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:
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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.
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
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SIGNATURE
'5~M.)'
. ~ 1, ')~
O~?--
COMPANY
BUILDER
STATE CERT OR REGIST t
SIGNATURE
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Z '7 '2.-
'yL'rTj)O~ COMPANY
STATE CERT OR REGIST f
ELECTRICIAN
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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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
,.
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