HomeMy WebLinkAbout06-5377
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
t.-~..."
5377
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:
Address: 4939 8TH T
ELECTRICAL SERVICE CHANGE ZEPHYRHILLS, FL.
ELECTRIC SERVICE REPLACEMENT Township: Range: Book:
SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
1/31/2006
35.00
35.00
1/31/2006 Phone:
SERVICE UPGRADE FROM 100 AMP TO 200 AMP
Name: HUNT, PHYLLIS
Address: 4939 8TH ST
ZEPHYRHILLS, FL. 33542
(0~ \oV ~
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REINSPECTION 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 recordi g your notice of commencement."
N OCCUPANCY BEFORE C.O.
/ ~~
TRACTOR S ATU E PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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We hereby submit specifications and estimates for: -~~-~-~~---~-_G:~I)-~---~---_;f__Q.Q.___~___________m___
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Address
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We propose hereby to furnish material and labor - complete in acco nce with the above specifications for the sum of:
QO
$ OUTS 10 k~ \S' o\(. -
with payments to be made as follows:
'3 C) days.
alteration or deviation from above specifications involving extra costs will be
executed only upon written order. and will become an extra charge over and
above the estimate, All agreements contingent upon strikes. accidents. or delays-
e ond ou r control.
The above prices, specifications and conditions are satisfactory and are
hereby accepted. You are authorized to do the work as specified,
Payments will be made as outlined above. [
Date of Acceptance D t [1.Jf ,1.l9~ (p
~cceptance of ~ropo~al
(>,
Signature
Signature
ac- NC3819 MADE IN USA
CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
BUI!LDING DEPARTMENT 5335 8TH St, Zephyrhills, F.L 33542
I 813-780-0020 FAX:813-780-00217' ~
DATE RECE IVED / - .j! - 0
I (-::-€LL ~(3) 7 iJ or6'-(
I PHONE CONTACT FOR PERMITTING 9/5 9 73 . en q f
OWNER'S NAME
rJlf LL/S
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LEGAL DESCRIPTION: LOT(S)
BLOCK
PHONE ?/ ~
2~7r~'~
SUBDIVISION
77'1573(
PL.-II
JOB ADDRESS
5'}?l 8?;,t'T
PARCEL ID Jt
(OBTAIN FROM PROPERTY,TAX NOTICEl
WORK PROPSED: [JNEW CONSTRUCTION
o SIGN
PROPOSED USE: ~GL FAMILY DWELLING
[J COMMERCIAL
[JADDITION
~LTERATION
o DEMOLISH
[J REPAIR 4fj'INSTALL
o MOVE
[JMULTI-FAMILY
[J INDUSTRIAL
[JJt OF UNITS
[J SWIMMING POOL
[J MOBILE HOMI
[JOTHER
c:J RESTAURANT & HEALTH DEPARTMENT AP?ROVAL
Ur:'C/lROcr S'\C:/lVQG'~ /tfl)/I7l 10 c?oo ~
BUILDING SIZE ~ARE FOOTA~ ?57J1 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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
DESCRIPTION OF WORK
// --~11
PERMITS REQUESTED It...:J-
//
~
VAL~ATION OF TOTAL CONSTRUC ON .,
---
~ Progress Energy 0 W. R. E. C.
/'
o BUILDING
~ ELECTRICAL
o PLUMBING
[J MECHANICAL
$
2tJd
AMP SERVICE
$
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
[J ROOFING
[J SPECIALTY
[J OTHER
~FRAME
[J STEEL
o OTHER
TYPE OF CONSTRUCTION: [J BLOCK
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES~ NO
trl!~~,,,..,..,..,~.tT ~,.,'_n r-~ -, - --,.-, ~I~ ~..- -~---.- -~- .-.;~~,.. ,.. i r' l~ - H_~~~~_~__ --- ~ ('.. - .. I ~. .1 .- -~ ~ ~ ~.. - j- -- +j JV~J:.:~1tpr?
mil 111, I, , I 1)1 1 t ! I I n ~~Ir"jt~~iJ
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SIGNATURE
COMPANY
STATE CERT o~ O/S-S..<C'
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,d / / ~ / COMPANY ~!eO'}11C. Ll c....
<~~~/~ STATE CERT 0 REGIS Jt O/5S~'
*******************************************************~j~***
BUILDER
ELECTRICIAN
SIGNATURE
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST Jt
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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 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 be licensed in accordance with state and l~cal 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 "Coritractor Sections" of this ~pplication for which they
will be responsible. It 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 indica~ion that he is not properly licensed 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 applicant, have been 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.
Appli~ation 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 will 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, Wetland 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 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
acknowledged
, 2U--
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)
[1ho 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 0 did [}: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