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Home My WebLink About15-16010 , CITY OF ZEPHYRHILLS 5335-8TH STREE!: (si3pso-aozo`` 16010 BUiLDING PERMIT i PERMIT INFORMATION LCtCATION INFORMATIO �, Permit Number: 160'10 Address: 60"!3 '16TH ST ; Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL. ', Class of Work: CARPQRT Township: Range: Book: � Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: PARK H1LL Est. Value: Parcel Number. 02-26-21-0180-00000-0010 imprav. Cost: 850.00 QWNER INFORMATION Date Issued: 2120J2015 Name: WITHROW BRION TST Total Fees: 60.00 Address: 6680 CLYMER RD Amaunt Paid: 60.40 MECNANIGSBURG C}H 43044-9300 Date Paid: 2/20/2015 Phone: 740-707-1052 Work Desc: INSTALL 12 X 25 ALUMINUM GARPORT CONTRACTOR(S) APPLICATtON FEES HO OWNER B DING FEE 6 .QO z....� � ° �.- ° l � �� lns ectians Re uired F E SHEATHING FINAL� � 2 � (,"�, REINSPECTION FEES: Reinspection fees will camply with Florida Statute 553.80 (2)(c)when e�ctra inspection trips are necessary due ta any one of the foilowing reasonsc a)wrong address b)condemned work resuiting from faulty construction c) repairs or corrections not made when inspections called d) work nat ready far inspection when called e) permit not posted on job site fi� 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 pu6lic recards of this couniy, and there may 6e additional permits required fram other governmental entities such as water management, state agencies or federal agencies. "Warning to awner: Yoar failure to record a notice of commencement may result in yaur paying twice for impravements ta your property. If you intend to abtain financing,consult with your lender or an attorney before recording your notice of commencement.° Complete Plans,Specifications Must Accompany Apptication.All wark shall be pe�formed in accordance with City Codes and Ordinances. NO OCCl1PANCY BEFO C.O. � CONTRACT 5 � NATURE PERMIT OFFI R PERM T EXPIRES IN fi Mt1NTH5 WITHOUT APPR4VED IN5PECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PRaTECT CARD FROM WEATHER 0 �� 1 L'AA1DA �>��" ,`"a.s..s^`';b`-? Ll` Sj'i; �,�� -F�.r91F��.r. �'°raet - i I City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: 1�(�F� S Tt ELt Date Received: Z — 6 — � S Site: 60 t 3 !6+� S Ti��E T C Rt►o�) PermitType: I� x ZS �LtlN(fNUM CnaPaaT Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ �i\ � � � ! f.:Vri'1 ��o'!�� '1�� rt:�a+�� cy� �-� v'�i,� // / � � ��1�'�'� �� %d�t �'�.�/,�7'��' I .� ��' �'�!" �i��-t' ��i �r' C�` �s{ �` '�`°:�'{� � �J��/ S`C��°�7L; t;.�.f � /G 'J �'�'� !�l' `G �,- �f /,�r E This comment sheet shall be kept with the permit and/or plans. � ��1 "1� Kalvin - er—Plans Examiner Date Contractor an or meowner (Required when comments are present) e�3asa-aozo City of Zephyrhi(1s Permit Application Fax-813-780-0021 Building Deparkment Date Received Phone Contact for Parmitting Owner's Name J r�. � -e, '2 Qv✓ner Phone Number Owner's Address lJ � �� T �'� Owner Phone Number �� ^ ��`7 —��5�-' Fee Simple Titleholder Name �Df"� r�f� �T �?,�� Owner Phone Number .r Fee Simple Titleholder Address JOB ADDRESS LOT# �____!� sUBO�vtstoN �` Z e ° � l � PAEtCE�iD# �, - " _` - ` (OBTAINED'�ROM PRi?PERTY TAX N0710E) - WORit PROPOSED e NEW CONSTR 8 ADd1A�T [� S1GN Q Q DEMO�ISN INSTALL REPAIR Pt2QPOSER USE Q SFR Q CQMM � OTHER TYPE OF GONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK l� �r a�— '�o � � �l��;�,v-,� ��''A�r`�" BU1Ld1E1G SIZE �� SQ FOOTACaE�___,� HEIGHT C�� BUILDING $ G r) VA�UATION OF TOTAL CONSTRUCTlC}N 5� � C QELECTRIGAL �> � AMF SERVlCE � PROGRESS ENERGY Q W.Et.E.G. QPLUIVIBtNG �9i �� L r �� l D QMECHANICA� $ VA�UATtON OF MECNANiCAL lNSTAl.IATION J�� OGAS Q ROOFING Q SPEGIALTY 0 O7HER FINISHED FLOOR ELEVATIONS �� FLOdD ZONE AREA QYES NO lr�' BUIl.DEi2 ��}��COMPAPtY p SIGNATUF2E 4�', REGISTERED Y/ N FEE CURRE� Y/N Add�ess License# �v M� �cU 2, •, y.- � ELECTRICIAt+t � COMPANY SIGNATURE ,,, ,,_.,. ,, REGISTERED Y/ N FEE CURREI� Y/N Attdress ��—. license# �� PI.UMBER COMPAAIY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ,,.