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Home My WebLink About03-2529 " CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2529 Permit Number: Permit Type: Class of Work: Proposed Use: Sq. Feet: Cost: Amount Paid: 2529 Issued: 11/24/2003 GENERAL BUILDING PERMIT SLAB NOT APPLICABLE Est. Value: 300.00 Total Fees: 35.001 35.00 Date Paid: 11/24/200~ Address: 4839 6TH ST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: HARRY & MARIE MILLER 4839 6TH ST ZEPHYRHILLS, FL. 33542 Phone: 1 U 2ND ROUGH PLUMB DUCTS INSULATED I PRE-METER . WATER FINAL MECHANICAL MISC SEWER MISC INSULATION WALL MISC I MISC. MISC. I INSULATION CEILING I MISC. MISC. ! MISC. 'I DRIVEWAY .' ~!~~ ___ ...._ i MISC. i FIRE DEPT. FINAL REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a i 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 I I_The p~ymentqf ins!?_ecti~Lees _~ball ber1la~~~eforE!cmy further permits will be issued to the persoll 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 ._bef~re recordi!!~your_notic~of ~mm~ncelTl~nt. 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I , ,"I 1- ... /' CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8th St, Zephyrhills, FL :33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED PLANS REVIEW FEE OWNER'S NAME -Ha.( r ~ ~ M(]) (( e- fJl ( {{ ~ (- '--f~ 3CJ (o~ c;;+v~+ PHONE I g '3~31 d-;Z JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: 0 NEW CONSTRUCTION o ADDITION OALTERATION o REPAIR o INSTALL OSIGN o t10VE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMt"'lING POOL o 1vl0BILE HOME o OTHER DESCRIPTION OF WORK CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL ~()nUf~k ~(Qb 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. ~Of).60 PERMITS REQUESTED tJ BUILDING 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO BUILDER ~ ~ COMPANY '!<:\, C')(\ ..... STATE CERT OR REGIST SIGNATUREU '\ . U B CITY PROCESSING # ***********+********************************************-********** ELECTRICIAN COMPANY STATE CERT OR REGIST ~. CITY PROCESSING # SIGNATURE *k*~-k************************************************************* PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** MECHANICAL C01vlPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *******************************************************+********* OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *******************************************************'~********* A. MOTIes OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restricUons" v;!,icll may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED COUTRJI,CTORS AND CONTRACTOR RES PONS IBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance \\lith state and local regulations. If the contractor is nol 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 of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to llave 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 work. If the contractor wishes you to sign as contractor that may be an indicat;ion that he is not properly licensed and is not entitled to permitting privileges ~n the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION I.IEN 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 Agricl)lture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that: L have obtained a copy of the above described document and promise in good faith to deliver it to the "ovlller" prior to commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the informatioll in this application is accurate and that all ,'Iork 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 irldicated. I certify that no v;ark or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating corlstructioll, Cjty codes, zoning regulations, and land development regulations in the jurisdic;tioll. 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 mllst 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 *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetlarld Areas, Altering Watercourses *Army Corps of Engineers-Sea\\lalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Healtll 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 under stood that a drainage plan addressing a "compensati ng volume" v;ill be submit Led Vlhich is prepared by a professional engineer registered in the State of Florida prj.or 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 lechllical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in pl ans, construction, or violations of any code. E:very permit issued shall become invalid unless the work authorized by such permit is conIrllenced within six months of issuance, or if work authorized by the permit is suspended or abarldoned for a period of six months after the time the vwrk is commenced. One 90 day extellsion of time may be allO\\led for the permit \.;ith 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 Al\j ATTORNEY BEFORE RECORDING YOUR 110TICE OF Cm/1MENCEt1JENT. .JOBS [JNLJER $2,500 IN VALUE 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 acknowledged Rpfc're 1:1'.:: t.hic _ day of , 2lL- STATE OF FLORIDA COUNTY OF The foregoing instrument \\las Betore me this _day of- by acknO\^lledqed 20 by (name of person acknowledged) Owho is personally known to me, or (name of persall acknowledged) [1ho is personally known to me, or Owho has produced (type and whoO did 0 did not of identification) take an oath. o who has prodllced____________ (type of idellLifj ca tion) and \^I h 0 [J did [kli d not t a ked 11 0 d t h Signature of person taking acknO\\lledgement Signature of person taking acknovlledgment Name typed, printed or stamped Uame typed, printed or stamped