HomeMy WebLinkAbout04-2769
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2769
1,200.00
2/24/2004
40.00
40.00
2/24/2004 Phone:
PUTTING IN GAS LINES AND 2 WATE-R HEATERS
Address: 6911 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Permit NilImber:
Permit Type:
Class of Work:
Proposed Use:
Squar$ Feet:
Est. Value:
ImproV'. Cost:
Date Itsued:
Tota Fees:
Amoulllt Paid:
Oat Paid:
Wor Desc:
2769
MECHANICAL
ADD/AL T COMMERCIAL
COMMERCIAL
Name: FY.M. HOLDINGS
Address: 6911 GALL BLVD
ZEPHYRHILLS, FL. 33542
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REINSPECTION FEES: When extra inspection trips are 0 any one of the following reasons, a
charge df Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrol1g address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspectior) called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
-"wamirito. owner: Your failure to recorcril notice of conimencement may result in your paying twice for
improve~ents to your property. If you intend to obtain financing, consult with your lender or an attorney
~~~re recording YOLlr notice of col11mencement."__ ~________.~__
Complete Plans, Specifications and Fee Must Accompany Application.
All work shaIL~~performed in accordance with City Cod~s and Ordinances______________
NO OCCUPANCY BEFORE C.O.
- ---~_._---- - -----------------------.----.,'- .------ - -.- ----.. - ------
~~TURE- .- ~MITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
UPLICA'l'IOlI lOa rDMtT
CIft or anDJIlUJI
BVILDIlfG OI:PM'ftaClft
DU"& gCZIWD ~4 a?/ (J,f
PLAMI ItZY'IBW !'EB
OWN~R' S N~E Il /YIM'/ i,..) ~ s h
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JOB ADDRESS~ GA /.,/.- 'VW b .
PHONE
Z'f'11A1ui/$ Ft... $$ ~f/o
LEGAL DESCRIPTION: LOT IS)
BLOCK
SUBDIVISION
PARCEL ID .
WORR PROPSED: pbEW CONSTRUCTION
OSIGN
fnwra.TN ranM PROPJ!R1'Y TAX NnTT~~'
o ADDITION
o MOVE
OALTEJlATION
o I>EHOLISH
o REPAIR
o INSTALL
PROPOSED USE: ClSGL FAMILY DWELLING
~OHHERCIAL
OHULTI-FAHILY
o IIfDUSTRIAL
O. OF UNITS
o SWIMMING POOL
Cl MOBILE HOME
(] OTHER
DESCRIPTION OF WORR
CJ RE5TAU~T , HEALTH DEPAJl.TMENT APPROVlU.
;Pole:.. (2'" 14.10 WA-re~ '""~,
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH 12) 'LOT P~S , 12) SETS OF BUILDING PLANS, (1) SET ENERGY FORMS.
ATTACH 13) SETS OF BUILDING PLANS, 11) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
W>,LUATION OF TOTAL CONSTRUCTION
o ELECTRICl'.L
wr PLUMBING j; '1 n
~ MECIWlICJ>.L iV' firO
)tt GAS 0 ROOFING 0 SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o STEEL
~
INSTALLATION
\'61~ 2. if'
O?-5<6
VALUATION OF HECKANCIAI.
o OTHER
o FRAME
o OTHER
FINISHED FLOOR EL~ATIONS
IS PROJI!;CT IN FLOOD tONE AJl.EAO YES 0 NO
cOKeANY
STATE CERr OR REGIST .
CITY PROCESSING .
BunOD
SIGNATURE
...........................................*............*****..**-
SIGNATURE
COMPANY
STATE CERT O~ RE~IST .
CITY PROCESSING .
J:L&CDICIJIH
PLUYBD
SIGNATURE
SIGNATURE
cOMPANY
STAr! CERr OR REGIST .
CITY PROCESSING .
WBCBlUUCAL
.....*****.......................................................
SIGNATURE
COMPMY
STATE CERT OR REGIST .
CITY PROCESSING .
OTHD
.............*..*....**...........~*.*...........................
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CONDITIONS OF PEIlHIT A!TIDAVIT
A. NOTICE or DEED RESTRICTIONS
The undersigned understands that th1s permit may be subject to ~deed r.strictions- which
may b. more restrictive than City regulations. The undersigned a..umes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CON'l'MCTOR RESPONSIBILITUS
If the owner ha. 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 i. not
licensed as required by law, both the owner and contractor may be cited tor a misdemeanor
violation under state law. If the owner or intended contractor ere uncertain as to what
licensing requir..-nts ..y apply for tbe intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
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 al the contractor, you are indicatin9 that
you, rather than the contractor, are responsible for the Nork. If the contractor wishes
you to si9n .s contractor that may be an indication that he i. not properly licen.ed and is
not entitled to pe~ttin9 priVileges in the City of Zephyrhills.
