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
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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.
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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
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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 #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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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
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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.
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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~
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Owner
(Seal)
dL#
pecialist or Above
(Seal)
(Seal)
Spouse
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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
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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
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-.'.E\'AlUNGCO:;':::::',i ._~.,~A,-, ':
"""DE. NATIONAL ELECTRIC CODE A;, _
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"'~..,' 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
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