3 1/2" steel anchor bolts @ 2'O.C. through P.T. base plate into concrete Apply 1/2" CDX plywood to exterior of the framing Cover with house wrap(Tyvek)or equal as moisture barrier. CHANGE ORDER----- January 5, 2009 >Decreased price of 07 Wall Frame from$845.00 to$745.00. Changed description of 07 Wall Frame. (-$100.00) Total change to estimate-$100.00 Total $970.00 Signature City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: 3 � Site: Jf Permit Type: G � Approved wino comments:❑ Approved w/the below comments: Denied w/the.below comments: ❑ ' __ G rct 4 / • 4aii ____ 2 . c • p (6 ____ dO/ ôf5 • • — 2) I ( ) ' ' ___ i cp-eb 1l • ca Ci be: . • vs e 6eeKt-___ 'f +spej : // ./ cV- bf I - This comment sheet be kept with the permit and/or-plans. }Calvin witzer-Pl aminer Date CoContract rand/or Homeoer ' • (Required.when comments are present) HAMMOND BROTHERS CONSTRUCTION CO. 2842 City of Zephyrhills 1/12/2009 Permit Fee 52.50 Wachovia, bussiness Petinato, Permit Fee 52.50