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Home My WebLink About05-4113 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4113 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: 4113 SLAB PERMIT SLAB NOT APPLICABLE Address: 3543 TOURMALINE DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: EMERALD POINTE Parcel Number: 420.00 4/29/2005 35.00 35.00 4/15/2005 10 X 20 SLAB ONLY Phone: 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. ~4?~ . rjZ _ . ~/~ . /11 . .c.c ~ ~ ( C~CTOR 51 URE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4113 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: 4113 SLAB PERMIT SLAB NOT APPLICABLE Address: 3543 TOURMALINE DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: EMERALD POINTE Parcel Number: 420.00 4/29/2005 35.00 35.00 4/15/2005 10 X 20 SLAB ONLY Name: ALLEN & EVE MCKISSIC Address: 3543 TOURMALINE DR ZEPHYRHILLS, FL. 33542 Phone: 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. n 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. / ~~ CONTRACTOR SIGNATURE PERM~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPIIYRHILLS BUILDING DEPARTHENT OWNER JOB LOCATION PARCEL I.D." # SHON ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS. ~ t ( (TJ .-J fl. .;; VI -- ~ ~ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. - If\-. \'-- Ii) [71 _ ( FirAT () .3 ~II [:) ~r OtJ/.-I(' \b.I- .- - .I'.... :/ I ....... \} N FRO~T PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE CITY OF ZEPHYRHILLS l:'J!i.t(MJ..~' .li.J:"J:"J.u..w.n..&......""... BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED /f-IIJ- D ~- PHONE CONTACT FOR PERMITTING L. n1C-.~S:Sl~- .---rc; lR.)\ rv1 Q \ \ (\ ~ LEGAL DESCRIPTION: LOT(S) ~~::; PHONEbIZ-l \ () -62.02- ~y" \o~ 2-6S OWNER'S NAME f\-\ \<::Z.-Vl JOB ADDRESS 35 tf3 BLOCK SUBDIVISION PARCEL 10 # /OBTAIN FROM PROPERTY.TAX NOTICE) WORK PROPSED: D NEW CONSTRUCTION DADDITION DALTERATION [J REPAIR o INSTALL DSIGN D MOVE D DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNI'rS D SWIMMING POOL o MOBILE HOM! o OTHER DESCRIPTION OF WORK o RESTAURANT & HEALTH DEPARTMENT AP1?ROVAL \ 0 ( ')(2. 0 f ~. \d-t ;S \ ~lo.\'" BUILDING SIZE SQUARE FOOTAGE HEIGHT 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 ENER<3l' FORMS. FORMS, // / I/" /1 II~ /. ,_._-------~ )('.UILDING o ELECTRICAL o PLUMBING o MECHANICAL PERMITS REQUESTED \ $~\ -2-0,00 VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o Progress Energy o W.R.E.C. $ 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 BUILDER SIGNATUREi~J . "~' COMPANY ~f/ e-- ' . . '. STATE CERT OR REGIST # ****************************************************************** 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. NOTI~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 lieensed 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. CONSTRUCTOION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, haye 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. Appli~ation 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 proc~e~ with the work a~d not as authority to violate, cancel, alter, or set aside any prov~s~ons of the techn~cal,c~des, nor shall issuance of a permit prevent the Building Official from thereafter requ~r~ng a correction of errors in plans, construction, or violations of any c~de: Every perm~t . issued shall become invalid unless the work authorized by such perm~t ~s commenced with~n six months of issuance, or if work authorized by the permit is suspended or a~andoned.for~a period of six months after the time,the work is commenced. One 90 day extens~on of t~me may be allowed for the permit with fee charge of $~5.00. ,The extension shall b~ requeste~ in writing to 'the Building Official. An approved ~nspect~on must be logged dur~ng each s~x 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~ 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 Owho has produced (type of identification) and whoO did Odid not take an oath. o who 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