HomeMy WebLinkAbout02-1623
BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N~
1623
(813) 780-0020
Date
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C~LD~
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",opertyOwne, ~~I ~ a~ '77Jt~u)
Job Address: .- 5- ~ .,
ParceII.D.' / /- .:J.t,- :2/- fJO/O -1.:J.t!t"J/)- OO.:3f)
ELECTRICAL
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MEc~r Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
FINAL
C.O.
DATE
NO OCCU
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or ~
Contract Price
P~rrnitF~e
C-~-Signature -=~
Company
~
~...
City License Registration #
o=n..~~ - -
~_~I~~~ jLEC~RlcAl/
Ad~
C~e# )~l3' ,Iff Oq 6<6.
c..... . .-/
PLUM~-- .
------
fy1I=C""^~-
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
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.
Parcel Information for: 11-26-21-0010-12400-0030 Card: 001
Page 1 of2
Welcome: r:;ecord Search: Parcel Search
/-
I ParcellD II '-- 11-?6-21-00 1 0-12400-0030. (Card: t.of--1.t-/
I Classifie<ation II 01 - Single Family I
, /------MailmgAddress,u .. " Assessment (totals)
/ 'MATHEW VARKEY T & ALEYAMMA T & ) Ag Land --
~____-~-~~~ ~~~HT.-.u.~--'
Land $16,380
ZEPHYRHILLS, FL 335424043 Building $4,118
Physical Address
5327 5 TH ST Extra Features $45
ZEPHYRHILLS, FL 33541
LegCiIOElSCription (First 4 Lines) Total Assessment $20,543
TOWN OF ZEPHYRHILLS PB 1 PG 54 Save Our Homes $0
LOTS 3 & 4 BLOCK 124
OR 4946 PG 721 Taxable Value $20,543
Land Detail (Card: 1 of 1)
I Line II Use II Description II Zoning /I Units II Type I Price II Cond Value
I 01 II 0100 II SFR II 00R3 /18,400.00/1 SF I 1.95 II .~, $16,380
Additional Land Information
I Acres II 0.1 Tax Area I ~QZH II Fema Code []] R.El!5Code IIZHl.,HLP2
l3uildingJnformation - Year Built 1922 USE 01 - Single Family Residential (Card: 1 of 1)
Ext Wall 1 Average Ext Wall 2 None
Roof Str Gable or Hip Roof Cov Min Roof(Corr. or Sh M}
Int Wall 1 Wall Board or Wood Wall Int Wall 2 None
Flooring 1 Pine or Soft Wood Flooring 2 None
Fuel None Heat None
AC Window Unit Baths 1.00
I Line I Description Sq. Feet I Repl. Cost New I
1 UST 60 $763
2 UEp I 60 II $848
3 UOP 200 I $848
I 4 I BAS 496 I $14,012
! Extra Features (Card: 1 of 1)
Line I Description /I Year II Units II Value
1 I LJ[)U-M /I 1922 II 1 I. $45
! Sales History
Previous Owner STALNAKER SHARI
Year Month Book I Page I Type I Amount
2002 05 4946 / 0721. WD I $22,0001
2002 04 4937 / 1564 ~~=1~ $16,000
1990 09 1945/1933 WD --
Search Again Show ~ Gef"1eralized Building Schema1ig Calculate Taxes
See Tax Collector Information- CurrontlOQlinqllp.nt Taxes
.-------. ..-" ---_._-----~
http://apprais...Iparce1.asp?Sec=11&Twn=26&Rng=21&Sbb=00 1 O&Blk= 12400&Lot=003 11/04/2002
~~.... ,".. ~"''''U''''''''.u~,ol.J.uP .r;-,CU\W..L.l .t\.t'.t'J..JJ.l;I\'J,',l,U!'i
aUIl.OrNG OSPAR'I'MEN'.l' 5335 ~tll S'l'REE'r Zllli<IiYRHII.I.S, Fl. 33540
ibon~181]-7Bo-q020 FMKI813-7aO-OO~1
nA'.L'Ji1 i\JlICJIlIVEO __.__._.. _ '_""'__h
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01/11'.' 8 IIA'." Abh " (~I:L ITItt:thS'- W _____________ PHONE COH'J'A"'LE::.'L~=-YJjL_
,JUB S I'l'E ADnHESS_,S_~_.~ L__-.S:~ --.sjg~t_-.---____u________o_o .____... _..____ __. '. ___
LliJr,AL DlilsrJltli-''l'Wl'l; LOT(S)ft .J?_fL___ Bf.OCK __I ':Ai_ f:lIIBIHVISlON ~tr.h#h,il<'
-~!Wl, IiJ..#..~.-11.-^~'.~I__-OQLO - {~400 -cn~O
~J(JltK lJftCJI'Sl:illJ; LJNEvJ COm3'1'ftlJlJTION [] APDJ'l'IDN []ALTERATION [] R&:PAr~
fJSJGll [J ['<lOVE: ~nE:JY1OI,rSIl
I?RlJl-'Uf:lEIJ USE: [JSGL FAMILY DWE1,r,nm [Jr1UI{I'I o. FAMILY D# DB' llNI'l'S
(OBTAIN E'ROM 1?1WI'IlJR'l'V 'l'M\ lW'l'IPJjI)
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nESCRIPTION OF WORK
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RIiJSTAURAl~T & HBlJa,'l'H IJEPAR'l'MElN'l' AlJl?ROVAL
