HomeMy WebLinkAbout06-5465
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
FENCE PERMIT
5465
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:
5465
FENCE
434-ADD/AL T RESIDENTIAL
SINGLE FAMILY RESIDENTIAL
1,767
57,005.00
250.00
2/17/2006
40.00
40.00
2/17/2006
FENCE-CHAINLlNK
Address: 5731 17TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYRHILLS COLONY
Parcel Number: 11-26-21-0010-08100-0040
OUZA, DAVID
5731 17TH ST.
ZEPHYRHILLS, FL 33540
Phone: 782-5312
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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."
~~~ ~~
. CONl: CTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIREP
PROTECT CARD FROM WEATHER
CIrry OF A!iJ!i.t'n~~n.L.LI.LI"" ... .....~.- - --- --.
BUIILDING DEPARTMENT 5335 8~H st, Zaphyrhills, FL 33542
813-780-0020 FAX:B13-7BO-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
:::E::~:E ~1~~lr 7~'1 ~U
LEGAL DESCRIPTION: LOT(S) BLOCK
PHONE 17.1
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SUBDIVISION
PARCEL 10 it
WORK PROPSED: ONEW CONSTRUCTION
o SIGN
{OBTAIN FROM PROPERTY.TAX NOTICE\
laADDITION
OALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
Oft OF UNITS
o SWIMMING POOL
o MOBILE HOt-(
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APfROVAL
DESCRIPTION OF WORK ~~ce- (~{}..\."1 l-",,- \c:::... ( \L-\~ f ~
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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING $ 26O,C50 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 AREAO YES 0 NO
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..........~_~___;.;....0....1___.__~~......~_~__ ___.~~________~__________ ~-~- ~~ - ...............-~-
BUILDER "
SIGNA;ORE j awJ ~..:.
COMPANY
w~~^'~
STATE CERT OR REGIST it
************************************************~*****************
ELECTRICIAN
COMPANY
SIGNATURE
,
STATE CERT OR REGIST it
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
***********************************.********~****~***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
A. NOTI~E OF DEED RESTRICTIONS
The. undersigned understands that this permit may be eubject to "deed restrictions" which
may be more restrictive than City regulations, The undereigned assumes responsihility for
compliance with any' appiicable deed restrictions;
B. UNLICENSED CONTRACTons AND CONTRACTOR RESPONSiBILITIES
If the owner has hired a contractor or ccntr~ftors to undertake work, . they may be requi,red
to be licensed in accordance with atate and local regulations, If the contractor is not
licenaed aa required by law, both the owner and contractor maYbe cited for a misdemea~or
violation under state law, If the owner or intended contractor are uncertain aO to what
licensing requirements may apply for the intended work, they are adviaed to contact the
City of Zephyrhills Building Department, 813-780-0020.
Fnrthermore, if the owner has hired a cOntractor or contractors, he is Odvised to hsve the
contractor!s) sign portions. of the "Cobtractor.sections" o~ this ~pplicstion for ~ich they
.will be responsible. If yon,SS the owner signs as the contrsctor, .yoo are indicating that'
yoU, rsther thsn the contractor, sre responsibie ~or the work. .If the contractor wishes
you to sign as contractor thst msy be sn.indication thst 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~tiTES,: AS ~ENDED)
I certify that I, the applicant, haye been provided with a copy of "Florida's Construction
lien Uaw _ Homeowner's.pretection Guide" prepared bY the Florida Deportment of Agriculture
and Consumer Affairs, If the aPplicant ia aomoone other that the "owner", I cerify that I
have ohtained a copy. of the above described document and promiae in good faith to deliver
it to the "ownerif prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that 011 the information in thia application.is accurate and that all work will
be done in compliance with all applicable laws regulating constrnction, zoning, and land
( development. '
Application ia hereby made to obtain a permit to do wcrk and instaliation as indicated, I
certify that no work or installation haa commenced prior to issuabce of a permit and that
all work will be performed to meet sta~dards 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 wnrk, and that it is my responsibility to identify what actions I must take
be in compliance. Such agencies inalude but are not limited to: *Department bf
Environmental Regulation-Cypresa 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 pro~essional engineer registered in the State of Florida prior to permit
issuance. ~
A permit issued shall.be.construedto be a licen.e to proceed with the work and not as
authority to viol.te, .cancel, alter, or. set aside any provisions of the teohnical codes,
nor shail issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in pians, construction, or violations of any code, Every permit
issued 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
period uf six months after the time. the work is cemmenced, One 9D 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 109god dUring each six
month period, or the project will be considered abandoned. ,
WARNING TU OWNER' YOUR FAILURE TO RECORD A NOTICE OF coMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS 'fOYOUR PROPERTY, IE' YOu INTENU TO OBTAIN FINlINCING, CONSULt
WITH YUUR LENDER OR AN ATTORNEY ilEroRE RECORUING YOUR NonCE OF COMMENCEMENT, JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO ""CORUAN;' POST A "NOTICE of COMMENCEMENT",
'.
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2 0..:.-
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 persor acknowledged)
[1ho is personallY known to me, or
(name' of person acknowledged)
o who_ is personally known to me, 'or
Owho has produced
(type
and wtioO did 0 did not
of identification)
take an oath.
Owho has produced
(type of identification)
and who [] did [):lid' not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
"
Name typed, printed or stamped
Name typed, printed or stamped
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