HomeMy WebLinkAbout06-5478
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5478
Permit Number: 5478
Permit Type: MECHANICAL
Class of Work: AlC CHANGEOUT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 4,100.00
Date Issued: 2/22/2006
Total Fees: 55.00
Amount Paid: 55.00
Date Paid: 2/22/2006
Work Desc: CHANGE OUT HEAT PUMP
Address: 38401 NORTH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0080-00100-0240
Name: PERKINS, JAMES
Address: 38401 NORTH AVE
ZEPHYRHILLS, FL. 33542
Phone: 813 263-7336
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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.
~-~
SIGNATURE PERMIT OFFI
CAU FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
cIrry OF l6~.t'n~~n..L.u.u.... ... ......--- - --- ---
BUIILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
,~'//r/f t/b
DATE RECEIVED
-
OWNER'S NAME
PHONE CONTACT FOR PERMITTING
, " ",htJr:t ,
~~~''; fer~J g [)all;))v),'1" PHONE $'rJ~J.?.!-7J)6
'10 ( . arIA ~V, " ,
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL ID it OCZ--"21o - b1-\- cx::160 - 00 \ 00 - O~40
SUBDIVISION
WORK PROPSED: ONEW CONSTRUCTION
D SIGN
o ADDITION
(OBTAIN FROM PROPERTY,TAX NOTICE\
o ALTERATION ~AIR [] INSTALL
DMOVE
D DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
[] COMMERCIAL
[]MULTI-FAMILY
o INDUSTRIAL
Oft OF UNITS
o SWIMMING POOL
o MOBILE HO~
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT
(hJlt77 e
& HEALTH DEPARTMENT APrROVAL
(/(/1 /1 ~ fi' t j?(/7'
SQUARE FOOTAGE ' HEIGHT
BUILDING SIZE
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
[] BUILDING
o ELECTRICAL
o P~BING
~ECHA~ICAL
$
VALUATION OF TOTAL CONSTRUCTION
o
Progress Energy
o
W.R.E.C.
o ROOFING
AMP SERVICE
fJ (J~
$4, /tJ4
I '
o SPECIALTY
VALUATION OF'MECHANCIAL INSTALLATION
o GAS
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
'0 OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES [] NO
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BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
**************~***************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
, ********************************************************~******** /'
"'CHANI~ COMPANY tJ '/)",?""/<,, ,,). 1:J/'1/I7;; UJ ,
SIGNATURE __ STATE CERT OR REGIST {A C tJ S'f 7 7 {.
*******************************~********~****~***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
A.' NOTI~E OF DEED RESTRICTIONS
Th~ 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 contractor or contr~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 may' be cited for a misdemean:or
violation under s"4ate 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, 613-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions of the "Cohtractor Sections" of this ~pplication for which they
will be tesponsible. It ydu,'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 contract?r that may be an'indication that 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 STATUTES,' AS AMENDED)
I certify that I, the applicant, hay!:;! been provided with a copy 'of "Florida's Construction
lien Daw _ Homeowner's.Pr6tection 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 "ownerir 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
I development. ' "
Application 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 dev~lopmerit 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
be in compliance. Such agencies ino1ude but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetiand 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 Flo,?d Zone "A" or "A, etc.", tt is i
understood that a drainage plan addressing a::'compensa,ting volume" will be submitted which I
is prepared by a proiessional engineer re~istered in the State of Florida prior to permit I
. .~
J.ssuance.
A permit issued shall.be ,construed'~o 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 I
six months of issuance, or if work authorized by the permit is suspended or abandoned for 1*
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 $~5.00. ,The extension shall b7requeste~l
in writing to'the Buildin~ Official. An approved J.nspectJ.on must be logged durJ.ng each SJ.X
month period, or the project will be considered abandoned. " ,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR I
PAYING TWICE FOR IMPROVEMENTS ~OYOUR PROPERTY. I~ YOU INTEND TO,OBTAIN FINANCING; CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y~UR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'INOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
2~
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
Dwho has produced
(type of identification)
and whoO did Odid not take an oath.
Owho has produced
(type of identification)
and who Ddid O: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