HomeMy WebLinkAbout03-2460
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2460
Permit Number: 2460 Issued: 10/29/2003
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 6,000.00 Total Fees: 60.00:
Amount Paid: 60.00 Date Paid: 10/29/20031
Address: 6618 NORTHLAKE DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: SILVER OAKS
Parcel Number:
Name: FREDERICK CONST OF TAMPA BAY
Addr: 33277 CORTEZ BLVD
DADE CITY, FL 33525
Phone: (352)583-3288 Lic: ,Phone:
Work Desc: REPLACE VINYL SIDING WITH BRICK VENEER
CONROY, RON
6618 NORTHLAKE DR
ZEPHYRHILLS, FL. 33542
r!~~ rr Yf/S-
11-/2-03
I 2 - tf - f) 1 c~ d'
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME MISC i SEWER MISC
INSULATION WALL MISC I MISC. MISC.
INSULATION CEILING MISC. i MISC. MISC.
DRIVEWAY MISC. I MISC. FIRE DEPT. FINAL
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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
The payment of inspecti~,':lfees shall be made before any further ~ermits will be issued to the personowning 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 recording l~ur notice of commencement."
NO OCCUPANCY BEFORE C.O.
----C?d /--;------ '1Z
./ '~~-~ ~
~.. -1L.J -:t<1 . - - .,----- ~
CONTRACTORS SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
11J--~9-u9
DATE RECEIVED
PLANS REVIEW FEE
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL ID # tJh?Jp ~\ 0\ So rt{J1) O~ ?JO
P HONE t\~ ' 1''0 ~.J tJ\q ~
~W~:;l
OWNER'S NAME
JOB ADDRESS
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: o NEW CONSTRUCTION o ADDITION ~ALTERATION o REPAIR o INSTALL
OSIGN o MOVE 0 DEMOLISH
PROPOSED USE: ~SGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
DESCRIPTION OF WORK
ee(
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
-~""""-"'-'-'.'.'-'"
'l!J BUILDING
0 ELECTRICAL
0 PLUMBING
0 MECHANICAL
$
woo. cD
--")
PLANS & (2) SETS OF BUILDING PLANS &.. (l)/st:-;rU' NERG\ FORMS.
OF BUILDING PLANS & (1) SET ENERGY F.?!3-M~;. '55~)
REQUIRED FOR ALL NEN CONSTRUCTION. (I.,i.L- f9 1,' ~
PERMITS REQUESTED // 0 ' ,. . g~~ r ;/
/ iflf,l/ QI,?lq~,~
VALUATION OF TOTAL CON$TRUCTI . a 11M' I ~ Iq /
\ aC~r /
o FLORIDA PO~R ~._ 0 ' w~../)
-----.- f ~ ~//---
VALUATION OF MECHANCIAL INSTALLATION , .'",,/,\
./,;::.> '1& 0
/..~~
'\
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT
ATTACH (3) SETS
PROPERTY SURVEY
AMP SERVICE
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
$
o GAS
o ROOFING
o SPECIALTY
o OT HER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE
o NO
SIGNATURE
.~.a:L~J~": ~
COMPANY
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
********************************************************~(*********
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
***********************~*****************************************
OTHER
Cm1PANY
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 for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIf.S
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 Guide" prepared by ttle 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 commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all ttle 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 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 the jurisdiction. I also
certify that I understand that the regulations of other govermnental 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 Services, 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 arId 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 b1 the permit is suspended or abandoned 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 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 RESUI,T 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".
U~~~~
SIGNATURE: CONTRACTOR
('.
e---- ~
SIGNATURE: OWNER OR AGENT
STATE OF FLORIDA 1/ . ~
COUNTY OF ~cL)
The foregoing ir rgment wajr)~c~n9Wledged
Befar me ~hi ~ay of f::!2 Wt:::Je./;' 20tC>.2
by
a owledged)
Owho is personally known to me, or
~ has produced H.o,It;;~~/;-k~..
type of identification)
not take an oath.
~.
~ho
name of person acknowledged)
is personally known to me, or
Jit)..int~U~d
io1 MY COMMISSION' DO 228542
. 0 . 0 0/ EXPIRES: July 1. 2007
,iH... IIGndecIThruNoWyNllc~
Owho has produced
(type of identification)
and?~o Odid Qiid not take an oath
1i~~~
Signature of person taking acknowledgment
-,
o QRIA BRAND
Name t "e MiOOMMlSSIO!'I~tiJ'
( '~~ EXPIRES: Sep 18,2004
U:CJ0.3-N~~~_~L~~~~' f!"n<lI~:;"':
Name ty
1111\11 \\1\1 1111\ 11I11 IIIII IIIII 1111111111 1111\ 1\11\ 11\\ \11\
2003201618
Rcpl: 728169 Rec: 6.00
OS: 0.00 IT: 0.00
10/28/03 _'__ Dpty Clerk
Key No.
Q~0W
Pennit No.
Y\O{ trJL
NOTICE OF COMMENCEMENT
County of
State of
1.
2.
State~ ~Wtli:
3.
R4
5.
city
State
6.
Lender: Name
Addres8
8.
Persons within the Slate of Florida designated by Owner upon whom notices or other docwnents may be
setved as prRfWed by Section 713.13(I)(a)(7), Florida Statutes:
Name ~ Ad<<ms City Stat
In addition to .......If, Owner d' tes ~ i.r~1 \l-'(... of .
to receive a copy of the Uenor'~tice as prOV1<M1 m ~tion 713. 13(1)(b), Bon latute!.
9, E..xpiration date of Notice of conunencement (the expiration date is 1 year from the date of recording unless
Signaru: ~=:(Z~.:: C ~ //2L~- ?,
111e foregoing it..trumenl; as .e1m ~Iedged befor.Gne this o?l1J day of htc,f)j1oi'j'~ '-~~
by 'I'll . -J ^ i' W 015 U persoMnY known to me or (V)
pr uce - ; ',..ft, (, < /-- as I en cab , /
L-- _ ,!) /{/ _-_, CARQL.ANNEMURPHY
L L- L L.-~' _____ J. ,C,/
7.
EXPIRES: July 1, 2007
60nded ThIll NoIilIY P\tJIIc lJnderwrIIels
i~~2~~~~MAr2 : ftS;o fOUNTJf CL1ERK
OR BK 5600 PG 251