HomeMy WebLinkAbout05-5214
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5214
Permit Number: 5214
Permit Type: IRRIGATION
Class of Work: IRRIGATION
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 12/07/2005
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 12/07/2005
Work Desc: IRRIGATION SYS INSTALL
Address: 6515 VICTORIAN WAY
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS VILLAGE
Parcel Number:
Name: VILLAGE SQUARE BUILDERS INC
Address: 6515 VICTORIAN WAY
ZEPHYRHILLS, FL. 33542
Phone:
\)8 ~
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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."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
v~~ ~-~
ONT C IGNA TORE PERM IT OFFI
~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
BUIrING DEPARTMENT 5335 8'1H st, Zephyrhi.lls, FL :33542
813-780-0020 FAX: 813-780-0021
. J DATE RECEIVED
PHONE CONTACT FOR PERMITTING
\;:2 _1- 0'3
OWNER'S NAME
tl t Ll 'M ~ ~~ vi f\-tLi'z. ~ (}-1\-~ PHONE
~0 c::;. tj I C- To f'L \ 4-,J f.;0 A-<r 7-H- eLLS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID it
WORK PROPSED: ONEW CONSTRUCTION
DSIGN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
(OBTAIN FROM PROPERTY TAX NOTICEl
o ADDITION
o ALTERATION
o REPAIR
e(IN S TALL
o MOVE
D DEMOLISH
OMULTI - FAMILY
o INDUSTRIAL
Oft OF UNITS
o SWIMMING POOL
o MOBILE HOMI
~ OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APrROVAL
11241./ I (p A-r-, C it....) Wk-C~
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
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
~PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
$
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
~~"',~L ~_~:::::==--,: ~- -~-~:_= ."~.': .,~. ,_._-,.~ .=:_=' ~~':,
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST it
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST i
************************************************~*****************
PLUMBER
COMPANY -r;;()~') ~lct.~fL f17Al( <a
STATE CERT OR REGIST *' DO 'lot/-
SIGNATURE
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
********************************************~********************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTIC.E OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which.
may be more restrictive than City regulations. The undersigned assumes responsibility fo_
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 licens~d in accordance with state and 16cal regulations. If the contractor is not
licensed as required by law, both the owner and contractor maybe cited for a misdemea~or
violation under s~ate 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 "Gohtractor 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 indica~i6n 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 STArUTES, AS AMENDED)
I certify that I, the applicant, haye 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. .
Appliqation 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 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 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 inolude 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 "compensa.ting volume" will be submitted which
is prepared by a proIessional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall.be .construedto 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 .xtension 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
, 2CL-
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)
[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 Odid Q:lid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped