HomeMy WebLinkAbout03-2476
CITY OF ZEPHYRHlllS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2476
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:
2476
MECHANICAL
NC CHANGEOUT
NOT APPLICABLE
Address: 5401 9TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
1,500.00
11/05/2003
40,00
40,00
11/05/2003
CHANGE OUT
Name: PANZER FRANCIS
Address: 5401 9TH ST
ZEPHYRHILLS, FL. 33542
Phone:
I .... .....L_____________ ..___
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
nnb~f~_rt:!_~ecording your notice of commencement. "
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Cod~~~.!l~_Q~~lna~~~ . . . .._n_______________
NO OCCUPANCY BEFORE C.O.
- ---------
~-:J ~ &-e-~
N' -- ~N~RE PERM~
. CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhi11s, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECE IVED-
PLANS REVIEW FEE
OWNER'S NAME ,~HC:C'C ~2-c"L-
JOB ADDRES5'L/O{ ~ q.ft. ..57
PHONE
?~7- )/0 VI'
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
Q1(l,T E RATl ON
o REPAIR
o INSTALL
oSIGN
o MOVE
o DEMOLISH
oCOMMERCIAL
oMULTI-FAMILY
o INDUSTRIAL
0# Of UNITS
o SWU1MING POOL
o t10BILE HOME
o OTHER
PROPOSED USE: oSGL FAMILY DWELLING
DESCRIPTION OF WORK
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
/t!& L~7 /?OY( .
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDF:NTIAL:
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 REQUESTED
o BUILDING
$
VALUATION Of TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R,F"C,
o PLUMBING
~ECHANICAL
$
-r.;f
. <)t' () ".
~I u . .-
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCT ION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAo YES
o NO
~ONT~~i~"".
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
********************************~******************-k**************
ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
SIGNATURE
COt1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
********************************************~*~*~~*:*****
COMPANY "C
STATE CERT OR REGIST # O/../J c; y.?,> /
/
CITY PROCESSING #
MECHANICAL
****************************************************************
OTHER
COt1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
A. UUrICF: OF DEED RF~STPJCTIONS
The undersigned 11nderstands 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,
R, 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 or Zephyrhills Building Department, 813-780-0020.
Furthennore, if the owner has hired a contractor or contractors, he is advised to have the
cOlltractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as tile contractor, you are indicating that
you, ratller 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 pri~ileges 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
Jiell Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs, If the applicant is someone other that the "owner", I cerify that I
have obtailled a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to co~nencement,
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,
Applicatioll is hereby made to obtain a permit to do work and installation as indicated, I
r:ertify 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 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
Environmelltal 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 Unjt-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 shaI I become invalid unless the work authorized by such permit is comrnenced ,,~i thin
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 commenced. One 90 day extension 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 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 FIUANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT, JOBS UNDER
$2,500 IN VnLUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT",
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Refor:e me this _ day of
by
acknowledged
, 20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
, 20
(name of person acknowledged)
owho is personally known to me, or
(name of person acknowledged)
Ovho is personally known to me, or
o who has produced
(type
and whoo did 0 did not
of identification)
take an oath.
owho has produced
(type of identification)
and who odid D:iid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
?
,. .}.
:; JUIIOIIIIIIIA_Z
,
. ";. Heating & Coolir-g Contractor
li~ ~:5.-=-
. .~ I _~e5 c.....act has been .......reeI for:
ftllr. f ranees fm!
~ SO, .!l.th Stre;t
ZesH~]~~:! 1
SeD!~: J .Ini)1 t! 'rr', MldeZ Heating and COOling COI1tractor, after close
examination of 1 t I ~ ~(Ife Ii$ted address. agrees to provide a complete
char.ge out (.1' e: ~i.t 9 .Jnrt and completely :nstall a .L~ TON HEAT PUMP
SmDIL that wi I )t :if'd into the existing electrical and copper lines. This
serv; ce witl a $0 r :'1 idE' S(lme minor dUct modification.
-;TOtaJ cost .'let E .11 1.ite is J 1500.00 To bE paid upon completion or
coni ract.
~ - '. -...
.-. - . -..'.
*Thc~e ate n:> h d (1,: I (i)SItS or 5urchqes this pricing Includes all parts,
I;fbor and talces.
--------- ..
_..--~--- 4'
-- ----.
---- - .
x ..~
~ftAI~~iU ;-. - N4 CJWI1IE1t .JIJNKJln_~
J&61 ~ ( .; I 'U/V(; CONTRATOIi
I he rebJ aut rlOl j; lIe ,It/ove work to be pt'f" formed for the specified
con tracted . line 'l' !
p
X~, -
---~.-
P1fIltCes P~.er
4:1Z- w KnOIl.'1l10 f I. .
Fre. Eslimat s
fn."flll H 33&14 . z.p..."toilL~ OHicD: (813) 782-8428
24 "r, Emergency: (aU) ztt-1423
lie No, CA&Ollf251
'3-C3Gtj\;lHd3f-.lC
. Fn: (813) 884-1648
3:,>-j, j
B6L H99E1B
9r:50
;c :-" C
;IJ... 1':