HomeMy WebLinkAbout15-16498 �
C1TY OF ZEPHYRHILLS ��
� ^ 533�-8TH STREEf
{sls}7sa-aa2o 16 98
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BUILI�TNG PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 16498 Address: 39721 COG HILL LP LT 92
Perrnit Type: ADDITIdN/ALTERATIClN ZEPHYRHILGS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: Nt�T APPLICABLE �ot(s}: Block: Sectian:
Square Feet: Subdivisian: MAJESTIC OAKS
Es#.ifalue: Parcel Number: 24-26-21-4Q30-00000-4750
Imprav. Cost: 18,000.00 OWNER INFORMATION
Date tssued: 8/1212415 Name: NHC FL115 LLC
Total Fees: 2�F0.00 Address: 699'1 E CAMELBACK RD STE B 310
Amount Paid: 240.Q0 SCOTTSDALE AZ 85251
Date Paid: 8/12/2015 Phone: 813-7$3-7518
Work Desc: 13 X 37 WOOD DECK W/GLASS ROOM
CONTRACTpR S APP�ICATION FEES
S STA E A INC B DIN FEE 180.00 ECT CAL F E 60.00
JAMES Q MORTON ELECTRlC CO.,{NC.
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lnsqections Re uired
F O ER 2 ROU�fi PCCI�MB IS INS TIO CEIL G
FCIOTER BOND t}UCTS INSULATED ( SEWER iV{iSC.
ROUGH ELECTRIC LWTEL I MISC MISC.
; 1ST ROUGH PLUMB PRE-METER ^�- INSULATION WALL MISC.
' DUCTS IhlSTALLED WATER I MlSC DRIVEWAY
PRE-SLAB SHEATHING I MISC. MISG.
CONSTRUCTION POLE FRAME I MISG. MISC.
REINSPECTION FEES: Reinspection fees wilt cortlply with Ftorida Sta#ute 553.80(2}(c)when eactra inspection
trips are necessary due to any one of the follawing reasons: a)wrong address b) condemned work resulting
� from faulty canstruction c) repairs ar correctio�s nat made when inspeckions called d)wark not ready far
' inspection when called e) permit nat posted on job site fi) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permi , there may be additional restrictians applicable to this praperty that
may be found in the public recards af this county, an there may be additiana! permits required frorn other government.�l
entities such as water management, state agencies or federai agencies.
"Warning to awner; Your failure to record a nbtice of commencement may result in your paying twice for
impraverr�ents to your properly. If you intend ito o6tain financing,consutt with yaur tender or an attorney
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before recording your notice of commencement.
Camplete Plans,Specificatians Must Accompan�t Applicatian.All work shali be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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OR SIGNATURE PERMIT OFF( R
PERMIT EXPiRES IN 6 MONTHS WITHOUT APPR4VED INSPECTION
CALL FOR INSPECTIQN - 8 HOUR NOTICE REQUIRED
PRC?TECT CARD FRQM WEATHER
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City'of Zephyrhills
BUILI7INCJ PLAN REVIEW COMMENTS
Contractar/Hameovtmer: � � �l��t�+�
Date Received: �~ �-' �s
Srte. .�j' 9 `�2-/ (�e Gl�nll
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Permit Type: 3 G�� ,�C�{,.� s 7�'� �"C�.SS(��
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� Approved w/no comments: Approved wlthe belaw comments: ❑ Demed w/the belaw comments: ❑
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This comment sheet s all be kept with the permit dlar plans. �
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' Kalvi S itz — lans Examiner Date Contractor and/or Homeowner
{Required when comments are present)
a�s-7eo-oo�o City of Zephyrhi,ls Permit Application FaX a�sasaoo2�
Buitdin Department
Date Receivsd - �:- � phane-Contact fo Permttfin
pw�g��g N�m$ � Owrner Phane Number
Owner's Address 1 � Qwner Phone Number �� �
Fee Simple 71tleholder.Name Owner Rhone Number �� �
Fee Sfmple Titlehalder Address
JOB ADDRESS t LQT# �
SUBdIV1310N �1Q Q S'��.. dO�Cb PARCE ID#
� (OBTAINED FRQM PRdpERTY TAX NOTIGE)
wqRK PROPOSED NEW CdNSTR ADDlAL [� SIGN Q Q DEMQLISN
� INSTALL 8 REPAIR
PROPQSED USE SFR Q CQMM L� QTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK ����� ���� ��VR-� �� '��.1 ?��7
BUILDING SIZE � � SQ FOOTAGE HEiGHT ��� ���'�����
�BUILDING $ � pO� , VALUATION OF TOTAL CONSTRUCTtON
�EIECTR)CAl $ t��� � AMP'SERVI E Q PROGRESS ENERGY Q W.F2.E.C.
QPIUMBfNG �s_--_i� � ����f�
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QMECHANIGAI. $ VAl.UATtO OF MECHANICAL INSTALIATION
[�GAS Q FtOOFING Q SPECI TY � OTHER
FINISHED FLOOFt ELEVATIONS � FLOO ZONE AREA QYES NO
BUILDER �~'�~�"� � �MPANY ��� �1�'�"Q.
SIGNATURE RE ISTERED Y/ N FEE CURRE� Y/N-
Address License# � �
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ELECTRICtAN /�^��� ` COMPANY G.��
SIGNATURE ��~ R GISTERED Y/ N FEE CURRE� Y/N
Address (.icense# � �
P�UMBER C MPANY
SIGNATURE R GISTERED Y/ N' FEE CuRREA Y/N
Address License# � �
MECMANICA! C MPANit
SIGNATURE R GISTERED Y/ N FEE cuw2E� Y/N
Address �icense# � �
OTNER COMRANY
�IGNATURE R�GIS7ERED Y/ N FEE CURREA Y/N.
Address - - - -- - - - - - ( - -- license# � --- -- - - �
l2ES1DENTIAL - Attacti(2}Plat Rlatts;{2}sets af Suilding"Plans;{1 j s af Energy Forms;R-O-V1t Petinit for new constnsotion,
Minimum,ten.(.1.0).working�days after,submittal date. equired onsite,Construcdon Plans;Stormwater Plans w!Siit Fence instalied,
8anitary FaciliUes&1:dumpster,Slte Work Rermit#o subdivisionsAa►ge proJects
GOMMBRCIAL Attach(3}comptete sefs of Bailding Pians pSus a Life�Safety Fage;{1}set of Energy Farms.R-O W Permit tor new cans#suctlon.
� Minimum ten(10)working days after submfttal date. 'Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed,
Sanitary Facl{ides&1 dumpster.Site Wark Pertnit fo�.aU new proJects.All commercial requirements must meet compllance
SIGN PERMIT Attacii"(2}se#s of Eflglneered Plans.�. ° �• ' .
••"PROPERTY SURVEY required far all NEW cons ct(on.
Dtrection$:
Fill out application completely.
