HomeMy WebLinkAbout03-2568
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2568
Permit Number: 2568 Issued: 12/11/20031'
Permit Type: GENERAL BUILDING PERMIT
Class of Work: SLAB
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value: ~
Cost: 500.00 Total Fees: 35.00
Amount Paid: 35.00 Date Paid: 12/11/200
Address: 5307 20TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-17600-0015
Phone: Lie:
Work Desc: REPLACE PATIO AND SIDEWALK
DODD ROBERT
5307 20TH ST.
ZEPHYRHILLS, FL. 33542
Phone:
E HP
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME ! MISC SEWER MISC
INSULATION WALL I MISC MISC. MISC.
INSULATION CEILING I MISC, MISC, MISC.
_DRIVEWAY. E_C.~sc. I FIRE DEPT, FINAL .
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 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 your notice of commencement."
- ... ~~~__ NO OCCUl'ANCY BEFORE C.O. ~
- f C TRACTO 5 SIGNATURE--- . . - PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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 ....--~~~~
5307 'ZoJL-I5sT
LEGAL DESCRIPTION: LOT(S) 1,2,.3>/4-
11.- 20 -2/ _ t:)(9{ b
Pll;?8-r~-'78c- ~ /748
gec-LL-b'(3-Q 17- 6:/1 (4-
BLOCK j 7~ SUBDIVISION Ci1"-( ef d~~tJl!::?3
- 17 ~o ,- OOC&TAIN FROM PROPERTY TAX NOTICE)
JOB ADDRESS
PARCEL 10 #
WORK PROPSED: 0 NEW CONSTRUCTION
o SIGN
~DDITION
'---
o MOVE
OALTERATION
o REPAIR
o INSTALL
o DEMOLISH
~ffJT
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMtlING POOL
o MOBILE HOME
~THER
, c=J RESTAURANT & ~EALT~ DEPARTMENT APP~OVAL () L
DESCRIPTION OF WORK 2.:fJLAu: ~t:> ~ 5 {~~~c ?t1\tIUkl> fiYL rwL ~r
BUILDING SIZE J2-'fJB t- 8/lt.AL~ SQU~RE FOOTAGE 4Sb* NoL
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 REQUESTED
0 BUILDING $ ~.dD VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL P AMP SERVICE 0 FLORIDA POWER 0 W.R.E..C.
0 PLUMBING ~. .
0 MECHANICAL $ P VALUATION OF MECHANCIAL INSTALLATION
!
o ~ Gl~..s o ROOFING o SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
SIGNATURE
'~
COMPANY !JZi.J><.{:7L (S
STATE CERT OR REGIST #
CITY PROCESSING # ~
e~L17~
CA2D3B1B7 ~
BUILDER
********************************************+*******************~*
ELECTRICIAN
//
./
COt1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
************************+<*****************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
* * * * * * * * * * * * ;/'* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
.'.1'
.,./
***y{************************************************************
OTHER
///
./
SIGNATURE /.
/
/
/
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*******************************************************~~*********
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed resl:rictJons" vlhlch
may be more restrictive than City regulations. The undersigned assumes resporlsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED COln'RACTORS AND CONTRll.CTOR RESPONSIBIL TTIES
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 not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under slate law. If the owner or Jntended 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 ovmer has hired a contractor or contractors, he is advised to have the
contractor (s) sign portions of the "Contractor Sections" of this application for \-Ihi ch 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 properl y Ii censed arId is
not entitled to permitting privileges in 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 Lavl - Homeowner' s Protection Guide" prepared by the Florida Department of Agrl culture
and Consumer Affairs. If the applicant is someone other that the "owner", T cerify that l
have obtained a copy of the above described document and promise Jrl good failh to deliver
it to the "ovmer" prior to corrunencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the informatioll 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 illdicated. I
certify that no work or installation has commenced prior to issuance of a perloit 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 Ule regulations of other governmental agencies may apply l.o
the intended \-IOrk, and that it is my responsibility to identify what acLions 1 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
*Southwest Florida Water Management District-Wells, Cypress Bayheads, WetIarld 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,ete,", it is
understood that a drainage plan addressing a "compensating volume" will be submi t led vlhich
is prepared by a professional engineer registered in the State of Florida pric)r 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 permi.t prevent the Building Official from thereafter reglliring a
correction of errors in plans, construction, or violations of any code. Every Ilermit
issued shall become invalid unless the work authorized by such permit is cOIllmenced v,ithin
six months of issuance, or if work authorized by the permit is suspended or ahandolled for a
period of six months after the time the work is commenced. One 90 day extensioll of time
may be allo\^led for the permit \dth 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "lIOTICE OF COMMENCEMENT".
SIGNATURE:
OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF'
The foregoing instrument was
Before me this _ day of
by
acknowledged
2CL-
STP.TE OF FLORIDA
COUl'I,['Y OF
The foregoing instrument was
Before me this _day of-
by
acknovd edged
, 2 ()
(name of person acknowledged)
Owho is personally known to me, or
(name of persoll acknowledged)
C1ho is personally known to me, or
Owho has produced
(type
and vlhoO did 0 did not
of identification)
take an oath.
o who has produced________
(type of iclenLifjcaj~Lon)
and I'vho Odid CkJid not take all oath
Signature of person taking acknowledgement
Signature of person taking acknoviledgmenl:
Name typed, printed or stamped
Name typed, printed or stamped
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