HomeMy WebLinkAbout06-5292
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
.,/
5292
Permit Number: 5292
Permit Type: ACCESSORY BLDG.
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38734 NORTH A V
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-04200-0170
1,796.53
1/05/2006
60.00
60.00
1/05/2006
UTILITY BUILDING INSTALLATION
, '
Name:
Address:
FERRIS, LOUIS R (RICHARD)
38734 NORTH AV
ZEPHYRHILLS, FL. 33542
813715-1918
Phone:
/ ~\lR
y\{' ?'\\ O~
REINSPECT10N FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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. n
NO OCCUPANCY BEFORE C.O.
~ ~.
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
CIrr'Y OF ZEPHYRHILLS PERMJ.'l' Ak'k'L.ll;,R.'J:..LU~
BUI'LDING DEPARTMENT 5335 8TH st, Zephyrhills, ~L 33542
813-780-0020 FAX: 813-780-0021 .1 I
DA,TE RECEIVED ~3 0<.0
~
PHONE GONTACT FOR PERMITTING ~\~ 3\0 ~l..\9.:>
OWNER'S NAME
L(Jv...i~
3~7)Y
R Fe
/IJ rJ r, t "
" /f2\~
rrl 5 ~
A-u--e
r-e("(\'5
PHONE
gr3 - 7) S - I 9/ ?
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # il-d<C-~\- OOIO-()4~60~ OlIO
WORK PROPSED: ~EW CONSTRUCTION o ADDITION
DSIGN 0 MOVE
(OBTAIN FROM PROPERTY,TAX NOTICE)
o ALTERATION
o REPAIR
o INSTALL
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE Hm
o OTHER
D
DESCRIPTION OF WORK J V\ ~ of ~ II
~X){)
BUILDING SIZE
RESTAURANT & HEALTH DEPARTMENT APrROVAL
LA it' 1'1 +7 B~\) ~'\ VLJ .'
SQUARE FOOTAGE to.
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
t5. BUILDING
$J '7 7 fo I S" 3
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
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
~"""-~-'T ,_..,. _pO ---.-~.-~._. " .... --... . .. i--- ~--~-~- --' -- - -'r" ...... . .- -- -- . ,'- "",--"--""
, , ' I 1'1 I
Ii I I I[ \ <' I ' '1
_......,...._~____~_= _~~_____4 ~ ~~_~__ _ ____..........~_ ~~_________ - __ - ___ _____~~_______ -~~~------~~ :..1---
r ~.:::>/V
BUILDER \.(?V
, CJ -:-j) n ("IV"/" ~
SIGNATURE 77~ J:Y.~
COMPANY l-Vr............o rn. !"V\ . ^
STATE CERT OR REGIST i
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
.
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST *
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
********************************************~****;***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOT.IC.E OF DEED RESTRICTIONS
Th~ undersigned understands that this p~rmit may be subject to ude~d restrictions" which
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 contr~ftors to undertake work; 'they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemea~or
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 portions of the uCohtractor 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 permittlng privileges in the City of Zephyrhills.
C.' TRANSPORTATION IMPACT FEES AND UTILITY CONNECn.oN FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~UTES, AS AMENDED)
I, certify that I, the applicant, hay!;! been provided with a copy 'of uFlorida'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 uowner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the uowner" 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. .
Appllqation 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 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 inolude but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, wetiand Areas and Environmehtally 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 certity that, if fill material is to be used in Flood Zone uA" or uA,etc.", it is
understood that a drainage plan addressing a ucompensa,ting 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 !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 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
, 2 0.:.-
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 of identification)
and wlioO did Odid not take an oath.
o who has produced
(type of identification)
and who Odid [):l.idnot take an oath
signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
,.
CrTYOF 'ZEPHYRHILLS BUILDING DEPARTMENT
Lou.. (5" R re r r I 5
JOB LOCATION. '3 8 7 '"3 ~ /lJ 0 yt~ ~,
lJ-/.-ft,-;LI- 00 IO-04JOO-Q) 7 0
PARCEL I.D.off
OWNER
SHOW ALL
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HG & PROPOSED STRUcruR&~r'GIVING DIMENSIONS&: SETBACKS..
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UTILITY BUILDINGS
MUST SHOW SIZE &.
FOUNDATION INFOR-
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FRONT PROPERTY LINE
(ijOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
,10 '
FRC
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2. SETBACKS FOR R3 ZONING
60'
10'
101 EXISTING 10' .
PROPOSED
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1 01
FRONT PROPERTY LINE
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