HomeMy WebLinkAbout15-16067 �
CITY OF ZEPHYRHILLS
a l 5335-8TH STREET
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^, (813)780-0020 160
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16067 Address: 39209 6TH AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: YINGLING ADDITION
Est. Value: Parcel Number: 12-26-21-002A-00600-0030
Improv. Cost: 500.00 OWNER INFORMATION
Date Issued: 3/05/2015 Name: FELIBERTY ALVAREZ C/O MELINDA
Total Fees: 120.00 Address: 5630 16TH ST
Amount Paid: 120.00 ZEPHYRHILLS FL 33542-4214
Date Paid: 3/05/2015 Phone: 813-704-1702
Work Desc: ENCLOSE EXISTING PORCH 11 X 18 SQ FT-AFTER FACT
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 60.00 AFTER E FACT 60.00
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Ins ections Re uired � -
F ER 2 D R UGH P UMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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 construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requir,ements 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 management, 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 Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
O GNATURE PERMIT OFFI R
P RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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� City of Zephyrhills �
BUILDING PLAN REVIEW COMMENTS .
Contractor/Homeowner: �//�'l�� .�• .�' P �
Date Received: �'�l S
Site: `3�""'' � �j�
Permit Type: �G L�'� ����'"C� �I}C( �
Approved w/no comments:❑ Approved w/the below comments: ��� Denied w/the below comments: ❑
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This comment sheet shall be kept wi the permit and/or plans.
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Kalvin Switzer—Pl aminer Date C tractor an r Homeo r
Required when commen s are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 �
� Building Department
Date Received� �,. -- � phone Contact for Permitting - �(���
Owner' me � � � �. � Q i�1 , Owner Phone Number � �� � ��
Owner's Address ?j �`�• Owner Phone Number
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Fee Slmple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address I
JOB ADDRESS a � LOT# �
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SUBDIVISIOM PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR� ADD/ALT 0 SIGN � Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR � COMM �] OTHER
TYPE OF CONSTRUCTIOPI 0• BLOCK Q FRAME 0 STEEL �
DESCRIPTION OF WORK� ��/��..L��. �'� Q 1� � /�
BUILDItdG SIZE SQ FOOTAGE�� FIEIGHT
OBUILDING ' $ ��� �;z� VALUATION OF TOTAL CONSTRUCTION ���L"
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DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ ���,A��� �,��� �`�,I�
V��� �
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��� {�
� - � !�'�� S-t<) ��duc
�GAS Q ROOFING � SPECIALTY � OTHER
�L � ` ep,•r s e�S�eP�
FINISHED FLOOR ELEVATIONS �q�FL ZONE AREA �YES 3 f7��� ��i.��
(J� e. , , ' �� $`C(.
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BUILDER `�f` nn. n � {� COMPANY �� ,�p �
SIGNATURE � 1��-C�-�-fXR V�-00�-�1 REGISTERED Y/ N FEE C���'UR�� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATI-IRE . kEGI$T�RED Y/ - FEE CURRE� Y/N -
Address' .. . , _ � • . Licen'se#' ' ' � • .
PLUMBER � . , COMPAWY ' , , >
SIGNATURE ; REGI$TE}�ED Y/. N. .FEE EURRE� Y/N
Address - � License.#
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MECHANICAL ! •---- �- _,_.�.�.,. _ • • --�60M�ANY = . °=- - : �. . ,. .. _ .....
�L���TU��--'��; ' � � REGIS7ERED Y/ N FEECURRE�� Y/N '
Add�ess. - �� " -_." __ --- ---._.--.; ., ----_ _:: .. - - --' _; ----- - - -- -.:_._ _..._
• • •-License#-� - •
OTF�ER:. � . � , ' •�OMPANY ,.. ,,.�u,_r�.•>.,,.:.,.., .: .
SIGNATURE' � REGISTERED ' � Y/�N � � FEE CURRE� Y/N
Addre�s _ , . . ;,Jn;,;v� � r���i;-,•� �License"# �
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RESIDEtdtIAL. Attach(2)PIot.Plans;.(2)�sets of Builcling Plans;(1)set of Energy Forms;R-O-W Permit for new constniction,
Minimurit ten(10)working days after submittal date. Required onsite,Construction Plans,.Stormwater Plans-w/Silt Fence installed,,
Sanitary Facllfties&1 dumpster;Site Work Permit for.suBdiVisionsAarge projects - -..-.- _ . .
