HomeMy WebLinkAbout03-2024
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2024
dress: 5 2 T
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-11900-0150
Phone: Lic:
Work Desc: 12 X 21 SLAB
JA
5442 9TH ST.
ZEPHYRHILLS, FL. 33542
Phone:
R TS
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL I MISC MISC. I MISC.
INSULATION CEILING ! MISC. MISC. MISC.
DRIVEWAY , MISC. MISC. ! FIRE DEPT. FINAL
REINSPEC1l0N FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) 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
"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. "
NO OCCUPANCY BEFORE C.O.
........ .~
A: ~~NATURE ~M~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUII~DINQ IHllPARTMBlN'r 5335 ath S'rREBl'r ZIllPH'iRHIIII~S, tri, 33S40
Phohe,a13-780-~020 'axI813-780-0021
DA'r!ll RBCl!IIVllll]
-----...-- -...._~, --~-
pr~ANS R!lIVIIlJW Jl'1lI1('''___'':i
OI1NElR I El HA~1EJ_._,___~~__,___~,J5_____ __...___.._____. ___._____ PHONE CON'l'Ar~'!'._,e.~-22_2 -:/LJ.J
lTOB SITE AD[}RIDSSu.._,~'i.f:.rd_ _-.2~..___.J'c~e~___.____~&~ /-..tZ...--3JLY02 ,_. ..'._.__
LEl~AL DESCRIPTION: LOT(S)
B UK! K
SUBDIVISION
-----.-----,-....... --~..__....... -.,-.......-.-
I?ARC!ElIJ In # _.JJ. -J& -.J.L.:lJ'2Lf) -.lLi't20 - ol,r~______~.~~TA~~_~~ROM ,~~~:..~~~~=__:'A~__~~~:,CIlJ_~,_
WORK PROPSBllJ I Ur:'Hnw CONSTRUCTION [] ADlJI'rrt1t'T OAL'I'EJRATION [] RBlPAIR LJ INSTAYJI,
[]srrm
[J ~10VE:
o DEJr-IJOI,ISII
PRlW08EJI1 USE: I [JSGI, FAf'.lILY DWELIJIHG
Ch1UUI'I.. FAI-IJU,Y
[]# OF mHTS
[J SW H1MING POUL
U MOB H,E! nOfv'JE
(] OTHER
[J Cm1MEJRt! JAt,
o INDlJS'l'RIAIJ
IlBJSCRIPTION OF
o ReJ8TAtJRJ\NT & ItElAl,TIt DBlPARTt1ElN'f' APPROVAL
"ORK 1ou;~qL-.ld ~ ,;/' c--,.e~_S;:!~__41A__k,/~__~____
..:=- loJ~XJi___~_____ SQUARE FOOTAGE -,.-~~!J~ HElWHT _.~~,______
BUIr,nrNl! S lZE
REl8WENTIATJ I
(20MMElRC~IAIJ I
A/I'TACH (:3) PI,OT PI.AllS & (:3) SElTS OF BUU/DING PI,AN8 & (1) SElT ENElRrJI{ FORMS,
AT'!;ACH (3) SE'f'S OF ButLDlNG PLANS 6< (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
FERMITS REQUESTED
[] BtIJ I.Lll Nr~
$ __.5ot?52Q
VALUATION OF 'f'OTAL CONS'fRUCTION
L1 ElIJl!JC'J'R leA I,
--'--..-__,____ AMP SERVICEJ
o FlnRrDA POWER
[] W,R.EJ.Cl.
[] PI.tlt18ING
U HB:CHANIl~AJJ
[] (jA8
[] ROOFING
$---..----- VAIJUATION OF t"HlCHANCIAI, HIST1\I,I,ATHm
[J SI?ElctAI/l'Y [) O'I'HER
'1'YPIil OF CON8'I'RtJC1'rWN I [J BLOCK
[J FRAME!
[J STEEl,
[J OTHER
FINISHETl Fr,()OR I1lIJElVATIONS
-_._----~----
IS PRO,JEC'I' IN FLOOT> ZONEl AREA n VElS
o Ho
aUIl.nRlR
91GNATtJRaI9__
---------.----
cot" PAN Y ___.,(JwJl(!.(' ___...__,.. __.... __.._. ...._._.____.__
STATE CBlRT OR REGIST # '_._______..____..___..,,~____
C I'l'Y PROCESSING fL_..,.._________..._____,__._.____..,___...
