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HomeMy WebLinkAbout05-5200 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 5200 Permit Number: 5200 Issued: 11/30/2005 Permit Type: GENERAL BUILDING PERMIT Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 567.93 Total Fees: Amount Paid: 52.50 Date Paid: Address: 38241 IRONWOOD PL ZEPHYRHILLS, FL. Township: Range: Lot{s): Block: Section: Book: Page: Subdivision: DRIFTWOOD Parcel Number: 02-26-21-021 A-00FOO-0030 Name: HOMEOWNER Addr: Phone: Lic: Work Desc: INSTALL WINDOW IN SUNROOM Name: SINK ILKA M Address: 38241 IRONWOOD PL ZEPHYRHILLS, FL. 33542 Phone: 813780-6742 0~~Iz-,lo-( \-z, 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. REINSPECTlON 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. ~m~ ~~ CONTRACTORS SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CI~Y OF ZEPHYRHILLS PERMIT APPLICATION BUIiLDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 I 813-780-0020 FAX:B13-7BO-0021 . J DATE RECEIVED I PHONE CONTACT FOR PERMITTING !/~b(3-DS- -'-- --- -." LEGAL DESCRIPTION: LOT(S) BLOCK " PHONE 8/3 -rJo -~fj,LcL fiP, e.c \~~;z:-~~/ sUBDI\1-I-S1.Q!:l . - .,'. '"==,.. \~ OWNER'S NAME .J L kIJ .~! "C}; i1 k '<JOB ADDRESS 3 g ~ t.f J .J-ro Yl vt/ 004- PARCEL ID # ad- -at., - ~ \ -6d-.\ A- -00 ~O() - (Xj~U (OBTAIN FROM PROPERTY TAX NOTICEl WORK PROPSED: DNEW CONSTRUCTION DSIGN PROPOSED USE: DSGL FAMILY DWELLING D COMMERCIAL D ADDITION DALTERATION o DEMOLISH D REPAIR D INSTALL DMOVE DMULTI-FAMILY D INDUSTRIAL D# OF UNITS D SWIMMING POOL D MOBILE HOMI D OTHER c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL XDESCRIPTION OF WORK .'J.ns..~/ / <^- wi ndn vJ I '1 +~ Swn,.o 0 h-1 BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED ~BUILDING o ELECTRICAL ~ ( ~) -51:+ . q 3 VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D Progress Energy D W.R.E.C. o PLUMBING D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION D GAS D ROOFING D SPECIALTY D OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER SIGNA;U~.' St~ N. k.J2 COM STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGrST # A. NOTIC.E OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" whi6h 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 Ibcal 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 "Gontractor Sections" of this ~pplication 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, hav~ 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, Wetiand 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 "A,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 la 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 [)::iid 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 DAJE 01 LOWE'S CONTRACT~SE NUMBER .. '. JI-~-tJ CCC-- In rl/ '.'. , .~, W-; Mf}\'71S~I~rl-il:e~ NUJ11ber; ;Alf Othet'SUltes -:- Lowe's EmploYl<le NU!JIber. .. At... CT, Fl... MA. MD, NV #45450 unlimited, TN #16066. only. . . This is a contract between Lowe's {as defined in the Terms anp . . (3ulltomers residential premises (the "Premises") at the following insta SiREET ADDRESS ~~ Additional Specifications: The Environmental Protection Agency (EPA) has requested that Lowe's notify installation customers that a lead based paint hazard may exist in dwellings built prior t01978. See pamphlet EPA 747-K-99-001 for details. ~",'>'''~~>''~ ;-"->' '^';,v~_~ " '~. '~,# 1'-' "1"' ,-, >'~/ C'''',,:,,<:'?-,''; Y'l!! J'i::,tt~;:> ~ in ,'.'''1',:'''';'')\'?-_,,> :; -:.;:Z::!';: "0 ;,;"'C . ""~' :V': !;,>h:::U,~: ;,i i \~~"~>:!t\ij'-0t'~ ~<10it;"_;:~+:r:,<~, Work is to commence upon reasonable availability of Contractor which is anticipated to be Estimated completion date is ---- [fill in date]: ~ _ [fill in date]. NOTICE TO CUSTOMER All items listed in this contract and specification sheet(s) are to be installed under conditions agreed upon at time of purchase and at the price appearing on this contract form. This assumes sound existing substructures, superstructure and points of attachments. Extra labor or material incident to installation necessitated by defective substructures. superstructure, points of attachment, or the moving of fixtures or appliances to be billed at extra cost to customer. DO NOT SiGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED ON THE REVERSE SIDE OF THIS CONTRACT. BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDER- STAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE OF THIS CQNTRACT. YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE. WITNESS OUR HAND(S) AND SEAL(S) BELOW THIS 22 DAYOF tJC> vt:r'1~ ,2..00~ ~ JtIc-. m, ~~ Owner (Seal) dL# pecialist or Above (Seal) (Seal) Spouse ';,';".,,~:i ':,;)<}''';::'..{< -- --:, ":.; ')-"; ().,,',";,L: ,":' ,~' _,;-, '--~-, :'-' _:,::; -' ,/ - < : ,c,) ~ :" ;:,'/ _-,,-,' ~;:-l-::;,:, :", ~~: :-,,:_- -;,-~' ,- '<--';- ,:;"";>">,','J; - :" ' J~nQwl'~9t~ rEtPtJp_ 91 I tru,~ ClOP\" Qfthl@ pootrlg,\~hIPIl Wllil c,Qmpl,tl!!YfJII .1) ptlor o you, you the buyer maY,cancel this transaction ~ any time prior to midnight 0 the thJ @.a~q~~ nQti~ of c:allCtt!lllltlcmforlll fl;lr !lO l!Jplafllltlgq,,pUl'!ls rlqht.>" . @ 2004 by Lowe's.@ Lowe's and the gable design are registered trademarks of LF Corporation. 90448 {Rev. 1/04\ CUSTOMER COPY I . -I * I --- -' ---' 10"d ~. . User: Public User - Nor Associated with Organization- Application #: Date Submi~: . ,:, :'Pmduct Manufacturer: AddressIPhoneIemail: Category: Subcategory: Evaluation Method; Referenced Standaxds from the Florida Building Code: Certification Agency: Quality Assurance Entity; Validation Entity: Dare Validated: Authorized Signature: Performance level of the product and conditions or limitations of use: Evaluation/Test Reports Uploaded; Installation Documents Uploaded: Product Approval Method; FL663 10/2112003 BeUerBilt 650 W Market St Gral2, P A 17030 ~_C;~~ . He'!p_? Windows Single Hung Certification Mark or Listing Section - 'Standml Year AAMA1NWWDA i997 lOl/IS2 American Architectural Manufacturers Asaociation ".U~" _ ___ J . .. . r. ._'-"V;""~" ~ _ "','\' r'~JITL -.'.E\'AlUNGCO:;':::::',i ._~.,~A,-, ': """DE. NATIONAL ELECTRIC CODE A;, _ ....v ,.. ('r:"'TN \ ".'r"' "'~..,' f'YP ZEPHYPS rr~..L..: ,. ..J.. ; "... ANDREW BrutL ABIULL@MIHP.COM Per manufactum"s installation instructions. More iDfmmation . available at: www.mihp.com Method 1 Option A ; I It-Ie- l~:t . flt1~ Bp:pl ~~?-T?-~rlH ---