HomeMy WebLinkAbout03-2037
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2037
Permit um er:
Permit Type:
Class of Work:
Proposed Use:
Sq. Feet:
Cost:
Amount Paid:
037 Issue : 0
GENERAL BUILDING PERMIT
ELECTRIC SERVICE/NEW
NOT APPLICABLE
Est. Value:
Total Fees:
35.00 Date Paid:
ress: 38529
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-15200-0070
Name: REX ANDER ON
Addr: 38121 BUFORD AVE
DADE CITY,FL. 33523
Phone: (352)521-3512 Lic: , ... Phone:
Work Desc: ELECTRIC IN BATH & MECH GENERAL REPAIR
38529 5TH AVE
ZEPHYRHILLS, FL. 33542
, J 'Dj.;
Ie'
f ( Y'- ~ ,.2- ~ Il-f
F R DU IN ALL
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME Mise SEWER MISC
INSULATION WALL Mise Mise, MISC.
INSULATION CEILING MISC, MISC, MISC.
DRIVEWAY I MISC. i MISC. FIRE DEPT. FINAL
--REINSPECTION 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.
X! ~~~~~~t~tlk . ...m. mm_-_m~MIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
()\'IllRIR/fl 111\1'1El .._...C~
,Toa ST'l'E! 1\llI)IUlIAS3J>.---i~. 7uu_.~*.~_
CI'rY f)F' ZHlPHYRHIIlIJS PElRMI'l' APPld:CATlON
BUtrlIJJNl1 Illlll?lIR'nil1lN'l' 533!5 eth El'rRIllBJ'r ZJlIPHYRHH,IJEl r FI, 3354.0
J?houaI813-780..0,020 F~mle1.3.'780 ooal
flA'rJlI RI!l(JBltVllln _.__ ."_ .. _... ._.
PI,AHEl Rt!lVIBIW J!'lllt(,. ".'L
P.lloN1J1 (!()l'.l'l'l\( ~'I'S:.~.2.5.-!/ ~!J] Z--
L,E1r11UJ ll~lF.Hm 1 P'l' luH I LOT (EJ)
BI,()C'J(
,9UBIlIV [Ell nll
-------...,- .---.-.------~ /5;219 (j-:-'oo"7 c'--
~1\fH!P11, [IJ lI.l[:_6.~--.~L=Q._q[t?~J?;_e.9.Q___~()~~AlI1 F'p.nl.1 ~IWprnl1.'l'V '[I"X. .l-~O'I~r(~.rn_)
NrlRI< PROl?SRlTl, [JNI1JN !'ONS'!'RlJ(!TIOlI ~)[H'I'.WLT [J 1\ LTEJR 1\;1'1 01,1 [ 1 RHlP/\ tR I J lt18TI\T,T,
[I s nH!
[J HOVE]
[J lJEWJI,ISII
PROPOSFlll IISBl. lISql, F1\tHI.V nWElI,r,lllG
f] t1lJti I' r . Flll1 n. Y
[J # uP' ntn T,g
l 11108 lI,Rl lIoMRl
I J O'l'IIIllR
r.l U Clt'l 1'1 I1IR C! JA t,
[J UtDIIS'I'RTJU,
[]SN1HIHUr~ POUTJ
[.=J IHI8'I'AURAITl' & IIElAUl'II TJRlP.l\RTHElN'l' l\PPTHJVl\J,
, rlr'e-J' - ... .
J1IlJSCRlP'I' [lIB OF l'IUHK E)j~_L:TY3:L'= _ LNf3t1TH~.___..0.~~~
BU tJ.TlI:NrJ Al?Jl:ll
.'... ."- _. .---~---. .~_.,',-----... _..~ -~-------- _..
