HomeMy WebLinkAbout15-16400 i �
CITY OFi ZEPHYRHILLS
4 ' S335�-8TH STREET
(sis)�so-oozo 164 0
, BUILD�ING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16400 Address: 6626 FOUNDERS ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:'�
Square Feet: Subdivision: CITY OF ZEPHYRHILLS _
Est. Value: Parcel Number: 03-26-21-0010-04300-0010
Improv. Cost: 2,300.00 OWNER.INFORMATION
Date Issued: 7/02/2015 Name: BURGESS WILLIAM A&AMBER
Total Fees: 75.00 Address: 6626 FOUNDERS ST
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-1827
Date Paid: 7/02/2015 Phone: 813-713-6064
Work Desc: SCREEN RM 14 X 26
' CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 75.00
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� � Ins eclions Re uired
EOOTER 2ND ROUGH PLUMB MISC INSULATION CEI I G
FOOTER BOND DUCTS INSULATED� SEWER MISC.
ROUGH ELECTRIC LINTEL I MISC MISC.
1ST ROUGH PLUMB PRE-METER I INSULATION WALL MISC.
DUCTS INSTALLED WATER I MISC DRIVEWAY
PRE-SLAB SHEATHING I MISC. MISC.
CONSTRUCTION POLE FRAME I MISC. MISC.
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REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessar�due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty co�t�ruction c) repairs or correctio�s not made when inspe�ctions called d)work not ready for
inspection when called e) permit not posted on job site fi) plans not a�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.
"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�o obtain financing,consult with your lender or an attorney
before recording our notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordina ces. NO OCCUPANCY BEFO C.O.
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CONTRACTOR S ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
i Contractor/Homeowner: � �I�( � �"`r �-�-5
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Date Received: � - ZZ�[ �
Site: �� Z�O l��-t1��,S ��
Permit Type: l � � � SU' s� /�.�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/ r plans.
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Kalvin Swit r.- 1 s aminer Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 � ' Fax-$13-780-0021
City of Zephyrhills Permit Application
B Itding Depattment
Date Received .- �2.-' � 'Phone�Conta for Permittin
owner's Name +�v��.,��-�!�W1. �'��.�SS I Owner Phane Nomber ��7 `Z�����`'1'
Owner's Address ���� ��a��y�`-'L'� �J � Owner Phone Number ��� ��' / "�53��
Fee Simple Titleholder Name r - I � Owner Phone Number � �
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Fee Simple Titleholder Address
JOBADDRESS �VDZ� �+''�-Si�y'� �7� LOT# C�
SUBDIViS10N �7��,iLtf"ti �.�"f_t� PAR IEL ID# ^Z-�°2-�-tX`��`''�"C��'"�''Ltti- ``p(`'`'
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(OBTAINED FRdM PROPERTY TAX NOTICE� .
WBRK PROP08ED , e NEW CONSTR� ADD/�LT Q SIGN [� Q DEMOf.ISH
INSTALL REPqIR
PROP{}SED USE Q SF12 Q CflM� 0 oT�E�
TYPE OF CONSTRUCTION Q BLOCK [� FRAfu�E [� STEEL Q
DE3CRIPTIdN OF WORK f� X.2-� ���R-�'� �'��� -
�.c {�'T
BUILq1NG SIZE � � SQ FOOTAGE �``f" HEIGHT �_�____ �
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S�'���fi' • � "��� ��' VALUATIO' OF TOTAL COWSTRUCTiON
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QEl.ECTRIGAL $ ��� AMP SER CE Q PROGRESS ENEFtGY Q W.R.E.C.
QPLUMB�NG � ._, j �� � ; l �o�[�
QMECHANICAL $ VA�UATIQN t�F MECHANICA�INSTA�tAT10N �
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Qc�as � Roa�i�tG Q SPECI�t�nr � o�H�r� .
FIIVISHED FLOOR ELEVATIONS FLOOD ZONE Af2EA QYES NO
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BUI�DER � �� � C�MPANY C�%�1���`
SIGNATURE RE�ISTERED Y/ N FEE CURRE� ,Y/N
Address � Llcense# � �
El.ECTRICIRN ' C �MPANY
SIGNATURE RE�ISTERED Y/ N FEE CURRE� Y/N
Address � Ltcense# �— � �
P�UNlBER C MPANY �
SIGNATURE ReGISTeRED Y/ N FEE CURRE� Y/N
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Address I - License# �� � �
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i MECIfANICAI. COIMPANY
SIGNATURE RE I$TERED Y/ N FEE CURRE� Y/N
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Address. ' � License# � �
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OTHER COMFANY
SI(3NATURE REGISTERED Y/ N FEE CURRE� Y/N
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Address � Ucense# �— �
RESIpENTiAL. Attach(2)Pbt Plans;(2}sets.ofBullding Plans;{1}set of Energy Farms;R-O-W Permit for new canstruction,
Minimum,ten(10),working days after submittal dake. Required anslte,ConstrucBon Plans;Stormwate�Plans w!Silt Fence installed,
Sanitary Fadlides,&r1,dumpste_r,Site_Work:P.ermit for s�bdlvislans/large proJects .
COMMERCIAI. Attach{3}c�mplete se#`s of Bultil3rig Plans plus a l.ife Safety Page;{1)set of Energy Forms.R Q-W Petmit#or new constsuctlan.
Minimum ten(10)working days afker submlttal date. R�`qulred onsite,Gonstrucdon Plan&,Stormwater Plans w/Silt Fence installed,
Sanitary Facil[Ues&7 dumpster.Site Wark Permlt for all new proJects.All commercial requlrements must meet camplfance
SIGN PERMIT Attach{2)sets of Eisgineered Plans.._. °
. . •`•'PROPERTY SURVEY required for all NEW conshu tlon.
dlreatlans: ,,
Fill out applicatian completely.
Owner&Contractar stgn back of appiica8on,naWrized
If over S25d0,a Natice af Gommencement Is required. {A/C upg des over;�3o0) ..,.,.�_-.:..:,�.,..�..�.:.,._�,R..�..�..:.. ,,....,. _,
'• Agent(for the cantractor)or Power of Attomey(for the owner)would be someone with notarized letker.from owner aufhorizing�same' . '�
DVER THE Ct3tlNTER PERMITTING (Front of Apptication flnly} . ' . . , ,: r ' , '
Reroofs If shingles Sewers Service Upgrades AIC Fences �PIoUSurvey/Footage) � � ' �
Drivsways-Not aver Caunter if on public roadways..needs ROW
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;� NOTiCE OF DEED RESTRIGTIONS; The unde�rsigned undergtands:th�t this..pecmtf.maybe^subJeat to"deed"restrlqt(ons" ' ._;
which may be�more restNctive=th�n Counky.regulatlons. �The�undei�signed�as`sumes'responsitiiliQy for'compllance with any
appiicabie deed reshictions. , • .. - ' �
UNLtCENSED CONTR�►CTURS'AND CONTRACTtJR RESPONSIBiLIT1ES: if the awtter r has �hlred a c�ntrac#ar ar
' contrac#ors ta undertake work, they may be::cequfred,:to.;be:ifcensed In accatdanae.with state.and�i�caf.regulatlons: tf�the -
contraator Is not 1lcensed as requlredaby law� both the owner and contsactoi•may be-clted�for a�misdemeanor vlolation
� under state law. If the owner ar Intended contraeto� are,�uncertaln as ta what Iicensing.requlrements ma�r-apply-�ar the �
intended wark, they are advised to contact the Pasao County Building tnspectlan Divlslon--Ltcensing Sectlon at 727-847-
8009. Furthermare, If the awner has hireci a contracfor or cor�tractors, he is acivEsed ta have the contractor(s) sign
� portlons of the "contraator 8loak" of thts appltcatbn for whfoh they wlti be respnnsible. if yau,-as--the owrier'�sign�a's the " '
co�tractor, that-may be an Indication #hat he is not.properly licensed and is not entitled to petmikking privileges !n Pasco
County. '
� TRANSPfJRTATION.IMPi4CT1U'T141'TiES IMPAC7 ANb-RESOURCE RECOVERY FEES: The undersigned understands _
i that Transportation Impact Fees and Recaurse Recave.ry.Fees may�-appiy ta�the construction af new,buildings��change of
' use in existing buildings, ar.expansion-of��existin�'�6tilidings� as specff�ed.in Pasco Caunty t3rdinance number 89-07 and
I90-07, as amended. The underslgned also.understattds; thait:�such fees,,as�may�be�due;,w8t:�6e ident�fted at the�tirrte of- �
permitting. It is furttier understaod that Tra�tsportation lmpact Fees and�Resource.Recouery'�ees must be patd prtor to
rece�ving a"certl�cete of accupanay" ar flnal,pawer release, :If�the project.does not invalve.a�certfficaEe of occupancy�or
j final power reiease; the fees mu�t be paid prior ta permlt issuan'ce. Fu�thermore;ff Pasco_County Wate�/Sewer�lmpact �
I fees are due,they mus#be paid prior ta permit-lssuance-in accordance with applicable Pasco Caunty ordinances.
� CONS1'RUCTIQN !.lEN EAW(Chapter 713� F1orlda Statutes�as amend�d}: !f vaivaBon of woric is$Z,500.00 or more, 1
' certtfy that It #he applicant, have been provlded witl�� a copy� of the "Florida Gonstructlon� Clen Law—Hameawne�'s
Protection Guide" prepared by the Florida Departme�f ot Agrtculture and Consumer Affairs. If the applicant Is someone
ather than tfie°owner", i certify that I have,obta(ned�a copy.of.,the.abode.described docurr�ent°and.promise in,good faith,to .
