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HomeMy WebLinkAbout04-3532 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 3532 Permit Num er: 3532 Issued: 10/29/2004 Permit Type: GENERAL BUILDING PERMIT Class of Work: DRIVEWAY/NEW Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 3,000.00 Total Fees: Amount Paid: 45.00 Date Paid: Address: 5251 5TH T ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: J & J CONTRACTING & REMOD Addr: 19712 WYNDCLlFF DR ODESSA,FL. 33556 Phone: Lic: Work Desc: DRIVEWAY B ET PECKENSCHNEIDER 5251 5TH ST ZEPHYRHILLS, FL. 33542 Phone: DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC, INSULATION CEILING MISC. MISC. MISC. DRIVEWAY MISC, MISC, 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." o OCCUPANCY BEFORE C.O. CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 PHONE CONTACT FOR DATE RECEIVED ! &-2/-0( 1;/3-'633-07'0 PEBMITTING Le~' I e.. OWNER'S NAME ? e c k.. .en ~Ch (j-Q I cl ~ r' & e+ JOB ADDRESS ',,-5'd-SI .F)~ ~T 'C- ' k'f) J of LEGAL DESCRI PTION: LOT ("'!t( /. ,;;< . ~ 3 BLOCK! 3 I " I PARCEL 10 # !/ - ;(b- ;)/-00 I () -/~/CO - 001 () PHONE r: \t'-l o-f -2epA . SUBDIVISIO~ I . (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: 0 NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL DSIGN PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE He o OTHER c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ('./0(1( re~ IJ(", v"f' u n V' / BUILDING SIZE 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~ORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. :tJ>LJ..r c::. .?_i Vb PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. I~, T~ 4f~~3?- PERMITS REQUESTED ~UILDING $ 3000 VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o Progress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 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 1....."~W'Cl~""~,.,..,..,..,,,.,.'t""""~........ ~~~~".., ~,.,.........-~..".".,-"".........."- -~i-"- ...-~--~ _ ~- -- ~-- -- - - -- - - - - ~~~.. ~-"-- -----",.~ ~---. -~... __...",~,__~..._-r-~~~"""'" il~ l",.I\l',Ii"I'('"".." " '[ " ' 'I" :, ;' i 1 " " ,'~,rf '~l,'[n,'+: '~I';";1i'5fl"i!f ,tfu:illt" :1':';:': 11'''1)~lt;;!.'',I':J, "",'",' ': .,1' , ,I i ,:', ',,' ' I, ,'. ,; :'1,' ,,( I' f"':~ ' 'I': '. if \: 'fi"f'~II"I~ ... ~...~....~~_~....____~""'" .-J.~_,lJLi:.....~~_~~~-'-l-"""""______ ___ _ _ _ _ __ __ _ _ _ __ _ _ __~~_~_............-,~i:L_.d~~~~",","L..l..~~ BUILDER3 e ~ S .~C)\ + COMPANY -:s- SB CCJV\-\-~ '8 eVYl SIGNATU~..a//?L ~~ STATE CERT OR REGIST * 0Jc 15D'I;;jtJj ********************** ******************************************* 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. NOTIC,E 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 "Cohtractor 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 conunencement. 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 conunenced prior to issuance of a permit and that all work wiil 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 conunenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for ~a period of six months after the time the work is conunenced. 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". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 2<1- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged ,20_ (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or o who has produced (type of identification) and wlioO did Odid not take an oath. o who has produced (type of identification) and who 0 did Oiid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped BOIJNDARY SURVEY ./ ~~ ~u~~ .~'vr~11,\ 11'~;--~ ~ ~ ~ ~ ~- 89"46'04- I/. 90"10'45" I/. ~ , j .... ~ \ ~ I:( ~ .1 .... ~ ~ '6 '0. jO'O ~f..- \ ".. 0\ 30 0 15 ~ ~ I GRAPHIC SCAL'I (In reet) 1 JDch - 30 It. __lrvf aERAL NOTES: U!lWl1IiIJCRJPfUil'ROlllDEDBY07HER8. THEI.N61B fH1IIINlIEIIEOIIWERENUr NI811IM:1EDFOR S4BEiIlIEIIm1 OR011fERREr:tJRlJEDSIQ..UCSM7T.....,ONTHEItAT. UIIlSIll. '<IIID1'OR11ONfI CFRlrmWlII!t FlXMI4T1ONSOR01HER ~_NUrUlQt18l IIMU JBAlfE1l1THEFMZCFTHEIWLN#) ARE1IDTll1/IE II/ED ll1R!E1D011111R1JCBtJlIiIJARYlJIIEB. IIl1TIfJIII.D fWTHDtI1'THE SIiIlMn.RI:. QWtilIl6tL RA&I1a9L a: A RDVlD4 I.DfJ&DlIIMlUfNiDM4/lPSt aw.Y~~UlC4n;n NO~R1IINOONAIDBl7YIXRlI!RlfIliLEB80111ER1M1E8HOWIt ~IHOIMIAREItAT AMlIII!AIlUIEDUNlEl/B07Hl!RtIItIE8HOWN. FB/CEOftI1ER8HpIlflfDE.l1__ I aaMJlrMFtIHOWNARElWIEDlJ1IONN.Q.V.D. UNlEl/8~1IIf7Im ~ -::;";:~C81SUE -x-x- WlREFENCE . I'RDPERTYCORNER LeplDeacrJption 'l'hct Bast. 80.00 feet of Lots 1. 2 and 3. mock 131. CllY ar zm"b1JUULLS. __ dIua to the Plat the.reof IllS ~ in Plat Book 1. Pace 54. of the PubHc' Record8 of Puco County. J'Jorida. CommUDity Number: 120236 Panel: 0005 SuUIz: C r.I.B.II. Date: 12/1'1'/11191 Plood Zone: X J'leld "'ork: 8/17/2004 Completed: 8/18/2004 CerttfIed To: Bret .... Pooclr"'_~";oier, a--. Title Compaay of P.lort4a; Old 8epQbHc Nat.kma1 'fttle lDIIuraDoe Compeny; AmmicaD Kortaace Net.work of Florida. its woo_... ancl/or 1IIIldana. ~~ ZephyrJdDa, ftarlda 33542 Survey Number: 0-135137 NOTE: IIt:a1Pl.WtCEllmVl'URDI S7'An&6tGf1.UflJt fI1ItEJ, FI.DCA11ONOF .6UEiII!ilVnrORRI6HT.(Jft.WAYCFII!I:OIQ O11fERTIWI1IIOIIEONRI!CaID PlAT. -1II!I:I.Wl&l1llS1'tI'UlIMJDlIIlIlIT'BE RIWISHED 7D THE.sr.trM!l'tW AMl4W'flSl FD. POUND QH.L DWRHFMJ/_ E:S::SI WDa1DECK ~ .,,,,..,w.,, ~