HomeMy WebLinkAbout05-4160
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4160
4160
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5507 8TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
4/28/2005
92.50
92.50
4/28/2005
ADDING BATH
Name: TOMCZAK, DAVID
Address: 5507 8TH ST
ZEPHYRHILLS, FL. 33542
Phone:
F D F TER R
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.
~~~ ~-~
CONTRACTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
J
~j//
/1r; . r'
BUILDING
BUILDING PERMITt4~
0998
Permit
9-..~c
~I-r 0 · o^>
ELECTRICAL
CITY OF ZEPHYRHILLS .,,- )
(813) 788-6611 I J' 7
J) ?-. )" J .,.'
~(. 5':"v~ c-"~5 uO
~MBING MECHANICAL
Property Owner: ~V t 'J)
Job Address: 55 D 'I
Parcel I. D. #
Zoning:
Descriotion of Work
lO~<:2 AK.
8'~ ~-t.
Date c2-/tJ-o:z.
.
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Efergy Code:
A &dl~J AAth
~\c;A{~' ~~
NO OCCUPANCY BEFORE C.O'.. C'{..~ 1J,J~t.
Complete Plans. Specifications and Fee M t Accom~~~y APPlicatio~'
I.LI L{
Radon Gas:
t...}'I. 5~r OOI"r\
FINAL
C.O.
DATE
DATE
All work shall be performed in accordance with City Codes and Ordinances.
/..........,--\
."./
/"/..'.---.....
/:::' "- \
/~! ~I&V ~;
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the fOIlOWin~e.son.. a ~/
charge of Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade: '~~
.._.~- ..---~
Valuation 01
Contract Pril
City license ,i ,
State Certifie\
!1 )WvU/Y
BUILDING
Ftr.
Pre SLB
lintel
FRM. I L{-y,gQ C!:.
Insul. CL
WL
Driveway
<" -, I" "f' . /
LJ ~ '} V . 1/'7
9jL~ '1 J ~~
. LA; JytI.tj -fi 0
l1'~01'7o #~
fUU- ~ ~ 1>>
c.~' /l1~ "&t/.
. ~~;;JJ;::'I It
M'e-Meter
Final
Inspector
Pe,m;, Fee iIz.tP', r~ . /
/Signature ~ ~---?
Company , (]-(X? 5:
Address 1 8'0 -
Telephone# J.r~,? ':1./17
OW~
o ...,J~
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
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.
, .
O~Nru1-
5507 1,+h 'S.-f:
tfr"~\JO"l. 00,
, .
SQ. FE5T ~
..
.. . .. ca.u- a-... I~L.( $ Jf(;, ,J .:::.)
O"IH!R.MI!A ~ .
'.
-
VAUIA'JDI . 'S; 700, -~ ;.:,.
. J
-, . ~ ,,,",
1'")_
. )JIlt
. 1-/0 ~ '0>
L'
- 's '-1"- Q":"
'J,
.' 2c;. ~0
/44- ~,Fr. s l ..;4
---("cJ p-l.~
gJ I 'fro.-/Y
..
I
T1J1"S~' Nln
f
t
I
--\)
)G' ~
ii
-~
,~
\.(
~
I" ~,
j' .. "~
11./" II
I~
\~
,J>
/
\ \,\
o I'J
,\ Ci
\ , "IJ:)"
ALL IOU SIW.L COMPLY WITH i.ll PRfVJUUNG
ca-. -.._ BUILDING, PLU"_"
M~ Uc. AND CITY OF ZEPHYRHIW
ORDINANCES.
r--' --~
, ~:
\ '
\
'"
:\
\~ . j i~
I \).. Ii
i'
i'
:;IREVlEWED,
Dl.
~ . API'AClWD {j'tU- 8(k.O
).
,~ !
0\
\1
r; r: ; 0, ~
( \ (
~ - - ~~~ - - - -
r-
..........,,_.._ _ 9 ..,,".....'_.. -
---..'.....'... <\>
~
'-'-,~
. .....:
",",
f ,
4i ~I
: !,...".--., ---- _...~,~.-- ----".. ---J I
.._~' -:::", ___ __ .,__u '_____"~'_.--;:I
~,- ... ~~ ~~._--
,
...
