HomeMy WebLinkAbout05-4854
I.
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4854
Permit Number: 4854
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38401 COTTONWOOD PL
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: DRIFTWOOD
Parcel Number:
8/19/2005
60.00
60.00
8/19/2005
REPLACING 5 WINDOWS
Name: EUGENE SMITH
Address: 38401 COTTONWOOD PL
ZEPHYRHILLS, FL. 33542
Phone:
F 1 U
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.
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.
JPYU~J)n.~ ~ ~-.
' CONTRACTOR S GNATUR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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PROPOStD OSi ~L rNeILY OWu.~MQ ONULTI-rNaLY 0, or owns
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PlOl'taTY suaVEr UQa%JW) roa ALL 1I11f COQftDCTION.
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8t'At'1 CUT o~ QGIST .
OCT/04/2004/~ON 04:08 PM ZEPHYRHILLS BUILDING
FAX No, 813-780-0021
p, 002
A. NOT1CE OF OttO RtSTRICTIONS
Thll undersigned unde.stands that thi,. permit may be subject to "deed restriction,," which
maybe mO~e restriotive thanClty requlations, The undersigned aasumes respon8~bility for
conplian~e with any 8pplicable deed re"trictions.
B~ UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
It the owner has hired a contractor or contraatars to undertake work, 'they may be required
to be licensed in accordance with state and local requlations, If the contr8ctor is not
lioensed as required by 1891, both the owner and oontractor 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 tor the intended work, they are advised to contact the
City ot Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner ha.s hired a cOntractor or contractors, he is advised to have the
contractor(sl sign po~tion" of the "Contractor Seotions~ of this application for which they
will be responsible. It you. as the owner siqns as the oontractor, you are indicating that
you, rather than the contractor, are re.ponsible for the work. .If the contractor wishes
you to sign as contractor that may bean indioa~ion that' he is not properly licensed and is
not entitled to permittlnq privileges in the City or Zephyrhills.
C. TRANSPORTATION IMPACT FtES AND UTILITY CONNECTION FEES
O. CONSTROCTUION LI!:N LAW (CHAPTtR 713, FLORIDA STATUTES, AS AMENDED)
I certiry that I, the applicant, hay. been provided with a copy.of ~Florida'. Conatruction
lien Law - Homeowner's.Protection Guid." prepared by the Florida Department of Aqriculture
and Conswaer Affairs. If the applicant is sOlll4ona other that the ~own.r", I cerify that I
have obtained a oopy ot the above described document and promi8e in qood raith to deliver
it to the ~owner" prior to cOIIllllencement.
E. CONTRACTOR'S/OWNiR'S ArFlOAVIT
I certify that all the intormation in this application is accurate and that all work will
be don. in compliance with all applicable laws regulatino construction, zoninq, and land
developnent.
Appli~ation is hereby made to obtain a perMit to do work and instaliation as indicated. I
Certify that no work or installation ha. aommenced prior to i.suahae of a permit and that
all work will be pertormQd to meet standards of all laws regUlating construction, City
codes, zoninq regulations, and land deTelo~rit regulations in the jurisdiotion. I also
certify that I understand that the reoulations or other governmental aqencies may apply to
the intended work, and that it is my responsibility to identity what actions I mU8t take to
b. in compliance. Such agencies include but are not limited to: .Department ot
Environmental Requlation-CyprQS,. Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
"Southwest Florida Water Management District-Welle, Cypress Bayheads, Wetland Areas,
Alterinq Watercourses
"Army Corps of Engineers-Seawalls, Docks, Nav1qable Waterways
"Department or Health , Rehab~litative Services, Environmental Health Unit-WellS,
Wastewater Treatment, Septic Tanks
.U,S. Environmental ProtQction Agency-~bestos abatemen~
I also certify that, if fill material i8 to be used in Flood Zone ~AH or ~A,etc.H, it i8
understood that a drainage plan addressing a ~compen.ating volumeH will be submitted which
i8 prepered by a protessional gngin.er registered in the State ot Florida prior to permit
issuance.
