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Home My WebLink About05-5071 1'111 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813}780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 5071 Permit Number: 5071 Issu : 10/26/2005 Permit Type: NEW SINGLE FAMI if DWELLING Class of Work: 1 01-NEW CONST/ FR Proposed Use: SINGLE FAMILY R SIDENTIAL Sq. Feet: Est. Value: Cost: 87,700.00 Total Fees: Amount Paid: 3,215.99 Date P i Address: 4804 5TH ST ZEPHYRHILLS, FL. Township: Range: Lot{s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: i -dlp-dl-60\O-o3l.fOo-- 0\5\ WATER CONNECTION RESIDENl BUILDING FEE (V'~/D0 G/d- ~~ DUCTS INSTALLED CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED PRE-METER WATER SHEATHING MISC SEWER MISC MISC MISC. MISC. INSULATION CflLlNG MISC. MISC. MISC. DRIVEWAY . MISC. MISC. REINSPECTION FEES: When extra in 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 rtulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for i s ction when called (e) Permit not posted on job site (f) Plan ,ot 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 intend to obtain financing, consult with your lender or an attorney before recording your notice of com e cement." OCCUPANCY BEFORE C.O. ~~ PERMIT OFFI PECTION - 8 HOUR NOTICE REQUIRED TECT CARD FROM WEATHER I 111 Wood Construction 45ht St & "8" Ave SQ. FEET PRICE MAIN OR LIVING: 1,754 $ 50.00 OTHER AR A UNDER ROOF: $ 50.00 OTHER: $ - VALUATION $ 87,700.00 FEE SHEET $ 432.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 708.00 CREDIT: $ - BUILDING LESS CREDIT: $ 708.00 i ELECTRICAL: $ 112.15 i PLUMBING: $ 92.50 MECHANICAL: $ 70.80 i SUB-TOTAL $ 983.45 RADON: $ 17.54 i TOTAL $ 1,000.99 SEWER: $ 1,616.00 , WATER: $ 419.00 I IRRIGATION: $ - TOTAL: $ 2,035.00 I ATER METER:I $ 180.00 I I IR :Il ATION METER $ - Sl B-TOTAL $ 3,215.99 I U IMPACT FEES $ 769.56 I --"? PA PUBL 10 SAFETY IMPACT FEES POLICE $ 254.00 ~ FIRE $ 273.00 (\~ 5% $ 26.35 , TOTAL: $ 553.35 / L I SIF'S: $ 4,314.00 ~ 100.0% $ 4,314.00 1.0% $ 43.14 / TOTAL: $ 4,357.14 TI F'S: $ 1,588.00 ~ 99% $ 1,572.12 I 1% $ 15.88 / I TOTAL: $ 10,484.04 -B~ 601\ 5 CP I III CITY qF ZEPHYRHILLS PERMIT APPLICATION BUILDINGI DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 , 813-780-0020 FAX: 813-780-0021 DATE RECEIVED ~/zJ~S- , PHONE GONTACT FOR PERMITTING PARCEL 10 # /Lf- ~&-- ~/- "JJ /H,ot;/~ ~ ,- S ( . PHONE ~ 77..:1, sz..5~ 0 OWNER'S NAME JOB ADDRESS LEGAL DESCRIPTION: LOT{S) BLOCK SUBDIVISION WORK PROPSED: o ADDITION oALTERATION o REPAIR o INSTALL o SIGN PROPOSED USE:~~ILY o COMMERCIAL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER & HEALTH DEPARTMENT APpROVAL DESCRIPTION OF WORK BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH {2} PLO COMMERCIAL: ATTACH (3) SET IF SIGN PERMIT ONLY {2} SE PROPERTY SURVE PLANS & (2) SETS OF BUILDING PLANS OF BUILDING PLANS & (1) SET ENERGY $ OF ENGINEERED PLANS REQUIRED. , REQUIRED FOR ALL NEW CONSTRUCTI~ & (l) SET ENERGY FORMS. FORMS. o BUILDING $ VALUATION OF S",::,~(JI)'P W. R. E. C . i~tJ ,-.t; ~ tll. PERMITS REQUESTED o ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE o Progress Energy 0 $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIAL Y o OTHER #507/ TYPE OF CONSTRUCTION: 0 BLOC o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAo YES 0 NO BUILDER SIGNATURE STATE CERT OR REGIST # ELECTRICIAN ****************************************************************** J;' _ J U~D -h I V COMPANY ~ ~ - ~ SIGNATURE 0J STATE CERT OR REGIST # PLUMBER ******************************************************************~ -i- COMPANY ::5"~ - O~ SIGNATURE STATE CERT OR REGIST # MECHANICAL SIGNATURE STATE CERT *~**************************~******************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The unde~signed understands that this permit may he subject to "deed restrictions" which may be more restrictive than City regulatiohs. 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 regulatio,,'. 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 contrac'eor 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 contractor:;, he is advised to have the coritractor(s} sign portions of the "Cohtractor Sections" r" this ~pplication for which they will be responsible. If you, as the owner signs as the c'ntractor, you are indicating that yOU, rather than the contractor, are responsible for the 'ark. 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 Zel hyrhills. C.' TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION F: 8S D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~UT! 3, AS AMENDED) I certify that I; the applicant, haye been provided witl a copy of "Florida's Construction lien Law _ Homeowner's ,protection Guide" prepared by thr Florida Department of Agriculture and Consumer Affairs. If the applicant is someone othe.i 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 j be done in compliance with all applicable laws regulatil development. Application is hereby made to obtain a permit to do wor' and installation as indicated. 1 certify that no work or installation has commenced priol to issuance of a permit and that all work wiil be performed to meet standards of all lawE regulating construction, City codes, zoning regulations, and land development regulat10ns in the j~risdiction. 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 id >ntify what actions I must take to be in compliance. Such agencies include but are not lim ted to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Area: and Environmentally Sensitive Lands, water/Wastewater Treatment *Southwest Florida Water Management District-Wells, CYP' ess Bayheads, Wetland Areas, AlteringWatercoutses *Army Corps of Engineers-seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Enviro'imental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abateme1t 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 "compensat .ng volume" will be submitted which is prepared by a prOfessional engineer registered in tJ ~ State of Florida prior to permit issuance. A permit issued shall ,be construed to be a license to ~roceed 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 violatio!ls 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 la period of six months after the time.the work is commenced. One 90 day extension of time may he 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. JogS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". accurate and that all work will construction, zoning, and land SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF /he foregoing instrument was acknowledged Before me this _____ day of ' 2U-- by (name' of person acknowledged) Owho is personally known to me, 'or o who has produced (type and wtioO did 0 did not acknowledged , 20_ (name of person acknowledged) C1ho is personally known to me, or of identification) take an oath. o who has produced {type of identification and who 0 did [):lid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped . 111 r n ~ (1 105763 ~ ('l (i ~ " (j (1 (") PERFORMANC;E BUSINESS PRODUCTS, INC, 813-7111-8008 FAX 813-719-79111 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA 5-6115 WATER ACCT. NO, DATE /0/27105 , OWNER/ RENTER MAILING .3 "if'<:j.:1 0 L.A-I'V _ SERVICE ADDRESS .J:> S 'f""'- 0~' sr. .4f- /S/ SHUT OFF SERVICE 0 " TURN ON SERVICE ~ INSTAlL METER 0----' READ METER 0 CHECK METER 0 OTHER 0 % II t.Jk ~ ~TER o SEWER o GARBAGE ~ o OUT CITY -1-- No. OF UNITS _ DEPOSIT AMOUNT _ AMOUNT LAST Bill _ DATE _ MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED oRDER TAKEN BY iin white form in office at all times, d pink & yellow forms to Water Service Dept. ter Service Dept. to sign yellow form & return to office, ...J i 'f'o' ,. : t, l {""1 : ~ : . . 'r- '. :')l" , .';', ,.po, ,.j ; ',"j ",,'r (. r:"' L~ T! -). ' }. ..' i ) i .'~ z:7)", y('-;"/.;,, ../ ',/, ~ rCi'i' ('.!''( ,C'!iVi\::r ~"'.' j . , ..~ j :i'..' /.i. ~- -; " "~I ",l![ .' i:: ", r-:,: ,,{ .~~ ~ >j :111 en:: J,:: ~.-------- '., j" L ,.,. ' . ;i.~,"" ;",' , ;:,,['"( <:,~J :,(,.){,,)(,.)(,.)(-.}(. r." 1 :r--.!,.....~::'! :F;~j'--.~; ;' :;CJL. T '{""J i.J,,~ (:':-j ~::; '1' L v\ ~') rr ',j':; .':, <"1 ,,;.