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Home My WebLink About04-3104 ... ~-- . i . I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 3104 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: 4,194.00 Date Issued: 5/25/2004 Name: OSWALD, FLORENCE Total Fees: 55.00 Address: 4506 - 5TH ST Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: . 5/25/2004. .__ _ _--'-__ Phc~me:~__d_~__--_ ---.- ~Work Desc: AlC'CHANGE-OLJT 3 ToN STRAIGHT COOL 3104 MECHANICAL AlC CHANGEOUT NOT APPLICABLE Address: 4506 5TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 14-20-21-0060-01000-2220 I ___._.__~_.__"~"..._".~._~."..___..___ "___~~_._."."___~___~J_".--" .___~""______"_...___ 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 "Warnillg to owner: -Your failure--fO reconi"iln'otice-Of commencement-may -resulfin your paying tWice loi-- - improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." - ----------'--------~--Complete pfa-ns~pecificatro-ns an-d Fee M-ust Accompariy Application":--------- --- - -- --------..------------- AII_1IV~k_sh~~__eE:!rform~ i!l~ccordance .with Cil:y Co~s andQrdinance~ _ NO OCCUPANCY BEFORE C.O. --------------.-------------- -----_..'------ -- ----- --------..----- ~ _m OR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ". l~Ul..l.\...t. ut' lJj':;~[) H~STlU.CTJ..ONS 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 viol~tion under state law. If the owner or intended contractqr are uncertain as to what licensing requirements mrtY apply for the 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 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 tq 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'f./OWNER'S AFFIDAVIT I certify that ~ll 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 b~ performed to meet standards of all laws regulating construction, City codes, zoning r~gulations, 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 Envi~onmentally 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 per.mit 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 t six months of issuance, or if work authorized by the permit is suspended or abandoned for'~ . 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 L DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN "LUE DO NO" NEED TO RECORD AND POST ~ COMM]Z:~7"' SIGNATURE, ~CTOR STATE OF FLORIDAU. ?{' I /1j STATE OF FLORIDA COUNTY OF ~ I IV e.. (f"7 COUNTY OF The foregoing-instrument was acknowledged The foregoing instrument was acknowledged L Before me this d.S- 4a.Y of ~\l ' H.;.20DV Before me this ,;J-S day of ,T-y::I '-I, , 1:-9-..:J eX) / by ~ '(-C. '--\ C Y'-' yV ~ f;;, b cJ by (\ 'N rL '"I [j N.-0 "::) P b <J ,...,.c.. ., (name ~f person acknowledged) (name of person acknowledged) (::i!fwho is personally known to me, or ~ho is personally known to me, or '.\ (( \: \ ~ \.! C . 1-) ') and whoD did ~" ?fl o who has produced (type t5J-did not ~, l -" ~,-(" of identification) take an oath. Dwho has produced (type of identification) and who Ddid ta:!id not take an oath Sign:~~r~ ~~ '::'r:;';a:i~}!:.n:~l;:nt Signature f person taking acknowledgement Name typed, f!.M~ lliATO_lQped NO ARY PU8UC - STATE OF FLORIDA COMMISSION' CC.....5 EX~IRES 112II2OI4 BONDED THRU ASA 1-tH-NOTARY1 Name typed, MYRA ~1Ii= III ATOWSlfl ~~1!_C dI1l'A~ COMMISSION' EXPIRES 8121I2OO4 'lONDED THRU ASA 1-88lW\10TARY1 APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED .-6 -2 5~ -0 V PLANS REVIEW FE E . ' OWNER'S NAME OC:.:, \.-,--,' Q \ d \-- \ 0 ~c..e /U c..C I JOB. ADDRESS CY-SQLP S-" 1-\ 'S4/2.E"C' PHONE BtS -779-8"([:3c Z (/ph ~ ~ \-\ (l.L':) :; 5::;;<:"{ ~ LEGAL DESCRIPTION: LOT(S) ddd.-.!f.;);;y/ BLOCK It.J PARCEL ID If ILl -d.U <)--1- 00(00- 0 1000 -,:X;).",)..6 SUBDIVISION S lA~ ru /<.. i Se P/l12. Ie.. WORK PROPSED: []NEW CONSTRUCTION (OBTAIN FROM PROPERTY ~AX NOTICE) []ADDITION [] ALT ERAT I ON [] REPAIR M INSTALL lle.,p {f} eQ,~+ []SIGN PROPOSED USE: ~SGL FAMILY DWELLING [] COMMERCIAL [] MOVE [] DEMOLISH []MULTI-FAMILY [] INDUSTRIAL ~ [] If OF UNITS [] SWIMMING POOL []MOBILE HOME []OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~ESCRJ;~TIO~ OF WORK eg lU:)L C ~7~/" 0 ,,~f- ~S L\---. "5'+ de -N / i LA (' c; G ( C ' ,,\I cL.L71...ak rC. ( (~s> d~ I 1 / {J C I 0 C t:/ G/i S' C LC /2..W P Ck--. , BUILDING SIZE SQUARE FOOTAGE HEIGHT _ RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENEF.GY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED [] BUILDING $ VALUATION;OF TOTAL CONSTRUCTION [] ELECTRICAL AMP SERVICE [] FLORIDA POWER [] ,. /_~ "\ W.R.E.C. \ / Lfl L/ . ' rJ~_~ (J . , <:2~/ [] PLUMBING [] MECHANICAL $ YiC?Yr02 VALUATION OF MEC~CIAL INSTALLATION [] GAS [] ROOFING o SPECIALTY [] OTHER TYPE OF CONSTRUCTION: [] BLOCK [] FRAME [] STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[] YES [] NO BUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *****************************************************************~ ELECTRICIAN SIGNATURE COMPANY. STATE CERT OR REGIST # CITY PROCESSING #. *****************************************************************~ PLUMBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE SIGNATUR * * * * * *.* * * * * * * * *** * * * ** ** ** * * * ** ** * * ** * * ~~ **** i<* *(:'t* * * *^** **~ . COMPANY r::c, \-:::, '> -Po \ (L ()y-J'~ ~~ L STATE CERT OR REGIST # CJ::;e.(j 5:t:o~7C/ ~~J1 CITY PROCESSING # ***************************************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** ~ . A,.~. ,"".t.--.,. ;.l:.;