HomeMy WebLinkAbout04-2654
I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2654
Permit Number: 2654 Issued: 1/20/2004
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ELECTRIC SERVICE/NEW
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: Total Fees: 45.00
Amount Paid: 45.00 Date Paid: 1/20/2004 j
Address: 3430 TOURMALINE DR.
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: EMERALD POINTE
Parcel Number:
Name: EAST PASCO ELECTRIC
Addr: 10411 CONNERL Y RD
DADE CITY, FL 33525
Phone: (813)713-4570 Lic: ER0014591 Phone:
Work Desc: ELECTRIC FOR LANAI {UTILITY ROOM ,BATH AND STORAGE
Name: MAL & SHEILA WHITT
Address: 3430 TOURMALINE DR.
ZEPHYRHILLS, FL. 33542
1 ST ROUG
2ND ROUGH PLUMB
I PRE-METER WATER
FRAME . MISC I SEWER MISC
INSULATION WALL l ~:I~SC i MISC. MISC.
INSULATION CEILING MISC. · MISC. MISC.
DRIVEWAY _ MISC. . I MISC. I FIRE DEPT. FINAL ....
I REINSPEcnON 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:
I
(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
improvelll1ents to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement. "
NO OCCUPANCY BEFORE C.O.
. ~
~
PERMIT OFFI
SPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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ORE:V,\1L.!"IG CODES. FLCRmA 3L 1L.)INC
CODE. NA 110NAL ELECTRIC COCEA.l\.lI::
::;.J CF z:::P!..rY;~~rrL3 ClEiN...\.NCE.3
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APPLICATION I'OR PBmaT
CITY 01' ZBPRnUlILLS
BUILDJ:RG DBPARTMBNT
DAD RBCBIVBD
PLARS RBVIBIf I'BB
PASCO PERMIT SERVICE
1- S,~- ~,~ -7<&9tl
OWNER'S NAME VVla..l -a.. She'lltt. LA) h.,tt-
JOB ADDRESS ,~t.l3D TOLA(Y\"\e.~J I h.-e IX-.
LEGAL DESCRIPTION: LOT (S) ~ 'Zs't.f BLOCK
PARCEL ID # ~ t.f - ~l, - ~I- ()()(;)C) ..- OOl 00 - ;2. ~Y
PHONE
SUBDIVISION t:~~~lol POI~t
(OBTATN FROM PROPERTY TAX NOTTeE)
WORK PROPSED: O(NEW CONSTRUCTION
o SIGN
PROPOSED USE:9(SGL F~LY DWELLING
o COMMERCIAL
o ADDITION
OALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
CJ RESTAURANT
e le c..+-r,' c....-
l~X.d-O
& HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
~o.....
I ttVl~
c u.t~ ) ~+tt , s.~r~~)
~Lf 0 HEIGHT
SQUARE FOOTAGE
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
o BUILDING
~ELECTRICAL
o PLUMBING
o MECHANICAL
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
$
DGAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
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BUZLDBR
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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BLBcmICIAR ~ COMPANY East- ~sco E\~c+f"c.....
nil" I. t 0 ~ ,p STATE CERT OR REGIST #
~SIGNATURE ~ .r- CITY PROCESSING #
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PLUKBBR
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
**********~*******************************************************
MBCBUICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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OTBBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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CONDITIONS OF PERMI~ AFFIDAV~T
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that t:his pel:mlt may bl~ :lUb:je:c:t: 1:0 "deed restrictions" which
may be more restrictive than City regulat:icnls. Th.~ undenrLqned assumes responsibility fqr
compliance with any applicable deed res:tl:ictions.
B. UNLICENSED CONTRACTORS AND CONTRAC'I'OH FlB:SPONSI13IIJITn:S
If the owne~ ha,s hired a contractor or contt'actors to undE!.r1:ake work, they lllay be required
to be licensed in accordance with state and local :(e<gulatJ.olls. If the contractor is not
licensed as required by law, both the owner' and contractc,r may be cited for a misdemeanor
violation under state law. If the owner or intendl!d cont:rac:tor are uncertain as to what
licensing requirements may apply for the intended 11'l0rk, t:hey are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor 0;( contracl:ors, he is advised to have the
contractor(s) sign portions of the "Contractor Sec1:ions" of this application for which they
will be responsible. If you, as the owner signs as the conl:ractor, you are indicating that
you, rather than the contractor, are responsible fC)r the wo:t'k. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City cJf 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 .:::opy of "Florida's Construction
lien Law - Homeowner's Protection Guiden prepared by the FllJrida Department of Agriculture
and Consumer Affairs. If the applicant is someone other thi~t the "ownern, I cerify that I
have obtained a copy of the above described document and pr'Jmise in good faith 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 c'Dnstruction, 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 permit and that
all work will be performed to meet standards of all laws re,~lating 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 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, Wetland Areas,
Altering Watercourses
*Ar.my 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 "An or "A,etc.", 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 t~e Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become ipvalid 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 t~e the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. 'l'he extension shall 'be requested
in writing to the Building Official. An approved inspection must be logged during each si~
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, CoNSUL'l
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 COMMENCEMENTn.
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
acknowledged
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
~ho is personally known to me, or
o who has produced
(type of identification)
and whoDdid Ddid not take an oath.
D who has produced
(type of identification
and who Ddid ~id not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped