HomeMy WebLinkAbout02-1393
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N!
1393
(813) 780-0020
Date
g- r~tJ~
BUilDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcel 1.0. /I
%; It, ~ ~~I~
lot .;). Z~~ I dh.
~T '75
Water Meter:
T.I.F.'s:
Zoning:
Descriotion of Work
Energy Code:
-XVY\ j~~
Radon Gas:
FINAL
C.O.
8-- /3-0
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Pe,m;t Fee ~
~ignature.N 15~~
Company
Address
)l8lePhone#f'f ~ ~ 77P 370 'f
'1Jvr/~/ir!/ / ,F W.
Valuation or
Contract Price
f.J; SO' ()'O
:2J';;l 3
City license Registration #
State Certified License#
BUilDING
elECTRICAL
PLUMBING
MECHANICAL
Ftr.
Pre SlB
lintel
FRM.
Insul. Cl
Wl
Tp. Servo
Rough In
Meter Can
Canst. Pole
Pool
Pre-M
Fi
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Fina
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.
LEGAL DESCRIPTION: LOT(S)
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTMENT 5335 8th STREE'f ZEPHYRHILLS, FL 33540
PhoneI813-780-0020 FaxI813-780-0021
DATE RECEIVJlID _____
PLANS REVIEW FRE
() ..5'~ PHONE CONTACT
-:Z:~J ~ ~~g4 33~~~
'70- BLOCK SUBDIVISION
r
I OWNER'S NAME 1-<) ..hll!~~
JOB SITE ADDRESS /....; .L/ -:2-
PARCEL ID #
Os IGN
(OBTAIN FROM PROPERTY TAX NOTICE)
o ADDITION o ALTERATION o REPAIR [] INSTALL
[] MOVE [] DEMOLISH
OMULTI -FAMILY 0# OF UNITS o MOBILE HotlJE
o INDUSTRIAL [] SWIMMING POOL [] OTHER
WORK PROPSED; [JNEW CONSTRUCTION
PROPOSED USE; [JSGL FAMILY DWELLING
[]COMMERCIAL
BUILDING SIZE
CJ RESTAURANT & HEALTH DEPARTMEN'r APPROVAL
~~~
SQUARE FOOTAGE
DESCRIPTION OF WORK
HEIGHT
RESIDENTIAL;
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUnJDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
[J BUILDING
$
~CJ-O. aD
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
[] Fl.ORIDA POWER
[] W.R.E.C.
o PLUMBING
[] MECHANICAL
$
VALUATION OF MECHANCIAI~ INSTALIJATION
[J GAS
o ROOFING
[] SPECIALTY
o OTHER
TYPE OF CONSTRUCTION; [] BLOCK
[] FRAME
[] STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[] YES
[] NO
BUILDJlIR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
********************************************************k*********
ELBCTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
**k*************k*************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
*******k***********k**********************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTBBR~f d?__~
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
CONDI'l'IONS OF PEPMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permi~ may be subject to "deed restrictionsN which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deedrestric'cions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RElSPONSIBILI'l'IES
If the owner has hired a contractor or contractors to ulldertake 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 in1:ended contractor are uncertain as to what
licensing requirements may apply for the intended Hork, they are advised to contact the
City of Zephyrhills Building Department, 013-788-6611.
Furthermore, if the owner has hired a contrac1:or or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsN 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. TRANSPORTNrION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUC'rUION LIEN LAW (CHAPTER 713, FLORIDA S'rATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection GuideN prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applJcant is someone other that the "owner", I cerify that I
have obtained a copy of the above described aocument and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CON'I'RACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in this applicatJon 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, 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 Jntended 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 RegUlation-Cypress Bayheads, Wetland Areas and Environmentally SensiU.ve
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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "AN or "A,etc.N, it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prJor to permit
issuance.
A perrnit 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 OffJcial 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 commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of thne
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 logged durJng each six
month period, or the project will be considered abandoned.
WARNING '1'0 OWNER: YOUR FAII,URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE E'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'I'AIN FINANCING, CONSUL'l'
WITH YOUR I,ENDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VAl,UE DO NOT NEED '1'0 RECORD AND POS'l' A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUN'l'Y OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
1~_
STATE OF FLORIDA
COUN'l'Y OF
The foregoing instrument was
BAfore me this _____day of
by
acknowledged
19
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type
and whoO did Odid not
of identification)
take an oath.
o who has produced
(type of identificatJon)
and who Ddid [}:lid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment~
Name typed, printed or stamped
Name typed, printed or stamped
Parcel Information for: 03-26-21-0130-00000-0750 Card: 001
Welcome: Record ~earch : Parcel Search
Sea~IJ~~ain ~_1l9yt M~ Building Schematic Unavailable Calculate Taxes
See I"!x CollectQr Informat[Q~Curr~DtlDelinquent Taxes
land Detail (Card: 1 of 1)
Zoning Type
00 SF
OOM 1 SF
Additional land Information
Tax Area I 30ZH Fema Code X
Building Information
Unimproved Parcel 00
Extra Features
No Extra Features
Sales History
GOODSPEED ROBERT E & MARY E
Book I Page Type Amount
4878/1363 WD $14,500
3786/1440 WD
3756 / H)89 ac
ParcellD
Classification
Mailing Address
SMITH WILLIAM 0 & MARY M
8502 N NEWPORT AVE
TAMPA, FL 336041242
Physical Address
6142 ZEPHYR RIDGE DR
ZEPHYRHILLS, FL 33541
03-26-21-0130-00000-0750 (Card: 1 of 1)
00 - Vacant Residential
Assessment (totals)
Ag Land
Land
Building
Extra Features
Total Assessment
Save Our Homes
P~ge I of 1
$10,751
$0
$0
$10,751
$0
$10,751
II Value I
I $10,3801
$371
DELP1
http://appraiser. pascogov .com/search/parce1.asp?Sec=03&Twn=26&Rng=21 &Sbb=O 130&B... 8/9/2002
k@gal De~cription (First 4 Lines)
ZEPHYR RIDGE
PB 26 PG 78-80
LOT 75
OR 4878 PG 1363
Taxable Value
line
01
02
1.73
.70
Price
Use
0200
0200
Res Code
Previous Owner
Year Month
2002 03
1997 07
1997 05
$earchAgain Show Map Building Schematic Unavailable CalculateTaxes
See Tax Collectorlnforrnation - CurrentlQelinquentTaxes