�OMMERCIAL• Attach(3)complete sets of Building Plans plus a�Life.Safety Page;(1)set of Energy Forms.R-O-W Pemiit for new construction.
Minimum�ten(10)working.days'after submittal date. Required onsite,Const�Ction Plans,StbFmwater Flans w/Silt Fence installed,
;= � ��• Sanitary Facilities�&.l dumpster.Site�Work PeRnit fbr�HtileW ptAjedtS'.,'AI!'ecirfiTi�eFc�f�l}�c�rSiY�tt3�i►i��riifr`�t�#i9�fi�tbht�li�M'ce�•�r-3-+>. '
51GN PERMIT Attach(2)setS;of�Engineered PTans-:-� -.� �`- "` - - ' > �- - �- "• - _. �
• (,.�-<< 1. F�±i 1'�,{. -i;��l:�1"R%1+?"(CP�'
. ""PROPERl'Y SURVEY required for�all N�1 cods�ictib�. � -
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7irections:� • , :.� ,. i.� ' � �,,,,�,�r,;���.,�. - . i .n�<C:�!����-.. ..,.r:,�f 1:1('�:- ,._ ' _ _ •.,, ': , -
Fill out application;complefel�:, � � � � ' � � - � " '
Owner&Contractor sign baGR.of:application,_nntarized ,
': ,If over$2500,''�a Notfce'of Cdtnmencement is required. (A/C upgrades�over$7500) ` _ � �_ �
" AgenY(for the contractor)or Powerof�Attrnney(fbr th'e owner)would be someone with notarized letter.from owner authorizing same
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�VER THE.COUN`I'�R PERfVIITTI�IG (Ffont of App�cation�nly) • • . -- . ., ,
Zeroofs if shingles• Sewers �- •-Service�l3pgrades'A/C � Fences(Plot/Survey/Footage} . ' '. . _ � � --
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Drlveways-Not over Counter if�on public roadways..needs ROW .. '"- "- . "
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iVOTICE 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 deed restrictions.
UNLICENSED COPITRACTORS AND 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 requlred 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 requlrements 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 appllcation 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
County.
TRANSPORTATIOYV IMPACTIU7ILITIES IiIA�ACT AIVD 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 permlt issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LA1M(Chapter 713,.Flortda 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 fo the"ovune�"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAdIT: I certify that all the information in this application is accurate and that all work '
will be done in compliance with ali 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 responsibllity 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, WatedWastewater 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
Iicensed 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 I
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 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 pe�mi# is suspended or abandoned for a period of six(6).months aftec the time the work is cotimmenced.� An extension
may be requested', in writing, from the Building Official'for a•.period hpt to.exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(9U)consecutive days,th�job is considered abandoned.
--- --W�►�NING`TO O{N(VER: "1fOiJR-FAILLiR� '�6-RF��OF3D_A�-N�'�OC�-OF-CON6E►fD�MCEl1lIE�lT-M�-Y-R��l1�T-lN Y41JR--- -
PAYING TWICE FOR IMPROVEIIflENTS TO YQUR.PitOPERI'Y.. IF YOU IPITEND T��OBTAIN FINANCING, CONISULT
WITH-YOUR LEPIDER OR AN A1'TORNEY-BEFORE F2ECORDIFIG YOUR NO.TICE.OF COMMENCEMENT.
FLORIDA JURAT(F.S.11�I:03). .� ' � -. • , ` . , ' -
OWNER OR AGE� � , .�� � - ` ' CON'FRACTOR '�� ' :; - : f W� �� . . •
�bs ribed d sw o(pr affi m bgfore me.thl - ,.Sutiscrf ed_and:swo (or affirmed efore me 1hi
-�73�".tiy: _. 1• -� d r� 7_2'Z . ,�—���5: by R 1�h��,Y'�oC�� �c�P 2 -
o�s`ar pe.l nally known lo me or has/Fi e produced � '' Who.is/are person�UyJ�nown to me or has/ha"v produced
�L �� � v i • � as ldentlficaBon: ���c(a �L � as IdentificaGon.
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/ ��-e. '�./� Notary Public - � � Notary Fublic
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Com o� ,t�„-;, JACQUELINE BOG - ` . rrimis ' ' -
=� ;'�, Commissio r 12 2018 � - , ,,�.�Y'oyeq;' JACQU - ... .