A permit issued shall.be con~truedto be a license to proceed with the work and not as
authority to violate, cancel, a,lter, or set aside any provisions ot the technical codes,
nor shall issuance ot a permit prevent the Buildinq Otrioial from thereatter requiring a
correction of errors in plans, construotion, or violations ot any code. Every permit
issued shall becoma invalid unless the work authorized by suoh permit is commenoed within
six ~nths of issuance, or it work authorized by the perait is suspended or abandoned ror'a
period of six nonths after the tLme the work is oommenced. One 90'day extension of time
may be allowQd tor the PQrmit with fee charge ot $15.00. The extension shall be requested
in wr1tinq to 'the Building Ottioial. An approved inspection must be logqed during each six
Month period, or the project will be considered abandoned.
~ING TO OWNER: YOOR rAILORE TO RECOIlD A NOTICE OF CCleOolENC!:HEN'1' HAY RESULT ni YOUR
PAYING TWICE FOR INPROVEMENTS TO'yOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O~ COMMENCEMENT. JOgS ONDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
SIGNATURE I CONTRACTOR
SIGNATURE: OWNtR OR AGENT
STATE OF FLORIDA
CooNT)' OF
The toreqoin9 instrument was
Before me this _ day of
by
acknowledged
2L
STATE OF FLORIDA
COUNT1( or
The toregoing instrument was
Before me this -----Pay of
by
aclalowledged
,20_
(nAme of person acknOwledged)
Owho 1s personally known to me, or
o who has produced
(type of identification)
and wlioOdid Odid not tak.. an oath.
(name ot person aoknowledged)
~ho is personally known to me, or
Owho has prOduced
(type of identification)
and who Odid Diid not take an osth
Signature of per~on taking acknowledoeMent
Signature of per80n taking aaknowled~ent
Name typed, printed or stamped
Nama typed, printed or 8tamped
2005-08-13
(1854) 813t~8-9608
P 3/3
14:39
Ins Sales CGC1508417
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AddItIonal HIolItIon.: The EnvIronmentlll Protectlon I!!PA ...
L.owe', notify lnsUu.tIon customer. that a lad baed paint haunt rrwy ulstln dweUln
prior to1t18. 8ft pIImphlM EPA 747-1(-99-001 fOf'delIIila.
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'Tax
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Work i. to CCIlIIIMnClI upon ___lIY1Iilabilily of ConlnIctor which ill antici..... to be
I!.elIInMad CGIIlpIMIon ... Ia Iftn In d81e).
['III In dlde].
NO~ TO c:u&l'OMM
AlIloIN IIaIod In 1hill contracl and apllCillcatian ahaet(a) .....10 be 1_ undolr -..,. .9~ upon at 11m oJ pul\ll1... _ at the prIoe appecu1ng on 11111
COIll1l1C1lorm. ThIa _n.a sound ulatlng aubalruClurea, lIUpIlratructu... And pol"" of..-.....t5. E....' or ~r18Ilnc:ldenl1O InstaIation nocoaItalOd
bv cWeclIw tubelruClUl9a, lIUpei'8ll\101Ure, poioIte 01 allaohmtnl. or lIIe moving 0/ fixturaa or applilJnoea to be bi
DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERUSA DCONDl110NS CONTAINED ON THE
RIEVERSIE 8lDe OF THIS CONTRACT. BY SIONING BELOW, YOU ARE ACKNOWlEDG G THAT YOU HAVE READ, UNDlER-
STAND AND AGRee TO THe TERMS AND CONDmONS SET FORTH ON THE REVERSE DE OF THIS CONTRACT. you AFIe
I!NTrTl.ED TO A COPY OF THIS CONTRACT AT THE nME OF SIGNATURE.
WITNESS OUR IiAND(S) AND SEAl(S) BELOW THIS .3J;L. D1l Y OF
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PROJECT NAME
SMITH
PROJECT ADDRESS 38401 COTTONWOOD PL
LOWES STORE #
1854
STATE OF FL
PRODUCT APPROVAL
CATEGORY SUB CATEGORY MANUFACTURER NUMBER
WINDOWS SINGLEHUNG M/I HOME PRODUCTS/BETTER BIL T FL 663