HomeMy WebLinkAbout01-0511
BUILDING PERMIT~~
0511
CITY OF ZEPHYRHILLS
(813) 788~6611
Permit
Date
8 - ~;).-O I
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PL~.
~AL
Sewer Conn
P,oparty Owna. ~ V ~,S ,g+t.
Job Address: fIf"~_ ___~
Parcel I. D. #
Water Conn:
Water Meter:
T.I.F.'s:
FINAL
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Valuation or
Contract Price
Company
City License Registration # & $1 ~_ ''\
State Certified License# ( ~~e~)
(~7/zi: C k.r:-
BUILDING_
~.
ELECTRICAL
PLUMBIN.G----
--~
----
Me.cJ:l "'}JICAL
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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Search Again Show Mia BUilding Schemstlc Unavailable Calculllte Tex..
See Tax Q2Uector Information. CUtT8ot1DellnqJJent l'1XJ$
Parcel 10 1126210010149000181 (Card: 10f1)
Cla..,fleallon 00 - Vacant Residential
Mailing Add..... Aa....m.nt (tota.)
LYNCH ROBERT N BISHOP OF THE
DIOCESE OF 8T PETERSBURG Ag Land -
PO DRAWER 40200 Land $7,770
8T PETERSBURG, FL 337430200
Phy.'cal Add..... Building $0
386406 TH AV Extra Features $0
ZEPHYRHILLS, FL 33540
Legal De.cription (First.. Un.) Totll.......m.nt $1,770
ZEPHYRHILLS PB 1 PG 54 WEST1/2 Save Our Homes $0
OF LOTS 16 & 17 BLOCK 149
OR 3888 PG 1886 Tauble Value $0
Land Detail (Caret 1 of 1)
Line Ua. O..crlptlon Zoning Unit. Type Price Cond Valu.
01 0100 SFR OOR4 4,200.00 SF 1.85 1.00 $1.110
Addltion,' Land Information
Acre. r 0.1 U Tax A.... r ~ I F..... Code I X I R.. Cod. ~
Building Information
Unlmproyed P.-cel 00
Extra FHtuI'M
No Ext... FMtures
S.,.. H..tory
Prevlou. Own., BERTRAM MARY ANN &
Y.ar Month Book I Pa"e Type Amount
1998 02 3888 /1888 WQ -
1992 09 3064 /1972 -I -
1991 05 2011/1051 -
SearCnAwijn Show ftAap Building Schematic Unavailable Calculate Tax"
See T~ Collector Infofl]lation.. CurrentlQ,lInQuent Taxes
http://appraiser.pa. . .Iparce1.asp?Sec:: 11 &Twn=26&Rng=21 &Sbb-OO 1 0&Blk=-14900&Lot==O 16 8/30/01
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APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
DATE RECEIWD
PLANS REVIEW FEE
OWNER'S NAME5'(,-705EP~/)~ a)(.;~Lf; / ~ht?,1 L7nLhPHONE 7<ZJ--~g 13
,JOB ADDRESS /f5<.~y 0 CoT H N i ) G: 7 (hI I L S .'
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
1/ ;L i .A i () () I 0 I '-17 dlJ t1 I'! I
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
OALTERATION
~ REPAIR
t{fqrJt-el~
o INSTALL
Os I GN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
0# OF UNITS
o SWIMMING POOL
o MOBI LE HOME
rn-c;:;HER
o INDUSTRIAL
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
L--L l": L /' /( /' r ;2 L-
S C-A () I C L-- (:Jj/J _. C /L f~ 'l)/~-
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESI DENTIl\L:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED r'OR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
o ELECTRICAL
dOc)
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
~RIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
C.
BUILDER
COMPANY
STATE CERT OR REGIST #.
CITY PROCESSING #
SIGNATURE
******************************************************************
ELECTRICIAN COMPANY f'p~/~ nt"'~..fr;~ ;. f~?rl1~,c<..-h~
~<< ) /AJ.nrzI! STATE CERT OR REGIST # EC --()t)o 12(. f
SIGNATURE ~;4"7 L4 --- CITY PROCESSIN~ # ~_~7
*********************************************~~****************
PLUMBER
COMPANY.
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
******************************************************************
COMPANY
STATE CERT OR REGIST #_
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
~~*.'****~'*.*A*A********A*****A***.***.*************************~
.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsH which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
Jf. the owner has Ill.t.ed a eonLr'dctor or conttdctors to undert:ake work, t:hc~y m,tY be I...~quLr:ed
to be licensed in accordance with staLe 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 U'le owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsH of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law _ Homeowner's Protection GuideH prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerH, I cerify that I
have obtained a cop~ of the above described document and promise in good faith to deliver
it to the "ownerH prior to cormnencement.
E. 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 cormnenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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: *Departmenc of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest FI?rida 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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "AH or "A,etc.H, it is
understood that a drainage plan addressing a "compensating volumeH will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is cormnenced \-Jithin
six months of issuance, or if work authorized by the perl~it is suspended or abandoned for a
period of six months after the time the work is cormnenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logyed during each si)~
month period, or the project will be 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMJ'otENCEMEN'l'''.
'~~:~rA< LJ?J
SIGNATU E: OWNER OR AGENT
~~~ /h Ld~
SI-GNATRE: CONTRACTOR
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
19
(name c~ person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
Ovho is personally known to me, or
Owho has produced
(type
and whoO did 0 did not
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid DUd not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped