HomeMy WebLinkAbout04-3447
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3447
Permit Number: 3447
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 2,150.00
Date Issued: 10/11/2004
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 10/11/2004
Work Desc: CHANGE OUT
Address: 4755 SILVER CIR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: AUDLEY JOSLIN
Address: 4755 SILVER CIR
ZEPHYRHILLS, FL. 33542
Phone:
REINSPECTlON 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 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. n
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
r ~.
CTOR SIGNATURE \ PERM IT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERKIT
CITY OF ZEPllYRHILLS
BUILDING DEPARTKENT
OWNER'S N
PHONE (&15) 7 ~) - 7 ~ f J
2~ h h . J( PL -, 35r (
JOB ADDRESS
OWNER'S ADDRESS
)ti1hP (f.?
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D.'
WORK PROPOSED:_New Construction _Addition. -...Alteration
_Sign
_Kove
_Deaolish
PROPOSED USE: _Single Faaily
_KIF
_' of Units _K/H
_<=<-ercial
_Indust.
_Swia. Pool _Other
DESCRIPTION OF WORK:
_Restaurant Ii Health Departaent Approval
ovt H~t{t
BUILDING SIZE:
Square Feet,
jJv ~ jJ)
(. j
Height
RESIDENTIAL:
COHHERCIAL :
ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
_BUILDING
$
Valuation of Total Construction
'3G(V('7
PERMITS REOUESTED
_~C'l'RICAL
~CllAlUCAL
$
AMP Service
Jf / SO f!!!-
I
Florida Power Corp.
W.R.E.C.
Valuation of Kechanical Installation
_PLUKBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FlllISBED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
'CONTRACTOR SECTION
BtITT JlER
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
Signature
RT.RCTRICIAR
COMPANY
State Cert. or Regist. .
City License Registration .
******************************************
SilrflAture
PLUKBER COMPANY
State Cert. or Regist. ,
Signature City License Registration .
******************************************
IlECBABIGAL t COMPANY 0 L/o nIJVCt rt ~.A,>tJ/J~J f If('lt/~ -' f
~ .~ State Cert. or Regist. , {, .1-r(J ,<;"0/7'7 , 7
Signature ~. ~ City License Registration'
./ / *****************************************
I'
OTRRR COMPANY
State Cert. or Regist. ,
Signature City License Registration .
******************************************
APPLICATION APPROVED BY
PERKIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigne~ understands that this perlit lay be subject to "deed restrictions" which lay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both tbe owner and contractor aay be
cited for a lisdeteanGr violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requir8lents lay apply for the intended work, tbey are advised to contact the City of Zephyrhills Building Deparblent, (813)
788-6611. '
FurtherlOre, if the ONner bas 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 sign 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 lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the
City of Zephyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES I'
D. CONSTRUC'l'ION LIEN L'.I\W (CHAPTER 713, FLORIDA STATUTES1 AS AMENDED)
I certify that I, the applicant, bave been provided with a copy of "Florida's Construction Lien Law - HOIeOIDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOIeODe other than the
.owner", I certify that I have obtained a copy of the above described docUlent and prolise in good faith to deliver it to the
"owner" prior to couenc8lent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all Nork Nill be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developlent.
,
Application is hereby lade to obtain a perlit to do Nork and instailation as indicated. I certify that no worl or
installation has cOllenced prior to issuance of a perlit and that all worl will be perf oiled to Jeet standards of. all 1111
regulating construction, City codes, zoning regulations, and land developlent regulations In the jurisdiction. I also
certify that I understand that the regulations of otber goverDIental agencies aay apply to the intended work, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Sucb agencies Include but are not lillted to:
* Departlent of EnvlroDlental Regulation - Cypress Bayheads, Wetland Areas and HnviroRleDtally Sensitive Lands,
. Water/Wastewater Treatlent
* Southwest Florida Water Hanag8lent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t Departlent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treablent, Septic Tanks
t US EnviroDlental Protection Agency - Asbestos abatelent
I also certify that, if fIll laterial is to be used in Flood Zone "A" or .A,etc.., it is understoodtbat a drainage plan
addressing a .colpensating volUle" will be sublitted whicb is prepared by a professional engineer registered in the State of
Florida prior to perlit, issuance.
,
. A per.it issued shall be construed to be a license to proceed with tbe work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall is~u~ce of a perlit prevent the Building Official frUl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery peIlit ilsued shall becole invalid
unless the work authorized by such perlit is cOllenced within sil IOntha of issuance, or if work authorized bJ the peIlit is
suspended or abandoned for a period of sil IOnths after the tile the worl is cOllenced. One 90 day 81tension of tile, IIJ be
allowed for the perlit with fee charge of $15.00. Tbe eltension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each Sil IODtb period, or'tbe project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTlCH OF COHIIHNCEHBNT HAY RESULT IN YOUR PAYING TWICE FOR IHPROVIIIBO'S TO YOUR
PROPIRTY. IF YOU INTKND TO OBTAIN FINANCING, CONSULT WITH YOUR LliNDER OR AN ATTORREY BEFORK RKCORDIHG YOUR IfOTICB OF
COMMENCKHENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RHCORD AND POST A "NOTICE OF COHMENCEMlNT".
, I
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, 19_ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC