HomeMy WebLinkAbout05-3975
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
3975
Permit Number: 3975 Issued: 3/29/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: NEW CONST/COMM
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 8,500.00 Total Fees: 112.50
Amount Paid: 112.50 Date Paid: 3/15/2005
Address: 37853 HWY. 54 WE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: P LEUM RE
Addr: 1917 GEl GEL AVE
ORLANDO,FL. 32806
Phone: Lie: Phone:
Work Desc: INSTALLATION OF AN FDEP TEMPORARY REMEDIATION SYSTEM
Name: MCRAE, P.D.
Address: 37853 HWY 54 WEST
ZEPHYRHILLS, FL. 33542
1 H L
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME Mise SEWER
MISC INSULATION WALL Mise 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."
NO OCCUPANCY BEFORE C.O.
· tflii:------- (7- .
'""f C O;:~IGNATURE) -PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CONSTRUCTION DRAWINGS
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LEGEND
~ DEEP MONITOR WELL LOCATION
@ MONITOR WELL LOCA 110N
I8l RECOVERY WELL LOCA110N
. ABANDONED WELL LOCATION
J1 COMPLlNACE WELL LOCATION
lIT FREE PRODUCT WELL LOCATION
... AIR SP ARGE POINT
() SVE POINT
ClICl PROPOSED TRENCH
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Scale in Feet
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REMEDIATION SYSTEM
LAYOUT
UNITED 500 No. 514-
37853 HIGHWAY 54 WEST
ZEPHYRHILLS, FLORIDA
Dole: 2/25/04 !'roj. No.: FL-0032
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ZEPHYRHILLS, FL
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ZEPHYRHILLS, FLORIDA
DATE: 2/12/04 PROJ #:00032
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CITY OF ZEPHYRHILLS PERMIT APPLICATION C".J.i~ .~~{~.,o.;
./
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
~-)\-l..?S-
PHONE CONTACT FOR PERMITTING C~.(n'\ 4~'-~'Z,\ <?
OWNER'S NAME'-' R D ,
JOB ADDRESS--- -;]7 ~s- 3
Y'{)c KQ -e.
~^1 ' s-Lj'
UJ-e s f-
PHONE ~l3 -~3 ~- &(-{q I
2 e ~1.1 '( h d \ "S, f' \q ,
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
~IV\d-a~\{~ltovc L){ (hA F\CYEV
SQUARE FOOTAGE
+r,V\.\,~J((lVrr fI\~&I.6t'~( &.c
:S~ -s-t eu,\.
HEIGHT
BUILDING SIZE
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.
& (1) SET ENERGY FORMS.
FORMS.
o BUILDING
$1 8. "S 00. 00
,
VALUATION OF
0~ VAl~TT-"::,J
'^~ fnr J?w.,J
rU~v~N ...
TOTAL CONSTRUCTION / /2- i ~ ~
Progress Energy [J W. R,E-;C.
PERMITS REQUESTED
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o
$
VALUATION OF MECHANCIAL
_./ ./
j/ )
I NSTAL]'AtN . .~...~
~
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 AREAO YES 0 NO
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************,.***********
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
SIGNATURE
*** ** *** * * *** * * *** ** *** * *** *** ** *** **** ***** ****** * *** ,. ** ***** ~ ** * ~., V
COMPANY vi- tie. :It)
, t q- /
STATE CERT OR REGIST # .)~. .
MECHANICAL
*****************************************************
SIGNATURE
R () b-e 1/ t w C Y' l \A_iVV
cn~:,..Q--~
....--" ....-J
,-----
/COMPANY f\....h-O\-eUWl ~< {"Sc..^-.-"{C (~,~_~_JJ.e\.J-e \Uf>M"j'
CERT OR REGIST #~~ Olf roO<) L
OTHER
(STATE
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" w~ich
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 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 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 "An 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".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
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
, 2Q._
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
and whoO did 0 did not
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid DUd not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped