HomeMy WebLinkAbout03-2062
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2062
20 ssued: 5 .1 ddress: 70
GENERAL BUILDING PERMIT ZEPHYRHILLS, FL.
ELECTRIC SERVICE REPLACEMENT Township: Range:
MEDICAL Lot(s): Block: Section:
Est. Value: Book: Page:
Total Fees: Subdivision: CITY OF ZEPHYRHILLS
35.00 Date Paid: . Parcel Number: 30-26-20-0000-00200-0010
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PRE-SLAB I CONSTRUCTION POLE I 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL i PRE-METER WATER FINAL MECHANICAL
FRAME I MISC SEWER MISC
INSULATION WALL MISC MISC. MISC.
INSULATION CEILING . MISC. MISC. MISC.
DRIVEWAY i MISC. MISC. I 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."
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NO OCCUPANCY BEFORE C.O.
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CONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that thi:; pe:rmit In':ly be subject to "deed restrictiofw" wldch
may be more restrictive than City rc\Julations. The undersigned a::;sumes responsjbility for
compliance with any, applicable de,;::d res tr'icr:ions.
B. UNLICENSED CONTRAC'l'ORS AND CON'rkAC'I'OR RESl:'ONSIBILI'l'IES
If the ovmer has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance wit:h state and local regulations. If the contractor i::; not
licensed as required by law, both the mmer and contractor !nay be ci ted for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain a::; to wllat
licensing requirements may apply for the intended work, they are advised to contact tht:
City of Zephydlills Building DepaJ:tment, 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 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 contr~ctor wishes
you to sign a~ contractor that may be ~n indication that he is not properly licen~ed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. '.l'RANSPOR'l'ATION IMPACT F'EES AND U'rILI'l'Y CONNEC'I'ION FEES
D. CONSTRUCTUION LIEN LAW (CHAP'fER 713, FLORIDA STA'l'UTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Con~truction
lien Lay; - Homeovmer's Protection Guide" prepared by the Florida Department of Agr,i.culture
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 faitll to deliver
it to the "owner" prior to conunencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in thi~ application is accurate and that all wox:k wjll
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 in~tallation has conunenced 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 jurisdictjon. I al~o
certify that I understand that the regulations of other governmental agencies may apply to
the intended vwr:k, and that it is my r:esponsibility 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
kSouthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Area::;,
Altering Watercourses
kA.nny Corps of Engineers-Seawalls, Docks, Navigable Waterways
'Department of Health & Rehabilitative Service~, Envil:onmental 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 dr:ainage plan addressing a "compensating volume" will be ::;ubmitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
iSlOuance.
A permit issued shall be construed to be a license to proceed with the work and not a::>
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 permit lfl cOIlullenct:d within
aix months of issuance, or if work authorized by the permit is suspended Ol: abandoned for 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 Jogged during each six
Inonth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN'l' MAY RESULT IN YOUR
PAYING 'l'WICE FOR IMPROVEMENTS TO YOUR PROPERTY. H' YOU INTEND '1'0 OB'l'AIN lnNANCING, CONSULT
WITH YOUR LENDER OR AN AT'l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'I'. JOBS UNDER
$2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEIvlEN'1'''.
CONDITIONS OF PH;RNIT AFFIDAVIT
SIGNATURE: COW1'RACTOR
SIGNATURE: OWNER OR AGEN'l'
S'I'ATE OF' FLORIDA
COUN'l'Y OF -----
The foregoing instrument was
Before me this __ day of
by
acknowledged
, 19_
STA'l'E OF FLORIDA
COUNTY Of'
The foregoing instrument was
Before me this __day of
by
acknowledged
19
(name of person acknowledged)
Dwho is pel:sonally known to me, or
(name of person acknowledged)
OJho is personally known to me, or
Owho has produced
(type
and VJhoD did Ddid not
o who has produced
(type of idt:nLificatioll)
and VJho Ddid [].:lid not take an oath
of identification)
take an oath.
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typ..d, pd nted or stamped
Nam.. typed, printed or stamped