=*: embe � .•a s.. ;�: � 150422
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Name o , ,�pec���t9►� ° . . - � Nam�of �edF�pit� � ," • "
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' DISCLOSURE S'r*h'r'F'M�"NT .FQR C}W21ER -,
CLTY OF ZEPFiYRH=IyLS BL7IZDg7G DEPARR',L�NT
I, ��� E� U��t � t�� rt t���'' have read and fu11y understand and
; agree •ta the provisions o� � �s instrument.
' .The undessigned .states and affa.rms that he as she is desi.rous af constructing,
rexzova�izag, addizig to ar rerao�ing his ar hes own demicile, that he or she
actuallg occupies, or wi11. occupy by sa.id domic3:le, and same is not fax
I •ren'�, lease ot sa1e. That he or she sh�.-311 camply wi-th the followii�g ccxYdita.ons:
1. That. the awnes and.he or she a7..one sha11 act as ~Ghe buildes for a11 nhas�s af
ccnst�sua�ion. " ' .
2. 7.`ha� the owner will corcply wi�h a11 ptovisions o� �the City of Zephyrhills
ordirianaes and codes pertinent -�o the bv:i.ldisig.
3. That in th� event various phases af acnstsuction are subccrr.ctraated, he wi11
i2Sigage only •propps�y licensed subcontsaators and will persanal�.y superv3.se
sucii wark.
9. That in the event the �iuilding 2nspecto�c sha.11 rer�„re corsections to be made,
the ownes will assume full responsibility to iasuse �they are made, and upon
compl.etion wi.11 ca1l far a re�n�ec�.on befaz�e ps�aceetling with the builc3s.ng.
5. �`lzat the ownez shall ass�e ful.l responsa.bil�.ty �ar the caristruction and wi11
siot expe�t_ supervision,of I�.i.s work fsom '�e City af Zephyrhills Bu3.lding
Depart�exzt: •
6. 7*tiat. priar ta final inspect.ion aa.y ar3dit�.ona1 fees, izYr_l.udszig x�eiaspection
fe8s, must be paid in full. A written sc�qucst from th7.s affice shaZl
constitute an official aoti�e -to pay adda.tioz�al �ees..
7. fihat t�e ownes sha11 compl�r with all Cit_y, Sfi..ate and Fedes�l laws in regard ta
social securi.�.y, �nrorl�a's aompensation, liesi laws, etc. , where appliaable.
8. Tha� the awner sha11 ctamply vrith a3.3. the saf�.ty codes issued by the E'lorida
Industsial Commission.
9. Sta�e 1a�a re�Y;res construction to be dorxe by licensed con'rsactors. You have
applieti �or a perm�.t utider an exe�pt.i.on to that 2aw. �.'he �x�ption allows
you, as the ownes af-yr�ur prop�cty, ��to act as youx owr�. cor�.tractor wi.th aertaia
r�st:rictions evea �t-haugh you do not have a I..ic�s+�. You �ust _provide direct
onsite supervisiori of the coast-.xuction yourself. Yon may build or �.mprave a
one-family or two-family resideace ar a farm outYruilding. You �aay alsa build
- or 3.�ssprove a aomm�scial bu�.l.disxg, p=avided your aosts c3o ra,ot e�ceed $2�,000.
, The building or residerice must be tar your own use or occupancy, St may not
be bui�.t or s'tzbstantiall� �roved for sale nr'lease. If you sel:l ar lease a
building you have bUilt or substant3.ally i.�proved yoursel� withia 1 yeas af�er
the canst-suctioa 3.s casaple�e, the Zaw w�,ll pxes�ne•th�t yau _bu:i.lt ar
substanti.alzy i�preved if for sale or lease, which is a vialation af tha.s
t,'.
P�Cemptiaxi. You may nat hire at7 unla.censad gerson to act a's your cantraator or
to supessrise peaple working on your bui3.ding. _� is your respansibilzty ta
make sur+e that people employed by yau have licenses rei,;�ed by state law and
; b� caunty ar mua�.cipal. licesising ordiaauces. Yau may not delegate 'the
responsibil.it.y fos supexvising work to a liaensed con�actor who is not.
.
� ].icensed to p�rform t�ae work b�iag done. Arsy pessoa workirig or�. yous bu3.lding
who �.s zaat 1ic�ased must wosk usides yau� diseat supervision a�d mtast be
Employed by yau, which measxs that yau must dedua'� F.I.C_A, and withholding ta,x
' and prova.de workers' co�pezisation far t�iat empZoyee, a21 as prescr3hed by 1aw.
i Your construction must comply wi.th a1I agplicable 1aws, ord3siances, buiZding
codes, az�d zpxiing regulatiaas.
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