HomeMy WebLinkAbout03-2411
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2411
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:
Address: 37839 54 WEST
ELECTRICAL SERVICE CHANGE i ZEPHYRHILLS, FL.
ELECTRIC SERVICE REPLACEMENT Township: Range: Book:
NOT APPLICABLE Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0100-12600-0030
10/10/2003
35.00
35.00
10/10/2003 Phone:
UPGRADE EXISTING SERVICE & INSTALL NEW SUBPANEL & REPAIR ALL ELECTRIC
Name: GOSS, JAMES ~
Address: 37839 54 WEST ~ '
ZEPHYRHILLS, FL. 33542
(0/31 (03
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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
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
_I~~ payment of inspectio~fees shall bE:! made before any furt~er permits will be issLJed 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
_lJ..efo,!!_recording. your no~ce of coml11encement." _. ... . ._____.~
Complete Plans, Specifications and Fee Must Accompany-Application..----
____ .._~___ __ AII~.<?Ek shalLbe performed in accordance with City Codes and Orl:linal"!.~~
NO OCCUPANCY BEFORE C.O.
~I^IA__. ~
V ~~-dRSIGNATD'RE - PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUUDING DBlPARTMElN'r 5335 sth S'rRElBJ'r ZHlPHYRHILI.S, P'L 33S40
PhonerS13-780-Q020 'axr813-780-0021
UA'rm RII<1BlIVSJD -..!E"'~(!Z:-.~
PI,ANB RlllVIIllW Jl'BI......""__.. Lf______..
UWNER I 8 HM1El_.__~ ~~!~___Go,_c; _._.___________...___________.________ PHONEl CON'l'1\C'!T..._____c...;:._ __._~
.JOB SITE! ADDRBJ88.3.=t~3 ~.-.--~-5!-\--~-.---~~>.a'\J~L~. ____.____._.__.___._..__ .'_..
IJB!rJJ\L UBJBeR T PT tOil I LOT (8)
BIJOCK
SUBDIVIS JOH
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PARUElIJ ID 11_.IO-~I.-~\. O~O~..:"_)')-bOO'" ClO3o
WURK PROPSBllJ I []NBlW CONSTRUCTION [J ArlDI'rION
~rElRA'I'ION
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(OBTAIN FROM PROPEJR'l'Y II'1\}{ NOTWBl)
L1 RFJPAIR
[) INSTAl.!.
[JSH3lT
o MOVE:
o DElMOI,I811
PROI:JU8Ell UBE I [Jsm, FAMIfJY DWELI,Ilm
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[J# UF ONITS
[]SW1t1MING poor..
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D REl8'fAlJRAN'r & HElAlml DHlPART~1ElN'r APPROVAL,
Vh"..Je.
IlElSCRIPTION OF !'10RK --~uto~E~ ~J u.,4l--t~~t...JL_""~__~y..k_~~~.-.&f.aiQq~ ~\
e=1eCC""
BUH,THW! 9UEl ______._______ SQUAREl FOOTAC1E __.~_____~~ IIBlIGU'r __.___..~__..___
RBlBIDElNTIAIJ I
COl\1MBlIWIAIJ I
A'I"rACH (2) PI,OT PIJAHS & (2) SElTS OF BtJII,DING PI.ANS & (1) 8E11r E1NElRr~i' FORMS.
A'l'tJ\C!H (3) sE'rs OF BUiLDING PLANS & (1) SEl'r ENElRC1Y FORMS,
PROPERTY SURVBlY RElQUIREJD FOR ALL NEW CONSTRUCTION.
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RERMITS RBlQ'QBlSTBlD
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$---------.-' VALUATION OF TOTAL CONSTRUCTION
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. VALUATION OF ttlElCHANCIAI, U1STALI,ATTON
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L1 ROOFING
[] SPElOIAUry
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1"iPHl OF CON8'I'RUClTION: [J BLOCK
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FINISHEIJ FI,()OR mIJElVATIONS
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IS PROlTElCT IN FIJoon ZOllEl ARElA [] YElS
o Nu
BUILI1B1R
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C'ottlP ANY ____..n_____._..____~_____.__...__..__.. _________..... .__
STATE CElR1' OR RElGIS'I' # ._._.__.___......_._._.____..,_.____._____
CITY PROCB1SSING L.--.-____.._______..u_....._._...___..
