HomeMy WebLinkAbout03-2417
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2417
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Sq. Feet:
Cost:
Amount Paid:
Address: 5604 16TH ST
GENERAL BUILDING PERMIT ZEPHYRHILLS, FL.
ELECTRIC SERVICE REPLACEMENT Township: Range:
NOT APPLICABLE Lot(s): Block: Section:
Est. Value: Book: Page:
Total Fees: Subdivision: CITY OF ZEPHYRHILLS
35.00 Date Paid: Parcel Number:
Name: REESE ELEC.
Addr: 5419 9TH ST.
ZEPHYRHILLS,FL. 33542
Phone: (813)997-4374 . Lic:
Work Desc: SERVICE UPGRADE
O'CONNER RI
5604 16TH ST
ZEPHYRHILLS, FL. 33542
Phone:
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PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL MISC MISC. MISC.
INSULATION CEILING MISC. MISC. MISC.
DRIVEWAY . MISC. , MISC. FIRE DEPT. FINAL
I.
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
. The payment of inspection fees shall be made before any further permits will be issued to the person owning same
r-Hi'warnlng'toowner: Your failure to record a notice of commencement may result in your paying twice for
I improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
i.J!.eforc:!.!~~~~~!~9. your notice of commencement." .._.. . .______
I
NO OCCUPANCY BEFORE C.O.
-~
--'-~~~~E--~ PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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(WINEJR I 8 HM1EJ___'S~~~~~._~~V\.~_'.::________________.___.______._ PHONE! CON'l'AC!'~'_______.c_u.~.__"-
,JOB e I'l'Bl ADDRESS --u.$~Ql:L...lk~?~____._-:;?~hlcll~_...Jq -.-----~-----.----_______n 'n _h_n .
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUII,DIN(~ nBJPARTMEN'r 5335 8th S'fRl!JBI'r ZIllPH'iRHII.I,S, P'L 33540
PhoneI813-780-~020 raxI813-780-0021
IJA'rB1 RB(~1Il1VIllO ~___ "_,~ . m__
PI,ANS R!lIVIBIW 118lll___._ ___. L
IJEJ(]AL ))BlSUR T P'I' ION: LOT (S)
BI,OC!K
SUBDIVISION
w__..___~._._..~.___.____
.-....... '-_._--_.,--~-_..-._._....._-~- .-....-.---.-
P ARC!PJI, I U 1*_ .__LL:. ?- ~::-._~S.:...QQ.\_Q-=_ll.1iQQ~C?~~~___~.~~TA_'~~__~'.ROM .!.~~~~R':_~_.'I~~__~~1~~.CEl_~._
WURK PROPSIllD I [JNBlW !.'oNs'rRUCTION [J Af)[)I'rIdN ~ERAtrroN [J REPAIR [J IN8T1U,I,
[) S IGN
PRt)l.lOSEn USE: I [~FAMILY DWELlJIlK,J
o MOVE
[] DE~101,ISII
[lt1UW'I - FAHrr.v
0# OF UNITS
[] SWH1MING POUL
[J MOBII.El Hot1Bl
[J cm1MHlRC,! IAI,
[] INDUSTRIAL
I.J OTHIllR
IlBlSCRIP'l'ION OF t'lORK
o Rel8TAlJRANT & HE:Al,TH DBlPARTt.1E:NT APPROVAL
___~:"c...~~!-.. "v~~_____________.. ._____._____"______._.__.__
BUII.nrWl SIZE:
._-------+--------
SQUARE FOOTAGE:
HEl1l1HT
RBlBIDElNTI1\J'1
cm1MBlRCI1\JJ I
A'r'rACH (2) pr,oT PlJAllS & (2) SElTS OF BtJI!,IJING PLANS &. (1) BElT ENElRO'x' FDRt18,
A'r'liACH (J) SElTS OF BU!LfJING PLANS &. (1) SElT ENHlR(~Y FORMS,
PROPERTY SURVEY RElQUIRElD FOR ALL NEW CONSTRUCTION.
~ERMITS REQUESTED
L1 BlnI.IJINn
[~BJC'I'RICAll
$-----------.___ VALUATION OF TOTAL CONS'rRtJc'rION
--J._iQ___--'- AMP ~E1RVICEl ~RIDA POWElR [J W, R , EJ . n .
[] PI,tlt1BING
[J J.1 BJCH AN Il!Af,
,
$.---..------ VAI,UATION OF t1ECHANCIAI. INs'rA,LIJATTON
[J GAS
r:J ROOFIlm
[J 8I?ElCJ!AI/fY
[) OTHElR
TYPE OP' CONSTRue'froN: [J BLOCK
o FRANE
[] STEEll,
[J OTHElR
FINISHEllJ Ff,OOR ElI,EVATION8
IS PRO,fElC'f IN FI,OOf) ZONE AREA n YES
Ll NO
BUILn8lR
*" **" * ** * * * * * * *"" * * * ** * *" *" *" * ** *" * * * * * * * *" * ** * * * *" * * * * *" * * ** * ** * *
l!ot1PANY ___._______.__ ---__._.u__..__.._.__.., __.__._. ___.__..
