HomeMy WebLinkAbout15-16090 CITY OF ZEPHYRHILLS
- �• - 5335-8TH STREET
' , (813)780-0020 ��
` -BUILDING PERMIT
� � PERMIT INFORMATION LOCATION INFORMATION I
Permit Number: 16090 Address: 38623 REMORA AVE LT 67
Permit Type: -ADDITION/ALTERATION -- ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq�are Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV
Est.Value: Parcel Number: 02-26-21-0260-00000-0670
Improv. Cost: 961.00 ` OWNER INFORMATION
Date Issued: 3/16/2015� Name: KINNEY, DAVID & DORIS
Total Fees: 60.00 Address: 3 CREST ST
Amount Paid: 60.00 NORTHPORT ME 04849
Date Paid: 3/16/2015 Phone: (813)782-4190
Work Desc: CONSTRUCT SHED UNDER EXISTING CARPORT 7 ' X 9 '
CONTRACTOR S - APPLICATION FEES� � �
HOMEOWNER B ILDIN FEE 60.00
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� Ins ections Re i ed
FOOTER 2ND ROUGH PLUMB MISC NS LAT O 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 fl plans not at job site g)work not accessible.
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I NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly 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 performed in accordance with
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City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�sasa-ao2a City of Zephyrhills Permit Applicatian Fax-813-7$0-0021
. Building Department
Date Received
Phone Contact for Permiktin � ��-� - (q'0
bwner's Name v I � Owner Phone Number �T "7g,� ' �
I�wner's Address �6c�� E✓hO f�2 � Uwner Phone Number � � II
Fee Simple Titleho{der Name �— ` � Owner Phona Number �— ��
Fee Simple Titlefiolder Address
JOB ADDRESS ��p Zr� , G3�^Q f�t/e P � � ; ; 3 z,,, 1.QT# C�_J
SUBDIVISION � � PARCEC ID#
(OBTAINED FROM PROPERTY TAX NOTICE) .
WORK PROPOSED NEW CONSTR ADDlA�T � SIGN Q Q DEM4LISN
INSTALL REPAIR
PROPOSED US8 Q SFft Q COMM � OTHER S L,• �r Cqvl y..
7YPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRiPTtON OF WORK /»`� ��� �� � js'�i n �q��,-.
8tl1LDING S1ZE (�p����r }� ���f'�� SQ FOOTAGE. � y1 HEIGHT �� rl�-�
QBUtLDING � �� � VALUATtON OF TOTAL CONSTRUCTIt3N
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QElEGTFt1CAt �_� �AIV(P SERVICE Q PROGF2ESS ENERGY Q W.R.E.C.
� QPLUMBING �'> ������ � ,
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QMECHANtGAI. $ VALUATIQN OF MECNANICAi.INSTAL.IATfON �t�
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO i
SUI��ER � � � -�t}t+�P,�ll'- ��'`�'�'4'' ��v�'�� -�� . - - - - -�._ _ _ �
SIGNATURE �L�� REGISTERED Y/ N FE6 CURRE� Y/N
Address f�,��� ��n s�� r/�. ��'GG.s G- License# �� -�
Ei.ECTRICIAN . COIUIPAt+lY
SIGNATURE ' ae�is7ette� Y/ N FEE CURREh Y/N
Address License# �� �
P1.UMBER C4MPANY
$IGNATURE _ Re�isreaeo Y/ N FBE CURRE� Y/N
.....,,_.,,,......,,—.,,.
Address License# �� ��
, lVIECFFANICA! COMPANY
SIGNATURE REGISTEftED Y/ N FEE CURRE� Y/N
Address License# �_ �
DTHEl2 . ______� COMPANY
SIGNATURE _ REGISTERED Y/ N F@E CURREA Y I N
Address � �.— License# � �
RESiDENTiAI. Attach{2}Plot Plans;{2}sets of Bu3tding Plans;{1}set o#Energy Forms;R-O-W Permlt far new construction,
Minimum ten(10}waricing days after submittal date. Required onsi#e,Construction Plans,Storminrater Plans w/Silt Fence installed,
Sanitary Faciflties&1 dumpster;Site Work Permit for subd,ivisionsparge projects
_ �OMMERGIAL Attach{3}complete se#s of BuildRng PEans ptus a�ife Sa#ety Page;{1}set of Ertergy Forms.R-O-W Permi#far new construcfion. .
Minimum ten(10)waricing days after submitkal date. Required onsite,Construction Plans,5tormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit far all new proJects.All commercial requirements must meet campliance
StGN PERMti' Attach(2}.sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
alrec#ioos:
Fill out application campletely.
�Owner&Cantractor slgn back of applicatton,.notadzed _ _ �
(f dY@�S2SOO,a Natice of Camrreenceri�erit is'required.',(A!C upg�ades aver$7508) � > ° �.�� __.',�,r��;,,,1�,�,R°, ,r � �. �, . � i
'" Agent(for the contractor)or Power of Attorney(for:the owrier):would��e someone with notarized letter from oiivner autiionzing'same�"'�I ' ' �i 4� ':T i
�VER THE COUNTER PERMI'FTING.: ,{Front�cjf AppEicafibn Oniy}; � '�� "_,"`'°'Y' ' - - i�
2eroofs if shingles Sewers �s�Service�.Up9rades�.A/C•- .�-Fenaes,{Rlot/Survey/Footage) .-.��--��..w.�.�.-.,...a��� .�-.....-.-.z�_. . -.-_. I,
Drivsways-Not over Gounter if on pubtic roadways..needs ROW
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NOTICE OF DEED RES'fRICTION5: The undersigned understands that this per.mit may be subject to"deed"restrictions"
which tnay be rriore restric#�ve tlian County regulatians. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. . �
UNLiCENSEO CC?NTRAGTORS AND CC?NTRAGTOR RESPONSlBt[.ITIES: !f the owner has hired a contractor or
contractors #o undertake work, they may be required to be licensed in accordance with state.and:tacai regulations. tf the
contractor is not licensed as requlred by law� bokh the owrner and contractor may be clted for a mtsdemeanar violation
under state taw. if the owner or intended�contractor are uncer#ain as ta what ticensing requirements may appEy�for the
intended work, they are advised to cantact the.Pasco County Building Inspection Division—Licensing Section at 727-847-
8Q09. Fu�thermore, if the awner has hired a con#ractor or contractars, he 9s aciv3sed to have the cantractor{s) sign
portions of the "cantrac#ar Black" of this apPllca#ion for which they wiil�be responslble. tf you, as.the awner sign as the
� contractor, that may be an lndication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION_IMPACTIUTILII"IES IMPACT AND RESC?URCE RECOVERY FEES: The undersigned understands
that Transportatiort tmpact Fees.and Recourse Recavery Fees may apply to the construction of new buildings, change afi
� use in existing buildings, or expansion of exi'sting buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended The unde�signed also understarids, that such fees, as may be due, wili be identified at the time af
permitting. It is further understood that Transparkation Impact Fees and`Resource Recovery Fees.must be paid priar to
receiving a "certificate af occupancy",or�nal pow►errelease. If the project.does not involve a certificate of occupancy or
'I #inal pawer reiease, the fees must be paid prior'to permit issuance. Furthermore, if Pasco County Water/Sewer impact
fees are due, they must be paid prior to permit Is�uance(n accordance with applicable Pasco County ordinances.
CONSTRUCTION L4EN LA1N{Chapter 713� Florida_Statutes�as amended�: !f valuation o#work is$2,500.�0 or more, 4
certify that 1, the applicant, liave been provided with a copy of the °Florida Construction Lien Law—Hameowner's
' Protectien Guide" prepared hy the Florida Department of Agriculturs and Consumer Affairs. If the applicant ts someane
other#han#he°awner", t certify thaf t have..otitained a copy of the above described document and promise in gaod fai#h to
deliver it to the"owner"prior to commencement.
CQNTRACTOR'S1t?WNER'S AFFIQAVIT: 1 ce�tify tFtat all the information In this applicat(on is accurate and that a}I work
will�be done in campliance with all applicable laws regulating constructian, zoning and land development. Application is
I'� hereby made to obtain a permit to do work and instaifation as �ndicafed. 1 certify that na wortc ar instaitation has
' commenced prior to issuance of a permit and that.aq work will be performed to meet standards of all laws regulating
construction, County and City 'codes, zoning regulatians� and land development regulations in the jurisdictic�n. ! also
ce�tify that 1 unders#and that the �egulations a#other gavernrnent agencies onay apply ta the intended work, and that if is
my responsibility ta iden#ify what actions I must take to be.ln compllance. Such agencies include but are.not limited ta:
- Departmen# af Enviranmental Protec#ion-Cypress Bayheads, We#land Areas and Environmentally Sensitive
Lands, WaterlWas#ewa#�r Trea#ment.
- 8outhwest Florida Water Management District-WeNs, Gypress. Bayheads, Wetiand Areas, Aitering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Depar#ment of Health & Rettabilitafive ServiceslEnv'tronmental Health Unit WeEls, Wastewater Treatmenf,
Septia Tanks. ` ,
- US Environmentai Protection Agency-Asbestas abatement, _ � , _ _ _.
- -- Federal Aviation Authori#y-Runways. � -
I understand that the following restrictions apply ta the use of flll:�
- Use of fill is no#allowed in Flaod Zane"V"unless expressiy pe�mitted.
' - If the� fill material is to�be used in Flood Zone "A", it is understood #hat a drainage plan addressing a
"cornpensati�g volume" wi11 be submitEed at time of periz�itting which is prepared by a professionai eng�neer
licensed by#he State of Florida.
- !f the fill material is to be used in Flood Zone "A" in�connectfon wiEh.a {�ermitted buiid�ng using stem wall
construction, i cectify tha#fiN wiN be-used only ta.fill the area wi#hin the stem wai1.
- If fill material-is ta be used in any area, I certify that use of such fill will not adversely affect adjacent
prope�ties. If use af fill Is.found to adversely.affect adjacent propert#es, the owner may be cited for vio[ating
� the canditions of the building permit issuecl under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an englneered drainage plan is required. .
(f I am the AGENT FOR THE OWNER, l,promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing canstruc#ion. I understand #hat a separate permit may be required for etectrical work,.
plumbing, signs, wells, paals, air conditioning, gas, or ofher instaltations nvt specifically included in.fhe applicatian. _A
permit issued shall be construed to be a license#o proceed with the work and nat as authority to,violate, cancel, al#er, or
set aside any provisians of the technlcal codes, nor shaEl issitance of a pe�mit prevent#he Build9rig O�c3al from thereafter
requiring a correction of errors in plans, canstruction or violatians of any codes. Every permit issued shall became invalid
unless the work authorized by such permit Es commenced wEthin s�x rn�nths of permit issuance, or if work au#harized by
the permit is suspended ar abandoned for a periad of six(8)months after the time the work is commenced. An extension
may be requested,.in writing, from the Building Official for a period not ta exceed ninety {90) days and will demonstrate
justi#iable cause for.the extensibn. If wark ceases for ninety{90)consecu#ive�days,.the jab is cansidered abandoned.
W�►RNING TO C?WNER: YOUR EAILURE T� RECORD A NQTiCE OP CQMMENCEMENT MAY RESULT iPt YQUR
PAYING TWICE FOR,IMPROVEMENTS TO YUUR PROPERTY. IF YOU INT�ND.TO OBTAIN FINANGING, CON3ULT
WITN YQUR lENDER:QR AN ATTORNEY BEFORE RECORDING YOUR NOTICE t�F COMMENGEMENT: __
_ Fior�rc�a�lu��r_��s._��z:oa��—___ --��-_.: ------ - � -.� � -- -- ___ � _ -- – _
QWNER QR AGENT �����,a�'� CONTRACTOR__G%�!i--�'-�—�!` 1�!,��`�t��`y'7�'r:7'
Subscfibed and swom fo{or aflirmed)before me tt�is �' Sttbscribed and swom ta{or affirmed)before me this
by by
Who is/are person ly known to me or haslhave produced Who islare personail known to me or haslhave produced
as Iden#ficaUon. as iden�fication.
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fVame of Notary typed,printed or stamped hlame of otary fyped,printed ar sfamped
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �q�o p �t�� E.�(
Date Received: � �— $ °- J ,s'
Site: �g�2 3 RC��R A �V�
Permit Type: I�t91�0 SH��� ��[1�� �xi 5 i t1JC� CAR�o�r
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
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' This comment sheet shall k pt with the permit and/or plans.
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,�"' Gal/� �i'L
Kalvin Swrtzer— 1 aminer Date Contractor and/or Homeowner
(Required when comments ar esent)