HomeMy WebLinkAbout06-5855
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5855
Permit Number: 5855
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 1,007.98
Date Issued: 6/07/2006
Total Fees: 60.00
Amount Paid: 60.00
Date Paid: 6/07/2006
Work Desc: REPLACE DOOR SIZE/SIZE
Address: 7251 APPLEGATE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ALPHA VILLAGE
Parcel Number: 35-35-21-0050-00000-0100
Name: SASSAMAN, MARY
Address: 7251 APPLEGATE DR
ZEPHYRHILLS, FL. 33542
Phone: 813782-6457
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REINSPEcnON 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.
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CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
eln . OF' 91'BYlUIII.I.S nma~ U1'LIeHION
JlUII.D~a IlUU'fWKH'l' 15335 I- It, J~ll., n. 33I1U
113-710-0020 r.lXII13-7'0-0021
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LEGAL DESCJUPTIONI LOT(S) 't:)' .LOCK 'SDBDIVISIOH A lPh~ 'U; Ll "ti.e. G:STIlTes
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BDILDING SIZE
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USIDDlTIALI ATTACH (2) PLOT',%.A)l', (2' .ui or BOXLDIllCl,wI' (1) AT .wzaGY POlHS.
COttiUCIAL: ATTACH (3) SETS or 'BOILDING 'WI' (1' BU EilEMY fORMS.
IF Slaw PERMIT OWLY 12) S~TS or EHGI~EEltD .WS'REQUlaID.
PROPERTY SURVEY alQ01aED roa ALL NEW OOWSTR~ION.
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TYPE or CONSTJI.OCTI00 I 0 BLOCK
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SIGNATURE
STATI CERT OR UGlST t
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1\,. NOt'lCE OF OtiO Ri:STRICTIONS ,
Thll W1ders1qned understan<1.s that this permit IlllIY be .ubject to "deed restrictionll" which
ma~ b9 more re.triotive than City requlationll. The underaiqned a.sume. respone~bility for
conpliance with any app11caole deed relltrictions,
8, UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
It tn. owner has hired a contractor or contraotore to undertake work, 'they MaY be required
to be liceneed in accordance with IItate and local requlation.. If the contractor i. not
licenlled a. required by law, both the owner and oontractor may be cited for a misdemeanor
violation under atate law, If the'owner or intended contractor are uncert.ln .. to whet
licensin9 requirements may apply tor the intended work, they are advilled to contact the
City ot Zephyrhill. Buildin9 Department, 813-780-0020,
rurthemore, if the owner haa hired a cOntraotor or coneractoJ:8, he i. advised to have the
contrector(:s) :sign po+tionll of the "ContractoJ: Seotion.N of this applioation to~ which they
will be responsible. It you, a8 the owher siqna a. the oontractor, you are indicatinq thAt
you, ratber than the contractor, are J:eeponsible tor the work. ,It the contractoJ: wishee
you to .ign .. contractor that may be an indio.~ion that' he i. not properly licen.ed and is
not entitled to permittinq privileges in the City or Zephyrhill..
C, TRANSPORT~TION IHPACT fiES AND UTILITY CONNECTION FEES
D. CONSTP.OCTUION LItN LAW (CliAP'1't!\ 713, FLORIDA STATUTES, AS NlENDED)
I certify that I, the ~pplicant, haye been provided with a copy 'of ~rlorld." Con.truction
lien Law - HOlleowner's,Protection Guide" prepared by the rloride Department of Aqrioulture
and Cons_er Affairs, If the Applicant is aomeone other that the ~owner", I eerily that I
have obt.ined a copy of the above de.oribed document and promi.e in qood taith to deliver
it to the .owner" prior to cOlMlencement.
E. COW'1'ItACTOR' SIOWNER' S ArFIDAVIT
1 certify that all the information in this application is accurate and that all work w111
be done in compliance with all applicable laws regulating conatruotion, zoninq, ana land
developnent,
Appli~ation 1. hereby made to obtain a permit to do work and instaliation aa 1ndloated. I
Cert1fy ehat no work or installation ha. oamnenced prior to 1..uahoe ot a pe~it and th.t
all worK w111 be performed to meet .tand&rd. of all laws requlatlng construction, City
code., zoninQ requlations, and land' develo~rit r8qulations in the jurisdiotion. I 41so
certity that I understand that the regulat1on. of other qovernmental aqencie, ~y apply to
the intended work, and that it i. my respon.ibility to identify w~t aotion. I mu.t take to
be in compliance. Such agencies include but are not limited to: .Department at
Environmental ReqUlation-CyprQ$s Bayheads, Wetland ~reas and Environmentally Sensltive
Landa, Water/Wastewater Treatment
>Southwest Florida Water Management District-Welle, Cypress Bayheads, Wetland Area.,
Altering Watercoureee
'Army Corps of tn9ineers-Seawalla, DOCks, Navlqable Weterway.
>Department or Health' Rehabilitative Servic.., Environmental Health Unit-Welle,
Wa.tewater Treatment, Septic Tank.
>U,9, ~nvironaent.l Protaction Ag.ncy-~bestos abatement
I also certify that, if fill ID4terial ia to be u.ed in Flood Zone .~H or ~A,.tC.H, it is
understood that a drainage plan addres.ing a "oo~enaatinq yolume" will ~ .ubmitted which
i. prepared oy a pro!Qsaional engineer J:eglstered 1n the State ot Florida prior to pe~it
188U&nce,
A permit issued shall ,be conlltruedto be a license to proceed wlth the work and not 4S
authority to violate, cancel, a.lter, or set alJide, any provisions or the technical codes,
nor shall illsuance ot a permit prevent the Building O::ioiel tro~ thereatter J:vquirinq a
correction of errors in plans, construotion, or violation. at any cod.. Every pernit
ilJsued shall bec~ invalid unless the work author1zed by suoh peJ:mit is commenced within
si~ nonth. of is.uance, or it WOrk authorized by the pemit i. suspended OJ: abandoned tor 'a
period of six ~onths after the time,the work i. commenced, One 90 "day extension of tiMe
may be allowad tor tha permit with fee charqe at $15.00. The exten.ion shall be requested
1n writinQ to 'the Buildin9 Orfioial. An approved in.pection'mu.t be logqed durinq .ach six
~onth period, or the project will ba cOnsidered abandoned.
~ING TO OWNER: rOOR rAILORE TO AECoao A NOTICE or CONMENCtHENT HAY RESULT IN YOUR
PAYING TWICE i"OR IHPROVEMENTS TO' YOUR PROPERTY. I F YOU INTEND TO OB'l'AIN rnlANCIllG, CONSULT
WIT YOUR LENDER OR AN ATTORNEY BEi"ORE RECORDING YOUR NOTICE OF COMMENCEMENT. JO~S UNOER
$2 00 IN V~UE NEED TO RECORDAHD POST A "NOTICE or COHMENCEMENTN,
8IGN~TUREI CONTRACTOR
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ST~'1'E or FLOR.IDA
COUNTy or
The !oregoin9 instrument W48
Before me this ----S1ay of
by
ac lcl\owl edged
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acknowhdgQd)
known to Rei or
(n~ ot per.on aoknowledged)
~ho i8 personally known to me, or
o who has producecl
(type ot identification)
and who Odid Q:1id not take en oath
Signature of person takinq aoknowledvnent
Name typed, printed or etamped
~ typed, printed or stamped
MONICA L. WATSON
NOTARV "*JC. STAn! OF FLORIDA
COMMISSION # 00461917
EXPIRES 9/1712009
8ClIClIDTHRU WIIoNOTAIM
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This Is a 'co~tra~t ~tween Low..'sCas d;'flnGd inlhe 'T.uris...~ki p.":<>~"'<?ry..jl"~~~~':J/~ti~;lhe'lbo,,~-"ama4 pusto""..r lor th.E: in:otallAlion of g<:>ods 8t the
j:uS~"l..r'sr~~d.eJltialpremises.(th0 ..p"'rril.,~..")'an'h6Joll,owl...1t.in$ti\1!.&ti~l'\.add~~ '. ;..' ::, . '::. ...:" , -'''TAT'.'' . . ZIP '. ~.'.'
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~d~itIDnal SP~C;flcatID~e En~ironmental Protection A9~~:Y ;~PA) ,has .r.qUested~hat -- Mat'lti -;jf- 'J 71:~~
I" Lowe'~, n?tify Inst~"ation cua~om.ers th!t a ~ad baaed paint ha.zard may elClst~.n dwelli~g$. buitt L~::: ........07 ~'. '<_ ~
I prior t01978, See pBmphle~ EPA 747-K-99-001 for detail~. _./ I
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ICONTRACT # 2 9 0 3 8 8J!l
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All ,t..m" listed In thiS eontraCI and speCification sheet(s) are to be installed uncler conclitlons agreed upon alllme 01 purChase and at the prrce appeanng on thiS
contract form. This assumes sound existing substructure.., superstructure and points of anachments, Elctra labor or material incident to installation neee66irat..d
by del..c.liv.. substructures, !:upe...trlJclur.., points of attachment, or the moving of fixtures or Appliances to be billed at extra cost to customer.
(Seal) -.--, (Seal) JI
Spec ,.9 ._. . . I/' , Spouse
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~~r, ac:knOI&' ,9- ...~pt,~f B ltu.. ~ppy~ 0)1' ~~~ consrMi ~1:'1ch: ~...., ';O~I"'rY;ftli.", 3it P."!'" tv :C...1ome..!~ eX8CU110Qh"I'lll'P'l',lfcr.dltla '
.. nGed to YO<J. you ttle buyer may cancel th littr.~Ni:tiOn at a"y~tf.,..e'l?rlor to :rnldntgJn .of.the third 'busin... day aft8r th& date c!tl:1l.8 tn~n;.c:lil:lf1,
See tn. attached notice ot cancellaUon form for ~"'.C!~~.~..iioUdn PI ,JI)~... iiJJ.h'~,: '
WITNESS OUR HAND(S) AND SEAL(S) BELOW THIS
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DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED ON THE
REVERSE SIDE OF THIS CONTRACT. BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDER.
STAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE OF THIS CONTRACT, YOU ARE
ENTITLED TO A COpy OF THIS CONTRACT AT THE TIME OF SIGNATURE,
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PROJECT NAME
SASSAMAN
PROJECT ADDRESS 7251 APPLEGATE DR
LOWES STORE #
1854
STATE OF FL
PRODUCT :.-- /,
APPROVAL
CATEGORY SUB CATEGORY MANUFACTURER NUMBER
EXTERIOR DOORS SWINGING BENCHMARK FL 1190
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