HomeMy WebLinkAbout05-5076
1'1"
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDINGI PERMIT SINGLE FAMILY RESIDENTIAL
5076
Permit Number: : 10/28/2005
Permit Type: GENERAL BUILDIN I PERMIT
Class of Work: FREE STANDING S <iN
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value:
Cost: 80,000.00 Total Fees:
Amount Paid: 52.50 Date P i
Address: EAGLE RANCH DR & CAVE
ZEPHYRHILLS, FL.
Township: Range:
Lot{s): Block: Section:
Book: Page:
Subdivision: EAGLE RANCH
Parcel Number:
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DUCTS INSTALLED PRE-SLAB
DUCTS INSULATED LINTEL
SHEATHING FRAME
MISC INSULATION WALL
MISC. INSULATION CEILING
MISC. DRIVEWAY
REINSPECTlON FEES: When extra in
charge of Thirty-Five Dollars ($35.00
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
$hall be made for each trip for each trade:
(a) Wrong address (b) Condemned work rE!!sulting 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 hot 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 encement."
'R-~
-
: PERMIT OFFI
SPECTION - 8 HOUR NOTICE REQUIRED
OTECT CARD FROM WEATHER
1111
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING PEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
/O/~f}/?E
f (
PHONE CONTACT FOR PERMITTING
OWNER'S NAM
PHONE _ ~ /3 - 7 if...) -0 P ...:<-S
JOB ADDRESS
SUBDIVISION
WORK PROPSED: ONEW
~N
o ADDITION
OALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: oSGL FAMILY, 'oMULTI-FAMILY
S; /j)&l (.II S ,~~
o COMMERCIAL 0 INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
RESIDENTIAL: ATTACH {2}
COMMERCIAL: ATTACH {3} SET
IF SIGN PERMIT ONLY {2} SE
PROPERTY SURVE
& HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WO
S ,.
.BJI~N8' SIZE
-..s tcbd, U,'.{ (ck
SQUARE FOOTAGE
HEIGHT
PLANS & {2} SETS OF BUILDING PLANS
OF BUILDING PLANS & {l} SET ENERGY
S OF ENGINEERED PLANS REQUIRED.
REQUIRED FOR ALL NEW CONSTRUCTION.
& {l} SET ENERGY FORMS.
FORMS.
o BUILDING
PERMITS REQUESTED
-d )07~
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
~HER S'i'~
o GAS
o ROOFING
TYPE OF CONSTRUCTION: ~OC
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER
__ COMPANY
F2 5~
J 'STATE CERT OR REGIST # ~ OL-35/3 f
~************************************************
ELECTRICIAN COMPANY
I
SIGNATURE I STATE CERT OR REGIST #
****************fl**************************************,.*********
1
PLUMBER COMPANY
SIGNATURE STATE CERT OR REGIST #
**************** *************************************************
MECHANICAL 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 subject to udeed 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 uContractor 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 indication 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.
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 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 uA,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".
s~r
p~
me, or
STATE OF FLORIDA
COUNTY OF
The foregoing in
Befor me t is
by
~. of person
~ho is personally
edged ___
, 20~
o who has produced --
{type of identification}
aid not take an oath.
o who has produced --
(type of identification)
~id not take an oath
Signa taking acknowledgment
. . My Cor/IlnIIIlOn 00127426"
~O#~ ElcpinlI June 20. 2006
Name typed, printed or stamped
. "~~~ taking acknowledgement
,-;... .. . My Com/lliSIlon 00127426
~ [lIlliFeI ......?n ?008
Name ty~ed, printed or stamped
NORTH~EST CORNER OF THE
SOUTHEAST 1/4 OF THE NORTHEAST
1/4 OF SECTION 14,TO~NSHIP 26
SOUTH, RANGE 21 EAST I PASCO
COUNTY, FLORIDA
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