HomeMy WebLinkAbout05-4660
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
4660 V
Permit Number: 4660 Issued: 7/11 2005
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 122,210.00 Total Fees: 7,961.03
Amount Paid: 7,961.03 Date Paid: 7/11/2005
Name: L NNAR H I
Addr: 600 N WESTSHORE BLVD. STE 900
TAMPA,FL. 33609
Phone: Lic:
Work Desc: NEW SINGLE FAMILY DWELLING
Address: 7536 MT.LAUREL DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CRESTVIEW HILLS
Parcel Number: 35-25-21-0120-00000-0115
LENNAR HOMES INC
7536 MT. LAUREL DR
ZEPHYRHILLS, FL. 33542
Phone:
WATER CONNECTION RESIDENl
SCHOOL IMPACT FEE - 97.5%
WATER METER RES 3/4"
POLICE IMPACT FEE
RADON
419.00 MECHANICAL FEE
1,651.65 TRAFFIC IMPACT FEE 1%
180.00 BUILDING FEE
254.00 PARK FEES SF
22.22
71.15 SCHOOL IMPACT FEE 2.5%
15.88 TRAFFIC IMPACT FEE 99%
834.00 FIRE IMPACT FEE
769.56 PUBLIC SAFETY 5%
. 5
42.35
1,572.12
273.00
26.35
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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.
~.
A _
SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING 9) 1 J ~ q I ~ . 2f -?/l
,-,3<1 tuJ L \ 0tJL
PHONE 8'3 - gg2 - J-ft?d',3 j/33
JOB ADDRESS ~,~Co f\\crchOJtf\} ~ \ 'e eVv:1D fJ1T- ~ dr.
L>:GAl. DESCRIPTION' _LOT (81-115 BWCK ~ SDBDIVISION wsfilLuJ
PARCEL 10 # 3~- d-.-::;.2 { -0 ,zo- orlYb-~ ~ (OBTAIN FROM PROPERTY TAiL.tlQ'LICEl
OWNER'S NAME
Lu,oar
!/J/i/S , UF!6
WORK PROPSED: III NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL
DSIGN o MOVE 0 DEMOLISH
PROPOSED USE: llISGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
BUILDING SIZE HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~UILDING
~LECTRICAL
~LUM8ING
t-l . f\..1\^, -
MECHANICAL $.~
o GAS ~OOFING 0 SPECIALTY
TYPE OF CONSTRUCTION: ~8LOCK
$
W'I9-10
.2ro
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE 0 Progress Energy t!1
W.R.E.C.
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
FINISHED FLOOR ELEVATIONS
o FRAME
r3Lf. (f)
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAD YES
~
BUILDER
COMPANY
f.- vS
C/3e tJ~t79s-
SIGNATURE
STATE CERT OR REGIST #
~*********-*************************************************
SIGNATURE
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COMPANY [~IIY7{)f}\:~~(JY'--
STATE CERT OR REGIST #. ()() /3/-fr
ELECTRICIAN
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PLUMBER
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COMPANY ~'Y>>-jl:)'IU..--+ , .'
STATE CERT OR REGIST # CFc,ollJ 9(1 ~:-'
SIGNATURE
SIGNATURE
******************************************~****i~*******,*,****
~ COMPANY . Lq 'IJi1w S:J t9u
. fJ.tC Mt)~ STATE CERT OR REGIST # CAw.:;;) ~/ 0
MECHANICAL
SIGNATURE
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fi ~ STATE CERT OR REGIST # ./16'/ ,) :to /3 ,,'
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OTHER
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions"'wh{c~
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 i.. ;cating that
you, rather than the contractor, are responsible for the work. If the contr~:tor wishes
you to sign as contractor that may be an indication that he is not properly icensed 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 "Flori'.a'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 "owneJ " I cerify that I
have obtained a copy of the above described document and promise in gool. 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 an, that all work will
be done in compliance with all applicable laws regulating constructior, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installa1 ion 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 cotruction, City
codes, zoning regulations, and land development regulations in the jUlisdiction. 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
i ~3 S uance .
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
PA,YING TWICE FOR IMP;EO MENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ~ A TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUP n . ~n R~rnRn AND POST A "NOTICE OF COMM~
SIGNATURE:
SIGNATURE: ~,..-
STATE OF FLORIDA \J - /'L/.' ,JJ(~ hfVI /
COUNTY OF ~~~~t~
The foregoing instryment was acknowledged ~
Before me this ~day of-~ ,20~
by ~bf}(J;r rd_
~' (name of person acknowleaged)
E1ho is personally known to me, or
STATE OF FLORIUB.:::.:iJLl.~ KJUlD tt
COUNTY OF. ... ") ~ v
The foregoing instrument was ack owl edged r
~~fore me this&~ay iff ~ ' 20L
~ (name of person acknowledge
who is personally known to me, or
o who has produced
(type
and did not
of identification)
take n oath.
Owho has produced
(type of identification)
and who ~ [)jid not ta~ an oath
:atLl1l/-(~ ~~
Signature of person taklng acknowledgment
Name
Name typed, printed or stamped
~'i'~ Kimberly Kay Daugette
t~ i My CommIssiOn D002661?
~o,,,.}' Expires Ser,Jte,olber 10, 200h
in e 0 s ainped
~ Mj (:ommiS.lon D0026812
,}~ LXjJlfet. Septelilbbl -Iu 200t>
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