HomeMy WebLinkAbout05-4885
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
4885
Permit Number: 4885 Issued: 9/01/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 34,000.00 Total Fees: 335.00
Amount Paid: 335.00 Date Paid: 9/01/2005
Address: 38122 HENRY D
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: B & C C CTIN MANY
Addr: 4605 S. ORANGE BLOSSOM TRAIL
KISSIMMEE, FL 34746
Phone: Lic: Phone:
Work Desc: INSTALL ANTENNAS & EQUIPMENT AT TOWER
IL
38122 HENRY DR
ZEPHYRHILLS, FL. 33542
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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.
S SIGNATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRlOTECT CARD FROM WEATHER
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CITY OF ZEPHYRBILLS PERM7T APPLICATION
BUILDING DEPARTHIilN'l 5335 81'1 St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 ~ 'I.
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---p~~-~__ RECEIVED c;::>.' .
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... PHOm: CONTACT FOR PERMIT~~ij'19- q(j:2-'Z1
OWNER'S NPJ<J- molJ ihe-r)mciSfri~tf)) PHOl'E~3~qB-rg5PlD
JOB ADDRESS 3 8J)'JH~ry Dr Z,.e"DJ1jr'f,i))~ J rL 3.J5Lf;l,
I.EGAL DEseRI PTION: LOT (S)
BLOCK
SUBDIVISION
PARCEL ID if ..Q~:-~"""'~/-OOBD-O()AD()-o070IOBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUCTION
OSIGN
o ADDITION
OALTERA'UON
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: OSCL FJllHLY DWELLING
OMULTI - FAMIL Y
Ot or UNlTS
o SWIMMING POOL
o MOBILE HOME
o OTHER
OC(~M"'t;'R'-Il\L
'-"~J;L"JJ... ._ ...'"1.
o INDUSTRIAL
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORX.:z:n su/lItJl/. lC.!1l1!'H f1~~LlijJl11bJt rtk/k~
BUILDING SIZE SQUARE FOOTAGE HEIGHT
VAL:JATION OF
& (1) SET
FORMS~.
----.
//'
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 or ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
Jt( BUILDING
o ELECTRICP.:"
$~;DDO
~OD
AMP SERVICE
o
Progress Energy
o
W.R.E.C.
o P:WUMBING
o MECHA.NICAI.
$
VALUATION or MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRDCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLlXiR ELEVATIONS
IS PROJECT IN FLOOD ZONE .n.REAO YES 0 NO
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STATE CERT OR REGIST i
********~******.*****.***.*~***.*.********************************
PLtlHBER
COMPP.NY
SIGNATURE
STATE CERT OR REGIST i
******._*********************************************.************
MECHAN lCAL
COMPANY
SIGNATURE
STATE CERT OR REG 1ST *
**********--.*..**************************************-**********
OTHliIR
COMPANY
SIGNATURE
STATE CERT OR REGIS'!' i
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'r='11 t.' I,: : ".0. Box 1957 ,
I! : Ruslfin, Flor1da 3357 .
III J /; I CONfrRACTOR AFFIDA VI'
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!'PLEAS~"COMPLE-rlk HIS FORM, ATTACH PROP
IBY FA ..,ORMAIL~r i
I, :.,1..... CONJ,:.: ClTytOF ZIlPHRYHILLS
~ UCTIQN SEItVICES & PE
~ I FAx: 8IS.780-0021 ;
his fo ... will be usJ. detemline your eligibility to 0 tain
LEAS -~PRINT oRliir PE ! l
I usines. lName: F & LECT$C CO. lNC
~USines.: ddress: 11; Shell~int Rd. Ruskin, ...1. 33 . :0
ame 0'- uaIifier: F,IL ELEdTRlC ~O. INC -CharI: 'S.
ceTtific e holder) r ,; : L
I usincs::relephone: ~1 -645-3191 Fait: 813-645-5795 , om rhone: 813-645-3503
ype of; OOtractor: t 'tal ~ntraclOr j I
1) Statq ertificatio i . EC lJp0150r Expiratio . Pate 18-3 h2006
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~. NQ1ICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for.
compliance with any applicable deed restrictions.
B. UNLICENSED CONTR~CTORS 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 contracto.r 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 Zephy=hills 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 indicat.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 713r FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of ~Florida'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 "owner" 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 compliancs with all applicable laws regulating construction, zoning, and land
development.
Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work OL installation has commenced prior to issuance of a permit and that
all work .dll 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.8. 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 cons~rued 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 co~~enced 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 ~1AY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Y8UR LENDER OR AN ATTO~~EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2, '0 IN VALUE DO NOT NEED 70 RECORD AND POST Aif~NC~k J]r"
SIGNATURE: CONTRACTOR
~ ~;C'1.J
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(name of person acknowledged)
[1ho is personally known to me, or
)(WhO has
and
and
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sign~ .:~t0Yq,6llIIIlIMmI#tElOMJ1g EJlII.howledg
":....../0/ February 22, 2008
." ".'t' BONDED THPU TROY r.A!N INSURANCE, INC
Name typed, printed or stamped
Na
d, prli*le;22;l2OlJB3tamped
BOF/OED lHl!U TIIOV FAIN INSURANcf, INC