HomeMy WebLinkAbout04-2779
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2779
2779
Perm Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: MOBILE HOME PARK
Squa~ Feet:
Est~ Value:
Improv. Cost:
Date ssued:
Tot I Fees:
Amou t Paid: ,fYJ
Da Paid: I J.o Phone:
Wor Oesc: LANAI,AND A UTILITY ROOM AND BATHROOM
Address: 3437 PYRITE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
11,000.00
3/01/2004
SAM GIARDINA
3437 PYRITE DR
ZEPHYRHILLS, FL. 33542
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FOOTER I i 1 UGH
PRE-SLAB , CONSTRUCTION POLE : 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL I i PRE-METER · WATER FINAL MECHANICAL
FRAME . l MISC : SEWER MISC_
INSULATiO~ WALL [ MISC , MISC. MISC.
INSULATIOIjl C ILlNG i MISC. : MISC. MISC.
DRIVEWAY - -0 I MISC. ! MISC. FIRE DEPT. FINAL
i _ i_I
REINSP cnON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge f Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrorlg 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) perm.t not posted on job site (f) Plans not at job site (g) Work not accessible
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__"Th~.pay ent of inspection fees s_~_~1 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
_,?~fore r _ ordln9 your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application.
u ______~IIIf'1~Ek shall ~2erformed in (3ccordance with City Codes and Ordinances_______
NO OCCUPANCY BEFORE C.O.
..~- ~.
CTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542 /
813-780-0020 FAX: 813-780-0021 DATE RECEIVED~~Il~60~
PASCO PE'RMlI S~R.IfI,
PHONE CONTACT FOR PERMITTING 1-~wG,-8).4.-7g9i.f
OWNER'S NAME
PHONE
(h, 53Sl-tO
LEGAj:. DESCRIPTION: LOT (S} ~ BLOCK SUBDIVISION ~~ olwt..k.-
PARctL ID # d.~"'" Jt,.-J ;).1- /)bfD-60~-- ').?j700BTAIN FROM PROPF.RTY TAX NOTICEl
WORK PROPSED: ~W CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR 0 INSTALL
OSIGN 0 MOVE 0 DEMOLISH
PROPOSED USE:~L FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS
o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL
JOB ~DRESS
o MOBILE HOMl
o OTHER
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESC\tt""ION OF WORK 1ft/uti btl-lf, I ufi /11t rO~ff)
BUIL~ING SIZE / ~x 3 ~ ) SQUARE FOOTAGE '8i .IjJ
HEIGHT
RESIj>ENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
C~RCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF! SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~UItDING
o ELE<t:TRICAL
$ //)~O()l5Q
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
o PL~ING
I
o MEc$ANlCAL
$
VALUATION OF MECHANCIAL INSTALLATION
OGAS
o ROOFING 0 SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
FINI$HED FLOOR ELEVATIONS
o FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE MEAD YES 0 NO
SIGNATURE
.. '--' .- . -- ... .,.--....- - '.
c~roR)"'SZCT:tON
~ _' _' '~:':;', :.; ',: - .,~!.-;~. '.,;-,_<--,;-. <of;'~' ':'>~'..: ".-'::": -. _ _":_. .'. ,.' _ ;_:;;
COMPANy-.Jer-~ \"Y\'J '~ Qt.ud \ ~ AI \'('1.&'\'''\ L( 1M...
I
STATE CERT OR REGIST # ~ <61
****************************~
BUILI))ER
ELEC'l'RICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
******************************************************************
MEC$ICAL
SI~TURE
!
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OTHE*
SIGN1TURE
COMPANY
STATE CERT OR REGIST #
*****************************************************************
COMPANY
STATE CERT OR REGIST #
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 cohtractor, 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 for'c
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 siJ
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~
WITH YOU~ 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 Fir.
COUNTY OF .sC.b
The foregoing instrument was acknowledged Lf
Before me this ~~ay fif rebr~rfJ 2QE:'1
by 0 ,,/POrLl1.. ~r
~ , (name of person acknowledged)
~o is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged_J
Before me this ~ay of ~tr.u;.,., , 20 5!..:l
by :O,~r4." ~.....:::ll)
~ (name of person acknowledged)
~ is personally known to me, or
fdsC</
o who has produced
(type of identification
[}jid n~ath
Signa rson taking acknowledgment
",'~;j.~~~;I" Suzanne Bahr
,,"0. .~, E "
Name t . d" \f i. 6~"Ja~JWlJ,lHm~d
YR,~ "~)~.- ~~b"iYes: Mav r5~ 2M{
" ~\'~;' A"Hr,t~:~;~~:;II~'~;(; 'n,
o who has produced
(t ype
o did not
Name typed,
person taking acknowledgement
,.~p:.;';;,'li.9'" Suzanne Bahr
..'P~.'.~'-:. Coo,,,,issirJn #0015713]
printea olsl.Jf't:!ittnperlNov 15.2006
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follo,.,ing lnfcr.mlltlon 13 pu.>'..;d<2d in U,ilJ !./otL.., of :~'nrnm,"'.ccmC/lt.~
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