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HomeMy WebLinkAbout05-5026 I I" CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5026 5026 Permit Type: ADDlTION/AL TE 1llON Class of Work: 434-ADD/AL T RESI Proposed Use: RV PARK Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 3434 TOURMALINE DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 30,000.00 10/17/2005 376.00 376.00 10/17/2005 LANAI ON EXISTIN Name: KENNY & NANCY GRIFFIN Address: 3434 TOURMALINE DR ZEPHYRHILLS, FL. 33542 Phone: .~ /, {\ .\ \D'Vl #)y \( \\ ~ ;; DUCTS INSTALLED PRE-SLAB DUCTS INSULATED LINTEL SHEATHING FRAME MISC INSULATION MISC. INSULATION MISC. DRIVEWAY REINSPECTION FEES: When extra in charge of Thirty-Five Dollars ($35.0 CONSTRUCTION POLE 2ND ROUGH PLUMB PRE-METER WATER MISC SEWER MISC MISC. MISC. MISC. MISC. MISC. ction trips are necessary due to anyone of the following reasons, a hall be made for each trip for each trade: (a) Wrong address (b) Condemned wor r~sulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for i ~pection when called (e) Permit not posted on job site (f) Pia s Inot at job site (g) Work not accessible The payment of inspection fees shall be a e before any further permits will be issued to the person owning same nWarning to owner: Your failure to r rd a notice of commencement may result in your paying twice for improvements to your property. If y intend to obtain financing, consult with your lender or an attorney before recording your notice of com ncement." Complete Pia ,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 PECTION - 8 HOUR NOTICE REQUIRED TECT CARD FROM WEATHER I Ii CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 101-/05 D~~~Mll ~ERVICf PHONE CONTACT FOR PERMITTING-866-824-7894 Toll Free OWNER'S NAME PHONE BLOCK SUBDIVISION EY"nerCL\d. 0['(\ e JOB ADDRESS LEGAL DESCRIPTION: LOT(S) PARCEL ID # WORK PROPSED: ~EW CONSTRUCT dN o SIGN PROPOSED USE: ~L FAMILY DW LILING o COMMERCIAL o ADDITION OALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J RE TAURANT & HEALTH DEPARTMENT APPROVAL BUILDING SIZE SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK IOJ. ' RESIDENTIAL: ATTACH (2) PLOT COMMERCIAL: ATTACH (3) SETS IF SIGN PERMIT ONLY (2) SET PROPERTY SURVEY plLANS & (2) SETS OF BUILDING PLANS qF BUILDING PLANS & (1) SET ENERGY pF ENGINEERED PLANS REQUIRED. RIEQUIRED FOR ALL NEW CONSTRUCTION. & (I) SET ENERGY FORMS. FORMS. o MECHANICAL $ PERMITS REQUESTED ~ VALUATION OF TOTAL CONSTRUCTION ~UILDING ~ECTRICAL ~LUMBING o Progress Energy 0 W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALT 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 COMPANY SIGNATURE STATE CERT OR REGIST # ELECTRICIAN *********************************************** ikwl.AJV~ .LJ 5' .~o COMPANY SIGNATURE STATE CERT OR REGIST # PLUMBER ~-* * ** *** ** *** **** **** ** ***** * ** ************* ** ** ~ I COMPANY ~(JV-//lf'r ~'b I iU'~ SIGNATURE STATE CERT OR REGIST # ************************************************ MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # **************** ********************************************** SIGNATURE COMPANY OTHER STATE CERT OR REGIST # A. NOTICE 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 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 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. 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 $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". ~ SI-6N TURE: ER OR GENT. STATE OF FLORIDA ~ COUNTY OF .Q-.$to The foregoing instrument was acknowledged Before me this ~ day of r;c+Oloer , 2005"" by (name of person acknowledged) Dwho is personally known to me, or ~ has produced-.TIJ".. (type of Ddid not t Si Name typed, printeci'or,stam~d . \....s/ u..ic. tJli SIGNATURE: , TRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument wa()(a~wledged '~..J r-- Before me this -1.::U--"'Uay of , 20 O!;> by ~(name of person acknowledged) ~o is personally known to me, or Pas (.0 o who has produced (type of identification) ~id not take an oath taking acknowledgment , . 