HomeMy WebLinkAbout03-2164
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2164
Permit Number: 2164 Issued: 6/18/2003
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 12,000.00 Total Fees: 174.801
Amount Paid: 174.80 Date Paid: 6/18/2003 :
Address: 5225 10TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-18200-0060
Name:
Addr:
Name: DELGADO GLORIA
Address: 5225 10TH ST
ZEPHYRHILLS, FL. 33542
Phone: Lic:
Work Desc: 2 CAR GARAGE ..
Phone:
fI,~J f /;1~:J
FOOTER -~ - ROUGH
PRE-SLAB./ " -- z 7 - () J 1/17) 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL .r ?-/~- 0, l+To WATER FINAL MECHANICAL
FRAME LJf-!:I.-o~ U</() SEWER MISC
INSULATION WALL MISC. MISC.
INSULATION CEILING MISC.. MISC.
DRIVEWAY MISC. l MISC. l 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 paym~nt of inspection fees shall be made before any further permits will be issued to the person owning same
I "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
l 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.
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. t-- CONTRACTORS SIG ATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CON
A. NO'l'lCE OF' DEED RES'I'RICTIONS
'l'he undersigned understands that t lli s penni t !nay be
llIay be mort= restrictive than Cil~j reUuJations. The
compliance Vlith any applici:ibJ e deed restrictions.
B. UNLICENSED COf'iTRAC'l'ORS '1l'iD CONTkACTOR RESPONSIBILI'l'IES
If the OHner has hir'ed a contractor or contractor::! to undertake work, they mi:lY be r'equirt::d
to be licensed in accordance with state and local regulations. If the contractor i::l not
licensed a::l required JJy lavl, both tr.e o~mer and contractor may be cited for. a H1isdelUt::anor
violation under .::;tate laH. If the O\Jner or intended contractor are uncertain 01::1 to ~.hat
licensing requirements may apply for the intended work, they are advised to contact tile
.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 (05) sign portions of the "Contractor Sections" of this application for ".hich 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 Hork. I f the contractor "Jish~s
you to sign as contractor that may be an indication tllat he is not properly licensed and is
not entitled to fJermitting privileges in the City of ~ephyrhills.
C. 'l'RANSPOR'I'A'l'ION IMPACT IfEES Al~D lYflLI'I'Y CONNEC'I'ION FEES
D. CONSTRUCTUION LIEN LAW (CHAP'fER 713, FLORIDA S'l'A'I'UTES, AS AMENDED)
I certify that 1, the applicant, have been fJrovided with a copy of "Florida's Construction
lien LaH - Homeownt:r's Protection Guide" prepared by the f!'lorida Department of Agriculture
i:lnd 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 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 constructioll, zoning, and Jand
development.
Application is hereby made to obtain a permit to do Hork and installation as indicated. I
certify that no Hork or installation has cOllunenced prior to issuance of a permit and that
all Hork will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in tlle jurisdicti on. 1 also
certify that I understand that the regulations of other governmental agencies lllay apply to
the intended vwrk, and that it is my responsibility to identify what actions I lllust take to
be in compliance. Such agencies include but are not limited to: ~.Depar'tment of
~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmelltally Sensitive
Lands, Water/WasteHater Treatment
.ASouthviest li'lorida Water Management District-Wells, Cypress Baybeads, Wetland Areas,
Altering Watercourses
*Anny Corps of Engilleer::l-SeaHalls, Docks, Navigable Waterways
*Departlllent of Health & Rehabilitative Service.:;, Environmelltal Health Unit-Wells,
Wa,::;tewater Treatlllt:nt, Septic 'l'an),s
*U.::3. ~nvironmental Protection Agency-Asbestos abatement
I also certify tbat, 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
1.s pn,pared by a professional engineer registered in the state of F10rida pri.or- to permit
iSl:iuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or s~t aside any provisions of tbe technical code.:;,
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 per'mit is COllunenced within
six month", of issuance, or if work authorized by the pennit is suspended or abandoned for a
period of si... mOnUI::l i:lfter the time the work is conunenced. One 90 day extension of time
lIlay be allowed for the permit with fee charge of $15.00. 'l'he e...tension shall be requested
in ~lriting to the Building Official. An approved inspection must be logged during each siii
month period, or the project Hill be considered abandoned.
WARNING TO OWNER: YOUR E'AILURE TO RECORD A NOTICE OF COI'1MENCEMEN'l' MAY RESUI/l' IN YOUR
PAYING TWICE FOR IMPROVEMEN'l'S 'I'O YOUR PROPERTY. Ili' YOU IN'I'END '1'0 OB'PAIN nNANCJNG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEr'ORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NO'l' NEED TO RECORD AND POST A "NOTICE OF COMMENCElIIJEN'l'''.
IONS OF PERMIT AFFIDAVIT
subject to "deed restrictions" wid ell
undersigned a::;sumes responsibility tor
SIGNATURE: OWNER OR AGEN'I'
SIGNATURE: CONTRACTOR
S'l'A'I'E OF FLORI DA
COUl-J'rY OF
The foregoing instrument was
Before me this _ day of
by
acknovrledged
, 19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before Ill~ this _day of
by _____.__,
(name of person acknowledged)
Dlho is personally known to Ille, or
acknowledged
19
(name of person acknowledged)
o Hho is personally krlOHn to me, or
Dwho has produced
(type
and vlhoD did []did not
of identification)
take an oath.
Dwho has produced
(type of identification)
and vlho Ddid Giid not take an Oi:lUI
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, pri nted or stamped
Name typed, printed or stamped
CITY OF
ZEPHYRHILLS
"NOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
Icrf~{)
I ADDRESS /J DATE PERMIT ." I
. 52..?-5-(()=-'~ ~_2.S-q] :)/(0 '{ .
THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job
will be accepted.
,
DO NOT REMOVE
1lLi ~~P-4i<..~~~/~~~
t\~L~ &-FL';2 ~
tI
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020WCTION
INSPECTOR
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
Gloria Delgado
5225 - 10th St.
SQ. FEET PRICE
MAIN OR UVING: $ 50.00
OTHER AREA UNDER ROOF: 480 $ 25.00
OTHER: - $ -
VALUATION $ 12,000.00
FEE SHEET $ 90.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 135.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 135.00
ELECTRICAL: $ 35.00
PLUMBING:
MECHANICAL:
RADON: $ 4.80
TOTAL $ 174.80
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
WATER METER: I $
IRRIGATION METER $
SIPS:I $
97.5% $
2.5% $
- I
174.80 ~
- I
I
174.80 I
SUB-TOTAL $
T IF'S :1 $
99% $
1% $
TOTAL: $