HomeMy WebLinkAbout06-5394
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5394
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:
5394
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
MOBILE HOME SUBDIVISION
Address: 37406 GILL AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number: 34-25-21-0140-00000-1960
20,765.27
2/06/2006
230.00
230.00
2/08/2006 Phone:
12 X 14 SCREEN RM, 10 X 14 SHED, 12 X 37 CARPORT
Name: GRAND HORIZON
Address: 37406 GILL AVE
ZEPHYRHILLS, FL. 33542
E
ACE ELECTRICAL SYSTEMS,INC
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~~/
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HE
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.
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 recording your notice of commencement."
CCUPANCY BEFORE C.O.
~-.
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
el'l',!: Obi ~.Bi~H'!:.RHJ.LLS J:I.BiRNl'J,'; AJ:I~L~GA'J,'lQ~
BUILDING DZPAR'l'WENT 5335 8~".S~r..ti Zephyrhilb, B'L 33542
813-780-0020 i'~1'813..780-0021
DAU RECEIVED ~/3
PLANS REVIEW FEE
OWNER' S NAM~ ~~-~ \-\~~ \C""J\ '(\\\-\~ ~ PHON~\~:j~~ ~\~~\
JOB ADDRESQ-,L\a\S::, \. ~\ \ \ \\"\l \L LC\+ \SLD.
~'" \ \ \ - '
LEGAL DESCRI PTION: LOT (S) BLOCK SUBDIVISIOt\ C'{t)~\ '\--Dr \"C:::r')
PARCEL ID Q~ ~ ~ -C),')\C)-~-()\~ (OBTAIN FROM PROPERTY TAX NOTTCF:l
WORK PROPSED: ~- CONSTRUCTION ~ION OALTERATION [J REPAIR ~LL
DSIGN 0 MOVE
PROPOSED USE: ~AMILY DWELLING
OCOMMERCIAL
~ D RESTAU~NT &
W~ \~~,
"
o DEMOLISH
BUILDING SIZE
O. OF UNITS
o MOBI LE HaM!:.:
~R,,~_
\0fY\\(\U'''' "
DESCRIPTION OF
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS &. (2) SETS OF BUILDING PLANS & (1) SET ENERGY fORMS
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~Dc.-
~DING
~RICAL
PERMITS-RJIlQUES'l'ED
r'..'I...... '/',,' . I,
0:J \~~. cD! VALUATION OF' T~TAL CONSTRUCTION
I
AMP SERVICE
o FLORIDA POWER
'-~\\ L~~-:l
o PLUMBING
o MSCHAIHCAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOfING
o SPECIALTY
o OTHER
TY PE Of CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
fINISHED FLOOR ELEVATIONS
IS PROJECT' IN FLOOD ZONE AREAO YES 0 NO
1~\).~urLDER " " ~,
SIGNAT~~,-, ~~ ~~
"~~~~i~ERT'OR REGIST i
~ M' ~lTY PROCESSING * (~ (';>
,-'.'"
" )
~ ),.)
',~OM~ANY-P\"t \L \'~'\\L\( ~
ATE CERT OR REGIST *
CITY PROCESSING * \i:S"\
******************************************************************
'-.
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING ..
SIGNATURE
******************************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST *
CITY 'PROCESSING *
S I GI~ATURE
.*******************.**************..******...********************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SI.GNA....'
. .
-.0
.
, .. I
*******.***********************************************.********~
,
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" WhIC:
may be more restrictive than city regulations. The undersigned assumes responsib~lity tor
compliance with any applicable deed restrictions.
8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be requiyed
t~ be licensed in accordance with state and local regulations. If the contractor is not
l~censed 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 \-./hat
licensing requirements may apply for the intende~ work, they are advised to contact the
City of Zephyrhills Building Department, 613-766-6611.
Furthermore, if the owner has hired a contractor or contractors, h~ is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which the-
will be responsible. If you, as the owner signs as the contractor, you are indicating tha'
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 I
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 ConstructlOI!
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 del~ver
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.
certify that no worK or installation has commenced prior to i.suance 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 t
the intended work, and that it is my responsibility to identify what actions I must ~ake
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.", ~t is
understood that a drainage plan addressing a "compensating volume" will be submitted whil
is prepared by a professional engineer registered in the State of Florida prior to perml
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 ~equiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unl." the work. authorized by such permit is commenced withi
six months of issuance, or it work authorized by the permit is suspended or abandoned fc
period of six months after the time the worK 'iscommenced. One 90 day extension of timE
may be allowed for the permit with fee charge of $15.00. The extension shall be request
in writing to the Building Official. An approved inspection must be logged during each
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, CON:
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNO
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
~/l~ -t~ H,?f# ~
SIGNATURE' NER OR AGENT ~;,:- .- cONTAACTOR
STATE Of fLORID~ STATE OF FLORIDA ~ Q
COUNTY OF .. ___ COUNTY OF ----
The foregoing instrument was acknowledged The foregoing instrument was acknowledlB
Bef<<,e me t)<J,,~ day of , 20_ Befoue th~---"ay of
by ~~~Q~ \)\)~ by \O~~
~ame of person acknowledged) ~name of person acknowledged)
~o is personallY known to me, or ~o is personally Known to me, or
Owho has produced
p e 0 f ide n t i ~ ~~.
no take an ~
d
ped
This ~pace (or use by Clerk of the Circuit Court only,
"
".
111111111111111111111111111111111111111111111111111111111III
2006025753
Rcpt: 967599
DS: 0.00
02/08/06
Rec: 10.00
IT: 0.00
____ Dpty Clerk
~~90~~~X"Art : r~;o fOUNT!, C'iERI<
OR BK 6832 PG 467
NOTIC~ OF COMM~NC~M~N!
Slale of Florida
GenereldescriPUonollmproveme~~ .~ \1"'\.~\ ~l~( ~ "
I r
J. g:;:;~:;'~t~N~~Ir\' \~' ,:;,~:'J.1 L
2.
:lb. Owner's in\erestln site:
:lc. Fee Simple Tille holder (of other than owner) .
.FI;;:~\~~~~~~~ ~~)- \~~~~
5. Surely Name: Amount of bond.
Address: Phone:
6. Lender Name:
Addre s s:
Contact:
Phone:
.
7. Person within the Slate of Florida designated by owner upon whom notlc.. or otlier documents may be served as provided by
Secl/on 7.13.13(1 )(8)7, Florida Statutes,
Name:
Addre..:
Phone Number:
8. In addllion 10 hlmuJ(, Owner designates the fallowing pereon to receive a copy of the L1enor'e N~Jce as provided In S.eclion
7.13.13(1 )(b). Florida Statut...
Name:
Addren:
Phone.Number:
9. Expiration date of Notice of Commencement (expiration dale'. one (1) y,ar fr~m dale of recording union a different dale Is
specllled).
Q~ '.t,.Q~~/
\t:~\~~L~~~"fown" . .
STATE OF FLORIDA
:~>h./: "
The foregoing inslrumenl was ackno
,2~bY
who (Is) (ere) p~()nally known to me or
o did/did nollake an oalh.
e re me lhl ":-:\
\
^-~d,"lIn"u,",
IO"""~
~~ ' ~ .' . -- ,j'.
I) 0 ,~/
Signature. Notary Public 0,,,,
'. produced
---'
Notary PubIlc State of Florida
Sabrina Rae Cant
My Commission 00463268
ExpIres 08/1812009
(A copy of any bond must be allached atlhe lime of recordallon of thl. Nolle. of CommenCemenl)
B r Ii'CONSTRuCTION OF~I:N I~ FL. INC.
.. MOIUOSBaIDG& ROAD
fREE.ESTIMATES ZUnYRRR.LS,FL 33543 .
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