HomeMy WebLinkAbout03-2549
I.
I
CITY OF ZEPHYRHILLS
5335 . 8TH STREET
(813)780-0020
BUILDING PERMIT
2549
Pennit Number: 2549
Pennit Type: IRRIGATION
Class of Work: IRRIGATION
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
12/04/2003
35.00
35.00
12/04/2003
OUTDOOR SPRINKLER SYSTEM
Address: 6344 BIRMINGHAM AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS VILLAGE
Parcel Number: 03-26-21-0200-00000-049
Name: GOLD MEDALLION HOMES
Address: 6344 BIRMINGHAM AVE
ZEPHYRHILLS, FL. 33542
Phone:
R.01 J- a51J
REINSPECTlON FEES: When extra inspection bips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shal' be made for each bip 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 callecl
(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 your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
VW~ ~~
' CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
, ~
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhilla, FL 33542
813-780-0020 FAX: 813-780-0021 } h - {) y - 03
DATE RECEIVED +.-.iL.___
PHONE CONTACT FOR PERMIT'rING
OWNF.R' S NAME
Q\) \ ~
~~4\t
M~~ ()... \\, ~V"\.
'3 'I '(" IV\ n~ ~ h c. \r-::'
BLOCK
PHONE
JOB ADORE SS
I,EGA.L DESCRIPTION: LOT (3)
SUBDIVIS ION
PARCEL If) #
(OB.IAIN FROM... PROPERTY TM NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
[J S IC;N
PROPOSED USE: OSGL FAMILY DWELLING
OCOM!'1ERCIAL
o ADDITION
OAI,TERA'I'ION
o REPA.IR
o INSTALL
o HOVE
[J DENOLI SH
OMULTI-FAMUY
o INDUSTRIAL
0# OF UNITS
o MOBILE HOME
o OTHER
o SWIMMING POOL
DESCRIPTION OF WORK
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
.:r~~~\\~~( ,,,,-.ig~eoO() ~ \ (\.~~
S~lo ~_
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT __
RESIDENTIAIJ: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF' SIGN PF:RMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
FORHS.
Cl BUILDING
o ELECTRICAL
o PIJUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
F'INISHED FLOOR ELEVATIONS
IS PROaECT IN FLOOD ZONE AHEAD YES
o NO
L________.
._.~_._..__._--_._._--~~_.._--~----_.__.._-_._---_._..-------_._~--------
C"O~'rQ.C~R..'.$IC'rIQN
. ." , . . '-,.... .. . .-.'.
. ~U~'uU_'U_"" -,---___..,__u_J
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
********************************************************"*********
ELECTRICIAN
COMPANY
SIGNATURE
STA~E CERT OR REGIST #
********************************************************!c*********
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
**************************************k***************************
COMPANY
SIGNATURE
STATE CERT OR REGIST #
OTHER ~;u-~!t:j
SIGNATURE '
********************************************************k********
COMPANY \OJA ~ \'\t"......> ~ ~ f' .
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" wh~ch
may be more restrictive than City regulations. The undersigned assumes responsibility fOL
compliance with any applicable deed restrictions.
B. 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 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 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 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 tllat
you, rather than the contractor, are responsible for the work. If the contractor wislles
you to sign as contractor that may be an indica~ion that he is not properly licerlsed 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", r cerify lhat I
have obtained a copy of the above described document and promise in good failh to deliver
it to the "owner" prior to commencement.
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 irldicated. T
certify that no \'wrk 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
the intended work, and that it is my responsibility to identify what actions I Joust lake to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Envirornnentally Sensitive
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 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 whicll
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 riot 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 req\liring 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 aharldoned for a
period of six months after the time the \'wrk is commenced. One 90 day extension of time
may be allowed for the perroit 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 TN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUI,T
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".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
, 20_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me thi s -"Jay of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknow.1edged
, 20_
(n3m~ u[ ~~L~un aCKnowledged)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identificaUcm)
and !rlho Ddid OEd not take an oath
Owho has produced
(type
and whoD did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped