HomeMy WebLinkAbout11-11677 CITY OF ZEPHYRHILLS
, 5335 - STH STREET
' (s13)�so-oozo 11677
� BUILDING PERMIT
Permit Number: 11677 Address: 5635 19TH ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-10900-0080
Improv. Cost: 7,026.00
Date Issued: 3/28/2011 Name: STUMP MIKEL
Total Fees: 112.50 Address: 5635 19TH ST
Amount Paid: 112.50 ZEPHYRHILLS, FL. 33542
Date Paid: 3/28/2011 Phone: (813)466-9122
Work Desc: SCREEN RM 11 X 44
UI N E 112.5
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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.
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 � 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 R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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03/2B/11 C. Cook, Dply Clerk
NOTICE OF COMMENCEMENT
Permit No.
PiiULR 5 0'NEIL,Ph D PpSCO CLERK i COMPTROLIER
03/28/11 4 1 of 1
Property Identification No._ /�- e - e�/-Ov/v / d yd p- Od80 OR BK_ ���� P� 144
THE UNDERS7GNED hereby gives notice that improvements wil] 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 (lega! description :) � �� Z �!J P,� � �0� ,�/ �� f.f y �� �� 0 � ��
a) Street Address: s"u ,�S / 9`���� � f f�
2. General description of improvements
3 Owner Infortnation
a) Name and address: m/� lf�U/D���" �9� � �„f �� �-/ ���,,,�y
b) Name and address of fee s�mple htleholder (if other than owner) ��� `•w s�
c) Interest in property
4 Contractor Information / ,
a) Name and address:O.�l(.�( cfY�p ,�� ,,T G ��� �� `' . o_/ Z �/ �/ „/ ���
b) Telephone No.• .-�.� /CLl' •�{ql�f /y
5 Surety Information Fax No. (Opt.)
a) Name and address:
b) Amount ofBond:
c) Telephonc No. Fax No. (Opt.)
6 Lender
a) Name and address:
7 Identity of person within the State of Florida designated by owner upon w om no ces 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), FloridaStatutes:
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 recordin$ unless a different date is
Specified):
WARNING TO OWNER: AIVY PAYMENTS MADE $Y THE OWNER AF'I'ER 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 FOIt 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 FINANCTNG, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OFPqSCO W
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S�gnature of pwner�5 puthonud Oflicer/Dvector/PartnedManager a Z U �
%�% �� �7�'f% o � w � �� W w
Prmt Name V���_ � J U
� L N Z���, — �O }
The foreg��nsjrumqnt was acknowledged before me this o of �' �-�C.n Zp A/ b � ,�
/ C�fJ Ct'lJ� r Y— �� p=`t N � a
in fact) for (type of authority, e.g. officer, trustee, attomey LL. �� z� � ��
(name of party on bchalf ofwhom instrument was executed), � �__ � �
�/^'�� � F- Q� �> ..
Personally Known _ OR Produced Identification r Notary Signature ��- S� 1 C. �[.(' i v �l! �'_ W i't- � U U
�=00� �
V7�.� � ~aw ��
Type of Identification Produced � Name (print) _ �Q �/►� �t� � Q ��� �
SUC,)Z
Q � � � Q V ,
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that T have read thc foregoing and that �� W�� �
the facts stated in it are true to the best of my knowledge and belief. o � � 0 r O z
FORMSMOC,rntl20D7 Signa ture o C NaNral Person Si ing Above Llc U �� e C �
G i-- z��,.,� I cn
NOTARY PI.BLICSTATE OF FLORIDA �� Q J i � J � I
• Stacie :iartwig �- — w �
•� `_ Commission # DD92616 � � _, z �� �� �„
;"�!,° Expires: OCT.16 2013 � � � � ` a •-�
aotinsuranv en.n.�^nc eo�vc�cca.a�a
813 C:ity ot Gepnyrnnis ren�u� nNN���a���� �
Building Department y{% I' ���
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Date Received '' ,S� Phone Contact for Permitting o�` 7 � -- S��T
Owner's Name �/�1 �7"�l/x Owner Phone Number n�.3 +'l�p� —�� a�.
