HomeMy WebLinkAbout04-3045
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3045
Permit Number: .3045 Issued: 5/04/2004
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 2,000.00 Total Fees:
Amount Paid: 60.00 Date Paid:
I
i
60.001
5/04/2004
Address: 38743 5TH AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: BETTER BUILT CONSTRUCTION INC.
Addr: P.O. BOX 1000
CRYSTAL SPRINGS,FL. 33527
Phone: (813)783-2414 Lic:
-- Work Desc: WINDOW REPLACEMENT
Name: B.F. SMART
Address: 38743 5TH AVE
ZEPHYRHILLS, FL. 33542
Phone:
H
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB I DUCTS INSULATED
LINTEL PRE-METER WATER I FINAL MECHANICAL
FRAME MISC SEWER Mise
INSULATION WALL MISC MISC. MISC.
i
INSULATION CEILING MISC. MISC. i MISC.
DRIVEWAY MISC. MISC. ! FIRE DEPT. FINAL
_._____._..___ . __..~_ _ _ _..__... ___.._. - . L.. - ... .on.,
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
-"Warning too-wner: Your failure to record a notice ofcommencement~rr'-ayresuiflnyour paying twice for-no
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before ~~ording your .!I~ti~~_~!_~~!'1_"!~~~~!!I~I'I~~"-______.._______..___ ____ _
CCUPANCY BEFORE C.O.
.... n~. ._________ ~_ .
ONTRAC~~NATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, "
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FA~IL Y RESIDENTIAL
3045
.
-
,j"
Permit Number: 3045 Issued: 5/04/2004
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 2,000.00 Total Fees:
Amount Paid: 60.00 Date Paid:
Addn liS: 38743 5TH AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: BETTER BUILT CONSTRUCTION INC. Name: B.F. SMART
I Addr: P.O. BOX 1000 Address: 38743 5TH AVE
I CRYSTAL SPRINGS,FL. 33527 ZEPHYRHILLS, FL. 33542
I PhQ..l}e: (81~JI~~:2414_____~i~:___~__________ _____Eb.~f1~_=-___ ____ _____ ___~__
--- WorkOesc: WINDOW REPLACEMENT
/
1 R U LLE
I PRE-SLAB____ CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
, LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL MISC MISC. MISC.
INSULATION CEILING MISC. MISC. MISC.
DRIVEWAY MISC. MISC. I FIRE DEPT. FINAL
REINSPEcftcftfFEES: Wherlextrainspection tripsare-neceSSarydiie-toanyone of thefollowillgreaSons, 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
"WarnIng toowner:YoiirfaHure-torecord. a-notice ofeommencemel1t mayUresulf inyoiirpayin~itwlce-f()r-- .
improveme'1ts to your property. If you intend to obtain financing, consult with YOllr lender or an attorney
. ~~!~r~_r:e~~_~i'!.9.J~ur._l1otiC:E!~!~~m_I'I1~.!'cf!""E!!'t. "___moo _ '___ .
I
I
!
1__-
OCCUPANCY BEFORE C.O.
-, ---- - - - - -- ---- ~ ...
'f ~1 TURE - .--PERMIT OFF'-
~~~ FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
!
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I
..____.J
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Page 1 of2
Notice of Commencement
111111111111 1111I111111111111111111111111111111 11111111I1111
2006013686
State of Florida
County of Pasco
Property Tax Folio Number: 11-26-21-0010-14700-0120
Rcpl:962322
DS: 0. 00
01/23/06
Rec: 18.50
IT: 0.00
Dpty Clerk
JED PITTMAN. PASCO COUNTY CLERK
01/23/06 11: 32am 1 of 2
OR BK 6806 PG 332
The undersigned hereby gives notice that improvement will be made to certain real
property, and in accordance with chapter 713, Florida Statutes, the following information
is provided in this Notice of Commencement.
1. Description of property,
Single Family Residential
2. General description of improvement,
Windows, Plumbing upgrade, Electrical upgrade, Add air conditioning, Drywall,
3. Owner information
a. Name and address:
B F Smart Inc.,
6815 Diary Rd., Zephyrhills, Florida, 33542
b. Interest in property, Owner
C. Name and address of fee simple titleholder (if other than Borrower
-4 Contractor
R'. . Better Built Construction Inc.
P.O. Box 1089, Zephyrhills, Florida, 33539
Phone (813) 74-1098, Fax (813) 783-2414
5. Surety
6. Lender
First National Bank of Pasco
13315 US Hwy 301, Dade City, Florida 33525
Phone (352) 521-0141
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.12(l)(a)7., Florida Statutes
None
Page 2 of2
OR B/( 6806 PG 333
2 of 2
8. In addition to Owner, Owner designates
to receive a copy of the Lienor's Notice as provided in Florida Statutes.
None
9. Expiration of Notice of Commencement (The expiration date is one year from the date
of recording unless a different date is specified).
b)REC!..7DR-.-
State of Florida, County of Pasco
Sworn to and subscribed before me this ~~Lday o8-t2'r\..u a-t r
_, 2006
as identification
~o~ Id~~
Notary Public
My commission Expires: ~~~Y.~~8(of:o UNOABAGGElT
.... 17496-4
"- .. EXPIRES: April 28, 2007
~~Of' F~dl-~ Bonded Thtu Budget Notary Services
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COpy OF THE DOCUMENT ON fiLE
OR OF PUBLIC RECORD IN THIS OFFtcE. WITNESS MY
HAND AND "OFFICIAL SEAL THIS~ DAY Of
V.IM/ 2~
JED)t}J~AN, CLER~ Of CIRCUiT COURT
BY M1B. ~ L:t:tr..: OEPUTY CLERK
85/03/2004 12:13
3525180367
PAGE lJ2i 87
-----:.
_~4.l\'LV~',\'WD,:\. 10IfI.s.2-97
TEST RF.PORT
Rendered to:
1\'11 nOj\.'(E PRODl1CTS, tNC.
SERIt:SlMODft:L: 140/744 Oriole
TYPE: Aluminum Single nung Willoow .with ~ail-Fjh
De lU7in:l!:
Fl1l'ccd Entt"v Resi5tlJnC~
Summ:lrv of Results (
.."'-- 1 Test S ee1mell #1 I Test. S mmen #2 I Test S eCimel!.{t~l
----t-. ' H-R35:47.X. 89 H~R.:30* 39 x 90 : H-R35"'39 x qo. 'I
__.~_L 25 III max. i "'{/A I . N.'.~___. I
I I) 1'7 ;::... 'fl.! N.:' A \..f (~ --1
, . _ClIl1. , L',iI"'I.. .._~J .'lU'\. .~~
__ 5.3tJ..Q~L._ NiA IN/A F
+-35.3 psf +33.3 psf 135.1 psf
-47.1psf -.34.7pl'it -47.21,sf
"'53.0 p.'if .l-5IUl p:;f +SH1llsf
-?~!.~ p~L_.___ ;..__:52. L ~s.f -70,S psf
?j)s..~d N/.'\ N/A.
Grade 1 n NtA NlA
'I
11
E
Ii
Un] mml Load Defk'ction re..;t IJrcs.<;ure
Title
AAMA Ralin~
.Opermi,l}g f."orce
Air lnmtration
Water Re:'\lstance Test Pressure
Umfimn Slructuml Load Test ?ressurE'
Reference should be made to ..\ Tl RCpOlt No. 1)1..4] 979.0 j for complere lest sl'ledmcn
dcscription<tnd cial<1.
/2g04 12: 13
352518B357
'-
Architectural T~stin'i
.-\...-\MAlNW\\,'DA 1 01f1.S.2-97 TEST REPORT
Rende:-ed to:
!'viI HOME PRODUCTS. INC.
P.o. Box J70
650 West Market Strc.;l
(ir.l17, Penns)'1\' !Uua 170311-03]0
Rep0l1 Nc,: 01-41 ~nSl (H
Test Dale: 06/! 9102
And: 06/21/02
And: 07/24,.02
Report Date: OS.'26!02
expiration Dllle: 07i14/()6
Pr,uject SUlumllr~: /\.rchilec:tur:rl Tes{~l1g,. IH<:. (A Tn was::ontractcd by MI Home Produces. fnc..
to perfcml te.~;;; Oil three S::ricsil\.lodel 140/744 Oriole, ;duminul11 :;inglc hung .....indows \vith
nai I-fin at their lacilil)' in EJil.:iibe1.ln.;IIC', Pcnnsylvani;J. The samples tested successfully met the
pcrfonmmce raluiremems. for tne toJlc!Willg rntiogs: Tc.:s! Specimen #1: H~R35 47 x 8l)~ Test
S.pecimen #1: H -R].O* ~~) x (~(): T I:Sl Spc:.:imcn #3:H-RJ5ljo 39 x 90,
Gtmeral Note: An asterisk i "'i neXT :0 rli!' perjl:mmmce .r~rade {lldicmes lira! rhe size If!,<;tedfor
optional ptOllnmtrlllce It'aS ~\ljllillr:.T ;hrw lln: GmC'n'ilcl' jest si:ejor tI'i.;'I''f"(JdlU~.r ~I'l'e and dai>'s.
TeM SpecHlcation: The tel'l specimen ',,"38 evaluated 1.::1 a~cunlanc,t: \vlth AA.:.'.iA:N'';V'VDA
I I) l/LS.2~9;, VO!IIf1{twy ~"pl!qfkafioll5fi:w AiliWill!!Jl.. ViII,' i (PV(:,i and Wood rVilldO\l~~' ,au; GIllss
1)1.)01"5.
Test Specimen Dc...cripHoc:
S('rics/)" ode!: 740/7 -l-4 Onol.:
Type: A:umloum 5.iJlgle Hung VVindo\", with NaIl-Fin
Test Specimen #1: Galc'\':lY P~rfo"mml.:e Specimen H-R3S 47 x 89
O'-'CroUSilC: 3' ] 1-)':4" wide hy!' 5-1/4" high
lnteriol' Sltsh SizE': 3' 10" wide by 2' 11-.,3':4" high
Fixed Daylight Opening Sae: ]' 8.5!l6" \111de bJ 4' 3" high
Screen Size: 3' 9- i ,'R" wide b!" 2' i t-1 /1'" high
Ghn:ing Tlpe: 3:' 16" annealed
"j~n C>~"r~' (s:.un
....or,; i'A P~02.9I\OS
phar,{:!. 717 :'64.771)Q
.:;;!): ."t ~ 7 "'5.4.41129
''''"V."N <lrchtl~st. eel'!!
::;~GE 03/87
j@04 12: 13
3525180357
PAGE 04/07
_'''..._.~,._.__._.. ",_. ...v................-----. .___._... <'_-~ -,,-~,-"'" ~.. ...............w....___ -- .-.....---.-~- -, .----.-.-..
'j 1-;.1 1979.0'.
POlgc: ! rf 6
Test Specimen IX'scripdon: (Continued)
lest Sp~idlen #1: H-R30'" 39 :-; 9(J
Overall Slu: J' 3-\ /4" wide try 7' ;- [,f2"hi~h
Interior S~sh Size: }' l_iiS" wide by 2' 11-11/16' high
Fixed Oayli~ht Opening Site: }' ! .1.'4" wide hy .~. 1-1/2" high
Screen Si~e: 3' 1-1 is'' ,vide by 2' 1 ! -1/"2" high
Glazing T)'pe: Fixed daylight opening. 3/16" roUlcaled. interior sash 1.:'8" annealed
Test Specimell #3: H-R35* 39 x 90
Ovel:"aJ1 Size: 3' 3-1,4" wide by 7' 5-1r2" high
Interior Size: :3' 1-7/8" ,,,,ide hy]' 11-11 :16" high
Fixed Daylight Opening Size~ 3' 1-1/4" ,vide by .i' 2-1/2" hlgl1
Screen Size: J' l-1JS" wide by 2' lI-Li2" high
Glazing Type: P'ixed daylight opening 1/3" temrx red. lntcrior sash 3/16;' dnncalt..-u
Tlae follo"~;lIg desl:riptifJns apply to tlU spcc;",erts.
