HomeMy WebLinkAbout03-2163
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2163
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Sq. Feet:
Cost:
Amount Paid:
2163 Issued: 6/17/2003
GENERAL BUILDING PERMIT
SHED INSTALLATION
NOT APPLICABLE
Est. Value:
Total Fees:
40.00 Date Paid:
I
40.001
6/17/2003 \
Address: 39519 9TH AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0300-0000-0220
Name:
Addr:
Name: WHITEHILL.v AND WATERS.B
1_ Address: 39519 9TH AVE
ZEPHYRHILLS, FL. 33542
Lic: Phone: ___
1-NEW SHED AND 1-MOVED TO THE PROPERTY AND 136' FENCE
~~J '
( ( fl'- fry v r
1 ST ROUGH LU
2ND ROUGH PLUMB
. PRE-METER WATER
I MISC SEWER
I ~IN~SULATION WALL I MISC MISC. MISC.
INSULATION CEILING l~. J MISC. I MISC.
DRIVEWAY MISC. MISC. . FIRE DEPT. FINAL
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of t.,e following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
I
I
DUCTS INSULATED
FINAL MECHANICAL
MISC
(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.
~~- -- ~-
~~ ~~
CONTRACTO S SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
aUILDING DEPAR1~NT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED
PLANS REVIEW FEE
OWNElR'S Nl\ME V J C j{ 'I
.
,JOB ADDRESS :3 9'J /9
InfI-//7FfJ/J..1. ) ./Jrltl3AtlA t",
/
97}/ ROc 2 e jJ;J y /? JJ Ii ~ ../,
,
LE:GAL DF~SCRI PTION: LOT (S) ~!J..
PARCEL ID # }.:.).-,M-.) j-{).JOIf-CJ()(JO
wri7t ,lj
PHONE YI;J ~ 7J7r1-
FL 3.JuY~
;1 J Id
SUBDIVISION S /I /JS e T 1:J7;9- TC'.J
- cJjjt1lOBTAIU FROM PROPEB.TY TAX NOTICE)
BLOCK
WORK PROPSED: ONEW CONSTRUCTION
OSIGt-l
PROPOSED USF.: OSGL. Fl\MILY DWELLING
OCm1MERCIAL
D RESTAURANT & HEALTH DEPAR'n1ENT. APPROVAL j1c;~ IH /7/t' tJ .,d / /'( ~ ",,/
f/i A ( e /). .5';1 e /).f 0 I) L c/ T -- / .A '- ;-( ~ q,())' . ).
DESCRIPTION OF WORK 5'lfc ~. gtlJL -/jJ.['-5 l;2'/~.eTY J.. .!A~J ,Fc'"t.t.,
e 'i {J 'T J.4-1.. a (. If I JI\ At"e \ I 50 .I;:""C;, {' p /. J ;='<.0.. M {fdf ;!,~. _ur
BUILDING SIZE SJ.lp(J{ Altf. 13(,ITH J'YldSQUARE F~TAGE ~tI '/ 2.... HEIdif? Ji'lI'/l/r{'('
o ADDITION OALTERATION o REPAIR o INSTl\LL
o t10VE 0 DEt10LISH
Ot1ULT I - F"At1IL Y OjlOF UNITS o t10BILE Hot1E
o INDUSTRIAL o SWIMt1ING POOL o OTHER
RESIDENTIATJ:
COMMERCIAL:
l\TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTl\CH (3) SETS OF BUILDING PLANS & (l) SET ENERGY FORMS.
FROFERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
'~UJLDING
o ELECTRICl\L
.S
/tJ7~.z rctfTA~ C
rp/~ ~e" It' ~ J:J~ I
IT:J t - PERMITS REQUESTED A.".AtI~
J, ~ oCr -@-< .. Id :~UA T roll OF TOTAL CONSTRue: ;,;!fJ ; ~I I, /;tv, '.,.'
AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. " 'P
o PLUMBING
o MFXHl\NICAL
TYPE OF' CONSTRUCTION: 0 BLOCK
o FRAt1E
o STEEL
,; L~~
IHSTAl'LAT~ON ~I ')),. oOIP 3
"--- <'f<i\ l
$
VALUATION OF MECHANCIAL
o Gl\S
o ROOFING
o SFECIl\LTY
o OTHER
o OTHER
FINIS!lfW FLOOR ELEVATIONS
IS FROJECT IN FLOOD ZONE l\REAO YES 0 NO
BUILDER ~ COMPANYX !It' m ~ cJ vi/) tIC
/ t) 0.&o/J1 STATE CERT OR REGIST #
SIGNATURE, Z1c. ~Z4~ Cl'rY PROCESSING #
*********k**********~~*~********+*****~*k******k*~'k*********~*****
ELECTRICI1\N
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
09 IGNATURF~
********************************k********"k************************
PLUMBER
Cm1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***~**********************+*********************+*****************
MECHANICAL
CQt1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****~***********************************************************
OTHER
CQtJ]FANY
STATE CERT OR REGJST #
CITY PROCESSING #
SIGNATURF,
***********************~*+*****~**************~***********'*******
CONDITIONS OF PERIVlI'I' AFnDAVIT
A. NOTICE OF DEED RESTRICTIONS
'rbe unde.Lsigned undel:stands that thls permit lriay be subject to "deed restrictions" which
may be more restrictivd tllan City regulations. The undersigned assumes responsibility for
compliance with .any applicable deed restrictions.
B. UNLICENSED C~NTRACTORS AND CON'l'RAC'I'OR 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 OHner and contractor may be cited for a misdemeanor
violation under state laH. 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, 613-766-6611.
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 Zephyrhills.
C. TAANSPOR'l'ATION I MPAC'l' FEES AND U'rILI'I'Y CONNECTION FEES
D. CONSTRUc'rUION LIEN LAvJ (CHAP'1'ER 713, FLORIDA STNfu'rES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
li..n LaH - Homeowner's Protection Guide'! prepared by the b'lorida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the \\ovmer", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
i. t to the "owner" prio.l. to conunencement.
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 Hith all applicable laws regulating construction, zoning, and land
dE::velopment.
Application is hereby made to obtain a permit to do work. and installation as jndi.cated. I
certify that no Hork or installdtion has commenced 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
*A.rmy Corps of Engineers-Seav.alls, 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,ete.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted Hhich
is prepared by a professional engineer registered in the State of Florida prior Lo permit
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
autho.lity 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 requi.ling a
correction of errors in plans, construction, or violations of any code. Every permit
iSflued shall become invalid unless the work authorized by such permit is cOllunenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
peniod of six months after the time the work is corrunenced. 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 dUl:ing each si.x
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUW' IN YOUR
PAYING TWICE FOR H1PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND '1'0 OB'l'AIN FINANCING, CONSUL'l'
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. JOBS UNDER
$2/500 IN VALUE DO NOT NEED TO RECORD AND POST A "NO'l'ICE OF COMMENCEMEN'r".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OE' b~LORI DA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by.
acknowledged
2Q___
STA'fE OF FLORIDA
COUNTY OF
'l'he foregoing instrument was acknowleqged
Before me this __day of , ~O -.:........
by
(name of person acknowledged)
[J"ho is personally known to me, or
Dwho has produced
(type of identification)
and viho Odid DUd not take an oath
(name of person acknowledged)
Dwho is personally known to me, or
Owho has produced
(type
and whoD did Odid not
of identification)
take an oath.
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
. PROFILE SHEDS
PROF'lLE PRODUCTS OF LAKELAND, iNC.
(313) 859-6700 · (813) 8j3-~908
8832 US, Hwy, 98 Nonh. Lakeland, FL 33809
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L___~__ ______ _.
CITY OF ZKPHYRHILLS BUILDING DEPAR'.1"HII:NT
OWNER \!iC K Y W}} IT E fI (L 1.. / 13ft j( blJ ~ /J E \;f kIt /2 J
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
:2.0
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
s.TREE'r
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10' I
P E-
R X
0 I
10' P S 10'
0 T ,
S I
E N
D G
, r ~
. .
20'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAH 30 'DUPLEX
1 0'
FRONT PROPBRTY LIRE
FRORT PROPERTY L:INE