3 ",.i'Tiil'i\a"" ~ -t:r~~')1' Name typed, p~.tnted orstamp"fdj' '.1', ; '3.!(~ I r DISCLOSlJRB STATBIIEln' FOR OWNER CITY! OF ZBPBYRBJ:LLS BUJ:LDDIG DBPARTIIBHT I, agree to the provisions of this instrument. have read and ful.l.y understand and The undersigned states and renovating, adding to or actual.l.y occupies, or wil.l. rent, l.ease or sal.e. That affirms that he or she is desirous of constructing, oofing his or her own domicil.e, that he or she qccupy by said domicil.e, and same is not for l:\.e or she shal.l. compl.y with the fol.l.owing conditions: l.. That the owner and he construction. That the owner ordinances and codes p That in the event vari engage onl.y properl.y l. such work. That in the event the the owner wil.l. assume compl.etion wil.l. cal.l. f That the owner shal.l. a not expect supervision Department. That prior to final. i fees, must be paid in constitute an official. That the owner shal.l. c social. security, wor That the owner shal.l. c Industrial. Commission. State l.aw requires con appl.ied for a permit you, as the owner of y restrictions even thou onsite supervision of one-famil.y or two-fami or improve a commercia The buil.ding or resid be buil.t or substantia . buil.ding you have buil. the construction is c substantial.l.y improved exemption. You may no to supervise peopl.e wo make sure that peopl.e by county or municipal. responsibil.ity for sup l.icensed to perform th who is not l.icensed mus empl.oyed by you, which and provide workers' c Your construction must codes, and zoning regul. ~ she al.one shal.l. act as the buil.der for al.1. phases of 2. 3. l.y with al.l. provisions of the City of Zephyrhil.l.s Jttinent to the buil.ding. ~s phases of construction are subcontracted, he wil.l densed subcontractors and will personally supervise 4. .l.ding Inspector shall. require corrections to be made, ~l. responsibi1i ty to insure they are made, and upon zt a reinspection before proceeding with the bui1ding. ~ full responsibility for the construction and will. df his work from the City of Zephyrhills Buil.ding 5. 6. to 8. additional. fees, incl.uding reinspection ~l.l.. A written request from this office shal.1 ~otice to pay additiona1 fees. l.y with a11 City, State and Pederal. laws in regard , s compensation, 1ien laws, etc., where app1icabl.e. l.y with all the safety codes issued by the Plorida 7. 9. ction to be done by 1icensed contractors. You have r an exemption to that law. The exemption a1lows ujr property, to act as your own contractor with certain h! you do not have a license. You must provide direct iB construction yourse1f. You may buil.d or improve a y! residence or a farm outbuil.ding. You may al.so buil.d ~uil.ding, provided your costs do not exceed $25,000. cjra must be for your own use or occupancy. It may not 1y improved for sal.e or lease. If you sell. or lease a or substantia11y improved yourself within 1 year after ~ete, the law wi11 presume that you built or i~ for sal.e or 1ease, which is a viol.ation of this ~re an unl.icensed person to act as your contractor or ng on your bui1ding. It is your responsibil.ity to loyed by you have 1icenses required by state law and ~censing ordinances. You may not de1egate the ising work to a 1icensed contractor who is not ~rk being done. Any person working on your buil.ding I work under your direct supervision and must be ans that you must deduct P.I.C.A. and withh01ding tax ensation for that emp1oyee, all as prescribed by law. ~1y with a1l appl.icable laws, ordinances, building tio~. WITNESS OWNER'S ADDRESS PROBE DATE - /11--/3 -OJ PBRHJ:T # To Whom It May C sor Please be adv $ed that: Stacie Zullo & Debbie Dokendorf of Pasco Permit have my permission until further written notice to si and pick up permits for me. Sincerely, NOTARY STATE OF COUNTY OF PASCO The foregoing instrument was sworn to and subscribed before ~ this I.~"'" day of Ocj-: Personally known or Produced identification - , 6ZDO':J . Commissioned Stamp and Expiration Oat (.....- N~~:::: ~, Page 1 Gv l~ 19 j , I I i I l I L I I plliJP. 1.<:::>....... 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