The URL can be used to link to this page

Home My WebLink About06-5312 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT Permit Number: 5312 Permit Type: SLAB PERMIT Class of Work: SLAB Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 835.00 Date Issued: 1/11/2006 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 1/11/2006 Work Desc: SLAB - NEW 18'X10' Address: 4853 17TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: MOORES FIRST ADDITION Parcel Number: 14-26-21-0010-02100-0010 Name: CROOK, IRL F. & MARY Address: 4853 17TH ST ZEPHYRHILLS, FL. 33542 Phone: 1.'~ ,,\ \(Q (!j) ( .l(- tIt REINSPECTlON 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. ~~ A:C~~ ~~ CONT CTOR SIGNATURE PERM IT OFF I - -. CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED PROTECT CARD FROM WEATHER :. .. ,t CIrr'Y OF ZEPHYRHILLS PERMJ.'l' A.I:'.I:'L.lL;,f\.'J:.J.Ur-. BUIILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 . ~ I DATE RECEIVED I' 0 lp PHONE CONTACT FOR PERMITTING OWNER'S NAME \tv\(}~ t.f-~ 53 ~ ~ot) K /7 FA .S,. PHONE !1)3.1RR '-.33lfd..- ~f hJK k'lIf LEGAL DESCRIPTION: LOT(S) -1 4- d-- BLOCK d..l SUBDIVISION PARCEL ID # / if - J... ~ - :2/ _ ()O/D - () d J66 -66/0 (OBTAIN FROM PROPERTY TAX NOTICEI JOB ADDRESS WORK PROPSED: o NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR o INSTALL OSIGN o MOVE 0 DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY OJ OF UNITS o MOBILE Hm o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL BUILDING SIZE s l~ ,',J f?>~ r: K. tlt.(..e J / . SQUARE FOOTAGE HEIGHT DESCRIPTION OF WORK (~.p VY\...p ..-;\, 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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ 2.3..C:; VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO r---'~-""'--i-"""r' _..~~ ,..- --~~....---~~-~ -~~ -,..-__OM_ -~- ~~--.-----.-~~~ ----- -~--- ~ - - --- ~ - -- -- - - -,..---..... --..-.,.....,--,.-,,..-.-; ~,: ,I, I. I '. , " . I. . I,: I _~~~______l....--'..1o~_~__...!.-__l-'-~~________._____~_~_________~_____ ___ - ~____~__~__~..._~- "I' BUILDER COMPANY +f om e C)r-/) ft.}.(? R... SIGNATURE STATE CERT OR REGIST # ********************************************************** 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.. NOTIGE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" :whic.h may be more restrictive than City regulations. The undersigned assumes responsibil:tYf\ r 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 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~tions of the "Contractor Sections" of this ~pplication for which they will be responsible. If 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 STA'I'UTES, AS AMENDED) I certify that I, the applicant, hay~ b.een 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 compli~nce 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 sta~dards 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 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 "compensating 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 a'cknowledged , 2~ 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) D who is personally known to me, 'or (name of person acknowledged) [1ho is personally known to me, or D who has produced (type of identification) and whoD did Ddid not take an oath. Dwho has produced (type of identification) and who [] did Diid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped 1"- \) " " ~ ~ ~ t 1 ~ . ~ .. ~ ~ , ~ ~. - ~ ~ ~ ~ ~ d?' ~ ~ I, 6. /~~/)~LEY rAv~AWI#ZJ.J ,..r~~ 4lIN AO.P /~ - $",,. /"'~ A~ r' NMr4" ,A;u~r;6V /tt?@I~" ,I#J c.6. /~ P . 4rJ' trt'J' . (1 "'f\ -\ l' () 'i .~ , ~~ ~ ~ . ~ ~ ~ ,~ ~' , .~ ~..J ~ __",._w lP . ~ ~ '" -c::: ~ ~ () l . 10.. .... . Q. ~. ,SQ'~' .:' .... ,,' "t;t:) t::t:J ' ..J'l"r /H~ ~ r' ~ c,,~ # ?4 /t::?? ~ .1.4) 4' 9 8 .. ......~.$"/..N ~. ~~?"~ if i: 8. 4#' A.s'NALr Jivl'~"wr ~'~# /7 TN S'TRc.c r ,I C C 'j, '1' () -...> ~ l"ll r ~QP.d Jo.oo' 'Zo.o' . Z".o' ~o.oo' + L. C p.. 00 k:' DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPKYRBILLS BUILDING DEPARTMENT J1J (j 4 J.. C I<.. C>~ t:... have read and fully understand and to ~rovi~ions of t1U~ instrument. I, agree The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile" that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to 'the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work.. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice. to pay additional fees. 7. That the owner shall comply with all City, State and Pederal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain. restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or impr~vea one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building ,or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell ;or lease a building you have built or substantially imp~oved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct P.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. =~~ s,Jt15i;k~rf(!~~C DATE /- //- Gb r WITNESS PERMJ:T # 53/.;1 01-11-2006 11:54 MARY CROOK 8137883342 Y/!l~UIINl;:af" (;V I llI9lI PAGEl YIllf~lIUIll1'aoV " carbonless ~.. ....... A'!': NC2817 2 PART lOB INVOICE .'~'VC''''',\C \ ) t" ' -, <.: (\ " (~t'"l ~ [ : c.:w .~ TO -..... ',: ~'\~ \ . DATE ORDERED ...;;- L-" " . \ ," \ \ . \ '. . ,\ JOB PHONE STARTING DATE ATTENTION TERMS , MATERIAL -- . hl,;':. (')( ,: J I i....)..J.1 (':j" , " % .).....' .- ).) , \"j, ,,) ; ~.I. \~ / i I I 1/),;.1-('( ..:., !.,) r . ... ._____ (... N..\< \(.. i> ) t',~\.. , I MISCELLANEOUS CHARGES ';i( '.:) LABOR . . ,:'~.1,{W'''. i'.....i../i\(\.~) \.'": \f\ ,,' \. I' , L;) V,).\ \ <f. ," \ ~\"-"-"".I( j (.'>( '\ '" \ ".:..~ \. :./ .: .'-~ ) ( JOB INVOICE TOTAL LABOR 1 , TOTAL MATERIALS , , , TOTAL MISCELLANEOUS i ! SUBTOTA~ 1/.{)( fA''. l , TAX ,11 II), V5 GRAND TOTAL. 1/ -'?if: )7) /./.. ; . WORK ORDERED BY ,i;', , \ DATE ORDERED DATE COMPLETED ~USTOMER APPROVAL SIGNATURE \UTHORIZED SIGNATURE ~.~ NC2817 1AOE IN USA