HomeMy WebLinkAbout03-2524
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2524
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Sq. Feet:
Cost:
Amount Paid:
2524 Issued: 11/20/20031
GENERAL BUILDING PERMIT
ELECTRIC SERVICE/NEW I
RV PARK I
Est. Value: II
Total Fees: 35.00
Date Paid: (0' ~1.li
Address: 39532 AUGUSTA NATIONAL DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): 16 d- d-I Block: Section:
Book: Page:
Subdivision: MAJESTIC OAKS
Parcel Number:
Name: CRANDALL, RICHARD
Addr: 39514 LOUISE DR
Z.. E. ..PHYRHILLS, FL 33542 l
Phone: Lic: ER 0012910 Phone:
--~-Work-Desc: PEDESTAL'S FOR LOT 16 AND LOT 27
MAJESTIC OAKS
39532 AUGUSTA NATIONAL DR
ZEPHYRHILLS, FL. 33542
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PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL MISC MISC. MISC.
INSULATION CEILING MISC. MISC. MISC.
DRIVEWAY MISC. MISC. FIRE DEPT. FINAL
REINSPECllON FEES: When extra inspection--trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice-of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording yo~ notice of commencement."
I 4:1 l-. - _ V' ~ClCCUPANCYBEFOREC.O._~
I - ~RAt~Sj("~-'~IRE PERMIT OFFI
I CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
! PROTECT CARD FROM WEATHER
APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
7fO-;2~-(j
OWNER'S N
PHONE
JOB ADDRESS
/.... 0 re2 r
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction --Addition _Alteration _Repair _Install
_Sign
_Move
_Deaolish
PROPOSED USE: _Single Faaily
_M/F
_' of Units _M/H
_ec:-ercial
_Indust.
_Swia. Pool _Other
_Restaurant &: Health Departaent Approval
/J r ~. / / "7 /
DESCRIPTION OF WORK: /'..~?(..;:;..$ 7 If' L... 5 kJ -/1::-;'
Lt$') r ;... 7
BUILDING SIZE:
x
Square Feet,
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 REOUESTED
_BUILDING
L.ELECTRICAL
$
Valuation of Total Construction
AMP Service
yinorida Power Corp.
W.R.E.C.
_HECIIAlUCAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUTIllER COMPANY
State Cert. or Regist. .
Signature City License Registration .
***************************..-*,***********
S,t{ itA It /)
RT.RCTRICIAH COMPANY (';{!~.JI /JAL" rUcT/l/tAt. Ce.I;u"fA.
, . -,./J,:, J C'::- /). /' State Cert. or Regist. .
SilmAture If ~ 6...vt-;:'w'1/Y\.;..~' City License Registration . (;J ? a-
t . ******************************************
PLUMBER
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
..
HEGHANlCAL
COMPANY
State Cert. or Regist. I
City License Registration .
******************************************
Signature
OTRRR
COMPANY
State Cert. or Regist. I
City License Registration I
******************************************
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
Tbe undersigned understands tbat this perlit lay be subject to "deed restrictions" wbieb lilY be lOre restrictive than City
regulations. tbe undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake work, they lay 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 laY be
cited for a lisdeieanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents lay apply for the intended work, they are advised to contact tbe City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner bas bired a contractor or contractors, he is advised to bave the contractor(s) sign portions of the
"Contractor Sections" of this application for wbieb they will be responsible. If you, as the OlDer sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that lilY be an indication that be is not properly licensed and is not entitled to perlitting privileges in the
City of Zepbyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOII!OIIDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sDleQne other than the
"owner", I certify that I bave obtained a copy of the above described dOCUlent and prOllise in good faith to deliver it to the
"owner" prior to cDIIeDcelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforliltion in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developleDt.
Application is bereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation bas CDIIeDced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveIDIeDtal agencies lily apply to the intended wort, and that it is
IY responsibjlity to identify wbat actions I lust take to be in cOlpliance. Sucb agencies include but are not lilited to:
* DepartJent of EnviroDleDtal Regulation - Cypress Baybeads, Wetland Areas and EnviroDleDtally Sensitive Lands,
Water/Wastewater TreatleDt
* Southwest Florida Water HanageJeDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses
* AIIY Corps of Engineers - Seawalls, Docks, Mavigable Waterways
* DepartJent of Health & ~ebabilitative Services; EnvirODlental Health Unit - Wells, Vastewater treatJent, Septic tants
* US EnvirODlental Protection Agency - Asbestos abateJeDt
I also certify that, if fill laterial is to be used in Flood ZOne "All or "A, etc. ", it is understood that a drainage plan
addressing a .cOllpensating volUle" will be sublitted wbicb is prepared by a professional engineer registered in the State of
Florida prior to perlit. issuance.
A perlit issued sball be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent tbe Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every perlit issued sball beCOle invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of six IOnths after the tile the work is COlleJlced. One 90 day extension of tile, laY be
allowed for the perll-twith fee ebarge of $15.00. Tbe extension sball be requested in writing to the Building Official. An
approved inspection lUst be logged during eaeb six IOnth period, or the project will be considered abandoned.
WARMIMG TO OWlfER: YOUR FAILURE TO RECORD A MorICE OF COHHEIfCEJlElfT HAY RESULT IIf YOUR PAYIIfG !VICE FOR IHPROVEIIElfTS TO YOUR
PROPERTY. IF YOU IlfTEHD TO OBtAIM FIMAlfCIIfG, COISOtT WITH YOUR LBIIDER OR AM AnOIlRBY BBFORE RECORDIMG YOUR NOTICE OF
COMHEICBHBlfT. JOBS UNDBR $2,500 1M VALUE 00 MOT MEED TO RECORD AIID POST A "lforICE OF COHHEMCKHBlfT".
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/ S nURB: ~R OR AGBlfT
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, SIGIfATURB: COlfTRACTOR
STATE OF FLORIDA
COmy OF
The foregoing instrument was acknowledged
before me this , 19 by
-----
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC