HomeMy WebLinkAbout05-4242
,-
cr~Y OFZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4242
~f~~
~
Permit Number: 4242
Permit Type: ADDlTION/AL TERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 900.53
Date Issued: 5/19/2005
Total Fees: 52.50
Amount Paid: 52.50
Date Paid: 5/19/2005
Work Dese: ENTRY DOOR
.5" - ~ \ - 0 ~ -~
~~
Address: 5924 14TH ST
ZEPHYRHILLS. FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: CARL & ARLENE LIPPINCOTT
Address: 5924 14TH ST ? 0 13 t7)I- ~ (, I
ZEPHYRHILLS, FL. 3~5i2 J?F39-'
Phone: g - 001
.~~
~4f
FO TER ROUGH ELECTRI 1S ROUGH PLUMB
PRE-SLAB CONSTRUCTION POLE 2ND OU~H PLUMB
LINTEL PRE-METER WATE
FRAME MISC WER
INSULATION WALL MISC MIS .
INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPECDONFEES: 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) Wrongaddress (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
nWaming 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 finandng, consult with your lender or an attomey
before recording your notice of commencement. n
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.
. ~-~
SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR N01lCE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
~ 5335 . 8TH STREET
(813)780-0020
BUILDING PERMIT
4242
Permit Number: 4242
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 592414 T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
900.53
5/19/2005
52.50
52.50
5/19/2005
ENTRY DOOR
CARL & ARLENE L1PP NCO
5924 14TH ST
ZEPHYRHILLS, FL. 33542
Phone:
RO
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.
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 SIGNATURE PER~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICA'l'.LU~
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
PHONE CONTACT FOR
DATE RECEIVED . 5//7/0 >
PERMITTING ffJ'b-L-b7- 3rJb~
OWNER'S NAME
U f"'NeOn,
JOB ADDRESS . ~ 92-1' 11f-r1J
CI>rIu- P J /}y~ MI;1!
>f.
PHONE
~)~-7ro g.. 1061
LEGAL DESCRIPTION: LOT(S) BLOCK
11- u- ZI- 00/0- 6'f660;--O/70
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
o ALTERAT ION
o REPAIR
P(i:NSTALL
o SIGN
PROPOSED USE:~ FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APpROVAL
rzI J!- -IE-/V-rllJ! [)60fl-
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~~) SET ENERGY
~ S.
~,- ? ~..::J
~) L.
FORMS.
~ BUILDING
-
o ELECTRICAL
o PLUMBING
o MECHANICAL
$
9(ffi. ~3
PERMITS REQUESTED
,-
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
padme~s JO pa4uTJd 'padh4 ameN
padme4S JO pa4UTJd 'padX~ ameN
~uam6pa1Mou~ae 6uT~e4 uosJad 10 aJn~eu6TS
~uama6paTMou~ae 6uT~e~ uosJad 10 aJn4eu61S
t.{4eo ue a~e~ ~ou PHO PTPD Ot.{M pue
(uOT4eaT1T~uapT JO adh4)
pa::mpoJd set.{ Ot.{M 0
.t.{~eo ue a~e4 40U PTPD PTP DOl'(M pue
(UOT~EaTJ1~uapT 10 adX4)
paanpoJd SEt.{ Ot.{M 0
~nTU^rr~ 3A ~THT~
JO 'am 04 UMOU~ ^T1EUOSJad S1 Ot.{MD
(paDpaTMou~ae uosJad JO ameu)
^q
-oZ ' JO Aep - 514+ am a':[Q;):ea
paDpa1Mou~ae seM +uamnJ+su1 DU10DaJoJ et.{~
30 X~NOO;)
VaI~0~3 30 3XVXS
JO 'am 0+ UMOU~ ^lleUOsJad s1 ot.{~
(paDpalMou~aE uosJad JO ameu)
Xq
OZ ' ;):0 Aep- 514+ em eJo;):ea
paDpalMou~oe seM :j.uawnJ+su1 DU10DaJOJ a4~
30 XXNOO;)
A. NOTfCE OF DEED RESTRICTIONS
The undersigned understands that this permit ma'y be ~ubject 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 owner 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 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 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 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.
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 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 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 provisions of the technical 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 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 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 ~ill 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 CO NCEMENT. JOBS UNDER
$2,500 IN VALUE 0 NOT NEED TO RECORD AND POST A "NOTICE OF COMMEN MENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
......._rnY"'l ,,",r."I T:"'ITr\nTT"'\1\
LaWE.S
Com...n... Inc.
8529 South Park Cr.
Suite 430
Orlando, Florida 32819
Bus. 407/370-2872
Fax. 407/352-6309
Limited Power of Attorney
Date:
~/J116J
To: Building Department
From: Rebeca Alicia Banuelos-Bernard
I hereby name and appoint Mike Berkman o~we's Home Centers, Inc. to be my lawful
attorney in fact to act for me and apply to y~ CoV"''('f ~JNr pOt1 for a 0t;/L})/"q
permit for work to be performed at a location described as:
C:;C;Z If I tf7J}. S-r.
L4I'YI}L.6..,.T CJJ-tL (Address 9fJ~ II)1AC
, P d IIY "f~
, (Owner of Property)
And to sign my name and do all things necessary to this appointment.
Thank you for your assistance.
Sincerely,
fb
Peter Anthony Cafaro III
Area Installed Sales Manager
State Qualifier CGC 1508417 /
//}v~Ut j ,j
Lii~~'b'crib"" b,,:J1lbi,L<fuY "'l'f'-,2005.
No.public
My commission expires
"...."" Rebecta Velez
!~~..~ MYOO' MMISSION# 00176963 E::?IR:'
t~ - r- January 12, 2007
~')'...... ~ BONDEDllltlU'TRCWFAlNltlSIIQANCl N'
".l1f..~'