HomeMy WebLinkAbout15-16471 CITY OiF ZEPHYRHILLS
: 5335-8TH STREET
. tsis��so-oozo 1647
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BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16471 Address: 3647 BLACK DIAMOND DR LOT 239
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s):LOT 239 Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 1,700.00 OWNER INFORMATION
Date Issued: 7/28/2015 Name: NHC-FL115 LLC
Total Fees: 67.50 Address: 3647 BLACK DIAMOND DR
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542
Date Paid: 7/28/2015 Phone:
Work Desc: STORAGE SHED 12 ' X 12 '
CONTRACTOR S APPLICATION FEES
SUNSTATE ALUMIUMN NC BUILDING FEE 67.50
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Ins ections Re uired
FRAME
SHEATHING _
FINAL �,j� � � ° I �
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting
from faulty wnstruction c) repairs or correctio�s 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 mana ement, 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 to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must AccompanylApplication. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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`� CTOR SIGNATURE 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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813-780-0020 City of Zephyrh}Ils Permit Application Fax-813-780-0021
Building Department
Date Recelved �� 2.�� phone-Contact f r Permittin
Owner's Name �l � Owner Phone Number
Owner's Address �J�o�� �j X'yL (�'fY� tJ Owner Phone Number
Fee Simple Tltleholder Name Owner Phone Number
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Fee Slmple Tltleholder Address
JOB ADDRESS ��-Y� � � �'�,I'YI�i.]Q LOT# �
SUBDIVISION t'�1Q�•.Q`SL 1 C. O��L.S PARCE�ID#
�� � (OBTAINED FR�OM PROPERTY T�nce►DEMOLISH
WORK PROPOSED NEW CONSTR ADD/A SIGN
INSTALL B REPAI
PROPOSED�USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME� Q STEEL Q
DESCRIPTION OF WORK ��1� ST'�Q.p
BUILDING SIZE �a I Z SQ FOOTAGE�, HEIGHT
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�BUILDING $ �O v t,.� VALUATIO I OF TOTAL CONSTRUCTION
, QELECTRICAL $ AMP SERVICE
Q PROGRESS ENERGY � W.R.E.C.
QPLUMBING $ �^ �
\
QMECHANICAL $ VALUATIO OF MECHANICAL INSTALLATION �\�
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QGAS Q ROOFING Q SPECI I LTY � OTHER
FIIVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER �Mpq� �1� �� (�y�y�.1
� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
� ELECTRICIAN COMPANY
SIGNATURE RE�ISTERED Y/ N FEE CURRE� Y/N
Address I Ucense#-
PLUMBER COMPANY
' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addresa I License#
MECHANICAL COMPANY
SIGNATURE RE�ISTERED Y/ N FEE CURRE� Y/N
Address I License#
OTHER COMPAIdY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� '4dd�e$g I License#
RESIDENTIAL Attach(2)Plof Plans;(2)sets of Building'Plans;(1)se of Energy�Fortns;R-O-W Pertnit for new construction,
, Minimum:ten(10)working days after submittal.date. equired onsite,Construction Plans;Stormwater'Plans w/Silt Fence installed,
$anitary FaciliUes.&1,dumpster Sita Work Permit for�ubd(visionsllarge pro)ects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. f�equtred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliUes 8 1 dumpster.Site Work.Permit for all new projects.AII commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Eiigineered Pians. � � ""
""PROPERTY SURVEY required for all NEW construcUon. ' - __ �
Directions: �
Fill out applicaUon completely.
Owner 8 Contractor sign back of appltcaUon,nota�ized
If over 52500,a Notice of Commencement is required. (A!C upglrades over 57500)
" Agent(for the conUactor)or Power of Attomey(for the owner)would Ibe someone with notarized letter from�owner authorizing same_
DVER THE COUNTER PERMITTING (Front of Application Only) :i � .. •, -'',
Reroofs if shingles Sewers �� -Service Upgrades_A/C Fences(PIoUSurvey/Footage) - " �';' � -�- �' -��`: ��;' ,., - �
; ., . - • �� ..� ;� . w. �': ��
. . • , �� '• ,. �t. ,, , '�., . _' ' ' � �.
Drlveways-Not over Counter•if ori public roadways..needs R01N . , _,� , _' - � �� � " "
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NOT'{CE UF DEED RESTRICTiONS. The ufldersigned understan�s�:th�t thls.p�cmif.m�y.be,subJecfi to"cleed"restrEctions" .
which may be:mare.restctctive�tha�rt County�regulatlons:�The undersigned:�ssumes responslbility far�compliance witFi'any
appUcable deed teshictions. . `
UN�ICENS�D CANTRACTCfRS AND CCtNTRA►CTOR RESPONSIBILITIES: tf the owner has hired a canhact+�r or
contractors to undertake work, they may.be:r�qu1red,ta be;ltcensed In accardance.with state�and�local regulattons. •If the�
contractor is nat IEcensed as�requlred��6y law� both the owner anc!-contractor--may be cfted-fora misdemeanar vlolation
under state law. if the owner or Intended�.contractor are uncertaln as to what (lcensing.require�nents,may•apply-�for�khe
intended work, they are advised to contact the Pasco Caunty Building Inspection D(vlslon--Licensing 3ectian at 727-847-
8009. Furthermore, i# the ovmer Ftas hited a canhaator or confractors, he is advised to have the contrac#ar(s} sign
portfans of the "contracta� Block" of this applicatian for which they will be.responsible. . if yau,_�as.lhe owne� sign�as tfie
contracfor� that t»ay be an Iridicatlon that tie is not.proparly licensed and is noC entitfeci tb perriiltEing privlleges in Pasco
Counly. • � . •
TRANSPORTA710N lMPACTIUTlLITIES�CMRAC't'ANd RESC?URCE RECQVEEtY FEE3: The underslgned understands
that Transportatian impact Fees and.Reca.urse Recove.ry.Fees may�•apply�to the consttuctian of new buildings,:change of -
use in existing buildfngs, or.expansio��-of-�existin,g�buildings� as specified in Pasco County Ordinance number 89-07 and
90-07� as amended. 7he undetsigned also ctnderstands, thait�suclt fees,:as��may_�be due; wllt�6e identified at the titrie of
permitting. It is further understood that Transportation impacf Fees and Resource Recovery�Fees must be peld priar to
rece�ving a "certl#icate of occupancy"or flnal power. release. :4f the pro�ect:does n��involve a cert�icate of occupancy or
finat power release, the.fees must ba patd pr.tor to permit lssuance. F�tthermore,�lf Pasco.Couniy WaterlSewer Impact
fees are due,they mus#be�paid prior to permit Issuance=ln accordance w(th applicable Pasco�.County ordinances.
CONSTRUCTION Cl�N E.AW{Chapfef 713� Flor�da Statutes,as ameridedj: if'vsluatian of work is$2,500.00 ar more, i
certify that I, the, applicant, have-been providetl with a cnpy of the "Florida-Constructtan Lien.Law—Homeowner's
Proteatiot� Gutde" prepared by the Flarlda Depattme�t of Agrtsufture and ConsumerAffalrs. If the applicant Is someone
other than#he"ow�e�", I certify that I have,abtained a-copy;of.the abQVe.descrlbed document°and:promise in,gaod faithto
deliver it to the°owner"prior ta}commencement: '
�ONTttACTOR'S/OWNER'S I��fICiAViT: i cecfi;ity that all th+�.inf.ormatlon In thts application is accurate and that ali work
will'be done in comptiance with ail applicable laws regtilating construction, zontng and land development. Applicatian (s
hereby macfe to obtain .a pernnit to do_wark.,and Insfallation as IttdEcsfed.. :1 ce�iFy that no wortt�..ar 3nstalla#ton has
commenced prior to Issuance of a permit and that.all work will be pertormed to meet standards of all laws regu(ating-
construation, County and Cit�r codes, �oning regutatic�ns, and land develapmer�t regulattons�in the jurlsdiction. i ai'so
certify that 1 understand fhat�the�regulafions of ather government agencies may�apply�#o the intended work, and that it is
my responstbility to identify�what:e�tlons I must t�ke to be,tn:.corrlpliance. Such agencies.include bwt are.not Iimited ta:
- Department af Enviranrihental Protection-Cypress.Bayheads� V1►etland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida V1t�ter Management Dis#ric#-Wells, Cypress. Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Eng(neers-Seawalls;:Docks, Navigable Waterways.
- Department of Health � Ret�abilitative ServiceslEnvironmen#al Health Unit Wells� WastevMtater Treatment,
Se�tic Tanks. .
- US Environmental Protection Agency-Asbesios sbatement.
- Federal Avlatlon�Authority-Runways.
!unde�stand that the following.restrictlons apply ta the use of flll:•
- Use af fili is not atiawed in Fioad Zone"V"unless expressiy permitted.
- If the fi11 material is to be used: in �Flood Zone. "A", (t (s understaod #hat a drainage plan addressing a
"compensating votume"wIl{ be submitted at time of perm�tttng whlch is prepared by a p�ofesslonal engineer
Ilcensed by the State-of Florlda. '
- tf th� fill material Es to be used in Fiood �ane "A° !m connec�ion�wlth.a }�ermitted buitding using stem waN
� construction, i certify tha#fiil:wiMl:be.used only to.filt the area withln:the stem�wa11.
- If flil material is to be usad in any area, I��certlfy that use. of suah fll! wlll not adversely affect adjace�t
, prapertles. !f use of fill is found to adversety:�ffect adjaEent•�properties,,the owner may be cited for vloCating
' the condi#ions of the buliding,permit Issued�under the.at�ached�ermit applicatlon, for:lots less than one (1)
acr$whfch are elevsted�by fl1E,�n englneered dralnage plan is requtred. .
If I am the AGENT FOR THE OWNER, I,�promise I� good fatth to inform the owner of�#he permitting condfttons set forth in
this a�davlt`prlor to commer�cing constructian. I understand that a-<separate permlt may be requtred for electrlca! work,
plumbing, signs, wetls, paols;, a€r condit�oning,.gas, or other installattans not�spec�tcally included�in.the appiicat�on. .A
permit issued shall be constcued to be a Iicense to pmceed with the work and not as:authortty to,violate, cancel, alter, or
set aside any provisians of#he#echalcal codes; nor shall lssuartce=of a.permi#.pcevent the Bulidirig O�ficlal from thereafter
requtring a correckton af errors in plans, construc#lon or vlolatlons of any codes. �very permit issued shall become invalid
unlsss the work author(ted.by such permit�ls_commenced�wtthtn stX months of permlt Issuanae, or If wark aathorized by
#he permit is suspendad ar.abandoned fior a:periad ofsix{6)monti'is.after the time the�work ts commenced. An extension
may be requested, in writing, from #he Building.Official for a period not to exceed ninety(90}days and will demonstr_ate� _Y_._�
j�s#��iable-cause tar.the s�e��io�:Jl��wrorit�ceases:for ninefy{90}consec�4lve.-days;-#���ob is.consldered aba�doned.
WARNING TQ OYVNER: Yt1Ui�.FAlLURE�TO.�REC.Ct�tD A NQTtGE OF COMMENCEMEMT NtAY RESUl:T fN YQUR '
PAYING TWICE��R iMPRC,1�/EMENTS T0 YOUR PROPERTY. i�'�YOU�IN�E�D°TQ'OBTAiN•Fif�tacT1C1NG;�CONSULT
WIT Y U D O AN ATTORN ORE CO �� G:� OU '` O �
PLORIDA,lUt2AT�{F.S.1.1T.03) �,�..���.�-==�=.�
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OWNER OR AOENT ..� ./..-���=1'.���-�:i" —CONT �
,� ,�r�.f'_ ..�—��" ..
Su�scrlbed an �.�,�,,,�� ��IT�i ~ a rmed}-before tne tlit�
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Who Is/are personally known to.me or haslhave produced Who.ls/are p.ersonelly known•tv me or has/have produced •
as tdenliRcaiion. as tden8�cation.
otary Publla . Nofary Public
Commi n No. ..r!rr+'�i°'�`� CommG�sta o,
�I ;�;'ey"' `1��`
�; Gommission#F F 137073
� Name at Notary ' � ' �aas-7o�a Nams aE Notacy tyAed. nt�s� ammissioa#FF 437073
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� ,;= Expires June 29,
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0.` QandeB Thcu ifoY Fein Insuranea 8�0''�5'T019
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
�GCl�S7�`F� J�G� `
Contractor/Homeowner: � �����
Date Received: _ /'ZZ'`�
s�te: 3��'� �l �ia..��o�
Permit Type: 2- � � Z `� , ��5"�t
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 pernut andlor plans. �
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Kalvin Switzer s Examiner Da e Contractor and/or Homeowner
(Required when comments are present)
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