Finish: Unit was ii1 lver ill colnr.
Gl:izing Detllils: The active and tixed stJlh were sit-gle glazed. Both sash l.\'l..>n.: dlllnnel
glJzed using J nexihle wrap.ar.ound gla7.ing gasket.
We-alhentripping:
Description
Ommlitv
Location
f).l70" high by n.1 S";''' bilckecl
polypilc with center lill
1 Row
Fixed sash stiles and \op rail
0.33fi" bi g;h hv n.187" b.lcked
pol~'Pi1c ;Vith .cc;:ntcr- I1n
J Raw
Fixed sash interlock
OJll)O" higl1 by 0,181" hac.ked
polypil.::
1 Row
Interior sash stiles
0.170" h1gh by 0.1 R7" bucked
polypi Ie .~'.iih l:cnler nt'l
5/\h" vmyL holl(lo\,r bulb s-eal.
I Ro\"
Interior sash stiles
i Row
Interior sash bottom rai 1
---.. ....--...--- --..--"."'---' ._..---_...'_...-.~.. .--_.
l~gg4_ 12: 13
Test Result...:
Pameraph
3525180367
.., ~ 1
..... i......
Tat S~imen #1: ~Co11ti.llucd)
Tille ofT i!_~- Test Mc.t.hod
;tcsults
2.1,4,1
\-\Tater Resistance U\STM E 547-00)
(wlih auli without screen)
\VTP = 2,86 pst No leakage
tJnifonn l.oad Deflection (ASTM E 330-97}
{McnsurCnleTIis reported were taken on the meeting rail)
(Loads '\II/ere held tor 33 seconds}
@ 33,1 psf (positi\'el
(g', 42.4 psf(negative)
tl.77".
:J.S?"*
"'t:.'(rei!'4is 1,/l75Jn,' de.fiecfivn. blll meet:; all mJwr requ'remcmrs.
2.1.42
1.2.1.CI.2
2,1.S
Unifoml Load S[fl.1Ctural (ASTM F.. .n'I-~J7)
fNfeasuremenls reported ~"'ere taken on the meeting rail)
(Loal1s were held ror I {) seconds]
fi!.i -4~, 7 pst" (positi vel
(iI. 6..l..J psI' (negative)
Il08"
0.12"
Dcdazi.ng "1\~st <ASTM E 987t
In oper'<ltfng Jireclion at 70 Ibs
f ntenor sAsh mccline rail
(ntl.:rior slliih hr)lIum -f1l1 i
O. I 2 "i'2.S %
Q.12...r25v....
Tn remaining direction at 50 lbs
Lfltcnor sash right stile
Interior sash teft stile
O_j16"/12~'o
0.)6"lI2%
Forced Entry Resj~tm1ce (ASTM r 58~-97)
Type: A
Grad.e: 10
Lock Manipulation Tesl
Test A I tbl'\! ,~5
.No entry
No entry
Test 1\7
No l.mtr'j
Lock M:u;jpulalion Test
No ~'I1[t"y
(] 1-4 ; 979.0 I
P~ge .A 1i1' 6
A How ed
No 1enk.lge
0.26" max.
0.26" ma.'i.
0.18" max.
0.18" ma'\:.
O.50"J i 00%
0.50"/100%
0.50"'100%
0.50"'100%.
No entry
No emry
No emry
1'\ (I entry
;"n;;:~rllt!i~
P,cGE 05/07
l':f;:r;n'ffr~!'4'~~~,~;;';;.'
Test Re.'iult$:
Jl'arawaph
Title o!"Tes1- 'rest Metholl
Results
Test Specimen #1: (Continued)
Optional Pcrfi)rmance
4.3
Water Rcsislllnce (ASTM E 54 (-Om
(wi1h ilnd \vithollt screen)
WTP -= 5.3 psf No leakage
4-4-.1.
Unifonn Load Deflection (ASTM E 3:~O-97)
(~'1eastlrCmCnls reported \vere taken or: the meeting rail)
tLoads were 11Cjd for 33 seconds)
;;~ 35.3 psf (positrve)
,E.! 47.2 pst" (ncgati \'~ )
0.81"*
0.91"'"
'" Excef?ds r.i 175 for tlcfJeciio". Imr m~e!s all nll/{tJ. rerrui,.c:menls,
44.2
UuHonll Load Struclural (ASTM E 3-30-97)
(Measurements reported were taken OJ: the meeting rail)
(Loads were held lor to seconds)
(ii.! 53.0 p.sf(positive.
i!: 70.8 psf(nega1ive)
0.11"
(J.14"
Test Spe~imen #2: H-R30* 39 x 9ft
Optional Pcr[9mlaJ1CC
4.4..1
Unifonn Load Deflection (ASTM E J3U-97)
(McllSuremenls reported were taken or the meeting. rail)
(Loads were held for 42 secoflds'!
@~ 33.3 psf(posirive,
@. 34.7 psf(neg;llive)
0.31"'"
0.27"'"
.Er.ce.ells L"1 :5 for tle:(rI1('livll. bw mee!s all rJrher reqnit'r:!11U!illS.
4.4.2
Uniform Load Structural (ASTM E 330-(7)
(Measuremenls reported were taken or. the meeting rni I}
(Lo-.tds were held for to 8econdsi
@ 50.0 psf (positive)
~~' 52.1 psf(ncgativc)
0.02"
dJ.Ol"
{]'I~I'lt9.Ql
'.age :; of 6
Allowed
No leakage
D.16" ma'\:.
U..26" miL'I:.
0.18" ma:'i..
0.18" rnax.
0.21" max:.
0.21" ma:'I:.
0.1511 max.
0.1 5" max,
=AGE
";",rI"P>!,.....
237/87 .~
;;J 0
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~
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~
:> J \'~.;.,
~. r........-::
-:l · ::J
....\ ;"
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~l ~
;t'. '0 m,
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~.
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8D St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
s: ~ - of
I
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
B.F. SMART INC.
PHONE 8 13 71 4 - 1 0 q R
JOB ADDRESS 38743 5TH AVE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
11-26-21-0010-14700-0120
(OBTAIN FROM PROPERTY TAX NOTICE)
D SIGN
PROPOSED USE:~SGL FAMILY DWELLING
DCOMMERCIAL
D MOVE
DALTERATION
D DEMOLISH
.. REPAIR
D INSTALL
WORK PROPSED: DNEW CONSTRUCTION
D ADDITION
DMULTI-FAMILY
D INDUSTRIAL
D# OF UNITS
D SWIMMING POOL
D MOBILE HOME
D OTHER
DESCRIPTION OF WORK
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
window replacement
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
PERMITS REQUESTED
~ ~t)~~
~.r;,.
.. BUILDING
o ELECTRICAL
$ 2000.00
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D FLORIDA POWER
D W.R.E.C.
D PLUMBING
D MECHANICAL
$
D GAS
D ROOFING
D SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
D OTHER
. III L(
'1 g -)//}/
TYPE OF CONSTRUCTION: D BLOCK
D FRAME
D STEEL
D OTHER
IS PROJECT IN FLOOD ZONE AREAD YES D NO
FINISHED FLOOR ELEVATIONS
CON'rRAC'1'OR. . . .......S. . ECTIO. N
. . . .', ' , .' - .' . - .. -' . '. . ..... . .
,-.' '. .,",., ......'
SIGNATURE
~
COMPANY BETTER BUILT CONSTRUCTION INC.
ufJ;b. I 19
STATE CERT OR REGIST # CRC058536 WIG- tJI"
****************************************************************** 02(.00
BUILDER
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" ~~ich
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 N T NEED RECORD AND POST A "NOTICE OF COMMENCEM
acknowledged)
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