HomeMy WebLinkAbout15-16415 CITY OF ZEPHYRHILLS
'' ° 5335-8TN STREET
(s�3��so-ao2o 16415
BUILDING RERMIT
PERMIT INFORMATICIN LOCATION INFORMATION
Permif Number: 16495 Address: 5554 17TH ST
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLRTION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHlLLS
Est.Value: Parcel Number: 11-26-21-0010-'i 1300-0150
Improv. Cast: 2,489.Op OWNER lNFORMATlQN
Date Issued: 6i3012015 Name: BOAN LINDA D
Total Fees: 75.00 Address: 5554 17TH ST
Amount Paid: ZEPHYRNILLS FC. 33542-4594
Date Paid: Phone: 813-788-6498
Work Desc: INSTALL SNED 1 Q ' X 12 '
CONTRACTOR S APPLICATION FEES
H EO NER B LDING FEE 75.00
i,
ins ections Re uired
FRAME
SHEATHING
FI NAL�2���
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due ta any ane of the follawing reasons: a)wrang address b)conder�ned work resulting
from faulty constructian c) repairs or corrections not made when inspections called d)work not ready for
inspection when ca!!ed e) permit not posted on job site� 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 caunty, and there may be additianal permits required from other governmental
entities such as water management, state agencies or federal agencies.
"1Narning to owner: You'r failure to record a notice of commencer»ent may result in your paying twice for
impravements to your property. If you intend to obtain financing,consult with yaur lender or an attorney
before recocding your notice of commencement."
Complete Plans,Specificatians Must Accompany Application. All work shatl be perFarmed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MC►NTHS WITHUUT APPRt3VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
BU�.D�?�g��.�,COIU�.��.,Y WITI�
t�1.LL Am°PLICA.,yZi,E°3IJIL'JIN.�'i,
�����-a��- ��t�g�.� �.�so��-��s, ��c�.,�L.n�nv��
�����bu��a�-s +���ark������e �a�d��.gs/ S��gs�`�I���'�s���s.
8836 Gra11 Bivd�ephyrhills,�"L_ 33541.
Qffice: (833} 788-4011-Fax: (813} 715-41.24- Ce11: {813)361-9198
Date: ���""��Serial # Appz-aximate I3elivery I�ate
) � ;} R�Vl�ll�aA.7`E � �Q— �r
�l'ame: ,L._1�.l��f�- �D�y4 C1TY t7� ���yHY(�
t�i�.�s
r-- `� �- c� � (�,��-t�� P�AiVS EXAp�
Address: _�J �`t �`� � ,.�I ��ity: � �! iea e ch� �2.50/mile over�°{�i� ius
��. ���.--7�u- ���5 ��11: ���- - �7 ► �—� t3� `
Shed l��ce: $ � �o�
Additions: � » ���` �'�''
De�.etions: � �__
� � � T � �_ I�elive�y: � _.�-'''
0
�����h `` �.,� ��v����d � �
�����o � �--�
��%� Tat�: $ �r���� ��
L��gt�o
r y�e: Siz��1'�dt�i Size Length Siding Type � _ �
� l�,SLS C.) - '�„ I3-Lap �Q
5ub Tofal
, �all �c�� r Trim olor oof 1V.�aterial L�aor T e +� Tax o
.n� •� �� - f c��..-,._ `C� �
�aar�ge Windows - Switches: Lights: Totai o
LHQ 12.H[] SM � LG Outiets: Qe osit o
Payz�e�t:
� �ash: ❑ Credit Card ❑ Finance ❑ Vents
Ch.�ck: ❑ 2.�.- Balance $�.�+�
Balance dae at time of order unless oiherwise noted:There will be a 25%charge for canceled orders on Sheds,Swings and Raznps."The undersigned custamer�ants Inte,7rity
Resources Tno a purchase maney sectni?y interest in tbe mercl�andise desczibed above,which shall be deemed personal progerty of InYegtity Resouroes,ino.Shall be eniitledta
recover a?i tiis cost of coIIections of I7elivery and any amount dne or awing under tlus ageemeni ar in eanjunction with this agreement znolnding but not Iimited to attorneys fe�
cotirt cose and any other cost of coltecEions,I,egai venue wZll remain in Pasco County.The buyer is responsible for damage incurred by obstacles ihai have noE been removed and
for unflergrozmd urilities which interfere with the ancfior instaIlation.It is the buyer's resonsibiliy to obtain permits reqttired zegarding installa#ion of this prodnet Customer acce•
and a�ees to assume full responsibility and to indemnify.an8 hold Iutegr'tty Resources harmless from ail clazms including the cost of defense thereof involving the deliveries of
mercbaadise,use of Sheds,Swings aud Ramps as weii as c3aims for aay propertp darnage,bodily injuzy,or deatti due tq neg,ligence ofIntegrity Resonrces Inc.Customer wamnt
#hai aocessllocatioa provided for ihe building is su�cierrt to bear the weight of all equipment and vehicles required to petfoim the service.Neiiher the setvice provider nor
3ntegriry iZesaurc,�s Inc shall be responsible for damage to any pavement or accompanying sub-service ar any rouie reasonably necessary io perfoirn the service herein coutractec
or for damages to U�lities,property,lawns,fences,s�rubbery,drivervays,curbs,septic systems ar sprinkiers.Customer agrees to pay atl cost of attorney's fees and court costs.
iniegciiy Resources,ina reserves ihe zig�t to remove the bniIding from the buyer's property,subsequent to delivery,and the customer;ranis permission far removal, if the
custamer's cheak defaults,financing throu�U.S.Credit fails,or other 3'�pazty financing fails.
Accepted Customer Accepted Agent
�3�n��a�y ac��p��ce b� �aas$cex�ae�: �at�
���d,S�gs ar�a�na�+ �s c���+��te, d��aw�re�i as agre�� a.�ad( set u�is �o cust��ea-'s satisfa��iora.
a�saao-oo2o City of Zephyrhills Permit Application Fax 813-780-0021
Building Departmen#
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Date Receivecl:- _ k. .-. ,.�.._._-, .�t _; . ....„ Phone`Contact for•Permittin - .�:��:^>�.��:�:'.,_,�:, �o'7`'T �
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e,,..:,.'ti' ,,L-:.i.��� �v`�-r� . .. � ' `�:. ��: :�,,.,; -'„"; ': :. :". : g�3 7 $�} •l �{��
4wners'Narrie {. r, ., ,:OwnerPtione,Number:°'
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, ..,,..,, "J�` L-= ' �f R^N-u.�-s' �� �f z--Owner Phone Number
Qwner's Adclress �F� � _ _ _ --
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Fee Simp e TItleFiolder.Name? h �s Owner Phone Numbe�
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Fee Sim'ple Titleholder Address
J88 ADDRESS �5 `��1�� "�r z� l L-�' �L-• 3 LOT# E�
SUBDtVIS10N �— '_� PARCEI.tD# �/-°�a •cZl~�IG -/I,�jCQ � D l�r�
' (OBTAINEO FROM PROPERTY•TAX NQTICE}
WbRK PROPOSEC} ' e NEw CONSTR 8 �'�ADDlALT � 5lGN [� m DEMOLlSH
INBTALL X �REPAIR
PROPOSED USE Q SFR `Q COMM C� OTHER
TYPE OF CONSTRUCTION -Q BLOCK Q FRi4ME �, STEEL Q.
DESCRIPTION�OF•WORK .�NS"�!�t.L S�� J� �C J Z '
BtlILDlNG SIZE ��( }t !�-� �_,SQ FOQTAGE . '��� � HEIGHT ��� -
Q BUILDING � ��� �}� VAl:UATIO{V OF TOTA�CONSTRlJCT10Af�
. . � Z��• � �
QELECTRICAI, $ AMP SERVICE ` Q PI20GRESS ENERGY. �[� W.R.E.C.
�___� ' . �
OPLUMBING �y� , �t �l� _ Y
� �0
QMECHANICAL ' $ VALUATION.O�.MECHANICAI.�INSTALLATION-
QGAS Q ROOFING Q SPECIALTY [� OTHER
FINISHED FLOOR ELEVATIONS �y� FLOOD ZONE AREA QYES NO
BUILDER ' � '-�°'1,�,,,��,�� COMPANY �JdcJ`,�A- D`f�-�
SIGNATURE �'""" REGISTERED Y/ N 'FEE CURRE� Y/N
Address f:icense# � �
ELECTRICIAN GOMpANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N " ' `
Address Licefise# �— " �
PLUMBER . COMPANY `
SIGNATURE , .REGISTERED. Y l�N FEE CURBE�'., Y/N
Actdress " � .t3cense# � �
MECHANIGAL ' COMPANY
SiGNATURE ' REGisTEREO �. Y/ N . . ,.„F�e cu�en, Y/N
Address � ' � i.icense.# � `—...—.�
OTHER � � COMPANY
SIGNIATURE � � ' �" ' REGISTEREp " Y/ N ' FEE CURRE� Y/N
Address /, . . '�l:icense#'� �
RESIDENTIAL: , Attaoh(2),Plot:Plans;{2)"•sets�.of.'Building'`Plans;(1)set of EneigyForms;R=0-Nl�Permit for new construetion, ' `
� . Minimum ten,_(10},working days•after.submittal;date:;Reguired'onsite,��Construotion Flans;Stormwater Plans w/811t Fence installed,
Sanitary Facitl�es�&i.1•dumpster�Site;VYarli�Permit:for.subdivisEons/targe proJects �:�,t> _.-
COMMERCIAL , Attaoh(3�complete sets bfBuilding Plans p!u`s'a Llfe'Safety Page;(1)set of Enercrc�y Forms.R-O-W Permlt for new construct3on.
