HomeMy WebLinkAbout03-2279
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2279
Permit Number: 2279 Issued: 8/06/2003
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 500.00 Total Fees:
Amount Paid: -Date Paid:
Address: 5630 16TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name:
Addr:
Name: RODRIGUEZ JAVIER
Address: 5630 16TH ST
ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone:
Work Desc: MINI PORCH AND ALTERATION TO HOME
CONSTRUCTION POLE 2ND ROUGH PLUMB ' DUCTS INSULATED
PRE-METER WATER FINAL MECHANICAL
I MISC I SEWER , MISC
: MISC I MISC. I MISC.
I MI~C._ MISC. 'I MISC.
DRIVEWAY ~ 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 comme-ncement 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 recordin9. your notice of commencement. " ......~_. .._....___
~~SIGNAT ' E -- .
CALL FOR SPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
NO OCCUPANCY BEFORE C.O.
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em OF ~KPHYRHI1.LS BUILDING DRPARTHKHT
OWNER .. jCN I er- ~.t ,eL
......., 110 . I xfh ~1I("'>"\e+
JOB LOCATION lj\()0 J 1 \L.i- ,..)\.,l e
I i1 C
PARCEL I. D , ' # il llL-"! L.\ COI D I ; 1 CO C: \ 20
snow ALL EXISTDlG & PROFOSED STRUCTURES GIVING D.IlfKNSIORS << SETBACKS.
I~.~'
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
4~\
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & Z)
\'2U. SAd
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
la'
P E-
R X
0 I
10' p S 10'
0 T
S I
E N
D G
20'
1 0'
,--
la'
10' EXISTING 10'
1 0
PROPOSED
20'SGL FAM 30' DUPLEX
FRONT PROPERTY LINE
FRONT PROPEIlTY LJ:NE
C;f-PN fi.CL-
,b)() L L 4 S~
M1iti
/J
(cilLl-t /TV 1) r1i ~
SQ.FT
PRICE
lVlain
Other Area.
Under Roor
Valuarion:
Building:
-"250
J ,
Electric:
Plumbing:
Mechanical:
Radon.:
Scl1oo1Impacr
Fees:
Connection
Fees:
Tr.ws. Impact
Fees:
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
,---7, "I ~ l) :5
DATE RECEIVED Z>
PLANS REVIEW FEE
OWNER'S NAME~iff ~OdYi9U(?L.- PHONE C<6\3)~4'-1[J4lo
JOB ADDRESS.5i.o ~O llo-t!::\ ..3tr eet _
LEGAL. UESCRI PT ION: LOT (S) \'7- - \~.. \it - \ S BLOCK ~ SUBDIVI S lOl,1
PARCEL ID # lL.21Q_2..LQQJO 101eo 01 Q() IOBTAIN FROM PROPERTL..Tllli NOTICE}
WORK PROPSED: 0 NEW CONSTRUCTION
TXADDITIOtl
o ALTERATIOll
o REPAIR
lJ INSTALL
o SIGN
o !10VE
o DE~10LISH
PROPOSED USE: DSGL F'AMILY DWELLHIG
OCOM~1ERCIAL
oMULTI-FAMILY
o INDUSTRIAL
0# OF mUTS
OSWH1MHIG POOL
o t10BI LE H0I1E
~ OTHER
DESCRIPTION OF WORK
CJ RF,STAURAN'l'
M, f\\ QOf C'~
& HEALTH DEPARTt1ENT APPROVAL
BUILDING SIZE
In Wa:Q -home D.nc\ bIDc;I"/c.ollc(e;t~
() ~ )1 ")
SQUARE FOOTAGE '-'\ . ~~. HEIGH'!' <3'
la' , <il" _\~
PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FDRMS.
OF BUILDING PLANS & (1) SET ENERGY FORMS.
REQUIRED FOR ALL NEW COllSTRUCTICJt.].
. RES I DE:llT rAL:
cm1~1ERC I AL :
ATTACH (2) PLOT
ATTACH (3) SETS
PROPERTY SURVEY
~ BUILDING
o ELECTRICAL
$
5ClJc/)
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
A1vlP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLlJ!v1SH1G
o MECHAtlICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFH1G
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: Q{ BLOCK
~FINISHED FLOOR ELEVATlO!JS '
~ FRAt1E
>-.3TEEL
o OTHER
I S PROJECT I N FLOOD ZONE ARF,A 0 YES
~NO
BUILDER
~ ' /;j STATE CERT OR REGIST #
SH;UATlJR~ 'A'A.b1 /A.1tk 'r~ CITY PROCESSItW #
********:********~**J***************************J************J****
ELECTRICIAN
SIGllATlJRE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
***************************************************************k**
PLUMBER
cm1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHANICAL
******************************************************************
CO~1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*+****************~**********************************~***********
OTHER
Cm1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNI\1'URE
********~*********************~***********~******k****~***~******
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 Ivith any applicable deed restrictions.
B. Ul-lLICEHSED CONTRACTORS AtID COnTRACTOR RESI?ONSIBILITTE'.S
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance 1'liUl state and local regulations. If the contractor is !lot
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state 1al". If the owner or intended contractor are uncertain as to Itlhat
licensing requirements may apply for the intended work, they are advised to contact the
Ci ty of Zephyrhills Building Department, 813-780-0020.
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 \'lOrk. If the contractor Ivishes
you to sign as contractor that may be an indica~ion that he is not properly licensed and is
not elltitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION H1PACT FEES AND UTILITY COlINEC'I'10N fEES
D. CONSTRUCTUlON LIF,N LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided Itlith 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", T cerify that I
have obtained a copy of tile above described document 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 ihis 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 Ivork or installation has commenced prior to issuance of a permit and t.hat
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that tile regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to idelltify 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, jf 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 l'lhich
is prepared by a professional engineer registered in the State of Florida prior to permlt
issuance.
A permit issued shall be construed to be a liceHse to proceed with the work and not as
authority to violate, canuel., alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter rerluiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the I^lork authorized by such permit is commenced I-lithin
six months of issuance, or if Ivork authorized by the permit is suspended or abandoned for a
period of six months after the time the I'Tork 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 proj ect Ivil1 be considered abandoned.
WARNING TO OWNER: YOIJR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IH YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROI?ERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500. IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of , 20__
by __ _______
(name of person acknol-Iledged)
[1 Hho is personally knOlm to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this __.Jlay of-
by
acknowledged
, 2U
(name of person acknowledged)
Olho is personally known to me, or
o Ivho has produced
(type
and IvhoD dj d 0 did not
of identification)
take an oath.
o who has produced_
(type of identification)
and Ivho Ddid Qiie! not Lake an oath
Siynature of person taking acknowledgement
Signature of person taking acknOlvledgment-
Name typed, printed or stamped
Name typed, printed or stamped