LU":(; t) t=aA-rV\"- C2.Ai ':)1'\4..1",-, n()i~
S I JA'LL U~V\f\.''l L"'-J III \ i\-LL
;+fpL.\U~j-?L'i. /ete; 7 5T/1,-.u),:yLJ
(Jo~Li){(\J~' (x..:Sl) 6- S
b
>.~
~..~
-:1
v-
.... ..
fuiL-vlJutL. i,J)'r~t<..A T(-YJ 51.{4.--,-
'~ '-
c o""l^i w iTN ,4t..t. /qC;e, ;Utili ~N4C ~'~" ~l
. "
fw, Tfll C cu)fJ--')
,
;.t..a.w-~';;,,'1F'~~':.ii"::.~::~~~(f'R'..~;:.;;.:.~.;;n,.~~~"t~~~e~'Ut:.~~;rJ~r~-o;!'!~~:::...~~...'J':"1""-~...~~--::;.r:=:~~~-.~~~~~~t~~~;:.il:;;:=3.;..~J.!:;E'..:-.:e
,./"'- \. ......./ ;.~
...../ \ a
/...</ )" // ~ ~
,/ - \ \.../ ,/ \ ~........,,- 'S
:\ \,/' ,/ /// \ """\ ~
;~\ \..., \ \;
'-' \\ \ ,1 ~\ 'Cl ON \\ ~
\ ./ I I .~ dL-J ~
,0""':/<'/ ./ "'\ .;1 ~ \\/./././ ~~// l j) ~!,:,,:
~..: / (,,<;'?J "
./ - 1"'- f.).,~ '. ,--.
./ 0' \ \ / / i
, ,/" ri,~Cj/:''''' 1, ':4\ ,,'/ ~:, ./ .,
,/ ../ ,-0'::\ \.'I\1,9.-h....- ,J;~,~."'~ <>;\ ,\-0... \ .... .../ ~
. ',.' ",/ ~,i . o) ",\~~-' \ 'Q 6' / t:
./ !.O ~ 8"1 "","",,, I' ~ ' ~ c" '0 \;'2> "-&\' ,/- ~31-.jt!O:J MS .:10 1 IV 130 " 5
/7:{/ > ciL:J q/' , \ '... \ .AJ$' c. ")\'< .7,0"..... "_0,,' 6
/. _ ... . .\ ~.\' 0\;;7 0.. ~-. '\......... %
.// r\':~w ..../' '..s, \ ;'\"I.-~? '~. ~;'-'~'\" \ /" ~
.... ,<~() ,/", \ ',,~'>,', .' .'.,,< /. , \ - ./ ~
...../.... -, ,/'/- ,< \ "":.:i"., ,"" '" oc:::.\ r \\ ,/< ...- ~
......' 1"\.c;I- /' l' 0 ~ ~/'f" " ;0, <:) /",./ ~ ,./., ~
... t'\'v ',/ ,v ' , '~'X'" \ ' ;.0,
/ ,~'),~~,/ " <' rQ'<i''/ ., 1..0< /"
<1)\~,,/ ... ,,/' """, v/ /' ,:;\Vo" \ /" I
///./)., // /' ./ \~1 /" /" (l '? .~:~.~:;: (0 //;.: '\ /" ~
r.::\ ..- iO s~/ ~ /", ~
J9.00.oc ,/ / /' ~ 9 J~~/"/_-/-~~~-'--~~>~ <~~, '~\ /,,""'/ (\ <\- ~~;"
./- ''-!i./. c:;~<,___,-li'\o-- \' ,,-.>;'>'s -:;:."'~ ~"".8i. -:.. ......... {~, "
..-./ ..",'.... _".._" - ~~ ''0\ tn' ~-',.., /~ ' '.6''' <, // " "I ~
tl .".-,""'- (~\ ,'0 <pv'fja\// ,~ r:,"" I:; -:.':.'. y\..... .I (-') -, ~
r-o .../ , ...' 'r> ' '0 .....,\" .,-' /".
\, _, p ,/~ \ /,-:/~." ",,\ ,,! Or-6~ ~\. ~, ......... '.",1:::',
, \' " \ /' /' .'~. .# _kl\Y.~'lj. ~ ./"0, "'...... /- ~
\\';' /~: \----//0;.,0 ,c ,......---:;; ~$~~l~/, \ \ ,/ ~
\ \\- ...r/ /~/ ~._/~ e?"Y "..r:-.,.C;'-:J :J( / _\ /.~ I~:',
"\~' /.... /' ,'.......,... _/") 0'0 A .-; , r;;: /
\ \ 0" ~t", ",' _ :--.\..'U ' ....... I 0, \ ~,_ .
,/ ,/- ....,;' , \'V"<:? ~"""",/ ~": .. '0 o,/- ~
-;0, ' /" \ _ ,/ I 0.- \ . \ /~
'~4 ~\ C ./ 1.l15 ,::0 /" ' r:/'''s \ ~ \ ,/' ~
~ \ \\c~~ .,./ _/ 17 \ c:: /" ...../0>:"..0 . /\ ~ \ y/ ~
'"to \o, j ......... ./ ''(' i>~;;> /". \ ~' ......... ~
.... \o, ./ '0, /" \./ ,/- ~
'0\ ./ /" ...' ......... o,",:J.. (\01...,./ \ ,/' &
\/' .... ,/' \~, J.'.J~......... \/" ~
~ \ // \ ~
0\ .\\\;. , ./ .-.; ,;;:\';.'." \; \, ./ ,/ :~, n " \ I
?< \ ~, ./ ./ ./ ' " ' \:;'~ ./ \ ./,/ I
"\ \ \ ~ ~.,.......... ,/' ~ J},J j.,/' v"",/' ~
~~ ~ ~ ' '!;~\V; ./ /.... ,/' fiI~ ,,/ ,/'. .o~OO.o8 ' ~
\ Z- ~ \\" ./ ~ R ./ /./ .b 'ai ON ~:~<_,,:
\ ct. (0 " "'./ &./ ............... ./Z/9 dl.:I ~
~\\i\ ~ ~\:/ .///~ @ // J'O~/ ~ ./// I
'\ \\ ~~~"> / /,/ ~ /~~ .oo~......x I
'*o.~;,~ / ,/~ ,0 - ~ /'. I~,
'-' //\..'l"-')l.:'~, ' ;(" .... ./' 6
\ -.!l~ .........../" s<I .a ~..........-, ~
, \ -r~,g; ~ ~'<ly.o ~< .1.i1- " I
\ \-\P<:i)~~\(:<~ ~0J~"~~JL~" I
\ ~,m
\ 98'Ki-Za.t. (1::19) :Zi3d ~
I... 1:/..9-Z8,1, (gIS) :euol1d
'-."......... ).....//..., ..... // .-- ng8~ -eP1J:otJj' 's{ITti.raqdaz ~,:
\ ./// 'P"'-I8: rra:) t9r.9 "
'our 'SOl'fUY.OCSsy ptro ren'3a: peJ',R';) ~
665/ "'" 'l\olY ~/YOI'J;'//l;?27' ~
t:i I'
66EH '8Z <:Iaa:N:!f.1d:iIS :.t.e , S ;f.u e~ra([ ~
HZ-99S31 :.I2qmrln .rep.xo :l'[.IOlQ. ~
XVZOfW,1 m:A.Va :':j.l;;:err;) ~
XillAHllS .t\HVGN.l1.0H ;,
~~!J
,/
,/
/'
/,/
,'/
...,./
..........
./
,'/
,~1
\,\j .
, '
...../
,./...
....'
"/,,
i3
\ .....
\..../
.//
.....
~~;r>..=~-'~
V,if'9-Z81. (me) :Zi.ld
},1:/,9-881, CST 9) :G1.":orrd
T17988 \3p~J:(rlcI 'SItrq:.rAqd~Z
.P./,-IO: II'8~ t 9 T. 9
.OUJ fS~:j'rCT.OC2SfV l:rt!'g n;,u.8Q pg.r1!:j":1 ~
's~51 r,[ ~olY .w NOI'f;~'/l;7"Y t
66tH 'BZ <i3:8Jht:rr.Ld:ITS :!.(;)1.rns f..v G'+B([ i
f'
I..IZ-999ZT :..t~\qmnn: J:GpJ:Cl :JIJ:vl1
}IVZO}110~II ~l'.A~l'a :~.rW:\i':q:T~J ~
AatlHflS ..t1.tNG1tJ10'El
~"'~'~X7';'!'w;,~W~L;:.~~:;;::..?:;.;r-:,--:.u,~~"..k~~l;1:'::~..;","";"".n:~2"!":'~",T':~':i';:;_>'-"""'*Y>':i-"~l.:.12:.m::-~i:i"i&.ti:..~~.,,~~.:.:.,.~~"-.:~'-;tl,:'Ji;!':';~~-~:'l:';;_<:::~_}w::::JL:l'!~'';~:- ii:;''''',:i''~;':::i::;-...;;r~t~~j;;~=''':'~.~;.
~':tK~::-::.::,'}4;,,~'-.': 7t~
J;K2"~-~:~,:;t-;:;.;~}1:.!t:C~"":-:':::i-.::' :;;"'::-~'i~-':"'2'.:,:j_'
;,.:.':':..;"i:,
\.
,/
,
,
\
\
\
/\
.,/" \
\
.--\
\
'-,\
\
)
-s // ~--:_'..'\ .c.!l ON
,.../.. ...- """ - ''-1 I dLl
\.,0 , ,/''''''\ ",
, ,/ ~,<:;Y; 'c-\, ,(, \.
('(~ ,~, J - "
~....... 1'6)'< /'\'
, c' ".,,' \ \
" ,..,';1';; /+ , ..'. '<! , /'\ --)
/" ,,\\ - C)"r:l tP~. ......-"'; 'r,(.. ;;\ ~ L-~)
\V' t~)~-..~,!r /1' .l-- c;ii \.\ 0-.........\ .",\\:.-..
-' /'.".. ~...~rr'u.\ '1"< . C'9.. --:\~:.~'~ \ ;..,,~,' 6~
,/ !J}~ SI #~.o: ~L, ' .... y\I.\ ~""\,~o \ \'0 ,'."\ \'
:Z/ ~ (U~__Q:'P"-' -~.-:/- \ <1,\0~~~;S ;.,,; riij.:~,..- r.'.~:,\
_/" ..' ,<;,> /" \0 \ '~ .\ . -\," ~~,. ;~~.~
/.-r r:~\.;.t,\ ".- -" // / "('~'!r.,//. ~-\s..~;-~r..~ ~C~\ --\\
..-' ,...-/ ..... \ c."::'\ /--\ r;(.
,.-/ .cJ,..--o"" ,;})" ",\ /A ;o~ .')' ....o"", ':0
/ ~" -I...>!.l,\:e,/" /' ';;?- \ ,6)> / /:;"\ o.
~r~<;..../ / """i, V/, ' ~,c \ <J-,
".:~. l / ""'_i 9 \ /~;:~'\.__.;;~~'
/' /OJ, _~,\O-/\- '(o.~\ ,4"/ .9/>8:::~
/ / is;~ /' / <;~\ ,:0;'2'\ "~-$~S:, :;,' /'''' ;~ '~~~K;
\ \ { / , ~'...~..,-,jo't~~:6'" \:
\\ \. .../.. .."....t:,~.\'(..._...cj. '/ .
\ l.: \ ' \, C< t .r~~4- ~e.,. .\\~! '>~ ,..-... \
\ \\,\,./ ../ .... rtr.} ,'" .../."..:"....0),,0 // \
//" ,../~,... j> \,-l' ~'.~c~>.~'~;.,J 0;/,/ \
\ ,\ .' .~- f_: /" r-,\j ,,' - \ (~
"\\\ '" ' ,/ \'c\ "'~ ~,,~':--:,i'1 ,- / ,",,' "0, '\ t:.',
\ ~ _/. ":,>0 ~\'''''''':;' ,-.t- l '1\ ,'- "..'". '~_',-' . /..../.
ce' \\ ,/ ' , 'V('" if' " \ ~o
.: \<- \\ ,.~ ..// ~IS ,,'::--. //~ :~::;r; \ o.
C>. \\\C\ /'le /' '1',-,:;'1") ,.----\\..~
;.,<' \ v .._/.- I \...~_ \\\~ .\.-- //
~\:" /~ \ ,. /' \
/ \ \ // /'" \~)I)'"'\ ~ ~/ :~>.-\
\ \\- /,;;:,.>/ c \ Y' / / /" ,,',\
~ \ \/ / / / , ' / / /~"O\ / / / / "'~~
,( , --L \~ ~~, \\. ..--/ .-/' ,"'i ,.-/' .-/' ':;'OO.oe \
\ ~ t"., \:,0 " r;.'if ",/ ..b 'Oi ON
'~\~\:o,9\~\\~ ~:/ - / / /' i / / / jOi ////~ ~x/~ &,j // /
I.f)\" ,.-//, c
~}\:'/ ..--.... /' /-:a;( /~ ,\)'c.~ " .
\ '\ s~~ / /'< ,GO ~,~"",
\ '7.0"-'" '\>" .-'" ..............
\ '-J\,\ /' \..'{\)-'" ' 01., ('!............., 6
\ '<~ \ /// c.'<l (1). . 1\ ~
\ .-/ '6":> ;:; .ro I f,'
\ .., ~(J ..--.-// _ ,0-4\.... ~ v,"
\/-\f[J'(;:~;\",~\ ~r /"/// ///;~~\G1/~,1 r;tl'>-";V
,.g/s d~\1 . /' ':J\ ,,// ".-/ (1 }.'1.......
I ~ /" // 4.l....
\ ..../"... v
\ \ \ /-/ ,,/'
\..... \ /'/ /"..--
,.... \' -
\ -""'- ~,/ ....-
'\ //
\ /'
//
..--
\/
/
......---.--'
~-" \ .--................
/,/ \ '.....
// \ '\
I \ \,
I \, 'C! ON \
~ ~ \
I ./" {..~ dl:J !
~'//l'\ )
/'~ /
''---._,~
.../'"
.--/,/'
\/
,/
....-/"
\
\,
.--..,.
/'
\.
./"'.--
r/"---
//.~
\
\
\ ..
\
\
\,
/
."../'
,/'
/
.../.....
/'
..../
- (~
,i.,) ,
1..,,'
.-".,
?,
\
\---/
//
,....
"ml-.ltlO:J IAS .:10 11\1130"
//
\,
,
\
\
\
, 1/
';'1 \
~ '
'~ \
",", \
4 \
c:>. v"""'-
....,., '\
c..!.
\
\
\
,/
...-,/..
/'
/"
,./
.-/'
//
/"
~
( "
I'
.....
..--
/"
,//'
/'
,/'
,....
,
,
\
\
\ ,/' ,/
\. .-/'
\ ..--
\/
\
\
\
'\ /"......../.
\ ~......
\ /,,/
\,//
\
\
\
\
::.t~5'~;':;:.'C~-,:~'"
b
,
p
m
r:,
p
r
(~
".
//
i:
~
f
.
I
t!
fJ
~
t~
~
f
:g
~
~
~
~
~-::
f:
h
;,
r;
t
fi
ii
-~
...,,/ r'i
~
~
fj
~
f~
~
~
N
~
C
~I
~
~
~
~
."--
.........--'
io'.
r;
~
~
~
~
~
~~
.,
~
i:
;,l
fj
fl
Iii
~
~
[1
!
>..~=->._~~~_~~~....:..:..~~:~~~'!"..;:A;~-~.;:....=_~:;- ._-.ur~~;~~~~-=-=s.=-~...r~~--=r~:..,""._-' ._'---,~;o;--=r"-.~-,J(,.Vi."".'_'
I Ct(.~U ~/l,~ /D;} t!-
CITY 01' ZIIPHYRHILLS pJiRJIIT APPLICATIO~--, .'
BUI:LDtR'c) DBPUTlimft 5335 8th BT.BlI'1' ZIIPIITRIIXLLB, rL- 33540
Phone.B13-7BO-0020 rax.813..780-0021' /} _ J,e-- ....;
DATB .BCBXVIID . oL /.;;;;1 O~
~LARB IBVIRW rRB
OWNBR' S NAMII .0 A 1/1 r; 7i:> J1 ('~ Z II f(
JOB SITB ADDRBSS S 6' tJ 7 :;f'"/ H' oS r;
LRGAL DBSCRIPTION: LOT (B) W &.$ '1 'i.!f.(.,. BLOCK
/,s,,,,,..Dr7
PARCBL ID .,
/I .11. ,).1 .(>0/0' /Pt:>t>tJpo,5"O
.
WORK PROPSED: oNEW CONSTRUCTION 2 ADDITION
PHon CONTACT ? f' C' - ?.,1 R"/'
c;~ ~ 1J'i - .3 !J."t.-
SUBDIVHUON
(OBTAIN FROM PROPIIRTY TAX NOTICR)
DSION
D MOVE
DALTRRATION
tJ DEMOLISH
D REPAIR
D INSTALL
PROPOSRD USR:~BgL FAMILY DW_LLING
o COMMERCIAL
o MuLTI - FAMILY
o INDUSTRIAL
Oft OF UNITS
o SWIMMINO POOL
\;
o MOBILR HOMB
o milER
DRSCRIPTION OF WORK
BUILDING SIZE
.QUARE FOOT,",R / f :;/;;11 RRIQIlT Is'" '" :l'
n-->:J
ATTACH (2) PLOT PLANS & (2) SRTS OF BUILDIN PLANS & (1) SRT RNRRGY FORMS.
ATTACH (3) SRTS OF BUILDING PLANS & (1) SST ENBRGY FORMS.
PROPERTY SURVBY RBQUIRBD FOR ALL NBW CONSTRUCTION.
JD )( IL
RESI'DBNTIAL:
COMMBRCIAL:
-~ BUILDING
,.~ ELH<:!'rRICAL
'..,c PLUMBING
. ~MECHANICAL
PBRKITS. RBaUBSTBD
$
.3~OD.ll 0
VALUATION OF TOTAL CONSTRUCTION
~ t f) jk;~ I SI/Alr/ AMP SBRVICB
W FLORIDA POWBR
o ".R.R.C.
$
VALUATION OF MBCHANCIAL INSTALLATION
o GAS
o ROOFINg
o SPRCIALTY
o OTHRR
TYPB OF CONSTRUCTION t 0 BLOCR
B1FRAMB
o STEEL
o OTHIIR
FINISHRD FLQOR RLEVATIONS
IS PROJBCT IN FLOOD, ZONR ARRAO YIlS 0 NO
BUJ:LDIIR
Ri"""TUlUl~ j)~.. ~
COMPANY .
STATE CHRT OR REGIST
CITY PROCESSINg ff ,
*........,...............**..****.**...*.*****..***,..****.**..*..
IILIIC'l'RtcI.... ~
.iOHA~~( y~
COMPANY, /~
STATE CERT OR REGIST t
CITY PROCE8SING ft
.******...*.**......*......*......................................
PLUllBBR
.IOHATURR ~~~
COMPANY F~
STATE CERT OR RRGIST ff
CITY PROCESSING ff
MJlCRAHlCAL '
.I"""TURfJVcf?~ y~
..**..............................................................
COMPANY 4' ~~..~
STATB CBRT OR RRGIST .,
CITY PROCESSING ff
........................~.....*.................*................
OTR8.
SIgNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING ,
...............................*............~.*..................
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 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 st~te and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a mdsdemeanor
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 t~e
City of Zephyrhills Building Department, 813-788-6611.
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 contraptor that may be an indication that he is not properly licensed and is
not entitleq to permitting prfvileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION F~ES
D. CONSTRUCTUIQN 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 p~omise in good faith to deliver
it to the "owner" prior to commencement. '
E. CONTRACTOR'S/OWNER'S AFFIDAVlT
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 '1 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 S~nsitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Beawalis, 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 s~bmitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A pennit i8su~d 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 permdt prevent the Building Offic~al from thereafter requiring a
corr~ction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work a~thorized by such pe~t is commenced within
six months of issua~ce, 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 permdt 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 NOTIC~ 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 COMMENCI!:HENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
- ------ - ....._u_ '-'.&.; L .GJS'U"'..L J.. rt.c c ~U.t\.V.L-r
SIGNATURE. OWNER OR AGENT'
SIGNATURE. CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
, 1!i.-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument Was
Before me this -----Pay of
by
(name of person acblo~iedged)
Owho is personally knowii to me, or
acknowledged
, 19_~
(name of person acknowledged)
[Lho is personally known to me, or
o who has produced
(type of identification)
and whoO did Odidnot take an oath.
o who has produced
(type of identification)
and who Odid OUd not take an oath
Signature of person taking acknowledgement
Signature of person taking aoknowledgment
Name typed, printed or stamped
Name typed, printed or stamped