HomeMy WebLinkAbout03-2498
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2498
Permit Number: 2498
Permit Type: DEMOLITION
Class of Work: 636-DEMOLlTION
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 11/07/2003
Total Fees: 75.00
I Amount Paid: 75.00
i Date Paid: 11/07/2003
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: Work Desc: DEMOLITION OF SFD
Address: 39027 6TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
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Name: ELZIE DEES
Address: 39027 6TH AVE
ZEPHYRHILLS, FL. 33542
Phone:
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REINSPEcrfoNFEES: When extra inspection trips are necessary dueto 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 b~fore any furt~er permits willbe issued to tb~ person own!rl9 same ____
"Warning to-owner: Your fa iIure-to- record a notice of conimenceme-nfmay resu-It 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."
----- -- ----Co-mplete Plans~--SpecifjcaHons and Fee-Mu5t Accompan\lApplication.
AIL",,~~~shall~E!_perf()"ITIecIJ~1 acC()~dcmce witb City Codes and ()rdinan<:E!~_
NO OCCUPANCY BEFORE C.O.
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1t>(~~RSiGNATURE- -~MIT OFFI
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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 ~;'~ /O~
DATE RECEIVED -~
PLANS REVIEW FE -
OWNER' S NA~1E tEI),/ $- j). 1Jff#' S
I
JOB ADDRESS ..h~l 7 ,.,~ A t,..c.e.-
2..e1~""II.(' f ~
PHONE )J~-lfY-~i'l
J 5 YY'fJ
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # /)... ~,~, cpc9'J..4- cPtPJ4ef) (p~{(()
(OBTAIN FROM PROPERTY TAX NOTICE)
DSIGN
o MOVE
DALTERAT ION
~MOLISH
o REPAIR
o INSTALL
WORK PROPSED: 0 NEW CONSTRUCT ION
o ADDI TION
PROPOSED USE: DSGL FAMILY DWELLING
DCOMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# Of UNITS
o SWIMMING POOL
o ~10BILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~LJf{ J~dJ'l1,i (G/~t.c;l
+
BUILDING SIZE SQUARE FOOTAGE I ~o:;;P
,...
HEIGHT lfi-~
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 REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRA!1E
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
SIGNATURE
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COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
BUILDER
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SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
ELECTRICIAN
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PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
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SIGNATURE
Cm1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
OTHER
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A. NOTJCR OF DEED RESTRICTIONS
The undersigned undersl~ands that this permit may be subjecl' to "deed restrict,Lons" which
may he more restrictive than City regulations. The undersigned assumes responsibility for
compliance \'lith any appLicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
[f tile 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 wh3t
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 app.1ication for \vhich they
will be responsible. If you, as the owner sign~ 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 indi,c,J.t~ioll 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 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 COMnencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in this application is
be done in c:ompliance \'lith all ,applicable laws regulating
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, zonin'J regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
tile 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 ane! Environmentally Sensitive
Lands, Water/Wastewater Treatment
'Southwest f'lorida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*l\rmy Corps of Engineers-Seawalls, Docks, Navigable WatenoJays
*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 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 commenced. One 90 day extension of time
may be allowed for the pe~mit with fee charge of $15.00. The extension shall be requested
in writillg to the Building Official. An approved inspection must be 10'Jged 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".
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SIGNATU ,: 0 R OR AGENT
STATE OF FLORld5A""-j , ~
COUNTY OF /.~~::/ ~0
The fo~eCjoing ins rument was acknowledged
Before me this 1/1 day of It) () vi , 20~ "':3
by F ~ . _roe; .
(name of person acknowledged)
Owho is personally known to me, or
accurate and that all work will
construction, zoning, and land
SIGNATURE:
CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregojng instrument was
Before me this _day of
acknowledged
, 20
by
(name of person acknowledged)
Dvho is personally known to me, or
~;;~ has produced /0. f)L :7j2.tJO--;Li)t/-'1'1./ff}~-cSJ who has produced
. -- ."..-. . (type of identification)
and,.. .Wh... "C:dic1) ~di~ n9t, I,.~J~" O}t~/
!, ~~- l{~J 4J<;&!(M. ,
Signature of person taking acknowledgement
and 'tlho 0 did
(type of identification)
O:lid not take an oath
Signature of person taking acknowledgment
...\\'S..~''J,'''' I
!':i1' Bobbuo !:w9lland
Name~' i~ ~~G.Qt.1MI5sJOt4ltCC!S~l/?Xl'~S
- '. '1~~.......jj~. February 22, 2004
. !If, ,r,i.. ,JONDED THRU TROY FAIN INSURANC~ INC
Name typed, printed or stamped