HomeMy WebLinkAbout05-4163
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4163
Permit Number: 4163
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:
Address: 5444 4TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-06300-0110
2,245.00
5/16/2005
67.50
67.50
5/02/2005
STORAGE BUILDING -10 X 14
Name: CHURCH OF CHRIST
Address: 5444 4TH ST.
ZEPHYRHILLS, FL. 33542
Phone:
REINSPECTJON FEES: When extra inspection bips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each bip 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.
/tltz1~ t ~ ~-.
CONT CTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPIIYRHILLS BUILDING DEPARTMENT
OWNER
JOB LOCATION
PARCEL I.D.' #
SHOHALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
J
sJrQ.c:t'
FRONT PROPE TY LINE
.3 f)O
./
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
10'
P E
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0 I
101 P S 10'
0 T 1 0'
S I
E N
0 G
20'
FRONT PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
10'
,
-
10' EXISTING 10'
,
PROPOSED
20'SGL FAM 30 ' DUPLEX
1 0'
FRONT PROPERTY LINE
CONTRACT
BRANDON SHEDS AND GAZEBOS
DISTRIBUTOR OF LARK PORTABLE BUILDINGS
o 1325 W. Brandon Blvd. . Brandon, Rorida 33511. (813) 657-9722. Fax (813) 661-4715
o 8848 Gall Blvd. . Zephyrhills, Rorida 33540. (813) 783-8200. Fax (813) 788-8650
o 5600 U.S. Hwy 301 N,. Ellenton, Rorida 34222 .(941) 723-2888. Fax (941) 721-0038
SERIAL # APPROXIMATE DELIVERY DATE
DATE
)
~r '
NAME
f'
(
.~, \
.t )
CI1Y
+\
\ \:i
""'''- WIDTH
.'-.,.
Style: ,
\
~q
Color: Wall
(
Door(s) Type:
Door
Hinge:
~., ,r.~
Vent(s) Type:
Switch:
Lights:
Payment Method: Cash
D
Check
D
Credit Card Finance
D D
r- ,
~:~ ~:li _J\
:, ... c
L
PHONE WORK
FAX
LOAD DOOR TO:
DELIVERY INFORMATION
\y
I I
LENGTH
Siding Type
Roof
R.H. L.H.
[] D
I r~1 SM
k:
SUB TOTAL
TAX
TOTAL ",'.1
" fC1;J l..('z
, ~S()
DEPOSIT '-0:;
BALANCE I tv
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)
TERMS OF CONTRACT: I 0 % DEPOSIT REQUIRED; BALANCE DUE UPON DELIVERY UNLESS OTHERWISE NOTED, THERE WIll BE A 100% DEPOSIT CHARGE FOR ALL
CANCELED ORDERS, ALL BILLS ARE DUE AND PAYABLE UPON RECEIPT A 1 '/. FINANCE CHARGE (PER MONTH) WHICH IS AN ANNUAL PERCENTAGE RATE OF 18% WILL BE
ASSESSED ON ALL OUTSTANDING BALANCES WHICH ARE DUE FOR 30 DAYS OR MORE, THE UNDERSIGNED CUSTOMER GRANTS TO BRANDON SHEDS AND GAZEBOS INC,. A
PURCHASE MONEY SECURITY INTEREST IN THE BUILDING OR EQUIPMENT DESCRIBED ABOVE, WHICH SHALL BE DEEMED PERSONAL PROPERTY BRANDON SHEDS AND
GAZEBOS INC.. SHALL BE ENTITLED TO RECOVER ALL THE COST OF COLLECTION FOR ANY AMOUNTS DUE AND OWING UNDER THIS AGREEMENT OR IN CONJUNCTION WITH THIS
AGREEMENT INCLUDING BUT NOT LIMITED TO ATTORNEY'S FEES. COURT COSTS AND ANY OTHER COST OF COLLECTION, THE BUYER IS RESPONSIBLE FOR DAMAGE INCURRED
BY OBSTACLES THAT HAVE NOT BEEN REMOVED AND FOR UNDERGROUND UTILITIES WHICH INTERFERE WITH ANCHOR INSTALLATION, IT IS THE BUYERS RESPONSIBILITY TO
CHECK ON AND COMPLY WITH ZONING AND BUILDING PERMIT REQUIREMENTS AND ANY DEED RESTRICTIONS FILES OF RECORD, BUYER IS RESPONSIBLE TO OBTAIN ANY
PERMITS REQUIRED REGARDING THE INSTALLATION OF THIS PRODUCT,
AUTHORIZED BY:
'1,\.
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L,'.__, .'
,..,,,.....,-,:-- ,,~
CUSTOMER:
DEALER - White DELIVERY - Yellow CUSTOMER - Pink
.~"";
STATE OF flORIDA
DEPARTMENT OF COMMUNITY AFFAIRS
"Dedicated to making Florida a better place to call home"
IEB BUSH
Governor
STEVEN M, SEIBERT
SecrPlary
February 27) 2002
Certification Number:
Manu facturer:
Address:
Expiration:
LBI-223
Lark Builders, Ine,
409 Dixon Street
Vidalia, GA 30475
2004
Certified for Manufacturing: Commercial and residential lawn storage buildings
This will confirm that Lark Builders, Inc.. is certified to manufacture modular buildings
("Manufactured Buildings" as defined by Rule 9B-l) F AC) in a manufacturing facility for
location or sale in the State of Florida. The condition of the certification is limited to
authorization specified in Section 553, Part IV, Florida Statutes.
If you have questions regarding licensing requirements for site related permits for installation of
manufactured buildings, please contact the local building department and/or Department of
Business and Professional Regulations, 1940 North Monroe Street, Tallahassee,
Florida 32399-0771
Sincerely,
~-"'- it d~
vtf':rence . J&:d;;;-'
Building Official
Building Codes and Standards
LHJ/akd
cc: HWC
2 5 5 5 S HUM A R D 0 A K B 0 U LEV A RD. TAL L A HAS SEE, F L 0 R.I D A 3 2 3 9 9 - 2 1 0 0
Phone: 850,488,8466/Suncom 278.8466 FAX: 850.921.07811Suncom 291.0781
Internet address: hllD:/Iwww.dca.state.fl.us
CRITICAL STATE CONCERN FielD OFFICE
2796 OVerseas HiBhw"Y. Suire 212
^-.obr:lIIhnn ~I 'l'1.0c;.n.."""7
COMMUNITY PlANNING
2555 Shumard Oak Boulevard
EMERGENCY MANAGEMENT
2555 Shumard Oak Boulevard
IrouSlNG & COMMUNITY DEVElOPMENT
2555 Sh..n.vd Oak Boulevdm
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CITY OF Zt;J:'t1~~n.L.u.u..... ... ------
BUILDING DEPARTMENT 5335 8TH st, ZephyrhillS, FL 33542
813-780-0020 FAX:B13-780-0021
DATE RECEIVED
J{ (21'(0 ~
JOB ADDRESS
~.~ Cf!~~:r, elMI >'"
6 ifl.f.} ,~ . ~ ,lZ Fe-!
PHONE GONTACT FOR PERMITTING 1r2/)..qtj33
(f13) 'i{,q- 5lfll u.fi#
PHONE ~-"
( \
(2-H OlD J per:;;,- L/ L ~"Jj, J J )
....
OWNER'S NAME
LEGAL DESCRIPTION: LOT (S) II BLOCK b3
PARCEL 10 # J I ~~ <:( J DO I 0 (j ~b(J 0 () J I 0
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICE\
WORK PROPSED: ONEW CONSTRUCTION
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
Djt OF UNITS
o SWIMMING POOL
o MOBILE HO~
.JL OTHER
s: 7pA-Fl' 6> f'
;3 'L-P(;,
c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL
DESCRIPTION OF WORK
111) 5>1.f"1 L L
A i.,fCt:'~D'1
SQUARE
c () 1'0 ~ ,... /'. u c -rt; i) s ro /wr;:'; 15 to (... [;;, ) ,I{. 'l
J
FOOTAGE AfP:rc....', I J-} 0 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{RMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. (p /4 ~ (j..J1G
/0 X jt.}
PERMITS REQUESTED
kBUILDING
o ELECTRICAL
o PLUMBING
o MECHANICAL
$
c>2 d t.} S; .y,~
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy
$
VALUATION OF
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 0 NO
SIGNATUREJ.
. vH' ~ ~ ~.J,~,.J,
~. ~ ~ ~ ~ STATE CERT OR REGIST *
******************************************************************
COMPANY
BUILDER
COMPANY
ELECTRICIAN
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
COMPANY
PLUMBER
STATE CERT OR REGIST #
SIGNATURE
******************************************************************
COMPANY
MECHANICAL
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER~
SIGNATURE
COMPANY
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 appiicable 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 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, 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~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, 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.
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 bf 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 w~ll be sub~tted wh~ch
is prepared by a professional engineer registered in the State of Florida prior to perm~t
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 requ~r~ng a
correction of errors in plans, construction, or violations of any code: Every perm~~ .
issued shall become invalid unless the work authorized by, such pe~it ~s commenced w~th~n,
six months of issuance, or if work authorized by the perm~t is suspended or a~andoned.fora
eriod of six months after the time,the work is commenced. One 90 day extens10n of t~me
~a be allowed for the permit with fee charge of $15.00. ,The extension shall b7 requeste~
inYwriting to 'the Building Official. An approved inspect10n must be logged dur~ng each s~x
month eriod, or the project will be considered abandoned. ,
WARNIN~ TO OWNER' YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ,MAY RESULT IN YOUR T
PAYING TWICE FOR' IMPROVEMENTS 'TO YOUR PROPERTYN'G i~U~O~O~~~:NgFT~O~~~~:M~~~~C~~~~ g~~:~L
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORD I , "
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT.
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2L-.
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 parson acknowledged)
Owho is personally known to me, 'or
(nama of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type of identification)
and wlioO did Odid not take an oath.
o who has produced ,
(type of identificat~on)
and who Odid D: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