ElQU1\PEI FOOTAGE
-- -~-"---',._, ".- "--. ~_._,
11m T GIlT
Rl1JS TTJIllH'I'IM, I
I !m1MElRC!I1H11
1\'T"l'1\Cll (;1) PU)'!' PT.l\tlFl & (2) SRl'1'S OF BtJIJ,lJINr~ PI,ANA & (1) BElT Rltll!llHJIl Fnm.1S,
J\'I't1\.(!1l (3) FlRh's UP' Bl7tLIJUJG PLJ\NEl & (J.) SEl'!, ENEJRny FORt1S,
PROPFlnTY S!JRV1llY RElOlllRElIJ FOR l\[JL HEN COl.J,g 'I'RUC'I' HH.J ,
.~ I1JRM~rr LIUf10QJ1ST~~
CI BIII1.IIJNQ
$
-~ -.---- .,-~-......._.-..-._---_.. -- ~
Vl\lll1I\TION OF.' 'l'01'AJ, (~()H8'rR{J(~'1'I(J11
H- ElTJIlJC'T'R 1 U1\ I,
-- ,.-.. -<.. .,.. ~. -._-~.,_. ....'. u ,___ ,
AlIJP gRlRVII.!E]
[J
FUw.lnA PI)~IE1R
LI
~'1 , R , 111 , I! ,
[J PI.tJIIJJ3 nl(~
U HRI!!II1\.HIC'1\.rJ
$.
"--- - V1\T,UATION UP' liR:I;HI\.HU r1\T, H1S'l'1\T,JJ1\'I'HlI.J
LJ W\B
L] RlJoFnm
[ ISPBl(!TA1.'l'Y
I] O'1'HEJR
'J'YPHl UP' C'0I'18'I'RlHl'rrmll LJ BI,OC'K
[J FRI\IlJflJ
[] STBlElL
[J 01'1Il1lfl.
F'J H rSHJ1Jfl err,u(m mrJElVA'rIOI'TS
~.~-._"__ - __d__ '_.~.'___"___'
IS PRo,Jrnc'f' J N P'f,()(J[) 7,OllEl l\~R1r\(J YElS
[1 w)
at1UUll1~
Cnt1Pr>.I.JY ....__.___... "'.._
f ~ ~ S't'l\'I'Bl CFJR'l' OR REJIJIS'I'#t.f~.~:e~i"t.:If"'_ -==u'.' .....
AlmlJ\'I'tlH9_,;y~ <;._~~\_......_.. __ CITY PRCJ(IB1138.T1-Ir~ # ___.. "
**'**"*'**"***'***I'*~**""'***"**A*~A*A**A***'*',**~**'****AA
~I,!lI(1lrRHJ:rAn
AllHlATlHUI -/~- ---t:e..~~.
COI1P1\HY
STATEr. l'ElRT IJP REl(~Hl'l' 1I dii..'op Oi-6'.Jr:::,
C!I'I'Y PRUC'El9F.Hlll~ II
· · * * A * If * A , · · .. · , * * * * A\ ~ ~ }, * * ~ ,I, * If I< . * }, . I< , I< * * I * * * .* * A * '." ,I, * If k 10 , * , , * * /, A AI,. *
PT,UMBI!lR r!Or.\pl\IIY-
8'['1\TEl (~EJR1' UR REJ(HFl'l' # _""uh. '_..
SJrHl1l'l'tJRfll CITY P.ROCEl8ATN(~ #
,-.. ......-.. ........-. -.._.~._.... --_._-~-..._.. ._. .,'b._.__.,. _'_'_p,__~______
HRl(!HMf!U^r,
"'*******'*'***'**"'If***"***'***'4*****,,*,*~**.,,**'*'*"1**"
.."..... -----...~._-'.~_.. ..------
I !CJH PANY.._.__...........__..._
8Tl\'l'EJ ('l11fl.T OF. RElrHA'[' #
CITY PR()("ElSSn)l~ II
F.l U~I1A't'f1REJ
**'****'*'**"'*'**'*"'**'*'****'**"'****"********'*"'*'1'*',
(l'rHm}t
< ..--.-----..-......... -,-.. ...--.....--.--.... -,.. --- .- -.---...--___ _ '__H~~_..____.____
IJor.1Pl\l.IY
S't'l\'1'Fl ('F1RT~UR -Rrn(jrST#"--
1'1 TY PRO(!F1FlS INt";\ It
A rrnm'I'llRI1l
- .~---_..._-- -. _._--~-----. ..~"'--... ....----- .'''----.'--- - . -.-.--.------..... ..-.. -..-.
"'*""*""""'**"*'*"'*'*'*""*""""""""*"*~"',"
CONDrrEIONS OF PERMIT AFFIDAVl'r
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that thiti permit Hlay be subject to "deed restrictions" which
way Le more l:estricliv,= than City regulations. The undersigned a:;;Sllmes re::;ponsibiU.t:y for
compliance .Ii th any applicabl e deed .cestl:ictions.
B. UNLICENSED COi-lTRAC'l'ORS AIm CONTRAcrOR RESPONSIBILITIES
If the a.mer lidS 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 a:; required by la./, both the owner and contractor may be cited for a misdellleclllor
violation under state la./. If the o.mer or intended contractor are lUlct:::l:tain as to .~hat
licensing requirements may apply for the intended work, they are advi:;ed to contact tIle
City of Zephydlills Building Department, 813-788-6611.
Furthermore, if the o.mer has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of t:he "Contractor Sections" 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 wislles
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 <'.ephyrhills.
C. II'RAHSPOR"l'A'rION IMPAC'l' J.1'EES AND UTILI'I'Y CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAP'rER 713, InORIDA STA'1'UTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner' oS Protection Guide" prepared by the b'lorida Depax:tmellt of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownel:", I ceri fythat I
have obtc:lined a copy of the above described document and promise in good faith to dellver
it to the "ol'>/ner" prior to corrunencement.
E. CONTRACTOR' S/OWNER' S AlfFIDAVI"r
I certify that all the information in this applicati.on is accurate and that all work Hill
be done in compliance with all applicable laws regulating construction, zoning, and land
developmellt.
Application is hereby made to obtain a permit to do work and installation as lndicated. I
certify that no vlOrk OL in:;tallation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
cod<:s, zoning regulations, and land development regulations 1.n tbe jurisdictioll. 1 also
c<:rtify that I understand that the regulations of other governmental agencies lllay apply to
the intended .JOLk, and that it is my responsibility to identify what actions I must talit:: to
be in compliance. Such agencies include but are not limited to: -A'Depal:tment of
~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environn~lltally S~nsitive
Lands, Water/WasteHater 'rrealment
*Southwe:;t Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
-AArmy Corps of Engineers-Sea\lalls, 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
und""rstood that a dl:ainage plan addressing a "compensating volume" will be ::iublllitled which
i::i prepared by a profetisional engineer reg1.stered in the State of Florida pLior to permit
issuance.
A permit is::iued 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 tile 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 peL'mi t is cOllunenced within
six month::> of issuance, or if work authorized by the permit is suspended or abandoned for a
peLiod of six months after the time the work is corrunenced. One 90 day extension of time
may be allowed for the penni t wi. th fee charge of $15.00. 'I'he extension shall be requt::sted
i.n .niting to the Building Official. An approved inspection must be logged during each six
month period, or the pLoject will be considered abandoned.
WARNING "ro OWNER: YOUR Ii'AILUR!!: TO RECORD A NOTICE OF COMMENCEMEN'l' MAY RESUW' IN YOUR
PAYING TWICE FOR IMPROVEMEN'l'S '1'0 YOUR PROPERTY. n' YOU INTEND '1'0 OB"rAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN AT'l'ORNEY BEl!'ORE RECORDING YOUR NOTICE Ob~ COMMENCEMENT. ,JOBS UNDER
$2,500 IN VALUE DO NO'l' NEED TO RECORD AND POST A "NO'rICE OF COMMENCEMEN"I'''.
SIGNATURE: OWNER OR AGEN'r
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUN'l'Y OF
The foregoing instrument was acknowledged
Before me this _ day of , 19_
by.___~
(name of person acknowledged)
o who is personally known to mt:, or
STATE OF FLORIDA
COUNTY OF'
The foregoing i.nstrument Was
Before me this _day of
by
acknoHl.edged
19
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
[Jwho has produced
(type of id<:ntificatJon)
and Hho Odid DUd not take cHi oath
Owho has produced
(type
and .lhoO did [Jdid not
Signature of person taking acknowledgement
Signature of pertlon taki.ng acknowlt:dgment.:
Name typed, pri nted 0.1.- stamped
Name type.d, printed or stamped