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Home My WebLink About05-4901 I i CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 4901 Permit Number: 4901 IssLjed: 9/09/2005 Permit Type: GENERAL BUILDING PERMIT Class of Work: ADD/AL T COMMERCIAL Proposed Use: COMMERCIAL Sq. Feet: Est. Value: Cost: 3,100.00 Total Fees: Amount Paid: 50.00 Date p. id: Address: 5734 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Lot{s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-2600-0250 Name: SOU HERN USTOM BUlL Addr: 8156 ENGLISH ELM CIRCLE SPRING HILL.FL. 34606 Phone: Lic: Phone: Work Desc: CHANGEING PLAN! ON FRONT DOOR & INSIDE DOOR Name: BEST WESTERN OF ZEPHYRHILLS Address: 5734 GALL BLVD ZEPHYRHILLS, FL. 33542 F DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATIONIWALL MISC MISC. MISC. INSULATIONICEILlNG MISC. MISC. MISC. DRIVEWAY MISC. MISC. REINSPECTlON FEES: When extra in$pection 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 imspection 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 m de before any further permits will be issued to the person owning same "Warning to owner: Your failure to rd a notice of commencement may result in your paying twice for improvements to your property. If yqu intend to obtain financing, consult with your lender or an attorney before recording your notice of com.,..encement. " o OCCUPANCY BEFORE C.O. RAeTORS SIGNATURE I PERM. CALL FOR rrfSPECTlON - 8 HOUR NOnCE REQUIRED - PlOTECT CARD FROM WEATHER '-U . - t/f.' 1/ VI 11 , ;:: {\ n\ I r I iJ . ( CITY dt ZEPHYRHILLS ~J!i}(M.J.'.1' .ft,.r.r.L.I.L"'.n,~~""'" BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 ('j _,'7... "),-"'). - DATE RECEIVED rlJC/ z:~ PHONE CONTACT FOR PERMITTIN~ ?SZ" . 2.7&?' /,')Y g OWNER' s N~E'5T (;1ks /7.=-r f\J /0(1) rJ JOB ADDRESS~C;7,'? L/ G I') '-L _ It3 L j D PHONE Z t;r(t-cjr/Jil i (" LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I~ # I /-;.)j~~;l,- CX) I (\-:J...6CC -0 2-00 (OBTAIN FROM PROPERTY.TAX NOTICE) WORK PROPSED: urNEW CONSTRUCTION o ADDITION DALTERATION [J REPAIR o INSTALL oSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI - FAMILY o INDUSTRIAL 0# OF UNI'l'S o SWIMMING POOL o MOBILE HOMI o OTHER DESCRIPTION OF WORK OVAL ~ ~ ~ >TI I'J LL. L {= -{ I AYSI DlZr. RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING. PLANS & (1) SET ENERGY iPRMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. i.r ~ PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. 5U.~ ,1~\jJ\... SQUARE FOOTAGE HEIGHT [] ~'~I~d'r~GWr $ _ PERMITS REQUESTED d' 3 ~ _ ,I (){) VALUATION OF TOTAL CONSTRUCTION / o ELECTRICAL AMP SERVICE o Progress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 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 ~ SIGNATUy.E"'/ _//> . . / / // .r . COMPANyOCh tt)^;tC,;~ t-Jr /'l/)C!4- STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY 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. NOTI~E OF DEED RESTRICTIONS Th~ undersigned understands that this permit may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes respons~bility 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, haye 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 compliance with all applicable laws regulating construction, zoning, and land development. Appliqation 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 COlli?liance. 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 Protectiori Agency-Asbestos abatement I also certi~y 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, 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 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 00 NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 2~ 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) C1ho is personally known to me, or o who has produced (type of identification) and wnoo did odid not take an oath. owho has produced (type of identification) and who Odid Odid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped I ! CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813}780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 4901 Permit #:4901 Issued: 909/2005 Permit Type: GENERAL BUILDING PERMIT Class of Work: ADD/AL T COMMERCIAL Proposed Use: COMMERCIAL Sq. Feet: Est. Value: Cost: 3,100.00 Total Fees: Amount Paid: 50.00 Date Pa d: Address: 5734 ALL BLVD ZEPHYRHILLS, FL. Township: Range: Lot{s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-2600-0250 BEST WESTE 5734 GALL BLVD ZEPHYRHILLS, FL. 33542 Lic: Phone: CHANGEING PLAN ON FRONT DOOR & INSIDE DOOR m C 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: Reinspection t1 s will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs o~ corrections not made when inspections 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. NOTICE: In addition to the requirements pf this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, stat~ agencies or federal agencies. The payment of inspection fees shall be ade before any further permits will be issued to the person owning same "Warning to owner: Your failure tO~COrd a notice of commencement may result in your paying twice for improvements to your property. If u intend to obtain financing, consult with your lender or an attorney before recording your notice of com encement." ~~ CONTRACTORS SIGNATURE PERMIT OFFI CALL FOR NSPECTION - 8 HOUR NOTICE REQUIRED . ROTECT CARD FROM WEATHER I I II II