HomeMy WebLinkAbout08-7836 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020
BUILDING PERMIT 7836
Permit Number: 7836
Address: 5244 5TH ST
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/ALT RESIDENTIAL ZEPHYRHILLS, FL.
Proposed Use: SINGLE FAMILY RESIDENTIAL Township: Range: Book:
Square Feet: Lot(s): Block: Section:
Est. Value: Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-13200-0180
Improv. Cost: 1,2OO.OO
Date Issued: 5/07/2008
Total Fees: 135.OO Name: BASS, TROY
Amount Paid: 135.OO Address: 5244 5TH ST
ZEPHYRHILLS, FL. 33542
Date Paid: 5/O7/2OO8
Work Desc: REPAIR DAMAGE TO WALL ON HOME DUE TO COLLISION
RYMAN CONSTRUCTION INC BUILDING FEE
135.00
1 (�
ALAI
FOOTER 2ND ROUGH PLUMB
FOOTER BOND DUCTS INSULATED- MISC INSULATION CEILING
ROUGH ELECTRIC LINTEL - SEWER MISC.
1ST ROUGH PLUMB_ PRE-METER MISC MISC.
DUCTS INSTALLED WATER INSULATION WALL_ MISC.
PRE-SLAB SHEATHING MISC DRIVEWAY
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reins MISC. MISC.
trips are necessary due to any p o e of the followingcomp reasoy with ns:Florida
wrong address b) condemned when extra
from faulty construction c repairs resulting inspection
or corrections not made when inspections l emned work
inspection when called e) permit not posted on job site obt called workd)work not ready. for
f) plans not at job site g) 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
same
"Warning to owner: Your failure to record a notice of commencement may result in your npaying 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.
CT SIGNATURE PERMIT OFFI MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO. R
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ON
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application
DepartmentFax-813 780 0021
Building
Date Received 1I'7
Phone Contact for Permitting �D iii 7 G'
Owner's Name SS
Owner Phone Number —doh- 66
Owner's Address p7
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5 a LlLj 5+h
fpe
SUBDIVISION LOT#
PARCEL ID#
WORK PROPOSED B (OBTAINED FROM PROPERTY TAX NOTICE)
c
NEW CONSTR ADD/ALT SIGN INSTALL 0- REPAIR MOVE Q DEMOLISH
PROPOSED USE SFR
TYPE OF CONSTRUCTION Q BLOCK COMM OTHER
FRAME IJ STEEL LJ OTHER
Ej
DESCRIPTION OF WORK Re J c,frvt a
BUILDING SIZE
(3' --o �S O 1�
SQ FOOTAGE
HEIGHT IiIiiIiiiiiiijjj
BUILDING $ .:a;:= r.ra: ;.;;:;a r az:•;F;;:;:.:.
1 a C7 O VALUATION OF TOTAL CONSTRUCTION
Q ELECTRICAL $
AMP SERVICE PROGRESS ENERGY
EJ Q W.R.E.C.
PLUMBING $
MECHANICAL $
VALUATION OF MECHANICAL INSTALLATION
Q GAS ROOFING
SPECIALTY J OTHER
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA AYES
BUILDER �� f
SIGNATURE REGISTTERED N COMER N �c�E:'
C '�aPt
Address ' b SQ h a k ;(I ,L /N
License#
ELECTRICIAN
SIGNATURE COMPANY
REGISTERED FEE CURRENT
Address Y/N
License#
PLUMBER
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRENT
Y/N
License#
MECHANICAL
SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRENT
Address Y/N
License#
OTHER [ ]SIGNATURE COMPANY
REGISTERED Y/ N FEE CURRENT
Address Y/N
N
License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Ener Forms;R-O-W P
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
ermit for new construction,
Sanitary Faalities&1 dumpster,Site Work Permit for subdivisionsAarge 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 Faalities&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 Driveways-Not over Counter if on public roadways..needs ROW Fences(Plot/Survey/Footage)
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
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 co tractor() 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 e►mittin
County.
g privileges in asco
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
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior tof
o
receiving a "certificate of occupancy"or final power release. If the project does not involve a l ert identified
of occupancy time or
final power release, the fees must be paid prior to fees are due,they must be paid prior to permit issuance nc intaccordance with happlliicable Pasco Countre, if Pasco y ordinances
Imact
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more, 1
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Laei
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 inFgood 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
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulatinghas
construction, County and City codes, zoning regulations, and land development regulations in the Jurisdiction tio also
certify that I understand that the regulations of other government agencies may apply titis
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
to the intended work, and that it is
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Cypress
Southwest Florida Water Management District-Wells, Bayheads Wetland Areas,
Watercourses. Ba y
Army Corps of Engineers-Seawalls Docks,Navigable Waterways,
Altering
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation AuthorityRunways
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
cited violating
the conditions of the building permit issued under the attached
(1)
acre which are elevated by fill,an engineered drainage plan is requuiiredt application, for lots lessthan one
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the
rth in
this affidavit prior to commencing construction. I understand that a separate conditions set plumbing, signs, wells, pools, air conditioning, permit may e equigrin for application
ppleelectrical iowork,
permit issued shall be construed to be a license gto proceed with the installawork and not as ons not lauthority to viola the te,cancelaalltter,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 OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.11703)
OWNER OR AGE
Sub crib d and sworn to a CONTRACT
O by ethis Subs ibe
who is/are personally known to me or has/have produced bworn to r a d)before me this O y
who istare
as identification. Personally known to me or he/have Produced
as identification.
Notary Public _/
Commission No. / Notary Public
Corn N
@111POWdAr!
�rr� edShb of Floffa Name
omnys Expires Apr 4,2012 Ml' 0uE Stafs of Floods
ommission Ile DO 740169 aD 0 APr 4.2012
Through National Notary Assn. Vo( on 0 Do 740169
gh NsftW Notary Assn
AM�VOA A
1IIIIII III/I IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
2008067845
Rcpt: 1178851 Rec: 18.50
IT: 0.00
NOTICE OF COMMENCEMENT 5'06/08
Pty Clerk
STATE OF FLORIDA
COUNTY OF PgSCO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain re
and in accordance with Chapter 713, Florida Statues, the followin al property,
this Notice of Commencement: g information is provided in
1 Description of Property: Parcel No.
(legal description of the property and street address i ° �3
5 ' \ 5r"` Sfreet 7hjrin�l) dr 335`,160 P� tdo�
2. General Description of Improvement: R
3. Owner Information: Name: JED PITTMRN PASC0 COUNTY CLERK RK
05/06/08 01:49pm 1 of
th S PG 1584
City
Interest in Pr perty: State Zip code 3 3 -
Name of Fee Simple Tittleholder:
If other than owner: Address:
City
State_ Zip Code
Contractor: R man --
Construction
thn h 1 Florida FL 335 Inc.Address:
813-782-0825
41
5. Surety: Name N/A
Address Phone #
City
Amount of Bond: $ State__Zip Code
6. Lender: Name N/A
Address
Phone #
City
State__Zip Code
7. Persons within the State of Florida designated by owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name N/A
Address Phone #
City
State_Zip Code
8. In addition to himself, Owner designates: N/A
of Phone# to receive a
copy of the Lienor's Notice as provided section 713.13(1) (b), Florida Statutes.
in
9. Expiration date of Notice of Commencement (the expiration date is one (1)year from the
date of recording unless a different date is specified.)
OR BK 7829 PG
2 0f2
1585
WARNING TO OWNER: ANY PAYMENTS
E BY
EXPIRATION OF THE NOTICE OF COMMENCEMENT THE OWNER AFTER THE
ARE CONSIDERED IMPROPER
PAYMENTS UNDER CHAPTER 713, PART I, SECTION 71_ 3.13, FLODA
AND CAN RESULT IN YOUR PAYING
PROPERTY. A NOTICE OF COMMENCEMENT MUS TWICE MB ROVEMENTS TO YOURTES,
THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO AND POSTED ON
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
OBTAIN
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature of Owner:
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged before me this AA
2007, by g _day of
as for
Notary Public:
My Commission Expires: gyp••, ANNA MARIE LYNCH-TERRY
_. •_MYCondonEzpin,Apr4.2012
con"S on 0 00 740169
Under penalties of perjury, I " � AMR
tice of
and that the facts stated in it are true to the best of my knowledge and belief Commencement
(Signattt e of Owner Signing Above)
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 OFFI .WITNESS MY
HAND OFFICIAL SE L THI DAY OF
JED ,C E F CIRCUIT COUR
B EPUTY CLERK
ALL WORK SHALL COMPLY WITH ALL
PREVAILING CODES,FLORIDA BUILD",
CODE,NATIONAL ELECTRIC CODE AN;J
C I'!Y OF ZEPIIYRHILLS ORDINANCES
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bas �°i � � ' /7
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