HomeMy WebLinkAbout05-3878
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3878
Permit Number: 3878 Issued: 2/21/2005
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 1 03-NEW CONST DUPLEX 2-UNIT
Proposed Use: DUPLEX
Sq. Feet: Est. Value:
Cost: 50,025.00 Total Fees:
Amount Paid: 2,836.41 Date Paid:
Address: 4743 6TH T
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:\L\--O\~- ,- COIO- 63YCO C05:)
Name: ALVIN BACH L ONSTRUCTI N INC
Addr: 22464 WEEKS BLVD
LAND 0 LAKES, FL. 34639
Phone: 813 928-5081 Lie:
Work Desc: NEW DUPLEX
BACMAR ROPERTIES IN
4743 6TH ST
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
WATER METER RES 3/4"
398.05 MECHANICAL FEE
180.00 RADON
60.00 BUILDING FEE
10.01
486.00
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ER
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.
REINSPEcnON 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) Pla!ls 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."
NO OCCUPANCY BEFORE C.O.
. ~~
-
SIG A URE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Alvin Bachtel Canst., Inc.
Lot 5 - 6th St.
UnitB
SQ. FEET PRICE
MAIN OR LIVING: 1,000.5 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 50,025.00
FEE SHEET $ 284.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 486.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 486.00
ELECTRICAL: $ 88.65
PLUMBING: $ 78.50
MECHANICAL: $ 60.00
SUB-TOTAL $ 713.15
RADON: $ 10.01
TOTAL $ 723.16
SEWER: $ 'bi" !l.OO
WATER: $ ~
IRRIGATION: $ -
TOTAL: $ 2,035.00
15~ de
-5ft,.O 5"
WATER METER:I $
IRRIGATION METER $
PARK IMPACT FEESI $
SUB-TOTAL $
180~00 I
769.56 ~
3,707.721
SIF'S: $ 722.00
97.5% $ 703.95
2.5% $ 18.05
TI F'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
TOTAL: $
6,017.72 t
Alvin Bachtel Const., Inc.
Lot 5 - 6th St.
Unit A
SQ. FEET PRICE
MAIN OR LIVING: 1,000.5 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 50,025.00
FEE SHEET $ 284.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 486.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 486.00
ELECTRICAL: $ 88.65
PLUMBING: $ 78.50
MECHANICAL: $ 60.00
SUB-TOTAL $ 713.15
RADON: $ 10.01
TOTAL $ 723.16
SEWER: $ I,UIU.VV
WATER: $
IRRIGATION: $ -
TOTAL: $ 2,035.00
(S3S,.2-U
31 ~. 05
WATER METER:I $ 180~00 I
IRRIGATION METER $ .
PARK IMPACT FEESI $ 769.561
SUB-TOTAL $ 3,707.721
SIF'S: $ 722.00
97.5% $ 703.95
2.5% $ 18.05
TI F'S: $ 1,588.00
99% $ 1,572.12
1% $ 15.88
TOTAL: $ 6,017.721
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8~B St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-7BO-0021
DATE RECE IWO
l
,;J ;/~S
.
PHONE CONTACT FOR PERMITTING (81,))9.).3'-508-(
OWNER'S NAMERk/tl/f I'tft'PE/f'I7.6Y .TlIc. PHONE ('iP/3) 9;;J~- StJrl
JOB ADORES8,g1~1 !~ll~3v 771. SJ;fJBer
LEGAL DESCRIPTION: LOT (5) ~ BLOCK 50/ SUBDIVISION $~t?A'Ef ;&?2"iF'J'f"..ABk1.
PARCEL ID # /~~&-;J./ - /)/1/0 ...1J3't'tJi?- adS!) (OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ~ CONSTRUCTION
OSIGN
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION DALTERATION o REPAIR o INSTALL
o MOVE 0 DEMOLISH
~LTI-FAMILY 0# OF UNITS o MOBILE HO
o INDUSTRIAL o SW IMMING POOL o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK jJVPLE ~
BUILDING SIZE ;;;>-q ~r;'1
SQUARE FOOTAGE ~t? /
HEIGHT
ISI
o BUILDING
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. q~- )~ -Ft.--u\,.))
})iJ;Y #7i,~ [fKf)f1~J'--
PERMITS REQUESTED 1.111I. ()/t ,...""
t.1 JLJ t ~
AMP SE::::TION ;::D:O::::CTto~ W.R.E.C~/u
$ ~S.f)tJ tJ
3t)f)
o ELECTRICAL
o PLUMBING
b MECHANICAL
$
stJOO
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK ~RAME
FINISHED FLOOR ELEVATIONS B-I(AtJJt..j.- ,k'd-
0ffi o~ I
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AAEA~ YES ~
ELECTRICI
q9~q~l!t:f{'~J:9'J..i.~9N .
COMPANY .&LI/~A/ /3-"'1CHrl} f- '('0>> I"'.AC
BUILDER
STATE CERT OR REGIST # C.i$C~6(J:2.91
SIGNATURE
*************************************************~****************-f
.. -::f /2' '7
(\ COMPANY ?T~ c/t /3 .-C?cr
~ STATE CERT OR REGIST # c.C -c V"ck?2570
*************************************************
COMPANY L416y .J IJ.1"eS P/u;v1tl'lj IVJC
STATE CERT OR REGIST # CFC, j'12 6 613
PLUMBER
SIGNATURE
SIGNATURE
COMPANY -:T'~/Y).(4~ Jder6- -r-CQ"h",!o
STATE CERT OR REGIST # ~ I t1Y 3t; :?c,
MECHANICAL
*****************************************************************
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 n\or~ restrictive than City regulations. The undersigned assumes responsibility fOl
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 requirec
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 Sectionsd of this application for which thE
will be responsible. If you, as the owner signs as the contractor, you are indicating the
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 j
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 Constructior
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]
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. ]
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 tc
the intended work, and that it is my responsibility to identify what actions I must take
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 whicr
is prepared by a professional engineer registered in the State of Florida prior to permit
issuanc:e.
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
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 requestec
in writing to the Building Official. An approved inspection must be logged during each sj
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, CONSUl
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO'TrCE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
, 2CL-
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)
C1ho is personally known to me, or
of identification)
take an oath.
o who has produced
(type of identification
and who Odid O:iid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
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