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B1t.11ldTRICIAH
S] mTATUREJ _~.~\I'\-..~_____.__.. ____ _____
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cm1PANY -..G.~k-_\i::\t..c...~.~__.._._.__..____ _.__
STATE CERT OR RElCHST 1t_._~~_~Jc>.~_~1.~_..___._.___.
CITY PROC88S1NG It I
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COMPANY --.-_.__~.__________._____...__.._____....____.______
STATE CElR'l' OR RElGIST It _.___~___._._.__'".
CITY PROCE8SING It
8Ic1NA'l'tJREl
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COlvl P ANY ____.____.______.._ _.__.___.____. __._.__ _____
STATE (IEJRT OR REG I ST It
CITY PROCESSING #
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SIC.~NA'l'tJREl
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OTlUlIR
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C~mIIPANY
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STATE CERT OR REGIST #
CITY PROCB188ING #
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CONDI'nONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands thijt this permit may be subject to "deed restrictionsH Wllicll
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED C;ON'l'RAC'l'ORS AND CON'l'RAC'l'OR RESPONSIBIJ.I'l'IES
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 reg\!lations. If the contractor is not
licensed as required by law, both the ovmer and contractor may be cited for a mi.sdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
li censing requirements may apply for the intended work, they are advised to aontaot the
city of Zephydlills Building Department, 81.3-788-6611.
Furthennore, if the owner has hired a contractor or contractors, he is advised to have the
contractor (s) si gn portions of the "Contractor Sections" of this appli,cation for Hhich they
will be responsible. If you, as the owner signs as the contractor, YQij are indicating that
you, I:ather than the contractor, are responsible for the work. If the contractor Hishes
you to sign as contractor that may be an indication that he is not properly licensed alld is
not entitled to permitting privil~ges in the City of Zephyrhills.
C. 'I'RANSI?OR'l'ATION IMPACT FEES AND U'I'Ul'I'Y CONNECTION FEES
D. CONS'I1RlIC'l'lJION I,IEN LAlli (CllAP'l'ER 'Jl3, FLORIDA STA'l'UTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
1 ten Law - Homeowner's Protection Guide" prepared by the Florida Depa.t'tmellt of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
}lave obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRAC'l'OR' a/OWNER' a AffFIDAVI'l'
I certify that all the information in this application is accurate and tllat all work will
be done in compliance with all appU.cable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indioated. I
certify that no Hork or installation 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 tile jurisdiction. J also
certify that I understand that thl? regulations of other governmental agenaies 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 tOI *Department of
Envirollmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensltive
Landa, Water/WasteHater Treatment .
*Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Departlllent of Health & Rehabilitative Services, Environmental Health !Jnit-WeLls,
Wastewater Treatment, Septic Tanks
*U.8. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone ~AH or "A,etc.H, it is
undeJ:.stood that a dralnage 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 Hork and not as
authori ty to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Of:J;icial from thereafter requlring a
cor~ectlon of errors in plans, con~truction, or vio~ations of any oode. Every pe~mit
ia~ued shall become invalid unleas the work authorized by such permit is OOlllfllenced Hithin
slx months of issuance, or if work authorized by the permlt is suspended or abandoqed 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 extellsion shall be tequested
in vlri ting to the Bulld1.ng Official. An approved inspection must be logged during each' six
month period, or the project wlll be considered abandoned.
WARNING TO OWNElRI YOUR FAILURE '1'0 RECORD A NOTICE OF COMMENCEMENT MAY RESUL'I' IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN ffINANqrNq, ~qN~ULT
WITH YOUR LENDER OR AN A'I"l'ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN'l'. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POS'!' A "NO'I'ICE Off COMMENCH'.MEN'I1If.
SlGNA'l'URE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF ffLORTDA
COUNTY OF
The foregoing instrument was
Before llIe this ___ day of
by.
acknowledged
, 19_
STA'l'E OF FLORIDA
COUWl'Y OF
'l'he foregoing instrument WillS acknowledged
Before me this -------1iay of--, 19 ~..:.._
by ___
(name of person acknowledged)
C1ho is personally known to me, or
Owho has produced
(type of identification)
and who Ddid D.Ud not t,ake an oath
(name of person acknowledged)
Owho is personally known to me, or
Owho has produced
(type
and who[] did Ddid not
of identification)
take an oath.
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, pri.nted or stamped
Name typed, printed or stamped