�,......,,._, Address License# � � MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Acfdress License# �` � DTHER C014]PAtdY - SiGNATURE REGISTERED Y/ N FEE CURREh Y/N Address [.icense# �— � RESIDENTIAL Attach(2}Ptat Pians;{Z)sets of BuElding Pians,{1}set af Energy Forms;R-O-W Permit for new cons#ruction, Minimum ten(10}working days after submittal date. Required onsi#e,ConsUvction 1'lans,Stormwater Plans w/Silk Fence installed, Sanitary Facilities&1 dumpster;Site Work PeRnit far subdivisionsAarge proJects COMMERCIAL Attach(3}complete sets of Baliding Plans plus a Life Safety Page;{1)set of Energy Forms.R-Q-W Permit for new constructlon. Minimum ten(10}working days after submittal date. }2equired onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new prajeats.All commercial requirements must meet compliance 51GN PERMtT Attach(2}sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW conskruction. 3lrectians: Fill out application completely. Owner&Contractor sign back of appllcation,notarized If over$2540,a filctice of Gommenaement is rcquired. {A!G upgrades over�7500) '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizfng same �VER THE COUNTER PERM[TTING (Frant of Application Only} � ��y - 2eroofs ff shingles Sewers 5enrice Upgrades A/C Fences(PIoUSuroey/Footage) ., � - Drivaways-Not over Caunter if on public roadways..needs ROW ' � , �' � NOTICE OF DEED RESTRICTIONS: The undersigned understand"s that this permit may be subject to"deed°restrictions" which may be more rest�ictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. - UNLICENSED CONTRACTORS �►ND 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 contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation I under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the � intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor�r contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application �o�•wrhich they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. ' TRAPISPORTATIO(V IMPACTIUTILITIES IIVIPACT AND RESOURCE RECOVERY FEES: The undersigned understands I that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of _ use in existing buildings, or expansion af existing buildings, as specified in Pasco County Ordinance number 89-07 and ' 90-07, as amended. The undersigned also understands, that such fees, as may be due, will 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 final power release. If the project does not involve a certificate of occupancy or � final power release, the fees must be paid prior to p.ermit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in ac,cordance with applicable Pasco County ordinances. CONSTRUCTION LIEN La►VII(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, i certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture 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 in good faith to deliver it to the°owner" prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will�be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations 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 compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. � I understand that the following restrictions apply to the use of fill:� - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will 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 fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OUVIVER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or , set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buildirig Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, th�job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR I PAYING TWICE FOFt IMPROVENAENTS TO YOUR PROPERTY. IF YOU IIdTEND TO OBTAIN FINANCING, CONSULT - - VI/IT-H-YOUR LENDER OR AN ATYORNEY BEFORE �tECORDING YOUR tJOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.1 7.03) � -� - � — — -- - - -• � - OWNER OR AGE � � CONTRACTOR Subscrib�a d swo to(or affirmed) efo me this Subscrlbed and swom to(or a�rmed)before me this 2� �by bY � Wh s(are erso ly kp own to me or has/have produced Who Islare personally known to me or has/Fiave produced _ ��L.� ��2YL��as IdentlficaUon. as identification. Not Public Notary Public Co sl �b''�Y �e�%'. �ACQUELINE BOG Commission No. � ;�•�o: Expires December 12,2018 Name of N � Q, Name of Notary typed,printed or stamped ' �i ! _ � , � „ i -- �i �1�1 �-�-b_G� _ i ;, � _ , ,, _ ,� _ _ . _ �i�c�V��l�.or_n,�_- --- � -��e.�-� - ---- - - - II � I� _ -_ - -- � ii 2a_S� _C�..1,1.�w�m ��1!1e� ��=r_�—��e_1:�-- _ - �; � � i��,-�, C,�rm.�p��c-�_C,cn_�t=r�v�c�-%��n n�-� �. a��.��g -� - _ � , _� 'i�?c�c_-_�c�e ��_m� IFw�� o ca..�ed___a_�---- -- - � �Y ' �.��i dC� . l� � ��-- - -- �� .ol� �ls ��:�ee�l��r�h�l��_,- � - � - ��-�-�-...Y� L-�--�.�-��IDnS Or-C�?�_P�!1_� �o�-�k.� -_ !I J V -_____ ,��-C� . Yan,e, G�� l - �� - ��`�� . - �� - ----- ;; - - —�_, - -_ __ -- ------ �� --- . _ l�l1GC.VL� - p_!�.. i i � ---- -- '� - - - - -- --�-- i i — — :� �� - j� - -- — - �� ---- -- ��1�t�l `�w�lR-�� — - ,; �� -- _- -- - -- � �� - -------- - -- ;, - - , ,f� __ � - -- - ,; - - - - �� g - �� __ � - _ -�- - - - - -£- -- — { * *: NEATHER M.GILBERT -- -- ' -- —� _ � ;st.r�-.��;.�- —e HOiARY PUBUC,-SiATE 0 �� ---- � _ '��• .�,;;: - M'COII�IISSt01il El(P1RES�� I' ' y �i; ��C-•�D a`� '� - ��,q ..s'. �Q�cr _ —,— — I� 'rE.,aF�,.�`.� '�I _ ;f - ---- i, . �, ^ - - - - -__- - __ ;I _ -- ' - _ - -- -- - ;i �i ;i -- - -- �_, `� _. -- - --- - - - �i 'i i! ;� �_— _ ---- - - . . _ �___ , - — j- - ri i� - �! �! ' DISCLQSURE ST,3�.'E;%i'�NT .FOR t3W2dER � CZ'Z^.�' OF ZEPH'.i'RFi27.�LS �L7II.DZN6�DEPARZ'MENfi _, ` have read and fuS1y understand and agsee •ta the provisions o� �th7.s instrutn�t. .The undersigned .statas and affirms tha� he or she is desirous of cons�ructing, reziova�.i.ng, adcia.ng to or �eroofing hi.s or her ovm demicile, �-..hat h� or she � actuall,y occupies, or wi7.2 occupy by � said domic�:�e, and same is not �ar •rent, lease or sale. That he or sh+e sh��ll co�ply with t3ze following condi-t.a.ons: , 1. That the awzxer aad,he or she a7.one sha].�. act as -the bvilder for all phases of constructiozi. _ Z. That the owner wi'll comply with a17: pravisions a� �the City of Zephyrhil�s ordinances and cbdes pertineat to the building. ' 3. fihat in the a�vent vasious phases of construction are subaontra�tad, he wi�.l engage anly •prop�rly licerised subcantractors and will ppssonal�y superv�se� such wask. 4. That in the even� the Building `Inspector shall se�+�i�re co�crecti.ons to be made, the owrser i+rill assume full responsibility -to inaure �they are made, and upon ca�cpletion will. aaI'Z �or a raixispection before pxaceeding w3th the buil.ding. 5. That the owner sha11 ass�e fu11 responsibili�y ior the� canstruction aud wia.1 not a�+�ct_ supervisiari of his wark from the Gity cf Zephyxhil�.s Btzz.lding � Depar�esit. . • � 6. Z'2iat pr3.ar to final inspection any additional fe+�s, including reiaspec�i.on fees, must be pai.d izi �ful7.. A .written s�quest f�om �his office shall constitute a�n of�icial notice to pay additi.atial �'aes.. . � 7. �ha.t t�ie own+er sha1Z comp2y with a21 Cit.y, Sta�te and Feder-�1 laws in regard ta soc.i.al �e�ity, worksaan's comg�ensatioa, lien laws, etc. , where applicable. 8. That ttxe awn�r sh�11 campZy wi.th aZl the safe.ty codes issued }5y the Fli�rid.a Industsa.al Commission. 9. State law re�,;res caxrstruatiari to be dane by licenseci contractors, You have appl.ieci for a pe�mit under an exe�ptian tto fihat law. fihe exea►ption a3,l.aws you, as the owrier of your property, to act as yaur owa cara.tractor with cer#�,ia rastsictions even thaugh you do no'� have a I.iaens�. You must .prov5.de diract � onsite supervision of the construction yovrself. You may build ox impscrve a ane--fami.ly o,x twa-family sasideaae or a far� out}auilding. 1au may also build ' or improve a commescial bttildi.ng, provi.d�d your aosts c3o zi,ot cxc�ed $25,000. , The building or residence•must be �or yaur awn use or occupancy. .It may nat be bui1� or substaati.al3y i�pro�sred for sale ar lease. If you sel'1 or 1.ease a bui.l.ding you have buil.t os substant3.a11y improved yourself within 1 year after the censtruction is co�plete, the laar w�.11 psesume•�hat ycu built ot su�,stan�.ially impsoveci s.f far sal� ar lease, whi.ch is a vi.olation of �.i.s eXemption. You may zrat hire a,ri unlicensed persan to act as your cantraator or ' ta sup�zvise people working on yaus bui3dinc,�. It is yous responsi:bili.ty to make swce that people emplayed by yau have ].ic�ses r��7�red }ay s�a.te 1aw and by e.oun�y ar muz�i.cipal lic�sing ordinasiaes. Yau may no� delegate the responsibili.ty foz superv-ising work to a Ii.censed corxtractar who i.s not. 1ic�nsc.ci to pexf'o� the wc,r7c being dnnm. Arsy pesson work�.ng o1z ydvr buildizig who is zxot �.ic�uus�d must wor3c uncie�s yac� dis$ct supezvisi.ozi asxd must be P�ployed. by you, which meaus that you io.ust deduct F.S.C.A.. and wi�hholcling }=Y and provide workers' comp�,usatian i"or tt�iat �aployee, a11 as presc=ibed b� 1aw. Yous coxzstsuctiorl must compZy with a1I applx.cabl.e laws, a�diriazzces, building codes, aad zaning regulata,ons. r OWt�'ER'S SIGNATLTFiE DA2'E �.p �� ^" c�DI,� ��i�ss / . P�IO2wTE p.- W�TNESS PERMIT #