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HomeMy WebLinkAbout03-2504 'r- i CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2504 Permit Number: Permit Type: Class of Work: Proposed Use: Sq. Feet: I Cost: i Amount Paid: 2504 Issued: 11/12/2003 GENERAL BUILDING PERMIT ADD/AL T COMMERCIAL NOT APPLICABLE Est. Value: Total Fees: Date Paid: Address: 6136 FT KING RD ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 1 Name: DON WARNER ELECTRIC INC 'Addr: 12241 GARDEN LAKE DRIVE ODESSA, FL 33556 Phone: ----Work-b~esc: Name: AMERICAN VET POST 550 Address: 6136 FT KING RD . ZEPHYRHILLS, FL. 33542 Lie: I Phone: ADD AtfDITIONAL CIRCUIT F-oFrcTIoo=-R BERTNtrSAR --------- f~5 (JA, p.lG:-P (7f~Rl ~ · (<gIJ) q~1- 31 d-O ffJ 1(J-/y-Cl3 2.:/ 2> G/{}~f'1. . (J 12/1'1!O, V( r H:JO ( I ",x P. l kr 1 PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER FINAL MECHANICAL FRAME i MISC SEWER I MISC INSULATION WALL J MISC MISC. i MISC. INSULATION CEILING MISC. MISC. i MISC. DRI."'EWAY__ __ __ ___ M~~~, . L~I.S~. LFIRE~~PT. FIN!,L_ ___ 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 "Wa-rnin!)to owner:Your-fclilureto record ii-notice-ofcommtmcemenfmay resulfin yourpaYlngtwTce-for- improvements to your property. If you intend to obtain financing, consult with your lender or an attorney . before ...~~ording your 110tice o!.c()mmencerllen!-=-u .. _____ NO OCCUPANCY BEFORE C.O. - .----- W - _ _ ---- -jz-:'- /c/3 ~ t/~---_. ------ ---- __ CONTRACTORS SIGNATURE PERMIT OFFI 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 DATE RECEIVED J~/I'7 /(J ~ PLANS REVIEW FEE' ,JOB ADDRESS Il-mel2-lCA--N Vel, .f1;.sr 5""5"0 ~/3(p n J41J~ kPHYfl,,#Il.-~S PHONE OWNER'S NAME Ft.,.. 3 ~Sl./:L- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION WORK PROPSED: 0 NEt') CONSTRUCT ION o ADDIT ION (OBTAIN FROM PROPERTY TAX NOTICE) DALTERAT ION 0 REPAIR ~lSTALL PARCEL 10 # o SIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DCOMMERCIAL D~1ULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o ~10BILE HOME o OTHER DESCRIPTION OF WORK D RESTAURANT & HEALTH DEPARTMENT APPROVAL A/){) .!1-t>/)lltONA-L 61t&/lrhl!.- ~L etJ./-IIJ/) Mil-. BUILDING SIZE SQUARE FOOTAGE 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 REQUESTED 0(, r; ; l~ ~RI~./ ~ D/C~>/ o BUILDING ~ELECTRICAL $ VALUATION OF TOTAL CONSTRUCTION /60 FLORIDA POWER o "'~\ AMP SERVICE o W.R.E. o OTHER H i ,j'f..,- ~/n 50 · / VALUATION OF MECHANCIAL INSTALLATIO,N i1 r . I , ; \ .~~....,,, ..\..........-....---.....-..-"......"'... o STEEL o OTHER o PLUMBING o MECHANICAL $ o GAS 0 ROOFING 0 SPECIALTY TYPE OF CONSTRUCTION: ~LOCK o FRAt1E FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO g9t4'R,~e,~,~ BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ********************************~****~*************k*k************ SIGNATURE ~~ COMPANY ,OOIJ bJA-~IJt..L ute.... STATE CERT OR REGIST # E.c,/ '3 () 0 I".g 7 CITY PROCESSING # ELECTRICIAN *******************************************************.*********** PLUMBER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***k************************************************************** SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # MECHANICAL ***************************************************************k* SIGNATURE Cm1PANY STATE CERT OR REGIST # CITY PROCESSING # OTHER *************************k*****~*********************k*********** A. NOTICS OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may he more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, tlley may be required to be licensed in accordance ,"Jith 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 violatjon under state law. If the owner or jntended contractor are uncertain as to what licensing requirements may apply for the intended I'lork, they are advised to contact the C:i. ty of Zepl1yrhills Bulldinq Department, 813-") 80-0020. Furthermore, if the owner lIas 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 l^lork. If the contractor wishes YOIl 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 liell Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture '3nd Cons'Jmer Affairs. If the applicant is someone other that the "OI-Iner", I cerify that I Ilave obtained a copy of the above described document and promise in good faith to deliver it to the "O\^1!ler" prior to comlnencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 1 certify that all the information in this application is be done in compliance with all applicable laws regulating development. Application is hereby made to obtain a permit to do work and installation as indicated. certify that no \--lork 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 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, vvetland Areas and Environmentally Sensi ti ve 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 tllat, 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 correctiofl 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 permit with fee charge of $15.00. The extension shall be requested in writing 1:0 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 Cm1MENCEt1ENT ~1AY 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". accurate and that all work will construction, zoning, and land I SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before 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) Dwho is personally known to me, or (name of person acknowledged) Diho is personally known to me, or Dwho has produced (type and whoD did Ddid not of identification) take an oath. Dwho has produced (type of identification) and who Ddid O:lid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped