HomeMy WebLinkAbout05-5216
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
5216
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
5216
IRRIGATION
IRRIGATION
SINGLE FAMILY RESIDENTIAL
Address: 6505 VICTORIAN WAY
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS VILLAGE
Parcel Number:
12/07/2005
35.00
35.00
12/07/2005
IRRIGATION SYS
VILLA QUARE BUILDER
6505 VICTORIAN WAY
ZEPHYRHILLS, FL. 33542
Phone:
vIY
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REINSPEcnON 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.
&~
IGNATU . PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
BUIrING DEPARTMENT 5335 BU st, Zephyrhi11s, FL 33542
B13-7BO-0020 FAX:B13-780-0021
J DATE RECEIVED
PHONE CONTACT FOR PERMITTING
12-7-05
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(p SoS- V IL T6fL\AN
~v /ttLtt: ~.D fl-S PHONE
L.0 ~ . -Z -\~ \...L- S
OWNER'S NAME
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
WORK PROPSED: ONEW CONSTRUCTION
OSIGN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
o MOVE
(OBTAIN FROM PROPERTY.TAX NOTICE)
o ALTERATION 0 REPAIR p(INSTALL
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
Of OF UNITS
o SWIMMING POOL
o MOBILE HOMI
~THER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
1I1,(L ( ~ kit ON <6\t~~
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
~LUMBING
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
I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO
t~ __ ,.".....1- ._,.~~ ~ ~,.~_, _ ~~_,....___..--" ,. _~ _" f _ ______~______ --- ~ ~ -~ 1" .- ~-,. - t - -- -- +- __-;--r _4 --'I "'~""'1
I: I, , " ! , , I " I', ' :'
~~_~~__~~~ .l~~____~___,--~___ _ _ __ ______ _ ______ ____ -- - - ----~ ______""'----~_---c.J..l
BUIWER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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COMPANY
STATE CERT OR REGIST f
ELECTRICIAN
SIGNATURE
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SIGNATURE
COMPANY --rv-DI1 ~U2t(..<f4.~L Il'l11. (&; .
STATE CERT OR REGIST *' C>O,-/O Y
PLUMBER
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST *'
********************************************~****~***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTIC.E OF DEED RESTRICTIONS
Th. undersigned understands that this permit may be suhject to "deed restrictions" which
may be more restrictive 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 contractors to undertake work, they may be required
to ~ licensed in accor~nce with state and ~cal re~lation.. 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.
Furthsrmore, if the owner has hired a contractor or contractors, he is _dvised to have the
con tr act or ( s ) sign portions 0 f the .. coh tra ct or sections" 0 f thi s application for which they
will be responsible. If yhU, as the owner signs as the contractor, yoU are indicating that
yOU, rather than the contractor, are responsible for tbe work. .If the contractor wishes
you to sign as contractor that may be an indication that he is not properly.,icenssd 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 ~plicant, haye heen provided with a copy~f "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 applicahle laws regulating construction, zoning, and land
development.
Appli~ation is hereby made to obtain a permit to do work and instaliation as indicated. I
certify that no work or instaliation has commenced prior to issuahce of a permit and that
all work wiil be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land developmerit 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 matedal is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addre.sing a "compensating volume" will he suhmitted 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 licen.e to proceed with the work and not _s
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 inv_lid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by tbe permit is suspended or abandoned for'a
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 he 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. JOBB UNDER
$2,500 IN VALUE DO NOT NEEO TO RECOROAND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2~
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 wl100 did 0 did not
of identification)
take an oath.
Owho has produced
(type of identification)
and who [] did Qiid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped