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Home My WebLink About05-5028 I I' CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL , 5028 Permit Number: 5028 Iss lItd: 10/18/2005 Permit Type: GENERAL BUILDI G PERMIT Class of Work: 434-ADD/AL T RES DENTIAL Proposed Use: SINGLE FAMILY R SIDENTIAL Sq. Feet: Est. Value: Cost: 850.00 Total Fee Amount Paid: 52.50 Date Address: 6248 20 H ST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: , 'i 1\ f \ R E R UG 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 OEILlNG MISC. MISC. MISC. DRIVEWAY MISC. MISC. REINSPECTION FEES: When extra in p ion trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00 $hall 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 e 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 y u intend to obtain financing, consult with your lender or an attorney before recording your notice of com cement." .~~ CONTRACTORS SIGNATURE CALL FOR I P OCCUPANCY BEFORE C.O. PERM~ ~PECTION - 8 HOUR NOTICE REQUIRED ' <)TECT CARD FROM WEATHER I II CIty OF ZEPHYRHILLS PERMIT APPLICATION ~ BUIIj.DING DEPARTMENT 5335 9"" St, Zephyrhilb, n. 33542 0 '2 ~ 913-790-0020 FAX: 913-790-0021 / ~ l'~ DATE RECEIVED PHONE CONTACT FOR PERMITTING WORK PROPSED: o SIGN o ADDITION o ALTERATION o REPAIR o INSTALL o MOVE 0 DEMOLISH DWELLING OMULTI-FAMILY O. OF UNITS o MOBILE HOME o INDUSTRIAL o SWIMMING POOL o OTHER Cd L.t:?~/ , C(J'VP~ OWNER'S NAME ~eL 7" BLOCK __ SUBDIVISION ~~Y~/U-.f' t:::1c:?/ tt:I ~~ t1t:J c;1;;;aAr.,RTAIN FROM PRO:F::~ TAX NOTTCE) PHONE t:f> /.3 7Po? ~rb.p JOB ADDRESS PROPOSED DESCRIPTION OF WORK RESTAURANT & HEALTH DEPARTMENT APPROVAL C/4/tP- 6X7FJe./(//f ~ClW BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) COMMERCIAL: ATTACH (3) IF SIGN PERMIT ONLY (2 PROPERTY S P~OT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS, SpTS OF BUILDING PLANS & (1) SET ENERGY FORMS. SETS OF ENGINEERED PLANS REQUIRED. RVEY REQUIRED FOR ALL NEW CONSTRUCTION. o BUILDING $ PERMITS REQUESTED ,(1) VALUATION OF TOTAL CONSTRUCTION o EU~CTRICAL AMP SERVICE o Progress Energy 0 W.R.E.C. --if ,)0:1- ( o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPEC ALTY o OTHER TYPE OF CONSTRUCTION: 0 BOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUILDER I NC STATE CERT OR REGIST. 06- C ();;J.;;lfd / 1/ * .***.. * * * ** ** **... ****.. *** **. ** * .,**** * * ** * ********** ********* *** 5z I )"'.:::::. COMPANY SIGNATURE ELECTRICIAN SIGNATURE STATE CERT OR REGIST . ************* *********************-******************************* PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST . MECHANICAL COMPANY ************* **************************************************** , .. ...... '*.. .. '* '* . *.. * * 4- *.......... * .... * * * .. * * *.... *.... *.. * . * ........ *.. .... ... *..... *... * * ... * * *......... SIGNATURE STATE CERT OR REGIST ~ SIGNATURE STATE CERT OR REGIST . I Ii CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED REStRICTIONS The undersigned unders~ands 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 ap~licable deed restrictions. B. UNLICENSED CONTRAC~ORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accondance with state and local regulations. If the contractor is not licensed as required b 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 ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the own r has hired a contractor or contractors, he is advis,.d to have the contractor(s) sign port'ons of the "Contractor Sections" of this applicatlon for which they will be responsible. I you, as the owner signs as the contractor, you are lndicating that you, rather than the co tractor, are responsible for the work. If the contractor wishes you to sign as contract r that may be an indication that he is not properly licensed and is not entitled to permitt n9 privileges in the City of Zephyrhills. C, TRANSPORTATION IMPA T FEES AND UTILITY CONNECTION FEES D, CONSTRUCTUION LIEN AW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that r, the a plicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's r()tection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. f 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 "ownerll prior t(!l commencement. E, CONTRACTOR'S/OWNER' AFFIDAVIT I certify that all the 'nformation in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land development, Application is hereby ma e to obtain a permit to do work and installation as indicated. I certify that no work or 'nstallation has commenced prior to issuance of a permit and that all work will be perform d to meet standards of all laws regulating construct:.on, City codes, zoning regulation, and land development regulations in the jurisdiction. I also certify that I understan that the regulations of other governmental agencies may ~pply to the intended work, and t a~ it is my responsibility to identify what actions I must take to be in compliance. Such gencies include but are not limited to: *Department c,f Environmental Regulation Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater reatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses "Army Corps of Engineers "Department of Health & Wastewater Treatment, Se *U.S. Environmental Prot I also certify that, if understood that a draina is prepared by a professi issuance. A permit issued shall be authority to violate, can nor Shall issuance of a p correction of errors in p issued shall become inval six months of issuance, 0 period of six months afte may be allowed for the pe in writing to the Buildin month period, or the proj WARNING TO OWNER: YOUR F PAYING TWICE FOR IMPROVEM WITH YOUR LENDER OR AN AT $2,500 IN VALUE DO NOT NE SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument w s Before me this _ day of by S~awalls, Docks, Navigable Waterways e~abilitative Services, Environmental Health Unit-Wells, dc Tanks ction Agency-Asbestos abatement ill material is to be used in Flood Zone "A" or "A/etc.", it is plan addressing a "compensating volume" will be submitted which nal engineer registered in the State of Florida prior to permit onstrued to be a license to proceed with the work and not as el, alter, or set aside any provisions of the technical codes, rmit prevent the Building Official from thereafter requiring a ans, construction, or violations of any code. Every permit d unless the work authorized by such permit is commenced within if work authorized by the permit is suspended or abAndoned for a the time the work is commenced. One 90 day extension of time mtt with fee charge of $15,00, The extension shall ~e requested ~fficial. An approved inspection must be logged during each six ct will be considered abandoned. HURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR N1'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT OlNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER D TO RECORD AND POST A "NOTICE, OF CnNCEMENT". ~IY. ~ SIGNA E: CONTRACTOR acknowledged , 2CL- STATE OF FLORIDA COUNTY OF The foregoing in Before me his by k.~ ~'A2~ (name of person ackno l~dged) Owho is personally known to me, or Owho has produced (type 0 and whoO did Odid not t Signature of person taking Name typed, printed or stam eld o who has produced (type of identification) D:iid not dentification) an oath. aknowledgement ............" \\"""1' : #~,'<:' . l~~. : ~?I : r i . '" ,,:...i I Ii , t - ~ ?ti f ~ c... C -, ~ ~ ~ ~ ~, r ~ ~