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Home My WebLink About05-5078 II' CITY OF ZEPHYRHILLS 5335-8th Street (813) 780-0020 ELECTRICAL PERMIT 5078 Permit Number: 5078 Permit Type: ELECTRICAL MIS Class of Work: ELECTRICAL MIS Proposed Use: NOT APPLICABLE Contractor: HOMEOWNER Square Feet: Est. Value: Improv. Cost: Date Issued: 10/28/2005 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 10/28/2005 Work Desc: ENTRANCE METE Address: 5521 18TH ST ZEPHYRHILLS, FL. Township: Range: Lot{s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-14100-0030 Name: HALE, MAIDA INEZ Address: 5521 18TH ST ZEPHYRHILLS, FL. 33542 Phone: REINSPECTION FEES: When extra . ppection trips are necessary due to anyone of the following reasons, a charge of Thirty-fi e dollars {$35.00} shall be made for each trip for each trade {a} Wrong address {b} Condemne ~ork resulting from faulty construction (c) Repairs or corrections not made when insp ction called {d} Work not ready for inspection when called {e} Permit not posted on job site (f) Plans not at job site {g} Work not acc The payment of inspection fees shall be made before any further permits will be issued to th person owning same "Warning to owner: Your failu twice for improvements to your your lender or an attorneybefo Complete Plans, Specifications performed in accordance with Ci to record a notice of commencement may result in your payin toperty. If you intend to obtain financing, consult with . recording your notice of commencement." nd Fee Must Accompany Application. All work shall be y Codes and Ordinances. v~. ./ CONTRACTOR CALL ~M~ IINSPECTION - 8 HOUR NOTICE REQUIRED !PROTECT CARD FROM WEATHER I I CI~Y 'OF ZEPHYRHILLS PERMIT APPLICATION , BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FI~ 33542 I 813-780-0020 FAX: 813-780-0021 /n_;2 3-~ DATE RECEIVED LV (./~ PHONE CONTACT FOR PERMITTING 3'lf-d9~-717/ PHONE c:P/3 - ~fp~?~C OWNER'S NAME JOB ADDRESS BLOCK SUBDIVISION PARCEL ID # '/ t!JO - 00>> OORK PROPSED: o ADDITION oALTERATION o REPAIR o INSTALL OSIGN PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH OMULTI-FAMILY o INDUSTRIAL O. OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL BUILDING SIZE SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK PERMITS REQUESTED & (1) SE~ FORMS. v---- J~ RESIDENTIAL: ATTACH (2) P COMMERCIAL: ATTACH (3) SE IF SIGN PERMIT ONLY (2) S PROPERTY SURV T PLANS & (2) SETS OF BUILDING PLANS S OF BUILDING PLANS & (1) SET ENERGY TS OF ENGINEERED PLANS REQUIRED. Y REQUIRED FOR ALL NEW CONSTRUCTION. o BUILDING ~ELECTRICAL o PLUMBING o MECHANICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o Progress Energy 0 W.R.E.C. $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIA TY o OTHER TYPE OF CONSTRUCTION: 0 BLO K o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAo YES 0 NO 1,......'~:rl:rl~'..-""~..."i'.,.,.,'"'._O;,.--"'7'1-"""'"-....,,..~-~--"""'".c~...,.., - -rrC<<~1 - - ~~-,-~--~--- - r'~ ,"". "..,...-,-1' t~--"'~""'~~'~~'~~"''''''''''''o/l--'-T]f:r--74-S7,l'1r::1!::~~T:ITmf !,:,;I~"'i}'~I'it,!:J/J'~;:rt;'l::, t /Lr . ,,' 'ij ,~::j " lIlt ~' ' ~ , I' l~; I,;' ,I }111 ,; !.!Jl1 ~:' J~~'.:,l','!1WffiW~~'ii!P,I;lf ~tijiill;J I~ I~jll,r~l,,f r. t '} .'1, ," 1-,0 ":;, I J.1 j It ' ,!J.! t '- (I I !~-or';- ';, I f- I r" I" / j" }r;..f"t~oIl;;l;i 141tr ~.!..~"""""""~~~_'-'04__w"'-~....-....r._-,-,-~~"~"",,,~~,",-~.~........:.w;._~_~_ _~ ~_,~~~~ BUILDER COMPANY SIGNATURE STATE CERT OR REGIST . ************** ***************************************~.*********** COMPANY ([)&/7)~A) ELECTRICIAN SIGNATURE x " STATE CERT OR REGIST . ****************************************************************** 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 portions 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 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. 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 UA" 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". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged ,20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged ,20_ {name of person acknowledged} Owho is personally known to me, or {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 acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped I'r Parcel Information for: 11-26-21-0010-14100-0030 Card: 001 Page 1 of2 Search Again Generalized Building Schematic Estimate Taxes See Tax Collector Infor ation - CurrentlDelin Questions 1-26-21-0010-14100-0030 (Card: 001 of 001 01 - Single Family Assessment (totals) AgLand $0 Land $25,200 Building $19,594 Extra Features $649 Total Assessment $45,443 Save Our Homes $36,864 Homestead - $25,000 Taxable Value $11,864 Warning: A significant taxable value increase may occur when sold. Click here for detai Is and info. regarding the posting of exemptions. d Detail (Card: 001 of 001) ning/ Units IITypellPricellCondl Value R2 112,600.0011 SF 112.00 111.00 1$25, ditional Land Information 30ZH I ~:~: i X ~ Res Code IZHLHLP21 - Year Built 1929 USE 01 - Single Family 'sidential (Card: 001 of 001) Ext Wall N 2 one R f C Asphalt or Composition 00 ov Sh' I mge Int Wall 1 Wall Board dr Wood Int Wall 2 None ParcellD Classificatio Mailing Add .ss HALE MAIDA INEZ 5521 18TH 8T ZEPHYRHILLS, FL 35424517 Physical Ad ~ss 5521 18 TH 8T ZEPHYRHILLS, FL 3542-4517 Legal Description (First 4 Lines) CITY OF ZEPHYRHI LS PB 1 PG 54 LOTS 3 THRU 5 IN L BLK 141 OR 1407 PG 602 Line 1 Acres 0.29 Ext Wall 1 Average Roof Str Gable or H p http://appraiser. pascogov . tom/search! offline _ tea. asp ?Sec= 11 &... 10/28/2005 I II" ~ISCLOSURE STATEMENT FOR OWNER CITY bF ZEPHYRHILLS BUILDING DEPARTMENT The undersigned states and renovating, adding to or re actually occupies, or will rent, lease or sale. That have read and fully understand and his instrument. ffirms that he or she is desirous of constructing, oofing his or her own domicile" that he or she ~cupy by said domicile, and same is not for she shall comply with the following conditions: 1. That the owner and he she alone shall act as the builder for all phases of construction. 2. That the owner ly with all provisions of the City of Zephyrhills ordinances and codes pe ~inent to the building. 3. That in the event vario . phases of construction are subcontracted, he will engage only properly Ii ensed subcontractors and will personally supervise such work. 4. That in the event the B tIding Inspector shall require corrections to be made, the owner will assume f 11 responsibility to insure they are made, and upon completion will call fo a reinspection before proceeding with the building. 5. That the owner shall as ~e full responsibility for the construction and will not expect supervision f his work from the City of Zephyrhills Building Department. 6. That prior to additional fees, including reinspection fees, must be ]1. A written request from this office shall constitute an official ~tice to pay additional fees. 7. That the owner shall co ly with all City, State and Federal laws in regard to social security, worm's compensation, lien laws, etc., where applicable. 8. That the owner shall co ly with all the safety codes issued by the Florida Industrial Commission. 9. State law requires cons ttUction to be done by licensed contractors. You have applied for a per.mit un .r an exemption to that law. The exemption allows you, as the owner of yo 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 t e construction yourself. You may build or improve a one-family or two-famil .residence or a farm outbuilding. You may also build or improve a commercial ~ilding, provided your costs do not exceed $25,000. The building or residen e must be for your own use or occupancy. It may not be built or substantial y improved for sale or lease. If you sell or lease a building you have built ~r substantially improved yourself within 1 year after the construction is co liete, the law will presume that you built or substantially improved . fl for sale or lease, which is a violation of this exemption. You may not ~re an unlicensed person to act as your contractor or to supervise people wor i~g on your building. It is your responsibility to make sure that people ~oyed by you have licenses required by state law and by county or municipal ipensing ordinances. You may not delegate the responsibility for supe ~sing work to a licensed contractor who is not licensed to perform the wprk being done. Any person working on your building who is not licensed mus ~ork under your direct supervision and must be employed by you, which e~s that you must deduct F.I.C.A. and withholding tax and provide workers' co ~nsation for that employee, all as prescribed by law. Your construction must o~ly with all applicable laws, ordinances, building codes, and zoning regul tlons. OWNER'S SIGNATURE ADDRESS I . PHONE S' DATE /-t? -,~f '?J6 WITNESS PERMIT #