HomeMy WebLinkAbout06-5455
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5455
Permit Number: 5455
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 3,250.00
Date Issued: 2/15/2006
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 2/15/2006
Work Desc: AlC CHANGE OUT
Address: 38915 5TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-14500-0100
,
Name: WADDY, JAMES
Address: 38915 5TH AVE
ZEPHYRHILLS, FL. 33542
Phone: 813 782-6627
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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 recording your notice of commencement."
NO OCCUPANCY BEFORE C.O.
~~
------- PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF :liJ!iJ:'I1~l'n.L.u.u~ ... ......-.- - --- ---
BUnDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 ~
813-780-0020 FAX: 813-780-0021 . of,
J DATE RECEIVED
PHONE GONTACT FOR PERMITTING
JOB ADDRESS
)~y s'
(3'X ()
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PHONE
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OWNER'S NAME
LEGAL DESCRIPTION: LOT(S) . BLOCK
PARCEL ID it i I - Zf.e,- ~I- ~IO -IL/S"oo- 0 100
SUBDIVISION
(OBTAIN FROM PROPERTY,TAX NOTICE\
WORK PROPSED: ONEW CONSTRUCTION
o SIGN
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
o MOVE
o ALTERATION
o DEMOLISH
[J REPAIR
o INSTALL
DMULTI-FAMILY
o INDUSTRIAL
0* OF UNITS
o SWIMMING POOL
o MOBILE HO~
o OTHER
BUILDING SIZE
c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL
Iff/I- r;~./ rJ ~ .
SQUARE FOOTAGE
HEIGHT
DESCRIPTION OF WORK
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
(kJ..:...-t -
; }.\ c;-S
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
~CHA~ICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
3) ,; <;0 ,
VALUATION OF'MECHANCIAL INSTALLATION
o OTHER
o GAS
o ROOFING
o SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
r~ . '-;-~u~~-=~_~_~_~T=~~~~_~~:-~_ul~_,_~~.~~--- '. .-.~.~
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST *
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST *
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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COMPANY "7Jrfe.-/ .5y,v. t.L. L .
,
STATE CERT OR REGIST * (}:Jet> r-P~s:- I
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OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A.' NOTIGE OF DEED RESTRICTIONS
Th~ undersigned understands that this p~rmit may be subject to "de~d restri~tions" which
may be more restrictive than'City regulations. The undersigned assumes responsibility fo~
compliance with anYappiicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner, has hired a contractor or ccntr~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 maybe cited for a misdemeanor
violation under s~ate law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended w'ork, 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. 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 contract?r that may be an'indication that he is not proper1ylicensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI.DN FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, hay~ been provided with a copy'of "Florida's Construction
lien Daw _ Homeowner's.Protection Guide" prepared by the Florida Department ot Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above tl~scribed 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
I development. ' , .
Appll~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 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 I
the intended work, and that it is my responsibility to identify what actions I must take t1
be in compliance. Such agencies inolude but are not limited to: *Department of I
Environmental Regulation-Cypr~ssBayheads, Wetiand Areas and Environmentally Sensitive I
Lands, Water/Wastewater Treatment' i
*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 ~anks '
*U.8. Environmental Protection Agency-Asbestos abatemen~
I also certity that, if fill material is to be used in Floqd Zone "A" or "A, etc.", it is i
understood that a drainage plan addressing a;:'compensa,ting volume" will be submitted which i
is prepared by a pro.fessional engineer registered in the State of Florida prior to permit '
. ~
J.ssuance.
A permit issued shall.be ,construed to be a license to prooeed with the work ~nd not as
authority to violate, ,cancel, alter, or, set aside any provisions of the te~hnical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construotion, 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 \~
period of six months after the time,the,work is conunenced. One 90 day extension of tim~
may be allowed for the permit with fee~harge of $~5.00. ,The extension shall b~ requeste~~
in writing to'the Building Official. An approved J.nspectJ.on must be logged durJ.ng each SJ.X
month period, or the piDj~ct 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. Ir YOU INTEND TO,OBTAIN FINANCING; CONSULT
WITH YOUR LENDER OR AN ATTORNEY BE~ORE RECORDING ~~UR NOT+CE OF COMMENCE~ENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'NOTICE OF COMMENCEMENT.
'.
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2CL-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me, this ~day of'} 20_
by
STATE OF FLORIDA
COUNTY OF
,The foregoing instrument was
Before me this _ day of
by
(name' of person acknowledged)
o who_ is personally known to me, 'or
(name of persor acknowledged)
[1ho is personally known to me, or
o who has produced
(type
and whoO did 0 did not
of identification)
take an oath.
o who has produced
(type of identification)
and who Odid Q:iidnot take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
"
Name typed, printed or stamped
Name typed, printed or stamped