HomeMy WebLinkAbout05-4152
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4152
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:
4152
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
SINGLE FAMILY RESIDENTIAL
Address: 5601 9TH S
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
4/27/2005
70.00
70.00
4/27/2005 Phone:
PLUMBING REPAIR AND REPLACEMENT ON INTERIOR FRAMING
Name: MAR A VELASQUEZ
Address: 5601 9TH ST
ZEPHYRHILLS, FL. 33542
R TR
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 ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
. ~~
R ATU PERMIT OFFI
CALL FOR NSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF Z~!:'t1:t~n.J.L1.1-1U ... ...-----
BUILDING DEPARTMENT 5335 8TH st, Zephyrhi11s, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
1":J1~D;-
PHONE CONTACT FOR PERMITTING
JOB ADDRESS
MQ'I~ \J~loSC~V~0
SCp 0 f . cr-ffA 5'-f
PHONE
g'! 3.7gg'3() 9/
OWNER'S NAME
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
IOBTATN FROM PROPERTY TAX NOTICE)
PARCEL ID #
o SIGN
o ADDITION
o MOVE
o ALTERATION
o REPAIR
o INSTALL
WORK PROPSED: ONEW CONSTRUCTION
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOt"
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL
L0M13/J\f0 ~<$.w\~~
NTh "'4 T::>K..
HEIGHT
BUILDING SIZE
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.
...."'-~.- - .----
'.'"
'\
/
..../
o BUILDING
$
// 5)
PERMITS REQUESTED / ;~ . ~ I /
VALUATION OF TOTAL CONSTRUCTIO~
AMP SERVICE 0 Progress Energy 0
W.R.E,C.
o ELECTRICAL
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
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
~ BUILDER
SIGNATURE j(gch:J LafJ ~'
COMPANY
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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'/.- PLUMBER COMPANY
SIGNATURE STATE CERT OR REGIST #
MECHANICAL COMPANY
SIGNATURE STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTIqE 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 Zephyrhi11s 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, ydu 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~i6n that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhi11s.
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.
Appliqation 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 i~
understood that a drainage plan addressing a "compensating volume" w111 be subm1tted wh~ch
is prepared by a professional engineer registered in the State of Florida prior to perm1t
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 techni~al 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 permi~
issued shall become invalid unless the work authorized by such pe~it is commenced w1thin ,
six months of issuance, or if work authorized by the permit is suspended or a?andoned,for.a
eriod of six months after the time. the work is commenced. One 90 day extens10n of t1me
~a be allowed for the permit with fee charge of $15.00. ,The extension shall be requeste~
inYwriting to 'the Building Official. An approved inspect10n must be logged during each S1X
month eriod or the project will be considered abandoned.
WARNIN~ TO O~NER: YOUR FAILURE TO RECORD A NOTICE OF ~O~~:~~M~~To~iI~~~~~~~N~~U~ONSULT
PAYING TWICE FOR IMPROVEMENTS ~O YOUR PROPERTDYIN'G ;~U~ONOTICE OF COMMENCEMENT. JogS UNDER
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECOR . "
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT.
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2CL-
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 psrson acknowledged)
o who is personally known to me, . or
(namS of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type of identification)
and wliod did Odid not take an oath.
o who has produced
(type of identification)
and who Odid Diid not take an oath
f person taking acknowledgment
Signature 0
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped