HomeMy WebLinkAbout05-3998
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3998
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:
3998
COMMERCIAL
ADD/AL T COMMERCIAL
COMMERCIAL
Address: 6949 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
12,000.00
3/18/2005
180.85
180.85
3/18/2005
BUILD OUT THE TELEPHONE MAN
Phone:
MARTIN ELECTRIC
F I 1 U
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) 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.
. ~~
R SIGNATURE PERMIT OFF I
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: 813-780-0021 . .JL_
DATE RECEIVED c;.I-,V- Og
PHONE CONTACT FOR PERMITTING
OWNER'S NAME?1:f;;; ~~---'1 ~ P~ONE. ff'/3-7,f'd, ..od'..z.s-
JOB ADDRESS ' ~~ ~~~~ &~ ~ f<
. I
LEGAL DESCRIPTION: LOT (S) t{;C:){I BLOCK 00/ cD SUBDIVISION DO/If:)
PARCEL ID # 05-~0 -,;;2.../ - oe>lD - Oc>/OO.- E>-f6~TilN FROM PROPF.RTY TAX NOTICE)
o ADDITION
OALTERATION
o REPAIR
o INSTALL
WORK PROPSED: ONEW CONSTRUCTION
OSIGN
o MOVE
o DEMOLISH ~- ~
PROPOSED USE: OSGL FAMILY DWELLING
~MERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
EJ OTHER
~
RESTAURANT & HEALTH DEPARTMENT APPROVAL
'- d2 - (;juJ-
O~
BUILDING SIZE
DESCRIPTION OF WORK
HEIGHT
SQUARE FOOTAGE
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.
~LDING .
~ECTRICAL
o PLUMBING
o MECHANICAL
o GAS
o ROOFING
PERMITS REQUESTED
E)"U
$ j:;2,,()cJO VALUATION OF TOTAL CONSTRUCTION
~i0j AMP SERVICE
~lA-
o
o
W.R.E.C.
Progress Energy
$
VALUATION OF MECHANCIAL INSTALLATION
o SPECIALTY
o OTHER
o FRAME
o STEEL
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO
FINISHED FLOOR ELEVATIONS
BUILDER .L /J If . ...Jf2 ' COMPANY :
SIGNATURE 2~d 7.~ STATE CERT OR REGIST. c..-1Jr!- /.::<...cm /0
********** ****************************************************
ELECTRICIAN
SIGNATURE
PLUMBER
SIGNATURE
MECHANICAL
SIGNATURE
OTHER
SIGNATURE
mfr-. ~~
COMPANY ~
-1"""'0 .3 '""' ~~~
STATE CERT OR REGIST # ~~ / ~I ~
****************************************************
~ [A-
COMPANY
STATE CERT OR REGIST #
******************************************************************
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COMPANY
STATE CERT OR REGIST #
, ~ * *,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
~\ I ~ COMPANY
STATE CERT OR REGIST #
A, NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" wh"ich.
may be more restrictive than City regulations. The undersigned assumes responsibility ~or
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 "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
$2,50 IN VALUE DO NOT NEED TO RECORD AND POST A CE OF COMMENCEMEN "
STATE OF FLORI~~~
COUNTY OF - ()
The foregoing instrument was dcknowledg~~~
Bef~ thi~~ ctp offJ1O-AOh , 2f.'il=::'"
by Ie VUfJ h
,
(name of person acknowledged)
~hO is personally known to me, or
~o
person a nowledged)
known to me, or
Owho
of identification)
ake an oath.
o who has produced
Ja . (tY~..e. .Of id ntification)
did id n t ta n oath
~
of person taking acknowledgment
~--
. . My CommIsaion 00165587
Name typed, &p!1'llSt:I81l1l1m,.Dlp2!ld7
Name typed, printed or stamped
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Ryman Construction
6949 Gall Blvd.
Telephone Man
SQ. FEET PRICE
MAIN OR LIVING: $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 12,000.00
FEE SHEET $ 90.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 135.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 135.00
ELECTRICAL: $ 45.85
PLUMBING: $ -
MECHANICAL: $ -
SUB-TOTAL $ 180.85
RADON: $ -
TOTAL $ 180.85
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
WATER METER:I $
IRRIGATION METER $
~ I
180.851
I
SUB-TOTAL $
PARK IMPACT FEESl $
PUBLIC SAFETY IMPACT FEES
POLICE $ -
FIRE $ -
5% $ -
8IF'8:1 $
97.5% $
2.5% $
T I F '8 :1 $
99% $
1% $
- I
- I
TOTAL: $
180.85 I