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HomeMy WebLinkAbout15-16025 CITY OF ZEPHYRHILLS 5335-8TH S"fREET (813)780-0020 1 6 5 , BUILDING PERMIT PERMlT INFORMATION LOCATION INFORMATION Permit Number: 16025 Address: 4626 KRUSEN FIELD RD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. C1ass of Work: NEW CONSTIGC�MM Township: Range: Baok: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPNYRHlLLS Est. Vatue: Parcel Number: 13-26-2�-0080-OOOQO-0010 Improv. Cost: 20,000.00 t�WNER INFORMATlON Date (ssued: 2/19/2015 Name: CITY OF ZEPHYRHILLS Total Fees: �� Address: 4626 KRUSEN FIELD RD Amount Paid: � �-�� EPNYRH[LLS, FL. 33542 Date Paid: 2/19/2015 P e: � Work Desc; CONSTRUCT PAVILION WIMETAL R�{� - FEE WA[VED CONTRACTQR S IC FEES D ESLI E CO RUC 10 ! LDI FEE 0.00 D�LESLINE GONSTRUCTION,lNC 1 � -2� --� 5.�. � � . �J r��.:... Ins ectians Re uired FO TEft 2 ROU PL B Mf INS Tf N GEli.iNG FCIOTER BOND DUCTS INSULATED SEWER M(SC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST F2QUGH PLUNIB PRE-METER lNSULATION WAI.� NIISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION PQLE FRAME MISC. MISC. REINSPECTION FEE§: Reinspectian fees will comply with Florida Statute 553.80 (2)(c)when e�ctra inspection trips are necessary due ta any ane af the fallowing reasons: a)wrong address b}condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d)work not ready far inspectian when called e) permit nat posted on job site f} plans not afi job site g)wark nat accessible. NOTICE: In addition to the requirements af this permit, there may be additional restrictions applicable to this property that may be found in the public records of this caunty, and fihere may be additionai permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to awner: Yaur failure ta record a notice of commencement may result in your paying twice for impravements ta your property. If you intend to obtain financing,consult wi#h yaur lender or an attorney before recording yoar notice af commencement." f:omplete Plans,Specificatians Must Accompany Application. All wark shall be perfarmed in accordance with Gi Cod and Ordinances. NO OCCUPANCY BEFO C.O. �f CONI`RACTOR SIG ATURE PERMIT OFFI R PERMIT E�PIRES IN 6 Mt�NTHS WITHOUT APPRt3VED INSPECTION' CALi. FOR INSPECTION - 8 NOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER r--—1'J.�'.S-SITE http://www.deleslinecon.com TELEPHONE (941)723-6112 Mail:deleslineconna,email.msn.com FAX (941)723-1570 � � DeLesline Construction, Inc. 320 7th Street West Palmetto, Florida 34221-5207 February 5, 2015 City of Zephyrhills-Building Dept. 5335 8th Street, Zephyrhills, FL 33542 Phone: 813-780-0020 Fa�c : 813-780-0021 Re: License To whom it may concern: ' � The following persons are authorized to sign for pernuts for the above referenced license holder. Any changes will require a new form or letter. This authorization is to remain in effect unless cancelled in writing by the undersigned. John DeLesline Signature of Applicant � Date 2 — S — / � State if Florida, County of Manatee, The foregoing instrument was subscribed before me this Sth day of February 5, 2015 by John DeLesline who is personally known to me. Signature of Notary ' Seal: .ifeLE'�L1NE �lotary Public,State of Florida IViy comm,expires J�ly 6,2015 Comm.No.EE 88448 Bondad ffiru{W Inourance Canpeny-Surety Dlulelan LICENSES: CG-0060667 CU-0057222 CG-C 061901 QBC-0000354 CGC058072 i - m� � > � +�.:.�- '�,, City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: � 'Y e,�llll� �111�►.5 � �- Date Received: �� 1�N Site: ���7 �,V-(,Co�,Qih��1� � Permit Type: �� t� (� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. , , :�,�i.�- � Kalvin witze - 1 s Examiner Date Contractor and/or Homeowner � - - (Required when comments are present) � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received � � __ Phone Contact for Permitting Owner's Name CITY OF ZEPHYRHILLS Owner Phone Number 813-780-0022 EXT 3561 Owner's Address 5335 8TH STREET Owner Phone Number 813-780-0022 EXT 3561 Fee Simple Titleholde�Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS KRUSEN SKATE PARK LOT# � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR Xe ADD/ALT 0 SIGN 0 0 DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL 0 DESCRIPTION OF WORK PAVILION,CONCRETE FLOOR,STEEL COLUMNS,WOOD DECKING,WOOD BEAMS,METAL ROOF BUILDING SIZE 24 BY 44 SQ FOOTAGE 1056 HEIGHT 8'-0" xOBUILDING 20,000 INSTALLATION VALUATION OF TOTAL CONSTRUCTION I DELECTRICAL NA AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. I , 0 PLUMBING NA �� � (c�0 OMECHANICAL NA VALUATION OF MECHANICAL INSTALLATION �GAS X� ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO BUILDER COMPANY DELESLINE CONSTRUCTION, INC. SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address 3� �h ST• Im ��- 3y22� License# ��r L� G� b �� ELECTRICIAN COMPANY , SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �I Address License# MECHANICAL COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY �I��I�Vl.�. C.l�r(.t C=7l,dY�_ _ � SIGNATURE REGISTERED Y/"N FEE CURRE� Y/N Address License# w��S�d� Z RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, I Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects 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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely Owner&Contractor sign back of application, notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW � . NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable degd restrictions. ,�.- UNLI�ENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or 'l 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 % 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 or contractors, he is advised to have the contractor(s) sign _ portions of the "contractor Block" of this application for which 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 I County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of 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 permit issuance. Furthermore, if Pasco County WateNSewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(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'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work I 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 OWNER, 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-Building_Official fcom 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, the job is considered abandoned 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 C ENCEMENT. � FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribe an swor to(or affirm before e this by -Cr � L e �' n� Who is/are personally known to me or has/have produced Who is re persona y known to me or has/have produced as identification. as identification. Notary Public � Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,prin ed S�af Flo�da ��ry public, 6 2p15 i�y coman.expires July , � � Comm.�10•�� � " eundea n,ru Bu�nwrenc.ca�M•�'0�0"