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Home My WebLink About05-4755 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT -"I 4755 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 4755 ELECTRICAL SERVICE CHANGE ELECTRIC SERVICE REPLACEM NOT APPLICABLE Address: 38947 5 HAVE ZEPHYRHILLS, FL. NT Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 7/25/2005 35.00 35.00 7/25/2005 SERVICE UPGRADE TO 200 AMPS Phone: REINSPEcnON 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. . /.. rJZ_. ~~h~ ~ CON RAtTO SIG A TURE 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 RECE lVED PHONE CONTACT ,FOR PERMITTING OWNER' S NAME ~" 1 ~ . JOB ADDRESS "> 8 &f 7 %~~W Sfl1 ~ 2> e P k '-/12 1,.':0 L I , PHONE '7 ? 7 - 3 / G ~ FL 5,3J~-{'L LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # (OBTATN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION OALTERATION o RE:PAIR o INSTALL Os I GN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWEI,LING o COMMERC IAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL S-l!.iLu \'( ~ LO of ') Vl ~/) ~ BUILDING SIZE SQUARE FOOTAGE HEIGHT & (1) si~~RMS. FORMS/ ) ( f/1{c] 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. PERMITS REQUESTED o BUILDING ~LEC'TRICAL $ VALUATION OF TOTAL CONSTRUCTION J... 00 AMP SERVICE ~FLORIDA POWER o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o OTHER o GAS o ROOFING o SPECIALTY TYPE OE' CONS TRUCTI ON: 0 BLOCK o FRAME o STEEL o OTHER I!'INISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO c ,.:~ BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELEc'rRICIAN COMPANY t:P-c..-V ~ SIGNATURE STATE CERT OR REGIST # _ ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # MECHANICAL *****************~************************************************ COMPANY SIGNATURE STATE CERT OR REGIST # _ ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # -------.------ A: NOHCE OF DEED RESTRICTIONS Tne undersigned understands that this permit may be subj ect to "deed restrict ions" v-lhich may be more restrictive than City regulations. The undersigned assumes resporisibility 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 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 "Florida's Construction lien Law - llomeowner'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 "ov-mer" 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 *Departmellt 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, ~lter, 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 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 "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged 20 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) Dvho is personall.y known to me, or of identification) take an oath. Owho has produced (type of identification) and who Odid [}:lid not take an oath Owho has produced (type and whoO did 0 did not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped ,Parcel Information for: 11-26-21-0010-14400-0085 Card: 001 Pa8't 1 ,of Q Welcome : R5lg()..r:gl')_~(?~Egb : Parcel Detail S.~Ciln:::bAgCilin Show Map Generalized Building Schematic Estimate Taxes See Tax Collector Information - Current/Delinquent Taxes Frequentlv Asked Questions I Parcel ID II 11-26-21-0010-14400-0085 (Card: 1 of 1) I I Classification II 01 - Single Family I Mailing Address Assessment (totals) MORGAN ARJA Y & ELAYNE Ag Land -- 38947 5TH AVE Land $18,727 ZEPHYRHILLS, FL 335424643 Building $55,699 Physical Address Extra Features $3,360 389475 TH AVE ZEPHYRHILLS, FL 33542 Total Assessment $77,786 Save Our Homes $64,365 Legal Description (First 4 Lines) Homestead - $25,000 TOWN OF ZEPHYRHILLS PB 1 PG 54 Taxable Value $39,365 EAST 881/2 FT OF LOTS 8 910 & 11 BLOCK 144 Warning: A significant taxable value increase may occur when sold. Click here for details OR 4355 PG 1481 and info. regarding the posting of exemptions. Land Detail (Card: 1 of 1) Line Use Description Zoning I Units I Type Price . Cond ~alue 01 0100 SFR 00R1 8,400.00 SF 2.00 1.00 $16,800 02 0100 SFR 00R1 2,964.00 I SF II .65 II 1.00 I' $1,9271 Additional Land Information Acres 0.26 lr Tax Area I 30ZH II Fema Code I[]] Res Code IlZHLHLP21 Building Information - Year Built 1951 USE 01 - Single Family Residential (Card: 1 of 1) Ext Wall 1 Concrete or Cinder Block Ext Wall 2 None Roof Str Gable or Hip Roof COy Asphalt or Composition Shingle Int Wall 1 Masonary or Minimum Int Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted AC Central Baths 1.50 Line Description I Sq. Feet " Repl. Cost New I 1 FOA 60 $552 2 FSA 509 $11,740 I 3 I BAS 1,374 $63,259 I 4 I FOP 24 $230 Extra Features (Card: 1 of 1 ) Line it Description I Year Units Value 1 DWSWC I 1974 222 $241 2 CLFENCE 1974 600 $212 3 FIRE PL 1974 1 $803 4 UDU-M I 1974 1 $161 5 UDA I 2000 II 1 $1,943 , Sales History II http://appraiser.pascogov.comlsearchlparce1.asp?Sec= 11 &Twn=26&Rng=21 &Sbb=OO 10... 07/25/2005 DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRBILLS BUILDING DEPARTMENT I, P - J I ~ ~ 1 A...) have read and fully understand and agr~ the provis10ns of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile,. that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building ,or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Sl";q~ ~ ~k~yP i;" ( 7,'7'1 3JJ...~ {/ 2. 3. 4. 5. 6. 7. 8. 9. OWNER'S ADDRESS PHONE DATE ~ 1= I ?? J ...12.... . () J..J, ;J.D" iJ ,-- . WITNESS PERMIT #