HomeMy WebLinkAbout05-4147
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4147
Permit Number: 4147
Permit Type: ACCESSORY BLDG.
Class of Work: SHED INSTALLATION
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
1,649.00
4/26/2005
60.00
60.00
4/26/2005
WOODEN SHED 10' X 12'
Address: 5508 23RD T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0070-00000-0120
Name: GOODWIN, CHERYL L.
Address: 5508 23RD ST
ZEPHYRHILLS, FL. 33542
Phone:
REINSPECTION 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.
. ~.
OR SIG ATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Southern Sheds lLC
159M lea-. Road
Dade C1t;y FL 33523
813-318-2423
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CITY OF ZEPHYRHILLS .I:'~.t(MJ.'.1' .tt.rrLI.I..'--.&'U.."'"
BUILDING DEPARTMENT 5335 8TH st, Zephyrhi11s, FL 33542
813-780-0020 FAX: 813-780-0021
PHONE CONTACT FOR
DATE RECEIVED L\ .... ~6"CS-
PERMITTING ,?, ~ - ~-m
OWNER'S NAME ~ ~~e.,~ C ~(X'>6 \ , '> \'"
JOB ADDRESS 5 5 0 ~ d-.~t'"A ~ ~.
LEGAL DESCRIPTION: LOT(S) \ d... . BLOCK SUBDIVISION \\0.7 ~\ ~"C.~""'~
PARCEL ID # \~. ~~. ~_\ .....6C"lO -DD60C "'611..~RTATN FROM PROPERTY TAX NOTTCE)
PHONE '\" ~ . ~ ~ '3 ~
.
WORK PROPSED: ~NEW CONSTRUCTION
OSIGN
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOM]
J( OTHER
c:J RESTAURANT
DESCRIPTION OF WORK l?~ ~ ~().. "b \e..
BUILDING SIZE }!) l X. \ 'd.\
& HEALTH DEPARTMENT APPROVAL
\.0d ~ Y)~~
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 ENER~Y FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~ ~
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~ '::_:~../ /",........--"--
PERMITS REQUESTED ----/;; q I~
fJ BUILDING Sl-.c~ $~ VALUATION OF TOTAL CONSTRUCTION ~ ~
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E,C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
Q ,L
FINISHED FLOOR ELEVATIONS ~
% FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES )\rNO
BUILDER ~
SIGNATURE ~~~~~~~
COMPANY~
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. NOTIc.E OF DEED RESTRICTIONS
Th~ 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
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the dwner or intended contractor 'are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhi1ls Building Department, B13-7BO~0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor (s) sign pO:J'=tions of the ~Contractor Secti.ons" of this application for which they
will be responsible. If you, as the owner signs as the contractor, ydu are indicating that
you, rather than the contractor, are responsible for the work. Tf 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 ~aw - 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 regu1ating.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 p~o~isions of the technical c~des,
nor shall issuance of a permit prevent the Building Off~c~a1 from thereafter requir~ng 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 a?andoned,for ~a
period of six months after the tirne.the work is commenced. One 90 d~y extens~on of t~me
may be allowed for the permit with fee charge of $15.00. The extens~on shall be requeste~
in writing to.the Building Official. An approved inspection must be logged during 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)
C1ho is personally known to me, or
Owho has produced
(type of identification)
and wnoO did Odid not take an oath.
o who has produced
(type of identification)
and who Odid [}:iid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped