HomeMy WebLinkAbout05-4693
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4693
4693
Permit Type: ACCESSORY BLDG.
Class of Work: SHED INSTALLATION
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 1,800.00
Date Issued: 7/14/2005
Total Fees: 60.00
Amount Paid: 60.00
Date Paid: 7/14/2005
Work Desc: 10 x 10 SHED
Address: 5931 ALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
AC ENT
5931 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
{, ,{ ~~--
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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.
~-.
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
STATE OF flORIDA
DEPARTMENT OF COMMUNITY AFFAIRS
"Dedicated to making Florida a better place to call home"
IEB BUSH
Governor
STEVEN M. SEIBERT
Secretary
February 27,2002
Certification Number:
Manufacturer:
Address:
LBI-223
Lark Builders, Inc.
409 Dixon Street
Vidalia, GA 30475
2004
Expiration:
Certified for Manufacturing: Commercial and residential lawn storage buildings
This will confirm that Lark Builders, Inc.. is certified to manufacture modular buildings
("Manufactured Buildings" as defined by Rule 9B-I, F AC) in a manufacturing facility for
location or sale in the State of Florida. The condition of the certification is limited to
authorization specified in Section 553, Part IV, Florida Statutes.
If you have questions regarding licensing requirements for site related permits for installation of
manufactured buildings, please contact the local building department and/or Department of
Business and Professional Regulations, 1940 North Monroe Street, Tallahassee,
Florida 32399-0771
LHJ/akd
cc: HWC
Sincerely,
~/C {f.J~
Pf1~ence . Jordan
Building Official
Building Codes and Standards
J"I
.U \VORKSHALLCOMPLYWI1'RALL
" ;::'EV AILING CODES, FLORIDA BLIlLDING
!'O:)L. NATIONAL ELECI'RlCCODEANl
V"'~'J r>!~,"",:r-:'?:i'/""~ .~, .:""' 0R~")rNA.NCE"'"
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2 5 5 5 S HUM A ROO A K B 0 U lEV A RD. TAll A HAS SEE, F l 0 R.I 0 A 3 2 3 9 9 _ 2 1 0 0
Phone: 850.488.8466/Suncom 278.8466 FAX: 850.921.0781/Suncom 291.0781
Internet address: htto:/lwww.dca.state.fl.us
CRITICAL STATE CONURN FIELD OFFICE
2796 Qve""3S Highway. Sui'" 212
M~I'::lrhnn 1=1 11nl\n.""7
COMMUNITY PlANNING
2555 Shumard Oak Boulevard
T...II......._......:.... c:"J ~"'nn ..,,"'"
E1o.IERGENCY MANAGEMENT
2555 Shumard Oak Boulevard
HOUSING & COMMUNITY DEVELOPMENT
2555 Shumard Oak Bou'l!V~rd
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CITY OF ZEPIIYRHILLS
AtC6Jjr
JOB LOCATION Sef/3/ ;V. &czll Blvd.
BUILDING DEPARTHENT
OWNER
z,!1Yrlt//1s1 PL. 33571L
PARCEL I.D." #
SHON ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
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I){OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK 'ns+a..IJ 10 }i.IO sh.ed
BUILDING SIZE
10 ~, 0
SQUARE FOOTAGE LOO
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.
& (1) SET ENERGY FORMS.
FORMS.
PERMITS REQUESTED
<1/
(-I-' \'
~q~
JJi
o BUILDING
$ 1 ~cJ()t ~o
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL
$
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER
SIGNATURE 1Jt/~/h/~
COMPANY
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
******************************************************************
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to Udeed restrictions" which
may be more restrictive than City regulations. The undersigned assumes respons~bili~y 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 UContractor 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 uFlorida'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 Uowner" prior to corrunencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be aone 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 corrunenced 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 uA,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 corrunenced 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 corrunenced. 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 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A uNOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
acknowledged
, 211_
(name of person acknowledged)
C1ho is personally known to me, or
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid []did not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped