HomeMy WebLinkAbout04-2770
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2770
Permit umber:
Permit lfype:
Class of! Work:
Proposed Use:
Sq. Feet!:
Cost:
Amount Paid:
2770 Issued: 2/25/2004
GENERAL BUILDING PERMIT
SITE WORK
MOBILE HOME SUBDIVISION
Est. Value:
Total Fees: 483.00
483.00 Date Paid: 2/25/2004
Address: 7509 GREENSLOPE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: GRAND HORIZONS
Parcel Number:
1M MONS CONSTRUCTION CO,INC.
3018 U.S. HWY 41 N
$ROOKSVILLE,FL. 34673
Phone: Lic:
Wor Desc: SiTE WORK
GRAND HORIZONS INC.
7509 GREENSLOPE
ZEPHYRHILLS, FL. 33542
Phone:
LE 1 I
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB ! DUCTS INSULATED
LINTEL ' PRE-METER WATER : FINAL MECHANICAL
FRAME MISC SEWER ! MISC
INSULATIO~ WALL MISC I MISC. I MISC.
INSULATIOtjl CEILING MISC. MISC. MISC.
DRIVEWAY I MISC. I MISC. FIRE DEPT. FINAL
REINSP~C liON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge df Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wror1g address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspectio~ 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 payent of insp~ion _f~s shall be mc:l~e 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 ordin~ your notice of com_l11ence~el!~~~_..____
NO OCCUPANCY BEFORE C.O.
-- -- ~...
~~T~/ PERMITOFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8m st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
7 11 --
OWNER'S NAME GI'Il.IJ J tier/20m I 1 n(/ ,
JOB ADDRESS '7SDOJ (}rr7p_vI \~/'Vle-- '!imJ 7"'f'lh.'1rh ,/Lr. J
PHONE 91\?- ?22 - 251\ ?tI
r;::1. 335l/ I
LEGAL !DESCRIPTION: LOT(S) BLOCK
PARCEL ID # Aei!.. ,~LJ "h.vn \~hp. '1,./;,(,' k'2.1 E-
WORK PROPSED: ~NEW CONSTRUCTION DADDITION
DSIGN D MOVE
SUBDIVISION
(OBTAIN FROM PROPF.RTY TAX NOTICE)
DALTERATION
D DEMOLISH
D REPAIR
D INSTALL
PROPOSED USE: DSGL FAMILY DWELLING
D COMMERCIAL
DMULTI-FAMILY
D INDUSTRIAL
D # OF UNITS
D SWIMMING POOL
D MOBILE HOME
D OTHER
DESCRiPTION OF WORK
BUILD~NG SIZE J
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
$tllll .-fdry \Qel>>e.rj /J)a1er d;,~-fr,'hvi/()J1 .,S/tf1iev11 j RroJuXtlj) SlIn'NJ1
It SQUARE FOOTAGE N II HEIGHT 'AI It
RESID~NTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
CO~RCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF $IGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
, PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
PERMITS REQUESTED
D BUILJ!>ING
D ELECTRICAL
$
Nil
Nit
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D FLORIDA POWER
D
W.R.E.C.
D PLUM$ING
D MECHANICAL
$-1,1 iJ
VALUATION OF MECHANCIAL INSTALLATION
D GAS
D ROOFING
D SPECIALTY
D OTHER
TYPE ~F CONSTRUCTION: D BLOCK
D FRAME
D STEEL
D OTHER
FINISUED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
P<?~TEY\q;g;q~';SEpTIC):N
IilfliEoli.R (/t;' j'Jy € EK(!atn!,'v"'n.
SIGNATURE
COMPAN
STATE CERT OR REGIST # tlJt.05 r;, ? 'I &
******************************************************************
ELECTkICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMB!i:R
COMPANY
SIGNMURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNNrURE
STATE CERT OR REGIST #
~******:*****~************:***************~':.;;;;~;*~~;;: LZo~;Ud~
OTHE~ {Jr,Je, b-rBiUl& tJ-f-; l "ry 4 EXillt/d.'tJ'-~A COMPANY Ruc:o,-,,- (j I-;-(J
SIGNA/TURE
STATE CERT OR REGIST # RuOD r;,t:.<./--50
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
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 po~tions 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 indica~ion 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 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 construction, zoning, and land
development.
Appli~ation 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 "A" 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 commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned fora
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit 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. 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
acknowledged
, 2~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
, 20
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type
and whoD did 0 did not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid Diid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
'UiTI"UM
Bank
February 9,2004
IRREVOCABLE LETTER OF CREDIT NUMBER 159
City of Zephyrhills
603 8th street
Zephyrhills, Florida 34248
Dear City Council:
The issuer. Platinum Bank. 802 W. Lumsden Road. Brandon. Fiortda 33511 does hereby
authorize the City of Zephyrtlills to receive upon demand. any sum or sums up to the aggregate
amount of ONE HUNDRED THOUSAND AND NO/l00 DOLLARS ($100.000.00) for the account
of our customer. SOUTHERN LASER. INC. to assure completion by our customer of the
improvements contained in the Schedule "A" hereof, known as Grand Horizons.
All improvements contained in Schedule "g are to be completed by the customer on or
before February 9,2005.
This letter of credit shall terminate upon the occurrence of either of the following
conditions, whichever shall occur first:
a. Completion by the customer of improvements included in Schedule "A" and
acceptance by the Beneficiary, the City of Zephyrhills.
b. One (1) year from the date hereof.
This letter of credit is irrevocable.
PLATINUM BANK
B~~l_~
JER Y . KYLE, R D f--
BY:
802 W. Lumsden Road, Brandon, FL 33511
Phone: (813) 655-1234 . Fax: (813) 651-9434 · E-mail: platinumbank@platinumbankfl.com
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