HomeMy WebLinkAbout05-4944
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
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Permit Number: 4944 .
Permit Type: ADDITION/AL TERA~ION
Class of Work: 434-ADD/AL T RESI ENTIAL
Proposed Use: SINGLE FAMILY R SIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38825 7TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
5,000.00
9/22/2005
135.00
135.00
9/22/2005 Phone:
UPGRADE ELEC. & MISC. ELEC. & FRAMING AND WINDOW REPLACEMENT
Name: TIMOTHY BRASWELL
Address: 38825 7TH AVE
ZEPHYRHILLS, FL. 33542
~
0' (I ~l (?4/0
(
F F
DUCTS INSTALLED PRE-SLAB
DUCTS INSULATED LINTEL I
SHEATHING FRAME!
MISC INSULA~ALL
MISC, INSULATION dEILlNG
MISC. DRIVEWAY
REINSPEcnON FEES: When extra in
charge of Thirty-Five Dollars ($35.00
1
CONSTRUCTION POLE 2ND ROUGH PLUMB
PRE-METER WATER
MISC SEWER
MISC MISC,
MISC. MISC.
MISC. MISC.
ion trips are necessary due to anyone of the following reasons, a
shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work~resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for i spection when called
(e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible
The payment of inspection fees shall be m de before any further permits will be issued to the person owning same
"Warning to owner: Your failure to cord a notice of commencement may result in your paying twice for
improvements to your property. If y u intend to obtain financing, consult with your lender or an attorney
before recording your notice of com ncement."
Complete Plan, Specifications and Fee Must Accompany Application.
All work shall be rformed in accordance with City Codes and Ordinances
o OCCUPANCY BEFORE C.O.
~-.
PERM IT OFFI
SPECTION - 8 HOUR NOTICE REQUIRED
OTECT CARD FROM WEATHER
I I
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
'! b/o 5
PHONE CONTACT FOR PERMITTING
OWNER'S NAME t \\ ~ O~~'vl
JOB ADDRESS
PHONE ~ 4Q.S' /y~~S-
?J- L{
SUBDIVISION C j!-f l 0&- 2(,.~h; }Js;
PARCEL ID #
,
WORK PROPSED: 0 NEW CONSTRUCTioN
o ADDITION
oALTERATION
~REPAIR
o INSTALL
I
PROPOSED USE:jgSGL FAMILY DW$LLING
o SIGN
o MOVE
o DEMOLISH
o COMMERCIAL
oMULTI - FAMIL Y
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
D~SCRIPTION OF WORK
I
c=J RE TAURANT & HEALTH
i
o tv-.::Tl
I
I
RESIDENTIAL: ATTACH (2) PLOT I PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETSloF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SET~ OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEylREQUIRED FOR ALL NEW CONSTRUCTION.
I
$ 50ClO4
BUILDING SIZE
& (1) SET ENERGY FORMS.
FORMS.
PERMITS REQUESTED
~ BUILDING
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE 0 Progress Energy 0 W.R.E.C.
VALUATION OF MECHANCIAL INSTALLATION if t1 q ~V
o PLUMBING
o MECHANICAL $
o GAS 0 ROOFING 0 SPECIALT~
I
TYPE OF CONSTRUCTION: 0 BLOCK I
FINISHED FLOOR ELEVATIONS !
o OTHER
r1l FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAo YES
ptNO
BUILDER
STATE CERT OR REGIST #
ELECTRICIAN
*********************************************************;:1.******
~ <.AI;' ,:/ ') l;;:)
COMPANY t'lpyU;/ J C-.
(
-_.~-~--~_.~-----
SIGNATURE
STATE CERT OR REGIST #
iUHBER
****************~*************************************************
SIGNATURE
J)~ l. '-
COMPANY
STATE CERT OR REGIST #
* * * * * * * * * * * * * * * * *'* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
MECHANICAL \. \
/1
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
may be more restrictive than City regulations. The
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 "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, 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 .~hat 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.
Appli~ation 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 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 "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 DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
subject to "deed restrictions" which
undersigned assumes responsibility for
-
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of , 2L-
by
(name of person acknowledged)
Dwho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
acknowledged
,20_
(name of person acknowledged)
C1ho is personally known to me, or
owho has produced
(type
and whoo did 0 did not
of identification)
take an oath.
o who has produced
(type of identification)
and who odid Odid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
v
I I:
r 9'. ~nAM 813- A,FAIRVIEW TIhE 813-933-_2_7_0._3URVEYS
flA ~ G, 3;. 2 ())1 ~ J ...
NO,5015-P, 2/1..
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Is :RVEY TC OF BOUNDARY SURVEY
NOT FOR CONSTRUCTION
NOT FOR DESIGN
NOT FOR FENCE CONSTRUCTION
F'L.ORZbA STATUre 6JCil)'-6.004,
(T""O ,sITE' /J'~NCHIfA_S ReuumCD F'~ CONSTRUCTION)
~
CGP't'RJaJ.IT 2005 1".1...14, ~VE'I'S I:ORP.
N{]T~I THt INTCNT t:F THIS SURVfi:Y
IS FOR TITLC TRAfYSFt:R ONI.. 't'
THIS SURVCY lHrs NOT REF'I..f:CT DR
JJE:TERHI/Vf: DWNCRSHIP.
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NO 111
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STR~cr AD/)RESS,
3881:5 7TH ,",VE
Z~~HR'YHILLS FLORI1)A
LFGAL DE:SCI<'IPT/ON:
THe If:AST 50,00 FFEr or LOTS 12. 13. AN/) 1.4. LE"SS THe:
t./€:sr 5i!,J3 F~ET_ BLOCK JJ3. CITY OF ZEPHY'RHILLS, AS PF:R
PLA'" OF T""~ TOI.//II OF ZePHYRHILI.S T/ooIeR€OF, RE:COR1)If:D IN
PLA T BOOK I, PAuE" 54. OF THE' PUBL,,fC RFCtJRDS OF PASCO
COI..I/VT'r' FLORI.DA,
CERT'.IFIE.D TO,
TfM BROS""'~LL
FAIR VIEw TITLE
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SDU/tI1JA'UE~ A~~ CiRAPHJCf4LL Y DISTINCT
rROH UTHCR PORTIONS tJF T~ aOtlN/IAR't'.
r~ VAT~~ JlDl./NDARY THAT IS RCFLECTE:J)
Is A~OJ(llMrE: LtJCA'fJOtv C1IVL. 't' A/tIp DO€S
NOT ~CF'i..CCT THE: Lt:GAL LOC"lTION 01' THE;
V",rf:R BDtJN/JARY FUR TH1:> PNi'T/Ct.II..-"R
"ARee" OF' LANlJ.
IVOrlt:/ FEI'4tA FL.ooD HAZARD HAPPING' THIS bAT€ PffDDUCT VAS NOr DESIUfY(;D PROVIDED By COUIIITY
TO HAKF: PRECISF: 1/tI/ our F'L.aoD RISK DF:rc1tHINATICJNS, ~/S PRODUCt" /S /tIDT PLoOD ZON!:: x
S'l.JlrAJJi...1!' F'DR E'lVGTNCt:R./NG APPL.ICATIONS "'OC21 CANNOT IE' USED TO Dt:TEIfHINC COM:NUNlTY PANEL 120l235/000SC
ABSOLUTE: DEI../NE'ATmNS OF' FI.,OOJ) aO/.JNDAR $. CALL. I-B77-rCHA HAP em CHAlL DATED: /2.17./9'1
A HAP SPCClt4LlST AT """"V.F'CHIU]~G/"'Ir/T~ /F"~-"'14P17.HrN (FLoOD ZONE; "a~. ~CM. -D". & ..X" ARE NOT
CJi;RTl1l1CATlON : IN DESlGNATED FLoOD HAZARD ZONE AREA.)
I CERTlFY THAT THIS SU~VFy WAS MADE: UNDtR MY OlR,"CTlON AND THAT IT MEETS
THE: MIN/MUM n;;CHNICAL STANDARDS SET fQRTH BY THE BOARD OF PROF'EsSIONAL
LAND SURV!i:'I"ORS AND MAPPERS IN CHAI"~ 61G17-6. FLORIDA AOMINISTR"Tl'IiE
CODE, PURSUANT TO SECTION ""2,027. FLoRIDA STATUTES.
/! / (")() FlE'-o 8/29/05
/'\-'" ~ SURVEY DATE :_______
BY :----------__________ SICNATlJRE DATE :_~!.30/~~
LELAND F. D\'SARD, PLS *:3859 GEORGE R. RICHMOND, PLS lI'2408
MARY E. FINSTAD. PSM 15901 CUNTON W. FINSTAD. PLS #24$3
KENNE'J'H P_ T A \'LoR PSN 11I15632
NOT III CERTIF'lCATlON OF TITLE, ZONING. EASE ENiS OR F~EEOOM Of" ENCUMSRANCES.
