HomeMy WebLinkAbout03-2125
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2125
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I
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2125
MECHANICAL
AlC NEW
NOT APPLICABLE
Address: 38044 12TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-05900-0200
3,000.00
6/03/2003 Name: KURIAKOST, GEORGE
80.00 Address: 38044 12TH AVE
80.00 ZEPHYRHILLS, FL. 33542
6/03/2003 Phone: (813)783-3226
INSTALLATION OF NEW CENTRAL AlC SYSTEM
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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
I 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. II
. Complete Plans, Specifications and Fee Must Accompany Application.
____~H___~AII work shall be performed in accordance with City C~es and Ordinances ________
NO OCCUPANCY BEFORE C.O.
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TOR SIGNATURE ~M~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CONDITIONS OF' PERJvll'I' AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
'I'he undersigned understands that Lhis permlt may be subject to "deed restr.ictiolls" Hhich
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CON'I'RACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor o.r 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 contr:actor are uncertain as to what
Licensing I:equirements may apply for the intended wode, 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 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 responstble for the 'dark. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licellsed and is
not entt tled to permi tUng privileges in the City of Zephyrhills.
C. 'I'RANSPOR'!'A'l'ION I MPAC'l' FEES AND U'rILI'rY CONNECTION FEES
D. CONS'l'RUC'1'UION IJIEN LAW (CHAPTER 713, FLORIDA STA'l'UTES, AS AMENDED)
I certify that I, the applicant, llave been provided with a copy of "Florida's Construction
lien Law - llomeowner's Protection Guide" prepared by the Florida Department of Agriculture
and ConslImer 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 conunencement.
E. CON'!'RAC'l'OR' 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 constrllction, zoning, and land
developmellt.
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 permlt and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zonJng 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 Sensttive
l,ands, Water/Wastewater '1'reatment
*Southwest ff'lorida Water Management District-Wells, Cypress Baybeads, Wetland Areas,
Altering Watercourses
"'Anny Corps of Engineers-Seawalls, Docks, Navigable WaterHays
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Enviromnental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.N, it is
understood tllat a drainage plan addressing a "compensating volume" will be submitted Hhich
is prepared by a professional engineer registered in the state of Florida prior to permit
issuance.
A permit issued sllall be construed to be a license to proceed Hith the work and not as
authority to violate, cancel, alter, or set aside any provisions of the tecllnical 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 beoome invalid unless the work authorized by such permit is conunenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months afte.t: the time the work is commenced. One 90 day extension of U.llIe
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 perlod, or the project will be considered abandoned.
WARNING '!'O OWNF.,R: YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMEN'l' MAY RESUL'l' IN YOUR
PAYING 'I'WICE FOR IMPROVEMEN'I'S '1'0 YOUR PROPERTY. IF YOU IN'I'END 'I'O OBTAIN FINANCING, CONSUL'!'
WITH YOUR LE:NDER OR 1\N AT'l'ORNEY BEFORE RECORDING YOUR NonCE OF COMNENCEMENT. ,TaBS UNDER
$2,500 IN VALUE: DO 1'10'1' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'r".
_~U~c\ ~___ ___ ~.~p~
Sl.GNA'l'UREl OWNEn~ . GENT SIGHATURE, CON1'RACTOff~=-~
s'rATE OF E'LORIDA '. ... . STATE OF FLORIDA /~
COUN'l'Y OF ____~:../~cJt-, e<;:/ COUNTY OF T a-~/ __.__
The foregoing inst:.ument was acknowledged ,_. The foregoing inat;;'ft}ent was~!lowledged
Before; me Y1is ~c./ l?"da. 0 7JJ~ ' n..2t-t, 5 Before me~is ~day. of- -----------;~-, ~':;'=3
by_ __~_. cJ... by .Q.......~a. . 7~pC; __._
_(name of person / knowledged) (name of perso~cknowledged)
~o 1s personally known to me, or lDHr6- is personally known to me, or
[] who has produced 0 who has produced_.._____
.__-- ~typevf identification) ......-._...-..............Jl, (type of -)dentification)
and 1iJh~[] dlSl KJ)lfid( not , akE;. a~l th./ and who Odid ~id Ir. t t(a)l:e an. oath
\. ~ ,j /} " '_ (/ I ~;/ '1. ,r c // (
__..!.__~~~.- \ ,y:) ~L A4(jv _ ':/~J~.L-<~~/j~0~AA.LA:.
Signature of person taking acknowledg~ment Signature of person taking acknowledgment
..~V.f~~ Bobbie Swetland
__ _ _ ___ _____._.__________ ~;.Al;~ MY COM~:~:ON # CC893160 EXPIRES ._______ .__._.
Hame typed, prJnted or stamped "':f.,9f;.i~~" BONDEOTHRU~~71:~~~~, printed or stamped