HomeMy WebLinkAbout05-4136
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4136
Permit Number: 4136
Permit Type: ADDITION/ALTERATION
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5729 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: CHRIS BAHR
Address: 5729 GALL BLVD
ZEPHYRHILLS, FL. 33542
4/22/2005
52.50
52.50
4/22/2005 Phone:
REPLACE EXISTING PAN ROOF WITH STRUCTURAL PANELS
R 1
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,
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."
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.
~t?~ &?I-.
CO NT. CT SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Page 1 of 1
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME C. h Y"l'~ 13aJ/\ l'"
JOB ADDRESS 51 ~q Go...l' 'BlvJ.
PHONE
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # 11- ;;J.tG-;;H-DO(Q-6;)..7DD-OIOO
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
ptREPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: oSGL FAMILY DWELLING
~COMMERCIAL
DMULTI - FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 1<cpltc.Ce... e)(("}+tkj p::tv\ yOD~ witk St-rtAc..-'h.(.('~ R~el~
BUILDING SIZE 1'6 X 7'2. SQUARE FOOTAGE HEIGHT
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.
PERMITS REQUESTED
Iiit BUILDING
o ELECTRICAL
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
J?t.:'T HER tt1 u.~ l ~ &(-1.-
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
SIGNATURE ""-<:;itlc~~..
COMPANY ~'5o A (u-w.. I ~u.....--
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. 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 fo~
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 Zephyrhil1s.
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.
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 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".
. >S oLd. c ~{ J;!f
SIGNATURE: CONTRAC R
d~i", ~l t/r-
SIGNATURE: OWNER OR GENT
STATE OF FLORIDA
COUNTY OF
The foregoing instrument wattacKnfWledged ~
Before me this ca.\~t- day of rr, ,20 (J5
by
~_ (name of person acknowledged)
~o is personally known to me, or
Yc:tsco
STATE OF FLORIDA ...-;-2
COUNTY OF ~~to
The foregoing instrument wa~cknowledged
Before me this~day of ~~1\ , 200?
by
(name of person acknowledged)
~o is personally known to me, or
owho has produced
(type
o did not
owho has produced
(type of identification)
~id not ~an 0 th
rson taking acknowledgment
.,UZ<:.I!lH,: Batu
_i,J'IF'u8(,b_ Commission #DD\57\3'
Name type~; "p\~J4itimPjrc:sr N~t<afn~Q.6
, -:"'''l~ Ut ;~(~~Q. r~iJ!1(h::d I hni
" ". I
Name typed,
person taking acknowledgement
... . ',,_!zanne Bahr
_,~~~.~\l.r:~&<>: /"i)"1"1i~~i()n Hf)'n 1 ,,711',
printoo-o'~i~'tfamR~ No\' \ 5.2006
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state of ~a..
NOTICE OF COMMENCEMENT
County of --P~~ Cob
1111111111111111I1111111111 1111I1111I1111111111 11111 11111111
2005078179
TUB trnoERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following infor~ation is provided in this Notice of Commencement:
1. Description of Property: Parcel No. 11- ;2"- .2\- OOlO-()~70{J- 0100
able)
2 .
General Description of Improvement ~a.\r
S tnryV'\ d ~h.t&LJ e..
Roo~ FrD~
~~~t0 .~~7169 Rec: 10.00
04/22/05 IT: 0.00
----- Opty Clerk
3 .
O\.'ner Information: Name --.-CJi r\ stop he., S. PxLhr
l\ddress 57~q Go..Jl Rlvd. City Ze.phyr-hi \t~
State Fl. 335tf d-
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
~~~~~1~M~~ ~ l~A~CO . COUNTY CLERK
OR BK 6335 ~G 334
Address City
State
Contractor: N.:lme BCA.-hr'S Alu..rn,-nk..W1- ,Inc..
Address fD RJ.. City Z ~hy~ hi ll~
State Fl. 3"35"t{:L
5. Surety: N.Jrne
Address
City
State
Amount of Bond: S
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon wham
notices or o:her documents may be served as provided by Section
723.13(1)(a)(7), rlorida Statutes:
tJ,;mc
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of t~e
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
<). ~xp.J..r/"li .l.')n d~te of tlot.ice of Commencement (the expiration date is 1 yedr
fr~m the ~.:ltc of recording unless a different date is specified.)
SisnatureofOwner: ~~ ~
Sworn to and subscribed before me this .Jis-( day of
fJfJR/L
.'
20 () 5--- . /1 \ I
Not~ry Public: 7r/a1j ~ '/Jut:t.~
My C :.J:il,<l1 S s ion E~Pire~ :
PC93053048/ A
, a\. Mary K. HenderIon
!.~ . My CommIaIion DOO90686
'~,j Expires FeblUlllY 10, 2006