HomeMy WebLinkAbout06-5301
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5301
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:
5301
SLAB PERMIT
434-ADD/AL T RESIDENTIAL
MOBILE HOME PARK
Address: 3536 TOURMALlN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
2,450.00
1/06/2006
45.00
45.00
1/06/2006
SLAB AND DRIVEWAY
~~D~~
. \/ ~
)
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."
NO OCCUPANCY BEFORE C.O.
D((y ~~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERM~T A~~L~~A~~U~
BUIiLDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
,/vfoe,
G30\
PHONE CONTACT FOR PERMITTING
, C -
OWNER'S NAME Nt 1(15)( c.-
JOB ADDRESS .-2 S 3 &, 7?Ju ".t:) /1,vC .() V
LEGAL DESCRIPTION: LOT(S) c??Lf BLOCK
PHONE 7/3 -) 7 j 2
SUBDIVISION ..rMCi//t/'{J '(J-t
(OBTAIN FROM PROPERTY,TAX NOTICE)
PARCEL ID f
WORK PROPSED: ONEW CONSTRUCTION
OSIGN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
o MOVE
o ALTERATION
o REPAIR
o INSTALL
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
Of OF UNITS
o SWIMMING POOL
o MOBILE Hm
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL
S/At9 d- {J if vC
BUILDING SIZE
RESIDERTIAL: ATTACR (2) PLOT pLARS & (2) SETS OF BOILDIRG PLARS & (1) SET ERERGY 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.
SQUARE FOOTAGE
HEIGHT
PERMITS REQUESTED
o BUILDING
oj
$ ,;2l/'SD .
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHAtilICAL
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
COMPANY
BUIWER
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
COMPANY
ELECTRICIAN
SIGNATURE
,
STATE CERT OR REGIST #
******************************************************************
COMPANY
PLUMBER
SIGNATURE
STATE CERT OR REGIST .
******************************************************************
COMPANY
MECHANICAL
STATE CERT OR REGIST #
SIGNATURE
***********************************~*************;***************
COMPANY 'fi;StJl"i ();,..J(f/cfc
/
STATE CERT OR REGIST .
O€~
OTHER
SIGNATURE
A.. NOTIGE OF DEED RESTRICTIONS
The undersigned understands that this p~rmit may be subject to ftde~d restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibilit~ fJr
compliance with any appiicable 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 focal regulations. If the contractor is not
licensed as required by law, both the owner and contractor maybe cited for a misdemea~or
violation under state law. If the owner or intended contractor ar~ 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 ftC;:ontractor Sections" of this application for which they
will be responsible. It ydu,as the owner signs as the contractor, ydu 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 permitting privileges in the City of Zephyrhills.
C" TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI.ON FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, hay~ been provided with a copy'of ftFlorida'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. .
Application 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 iderttify 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 ~aterways
*Department of Health & Rehabilitative Services, EnvJ.ronmental 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 :lood Zone" "A',' or "A, etc:", it i:;,
understood that a drainage plan addressing a ftcompensatlng volume wll~ be s~bmltted wh~ch
is prepared by a professional engineer registered in the State of Florlda prJ.or to permJ.t
issuance. '. k d t.
A 't 'ssued shall.be .construed to be a licenSe to proceed wJ.th the wor an no as
Ptherm~t J.to vJ.'olate cancel alter. or set aside any provisions of the technical codes,
au orJ. y , , , , ,. ' , ft . "
h 11 issuance of a permit prevent the BUJ.ldJ.ng OffJ.cJ.al from therea er requJ.r~ng a
~~~r:c~ion of errors in plans, construction, or vi~lations of any c~de: Every permJ.~ ,
, . d shall become invalid unless the work authorlzed by such permJ.t lS commenced wlthln
~~:u:onths of issuance, or if work authorized by the permit is suspended or a~andoned,for!a
eriod of six months after the titne.the work is commenced. One 90 d~y extenslon of tlme
~a be allowed for the permit with fee charge of $~5.00. .The extenslon shall be requeste~
inYwriting to'the Building Official. An ~pproved lnspectlon must be logged during each SlX
, d. th ro'sct will be consldered abandoned. .
month perlo , or e P J. . F COMMENCEMENT MAY RESULT IN YOUR
~~~~;:~=~i~:~~~'~~;~~=~~~~:~o:~~g:::~~~~~:~~::C~~:~O~oi~~~N~FT~6~~:~~~~~~~c~g~s g~~~~LT
, DO NOT NEED TO RECORD AND POST A ,INOTICE OF COMMENCEMENT .
$2,500 IN VALUE
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2 n.:-
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)
Dwho is personally known to me, .or
(name of person acknowledged)
C1ho is personally known to me, or
D who has produced
(type of identification)
and whoD did Ddid not take an oath.
D who has produced .
(type of identificatlon)
and who [] did D:iid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped