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HomeMy WebLinkAbout05-4222 CITY OF ZEPHYRHILLS 5335 ~ 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 4222 Permit Number: 4222 Permit Type: ALUMINUM Class of Work: ALUMINUM PACKAGE Proposed Use: MOBILE HOME SUBDIVISION Sq. Feet: Est. Value: Cost: 22,094.00 Total Fees: 252.50 Amount Paid: 252.50 Date Paid: 5/13/2005 Address: 37413 LILLY BEA AVE ZEPHYRHILLS, FL. Township: Range: Lot(s): /'/f! Block: Section: Book: Page: Subdivision: GRAND HORIZONS Parcel Number: Name: B & H C RUCTI Addr: 11494 SEDATE ST. BROOKSVILLE, FL. 34614 Phone: 813782-1064 Lic: Work Desc: SCREEN ROOM, SHED & CARPORT Phone: FRAME ELECTRICAL ROUGH 1 ST ROUGH PLUMB I FINAL 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." NO OCCUPANCY BEFORE C.O. L ~. CONTRACTORS SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8~ Street, Zephyrhill., FL 33542 ~ 813-7,80-0020 FAX: 813-780-0021 DATE RECEIVED if f,/Or PLANS REVIEW FEE OWNER'S NAME ~~~\ \-\.~)-C\~\ \"'\,\:-\V. PHON~:f~~,t~\~ _ \()~'---\ JOB ADDRESS .2>1'--\ \'\ ~\ \ ~~r\?~~,~__,<\ \~~::<~ LEGAL. DESCRIPTION: LOT(S) BLOCK SUBDIVISION\s;,;~\2S.c---\ ~~,'\<::...::::1.\\\\\'\\) PARCEL 10 #')'..:>'--",,:,):::> <)\-C),:)\'')-(~~::X"'")'-0\~K (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~EW CONSTRUCTION ~ITION OALTERATION 0 REPAIR 0 INSTALL OSIGN PROPOSED USE: ~ FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH OMULTI-FAMILY o INDUSTRIAL 0* OF UNITS o SWIMMING POOL o MOBILE HOME ~1\'E-)\~\ \~I'\) DESCRIPTION OF RESTAURANT - -\ BUILDING SI ZE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS &. (2) SETS OF BUILDING PLANS ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~"" Lt 7 ..,)" }-{,\,,, VALUATION OF TOTAL CONSTRUCTION & (1) ~ET ENERGY FORMS. FORMS "'2.J I \"<:l &\..JJG . ~- j~?-'~~ ~UILDING ~LECTRICAL PERMITS REQUESTED AMP SERVICE o FLORIDA POWER O '\r-~~~~\ W. R. E , C . '----'---- \ '--- c...J\~-,-. o PLUMBING TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER o ~1ECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE ,Z\REAO YES 0 NO .I . .' - . . . . . . . .. , . ........ . ..'...., ".'.-................ . "" ,." . .., -. "., " ." ... . ". .. . . .. , . . . . : ;.: :~ !; ;: :. . . C~M~AN~~\-\'L~~~,\.3; ~1' '~~-\\Kl-\-~. STATE CERT OR REGIST #\:.\~-.:5-'::)llt'<)~ CITY PROCESSING * 'i)~~ BUILDER 13u#u /.J, ~ SIGNATURE ****************************************************************** SIGNATURE /~/vfU 1-7. ~ COMPANY \=\.~ ~ l~ k~'\ '"""L STATE CERT OR REGIST # CITY PROCESSING # \ 'Si ELECTRICIAN ****************************************************************** ..... PLUMBER COMPANY STATE CERT OR REGIST i CITY PROCESSING * SIGNATURE ****************************************************************** MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *********************************************************.~******* OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *********************************************************~k******* ~,-"",,,,,,,,,,,,,,,,,,,,,,-,,,,,,~ ............ J...I..,.o.L\J.',l..f.,J. hJ.'~J..)..)nVwl.j. A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" whir;:;h 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 owner or intended contractor are uncertain as to what licensing requirements may apply for the intende~ work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furth~~more, if the owner has hired a contractor or contractors, h, 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 contractor that may be an indication 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 Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "ownerll, I cerify that I have obtained a copy of the above described aocument and promise in good faith to deliver it to the "ownerll 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. 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 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 i~ to be used in Flood Zone "All or "A, etc.", it is understood that a drainage plan addressing a "compensating volumell 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 ~equiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unle.. 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 ~bandoned. 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 COMMENCEMENTII. d1.'J!j /J -',<< StGNATURE. OWNER OR AGENT A/> ~ 13",,& SIGRATURE: NTRACTOR STATE OF FLORIDA ~.() S( COUNTY OF /1 0 . The foregoing in~rument was acknowledged__ Befa!,e l?;~s day Of~{lIZ{ ( , 20,05 by LG '/-ff?- . ~me of person acknowledged) ~ho is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing ins rument was~~&knowle~ed _ Before me this ay of t:JtJL{ L , i~ by -6 ......----(name of person acknowledged) ~ho is personally known to me, or Dwho has produced (type and whoO did ~ot of identification) take an oath. Owho has produced ~pe of identification) and who Odid 0:lld not take an oath ~ A. {bf~ Signature of person taking acknowledgment _~ lJ, (1~jJd Signature of person taking acknowledgement f3rz-vc E A - II 58 ~ L Name type~~~~& stamped ;.~ j My Commission 00116710 ~ Of,..df Expires June 22. 2006 T?(ZuG(~ If - ASr;]f: t- Name typed, printed or stamped i~ ~ Bruce A Asbel . ~ : My Commission 0011671 G ~ Of,..df Expires Jllne 22. 2000 '.... ..'~ "'.I .,,~Y.' ...~.v.... ......... V","jV~vQVV 3-17-2005 1~: 15PM FROvI V.L\.....j.'41 ..l.v.L\....L.v..\..; .L.l.V..l,U.....; B If H CONSTRUCflON OF CENTRAL FL, INC. 4025 MORlUSIQUDGE ROAD FREE ESTIMATES ZEPHYItJlIl.I.8.n 33543 'tW ........... ~\. 5 L....~ 1-8CJO..U4-1Z06 r,,-MJ.: Loc #: I.,. Subdivision: .~lCENSED · BONDEO · INSUkED " SKlRTlNG · STEPS · ROOM ADDJnONS. ALUMINUM · CONCRETp. OItANDHOR1lON )141l1JU,.Y IlEA <JL..\SS ROOM WALLS Wuls ... + .. .." LIt: . s,... r-'--d = Y = "" :!: ~ f1- GIeu Door ... ............... '" ...... 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