Owner&Cantractor slgn back of appitcatlon,notarized
tf aver�2500,a Nottce of Commencement is required. (A!C upgrades over 5�7500)
'" Agent(for the contractor)or Power of Attomey(for the ow�er).woul be spmeone with notarized letter from owner authorizing same
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OVER TME COUNTER P.ERM11TiNG�� (Front of.Appiication'Oniy)� :_ . �
Reroofs if shingles Sewers �;Service Upgrades'�i4/C"' ' Fen'es(PIoUSurvey/Footage)
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Driveways-Not over Counter if on putilic roadways:,needs;ROW.t.�•�:_�_••�- -
NQTtCE O�DEEQ RE�T.R1CTiONS: The undersigned under�tands�.that this:��rmlt.may.be.sub�ect to°deed"restricttons"
which may be�more restrict(ve«than County�egutations. �The undersigrted'assumes responsl6ility for compliance with any �
applicable deed reshlct(ans. . •
UNl.ICENSED CONTRACTORS AND CfJNTRACT�R RESPONStBIL1TIES: ff the oiivner has hired a contractor or
contractors to undertake work, they may be.required.to be;Ilcensed In accardance.wlth state.and•local regulations. .If the
contractor #s not Itcensed as roqulred`by law� both the owrc�er an� contractar-may be alted for a�m€sdemeanar vialaEion
under state law. If the owner ar intended contra.ctor are:uncertaln as to what Ilcensing.requlrements'may-apply.:�for.the
intended wark,they are advised to contact the Pasco County Build(ng�lnspectlon Dtvlslon—L(oensing Seation at 727-847-
8U09. Fu�thermore, if #Me owner has hir�d a c+�ntractor or co�ftactars. he is advlsed to have the ctmtrac#ar{s} sign
portions of the "aontrac#ar Block" of this applicatian for which they will be.respansible. . if yau� as.#he owner slgn�as the
contractor� that may be an Indieation that�he is not properly licensed and�ts not enti#ed to perm#t#Ing privlleges In Pasco
County. �
TRANSPORTATION-lMPACTIUTILIT'IES�CMPAGT ANb-RESOU�tCE RECOVERY FEE3: The underslgned understands
that Transpartation Impact Fees and.Reca.urse Recove.ry.Fees may��apptyr�to the construction of new buildEngs,�change of
use in existing buildings, or:expansiorn-ofiexistin�g�bulldings� as spectfied in Pasco County Ordinance number 89-07 and
� 90-OT, as amended. The undetslgned also undesstands, tI12lt`SUG�1 f@�S,.8S�may�be.due�;w111 be identlffed at tite°-tittie af
� permikting. It is further understood that Trac�spartation impact Fees and�Resource Recovery'Fees mus# be pafd prlar to
� rece�ving a "certiflcate of occupancy° ar flna! pawer-releass. :1#the project.does no�involve a;aert�icate of occupancy o�
final power retease, the.fees mu�t-be paid.pctor to permit issuance. Ft�tthermare,�if:Pasco County�lNater/Sewerlmpact
fees are due, they mus#be�pald prior to permit-Issuance�in accordanae with�appqcable.Pasco'County ordinances.
� CONSTRUCTION 11EN I.AW(Ch�pter 713� Florlda Statut�es�as amend�d): !f va{ua�an of wark is$2,500.00 ar more, 4
' certifiy that I, the applicant,"have-been provided with a copy �of tlie "Florida Constnictian: Lien Lau�—Homeowner's
Protection Guide° prepared by ths Ftorlda Depar#ment of Ag�lc.u3tu�e and CansumerAffalrs, if the appltcant ts someone
� other than#he"owner", i certify that I have,abtained a capy.of the above..des.cribed docu�enk and p.comise in,gaad faith_to
deliver It to the°ownec"prioc to>commencement. ' �
CQNTRACTflR'SJOWNER'S AFFIDAVIT: I cerEify that ail.the Infarmatlon in�this appl#catlon is accurate and that all work
will'be done in camplianoe with all applicable laws regulating construction, zoning and land development. Appiication is
hereby made to ob#atn .a perrrtit to do. work.,and Installatlon as !nd[�ated:- °I ce�ify that no wark or Ins#alia#ton has
commenced prior to Issuance of a permit and that.all work wlll be performed to meet standards of all laws regulating-
constructionf Cvunty and Ciky codes, zontng regulattons, and land development regulatlons-in the }urisdictian. i also
certify thaf I u�derstand that the regulations af ather government agencies may�appty�to the intended work, and that it is
my responsibility to identify�what.acti�ns I must take to be�in:.corrlpilance. S.uch agencies include bwt are not Itmited to:
- Depattment af Et�vironmental�Protection=Cypress.'Bayhead�, Wetland Areas and Environrnentally Sensitive
Lands,Water/Wastewater Treatmenk.
- Sauthwest Florida Water Mana�ement l�fstrtct Welis, Cypress.� Bay.heads; Wetiand Areas� A#ter3ng
Watercourses.