NOT vAUD Wr'l-jOuT SURVEYOR'S SIGNATURE A 0 EMBOSSED SEAt.
SURVE:Y IS VAt.ID FOR 90 D,II\'YS. PLEASE: REFER TO AEVe;RSE SIDE reR
NOTC. II" APPI./C,t4BLE;. rENCCS SHOIII'I\I Hfi:ANDC/#
ON OR OFF LINES, (AP~x. L(1CA7R11V OM.. YJ
F'Du{VlJ4TrON/UTJ1..IT1CS DISCLAIMER
NG71!:/
FOUN.DA rrON IIF:NCA TH THC SURFACE OF rHe GROll,
""'$ NOT HtN LOCA TCD.
U/tIl1€Rt3RlJUNJ) UTIL.lTICS IMVC NOr BEE:N LOCATCl
NOTE;' P-E;l'lr't' O'-'Nf:R ~/) I11IT;t./1V
V~lr7E:H rl..DQJ) ZONe ~"AI'lHI_TION
FROH OUR 1..Dr:At, ~RHI rl'lVG. PI.,ANNlNO,
AND RIJ11./JlfYti DCPA"T~'" PI'lIDlf TO ANt'
CONSTRucrlON PLAN/lI1NG I4NlJ,OR ct>>J,srRucr,Dt\
NOTE;;,
IN C;CI'If'L'ANCE I.I'rTI-f F',A,C.
61Gt7-6,Q031 (S) ([:) (IF' I...lJi;ATlDN OF'
E:ASEI1E"ITS lJR RI(iI1T-CF'-IJAY CY' RCC;O!:!D.
UTHCR THAN THOSe: ON /:!ECCIUI 1"1..... 'T, IS
RCQUIRED. THIS INF'aRMATICN MUST DE:
F'UIltNISI-fED TO THE' SlJII/VE"YCR "'ND I'l,ll\PPER,
KT
GENERA'- NOrrs &: AseREVlA nONS.
410 WARE BLVD 161lil
TAMPA. F"LORIDA .33619
813-620-1942 FAX a13-~20-'oa5
1.350 66TH STREET NORTH. SUI TE 112
LARGO. FLORIDA .33773
727-549-1901 tA)( 727-5.,.9-1701
REVlSIONS
, PROF'f:SSJONAL
D~AWN By:
F.L.A. SURVEYS CORP.
LAND SURVEYORS & MAPPERS-LB 6569
S..J. CADD
CHECKED 8 Y:
PROJECT NO;
05-612+3
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CITY OF
ZEPHYRHILLS
IINOTICE"
OF ADD.ITION OR CORRECTION
BUILDING
DEPARTMENT
[)O NOT REMOVE
r 3i~2-S- 7 -nI f/V, IJ I; ~ i; PERMI+,'f~ I
THIS JOB HAS NOT BEEN COMPLETED The following additiqns or corrections shall be made before the job
. will be accepted.
,
~T.Y9iJ'U N~T S'j M..\L 'T 1U,-~
~\/)t~~,
~T~
('~'TI~~
N:J'T
.
$(7:> F- WM..K:
/'L~01~
~ .~~l:\f1PP,
L~ I\.:fTN,.C Thl\..) {/J J Ll I ~Ii:
.
-rr F;rJP>F::J:" ij , f~JL ('Jb\Jf'l'fi^-
It is unlawful for any Carpenter, Contractor, Builder, or ot~er persons, to
cover or cause to be covered, any part of the work with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation,
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR J2>~S
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI.
I I
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRBILLS BUILDING DEPARTMENT
I,
agree to the provisions of this instrument.
have read and fully understand and
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile" that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1.
That the owner and he or she alone shall act as the builder for all phases of
construction.
That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable.
That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you. as the owner of yo~r property, to act as your own contractor with certain
restrictions even thoug~ you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people ~loyed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances. building
codes, and zoning regulations.
SIGNATURE~ ~~ _ -- --==-
"3~~d-5 ~ IV~'
2.
3.
4.
5.
6.
7.
8.
9.
OWNER'S
ADDRESS
PHONE
DATE 6'( /:J3/or
WITNESS
PERMIT #