HomeMy WebLinkAbout15-16470 ,!_ - ' CITY OF ZEPHYRHILLS
5335�-8TM S'fREEt'
($�.3}780-0020 164 {�
BUILDING PERMIT
PERMIT INFORMATIUN LOCATION�INFORMATION
Permit Number: 16470 Address: 381'!2 15TH AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADDlALT RE�lDENTIAL Township: Range: Boak:
Proposed Use: COMMERCIAL Lot(s): Black: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Num6er: 11-26-21-0010-01200-0250
improv. Cost: 2,200.00 OWNER INFORMATIQN
Date tssued: 712912015 Name: NYE, McA�VANAH & HENSON
Total Fees: 75.00 Addr�ss: 38112 15TH AVE
Amount Paid: ?5.00 ZEPNYRNI�LS, FL. 33542
Date Paid: 7/29/2015 Phone: (813 715-0228
Work Desc: lNSTALL K IVID�R WALL
CONTRACTOR S APPLICATtON FEES
B BB E. ILT CO I C BUI DI FEE 75.00
�Z - � � -�! S
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� Inspec ions Re uired
F TER 2ND ROU PLUMB I MI ! TIO CEIL
FOOTER BOND DUCTS INSULATED I SEWER MISC.
RQUGH ELECTRIC LINTEL —�— MISC MISC.
1S7 ROUGH PLUMB PRE-METER I INSULRTlON WALL MISC.
DUCTS INSTA��ED WATER I MISC dR1VEWAY
PFtE-SLAB SHEATHING I MISC. MISC.
CQNSTRUCTION PQLE FRRME ( MISC. MISC.
REINSPECRON FEES: Reinspection fees will camply with Florida Sta#ute 553.80 (2)(c)when e�ctra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resuiting
from faulty construction c) repairs or correctio�s not made when inspections calted d)work not ready for
inspection when called e) permit nat 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 faund 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.
"iNarning to owrter: Your failure to recard a notice af commencement may resutt in your paying twice for
impravements ta your property. If you intend�o obtain financing,consult with your lender or an attorney
before recarding�our notice of cammencement."
Camptete Plans,Specifications Must Accompan�Apptication.All wark shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEPO C.O.
��
CON RACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MGINTHS WITHOUT APPRUVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FRBM 1NEATHER
8i�3-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
' Sulldir�g depattment
Date Recefvad Phone-Contact f r Permtttin ��J ��� - ��d '�
Owner'sName !'�IV � i }� I OwnerPhoneNumber �`O�{1'-�tiY� �J
Owner's Addrass � Vv C� ' �j! 1 i � Owner Phone Number �� �
� - �3�[5-D�2�'—�c,�o�)
Fee Slmple Tltleholder Name ' Owner Phane Number �
Fee Simple Titleholder Address
�
JOB ADDRESS p� �- 1�� /�'tJ G` Z� r �r 33�'-/'� LOT# �
suaaivisioN ��_ ` � PARCEL ID# t �—�6-a!— a�l �� o i�.c�n � e a S c
WORK PROPOSED , NEW CONSTR � ADD/AL� � S1GN NEO PR�pM PROPERTY7��NOS�CE)DEMOLiSH
eINSTALL 8 REPAI �
PR4POSED,USE Q SFR � COMM � OTHEFt
TYPE OF CONSTRUCTION [� BLOCK Q FRAME �� STEEI.� Q
DESCRIPTIQN OF WORK �'t�� ��' �1 i h ���*, 1�VA I�S il �1 ��, /�Q,� ` ��'�
, f
BUIt,DING SIZE � —� $q.FOOTAGE ��W�i,► HEIGH7 �
OBUI�DING $ or
��a�Q�� VALUATION OF TOTAL CONSTRUCTION
QEE.ECTRIGAL �� AMP SERVIGE Q PROGRESS ENERGY Q W.R.E.C.
_,,, ���
o�����,�� C ., � ���,
OMECHANtGAL $ VALUATION OF MECHANICRL INSTALLATIQN �
�
� �%�-�
OGAS Q ROOF4NG Q SPEC!+ITY [� OTHER' ����'�
FINISHED FLOOR ELEVATIONS FLOOD�ZONE AREA QYES NO
SUII.DER y�1 111 ff.^1I �{ COMPANY L�� �+� C'iN C.G NS�� Z,(x•
SIGNATURE ��'LC���"` C}�� �� '� U ' REGISTERED Y/ N FEE CURRE� Y/N
Address `��-"jyv� C���5 �/fP�v ��a Z-/-�/a 1 L"icense# � �
EEECTRiCUlI�I C MPANY
SIGNATURE tte i Is'reRe� Y/ IV FEE CURREt� Y/N
Addre�s � Ucense# � ���
PLUMB6R CBMPANY
SIGNATURE RE�ISTERED Y/ N FEE CURRE� Y/N
Addr��s ( License.# �— —�
MBCHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CUF2RE� Y/N
Address � License# � �
O�IEF2 COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreas � ` Ucense# � �
REStDENTlAl. Attach{2)Piof Flans;{2}sets af.Buitding'Plans;{1}se�af Enerc�yForms;Ft-O-W Permlt far new construction.
Mintmum,ten(10)working;days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FacillUes&�1,dumpste_r,Site°Wark ReRnit for subdivisio�sAarge•praJects
COlIIIMERCIAI. Attach{3)complete sets of Building Plan's pius a l.Ife Safety Page;{1)set af Energy Forms.R Q-W Permit for new canstruction.
Minimum ten(10)working days'after submlttal date. Requfred onsite,ConsUuction Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Faciiitles&4 dumpster.Site Work Partnit for�(I new proJects.All commerclal requfrements must meet campilance
SIGN PERMIT Attach{2}s`sts af Engfnee�ed Plans.
""•PROPERTY SURVEY reguired for all NEW cons ctian.
Dlrectlons: , %" ` _ ;` <
Ffll out application completely. �} . , • �t � �
Qwner 8�Contractor sign back of appifcatlon,notarized'�. � �, � , '
lf over�2600,a Notica of Commencement.is rsqulred: {AIG upgrad'8s over 5T500j �-- - - , .+ ?,_'�, --
.,,�
" Agent(for the conUactor)or Power of Attomey(inr the owner)would be someone with notarized letter fram owner authorizing same
_ . - .�.,.�.. �.. _._ ....t _....:u.._
OVER THE COUNTER RERMITTING (Front of Apptication Oniy)�t., '" "`. "-'�"prv." ';?:) ,� =, -;, , ,.
Reroofs if shingles Sewers Servics Upgrades AJG> ' -Fences(PIoUSuive,y/Footage) : � � � . ., r, ,,, '� • �
, °,r; '� ;:s°, , _;:z. , , "'`.. '
Orivsways-Nat over Caunter if on public roadways::nei�ds'ROW . � r. , ` ' °• � � � -- J�'--, , `
. : ,. ' ` >.._- ... � . .. ...... ... ..� .,,.� ....: .:t•�.. .. . .