Minimum ten(10}working days�after submittal date. Required onsite,ConsWcUon Plans,Stortnwater Plans w/Silt Fence installed; --
' SanlNary Fac3lifies&1 dumpstar.Site Wark Permlt far a!1 new projects:°All�cammerciai requirements must meet compfiance
SIGN PERMIT Attach(2)sets�af Engineered,Plans..•:'- ' , � _ � '
""•PROPERTY SURVEY required for`aII�NEW construction: _
�irections: ; , '
Fill ouk application completely.
Qwner&Contractor sign back of appl3caUan,notarized ;
If aver 32504,a Notice of Car�mencement#s required. {AtC`upgrades over�7540)
'" Agent(for the cbntractorj or Powerof Attamey(forthe owner)wauld�be sortieone with notarized letter from awner autho�izing same
aVER THE COUNTER PEt2M11'TING_. {Front ofApplication_4nly}. " �
2eraofs if shingles Sewers 5ervice Upgrades A(C Fences(Plot/Suroey/Footage�
Drivaways-Not ove�Counter if on pubt3o roadwaqs::needs ROW
NOTICE OF DEED RESTRICTIONS: The understgned under.�tands that this.p�rmit may be subject to"deed"restricttons"
which may be:more restcictive.than County regulatlons. �The undersigned assumes responsibflity for`compliance with any
applicable deed restrictions. i
� UNUCENSED CONTRACTORS AND. CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required;to be:licensed in accordance.with state.and�local regulations. If the
cont�actor is not Ifcensed as required by law, both the owner and contractor may be cited for a misdemeanor violatlon
under state law. If the owner or intended contractor are uncertaln as to vvhat Ilcenstng.requlrements may apply�or the
intended work, they are advised to contact the.Pasco County Building Inspectton Divislon—Licensing Sectton at 727-847-
8009. Furthermore, If the owner has hired a contractor or contractors. he is advised to have the contractor(s) sign
portions of the "contractor �lock° of this appllcation for which they will be responsible. If you, as.fhe owner sign as the
contractor, that may be an indication that he Is not.properly flcensed and is not entitled to permitting privfleges in Pasco
' County.
TRANSPORTATION�IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY�FEES: The undersigned understands __
-----4hat-Tra�sp6�tation-i�n{��cF-rees-and-Ftecourse F�ecovery:Fees may apply to.the construction of new buildings, change of
use in existing buildings, o�;expansion,of��existing',buildings, as speclfled in Pascv County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees,.as�may�be due„wlll::be identified at the time of
permitting. It is further understood that Transportation Impact Fees and�Resource Recovery�`Fees must be paid prior to
receiving a "certificate of occupancy" or flnal power release. :If the,project,,does not Involve a certificate of occupan�y or
final power release;�the fees must be pa(d�prtor to permit Issuance. Furthermore; if Pasco County Water/Sewer Impact
fees are due, they must be-pald prior to permit fssuance-In accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes, as amended�: If valuatlon of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy-�of the "Florida�Construction Lten Law—Homeowner's
Protection Guide" prepared by tFie Florida Departme�t of Agricuitu�e and Consumer Affairs., If the applicant is someone
other than the"owner", I certify that.I have obtained a copy.of the above described'document and promise tn,good faith to
deliver ft to the°owner"�prioe to-commencement�.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certi,fy.that all.the inf.ormation in-this application is accurate and that all work
will�be done in compliance with all appitcable laws regulating construction, zoning and land development. Apptication is
hereby made to obtain :a permit Co do work.and installation as Indlcated. 'I certffy that no work or Installation has
commenced prior to issuance of a permit and that.all work will be pertormed to meet standards of all laws regulaking-
construction, County and City codes, zoning regulations, and land development regulations=in-the jurisdiction. .I al'so
certify that I u�derstand that the �egulations of other government agencies may apply�to the intended work, and that it is
my responsibility to identify what:actions I must take to be,in:.corr�pliance: Such agenc(es include but are not limited to:
- Department of Environmental Protection-Cypress.'Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management .District-Wells, Cypress. Bayheads, "Wetiand Areas, Altering
Watercourses.
- Army Corps of Engineers=Seawalls;`Docks, Navigatile Waterways.
- Department of Health 8 Rehabilitative Services/Enyironmenfal Health Unit-Well.s, Wastewater Treatment,
Septic°Tanks. � _ _
- US Environmental Protectior�Agency-Asbestos abatement. ;
- Federal:Aviation Authority-Runways.
I understand that the following restricfions apply to the use of flll:�
- Use of fill is not aliowed in Flood Zone°V"unless expressly permltted.
- If the fill material-is, to,b.e used in.•flood Zone "A", It is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which (s prepared by a professional engineer-
licensed by the State-of Florida. �
- If the fill matecial is to be used�in Flood Zone "A" in�connection�wlth.a permitted building using stem wall
construction, I certify that fill.w111-be used only to fill the area within..the stem wall.
- If fill material Is-to be� used in any area, I certify that use. of such flll will not�`,adyersely affect�adjacent
propertfes. If use of fill is found to adver5ely.affect adJacent properties,.the owner may bQ�clted for violating
the conditions of the�building�;permit issued�under the attached permit application; for Iots less than one (1)
acre which are elevated�by�flll, an engtneered drainage plan is required. .
If-I am the AGENT FOR THE OWPIER, I;.promiseatn good faith to Inform the�owner of�the:permttting:conditions.set forth in
this affidavit-prior to commencing construc8on. I understand that a_separate permit may be requtred for electrical work,
plumbfng, signs, wells,_pool�',t,af[��onditioning, .gas,,or:other.,installatfons_not speci�cally included-in.the application. �A
permit issued shall be coi�str.ued_to tie'a`license to proceed with the��work°and.not_as-authorlty.°to.violate,.cancel, alter, or
set aside any provisions of the technical codes; nor shall issuance�of a�permit.prevent the Buildirig Ofiicial from thereafter
requiring a cocrection af.errors.in.plans;-cons#�uction or violations of�any�codes..-Every-permit(ssued shall become invalid
unless the work authorized.by such permit�is_commenced witFifn six months of permit issuance, or if work authorized by
the pe�mit is.suspended oc ap�rldo►��d°for-a:�b��o$'of six'(6)-months,after.the time the work ts commenced. An extension
may be requested, (n writing;�from the.'Building,Officfal for a period.°not�to.exceed�ninety`(90)�days and�will�demonstrate
justifiable cause for theJextension: If work ceases.for ninety(90)cons.ecutive days,..the job is considered abandoned.
� - �:, -
WARNING TO OWNER:� YOUR.FAILURE•TO�RECORD�A,NOTICE�OF.COMMENCEMENT-MAY�RESULT tN�YOUR
PAYING,TWICE;FOR;IMP,RO.VEMENTS.TO:YOUR.:PROPER7Y.:�IF-YOU�INTEND"TO�OBTAIN•=FINANCING,�CONSULT
" WITH YOUR LENDER OR AN A7TORNEY�EFORE�RECORDING YOUR NOTICE`OF COMMENCEMENT�
FLORIDA JURAT(F.S:A:17°03� " - - " � � � - ` '
OWNER OR AGEN1�'=�!�� !'.���'"- - CONTRACTOR` �^ ``• � L/� ,
Subscrlbed and swom to(or a�irmed)before me this Subscribed and swom (or afffrmed)�before rtie�ttiis -
by :by.; , ��: ;ry _ ,
1Mio Isla�e per 'nally know,n to.me;or-has/have produced, �Who,ls/are personally known=to,me:or•has/have�produced:�• �
'as IderiUflcatlon. as idendftcafion.
Nota Public _ (� �
, , , �Y. , . Notary Publlc,
Co Comm
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-;�l;q:%yyF,, . ,,,y�,.,.,
,,,; ;:: Commission#FF 137073 ti�ev•, JOEL E.BACON
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Name o � �(A d Name �pe��gt�g��d �
�'�P�Ey°.• Ba�dedThn�TmyFeinlnsurance8W385•7019 ;� • ,
�%'F�,',PF�°:�, Bonded Tlw Troy Fain Inswanee BOOa85•7019
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