Owner's Address S�0 3S �� � � • Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Nurriber �_
Fee Simple Titleholder Address
JOB ADDRESS s� � �7 v � �'M'� ' � . LOT # ���/
SUBDIVISION ��Q� Z� PARCEL ID# f�' a'G � 40/d/'�9�d dl��'�
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN 0 MOVE � DEMOLISH
� INSTALL B REPAIR
PROPOSED USE 0 SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTION � BLOCK � FRAME 0 STEEL � OTHER
DESCRIPTION OF WORK /� X yy ��Q./1 I��m
BUILDING SIZE �l ��J'�7 SQ FOOTAGE '7'�T HEIGHT
� BUILDING $ VALUATION OF TOTAL CONSTRUCTION
'7aa�. c� o X
0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C.
0 PLUMBING � �pq�,�p p �
�R
(813) 7g8.531
� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
l �� �
� GAS 0 ROOFING 0 SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES �NO
BUILDER � ` i� COMPANY �� V �...7� e- •
SIGNATURE �Q� � ��`t� `�
REGISTERED Y/ N FEE CURRENT Y/ N
Address (� �,S �f J�0 /'� Z J • � � License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address � �
License #
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 (PIoUSurvey/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 compiiance w,ith any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contrac or 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 misdemyan�op yiolation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I for the
intendec� 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 RECoV�ERY��FEES�' n of new udi gsn�Change of
that Transportation Impact Fees and Recourse Recovery Fees may app y
use in existing buildings, or expan ned al o suph fe l as P may be dueyw�'�I abe denfif ed at the �me
90-07, as amended. The unders g
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior o
receiving a"certificate o fees must b paidaprporNtorpermit ssua more�if Pasco County
final power release, the
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County or inances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, a of he a F o Construction L en L aw� er's
certify that I, the applicant, have been provided with a copy
Protection Guide" prepared by that I bta n a copy of I the t above d scr bed docum and prompsean fa th to
other than the "owner", I cert y
deliver it to the "owner" prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIc ble laws regu a ucti n, zoning ap land developm ntn Applica � is
will be done in compliance with all app
hereby made to obtain a permit to d�W and that�all will be perfoemed to of all Iaws ng
commenced prior to issuance of a per
construction, County and City codes, ations ofrot�helagovernment ageaces may pplyto the ntend d and that it
certify that I understand that the regul
my responsibility to identify what act �ental Protection�Cypress Bayheads, A eas and Environment ly Sensitive
- Department of Environ
Lands, Water/Wastewater Treatment. ress Ba heads, Wetland Areas, Altering
_ Sout hwes t F lo r i d a Water Management District-Wells, Cyp Y
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 pmitted at time ofpermitti wh c p epared agprofession�alreng neer
"compensating volume" will be su
licensed by the State of Florida.
_ lf the fill material is to be used�e ��ed only to filAthe a ea w'th n thetstem w mitted building using stem wa
construction, I certify that fill wdl
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 advere� under the per appli on�, foa lots lessdthanvoneti( j
the conditions of the building permit issu
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in 9 erstan that a�separat permit may be requ ed for c I�work�,
this affidavit prior to commencing construction. I un
licatio
si ns, wells, pools, air conditioning, gas, or other installations not specifically included in the app
plumbing, 9
ermit issued shall be construed to be a license to Pr all issua a pe mit�prevent the ding Off ceal from thereafter
p rovisions of the technical codes, nor sh ermit issued shall become invalid
set aside any p
requiring a correction of errors in plans, construction or violations of any codes. very p
the work authorized by such permit is commenced W � h onths after the t m the commenced An ext nsa e
unless y da s and will demonstr
the permit is suspended or abandoned for a period of six (6
may be requested, in writing, from th , e ork oe es (90) on ecutive days, the job is�cons dered abandoned.
justifiable cause for the extension. If nr
WARNIN
G TO OWNER: YOUR FAILURE TO RECORD A TM T�F YOU INTOENDETO OBTAIN F NANCINGTCONSULT
PAYING TW�CE FOR IMPROVEMENTS TO YOUR PROPE
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) � , (� ��.L ; �G/L�U1�l
,� r� � n � ' �'il ( o�� CONTRACTOR
OWNER OR AGEN efor r�e this ��T`" Subsc 'bed an sworn` os,o� ��� ed�.��efor��� his
y S�u�b , s , c�r ed an swor � or af#'�me )�� �--_—
6L(1L by �Ssw
��"" "� Y me or haslhave produced Who is/are pe� nown to me or ha as at on.
Who is/are perso as identification.
Notary Public
y �� Notary Public
Commission No.
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,� Expir :�. vOV. 22, 2014 ��' : Con�r,ussiot? # �;E044504 �S
BO\'DED THRC' A'T:..1�TI�: iln�'CL\G CO., '.,"�'r�` Expires. :�:OV. 22, 2014 VQRIO'L�t 3�� �{.L` t5-:;rl�1d ��tV1.OK
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PRODUCT 178 �
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�ro�ostti Pa9e No. of Pages
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SUN STATE ALUMINUM, INC. �
6154 Fort Kin� Rd.
ZEPHYRHILLS, FL 33542
(813) 788-7308
PROPOSAL SUBMITTED TO
E /t DATE
STREET � � I � Cp ~'� , ^
c-� 1 1 NAME
�
C1TY, STATE and ZIP CODE
! 1 � � � �B LOCATION
AFC ECT kL
DATE pF PLAN$
JOB PHONE
We hereby submii specifications and estimates for:
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° c�er�.c� ex�� C oc� �- �'e� �or (��
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�P �rO�JQSP hereby to furnish aterial and lab r— complete in accordance with above specifications, for the sum of:
. 2.t1 � � � d t e�p
Payment to be made as foliows: ��� �$ �'-� .
�.
All material is guaraMeec! to be as speoified. Ali work to be completed in a woricmanlike
manner accorqing to standard practices, Any aneratbn or devfatip� tr� above specifications Authorized
involving extra costs will be executed only uppn uyritten orders, and wiN becorr�e an exha Signature
charge over and a6ove the esiimata. All agreements conUr�g�t upon strikes, accidents
or delays beyond our controi. Owner to carry fire, toma� and other nc�+cessary in�u��
� Our workers are tully covered by Workma�'s Note: This prpppgg� may be
ComPensation msurance. withdrawn by us if not accepted within
z�crP�t�nre of �ra�o�al —The ab� p�;�es specifications days�
and conditions are satisfactory and are hereby accepted. 1'bu are authorized Signature ��"'
to do the work as spec�ed. Payment will be made as outlined above.
n�+o „r e..�o„r�,,,.e-
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RH�c.�.�
d PLANS MIN�R�
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ALL WORK SHALL COMPLY WITH AI,I,
PREVAILING CODES, FLORIDA BUILDING
� G�ODF� NATIONAL ELBCTRIC CODE AND
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � ��-`�"� � CGC �'Lr (rI G� � ,
Date Received: �-- ( � -- ` ,
Site: � � ,� / �-�"� ,5
Permit Type: j�' � 4C C� ���.,� ����
Approved w/no comments: ❑ Approved w/the below comments: Denied w/the below comments: ❑
- � �1 Sc> � - l�.c�_c,��� i � r��n �, �,� �
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1�is comment sheet shall be kept with the permit and/or plans.
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.al in Switz Plans Examiner �� `���
Date Contrac or and/or Homeowner
(Required when comments are present)
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