C. TIlANS!ORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAP'l'ER 713, FLORIDA STA'1'U'!'ES, AS NtEMDED)
I cert1ty that I, the applicant, have b.en provided with a copy of ~Florida's Construction
lien Law - Homeowner's Protection Guide- prepared by the Florida Dapartmant ot Agriculture
and ConsuMer Attairs. It 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 fa1th to deliver
it to the ~owner- prior to c~ncement.
E. CONTPACTOR' S/OWN!R' S AFFIDAVIT
I certify that all the information in this application 1s accurate and that all work wl11
be don. in compliance with all applicable laws regulating construction, zoning, and land
development.
Application 1s hereby made to obtain a permit to do work and 1nstallation as indicated. I
certiry that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to ..et standards of all law. regulating construction, City
code., zoning regulation., and land development r.gulations in the jurisdiction. I also
certify that 1 understand that the regulations of other gOYe~ntal agencies may apply to
the intended work, and that it i. my re.pon.1bility to identlfY What actions I must take to
be in co~liance. Such agencie. include but are not It.ited to: *DepartmeDt of
Environmental Regulation-Cypre.. Bayheads, Wetland Area. and Envirouaentally Sensitive
Landa, Water/Wa.tewater Treatment
.Southwest Florida Water Management District-Wells, cypress Bayheads, Wetland Areas,
Altering Watercour...
*Axmy Corp. of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health , Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tank.
*U.S. Environmental Protection Agency-Aabestos abatenent
1 also cert1fy that, if fill ..terial is to be used in Flood Zone ~A- or ~A,etc.H, it ~s
understood that a drainage plan addressing a ~compen.at1n9 volum.- will be submitted which
is prepared by a profess1onal engineer registered in the State of Florida prior to permit
iaauance.
A permit issued shall be construed to be a license to proceed with the work and not a.
authority to violate, cancel, alter, or set aside any provi.ions of the technical codes,
nor ahall issuance ot a permit prevent the Bu1lding Otticial from thereatter requir1ng a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become Invalid unle.s tbe work authorized by .uch pe~t is commenced within
six months of issuance, or if work authorized by the pe~t i. auapended or abandoned for a
period ol aix montbs alter the time the work is commenced. One 90 day extension or t~me
may be allowed for the permit With ree charge ot $15.00. The extension shall be requested
in wr1ting to the Building Official. An approved 1napection mu.t be logged during each six
month peeiod, or the project will be conaidered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE Of' COHHENCDSEN'l' HAY RESULT IN YOUR
PAYING TWICE FOR IHPROVEHEHTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINNfCING, CONSULT
WITH YOUR LENDER OR Nt ATTOJQlIY aEfOIl! RECORDING '{OUR NOTICI: OF COHHENCEMDlT. JOBS UNDER
$2, SO lJE DO OT HOD TO RECORD AND POST A ~NOTIC OF CEMENT-.
-
SIG TURE: 0 R AGENT
STATE OF FLORIDA.: / ~ (h '- (}f(7/l.( ~ STATE OF FLORIDA !:It' ! fs ton'lf g:.I/
COUNTY OF J;:t:.L _ t2 COUNTY OF (/
The loregoing in~t~nt was i9knowledged , I The toregoing inst~ent w.II~c;ltnowledged i /
Befor" ~ ttlh ~ day of f-eJJ~ ~. ~1}O't Before llIe~hh ~d.y of ~ctwj7' -*0<007
by j5,iJtJect ~Maf:f by !t.k.~I2~-MaIJ"
(name of pen acknowledged) (name of perso acknowledged)
~o ill per.onally known to.., or ~o 1. per.onally known to me, or
o who has produced -- 0 who has
(type of identification)
an not tate an oath.
Si9nature ot p,er n taking acknowledgment
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Na_ typed, printed or stamped
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FROM :RANON & JIMENEZ
FAX NO. :813-876-2502
Feb. 17 2004 10:10AM P2
GAS METER PROVIDED AND INST AllEO
REMOVABLE BY. LOCAL GAS COMPANY. PAY All
JAM B FEes, OBr AlN PERMITS.
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BOX
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