HomeMy WebLinkAbout09-8808 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8808
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
Permit#:8808 Issued: 2/13/2009 Address: 39835 COG HILL LP LOT 109
Permit Type: ALUMINUM ZEPHYRHILLS, FL.
Class of Work: ALUMINUM PACKAGE Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 13,850.00 Total Fees: 150.00 Subdivision: MAJESTIC OAKS
Amount Paid: 150.00 Date Paid: 2/13/2009 Parcel Number: 24-26-21-0030-00000-0750
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Name: SUN STATE ALUMINUM INC Name: NHC-FL 115
Addr: 6154 FT KING RD Address: 6991 E CAMELBACK RD STE B-310
ZEPHYRHILLS, FL 33542 SCOTTSDALE AZ 85251-2493
Phone: (813)788-7308 Lic: RX0060171 Phone: (813)780-9308
Work Desc: CARPORT 14X45, SCRN RM 13 X15 & SHED 10 X13
BUILDING FEE 150.00 SIiIj1p :Pi FOOTER FINAL � .: 2 q .
SLAB
RAISED SLAB
DRIVEWAY
FRAME
ELECTRICAL ROUGH
1ST ROUGH PLUMB
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."
CONTRACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received ✓ Phone Contact for Permitting Ii 3J I 704 (- S3iV
Owner's Name /1'CLkA / /" -h' J �by �o Owner Phone Number I I
Owner's Address 39c&1- s /4!/✓ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 913S �� l`/ LOT# /c /
SUBDIVISION 11' 74 t?f LLc Z{ PARCEL ID# 02 -a -W-0d vd -dv/Ov- oo9v
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED rct NEW CONSTR B E ADD/ALT SIGN Q MOVE Q DEMOLISH
LII INSTALL REPAIR
PROPOSED USE Q SFR 0 COMM E OTHER
TYPE OF CONSTRUCTION 0 BLOCK FRAME / -/ STEEL LII OTHER I (_ /
DESCRIPTION OF WORK t cT / cf &(f? 17YY,�I
BUILDING SIZE I I SQ FOOTAGE I HEIGHT
BUILDING $ /3 FSD d� VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
0 PLUMBING $
LII MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS j ROOFING SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ONO
BUILDER - COMPANY
SIGNATURE --- r4' -i5/ �
� r REGISTERED Y/ N FEE CURRENT Y/N
Add 444 l Ft T/ /// License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT Y/N
Address I I License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I I License#
IIIIIIIIIIIIIIIIIIIIIIII 11111111111
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 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 IMPACTIUTILITIES 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'SIOWNER'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 construedtechnical codes, nor shall issuance of a pemitp event the Building Official from thereafter
set aside any provisions of the
requiring a correction of errors in plan construction
or violations
six months of permit issuance, work authorized by
shall become invalid
unless the work authorized by such permit commenced
the permit is suspended or abandoned
the Building'od of six ( ) months aftr Offcial fo6a period not the lme toexc exceed ninety days and will demonstrate
may be requested, in writing, the job is considered abandoned.
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,
NCEMENT MAY RESULT IN YOUR
WARNING TO OWNER: YOUR FAILURE TO RECORD A OUR PROPERTY.TICE OF IF YOU INTTENDETO OBTAIN F NANC NG CONSULT
PAYING TWICE FOR IMPROVEMENTS T
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03) r
CONTRACTOR C� `�""��" t
OWNER OR AGENT «
ubscribed and sworn to or affirmed efor¢¢roe thi �ugscribed an worn to((fi�r af�rrme�)ibefoje rye this
r iYi by Who is/ar ersonally known to me or has/ produced
Who is re personally known to me or has/hav produced as identification.
as Identification.
Notary Public
Notary Public
Co mission N .
omm' on No.
me of Not typed,printed or stamped
Name of Notary typed,printed or stamped
THAT PART OF EAST 80.00 FT OF NW1/4 &THAT PART OF WEST 1/2 OF C�✓ �� Z- l/'
NE1/4 OF SEC 24 LYING NORTH OF ZEPHYRHILLS BYPASS EAST AND
LYING WEST OF MAJESTIC OAKS COMMUNITY-PHASE ONE AS PER PB
35 PGS 107-112 EXC NORTH 20 FT THEREOF FOR RD R/W & MAJESTIC
OAKS COMMUNITY PHASE ONE PB 35 PG 107-112 LOT 1 THRU 16 INCL
& LOTS 19 THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825
PG 87
111111 VIII VIII VIII VIII VIII VIII VIII VIII 11111 IIII IIII
NOTICE OF COMMENCEMENT 2009020827
Rept:1226834 Rec: 10.00
DS: 0.00 IT: 0.00
Permit No. 02/13/09 Dpty Clerk
PRULR S. O'NEIL, PRSCO CLERK & COMPTROLLER
Property Identification No. e2 S/—o1 -CV— (JIL461'-odj 02OR3BK9 162U 1 PGof 1463
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.
1.Description of property(legal description:) Gd"/ /09 /n MI I £f z4 e l �
a)Street Address: d fF ' CV Z9 +
2.General description of improvements: qd/� )l G
3.Owner Information L/
a)Name and address: �li- 'i /!J/K� 97�,j (' 9 1(1'!� ZQ rr(!L!J A/3
b)Name and address ei fee simple titlenolder,tt other than owner: ___
rfOV c)Interest in property
actor Information / / �x /
a)Name and address:tIS&/? (fu1 . ZA_ e . (elsnf �/� /�1/If ' / 2 p j` ll f A/ 33s/J-
b)Telephone No.: Fax No.(Opt.)
5.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
6.Lender
a)Name and address:
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
Signature of Owner or Owner' Authoriz fficer/Director/Partner/Manager
,0 rte! w
Print Name
The fare oing instr ent was acknowledged before me this/c�> day of ;'u/�..iQ./ ,20�,by
as rkt -type of authority,e.g,officer,trustee,attorney
in fact)for•'
(name of party on behalf of whom instniment was executed).
Personally Known 1 OR Produced Identification Notary Signature �LLt L¢ /`
Type of Identification Produced Name(print) y C/e J /
Verification pursuant to Section.92.525,Florida Statutes.Under penalties of erjury,I declare that I have read the foregoing and that
the facts stated in it are true.to'the best of my,knowledge and belief.
FORMS/NOC,rvSd2007 Signature of Natural Person Signing Above
NOTARY PUBLIC-STATE OF FLORIDA
Stacie Hartwig
Commission#DD652189
Expires: OCT.16,2009
BONDED THRU ATLANTIC BONDING CO.,INC.
STATE OF FLORIDA,COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
JVI NESS MY HAND, Np OFFICIAL SEAL THIS
_______DAYO
PA S. O'NEIL,C=- EPL)TY
OL
r
BY CLERK
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
2cé4
LContractor omeowner:
Date Received:
Site: g J �
Permit Type:
Approved wino comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
This comient sheet s be kept with the permit and/or plans.
Kalvin witzer—P1/ /Examiner Date Contractor and/or Homeowner
(Required when comments are present)
Proposal
Page No. of Pages
¢
.kM4Ni
f '
+ `Oft King Rd
;ILLS,
PROPOSAL SUBMITTED TO
PHONE
S �
JbBNAME
CITY,STATE and ZIP CODE JOB LOCATION
ARCHITECT DATE.OF PLANS"
JOB PHONE
We hereby submit specifications and estimates for:
C
r 1 .
prapust hereby to furnish material and labor— complete in accordance with above specifications, for the sum of:
dollars I;$ 2'
Payment to be made as follows:
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices.Any alteration or deviation from above specifications Authorized
involving extra costs will be executed only upon written orders, and will become an extra Signature
charge over and above the estimate. All agreements contingent upon strikes, accidents `
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. f1iS proposal may be
Our workers are fully covered by Workman's Compensation Insurance withdrd n by u8 if not accepted within
/\> } days.
Arrrptttnrr of proposal The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature k' '
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance: Signature
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