HomeMy WebLinkAbout08-5524
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5524
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 3/13/2006
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 3/06/2006 Phone:
Work Desc: SERVICE CHANGE TO 3-PHASE 200 AMP
5524
ELECTRICAL SERVICE CHANGE
ELECTRIC SERVICE REPLACEM
NOT APPLICABLE
Book:
Name: BOLENDER INVESTMENTS
Address: 39254 SOUTH AVE
ZEPHYRHILLS, FL. 33542
fi(\oJ
:3 __/~()te
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."
NO OCCUPANCY BEFORE C.O.
~~~. f~~
CONTRACTO&NATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CIrr'Y OF :6J!jt'n~~n..L.u.....~ ... .....~-- - --- ---
BUIILDING DEPARTMENT 5335 B~H st, Zephyrhills, FL 33542
.813-780-0020 FAX:B13-780-0021
DATE RECEIVED
d -~ --D~
PHONE GONTACT FOR PERMITTING
OWNER' S NAM~ ~ h.1 &ji ~jfi./I;32/e,~(c!y
JOB ADDRESS . .~ 9;~~4- S('Ju.i.; Au ( .
J::J/~rJJ PHONE ft1,'7~,R- ~&Y
L -ep ~ ..:.,/~,I/(
I' .
SUBDIVISION
LEGAL DESCRIPTION: LOT(S)
BLOCK
C G I () -_' ~ ti t')I~' n -(JutJm)rAIN FROM PROPERTY TAX NOTICEl
PARCEL 10 it
/ .:S - ZG - Z-I
o ADDITION ~ALTERATION D REPAIR D INSTALL
o MOVE 0 DEMOLISH.
OMULTI -FAMILY Oft OF UNITS o MOBILE HO~
" DOTHER
~NDUSTRIAL o SWIMMING POOL
WORK PROPSED: ONEW CONSTRUCTION
o SIGN
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
BUILDING SIZE
(0 Au /If t'
~<;""o X 07)
c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL
5a--r j~ i' e ki ' ?..- ;J k f (
/. .
SQUARE FOOTAGE .d', rO.f) .
7-6 0 It"'" f
HEIGHT /2 I -I-
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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
PERMITS REQUESTED
/' Lf i
+' 6:J J// /
./ /' ...----'- //
~-----~
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
D PLUMBING
D MECHAti/ICAL
'^OO
AMP SERVICE
lK" Progress Energy 0
W.R.E.C.
o GAS
o ROOFING
D SPECIALTY
VALUATION OF'MECHANCIAL INSTALLATION
o OTHER
$
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AHEAD YES D NO
~22L -~ _~_~~=~~:_ _~~l~~-- . .... ;.. .~:. = _-T~~---~--,~ .~:=-='-:
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN ~
SIGNATURE ~r. -,' f c---
COMPANY Oqh.G-~ b~1\'UC TfVC.
STATE CERT OR REGIST ft \::.G-OOOJS'5""'J-.
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PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST i
***********************************~********~****~***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST f
A.. NOTI~E OF DEED RESTRICTIONS
Th~ undersigned understands that this p~rmit may be subject to Ude~d restrictions" which
may be more restrictive. than. City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions;
B. UNLICENSED CONTRACTOns 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 misdemea~or
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 uGohtractor Sections" of this ~pplication for which they
will be tesponsible. If ydu,as ~he 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 properly'li~ensed 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 prbvided with a copy 'of uFlorida'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 uowner", I cerify that I
have obtained a copy of the above d~scribed document and promise in good faith to deliver
it to the uownee' 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. .
Appli~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 development 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 inalude but a~e 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 bf Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks .
*U.S. Environmental protectiori Agency-Asbestos abatemen~
I also certity that, if fill material is to be used in Flood Zone UA" or uA,etc.", it is
understood that a drainage plan addressing a;~'compensa,ting volume" will be submitted which
is prepared by a professional engineer registered in the state of Florida prior to permit
. ~
l.ssuance.
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, cons~ruction, 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 \~
period of six months after the tilne .the. work is commenced. One 90 day extension of time
may be allowed for the permit with feedharge 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 prbject will be considered ?bandoned. .
WARNING TO OWNER: YOUR FAILURE TO RECORD A ~OTICE 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A '\NOTICE OF COMMENCEMENT".
~~~.O~
SI~NA~URE: OWNER OR ~;;T
STATE OF FLORIDA ..~
COUNTY OF . ./7/2 f/'()
The~oing in. strume. nt wa
Before tmY' this ~ day of
by
\ _/ (n me' of person
~o_is personally
STATE OF FLORIDA
COUNTY OF
The ~...
Before
by
,,~~ is
a nowledged)
known to me, or
o who has produced
t.. .type ..Z2.. identification)
d~ \ not .Jy=t an ~,a th_.~
'. / ,I i
..-
S.Lgn~r1' '"'' '.<. f pe:rB8b1A ~iiWg aGknowledg~ment
~*~ :~ MY COMMISSION # DD268763 EXPIRES .
'~;'."".....;,'~/ February 22. 2008 ' .
.,....c\.,_' BONOI::nTUClII"l:p......"r"1I1t131IP.l4 .,,' .'
Name typed, printed or stamped
Owho has produced
...___----.--~ (fype 05, identification)
and/who Dd~_~j Mi.t.~01/takc ~n fayfi
Name