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Home My WebLink About03-2553 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2553 Permit Number: 2553 Issued: 12/05/2003 i Permit Type: GENERAL BUILDING PERMIT Class of Work: DRIVEWAY/NEW Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 1,000.00 Total Fees: Amount Paid: 35.00 Date Paid: Address: 38122 12TH ST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: UN STATE ALUMN. Addr: 6148 FT KING RD ZEPHYRHILLS,FL. 33542 Phone: (813)788-7308 Lic: Work Desc: DRIVEWAY AND WALKWAY MIKE PRILMAN 38122 12TH ST ZEPHYRHILLS, FL. 33542 Phone: FOOTER 1ST ROU PRE-SLAB 2ND ROUGH PLUMB I DUCTS INSULATED LINTEL WATER FINAL MECHANICAL FRAME SEWER MISC INSULATION WALL I MISC. MISC. INSULATION CEILING I MISC. MISC, DRIVEWAY , MISC, I MISC. , FIRE DEPT, FINAL __==------1... ------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 hot 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 The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner:Yourfailureto recorda 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 ~ording your notice of commencement." ---~-._"------..._---_. ---- SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER NO OCCUPANCY BEFORE C.O. -~--- ..' CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED PHONE CONTACT FOR PEPMITTING OWNER'S NAME fY\\\u... ~U-VXllo~ ~\~~ \~~ ~ PHONE JOB ADDRESS I,EGAL DESCRIPTION: LOT (S) BLOCK SUBDIVISION PARCEL ID # LQB.1'AlN..JJ1Q~L~.82L!'lQT.lC,El....- WORK PROPSED: ~EW CONSTRUCTION D SIGN PROPOSED USE: DSG1J FAMILY DWELLING D COMMERCIAL D ADDITION D ALTERAT ION [1 REPAIR D INSTl'.LL D MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS D SWIMMING POOL D MOBILE HOME o OTHER D RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ~'D~ ~\\).J. \~~~ AIN~ ~L-.lG W(:)~ BUILDING SIZE SQUARE FOOTAGE HF~IGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l) SET ENERGY FOm1S. COMMERCIAL: A.TTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF' SIGN PERMIT ONLY (2) SETS OF ENGINEERED pr~ANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. o BUILDING $-Lt::s:::D ~ PERMITS REQUESTED VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E,C. o PLUMBING 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 FINISHED FLOOR ELEVATIONS IS PRO,JECT IN FLOOD ZONE !\FEAD YES 0 NO U_J__._' qp~~~R;l.r.~.l~w;<>J:L_.,__.._...,_,_____,______,______,__,__." J COMPAN'V-AU ~~-6. ~ ~ BUILDER SIGNATURE STATE CERT OR REGIST # ************************************k***************************** ELECTRICIAN COMPANY S I GNA.TURE STATE CERT OR REGlST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # *************************************k**************************** MECHAN I CAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR RESIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compl iance \-li th any appl icable 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, tlley 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 whicll 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 indica~ion that he is not properly li~ensed arId 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. I f the applicant is someone other that the "owner", I cerify that: I have 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 no work or installation has commenced prior to issuance of a penni t and t,hat all work will be performed to meet standards of all laws regulating constructioll, City codes, zoning regulations, and land development regulations in the jurisdictiorl. 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 must take to be in compliance. Such agencies include but are not limited to: *Departmenl of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmenta11 y Sens.i ti ve Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engi,neers-Seawa11s, 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,et~.", 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 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 abandoned for a period of six months after the time the vJOrk is commenced, One 90 day extension of time may be allowed for the perlnit 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. JUBS UNDER $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 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) Owho is personally known to me, or (name of person acknowledged) Qho is personally known to me, or Owho has produced (type and whoO did Odid not of identification) take an oath, Owho has produced (type of identifi~at:iun) and 1'1110 Odid O:lid not rake an oath Signature of person taking acknowledgement Signature of person taking acknolvledgment Name typed, printed or stamped Name typed, printed or stamped ~~ 'roposal Page No. SUN STATE ALUMINUM, INC. 6154 Fort King Rd ZEPHYRHILLS FL 33540 (813) 788.7308 PROPO{1Alc SUBMIVEP TO \1 \ \, \" '-- ,9I.R, SET, , \ c'. '" , ...._,~".J. ., r-) ) _ t_,-J(c~ CITY, STATE and ZIP CODE ,a.:' ",> ARCHITECT PATE OF PLANS We hereby submit specifications and estimates for: to -X ,~ "'_..--:;~,-- \ "--- - _._, ( m1' propos1' PHONE JOB NAME JOB LOCATION '-, \, i I I , \ I \ \ I ,--.....,"" DI\TE ; \ \ of Pages \ \c -....... '\ JOB PHONE -.".--"- hereby to furnish material and labor - complete in accordance with above specifications, for tjle sum of: ,)} ~~". ), Payment to be made as follows: !. ~ . ..~... <:: -,+- ".t., r:"j' ",~... """..,.'.~. ''i~ -{C-;, :.!f!,'~ .', I; ,. " ~~ ':~ ~,q ~<~....: All material is guaranteed to be as specified, All work to be completed in a workmanlike manner according to standard practices, Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate, All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance, Acceptance of lFlroposal- The above prices, specifications and conditions are satisfactory and are hereby accepted, You are authorized to do the work as specified, Payment will be made as outlined above, Date of Acceptance: Authorized Signature dollars ($ ......'"1i~:t!r.n _.."I,....--~ Note: This proposal may be withdrawn by us if not accepted within Signature Signature INl!!!!!/ To Reorder: 800-225-6380 or nebs,com "...,."..."'...,......;..e>-"--