HomeMy WebLinkAbout05-4399
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
4399
Permit Number: 4399 Issued: 6/09/2005
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 93,400.00 Total Fees: 6,619.46
Amount Paid: 6,619.46 Date Paid: 6/09/2005
Name: RELIABLE
Addr: 5420 7TH ST
ZEPHYRHILLS,FL. 33542
Phone: Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
Address: 37432 PICKETT'S MILL
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: SILVER OAKS VILLAGE
Parcel Number: 03-26-21-0200-00FOO-0010
Phone:
WATER CONNECTION RESIDENl
SCHOOL IMPACT FEE 2.5%
IRRIGATION METER
PARK FEES SF
BUILDING FEE
419.00
42.35
180.00
769.56
744.00
NNE
IRRIGATION CONNECTION
SCHOOL IMPACT FEE - 97.5%
FIRE IMPACT FEE
PUBLIC SAFETY 5%
175.00 MECHANICAL FEE
1,651.65 WATER METER RES 3/4"
273.00 POLICE IMPACT FEE
26.35 RADON
. 5
66.42
180.00
254.00
18.68
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F OTER
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."
NO OCCUPANCY BEFORE C.O.
Wl~ -~~~
' CONTRAC ORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
OWNER'S NAME
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTKlmT 5335 8th STREBT ZBPHYRlIILLS, P'L 33540
Phone..ll-7.0-0020 Pax..13-7.0-0021 It /0
DATE RBCBIVlID ~5j 7 . S
PLANs RBVIBW J'BB I
JOB SITE ADDRESS
R.-e I ItA- b / ~ ~t1 fn,t~' r'VJ I r.., ( .
!/7L{J~ f'ck'e7r's
Jvt i It
PHONE CONTACT 7/L/ - if 'if 35
LEGAL DESCRIPTION: LOT(S)
PARCEL ID # Z,3 'l. d J
BLOCK
SUBDIVISION
WORK PROPSED: ~EW CONSTRUCTION
0.200 OO~CJD
o ADDITION
010
o ALTERATION
(OBTAIN FROM PROPERTY TAX NOTICE)
OSIGN
PROPOSED USE: ~L FAMILY DWELLING
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
OMULTI-FAMILY
0# OF UNITS
o MOBILE HOME
o OTHER
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
DBSCRI PTION OF NORK ]).., /:^" /.0" J1 ",leI 3 L.J. J. ,. t~. :J _ '" r ,., ~1 <-
BUILDING SIZB '13' IC r.t/ ' SQUARE FOOTAGB J. (,,8'1 HBIGHT ,,'
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PBRMITS RBOOBSTBD
o BUILDING $ CJtO,ooo VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C.
o PLUMBING
o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
o GAS o ROOFING o SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK (!f' FRAME
FINISHED FLOOR ELEVATIONS ~" cbovc fIi,}/7tcT-
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDBR
jLI.tJ~
COMPANY
STATE CERT OR REGIST
CITY PROCESSING #
SIGNATURE
SIGNATURE
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STATE CERT OR REGIST #
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SIGNATURE
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COMPANY
STATE CERT OR REGrST #
CITY PROCESSING #
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~ONDIT~O~~ O~ ?~~~~~ A~~~~AV:.~
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that Url:L:! pfll:mi. t inil.~' b,~ SJ.b:j ec:1: 1:0 "deed restrictions" wh'ich
may be more restrictive than City I:I~q1JIClt:iCHIS. 1'h,~ lIn,j'~nl.iqlled assumes responsibility' for
compliance with any applicable deE!d Ct~st:J:ic:tiolls.
B. UNLICENSED CONTRACTORS AND Cml']'I~AC'l'OH HI!:Sp:nwnn.Ir[EB
If the owner has hired a contractol: or: Gont:racl:Ol';:I to undE!r-c;!ke work" they may be required
to be licensed in accordance with S"Cii':e and lor:al .r:eguVtttol1::I. If the contractor is not
licensed &s required by law, both tJl'~ o~mer and (:c>Jltrac.t;oJ: Ill<:l.y be cited for a misdemeanor
violation under state law. If the ,)1IfJleJ: or intend,ed COiltl:a.::.t:or are uncertain as to what
licensing requirements may apply fo t' .thE! intended l.rork, they are advised to contact the
City of Zephyrhills Building DepaJ:tJUleKlt, 813-188-'0611.
Furthennore, if the owner has hin!d i! contractor ot' contrac.t':>rs, he is advised to have the
contractor (s) sign portions of the '''CI:>J}t:;ractor SE!.:::.tions. 'of' this applieation for which they
will be responsible. If you, as t:hle lowner signs .a.,s the contractor, you are indicating that
you, rather than the contractor, nr,e renponsible f'or the work. If the contractor wishes
you to sign as contractor that ma~{ b'a an indicatj.,o:n that he is not properly licensed and is
not entitled to permitting privilE!g'l!,S in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND U'fU][TY CONNEG'rION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTJ~R '113,. FLORIDA ,S'fATUTES, AS AMENDBD)
I certify that I, the applicant, Ita'",e bE!en provid,ed 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 applic,ant is sOIU.eone other that the "owner", I cerify that I
have obtained a copy of the above de.scr;lbed aOCUlllent and. promise in good faith to deliver
it to the "owner" prior to COlllJlenc:::em,ent.
E. CONTRACTOR' S/OWNER' S AFFIDAVI'l'
I certify that all 'the 1nforui.a:tioJi i~ this applic:::ation is accurate and that all work will
be done in compliance with all applicable laws rl!gulating construction, zoning, and land
development.
Application is hereby Jaade to obt.~in a peml1t to do ,,'o,rk: and installation as indicated. I
certify that no work or installation ha,:s co-.e.ll.cled pt:jor to issuance of a permit and that
all work will be performed to meeit staJJtdard,sg,f i~ll lawfil regulating construction, City
codes, zoning regulations, and land devl!lopmen.t. regula.tions in the jurisdiction. I also
certify that' I understand that th'B regulations; of othe,r governmental agencies may apply to
the intended work, and that it is my rEtspoXllsibi.llty t:c. i.dentify what actions I must take to
be in compliance. Such agencies .lnclude but a,re not lindted to: *Department of
Environmental Regulation-Cypress :Bayhealds, Wet.lallld AI'e,al!!1 and Envirorllllentally Sensitive
Lands, Water/Wastewater Treatment
*Soutbwest Florida Water Managemelnt Disrtric:t-tiretlls, C~'PJ:ess Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, ~ravi.9ralble tilJllt.ElrwayS
*Department of Health. Rehabilitative SenricElfl, !nvJI:olnmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U. S. Environmental Protection AgencY-1LSbestofl abateulfmt:
I also certi fy that, if fill material 1s tel bEl u,sed in I~lood Zone "AN or "A, etc.", it is
understood that a drainage plan addresfling a ~\(:olllfJllenl!lclt:ing volume" will be submitted which
is prepared by a professional engineer registE!l:ed in t:lu, State of Florida prior to permit
issuance.
A permit issued shall be construed to he a li<:Emse: t() In:Q~ed with the work and not as
authority to violate, cancel, alter, OJ:: set aflide any ~u::ovisions of the technical codes,
nor shall issuance of a permit prevent the Bul1di.ng Official from thereafter requiring a
correction of errors in plans, construc:::tioll, OJ:: viola1:i.c)ns of any code. Every permit
issued shall become invalid unless the work au1:.horized by such permit is c~nced wi thin
six months of issuance, or if wor'k authorized by t:he permit is suspended or abandoned for a
period of six months after, the. time thl! work i:J CC:lnmenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writinci to-the Building Official. JUt appr()ved inspection must be logged during each six
month period, or the project will be cc:>nsidered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN'l' MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN A'l"l'ORNEY BE!"ORE RECORDING, YOUR NOTICE OF COMMENCEM!'.HT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD iMfD POST ,A. "NOTICE OF COMMENCEMENT".
A/1f;!Jo/
SIGNATURE: OWNER OR AGENT
SI!::!!' ~I:!i::!
STATE OF ~RIDA
COUNTY OF II ~ l. 0
The foregoing instrument was acknowledged
Before me ~~ day of MA.y . ~~. -
by Nu.\ B. +V1
,j (name of person ackno,.ledged)
~who is personally known to me, or
STATE OF FLORID~pA.
COUNTY OF . ~U:>
'J~he foregoing i~nt w"' acknowledged
Ilefore me th~ y of a ~ ' M .-;looS
by l\} 0 Q. \. '9
/ (name of person acknowledged)
~o is personally known to me, or
owledgement
-
proD:~ a
Name typed, printed or stamped
S1
, ~ Dana L Dudeck
! J . My Commission 00243306
",..1 Expires August 20 200-'
,.~ Dana L Dudeck
! ~ ~ My Commission 00243306
"....o~ Expires August 20.2007
Reliable Contracting
Lot #10 Picketts Mill
Darlington Model
SQ. FEET PRICE
MAIN OR LIVING: 1,868 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 93,400.00
FEE SHEET $ 456.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 744.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 744.00
ELECTRICAL: $ 110.95
PLUMBING: $ 92.50
MECHANICAL: $ 66.42
SUB-TOTAL $ 1,013.87
RADON: $ 18.68
TOTAL $ 1,032.55
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
WATER METER:I $ 180~00 I
IRRIGATION METER $ .
SUB-TOTAL $ 3,247.551
PARK IMPACT FEESI $ 769.561
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
SIF'S: $ 1,694.00
97.5% $ 1,651.65
2.5% $ 42.35
TIF'S'r
99% $
1% $
TOTAL: $ 6,264.46 ,
P.01/01
TRANSACTION REPORT
JUN/08/2005/WED 11:35 AM
TYPE/NOTE
OK
RECEIVER
817278157000
5335 - 8'" st.
.Zephyrhllls. FL 33542
City of Zephyrhills
Building Department
Fax
To:
JUDY
From: KITTY
.Fax: 727-815-7000
Paaes: 1
Date: 618/2005
Phone:
Re:
ADDRESS
cc:
o Urgent X 'ForRevlew
o Pl.....eo.........t Please Reply
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