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Home My WebLink About03-2515 . CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2515 . Permit Number: 2515 Issued: 11/17/2003 Permit Type: GENERAL BUILDING PERMIT Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 7,000.00 Total Fees: 137.501 Amount Paid: 137.50 Date Paid: 11/17/20031 Address: 38706 DAUGHTERY RD ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: HOMEOWNER Addr: I I I I Lie: L_ CLOSEING IN EXISTING CARPORT Name: JOSEPH JAKUBIK Address: 38706 DAUGHTERY RD ZEPHYRHILLS, FL. 33542 Phone: f~ ~ JJ-2-Ct-()3 ((LV CJ~/o~ . / rriD ( If r PRE-SLAB CONSTRUCTIONI 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, ! MISC, ' MISC, DRIVEWAY MISC, ! MISC, FIRE DEPT. FINAL . .-- ... __~.. _.._~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 -'iWarningto 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 _~_efore r~c:()rding your notice of commt!_ncement. " NO OCCUPANCY BEFORE C.O. ..~ PERM IT OFFI ALL FOR INS CTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FI" 33542 813-780-0020 FAX:813-780-0021 DATE RECE IVED II //3/ [) '3 PLANS REVIEW FEE I ~--_ OWNER'S NAME PHONE JOB ADDRESS .:3 F/ 7rJ r: 17 a u ./ ,/ T e Y' f l\''':' ./ I IV Z e.l ;,,' y' /:,', "I l /., . - '1' :;) jJ.yCJ -- ....." ,. LEGA.L DESCRIPTION: LOT (S) ,::; BLOCK PARCEL 10 # 35- (}j-:fI- 0010 - /~(.;, 000.00 d .sUBDIVISlO~(dUNTY 'j OJIl...s SCJt//1; (OBTAIN FROM PROPERTY TAX NOTICE) o SIGN PROPOSED USE:~SGL FAMILY DWELLING OCOMMERCIAL ~ ADDITION o MOVE OALTERAT ION o REPAIR o INSTALL WORK PROPSED: ONEW CONSTRUCTION o DEMOLISH OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL txl ~jJOBILE HOME 0' OTHER DESCRIPTION OF WORK (7 /X ..., I) / BUILDING SIZE 0 "... D RESTAURANT & HEALTH DEPARH1ENT APPROVAL '.. ~ C/o,<;e //1 e K "50'tI.} C <.'i y l~ Y I , SQUARE FOOTAGE (~:;) HEIGHT ."j I ,~-' RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS Of BUILDING PLANS & (1) SET ENERGY FORI'1S. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED !;8i BUILDING Jxt ELECTRICAL o PLUMBING $ ~O(iO, ()(I /;;0 , AMI:; SERVICE VALUATION OF TOTAL CONSTRUCTION ~ FLORIDA POWER [J W.R.E.C. o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK .!t FRAt-'IE o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO co .':tON ********************************~.****************~***** V / ELECTRICI~""~L '#'--;;~' I COMPANY C (. frlhl.L/J_/ STATE CERT OR REGIST # SIGNATURE .;' , CITY PROCESSING # V **********~**********************************~*~*******~********* COMPANY f) 4,11').ti-' STATE CERT OR REGIST # CITY PROCESSING # -- BUILDER "~/' SIGNATURE /, PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************~*************************************"~**k******* OTHER COt1PANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ********************************************~*********.~+********* l\. NOT ICE OF' DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" \^lhich may be more restrictille than City regu1.ations. The undersigned assumes responsibility for compliance 1<lith any appl icable deed restrictions. 8. 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 l'li th 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 lal". If the owner or intended contractor are uncertain as to what licerlsing 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 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 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 indication that he is not properly licensed and is not elltitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES 0, 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 Ilave obtained 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. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that rlo 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 tllat 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 and Environmentally Sensitive Lands, Water/Wastewater Treatment *Soutllwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Al t:ering Wa tercourses *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" wi.ll 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 allthority to violate, cancel, alter, or set aside any provisions of the technical codes, Ilor 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 sLlch permit is conunenced 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 conunenced. 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 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-r~DO IN VALUE DO NOT NEED TO RECORD AND POST A " OnCE OF C - ~MENCEr1 NT' . ~,' -.-----" Rzs.co Sly mTURE sjA'I'E Ot.' FLORIDA Q COUNTY OF m seo The foregoing instr:yment wa~/acknowledged Before me this ~day of /t/O//. , 20fl by (name of person acknowledged) o I^lho is personally known to me, or ~o has produced D L-. / F/ (type of identification) Ddid not take an oath. (name of person acknowledged) Qho is personally known to me, or ~o has produced r:j;). L. J rr . (type of identification) OEd not takE" an oath Name typed, person taking acknowledgement ,\'"'''' Suzanne Bahr " ~YPlJ8.'" ~~~'<f.'-_ Commi~~inn #nn 1 m 11 It~n ,~~~XpiMf'l~I:5, 2006 ....,~~ OF f~O~~'''''' Bonded Thru "" I \' \ A rlantic Bonding Co" Jnc, Name rson taking acknowledgment ,\'"'''' Suzanne Bahr " tJ'oYPI1IJ", . , 31 ,'.R.~.'_ CommlssloR #DD1S71 ty~, ' .,,~~~xplfE\;: R{;v ~5,<llOOOd "'~~ OF f~O~,,' Bonded ,Thru "" ,,,\' AtlantIC Bondmg Co" fnc, DISCLOSURE STATEMENT POR OWNER CITY OP ZEPHYRBILLS BUILDING DEPARTMENT I, :::::ros~h ra k. v.b, l<.. have read and fully understand and agree to t~ provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Pederal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Plorida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct P.LC.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. 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