HomeMy WebLinkAbout03-2134
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2134
Permit Number: 2134 Issued: 6/04/2003
PerRlit Type: GENERAL BUILDING PERMIT
Class of Work: ALUMINUM PACKAGE
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 1,727.00 Total Fees:
Amount Paid: 60.00 Date Paid:
Address: 5645 8TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: A TO Z ALUMINUM PRODUCTS INC
Addr: P.O. BOX 192
ZEPHYRHILLS, FL 33539
Phone: (813)715-7523 Lie:
Work Desc: 13 X 26 AWNING
WHITE RICHARD
5645 8TH ST
ZEPHYRHILLS, FL. 33542
Phone:
/ ~J 03
(' ~/I~~G~
DUCTS INSTALLED
PRE-SLAB i CONSTRUCTION POLE DUCTS INSULATED
LINTEL PRE-METER FINAL MECHANICAL
FRAME MISC MISC
INSULATION WALL MISC MISC.
INSULATION CEILING MISC. MISC.
DRIVEWAY MISC. i MISC. FIRE DEPT. FINAL
REINSPEC1l0N FEES: When extra inspection trips are ~ecessary 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."
___ ~~ANCYBEFOREC'O'
- - ~
.. ~
./ :/./. ~-
74- ~CTO I NATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
OWNl<R'S NAME J;C""~dz;/hfJ;;; ~
, I
JOB SITE ADDRESS .5~ ,/S- <6 t17 ,-~--r-
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540
Phone:813-780-0020 Fax:813-780-0021 _! /
DATE RECEIVBD .) /3 () f-o 3
PLANS REVIEW FHH'
PHONE CONTACT
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: []NEW CONSTRUCTION
[] ADDITION
LTERATION
REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
DMULTI-FAMILY
0# OF UNITS
o MOBILE HOME
o OTHER
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
DESCRIPTION OF WORK
BUILDING SIZE ~ ~
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
/3> )(;;<(p lAw (// '( 11 (0
SQUARE FOOTAGE
'3' 3'- /
HEIGHT
7'
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
$
PERMITS REQUESTED
//7;;Jf}.CJO VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
[] MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
[] SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[] YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
******************************************************************
ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #It A 1:-- f~5 /'; 'i-.;;#-.
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
******************************************************************
COMPANY
STATE CERT OR REG 1ST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" 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 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 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 Zephyrhil1s.
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 Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described aocument and promise in good faith to deliver
it to the "owner" 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 commepced 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 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
*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 "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 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 TW FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN END TO OBTAIN FINANCING CO
WITH YO ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO CE OF CO NCEMENT. J S UND
$2,500 I VALUE DO OT NEED TO RECO D OST A "NOTI OF CO EMENT".
SIGNATURE: OWNER OR AGENT
acknowledged
1!L-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument 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)
C1ho is personally known to me, or
o who has produced
(type
and whoD did Ddid not
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid Oiid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
S I 'J'R PI.AN
(RESIDENTIAL USE ONLY)
PARCEL 1.0.
DATE:
SEC
TWP
RNG
SUBD
BLOCK
LOT
All drawings shall be drawn to scale or ~ully
1 E Y /5 --;/n:;.. .
- c1kl-
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r all parc!'!l_~____~____~____u
1f
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SHOW ALL EXISTING AND PROPOSED STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE
ANY BODIES OF WATER, TREES (INCLUDING SIZE, DIAMETER, TYPE), AND ROADWAYS (INCLUDING
NAMES) ADJACENT TO THE PROPERTY. INDICATE THE SIZE, YEAR, AND NAME OF MOBILE; SUCH AS
12' X 60'. 1981. FLEETWOOD.
ALL "EASEMENTS", "PROPERTY LINES", "RIGlIT-OF-WAY", and "JURISDICTIONAL LINES" must be
shown on all site plans.
DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE.
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NoeILf: HONE SET-UP
rear (1150' )
b 150' 40' ....
.... a
"8 II)
II) b.
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. . 215' _"~ Elliatint .
" " ~z "
'. '. Shed ..
HOUSE CONSTRUCT/ON
rear (80')
150'
ROAD NANE
ROAD NANE
ROAD I'lA NE
PL
PROPERTY LINE
R/W = RIGHT-Of-WAY
o = TREES
APPROVED SIn PLAN MUST BE POSTKD AT JOB LOCAnClf.
NOTICE OJ' DKKD RESTRICTICIf
THIS PKRKIT may be subject to ttDeed Reatricti~" which are .ore r88trictive than County
regulations. The permit holder assu.es reaporul1bility for c~lianc881 with any applicable
deed reatrictions.
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