HomeMy WebLinkAbout05-5189
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5189
Permit Number: 5189 Issued: 11/28/2005
Permit Type: GENERAL BUILDING PERMIT
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 1,006.00 Total Fees:
Amount Paid: 52.50 Date Paid:
Address: 38339 EUCALYPTUS DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: DRIFTWOOD
Parcel Number:
Name: LOWE'S HOME RS INC
Addr: 4948 TELLSON PLACE
ORLANDO, FL 32812
Phone: 407 832-8085 Lie:
Work Desc: REPLACING DOOR
STRODE WILLIAM
38339 EUCALYPTUS DR
ZEPHYRHILLS, FL. 33542
Phone:
<', (I~ ()- <i\04
y \<1'
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 CEILING MISC, MISC,
MISC. DRIVEWAY MISC. MISC.
REINSPEcnON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall 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 inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
NO OCCUPANCY BEFORE C.O.
,g~ rn-~ ~.
CONTRACTORS SI NATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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113-710-0010 faX I 113-710-0021
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OALnRA'!'10N
C IUI'AIR
o nt8'l'ALl.
o DINOLlil
OWULTI-rNaLY 0, or tnII!8
'OtlOVSftIAL w, OS~*I1lG POOL
o HOBILlI: CHI
o OTHER
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c:J PJ:IT~ . 1m'!'.. '~UAMNDI'l' u~
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lIZIGI!
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UlIOEII'l'IALI A,.'!'ACJI (2) ,wr',LaQ I (2) .m or aolLOnlClPW' I (1) ft'l' laMY rollHS.
c::cHU:lCIALI ATTACH (3) atTI or 'IOII.DINO 'WI I (1) ,a IJoIIMY I'OIUCS.
IF SIGal 'EIIHI't <>>IL't Ul St7S or INGDIUUD 'WI' UQOIUO.
,ao'EAfY SURVEY uocnuu roa ALL )lU' COQftDCTION.
o 1OI1.0IWG ,
o tLECTI\ICAL
RJtNI!r1 UQtJIlSHD
VALUA,.ION or fODL COltl'raoC'lION
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o .LOtBING
o KEOWIICAL ,
o GAS 0 ROOFING 0 'PECIAL!Y'
~TJON c)r NICWlCIAL INS'tALLA'tIOIJ-I .
o orin ' ' :JP _ r--..
o IWCt 0 STaI. "0 O'tlIEIl 5'2...,..,........
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TYPE or COllSnOC1'tO~h 0 aLOCK .
rlNISRXD FLOOR ILEVATION.
I1,no.n:cT nl I'LOOO IONI AllDO YEll
CA .r p..p.;o .TIT
CDd'Nn'- Low-e..s HotVle (..~~~ ~
lt'An CD! OR MGII'r' C ~c... I 5D ~ l 7
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I1'A~1 CUt 01\ AtGIS't .
V,j/U~/LUUi/reu~ U4:UO rM ltrtll~tljLL~ BuILVINL
FAX No, 813-780-0021
p, 002
A, NOT1CE OF OttO RtSTRICTIONS
ThQ undersigned understands that this permit IIlaY be subject to "deed restrictions" which
may b9 more restrictive than City regulations, The underSigned assumes respon8~bility for
cORpliance with any applicable deed restrictions.
B, !.lNLICEN9ED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
It the owner has hired a contractor ot contractcre to undertake work, 'they may be required
to be licensed in accordance with state and local regulation.. If the contractor i. not
lioensed as required by law, both the owner and contractor may be cited for a a1sdemeanor
violation under .tate law. If the 'owner or intended contractor are uncertain ae to what
licensing requiremants may apply for the intended work, they ere adyised to contect the
City of Zephyrhills Building Department, 813-780-0020,
Furthenuore, if the owner haa hired a contraotor or contractors, he is advised to have the
contractorls) sign pOrtions ot the ~Contractor Sectiona* of this application for which they
will be responsible, It you, as the owner signa a. the contractor, you ere indicating thAt
you, rather than the contractor, are responsible for the work. ,If the contrActor wishes
you to .1gn.. contractor th~t may bean ind1oa~ion that'he is not properly licenSed and is
not entitled to permitting privileges in the City or Zephyrhills.
C, TRANSPORTATION IMPACT r~ES AND CTILITY CONNECTION FEES
D. CONSTRCCTUION LIE:N LAW (CIiAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applic~nt, haye been provided with a copy 'of -Flor1da'. Construction
lien Law - Ho~eowner's'Protectlon Guide" prepared by the rlorid4 Department of Agrioulture
and Con"uner Affair", If the applicant 18 sOllUlone other that the ~owner", I cerity that I
have obtained a copy of the above desoribed document and promi.s in good taith to deliver
it to the -owner" prior to cOllll1lencement.
E.. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done 1n co~li&nce with all applicable law" regulating conatruotion, zoning, ana land
developruent,
Appliqation is hareby made to obtain a pernit to do work and instaliation a. indioated. I
Certify that no work or in.tallation haa comnanced prior to isauahoe of a permit and that
all work will be p~rformed to meet etandarde of all laws regulating construction, City
codes, %oninq regulation", IUld land denloPIMrit regulations in the jur18C1iction. I also
certify that I understand that the reOUlation. Of other governmental agencie. may apply to
tha intended work, and that it 1s my re8Ponsibility to ident1ty wnat actione I must take to
be in compliance. Such agencies include but are not limited to: *Department of
EnVironmental Requlation-CyprQSs Bayheads, Wetland Area. and EnVironmentally Sens1tive
Lands, Water/Wastewater Treatment
.Southwest florida Water Management District-Wells, Cypress Bayheads, Wetland Azeas,
Altering Watercourses
"~y Corps of &ngineers-Seawalls, Docke, Navigable Waterways
"Department ot Health. Rehabilitative Service., Environmental Health Cnit-Wells,
Wastewater Treatment, Septic Tanks
'0,9. ~nvironaental ~rotection Agency-Asbestos abatement
I also certify thst, if fill material 1e to be used in Flood Zone -A" or ~A,etc.", it is
understood that a drainage plan addresa1ng a .OOmpen.~ting volume" will be submitted which
1a preperea by a protessional engineer registered in the State of Florida prior to permit
issuance,
A permit issued shall be construed to be a licen.e to proceed with the work and not as
authority to violate, cancel, a,lter, or .et a.ide any proyisions ot the technical codes,
nor shall issuance ot a permit prevent the Building Official trom thereatter requiring a
correction or errors in plans, construotion, or violation. ot any code. ~very pernit
issued shall became invalid unless the work authorlzed by such permit 1s commenoed within
.Lx months of 1s8uance, or it work authori~ed by the permit i. suspended or abandoned for 'a
period of six ~onths after the t~e the work i. COhMenced. One 90'-day extension of time
mAy be allow.d tor the permit with fee charge of $15.00. The extension shall be requested
in wr1t1nq to'tha B~lding Otticial. An approved in8pection must be logged durinq each six
month period, or the project will be cOn.idered abandoned.
WAJl.NING TO OWN~R: YOCR !7.ILOR! TO kECOao A NOTICE or C~NC!:H!:NT HAV RESULT IN YOUII
PAYING TWICE FOR IN~ROVEHENTS TO'YOOll PROPERTY. Ir VOU INTEND TO OBTAIN rINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE or COMMENCEMENT. JOB'S UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICt OF COHMENCENENT".
SIGNATURE i OWN~R OR AGENT
SIGNATURE I CONTRACTOR
STATE or rLORIDA
COON'H or
The toreqoinq instrunent wa"
aefore lI>e this _ day ot
by
acknowledged
,2L
STATE or FLORIDA
COUNTy or
The toregoing instrument was
Before me this ----...day of
by
acJcnowledged
,20_
(name ot person acknOwledged)
o who is personally known to lie, or
o who has produced
(type of identification)
and wlioO did Odid not t~x...an oath.
(n~ at per eon acknowledged)
~ho ie personally known to me, or
o who has produoed
(type of identification)
and who Odid D:lid not take an oatil
Signature ot person taking acknowledge.ent
Signature of peraon taking acknowled~ent
NamQ typed, printed or ~tamped
Nama typed, printed or etamped