HomeMy WebLinkAbout06-5325
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
5325
Permit : 5325
Permit Type:
Class of Work:
Proposed Use:
Sq. Feet:
Cost:
Amount Paid:
Issued: 1 18/2006
GENERAL BUILDING PERMIT
434-ADD/AL T RESIDENTIAL
SINGLE FAMILY RESIDENTIAL
Est. Value:
286.00 Total Fees: 52.50
52.50 Date Paid: 1/18/2006
Address: 5923 14TH T
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-03900-0010
Phone: Lie:
Work Desc: WINDOW INSULATION 1
Phone:
/ 0~D~
V l d'\i~ ~r-
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC,
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPEcnON 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 pennits 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."
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CONTRACTORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERM~T A~~L~~AT~U~
BUI'LDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
/-/1-00
PHONE CONTACT FOR PERMITTI~. .~~-J ':'-/i.!tf;)
OWNER'S NAME
~fi1f_ ~QJ~d
V ,~-cl~3 ~ //j~~f(
PHONE
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID Jt \\ - J.~.~l- 00\0-.0390D-OOIO
(OBTAIN FROM PROPERTY,TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
Os I GN
PROPOSED USE: DSGL FAMILY DWELLING
D COMMERCIAL
D ADDITION
DALTERATION
D REPAIR
D INSTALL
o MOVE
o DEMOLISH
DMULTI-FAMILY
D INDUSTRIAL
DJt OF UNITS
D SWIMMING POOL
D MOBILE Hm
DOTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL
/i.J~cLtuJ
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
Y BUILDING
o ELECTRICAL
o PLUMBING
D MECHANICAL
$
(;2910 · 02
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
D ROOFING
D SPECIALTY
D OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
D FRAME
D STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
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I' I I I I ..' I ' , ' , 'II~
_~_____.~~u~~~______,-,~~_____~__.____""", _______~___ ~- -- - - -~-------~--~-~~
SIGNATURE
v~f.
. I SZ-)D
J~ I
COMPANY
() 1..<J-nJA
BUILDER
STATE CERT OR REGIST i
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST Jt
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
A. NOTI~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 for
compliance with any appiicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner. has hired a contr~ctor or contr~Ftors to undertake work, . they may be required
to be licensed in accordance w1th state and local regulations. If the contractor is not
liciensed as reqnired by law, both the owner and contractor maybe cited for a mlsdemea~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 portions of the "Gohtractor Sections" of this ~pplication for which they
will be responsible. If you, 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 Zephyrhi11s.
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~ 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 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 include 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.", i.t is
understood that a drainage plan addreSsing a "compensating volwne" 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 .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
issned shall become inv.lid 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 ailowedfor the permit with fee charge of $15.00. The extension shaii 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 RECOROlliG yOUR NOTICE OF COMMENCEMENT. JOBS UNOER
$2,500 IN VALUE DO NOT NEED TO RECbRDAND 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 wlioO did Odid not
of identification)
take an oath.
o who has produced
(type of identification)
and who Odid [):lid not take an oath
Signature of person taking acknowledgme'
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped