HomeMy WebLinkAbout06-5586
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5586
5586
Permit Type: ADDITION/ALTERATION
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est, Value:
Improv, Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 6520 FORT KIN RD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-210000-01000-0000
1,500.00
3/21/2006
95.00
95.00
3/21/2006
DRYWALL/FIRE WALLS
Name: TENAMORE, JOEY
Address: 6520 FORT KING RD
ZEPHYRHILLS, FL. 33542
Phone:
.~
~Jl \ IDIP
CUI pY" l 0""\1 \f9X'^
./
1
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. FIRE DEPT. FINAL ELECTRICAL FINAL
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. II
NO OCCUPANCY BEFORE C.O.
~-~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CIrry OF ZEPHYRHILLS PERMLT Al'l'.LI.1l.;A~.LU1'f
BUIILDING DEPARTMENT 5335 8ra St, Zephyrhills, FL 33542
813-780-0020 FAX:B13-780-Q021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER'S N^"E:be- ~J~fC .
JOB ADDBESS 65.:20----"-/;1:; I?cQ
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL ID itC3--<b-:<I-c:xJ-O/~ -~1(,?
. PHONE tS?1.3-7g<-o?~
SUBDIVISION
(OBTAIN FROM PROPERTY,TAX NOTICE)
WORK PROPSED: o NEW CONSTRUCTION o ADDITION ~LTERATION o REPAIR o INSTALL
DSIGN o MOVE 0 DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING DMULTI-FAMILY Oft OF UNITS o MOBILE HO~
~MMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
/p RESTAURANT
DESCRIPTION OF WORK L/L!;L It!2JelJ I {
,. '(~--
BUILDING SIZE ---" _~ :~~". .~'Y"
& HEALTH DEPARTMENT AP~ROVAL
SQUARE FOOTAGE ~0():) 7;~(
HEIGHT /6#
.
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,
$
/. q:{) ~
PERMITS REQUESTED
P(BUILDING
o ELECTRICAL
o PLUMBING
o MECHANICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy 0
W.R.E.C,
$
VALUATION OF'MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
ArRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES ~NO
IT -'~---~'-' -~ -~ -- ,q ~-- ---~'- - .~- -- -.. - . "l-'----~-------" PI- -, -. .. -- - - -'" _P ,..--- --:.-r'-';I"
~ I I, ".: " :' , " . . ' I ' I _ ' I I , ' I' ~, ,) , ',Ii I,:
_.~_~_"-----'J._~_~_~__),;;.__~ ~~_ __ _"_____ ________________ ____~___ -- ____~~~_O!~~~__
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST it
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
,
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST *
***********************************~*****************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
A. NOTIGE OF DEED RESTRICTIONS
Th~ undersigned understands that this p~rmit may be subject to ~de~d 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 cbntr~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 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 ~Gohtractor Sections" of this ~pplication for which they
will be responsible. If 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 STA'I'UTES,. AS AMENDED)
I certify that I, the applicant, haYE;! 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 conunencement,
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, zoningt 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 conunenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulatio~s, and land developmerit 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 ino1ude 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 certity that, if fill material is to be used in Flood Zone ~A" or ~A,etc."t 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
. ~
lssuance.
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 conunenced 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 conunenced. 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. IE' YOU INTEND TO. OBTAIN FINANCING; CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2, 00 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
OR AGENT
acknowledged
, 2CL-
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
'.1 20_
(name' of person acknowledged)
o who is personally known to me, . or
(name of perso~ acknowledged)
C1ho is personally known to me, or
Dwho has produced
(type of identification)
and whoD did Ddid not take an oath.
Dwho has produced
(type of identification)
and who Ddid []::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
CITY -OF -ZEPHYiUn:J..Ls BUILDING DEPAR'I'HBNT
WNER
OB LOCATION
ARCEL I.D.""#
n, ~-d6 -~/-"Dc')~O/a::o '-CC)c2::>"
SHOW ALL EXISTING & PROPOSED STRUCTURSS":'GIVIHG DIHBHSIOJIS & SETBACKS.
r
~Jr.j?
A~~~
~pe~
ilufb ..
. ...:..: ~
2. SETBACKS FOR R3 ZONING
60'
~ILITY BUILDINGS
lUST SHOW SI ZE &:
~OUNDATION INFOR-
fATION.
I
~!. . I
~,_ _~~e__.. _l
i ;.s-'l
FT A;;~
FRONT ~ROPERTY LINE
.~OTE EXAMPLES 1 &: 2)
STREET
10'
10'
EXISTING
10'
1 0'
PROPOSED
"20'
20'SGL FAM
30 'DUPLEX
P'R0Rr PROPERrY LINE
FRORT PROPERTY .LINE
~