HomeMy WebLinkAbout04-3689
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3689
3689
Permit Type: ADDITION/AL TERA TION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5346 20TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
12/16/2004
50.00
35.00
12/16/2004 Phone:
REPAIR WIRING AND REPLACE POWER PANEL & REPLACE PLBG LINES WITH PVC
Name: ROBERT KNAPP
Address: 5346 20TH ST
ZEPHYRHILLS, FL. 33542
HOMEOWNER
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DUCTS INSTALLED CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED PRE-METER WATER
SHEATHING MISC SEWER
MISC MISC MISC.
MISC. MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINsPEC110N 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."
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.
V~R~~ ~M.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS J:'.I!i.t(MJ.'.1" J't,rrLl.L.wn..&........,..~
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-7BO-0021
DATE RECEIVED
~ "/1-0;-
PHONE CONTACT FOR PERMITTING
OWNER'S NAME----J\ () be li'T }I- K j\J!J. P P
JOB ADDRESS . 53'7 t? ~o -r4. . :s r:
LEGAL DESCRIPTION: LOT (S) 16 -;z.B BLOCK
PARCEL 10 # I~~h;z./"o ~OO~ IOOC::> 1[30
PHONE 8/3 7'-1B - 7371>
SUBDIVISION Y jlG-LI Nt; S
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
(OBTAIN FROM PROPERTY,TAX NOTICE)
o ALTERATION tlREPAIR ~INSTALL
o SIGN 0 MOVE 0 DEMOLISH
PROPOSED USE: Ill'SGL FAMILY DWELLING DMULTI-FAMILY O. OF UNITS 0 MOBILE HOM
o COMMERCIAL 0 INDUSTRIAL 0 S~IMMING POOL 0 OTHER
fWOftf< l~flf'AJR -11 Repl..I}ce FlooK Cl>vefOrJ" -ltV5TAl.t l')fly w~(.L Pl..tJI1.0u\J(;..
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAl ~ .'
DESCRIPTION OF WORK f?,epH'!< IJ,vDREflllce elGcrfl'c f'1}1Jjf:.L tltvP WI Res
-:2r'" .L .., L ~ 7r' ~.-
BUILDING SIZE ~ " ~oJ SQUARE FOOTAGE ~ i7, HEIGHT a.
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.
PERMITS REQUESTED Of
(J~
o BUILDING $ '2."0 D- VALUATION OF
%ELECTRICAL 100 AMP SERVICE 0 Progress Energy
o PLUMBING
o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
o GAS o ROOFING o SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
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SIGNATURE
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COMPANY
HtJMe. OYJ)./e~
STATE CERT OR REGIST .
BUILDER
******************************************************************
ELECTRICIAN ~ ~
SIGNATURE
COMPANY
STATE CERT OR REGIST .
******************************************************************
PLUMBER ~
SIGNATURE t-f~
COMPANY
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST *
== Buildmg Permits Manager 1__ 1';rlf'Xl
FIle Edit PrInt utIIty ~ WIndow Help
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3689
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
3689
ADDITION/AL TERATION
434-ADD/AL T RESIDENTIAL
SINGLE FAMILY RESIDENTIAL
Address: 5346 20TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
12/16/2004
35.00
35.00
12/16/2004 Phone:
REPAIR WIRING AND REPLACE POWER PANEL & REPLACE PLBG LINES WITH PVC
Name: ROBERT KNAPP
Address: 5346 20TH ST
ZEPHYRHILLS, FL. 33542
LU
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.
REINsPEC110N 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."
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.
~fI~ ~.
CONTRACTOR SIGN E PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX:B13-780-0021
DATE RECE lVED
PHONE CONTACT FOR PERMITTING S~.3 - 78].... /235....
OWNER' S NAM~O BE 12- -r
JOB ADDRESS 53 If h
H IZN~f~
dO TfC-. S0
PHONE (if>).7 83- / ~ 35
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 # {~-d~-f:}I-Ocro-CO/CD-O{60
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
o ALTERAT ION
M.REPAIR
o INSTALL
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~
~D 22 ?()LNe~ ea.y\'.Q~ye~a.~ LAh~e..6'~1'
v L -+0 V"'e.lf' tA-uz..: ~I,A ~ \> ~>--b \Y1tt
SQUARE FOOTAGE HEIGHT
BUILDING SIZE
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.
o BUILDING
$ /6oo~
~Jf- / fO~ AMP SERvicE tJ ProgrElss Energy
O{ ~ I ~ 9.1'- ill.\~"~ ~<<-~ ~ "-\\k~ll..
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
~LECTRICAL
.P(PLUMBING
o MECHANICAL
o
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
1sJC FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES keNO
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
SIGNATURE
~f/;~
COMPANY
><-' ELECTRICIAN
STATE CERT OR REGIST #
tJ ( y:l..
******************************************************************
~
PLUMBER
~ff~
COMPANY N ~ 'f=l
STATE CERT OR REGIST #
SIGNATURE
******************************************************************
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" 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 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.
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 for 'a
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".
~'GN~~E~~ SIGNATURE' CONTRACTOR
(name of person
Dwho is personally
li"who has producedDR\\JE.e.IS.U LtNs..E
(type of identification)
~,rnd whoOdid Od~e an,oathon
(~~l,lCl L0 Y\.CLLL
Signature of person taking acknowledgement
LDee11l-'\ en e- rrl (CJ ) Q.Q J
Name typed, printed or stamped
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this __day of
by
acknowledged
,20_
(name of person acknowledged)
[1ho is personally known to me, or
Dwho has produced
(type of identification)
and La~fflAiCA~eff~E[ake an oath
NOT,lR"l p~ JR! Ie, STATE OF Fl ORIOA
sign~~~~'dEr#o~O~~ acknowledgment
COMMISSION # 240140
CQM~~'lQ,N~ftF~ 1 QflgtQ~
D:ISCLOSURE STATEMENT FOR OWNER
C:ITY OF ZEPBYRB:ILLS BU:ILD:ING DEPARTMENT
:I, Robert /1. kNAPP
agree to the provisions of this instrument.
have read and fully understand and
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his ohe~ domicile" that he or she
actually occupies, or will occupy by ~ :1t aid domicile, and same is not for
rent, lease or sale. That he or she sm<llkomply with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building :Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
:Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building .or residence must be for your own use or occupancy. :It may not
be built or substantially improved for sale or lease. :If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. :It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.J:.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning ations.
OWNER'S
ADDRESS
PHONE
DATE
(l.J(- \L-C) P<- ""33' S'11
IZ.-17-fll.j
W:ITNESS
PERMJ:T #