- Army Corps of Englneers-Seawalls�Docks,Navigable Waterways,
- Department of Hea4ttr J� Re�rabiiitative ServlceslEnvironmen#al Ne�lth llt�it Welis, Wastewater?reatment,
Septic Tanks. ' .
- US Environmental Protection Agency Asbestas abatemeni.
- Federal Avtatlon Aulhority-Runways. ..
I understand that the fopowing,restrictions apply to the use of flll:
- Use af�ii is not aliawed in Fioad Zone"V"unless expressty permitted. ,
- If the fill material is to be used: In Flood Zone. "A", It (s understood that a drainage plan addressing a
°compensating volume°•witl be submltted at time af permitting v�rhlch Is prepared by a professional,englneer
iicensed by the State of Florida: �
- !f the fi!! materiai is to be used in Fiaod Zone"A" in�connec�ion=wlth.a �ermitted bu0ding using stem wal4
� construction, i certify tha#fiii•will:be used only to fill the area within�the stem�nraii.
- If flil materlal is ta be used in any area� I �certify that use. of such flll wlA nat adversely affect adJacent
prape�#les. tf use of fi111s fonnd to advets8ly:�ffeat acfja�ent�properties�.the ownet may be aited for vtoCating
the conditions of the building,permit issued�under the atEached permit application, for lots less than one (1)
acre which a�e elevated by fl!!�an engineer�ed dralnage plan Is reqult�ed. �
If i am the AGENT FOR THE OWNER, I�promise in gaad faith to inform the owner of�#he permitting condi#lons set forth tn
this afFidavtt`prior to commencing constructlon. 1 understand that a�separate permlt rnay be requtred far elect�ical work,
plumbing, signs, wells, paats; air canditianing, g�s, or ather install�itians nol.spec�ffcsily inctu�ed�in.the appl3cation. .A
permit issued shall be constcued to be a'Ilcense to pmceed with tt�e work and not as:authorl#y�to.vlolate�.cancel, alter, or
set aslde at�y provtsions of the technEcal-codes; nor sttalt issuance•of a.permit.pcevent the Bulld�rig�fticial from therea#ter
requiring a aorrection nf errors In plans, canstruction or vlolat(ons of any aodes. Every permik issued shall become invalid
unless the work a�thorized.by such permit.•Is.commenced�wlthin sGc months of permft issuanae� or if wark authorized by
the pe�mit is suspended or abandoned far.a:period af�six{8j montF�s.after the time the�wot`k ts cammen�ed. An extension
may be requested, in writing, ftom the Building,Official for a perlod�not to exceed ninety__(90)-days a�d will demonstrate__!�_^
- j�s#�€lab��-�a�s�-#€��#h�-e�YC'te�sic��;Ifwork-cease�:�or nitiety-{90}consecutlYe�days�-tfie job��s.cansldered abandaned.
, WARNING TQ OWNER; YOUR.EA!lURE�TO►.,RE�.ORD A NQTlGE OF�GOMME(dGEMEi�T NtAY RESUlT IN YUUR
I PAYING TWiCE�OR IMPROVEMENTS TU YOUR PROPERTY. IF�YO.U�INTEND`TC1"OBT�AtN•FtNtANC1NG,'CONSULT
I lNIT OU D 4 A TTORN � FORE� ECO �� G'� OU ' O �� �'.O � T'
F�ORIQA Jl�RA�{F.S.1.17A3}
OWNER OR AO NTRA �
SubscrEbed a a s Subscrlb re ate thls
Y
Who islare personatly known to me or haslhave produced Who(s/are p.ersonelly known td me or has/heve produaed
as tdenUBceUon. as iden�8catton.
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� Notary Publlc . �- ' Notary Pubilc �
Commiss#an No. Co stan. o �,,.'T�,,.
=�: := Commission#FF 150422
Alame of Plotary typed,ptlnted or stamped Name of Na ry".�;,prlr� �t r 01$ I
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t� �VAILING.CODE,�,FLO�.ID�B�ILD
� �,NAT.�ONAL ELECTRIC CODE AN �
�ITY OF ZEAHYRHILLS ORD�ANCES �
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