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B1JJBl(1\rRICtAN
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COf1PANY ---______h --__u_..__._______ . __,
STATB CBRT OR REGr8T #
CITY PROCESSING #
.--__ "_0__ ._+'_n .,. ._',_____.______.___ ___..__... _....
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Pl,tJMSBlR
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C~(Jt" P ANY -'----._'_'___.____ ___....__...____...__...______...,
STATE CElRT OR RElGIS'r # _____.______..____...
CITY PROCESSING #
8 WHJ\TtlREl
MIll(1HANICAf,
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0____._.__..,.._.+ '__________ _._ ~'__~__.__~._____
--'-~---+------...~---___04..'____,.___
Cot\1PANY ___..___.__...__,...___.._,__...__.. ..____.
STATE r'ElRT OR REG I S'I' #
CITY PROCESSING #
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8HJNA1't1REl
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OTHBI:P.
COltfPANY
STA1'E CERT OR""'RElGIST #--..-.....----..---...~.-
CI'rY PROCElSSING # ----..---..-..,..-...-_____.._
---'--."--"-'----.---.--------------
SI(m1\'l'UREl
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--.--------..- -_.__._-.---_...._._-~-_. .._--~---- -----.
CONDITIONS OF PERMIT AFFIDAVIT
.A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictionsff 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
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 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 Sectionsff 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 Guideff prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerff, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "ownerff 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 rnust 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 ~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 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 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 COMMENCEMENTH.
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrumenl: 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
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid Diid not take an oath
Dwho has produced
(type
and whoD did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
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BUILDING PERMIT
CITY OF ZEPHYRHILLS Permit N2
2024
(813) 780-0020
~ - (J/) - /', -'7
Date _ /0(.. v,.:>~,
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner:
Job Address:
Parcell.D. ,
..' I ,
l____ /--6/
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/
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Water Conn:
Water Meter:
T.I.F.'s:
Zoning:
Energy Code:
Descriotion of Work .-:2 <u" / ,)~. '-;1 "i //'~ . 2--:( .I ...,1,,<
'[~/ /; (.- f~) ~ / .dl./.j-,;.<-i i.Jy'
J t!..J4...-'
FINAL
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.
c.o.
DATE
Inspector
/.U~-<';1U 4;'
City License Registration #
State Certified License#
h i
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(~;-', -*"
Permit Fee
Signature /J :'/'/ j
./ b
Company
Address ,'') 0
Telephone#';;' -::;; - c:.
;;7 ,l/' ......""'J
/
<4::<..1
Valuation or
Contract Price
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BUILDING
ELECTFUCAL
PLUMBING
~NICAL
Breakers
Ducts Insl.
Compressor
Final
Tp.Serv.
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
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.
N
A
/
PROPOSED VERIZON CABLE / /
/
/
/
/
------------------------------------L.---------RlW
/
/
/
/
WATER
-----~--------- -----<..
\ EXISTING VERIlON CABLE 1 1 .
12'
2!5'
10'
-----------------_J_________________________~
" 'iL.
,;,
NOT TO SCALE
VERIZON ENGRa MARYANNE BURNETT
PH. 888/"83-3188
NOTE AREA-
VERIZON Fl1
$ DMmoATE
IlEf(R; VOU
~TE
SlMHDE STATE
ONE CIU. OF FLA" INC.
1lIU. ..
1-818-432-4778
foIM.... ..... __
lQI IllDWlillL
CITY OF
ZEPHYRHILLS
PERMIT
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PRINT
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PROPOSED VERIZON CABLE
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NOT TO SCALE
NOTE AREA-
VERIZON ENOfb MARVANNE BURNETT
PH, 888/483-3181
VERIZON Fl1
CITY OF
ZEPHYRHILLS
PERMIT
$ INVESTIGo1IlTE
IlEFIJIE YOU
EXCAVATE
fUlSHlNESTATE
ONE QlU CF FLA. DC.
TIlL fIB
1.......432-4778
""'... ..... IIPOIli
'VOU ilIl:MIIllL
ZEPHYRHILLS FILE.
FL
wpper2.m Submitted by s004401@zOI59238 on Wednesday June 25 2003 wpper2.m Submitted by s004401@z0159238 on Wednesday June 25 2003 0
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PERMITN ,2. tJ.:v(
UA'J'E: (p /Z.4/o ~
,
CITY Oli' ZEI-IIYIUIILI,S - IJlIILlJlNG UEI-AltTMENT
IUGIlT-Olr.WAY USE l-ERMIT
No ~on~'ruttlon under Iltoundor AI,O\'e Ilnlundof Any fll~III1)' Nhllll he 1I~~oJnpll~hed on IIny Clly RI"lI~ of Way wllhout wrlUen .pprov.1 from ,he
elly Bulldln. Dt'pntlmen!. Any IIpplltllllon for III'pto"lIlof ~"n~lnl~llon operAllon~ IIn IIny Clly owned Rllhll of WilY ~"'lll\ImINh a detailed drawlnllhowlnl
Ihe ~"mplele N~tll'e of Ihe propoNed "ork In Itlpllcllle 10 Ihe tlmce "f Ihe Bulldln. Omclnl for IIpprovlIl prior 10 Ihe commeneemenl of any work. A eoPI of Ihb
permlllN 10 be kcpl rudlly 1I\'lIl1l1ble IIllhe IlIe of Ihe Tfork Al All limeN.
I'ARCEL I.D."
Cl'1'V ROAD
DATE
LOCATIU,... Il.ellAI De~erlpllon) I , A
_~S~e:;;'T Or~ 404 z.. ,3 A /j.l:..n.....(c AVe.
~cE'
. -r;:.)
LN 71Z-A....J <-E
Or;:
4(,)4. 2...:3 A JR.-TIMe
PumlNdon IN huehy .r""led 10
for Ihe eon~lruell,," ..lid ..lnlenAnn of A F'P e.o;{./ M/J 71::..'- 'i
0- ,.€-n. 'E-
NubJett 10 Ihe follo,,11I1l eondlllon~1
of
2;;'0' 0 r ALP 2.$ . 2.,;1(- u....; 111-; IIV T]..I€, 1V'~.e-77-1 RlcL)
I. The eon~lruellon And malnlelllUl~e of Nueh ullllly ~h..1I nolllllnfne "lIh Ihe properly IlI1d rlllatl of a prior OC!cupanl.
2. All "ork Nh~1I he done In keel'lnll "llh Ihe NI..ndArdN of Ihe Clly Slreeh Depllrllhenl And under Ihe .upenlNlon of lhe Clly BuDdin. 01lka.1, who
".11I be nollned alleAII one dllY prior 10 ~ommennmenl of con.lruellon.
3. AIIIII"'ert..l~ .nd equlpnlenl IhAII be NubJett III In~peellon by Ihe Clly Building Omel.L
\
4. Uurlnll eondrucUlln all.dety reRUIAllonN of Ihe DepArtlllenl IIf TrAnNportAllon IhAII be ob.ened III1d the Clly....1I be relieved of.1I
rc~pon.lblllly from dAmAllc of IIny nAture .rlllnll from thll perm II. Subject to Ihe .lIlne Icrml III1d c""dltlonl, the permit holder may take Iuc:h .afe'" meaure.,
In~ludlnll plulnllllnd III. plAY of CAution IIR"~, a. It mAY deem nfee~.ary In condud of con.tructlon and malnlenanee work hereunder. It h lhe rapon.lbm.,. 0'
the permlllee tll plllee, mAlnhlln, and .upen'llt allll'1ll11e contrlllllnd de\'lefl.
!I. All prlule IInd all City properly ~hllll be teNlored Itlll~ originAl tondlllolllll flit a~ ptActlcal1n the opinion of the City Dulldln. OllklaL
'l. .....
6. All underllround eroulnlln~I..IIAllon~ .hioll be 1..ld ..I Nu"h dl'plh "N lII"y be .lleelned by Ihe City Bulldlnl Omc:laL
7. ' The .kel"h "onrlnR Ihe detllll, of thl~ ""tllll..llon Ihllll be mllde .. p..rl of IhlN permit. Thll permit l'lranted "lth Ihe undentandln, that the
"ppll".nl h.~ nollned All olher ullllly ulen In Ihe llrell ('overed by the I,ermlt IInd tllkcN full rClponllblllly for III1Y dama,e ,""urred by prior Imtallal_ III a
teNUit of hi I oper..lIonN In order IhAt 'hey mAY IlIfe plltd Ihclr In'ereNb.
8. III. npreuly .lIpuIA'ed IhAt Ihl~ I'ermlt I. . IItcn,c for rernll..l"e UNe onl)' .nd thllllhe placln, of f.tllllle. upon publlt properly punuant to"'lt
permit .hall not oper..te to ('re..te or 10 nit IIOY property rlaltt In ~ald holder.
,. Wllenever Ihc City detldc~ to further UIIIII't lI,e City RIIlhlN of WilY, IIny or Iilllllld rolel, "Ire~, pipet, eable., or olher ratlOtle. III1d
Appurtcnllneel lIuthorllcd hereunder, ~hllll be ImmediAtely remond from 'Ald RIRhtN of Way, or re~et or reloc:.led thereon a. required by the Clti Dull.....
Om"I..lllt 'he tJIpfn~e of lhe holder of Ihl. permit.
. 10. Thc hohler .hAII.Ave IInd kcep 'he Clly harmte~. from ..ny IInd ..II d..mAgcN, ,,'almN, or InJurle. t"'t may OC!t!Ur by re.lon or the CONtmellon,
nlAlnlell..nl'(" IU1d operAII,," of .ald facility.
11. The bolder Nh..1I "omple'e Ihe reque.led work "llhln I'AYI or 1111. permit ~h.1I be('ome null and void. In the event the work reque.ted
II not ('omple'cII upon Ihe ul'lnthlll date of 'hl~ permit, 'be Clly .hllll h..n the rlllht to tomplete luth work III1d to eharae the holder of.he permit r.r all eo.l.
III"urred In ('ompletlllll IlIld ,,"rk.
12, The holder ~hllllllo~1 A CIl~h or ~utety bond ,;Ith 'he Clly MAnllller In the ~uln of S dollan to paranlee perfol'llllll1Ce of lhe obU.allona
hfteln, IInd to lluArAnlee mlllntennnee or the tlllht-of-wAY de.crlbed hcreln fllr II period of one (I) ycllt follo"lnl rompletlon 0' lhe hquetted 1n......1Ion. In ....
evcnl a lurety bond I. pONted, the ~urely bond ~hllll be mllde PAYllblc to the Clly IInd IhAII obllllA'e lhe .urely to hold lhe City harmle" In the event the holder of
Ihlll,ermlt Nhouhl f..lllo nltelllny of II~ IIbllRatlon~ hereunder. The bond ~hlllllll~o Indcmnlfy the City for all tourt tOlt. and halOnable aUomey'. 'eet In....
eVfnt IfRlllllellon IN required to collect on 'Ald bond. .;
13. The Ilttll1ll1ce Ihllll ha\'e A 24 IIIIur cmergell"y c"ntnct nllnu! IIl1d number IIded below.
SUDMn"I'E() BV,
(Permltlt(') J E. /2../ ZC..JAI FLu~-IDt>... I:....'c.
SIPature&'I'ltle'-'-7~~Z~!l~. r;;.I'/'-:v d,'L...N6IAJ4:=-e.._/J/cnuol?/c L~q;,
c /( c-'
AddreNN IZOC, L..11~E.,;)i. J}tc. ,:x...'I"':\- LI\.~E..LAJ',Jr~. h~. 's ::"j[..yC)/
Phone B~:.)- ~ B 8 Cj fso 3.
APPROVED BVI
CITY OF ZEPnVR
,,;'~
UtIIltle~ Supcnl."r '- ~
;;WOdu i:t{{j
CI.y ManAIlt'f U (~' Cn~~
Dlllel ~/tT4J l/r--