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SQUAREl F'OOTAGE ____~_ JjllllWI'l' ._____________
BUIJ,IHNl3 SIZE:
RESIDENTIAL I
COJ1/11HlReIAI~ :
A'I''l'ACH (2) i"LO'r I?I~AllS & (2) SEl'rs Of' ElUU ,lHNl:J PLANS ~ (1) S!-Jl'!' ijJNijjJiGV li'()l'(IIIJS,
A'!"I'ALJH (3) SE'rs OF BUILDING PLANS & (1) Sij'l' ENliikC3Y l<'ORMS,
PROPERTV SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
FBRMIT~ REQUESTED
LJ BIIILDnl(3
$--------- VALllATWN OF 'l'O'l'AL CONS'rRU(2'I'ION
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o FLORIDA l?OWElR
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VALUATION (If' MECllANC!IAL INS'l'ALI,A'I'HJN
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[] ROOFllW
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[) O'I'HER
'J'YPIl1 CJIi' (.!om:l'I'RlJC'l'ml~ j [) BLOCK
o Ii'RAlilE
[J S'I'EEL
[J OTHER
F'HIISHlnJ B'I,ODl< EI,JilVATIONf:l
I S PRO') EC'L' IN FLDOD ZON!-Jl AREA 0 VlilS
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CW1lJANY..v:._
S'l'A'i'll: CEl~'J.' Ok RElGIS'I' # ~__.,_ .____._.~~,____.
CITY PROCESSING #
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S H3IU,TURIiJ
sr(~HA'I'IJRE _,___
"--"---'" .._--_._~-~----_.._----_._-
COI-1PAHY_
STA'J'E) CER'!' OR REGIS'!' #
CITY PROC~8SrNG #
._---.-..-,~~ ~._-,~---......---- ..----.-----
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A'."""*'.""".'*""'*"***".""*****"'**A..*..********~*'
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--~----------_.-
COMPANY-___.__,__-,-__..___._______ --.------
STATE CER1' OR ~E:GlIST II ~____.____~_______.
CITY PROCESSING #
S Wl1A'l'lJREJ
MlllCHAli/1CAI,
.***....,'**.*******.***.***..***.***.*********.**********'*'*...,
---.__._---..-.-...._~---
COIYJ PAN Y______
S'I'A'l'E: ClilR'!, OR RH:GIS'l' #
CITY PROCEiSSING #
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SIGNATURE
----------.-------.--.-----.-.----
*.***.*****.*.******.**'**.,*.******.*~****.**.***.****'**A**,***
~--'-----""'------...---
O'I'Hli!R
----'~----
CO~1PANY
S'l'ATE CERT OR REGIST #
CITY PROCES~ING #
----,-......~.....--....~....,._--
s :rcmA'J'URE:
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CONDITIONS OF PEPMIT. AFFI~AVIT.
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsH which
may be more restrictive than city r'egulat:ions. '1'h'= Imd'=rsigned assumes responsibility for
compLiance with any applicable deed rest:ricti;ms.
B. 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 Ovlner 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
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
corttr~ctor(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 (ClffiPTER 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 copy of the above described document and promise in good faith to deliver
it to the "ownerH prior to commencement.
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 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 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 Regulation-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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", 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 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 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 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 logged during each six
month ped.od, 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 rOUR 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 COMMENCEMENTH.
SIGNATURE: OWNER OR AGENT
SIGNATURE: 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 of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
Dwho has produced
(type
and whoD did Ddid not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid 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