HomeMy WebLinkAbout04-2814
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2814
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Permit Number: 2814 Issued: 3/10/2004 I'
Permit Type: GENERAL BUILDING PERMIT I
Class of Work: CARPORT
Proposed Use: RV PARK
Sq. Feet: Est. Value:
Cost: 1,107.00 Total Fees:
Amount Paid: 60.00 Date Paid:
Address: 39819 COG HILL LP
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: MAJESTIC OAKS
Parcel Number:
Name: H LL'S ONSTRUCTION Name: RICHARD DEMMA
Addr: P:O. BOX 490324 Address: 39819 COG HILL LP
LEESBURG, FL 34749 I ZEPHYRHILLS, FL. 33542
Phone: (352)424-0249 Lie: _~Phon~____
- CARPORT ON EXISTING SLAB
~ 'J 3 ~r,!o,/ l!:To
tift ;r
R . R 1 B LL
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSU~TIONi WALL MISC [' MISC. MISC.
INSULATION CEILING i MISC. MISC. i MISC.
DRIVEWAY I MISC. ~ISC. I FIRE DEPT. FINAL
REINSPECTION 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
---'iwamingto owner: Your failure to recorda notice of ctimmencement may result in your paying twice for ---
I :mprovements to your property. If you intend to obtain financing, consult with your lender or an attorney
rbefore recording your notice of commenceme~~__~______~~__
NO OCCUPANCY BEFORE C.O.
~
- -
NTRACTORS SIGNA T PERMIT OFF I
CALL F R INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542..~/t;
813-780-0020 FAX: 813-780-0021 ;f, /1
DATE RECE lVED ...~ 'f-
PHONE CONTACT FOR PERMITTING fJP~t/O P~rn l +--
I -Ci:60-~1{-7~
JOB ADDRESS
{.
LEGAL DESCRIPTION: LOT (S) 1"0 C;
PARCEL 10 # d.Zd-G>- ';)-1- 6036 - [)0006
WORK J!>ROPSED: NEW CONSTRUCTION 0 ADDITION DALTERATION
OWNER'S NAME
(OBTAIN
o REPAIR
o INSTALL
DSIGN
PROPOSED USE:~ FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK Cttr !f()(-f:
BUILDING SIZE /2 'i::J.. S-
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
5 L~^_b
D VI .e '>Ll i'S-)-
SQUARE FOOTAGE ~
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: 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.
~OING
$jI6(~
PERMITS REQUESTED
1i'J- '3 I L/
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
o GAS
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
SIGNATURE
~.,I- / L4
cON'rR1t.q~:RSECTION
COMPANY Hi //5 C OVlsty,VC--! f~
BUILDER
STATE CERT OR REGIST # C
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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MECHANICAL
COMPANY
SIGNAiTURE
STATE CERT OR REGIST #
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OTHER
COMPANY
SIGNATURE
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 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 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.
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 "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".
AJ- 1L:u
SIGNATURE: OWNER OR AGENT
pJ /L-.:u
SIGNATURE: CONTRACTOR
STATE OF FLORIDA .~ SetJ
COUNTY OF I C.
The foregoing inst~ument was acknowledged
Before m~ this 1cfh- day of ma1"C~ , 2QQ!j
by t20.(+ ~
(name of person acknowledged)
Dwho is personally known to me, or
~~ has produced [/. L .
(type of
o did not ta
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was ack20wledged
Before me this ~day of !'YIt1lrc_,^ ,20!!!t.
by 6~rt- rl
(name of person acknowledged)
C1ho is personally known to me, or
Rt-SUJ
~o has produced .D. L ,
(type of identification)
and who ~id not take an oath
erson taking acknowledgement
,'''''I, Suzanne Bahr
,\'~YPl.lI..
_'',.~~<-~'-_ ('nmmi~~inn #OD 157131
priw.e 'W} ~~iJespllfdv 15,2006
-";? oif~O~" Bonded Thru
.""", AtlantIC BondmgCo.,lnc.
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Sig
Name typed,
Name
o~ rson taking acknowledgment
,'''''I, Suzanne Bahr
'd~vP~~ ., HDD1S7131
typedi'''':~h -:;::Ql"lY'tSSlg'l-' Ad.
= .'.- ~ ::~xplfes:'NO~~15,-..ro06
~'J.;~... 'o~,,:: Bonded Thru
""'I'~~lf~\" Atlantic Bonding Co., Inc.
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