HomeMy WebLinkAbout05-4428
. ..
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4428
4428
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: 5601 9 T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
9,700.00
6/13/2005
160.00
160.00
6/13/2005
SCREEN ROOM & UTILITY ROOM
Name:
Address:
Phone:
HOMEOWNER
1
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. 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.
U'~~~( ~~
CONTRAC1i R SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF Zj!;l't1.U~.n.J..1.u...UJ ... ------
BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FI. 33542
813-780-0020 FAX: 813-780-0021
PHONE CONTACT
DATE RECE lVED t(/ 'I (0 <;
,
FOR PEIPASCGGPERMIT SERVICE
~';.r~~-- 24-7B94 '.
.' ,....' ree
PHONE . ',~
Toll Free
JOB ADDRESS
(YJ tL/'ft:L f/e Io..s{ !/fZ
9 fA . J .J~f-
5 ~() I
SUBDIVISIOi1~ 61' z-J./-<.JI
OWNER'S NAME
LEGAL DESCRIPTION: LOT(S) S t-&, soul}, BLOCK Ii
. ftk /)/- u> I- q
PARCEL 10 # //-~!r -Jj- OO/() - ()ffbrJ-CX:XS-O
IOBTATN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ~NEW CONSTRUCTION
DSIGN
PROPOSED USE: 9lsGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOl-'
o OTHER
BUILDING SIZE
c=J RESTAURANT & HEALTH DEPARTMENT AP?ROVAL
SVt--&/l
N I ,. 3~ I
rOO'^-.
{
j; ! (. Ids ro~r1
FOOTAGE 50 <.J I
HEIGHT
DESCRIPTION OF WORK
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY ~ORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL .NEW CONSTRUCTION.
SQUARE
PERMITS REQUESTED
~ BUILDING
o ELECTRICAL
o PLUMBING
o MECHANICAL
$
9.. ?OO
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER if y~;L g
$
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
;J
~\1,-O:
COMPANY Owt\lY'
BUILDER
SIGNATURE
STATE CERT OR REGIST #
*******************
t;:)
~~
G~C;~ rL~i (\.171) .
SIGNATURE
COMPANY
STATE CERT OR REGIST #
***************************************************.k**************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A, NOTI~E OF DEED RESTRICTIONS
Th~ undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than city regulations. The undersigned assumes responsi~ility 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
lieensed 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 po~tions 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~i6n 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 psrformed 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 is
understood that a drainage plan addressing a "compensating volume" will be submitted 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 proc7ed with the work a~d not as
authority to violate, cancel, alter, or set aside any prov~sions of the techn~?al,codes,
nor shall issuance of a permit prevent the Building Official from thereafter requ~ring a
correction of errors in plans, construction, or violations of any code. Every permi~ ,
issued shall become invalid unless the work authorized by such permit is commenced w~th~n
six months of issuance, or if work authorized by the permit is suspended or a?andoned.for!a
period of six months after the time.the work is commenced. One 90 day extens~on of t~me
may be allowed for the permit with fee charge of $15.00. The extension shall be requeste~
in writing to 'the Building Official, An approved inspection must be logged during each s~x
month eriod, or the project will be considered abandoned, ,
WARNIN~ TO OWNER' YOUR FAILURE TO RECORD A NOTIct OF COMMENCEMENT .MAY RESULT IN YOUR
PAYING TWICE FOR' IMPROVEMENTS 'TO. YOUR PROPERTY. IF YOU INTEND TOO~~~~:M~~~ANC~~~S ~~~~~LT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF C ".
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT.
JI1/1 ". r ()Wro ~. . J'lII ~ ~ ( )9- ()~ r '
SIG[{"U~~R OR AGENT U SIG~~~ONTRACTOR
STATE OF FLORIDA ~ 6(0
STATE OF FLORIDA Pt!5.W COUNTY OF .J:::3;!
COUNTY OF . d d The foregoing instrument was acknowledged s-
The foregoing instrument was acknowle ge Before me. .t)1is '3fL-day of J""t..~ , , 20 L
Before me this <("t"'- day of J" ~ , 2005'" t1fVt-~3Z~Ja.$1)l4e.
by ~r-t-Z\7ettl~l4.ec" by (name of person acknowledged)
(name" of person acknowledged) C1ho is personally known to me, or
Owho is personally known to me, 'or
-:--, oduced 1) ~ L- .
ftI who has produced ",....~ L.. " (type of
(type of identification) ~id not t
and wno . did Odid not ke oath.
ture of erson taking acknowledgment
"!uzanne Baht
.;. ""'" . . ~BEl t ~ 1
.-:-" ... " "_ " ' ;\!1\ll~~1 I
typed,- print'~d Pfs ~c~ 06
, , .. . ~
person taking acknowledgement
'~\Xwnne Baht
, i n',~,m"siori #OOlS7t11
Name typed, printed ofx~~5. 2006
BonJed Thru
II Bond.!ng Co.. lnc
Name
:-";'~rl~
;",'n .. C\, Inc
DI:SCLOstDtB S~ :lOR OIIJIBR
CI:TY 0., ZBPDlUII:LLS BtT.U..DDIG DBPAllTllBR'r
m ~r/ fL /Ie /~ 'fJ p.e z... have read and fuJ.l.y understand and
to the provisions 0 this instrument.
I,
agree
The undersigned states and affi%DUI that he or she is desirous of constructing,
renovating, add"! :rig to or reroofing his or her own dcmicil.e, that he or she
actual.l.y occupies, or wil.l. occupy by said domicil.e.. and same is not for
reJ:I.t, l.ease or sal.e. That he or she sbal.l. compJ.y with the fol.J.owing conditions:
J. . That the owner and he or she al.one shal.l. act as the buil.der for al.l. phases of
construction.
2. That the owner wil.l. compl.y with al.l. provisions of the City of Zephyrhil.l.s
ordi '"..-aces and codes pertinent to the buil.d:ing.
3. That in the event various phases of construction are subcontracted, he wil.l.
engage onl.y properl.y l.icensed. subcontractors and wil.l. perscmal.l.y supervise
such work.-
4. That in the event the Buil.diD.g Inspector shal.l. require corrections to be made..
the owner wil.l. assume fuJ.l. respoasihil.ity to insure they are made, and upon
compJ.etion wil.l. cal.l. for a reiDspection before proceeding with the buiJ.d:i.ng.
5. That the owner sbal.l. assume fuJ.l. responsibil.i ty for the construction and wil.l.
not expect supervision of his work from the City of Zephyrhil.l.s Buil.ding
Department.
6. That prior to final. inspection any add! ticmal. fees, iD.cl.uding reiDapection
fees, must be paid in fuJ.l.. A writteJ:I. request from this office s.hal.l.
constitute an official. notice to pay additional. fees.
7. That the owner shal.l. campl.y with al.l. City, State and Federal. l.aws in regard to
social. security, workman's compensation, l.ien l.aws, etc., where appl.icable.
8. That the owner sbal.l. campl.y with al.l the safety codes issued by the Fl.orida
Industrial. Commission.
9. State l.aw requires construction to be done by licensed contractors. You have
appl.ied for a permit under an exemption to that l.aw. The exemption al.lows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a l.icense. You must provide direct
i onsi te supervision of the construction yoursel.f. You may buil.d or improve a
~ ' one-famil.y or two-famil.y residence or a fa:rm outbuiJ.ding. You may al.so buil.d
or improve a commercial. buil.d:ing, provided your costs do not exceed. $25,000.
~,' The buil.ding or residence must be for your own use or occupancy. It D1ay not
~' '.~ be buil.t or substantial.ly improved for sal.e or l.ease. :If you sel.l. or l.ease a
............~ - buiJ.ding you have buiJ. t or suhstantial.l.y improved yoursel.f wi thin l. year after
~ the construction is complete, the l.aw wil.l. presume that you buiJ.t or
." substantial.l.y improved if for sal.e or l.ease, which is a viol.ation of this
~c ~ exemption. You may not hire an 1D1l.icensed person to act as your contractor 0";-
~ (\ t~SUl)eJ';Vise peq>>l.e wordDg on your b11.1.~tu,"g _ It is your responsihil.ity to
L ~' make sure that people empl.oyed. by you have licenses required by state l.aw and
by county or municipal. l.icensing ordi'Q"'DC'es. You may not del.egate the
responsibil.ity for supervising work to a l.icensed. contractor who is not
l.icensed. to perfOJ:Jll the work being done. Any person working on your huil.ding
who is not l.icensed must work UDder your direct S1Jpervision and must be
empJ.oyed by YOU.. which means that you must deduct F.I:.C.A. and withhol.ding tax
and provide workers' compensation for that empl.oyee, aJ.l. as prescribed by l.aw.
Your construction must compl.y with aJ.l. appl.icahl.e l.aws, ordinances.. buil.d:i.ng
codes, and zoning regul.ations.
DATE
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WJ:THBSS
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