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HomeMy WebLinkAbout05-5209 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 5209 Permit Number: 5209 Issued: 12/05/2005 Permit Type: GENERAL BUILDING PERMIT Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: NOT APPLICABLE Sq. Feet: Est. Value: Cost: 2,499.00 Total Fees: Amount Paid: 69.82 Date Paid: Address: 5554 9TH ST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Phone: Lic: Work Desc: SCREEN ROOM PANZE FRANCIS 5554 9TH ST ZEPHYRHILLS, FL. 33542 Phone: \yfJ 0 (y" 0 / (' "\ I' I nY (' , \ '\l>' '{ \0 U H 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. REINSPECTION 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. 0( g ~C~'NAfURE PERM. CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED PROTECT CARD FROM WEATHER CI~Y OF ZEPHYRHILLS PERMIT APPLICATION BUIrING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 It -3,(t .(-; . J DATE RECEIVED - PHONE CONTACT FOR PERMITTING OWNER'S NAME f'R /+/'IC',S t>>. r~JI?-I.>(l. PHONE 8/J-IP 8-1- 4 tJ L{ / JOB ADDRESS o'!:>-S'f tt7 ~s7 :).e.p Lift!' lLU" (0_ 3J>!:>-:t..f v LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID * I/-d& -'?/-OO/tJ- O~)CO- OlSO (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION [J ADDITION [JALTERATION o REPAIR o INSTALL o SIGN o MOVE 0 DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING [JMULTI-FAMILY [Jt OF UNITS [J MOBILE HOMI o COMMERCIAL o INDUSTRIAL o SWIMMING POOL DOTHER c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL DESCRIPTION OF WORK S (!.., (' -e...-e rV 'Koo I"""- 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 [J BUILDING $~t#~'~ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL o PLUMBING o MECHANICAL AMP SERVICE [J Progress Energy [] W.R.E.C. D GAS o ROOFING D SPECIALTY VALUATION OF MECHANCIAL INSTALLATION o OTHER $ TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL . 0 OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES 0 NO i'-(--.-..,...~,.... -:- ...---.:------... ..-. - i- ---.-~~------ .- - ..~. -, - - --....-.~.-.-,: ~-_.'.._..'..:...._~ --------:.........-----.----- - -- _.'---- ~-----~--- .. ._- -- - - -. ~- -. ..:"'-.'- --"~--- ' ", SIGNATURE '5~M.)' . ~ 1, ')~ O~?-- COMPANY BUILDER STATE CERT OR REGIST t SIGNATURE ****************************************************************** Z '7 '2.- 'yL'rTj)O~ COMPANY STATE CERT OR REGIST f ELECTRICIAN ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ********************************************~******************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOT.I~E OF DEED RESTRICTIONS Th~ undersigned understands that this permit may be subject to "deed restrictions" which may be more restiictive.than.City regulatiohs. 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 cbntr~Ftors to undertake work, . they may be required to be licensed in accordance with state and iocal regulations. If the contractor is not licensed as required by law, botb tbe owner and contractor maYbe 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:r;-tions of the "Gontractor 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 contr.ctor tbat may be ao indioatico tbat be is not properly. licensed and is not entitled to permit~lng privileges in the City of Zephyrhills, C.' TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI.ON FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~tiTES,' AS AMENDED) I certify tbat I, the applicant, baye been provided witb 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. . Appiiqation is bereby 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 wiil be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify tbat I .understand tbat tbe regulations of otber governmental agencies may apply to tbe intended work, and tbat it is my responsibility to identify wbat 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 tbat a drainage plan addre.sing a "compensa.ting volums" will be submitted wbicb is prepared by a pro<essional engineer registered in tbe state of Florida prior to permit issuance. A permit issued sball.beconstruedto be a license to procsed witb tbe work and not as autbority to vioiate, cancel, alter, or set aside aoy provisions of tbe tecbnica1 codes, nor sba11 issuance of a permit prevent the Building Official from tbereafter reguiring a correctiou of errors in plans, construction, or violations of any code. Every permit issued sba11 become invalid unless tbe work authorized by sucb permit is commenced witbin six montbs of issuance, or if work autborized by tbe permit is suspended or abandoned for'a period of six montbs after tbe time.tbe work is commenced. One 90 day extension of time may be allowed for tbe permit witb fee cnarge of $15.00. Tbe .xtension sball be requested in writinq to.tbe Building Official. An approved inspection must be logged during eacb six month period, or the project will be considered ~bandoned. WARNING TO OWNER' YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. Ir YOU INTEND TO.OBTAIN FINANCING, CONSULT WITH YDUR 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 , 2lL- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before m~ 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) [1ho is personallY known to me, or (name' of person acknowledged) Owho is personally known to me, 'or o who has produced (type and whoO did 0 did not of identification) take an oath. o who has produced (type of identification) and who [] did Diid not take an oath signature of person taking acknowledgment Signature of person ta.king acknowledgement " Name typed, printed or stamped Name typed, printed or stamped ,. C'- ~ C"- -7/''~ I . r i-[ I' - ?'6--- T /1 I~ I . " .....0 co"'" ~I I ! 1--" . 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