HomeMy WebLinkAbout03-2415
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2415
2415
Permit Type: ALUMINUM
Class of Work: CARPORT
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 1,320.00 Total Fees:
Amount Paid: 63.00 Date Paid:
Address: 5622 RHONDA COURT
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: SUNSET ESTATES
Parcel Number: 12-26-21-0310-00000-0690
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REINsPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasOns, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
-"Warning to owner: . Your failure to-record a notice of commencement may result in your paying twice for --.
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
befo!~_recording your notice of commencement." . ~.
NO OCCUPANCY BEFORE c.o.
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I ~~-;t:Cfo~hLiRE -- PERMIT OFFI
I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th S.treet, Zephyrhills, F.L 33542
813-780-0020 FAX: 813-780-0021 '0/7 !o <
DATE RECEIVED IJ, ~I _
PLANS REVIEW FEE
(~-J!1~J 10/7
OWNER'S NAME~e~ Brock
JOB ADDRESS 5Co ~ ~ gnond~ et-:
PA-$LD Pf"R""lf S€RVlC-e
PHONE 1-'8(0&- 8;2Y -7 gCft./
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDI VI S ION Sun c;e. t- E ~ t-CLt-~ c;.
PARCEL ID # L~-;l.G,-~'-O~IO-OcoaJ-O(d=10
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ONEW CONSTRUCTION
OSIGN
PROPOSED USE: ~GL FAMILY DWELLING
OCOMMERCIAL
J8:l..ADDIT ION
o MOVE
OALTERATION
o REPAIR
o INSTALL
o DEMOLISH
OMULTI - FAMIL Y
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o ~10B I LE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK AlUV\ll;v\ulN'L C::t..rport- in I'so~bt-e:.rs.
BUILDING SIZE I D X ~O SQUARE FOOTAGE 3co HEIGHT -See.. p1a.~
RESIDENTIAL:
cm1MERCIAL:
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.
~UILDING
PERMITS REQUESTED
$ 13:.m.ro
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o
W. R. E, .c-:"-~.~
"..,/ ,
/'
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{pl$'/
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATI
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS' PROJECT IN FLOOD ZONE: AREAO YES
o NO
SIGNATURE
~~
(' . ptZ.1J.. Cor rei CJ...;
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COMPANY SUI") s-kJ-~ ~lIl1AA.'~tH"",-,
STATE CERT OR REGIST #
CITY PROCESSING #
BUILDER
ELECTRICIAN
Cm1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***************************t**************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*******************************************************~-*********
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*********************************************************~*******
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 foe
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, 813-780-0020.
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 work. If the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
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 GuideP 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 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 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 conunenced 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 Service~, 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 conunenced. 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 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~~ SJ("fl~~
STATE OF FLORIDA ~ STATE OF FLORIDA
COUNTY OF ,a..5to COUNTY OF 'R.o SoU)
The foregoing instrument was acknowledged The foregoing instrument was acknowledged
BeforE}-\lle this cD~ day ofD~i-v\oer-, 2003 Before ~. this ~day of-Gt,~b'r , 20 Q3
b Y ~u...t (" I"Y' (" ei a.... by t12 u..A (' Drno I A..
1r (name of person acknowledged) ~ (name of person acknowledged)
~o is personally known to me, or ~is personally known to me, or
Dwho has produced
(type
Ddid not
Dwho has produced
(type of identification)
O:Ud not take
Name
,,'I.\i~~~" Suzanne Bahr
t d .::'#.k~~ulllllli~~iwtDDWI31
ype '~~ \.:):"" x~fres~ ~If5', 006
-:",.,;;. . . 'c':#'/ Bonded Thru
"'III~~;r;;\\\ Atlantic Bonding Co., Inc.
Name typed,
"'''''' Suzanne Bahr
..' 9V/:)~/
pr inteif".'.... ..~~t !;~IOn #UU 1:> 1131
::*:~. ;*.:: ExpIres: Nov 15,2006
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",,,,,,, AtlantIC Bondmg Co., Inc.