STATE CElRT OR REJrJIS'I' # .._______ ._.__u..____. __h' .___
CITY PROCElSS ING L. __________..._____._.._..._.________
81rJNATUREI
--~-------~._.~-.._----...:-_---~._---_._-------
B1UIO'rRICIAll
8 J (~lIA'I'lJREJ ~~~_~______._______
*'**'*"**'**'**'****'********"*****"*'*****'**"******1****1**1'**
COf-1PANY ---dk~-~!.-- ~L~f.~.~c.:J__._____.__._ ____
STATE CERT OR REGIS'!' #
CITY PROCESS INl3 ~__.Ly_~~-~~~:=:~=='~~-=~'~~':-.~~~=:
PI,UMBBlR
------~----_.~~------...... ._._-~------
(~OMPANY---.----_,__..__,--_____.._____....__.._. ___. . ..__._______
STATE CEJR'l' OR REGIST # __________.._____.._____.
CITY PROCESSING #
SWNATlJREl
MBlC!HANI CAr.
******'************************"*********************"*******"***'
----..-- ..-- ..-----___.___ __.__u._.__________~_.._..._
-----------------...---.-.---...----
COlvIPANY __________.__.__._ .__._________. ...____.. ___
STATE (!IllRT OR REGrST # ____.________________.______._.
CITY PRUCESSING #
8WNA'l'tJRBl
***********************************************"*****************
--------------------...-,.-----
OTHBlR
S WllATtJRE:
--..-----.-..------
Cot,1PANY
STATl!J CErnT OR MGISTr-------.---------.--.---. --._-
CITY PROCESSING # ------------....----________
-_.,-"'"-------_.,.------~-_.---._---
***********************************************************~*****
-~----~- .._._.._._------~----.._...._.,_._.._~_.._---
CONDI'l'IONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands thqt this perroi t may be subject to "deed restrictions" \^lhich
m~y be more restrictive than City regulations. The undersigned assumes res~onsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED (~ON'l'RAC'l'ORS AND CON'l'RACTOR RESPONSIBILITIES
If the Ownel- 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 Ilut
l.icensed as required by law, both the ovmer and contractor may be cited for a misdemeanor
violation under state laH. If the owner or intended contractor are uncertain as to Vlhat
licensing requirements may apply for the intended work, they are advised to contact: the
City of Zephyrhills Building Department, 813-788-6611.
Furtbennon" it 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
vdll be responsible. If you, as the owner signs as the contractor, yQLi are indicating that
you, t'ather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that ms.y be an indics.tion that he 1s not properly lioensed and is
not entitled to permitting privileges in the City of Zephyrhllls.
C. 'l'RANSPOk'l'ATIOH IMPACT !fEES AND UTILITY CONNECTION FEES
D. CONS'rRIIC'l'UIOH LIEN LAW (CHAP'rER 713, FLORIDA STATUTES, AS AMENDED)
1 certify that I, the appllcant, have been provided with a copy of "Florida's Construction
li.en Law -- Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affainl. If the applicant is someone other that the "owner", I cerliy that I
have obtained a copy of the above described document and promise in good falth to deliver
it to the "owner" prior to cOllUTlencement.
E:. CON'rRACToR' S/OWNER' S AFFIDAVI'l'
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 constt'uction, zoning, and land
development.
Applioation is hereby made to obtain a permj t to do work and installation as indicated. 1
certify that no Hork or installation has cOllUTlenced 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 jllrisdiction. 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 IIlllSt take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Bensttive
Lands, Water/Wastewater 'rreatment
*Southwest Wlorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Vepartment of Health IX Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*u.S. Environmental Protection Agency-Asbe~tos 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 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 tile technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, oon~tructionr or violations of any oode. Ev&ry p~rmit
iSfju(:ld shall become invalid unless th~ work authorized by such permit is oOllunenced within
slx months of issuance, or if work authorized by the perrolt is suspended or abandol!Cid for a
period of sl.. months after the time the work is cOllUTlenced. One 90 day eKtension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
ill writing to the Building Official. An approved inspection must be logged during each siK
month period, or the pr'oject Vlill be considered abandoned.
WARNING TO OWNER; YOUR FAILURE TO RECORD A NO'rICE OF COMMENCEMENT MAY RESUL'l' IN YOUR
PAYING TWICE li'OR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANqINq,CQN~UL'r
WITH YOUR LENDER OR AN A'I"rORNEY BEH'ORE RECORDING YOUR NOTICE OF COMMENCEMEN'r. JOBS UNDER
$2,500 IN VALUE DO NO'l' NEED TO RECORD AND POS'l' A "NO'l'ICE OF COMMENCEMEN'r/.
SIGNATURE: CONTRACTOR
SIGNA'l'URE: OWNER OR AGENT
S'rA'l'E OF FLORIDA
COUNTY OE' _____.
The foregoing instrument was acknowledged
Before lIle this _.__ day of __, 19_
by__..__.. ______.
(wame of person acknowledged)
Dwho is personally known to me, or
STA'I'E OF FLORIDA
COUN'ry OF
'I'he foregoing instrument w~s acknovlledged
Before me this ..---J'jay of-----, 19...:..._
by __
(name of person acknowledg~d)
[1ho is personally known to me, or
o who has produoed
(type
and whoL] did Ddid not
of identification)
take an oath.
Dwho has produced .
(type of identifioation)
and Vlho Ddid [}Ud not t,ake an oiilth
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Harne typed, printed or stamped
Harne typed, printed or stamped