HomeMy WebLinkAbout05-4935
I II
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
4935
Permit Number: 4935 Issued: 9/19 2005
Permit Type: NEW SINGLE FAMIL r DWELLING
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 84,200.00 Total Fees:
Amount Paid: 3,546.71 Date Pai
Address: 6429 VI T RIAN WAY
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: SILVER OAKS VILLAGE
Parcel Number: _ 9. -,;l\ - cj 2W -..., 00-
Name: REllA CON
Addr: 5420 7TH ST
ZEPHYRHILLS,FL. 33542
Phone: Lie:
Work Dese: NEW SINGLE FAMI
Phone:
WATER CONNECTION RESIDENl
WATER METER RES 3/4"
RADON
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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.
REINSPEcnON FEES: When extra in paction trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00 shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work, resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be ade before any further permits will be issued to the person owning same
"Warning to owner: Your failure to Ii!COrd a notice of commencement may result in your paying twice for
improvements to your property. If yf,)u intend to obtain financing, consult with your lender or an attorney
before recording your notice of com....encement."
!NO OCCUPANCY BEFORE C.O.
~-~
-
PERMIT OFFI
SPECTION - 8 HOUR NOnCE REQUIRED .
OTECT CARD FROM WEATHER
~W~ER I S NAME --.t ~ (J. .. J',ull ~I,pl,,t$~"
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTMBNT 5335 Sth STRBBT ZBPBYRBILLS, FL 33540
Phonel813-7S0-0020 Fax: 813-780-00~tl <2--- _ --J (./ --f{' S
DATB DCBIVE 0 ^ (
PLANS RBVIBW J'BB
PHONE CONTACT
'7 tf- ~r? s
JOB SITE ADDRESS
[J ?'v\-f-
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
3
t,;)loJ;)o-o
0-0170 (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~NEW CONSTRUCTIoN
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: ~GL FAMILY DWELLING
OMULTI - FAMILY
0# OF UNITS
o MOBILE HOME
o COMMERCIAL
o INDUSTRIAL
o SWIMMING POOL
o OTHER
o RES~AURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK .bar I:~~ ~f\ MoJt I ~ ot'\ t,je..
Lf'S' J< 'l/ I
SQUARE FOOTAGE
3-,;J.-;l.
I, ~, g
HEIGHT
BUILDING SIZE
ql
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PPANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
AMP SERVICE
[3- FLORIDA POWER
PERMITS RBQUBSTED
~UILDING
o{'ELECTRICAL
Ili"PLUMB ING
~MECHANICAL
$
J ~S.~oo
VALUATION OF TOTAL CONSTRUCTION
o
$
;2} 15190
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK ff1?RAME
FINISHED FLOOR ELEVATIONS " II "~f slw.t
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES
(R-'NO
BUILDBR
J4f 6- / /JhI-
COMPANY ~t.J;~It. ~fr..e~'t\11 T",.
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
PLUllBBR
*******************~**********************************************
,
BLBCTRIC
COMPANY MJ:u4-;~ 5" ..L..c.k-.~ ;=lAc- _
STATE CERT OR REGIST # P-.-e l3>oor~~
CITY PROCESSING #
SIGNATURE
COMPANY ~/b'f J {/VIles t{C/fi1~; ,?9 lYe
STATE CERT OR REGIST' # C/l"r" '12 b I
I
CITY PROCESSING #
DCHAHICAL
SIGNATURE
STATE CERT OR REGIST
CITY PROCESSING #
*****************************************************************
******************* *****************************.***************
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands tha.t t hj.:l p':rmi 1: may be
JIlay be more restrictive than Ci1t:V .w~rulations. 'fhe
compliance with any applicable dt:!l:d n~sl:ric1:ions.
B. UNLICENSED CONTRACTORS AND C()I~~~Ft1I,CTOR Rl~SPONSIBILITIES
If the owner has hired a contrad:c)j: C'l' contractors to undertake. work, they lIlay be required
to be licensed in accordance wit:h fttate and local rfl9ulations. -tf th'e" ~ontractor is not
licensed as required by law, both the ollmer and contractor JIlay be cited for a misdemeanor
violation under state law. If Uw <:amer or intended contractor are uncertain as to what
licensing requirements may apply fn thE~ intended work, they are advised to contact the
City of Zephyrhills Building Departloent, 813-788-661l.
Furthermore, if the owner has hire,d a ce.ntractor 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 a.re indicating that
you, rather than the contractor, aJ:e responsible for the work. If the contractor wishes
you to sign as contractor that JIlay b,e an indication that he is not properly licensed and is
not entitled to peonitting privilege,s in the City of Zephyrhills.
C. T!UUfSPORTATION IMPACT FEES AND lJ~nLITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTEH '713, FLORIDA STATUTES, AS .AMENDED)
I certify that I, the applicant, h<:IVI:! been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection (~uiden prepared by the Florida Department of Agriculture
and Consumer Affairs. If the appli.cimt is someone other that the "owner", I cerify that I
have obtained a copy of the above C1lelscribed document and promise in good fai th to deliver
it to the "owner" prior to coumence~D.Emt.
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 appl:l<:able laws regUlating construction,' zoning, and land
developtJlent.
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 st:andard,s 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 .
*Axmy Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health ~ Rehabilitattve 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 "A,etc.H, it 1s
understood that a drainage plan addressing a ucompensating volume'" will be submitted which
is prepared by a professional engineer registered in th, State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license ~~ Pf~~,~d'~tb 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 unle8,s the work authorized by such pe~t is commenced within
si~ months of is,suance, or if work authorized by the permit is suspended or abandoned for a
period of si~ months after the t~ the work is cODDenced. One 90 day e~tension of time
may be allowed fo~.the permit with fee charge of $15.00. The. ext~sion 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 COMMBNCEMEN'l' MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN AT"l'ORNEY BE!'ORE RECORDING YOUR NOTICE OF COMMBNCEMI!'Jft'. JOBS UNDER
$2,500 IN VALUE 00 NOT NEED 'l'O RECORD AND POST A "NOTICE OF COteIENCEMEN'l"".
l<J i!S J/Jby IV Iff ~
SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRA.CTOR
~0~~l~lONS OF PERMIT AFFIDAVIT
subject to "deed restrictions" which
undersigned assumes responsib~lity for
. ~
STATE OF FL~IDA
COUNTY OF . as L D
The foregoing instrument wa~nOWledged "
Befo.r(e ~ this JLJ-'1:!:L day of' .__t . ~c'"
by NQ!l..\ B. MiI1.He"J
/ (name of person ackno~ledged)
ISl who is personally knowii to me, or
STATE OF FLORIDA f)
COUNTY OF . ~o...5(c
The foregoing i!lst~nt wa~c~~OWledgec:i.., (
Before... thg '~ay of HU4u."t , MJGC...i
by Need J.rt i':J
~' (name of person acknowledged)
~o is personally known to me, or
of identification)
ill ,whOO~d take an oath.
Signature of person taking cknowledgement
f)'lfJt1 L l)ude{~'
Name typed, printed or stamped
o who has produced
(type of identification)
d not t~ke an oath
,
^ iG.
taking a knowledgment
l Du,dp(~
printed or stamped
Signature
(YU I it
Name typed,
~;j) Clna L Dudeck
. . My Commission 00243306
'\ ~ "./ Expires August 20. 2007
~~ Dana l Dudeck
. 'i. . My Commission 00243306
\~ "./ Expires August 20.2007
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ALL WORK SHALL COMPLY wnliALL
fREV AlLING CODES. FLORlDABUUDING
CODE. NATIONAL ELECIRlCCODEAND
C:T'i OF ZEPHYRI :T~ ~S ORDINANCES
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Reliable Contracting
Victorian Way
SQ. FEET PRICE
MAIN OR LIVING: 1,684 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 84,200.00
FEE SHEET $ 420.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 690.00
CREDIT: $ -
BUILDI,.G LESS CREDIT: $ 690.00
ELECTRICAL: $ 110.95
PLUMBING: $ 92.50
I MECHANICAL: $ 66.42
SUB-TOTAL $ 959.87
I RADON: $ 16.84
I TOTAL $ 976.71
SEWER: $ 1,616.00
WATER: $ 419.00
IRRIGATION: $ 175 -60
TOTAL: $ 2,035.00
I WATER METER: $ 180.00
I IRF IGATION METER $ ;lio - I
S UB-TOTAL $ 3,191.71
PA K IMPACT FEES I $ 769.56 I
PUBL C SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SIF'S: $ 4,314.00
, 100.0% $ 4,314.00
1.0% $ 43.14
TOTAL: $ 4,357.14
TI F'S: $ -
99% $ -
i 1% $ -
"/ 1: CD
Cv
) 1/G0
Gt-
) dfu
TOTAL: $ 8,871.76 I
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