HomeMy WebLinkAbout03-2053
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2053
Perml um er: 2053 ssued: 5 /2 031
Permit Type: GENERAL BUILDING PERMIT ,
Class of Work: ELECTRIC SERVICE/NEW
Proposed Use: COMMERCIAL
Sq. Feet: Est. Value:
Cost: Total Fees:
Amount Paid: 35.00 Date Paid:
Address: 52
ZEPHYRHILLS, FL.
Township: 26 Range: 21
Lot(s): 9 & 10 Block: 167 Section: 11
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-16700-0090
Addr: 1055 GEIGER RD.
ZEPHYRHILLS, FL 33541
Phone: (813)782-7237 Lic: ER 0002443
Work Desc: 200 AMP SERVICE CHANGE
5225 8TH ST
ZEPHYRHILLS, FL. 33542
Phone: (813)713-4673
1 T IN
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL MISC MISC. MISC.
INSULATION CEILING MISC. MISC. MISC.
DRIVEWAY ~f,.,.,j- S'-7-()~ "L'1 MISC. FIREDEPT.FINAL
REINSPECTlON 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
--;'Waming 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."
-K
NO OCCUPANCY BEFORE C.O.
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NTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CONDITIONS OF PE:Rl'lIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that lhit; pe:rmit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned a::>sumes respon::>ibi.lity for
compLiance with any applicable deed rest.detions.
B. UNLICENSED CONTRAC'l'ORS AND CON'l'RAC'l'OR RESI:'O)<ISIBILI'l'IES
If the o~mer 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 it; not
licensed at; required by la~l, both the o~mer and contractor may be cited for a misddllleanor
violation under state law. If the owner or intended contractor are uncertain as to wllat
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, B13-788-66Il. .
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for whicll they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, ratller 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 ~ephydlills.
C. 'l'RANSPOR'J'A'rION H1PAC'1' )!'EES AND U'rILI'l'Y CONNEC'I'ION FEES
D. CONSTRUCTUION LIEN LAW (CHAP'I'ER '713, FLORIDA STA'l'UTES, AS AMENDE:D)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien LaVJ - HOllleov-mer's Protection Guide" prepared by the Florida Department of Agricul.ture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to conUllencement. .
E. CONTRAC'l'OR' S/OWNER' S AFFIDAVI'r
I certify that all the information in this application is accurate and that all work will
be don", in compliance ~dth all applicable laws regulating construction, zoni.ng, and land
de:velopment.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has co~nenced 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. 1 also
certify that I understand that the regulations of other governmental agencies Hlay apply to
the intended vWLk, and that it is my responsibility to i.dentify what actions I must take to
be in compliance. Such agencies include but are not limited to:kDepartment of
Environmental RegUlation-Cypress Bayheads, Wetland Areas and Enviromnentally Sen::li tive
Lands, Water-!WasteHater 'l'reatment
kSouth~{est In_orida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Sea~lalls, DOcks, Navigable WaterHays
'klJepar:tment of Health & RehabilitCltive 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 pri.or to permit
is::;ui:ince.
A permit i ~lflUed shall be construed to be a license to proceed ~1Ti th the vwrk and not a::;
authority to violate, ci:incel, alter, or set aside any provisions of tile technical codes,
nor shall issuance of a permit prevent the Building Official from thereiilfter requiring a
correction of errOl"S in plans, construction, Or violati_ons of any code. Every permit
issued shall become invalid unless the work authorized by such permit is cOllullenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned tor- a
period of six months after the time the work is conunenced. 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 '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMJI1ENCEMEN'l' HAY RESIJI/I' IN Y()UR
PAYING TWICE FOR IMPROVEMEN'l'S TO YOUR PROPERTY. It' YOU INTEND TO OB'l'AIN FINANCING, CONSUL'!'
WITH YOUR LENDER OR AN AT'l'ORNEY BEIl~ORE RECORDING YOUR NOTICE OF COlIlJIVlENCEMEN'I'. JOBS UNDER
$2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEIvlEN'I'''.
SIGNATURE: OWNER OR AGEN'I'
SIGNATURE: CONTRACTOR
STATE Of' FLORIDA
COUNTY OF-
The foregoing instrument was acknowledged
Before me this____day of__. _____ ____. 19
by
(name of person acknowledged)
o who is personally known to me, or
STA'l'E OF FLORIDA
COUN'rY OE'
The foregoing instrument WClS acknowledged
Before me t:hJs __day of----..-..- --, 19
by ______
(name of person acknowledged)
OJho is per:sonally known to me, or
o who has produced___
(type of identification)
and vlhoD did Ddid not take an oath.
Dwho has produced
(type of identification)
and who Ddid [}Hd not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, pri.nted or stamped
NamE: typed, printed or stamped