detiver it to the'ownee"prior to•commencement: '
CONTRACTt�R'SiOWNER'8 AFFIDAViT: 1 cer`,tify that-all tMe,{nformatian in°this appiication is aacurate and that all wark
wi#I be do�e in compllanae wfth all applfcable laws regutating construc#lon, zoning and lartd develapment. Appftca#ian is
hereby made to obtain .a permit Ca do_ wark.and installaklon as lndlcafed,�� `! aertify tha# n� work�:ar installa#tan has
I commenced priar to issuance af a permit and that-all work will be pe�formed to meet standards of all laws reguMa�ing�
conshuction, County and City codes, zoning regulatlQns, and land deveiopment regulationsyin the jurisd(ction. ( al'so�
ce�ify tha# t understand that#he regutattons of other government agencies may appiy�ta the intended work, and that it is
my�esponsibiGty to ldentify.what actions i must take ta be�in:.c�tttpilance. Such agenaies incfude but are.not limfted ta:
� - Department of E�vironmental ProtectEbn=Cypress.'Bayhead�; �Viletfand Areas and Environmentally Sensitive
� r Lands,WaisrMfastewater 7reatment. -
Southwest Florida Water Management .Dtstrict-Wells, Cypress. Bayheads, Wetland Areas, Altering
Watercourses,
- Army Carps of Engineers-aeawalls, Docks, Navigatiie Waterways. �
- Depar#ment of Healih & Retiabilitative ServicaslEnvironmenfai HeaR#h llnit Well.s, Wastewater Treatment, �
� Septtc Tanlcs. � _
� - US Environmental Protection Agency-Asbestos abateme.nt. �
- Federe)Aviatton Authority-Runways.
i understand that the follow�ng:restHetions appty to the use o�fli1:� .
- Use of fi11 is not afloweci in Flood Zane"V"uNess expressly permitted.
- !f the fi!# material !s to be used. fn �Flood Zane. "A", It. is c�nderstood that-a drainage pian addressing a
, °compensating valume"will be submltted at tlme of petmitting which 1s prepared by a professio�al engfneer
I Iicensed by the State of Florlda: ..
I I - if the fiil materia) is to be used (n Fload Zone "A° ins connecfian�with.a permitted bu[Iding using stem wall
� canstruction, i cetEify thet fiii:wlliwbe used oniy.to fitl the area within the stem wa11.
- iF �il mate�lal is fo be used in any area, 1 .certify that .use. of'sucfi fltl will not adversely aifect adjacent
� propertfes, ff use of flll is found ta adversely:�ffect ad�a�eM�properties,.the owner may be cifed for vioC�ting
the cond{lions of the building:permlt lssued under the attached�petmlt applicatton, for lots iess than one (1}
' acre whlch are elevated by flll,a�engineered dralnage plan is requlred. .
if 1 am the AGENT FOR THE OIMNER, i,�promise in gaod faith ta Inform the owner of the.permitting conditions set forth In
this affdavit�prior tv commencUg cons#ruction. I undersfand that a s�aparate permit may be requlred for electrlc�i work,
plumbfng. signs, welfs, poals; alr conditioning,.gas, ar othec install�itlans noE.speci�cally �ncluded-in.tMe apptication. .A
perm4t Issued shaU be constr.ued to be a Ilcenss.to p�oceed wltb the work and not as:authority to,viofate� aancet, atter, ar
set aslde any provislons oY the technlcal.cod�s;�nor shal!Issuance�af a.permlt.prevent the Bu!ldlrig O#flcla!from thereafter
� requtring a correction.af errors 1rt.pla�s, cans#ructlon or vlalat(ons of any codes.. Every permlt issued-shall become-invalid
, uniess the work authorized.by such permit.�is.ca�nmenced�within s�C months of�permlt Issuance. ar if wark authorized by
the permif is suspended or.a8andoned for a.pertod of�six(8}months:after tha tEme the�wa�k is commenced. An extensian
may be requested, #n wri#Ing, fram the Buttding.C?fficla! far a peirlod.not�ta exseed rtlnety:j90) ciays ana�ill_demonstrate__� --_-
�ustlf3�ble c�use-#'or_the extension�. !f work ceases:for ninety(90)�consecutive:daysr..the Job is consfdeeed abandoned.
j WARNING TQ OWNER: YOUR FAILURE 70.RECQRQ.A..NOTIGE OF•COMMENCEMEMT BNAY RE�UkT IN YC1UR
I PAYlNG TWICE.�OR IMPROVEMENTS TO YOUR�PROPERTY. t�°YO.U�iN'fEND�'TQ OBTAIN��FthtANCiNG,'CONSULT
� WIT Y UR END Ai+I A'iTORN �B Ff�R�� ECO � G�Y- �C :tIF� °' E C�E �
! FL.ORIDA JURAi'(F.S.11 08� . _
� QWNtER OR At3ENT `'�- COt�tiRAG7t}R
! Subscribed and swom or atRrm )befo me thls Subscrlbed and�swom to{at a�lrmed)�betore me'ttil�
•by
Who lstare eisanally kn me or ha e produced Wha fstare p.arsortally ki�awn�ta me or hasfiave�'produced •
' ' as Idendflcatlon. as(denBRcatlon.
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! � ' Nota �Pubtic _ Natary Publlc
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� Cam Is n .•�.pa�P�''••. JAGaUEl1NE GES Cammisslan No.
�: ;'�`"'Com-m1�a�t'#"�f�-l�5tr#2�`— .
i ,�a., :o�: Expires December 12,2018
i Name of No � Hn ° �4 Name of Notary typed,printed or stamped
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