HomeMy WebLinkAbout05-4778
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
4778
Permit Number: 4778 Issued: 803/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 20,000.00 Total Fees: 202.50
Amount Paid: 202.50 Date Paid: 8/03/2005
Address: 38522 A AVE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: E.M. EN RISES G
Addr: 2515 E. HANNA AVENUE
TAMPA, FL33606
Phone: 813 238-5010 Lie: Phone:
Work Desc: REINFORCEING EXISTING FOUDATIONS FOR TOWER
R
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. "
NO OCCUPANCY BEFORE C.O.
~-.
SIGNA URE PERMIT OFF I
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
.-------.- .-
PHONE CONTACT FOR PE~TING
-
1'.2..Cl. O~
DATE RECE IVED _
qr~. ~4~S~3~
~~-
OWNER'S NAME UowtU ()qS1"ce. :t;n-/C.M4-rlo!U>4 Co
JOB ADDRESrJ~~f/5~~ pvE rl
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PHONE
PARCEL 10 #
(OBTAIN FROM PROPERTY TAX NOTICE)
DSIGN
~ADDITION
o MOVE
~LTERATION
o DEMOLISH
o REPAIR
o INSTALL
WORK PROPSED: DNEW CONSTRUCTION
PROPOSED USE: DSGL FAMILY DWELLING
')Q COMMERC IAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
~ OTHER
75uJ.R ~
DESCRIPTION OF WORK
D RESTAURANT & HEALTH DEPARTMENT APPROVAL ......-
f(F:JlJf:oll,e.e [~..JSIj.v.!\ ~L.U.)M11.,)AJS fDft loW'V\
,
BUILDING SIZE
SQUARE FOOTAGE
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.
N,~c.. ~"\i 11l.fiD
PERMITS REQUESTED
')a BUILDING $ ~O om- VALUATION OF TOTAL CONSTRUCTION
)
0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C.
0 PLUMBING
0 MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
0 GAS o ROOFING o SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
18I 0 THE R t=' Q,tItlJ hA j\ '() rJ
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES ~NO
***************************************************** *
COMPANY EM- [Nff/l.p,rz.,l.c;r~ G C INu
STATE CERT OR REGIST # CeCA 403 _ \
(9
BUILDER
SIGNATURE
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to udeed restriction5" whiph
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 po!tions 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 Uowner", 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 corrunencement.
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 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 UA" or uA,etc.", it is
understood that a drainage plan addressing a ucompensating 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
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)
[1ho is personally known to me, or
(name of person acknowledged)
Owho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid [}:iid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
Prepared By:
Permit No.
Kurt Jurado - EM Enterprises General Contractors, Inc.
i~p~,"~~ H~~~ t venue R 1111111111111I11I11I1111111111111111111111111111111I 1111I111
2005159887
Rcpt: 909978 Rec: 10.00
D0S8/:004.00 IT: 0.00
/05 ___ Dpty Clerk
~190~~~~MAN2: fNS;O fOUNToYf' C1ERk
OR Bk 6514 PG 589
TaxFolioNo.I'I.)G..2-'. ODiO.Di70Q
ODGD
NOTICE OF COMMENCEMENT
State of Florida
County of C},.: "'0
I H..,IL .
The undersigned hereby gives notice that improvement will be made to certain real property, an in accordance with Chapter 713.13 of the
Florida Statutes, the following infonnation is provided is this NOTICE OF COMMENCEMENT.
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1.
2. General Description ofImprovements
T/\}:j I="C."1..
3c.
Owner's Interest in Property
Fee Simple Title Holder Name (If Other Than Owner)
Address
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Amount of Bond $_ ~ 5!- i ~:i 0:
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3a.
Owner Name - Crown Castle International
3b.
Owner Address - 6413 Congress Avenue, Suite 250, Boca Raton, FL 33487
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Contractor Name - E M Enterprises General Contractors, Inc.
Surety Address
Address - 2515 East Hanna Avenue, Tampa, Florida 33610
Surety Name (If Any) /,/11
/V4
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11M
5.
6.
Lender Name
Lender Address
7.
Person within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713. 13(1)(a)7., Florida Statutes:
11/4
Address
Name:
8. In addition to himself, Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13( I )(b )., Florida Statutes:
Name:
AlA
Address
Expiration date of Notice of Commencement (the e
ecording unless a different date is specified).
'Y()'C~UI10~
STATE OF FLORIDA
COUNTY OF HILLS BOROUGH
~r~
The foregoing instrument was acknowledged before me this
by P:,.t~\* wo,1-suv>
has produced
\VC~_ y~
Notary Public
day of
2005,
n to me or who
Print Notary's Name
~. "Ii. Dana D Quillen
R ~\.. My r.ommission D0149979
~~..:. './ Expires October 04,2006
Oft"
My Commission Expires
Commission Expires
(A copy of Bond must be attached at the time of recordation of this Notice of Commencement.)
FAILURE TO POST A CERTIFIED COpy OF THE RECORDED NOTICE OF COMMENCEMENT ON THE
JOB SITE MAY RESULT IN THE FAILURE OF YOUR INSPECTIONS.