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NQTIGE O�QEED RESTRICTIONS: Ths undersfgned undergtands��th�t:thls permttm�y.be.subjec#to"deed",restrictions"
which may be�moce`restrictive than Gounty'�r�eguiations:'The�undersigned°assumes responsilali'Ity for�compitance with`any
applicable deed restNctfons. • .�
UNlICENSED CQNTRACTORS �AND Ct"�tNTRACTOR RESPONSIBtLlTIES: •(f fhe owner-has��hired a cont�actor or
contraotors to undertake work, #hey may.be.cequ'ired:.ta�be<Ilc�nsed In accordance.wlkh state.and•local regulatlons: :If the �
cont�actw ts not Ilcensed as requlred�6y law, both the owner and contcactoT�i»ay be-dfed-fora�misdemeanor viola#ton
under state law. if the.awner or intended aontractor�are unaertaln as to wrhat Itcensing.requlrements may�apply-for,�the
intanded wark+they are advised to cantact the Pasco County 8uilding Inspectton Dtviston—Llcensing 8ection at 727-847-
8009. Furthermore, tf #he owner has htred a aontractor or confractors, he is advEsed`ta have�the contractor{s) sign
portians of the "cantractor Block° of this appllcatian for wh(ch they will be responsible. If.you�-as.�.#he owner'�sign°as the
contraator, that may be an lndieation that he is nat.properly 13censed and Is nat er�tltled to per�ltting prEvileges in Pasco
County. '
TRANSPORTATlON lMPACT/U7ILITIES IMPAC�'ANb-ttESt?URCE RE�OVERY FEES: The understgned understands
that Tran�portatian Impact Fees�nd.Recourse Recove.ry.Fees may.��apply ta the+construc#ion af new buifdings,�,change of -
use in existing buildings, or�.expansian�.of-�existing'�buildings, as specifled.In Pasco County Ordinance number 89-07 and
9Q-07, as amended. �he undetsigned also understands, that�such fees,.as>may�be:.due;�wlll..be Ideritt�ed at the�#ime of..
permitting. It is further understaod that Transporkation Impact Fees an.d�Resource Recovery°Fees.must be pafd prior to
receiving a°certlficate of�occupancy" Of fIR21).�OW@f f8I888@. :I�'�Ehe pro�ect,does.no�lnvolve;a certlficate s�f occupancy-or
tinal power reiease, the fees must be paid prior ta permit issuance. Futthermore;ifi Pasco.County�VNaterlSewer impact.
fees are due, they�tnust be-paid prior to permit-Issuanca-in acaordance with applicable Pascv County or"dinances,
CONSTRUCTCON 1.lEN`l.AW{Clt�pt+BtC_713�FIOtIdB StfiEUt�S�Ss�Rterld�Bd); if vatuation of rrvork is$2,500.00.or more, i�
oertiry th�t. I, the,applicant, have been :provided with a copy of the "Florida Construction Llen _Larnr:Homeowner's
Protection Guide" prepared by the FEorida Department of Agrtc.ulture and CorisumerAfFairs. If the appltcant Is sameone
other than the�owner", i certify that I h�ve.obtatned a�capy;of.the:above..de�cribed document�and promise in.goad faith to
deliver ft to the°owner"�prior to>commencement; " .
CONTRACTt}R'SIOWNER'S AFFIDAVIT: 1 ceif€�r:that•alt the.information im thi�.applicatfon is accura4e and that a1i work
will�be done in compliance with all appl(cable laws regulating constructlon, zoning and�land develapment. Appltcation is
heceby made to obtaln .a.permi# to do work.and- instaltatlort as indfca#ed,=, 1 certlfjr tha# no worlt or Inst�ltation has
commenced prlor to issuance of a permit and that.all work�wlll be performed ta meet standards 6f ail laws regulaxing�
constructlon, County and Ci!'y.,�codes, zoning regulations, and Rand devefopment r.egulatlons-in the jurlsdictfon. 1 also
certify that I understand that the`reg�ilafibns af other government agencies m�y apply�to the intended wark, and that it is
my responsfbility to iden#iM'jr�what.actions I must take.to be,in:.catrlpliance. �uch agencles include bw#�are.not limited to:
- Department of E�vironmentat ProtectiorrCypress.Bayh�ads; V1tetland Areas and Environmentaliy Sensitive
l.ands, WaterMlastewater Treatment.
- Sauthwes4 l�lorida Water Management Distrlat Wells, Cypress. Bsy.heads; We#lan� Areas, Altering
Watercourses.
- Army Corps af Englnee�s-Seawalls� Docks� Navigable Waterways. �
- Department of Health & Retiabtlit�tive_ServiceslErnrfronmental Health Unit Weiis,.1Nastewater�Treatment,
Septic Tanks. � � .
- US Environmental Protectlon Agency-Asbes#os abaEemea#. �
- Federal Aviatlon Authority-Runvi►ays. •
I understand that the follo'wing restrlctMons apply ta the use of flll:�
- Use a€#it1 is not aHvwed 3n Flaod Zo�e"V"unEess expressly permitted.
- If the fill ma�terial is to be used, in �Flood Zone °A", it. ts underst6od that-a drainage plan addressing a
"campensating volume" wlil bs subr�ifted at t�me of petmlfting w�ii�h 1s prepared by a professianal engtneer
licensed by�he State-of�Florida.
- !f the fill matertal Is-to be used In Fload Zane °A" In�connectian�wlth.a pecmitted buiiding using stem wall
� construction, l ce�tify that fiit�wall:be used only.to fill the area withtn the stem�avali.
- �If fill material is to be used in any area, 1 certify that use. af such flll will not adversely affect adjacent
properttes, If use of fill is found to adversely:�ffect adJa�eryt��prapertles� the awner may be cited fo�vtalating
the conditions of the-buiiding,pe�mit issued under the attached permit applicatfor�, for.lats less than one (1)
acr$whtch are efevater!by i�1l;an engEneered drainage pian is required. .
If t am the AGENT FOR THE OWNER, I,�promtse in goad faith#o tnfarm the owner of�the:permitting conditions set forth In
this affidavik prlor ta commer�cing constructlon. ! understand that a�separate permtt may be tequtred for electrica! wark,
plumbing, s�gns� wetls, poals; atr condttt�ning,.gas,.or other Ins#�It�it€bns nof.spec�icatly inctucied�in.#he appl[ca#aon. A
- perm6t�issued-shall be-constcueid-to be�a Itcense to p�oceed wifh the vi►ork and not as.authori#y to,vialate;cancel, alter, or
set aslde any provisions of the technlcal codes; noc shail issuancs�af a permit.prevent#he�ultciirig t�Iclal f�om thereafter
requlring a aorrection af errors in plans, constructian or violations of any codes. Every permit Issued shall become invalid
unless the wrark authorized.by such permit ls-commenced�w[th(n si�c months o#permtt Issuance. or if work authorized by
#he permft Is suspended or.abandoaed for a perlad af si�e{8)montF�s.after the time the�wai'ic is commenced. M extensEon
may be requested, in writing, ftom the Building.Officfal for a perlod not to exceed ninety(90) days and will demonstrate
—Justifiabie cause ior."the e�tlension:�f vitor�ceases for niriety-{90}c:ons�cutive days;-.tF���rib 1s:cs�nsi�det�c3 a�ian�far�ed. - -_
WARNING TC! OWNER: YOUI�.FAILURE-TQ.REGORQ A:Nt?TtGE OF COMM�MCEMEI�tT�MAY°RESULT IN YC?UR
PAYtNG TWtCE 1=0R iMPROVEMENT3 TG YOUR�PROPERTY. f�YO.0�INTEWD�`TQ�OBTAIN�FINANCING,�GONSULT
WITH YOUR�,END�R O F AN ATTO,�tNEY BfFORE�RECOR�WI f�YOUR NOTICE'OF'�COIWMENCE�ENT,
F�aRft�a auwt�{�.s.t.�r.os� �- - .
QWNER OR AOBNT�%�"�:d�`s''.�'" � CONTRAGTO �
�4
Subscribed and swom fia(or aflf ed}befare e thls i Subscr�bed snd'swom to{ afRrm�d)�be�•thts
by =by
Who IsJare pensanally known tame or has/have produr.�d Who is/are personally known M m. r has/have produced •
a tdend��Non, as[dan��catian.
ry Pubiic . � Notary Publlc
Com lon Co��ls
y�S�y.Y A��qi ddE�E.8AC .. .
�,r' `,.n�i,p�
=�`� mmission#FF 137073 s�c�'�x�:;4�: JOEL E.BACON
Name ot Nota . . .te�kpi�� > Nam �e 1��@t� t6Fn1�73
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