HomeMy WebLinkAbout04-2713
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2713
Permit N mber:
Permit Type:
Class of Work:
Propose~ Use:
SquarEt Feet:
Est. Value:
Improv. Cost:
Date I$sued:
Totall Fees:
Amount Paid:
Dat Paid:
Wor Desc:
2713
MECHANICAL
A/C CHANGEOUT
NOT APPLICABLE
Address: 38247 IRONWOOD PLACE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: DRIFTWOOD
Parcel Number:
2,800.00
2/04/2004
45.00
45.00
2/04/2004
CHANGE OUT
DANIEL DAVIS
38247 IRONWOOD PLACE
ZEPHYRHILLS, FL. 33542
Phone:
__. . L
REINSPICTlON 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
"Warnin to owner: Your failure to record a notice of commencement may result in your paying twice for
improve ents to your property. If you intend to obtain financing, consult with your lender or an attorney
before ~ording your notice of commencement."
- Complete Plans, Specifications and Fee Must Accompany Application~--
___________m__ All w()rk shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~-& . ~ .
~CTORSf~~ - PER~
\c.r~R CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 '1/' / / J
813-780-0020 FAX:813-780-0021 ~ 0fLQ7
DATE RECEIVED / I '
PLANS REVIEW FEE
OWNER'S
NAME_P~~- D~
-!~~ocl CQ~~
PHONE_'lB~... o~q ~
JOB ADDRESS~~~Lt~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 # m. d.-Co - d-.l -O~ I A-CO'V(() .cP<c()COBTAIN FROM PROPERTY TAX NOTICE\
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
o ALTERATION
o REPAIR
RINSTALL
o SIGN
PROPOSED USE: ~GL FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
DMULTI -FAtELY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK ~ ~~ C~,mA1-
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.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
[J W.R.E.C.
o PLUMBING
~tvjECHANICAL $ c9~ca.OO
o GAS 0 ROOFING 0 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
o NO
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
BUILDER
1
SIGNATURE
******************************************************1~***********
SIGNATURE
COt-1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
ELECTRICIAN
******************************************************'k***********
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
PLuMBER
SIGNATURE
*****************************************~b***~~~~*r<t*~********
COMPAN~AD~ ~ ---
/CJ/, ~ g1 _..~ STATE CERT OR REGIST, # modQct 61
-t'/f: b'V1 C/&~ ~r-~ CITY PROCESSING # -, I
MECHANICAL
**************************************************~:******~****
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
OTHtR
SIGNATURE
*****************************************************************
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
m.ay be more restrictive than City regulations. The undersigned assumes responsibility for
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 that
you, rather than the contractor, are responsible for the work. 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 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", 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 corrunencement.
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 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 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
*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 "AU 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 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 corrunenced 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 work is corrunenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in wri~ing 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 ~1AY 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 "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknOl^/ledged
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)
o,ho 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 identification)
and who Odid Oiid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped