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Home My WebLink About05-4617 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 4617 Permit Number: 4617 Issued: 7/06/2005 Permit Type: GENERAL BUILDING PERMIT Class of Work: ADD/AL T COMMERCIAL Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 35,000.00 Total Fees: 421.50 Amount Paid: 421.50 Date Paid: 7/28/2005 Address: 7405 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 34-25-21-0000-00300-0000 Name: M MSHA DEVELOPMEN GROUP INC Addr: 525 SOUTH DOUGLAS ST. #230 EL SEGUNDO,CA. 90245 Phone: Lic: Work Desc: INTERIOR COSMETIC RENOVATION ALL TEL 7405 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: ./ ill~ 1/0~ R H 1 T 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. 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. . ~~ - CONTRACTORS NATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8~ St, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED ? /28/0 S , PHONE CONTACT FOR PERMITTING OWNER' S NAM~ IIl-e I JOB ADDRESS 74f ().s COI'PdrA+-c S.erV;Cef PHONE 50/. 9()~.5l52 GtJt.11 /jlvd. Zephyr-hill> J F'- 3 J~~ I LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # DSIGN PROPOSED USE: 0 SGL FAMILY DWELLING I!(OMMERCIAL o ADDITION o MOVE (OBTATN FROM PROPERTY TAX NOTTCEl ~LTERATION 0 REPAIR 0 INSTALL WORK PROPSED: DNEW CONSTRUCTION o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER BUILDING SIZE c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL In+~ri,r 1i!""~,,., /f,,,,,ov#.1-,,,, o <t. 31U- 1'1 )g-~o DESCRIPTION OF WORK SQUARE FOOTAGE HEIGHT o ELECTRICAL AMP SERVICE & (1) SET ENERGY FORMS DD >0,., c-\'J >\ ::, ~ ~\O)"J 0~(} ~,\f /~o o 0::::"'0' OF """""'m """LAno' ~ iA. ~ \\ ,vi ~ \ ' o FRAME 0 STEEL 0 OTHER "J IS PROJECT IN FLOOD ZONE AREAD YES 0 NO 1I"3\:J 7 J 5' ~ PERMITS REQUESTED 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. o BUILDING $ :3S1< VALUATION OF TOTAL CONSTRUCTION o Progress Energy o o PLUMBING o MECHANICAL $ o GAS o ROOFING o SPECIALTY TYPE OF CONSTRUCTION: 0 BLOCK FINISHED FLOOR ELEVATIONS G'lJ 50 ~t) OR REGIST # ************************************************* PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # / ~ *************************************************** COMPANY STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # J5:C:?M ZEPHYRHILLS BUILDING FAX No, 813-780-0021 p, 002 A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictipns" 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 Cit~ 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 at' the "Contractor Sections" of this application for which they will be responsible. 'It you, a6 the, owner 6igns as the contractor, you are indimiting that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as Gontractor that m;"y be an indica~ion that he is not pJ:'operly licensed and is not entitled to permitting privileges in the City of Zephyrhills. ' C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION eEES D. CONSTRUCTUION LIEN LAVI (CHAPTER 713, FLORIDA S'l'ATUTES, AS AMENDED) I c~rtity 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 cerity 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 AeeIDAVIT 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 developm"nt. 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 identity what actions I must take to be in compliance. SUGh agencies inclUde but are. not limited to: *Department of Environmelital Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida water Management District-Wells, Cypres~ Bayheads, Wetland Areas, Altering Watercourses *Arn\y Corps of Engineers-Seawalls, Docks, NaVigable Waterways *Department of Health & Rehabilitative Services, Environlnental 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 whiqh 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 SUGh permit is commenced within si~ 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 bl'> requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER, YOUR FAILURE TO RECORD A NOT!CE OF COMMENCEMENT M~Y RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. Ie YOU INTEND TO OBTAIN eINANCING, CONSULT WI YO LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $ 'Slbo 'VAJ,", f T. 0 " ,,"CORD d POST A "'OTIC' UB C""'''C'''ON''' TURE: NER OR AGENT SIGNATURE, CONTRACTOR STATE OF-FL6~Iu~ ~ ~~~~ STATE OF FLORIDA COUNTY OF. ~s.~ COUNTY OF The foregoing instrument acJmowledg~"... The foregoing instrument was acknowledged Befo this ~ay 0 , 2~ Before me this _day of , 20_ by by (name of p rson aGkn wledged) ~hO is personally known to me, or o who (name of person acknowledged) C1ho is persona~ly known to me, or of identification} an oath. and who Odid Owho has produced (type of identification) ~id not take an oath Signature of person taking acknowledgment Name typed, printed or stamped CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE 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 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 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 ~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. 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 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 will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING T CE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIT OU LENDER OR AN ATTORNEY ~EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2 50 N VALUE OT ED TO RECdND POST A ~NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by acknowledged , 20 (name of person acknowledged) C1ho is personally known to me, or Dwho of identification) take an oath. o who has produced (type of identification) and who Ddid D:lid not take an oath Signature of person taking acknowledgment Name typed, printed or stamped -......,.:.".,....'..' ~ ..... --."\-.,...~>-<t;:poo.. ....Y" ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrtlills. FL 33542 Fire Chief Robert Hartwig Bus (813)780-0041 Fax (813)780-0044 FIRE SERVICE USER FEES Occupancy No.: Plan No.:'(" (, 4' }.c"f Business Name: 11 t j\) t' It I ) Ii' ,..{ Business Address: i/ L:} l;~ i. ji/ r- ./ i .<.'*-- 1.'/44" Business Phon!;LNo.: I':" ,,' ,: 7::', ." I i / \ j A Business Fax NO:;~7 1/-' ') ,-; "1/ il.', 2/'.((/ Contact: ';' ,.' 7 I. \ l, .-t INSPECTION TOTALc=J PERMIT TOTAL I ~ I _G~DTO!AI;/.: I'. (;I( (/J.... ~ j Ii "</ //Z~l ,':;.i/,' ~;i'- ,i t;:_I':"~~~,~ ,. ;>.:; I. / (Lt) PlAN REVIEW FEES ~ Site Plan NlC . Building Plans ,04 sf Revision ,06 sf STANDPIPE SYSTEM D Per Riser $25 SPRINKLER SYSTEMS B 0 - 25 Heads $30 26 plus Heads $60 ARE PUMP D Per Pump $100 FIRE ALARM SYSTEM B 0 - 25 Devices $30 26 plus Devices $60 SUPPRESSION SYSTEMS ~ Wet $35 Dry $35 C02 $35 Other $35 GREASENENTILATION DHoodIDucts $35 PlANS TOTAL I b'ltf Comments: ..--., ;/ ~(I'1. INSPECTION FEES Annual NlC 1stRe-inspection $25 2nd Re-inspection $50 3rd Re-inspection $125 4th Re-Inspection $250 5th Re-Inspection $500 Construction $15 Commercial $25 SPRINKLER SYSTEMS Hydro Undergrounds $45 Hydrostatic System $45 Wet Acceptance $30 Dry Acceptance $45 Hydrant Flow $25 FIRE ALARM SYSTEM B System Acceptance $50 Recall Acceptance $50 OTHER Fire WallISmoke Wall LP Gas Natural Gas Fuel Tanks Tent $15 $25 $25 $25 $15 Owner: Billing Address: Billing Phone No.: Billing Fax No.: Contact: PERMIT FEE FALSE ALARM FEE 1 st Alarm NlC 2nd Alarm NlC 3rd Alarm NIC 4th Alarm $25 5th Alarm $50 6th Alarm $75 7th Alarm $100 8th Alarm $150 9th Alarm $200 10th Alarm $250 SPRINKLER SYSTEMS D Automatic $15 FIRE PUMP Fire Pump $15 FIRE ALARM SYSTEM D Detection $15 OTHER ~ LP Gas NatUral Gas Fire Works Fuel Tanks $45 $45 $25 $45 GREASENENTILATION 8 HoodIDucIs $15 Ki1chen Suppression $15 FALSE ALARM TOTAL I /,'/ / "//"L.. . I ' / ~:',/', l /:I.:~ / Date: ~~. f .. / .. , ;' / ,:(i ",' /'I~/l Inspector: nlh r ; /~/h; >/ l~! /;',Tl//i.~ ( ./;' ''''~