HomeMy WebLinkAbout03-2425
CITY OF ZEPHYRHILLS
. 5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2425
Permit Number: 2425 Issued: 10/16/2003
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ELECTRIC SERVICE/NEW
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: Total Fees:
Amount Paid: 40.00 Date Paid:
Address: LOTS 75 & 76
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: MAJESTIC OAKS
Parcel Number:
Name: CRANDALL, RICHARD
Addr: 39514 LOUISE DR
ZEPHYRHILLS, FL 33542
Phone: Lic: ER 0012910
Work Desc: 2-PEDEST ALS
MAJESTIC OAKS
LOTS 75 & 76
ZEPHYRHILLS, FL. 33542
Phone:
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1 LU I
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB I DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER I I ~ISC
INSULATION WALL MISC MISC. MISC.
INSULATION CEILING I MISC. MISC. MISC.
DRIVEWAY .. MISC. MISC. 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 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 record_ing your notice of commencement. II
NO OCCUPANCY BEFORE C.O.
~~O~~E ~MITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAKE /iY jf-Cj kS 71 G
I
04ks
PHONE
OWNER'S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign
---Hove
_Deaolish
PROPOSED USE: _Single Faaily
_KIF
_' of Units _M/H
_~ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Department Approval
DESCRIPTION OF WORK: ~ fh~ ~l/ ?.s-+-- 7t
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL
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.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
~CHANICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BIITIDER
COMPANY
State Cert. or Regist. ,
City License Registration .
******************************************
Signature
ELECTRICIAN COMPANY ~{'/;rlI'1l C/~L( ffacf/<..t'~
~~ State Cert. or Regist. f
SitmAture 'V..d'tuul r;;~ City License Registration f 0' 7~
******************************************
PLUMBER COMPANY
State Cert. or Regist. .
Signature City License Registration .
******************************************
MECHANICAL COMPANY
State Cert. or Regist. .
Signature City License Registration .
************~*****************************
OTRRR COMPANY
State Cert. or Regist. f
Signature City License Registration f
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peIlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. rbe undersigned assUles responsibility for cOlpliance witb any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner haS hired a contractor or contractors to undertake work, they lay 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 ltay be
cited for a lisdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireaents lay apply for the intended work, they are advised to contact tbe City of Zephyrbills Building DepartJent, (813)
788-6611.
FurtherlOre, if the owner has bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
BContractor Sections" of this application for wbich they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, ratber than the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that laY be an indication that be is not properly licensed and is not entitled to peIlitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOIDer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is sOleone other than the
Bowner", I certify that I bave obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
"ownerB prior to cOlleDceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in tbis application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developaent.
Application is hereby lade to obtain a peIlit to do work and installation as indicated. I certify that no work or
installation bas cOlleDced prior to issuance of a peIlit and that all work will be perfoIJed to aeet standards of all laws
regulating construction, City codes, zoning regulations, and land developaent regulations in t4~ jurisdiction. I also
certify that I understand that the regulations of other goveI1llental agencies laY apply to the intended work, and that it is
IY responsibility to identify wbat actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
t DepartJent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater rreatlent
t Southwest Florida Water Manageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t AllY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t DepartJent of Health & Rebabilitative Services, EnvirODJeDtal Health Unit - Wells, Wastewater rreattent, Septic ranks
t US Environaental Protection Agency - Asbestos abateaent
I also certify tbat, if fill laterial is to be used in Flood ZOne "A" or "A,etc.", it is understood that a drainage plan
addressing a uCOlpeDsating volUle" will be sublitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
A perlit 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 sball is~uance of a peIlit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued sball becOle invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the peIlit is
suspended or abandoned for a period of six IOntha after the tile the work is c~ced. One 90 day extension of tile, lily be
allowed for tbe peIlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six lOoth period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHRNCEHENT HAY RESULT IN YOUR PAYING !VICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBrAIN FINAlfCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMENT".
,
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, . IIAIUIIE: 001II OR AGIIlI
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SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC