HomeMy WebLinkAbout15-16103 � CITY OF ZEPHYRHILLS �
� 5335-8TH STREET
(813)780-0020 1610
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16103 Acldress: 38543 LANSING AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV
Est. Value: Parcel Number: 02-26-21-0260-00000-1250
Improv. Cost: 2,300.00 OWNER INFORMATION
Date Issued: 3/20/2015 . Name: SCHULTZ, RON
Total Fees: 90.00 Address: 38543 LANSING AVE
Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/20/2015 Phone: (813)782-3176
' Work Desc: REPLACE 10 WINDOWS S/S
CONTRACTOR S APPLICATION FEES
HOME WNER BUILDING FEE 90.00
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Ins ections 12e uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING '
FOOTER BOND DUCTS INSULATED SEWER MISC. I
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.
REINSPEC7TON 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 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 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.
C�J��
CONTRACTOR G TURE PERMIT OFFI R
PERMIT 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 I
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: L� �.
Date Received: J ^ ��°° � �
Site: �.G�/.�S � ���
Permit Type: j b (�, n�i ��j,��CCCt°�*Evt�
Approved w/no comments Approved w/the below comments: Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
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Kalvin tz r— s Examiner Date Contractor and/or Ho owner
(Required when comments are present)
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GENERAL NOTES p � z � ��!
o / �i, This product anchoring drnwing has been developedln compliance wiih tha 2010 Florida � ��� Z ��
Building Code(FBCJ excluding fhe"High Velociiy Hurticane Zone".See the Cerfiflcation � � � y o ��
Agency Certificate tor sfzes,specifications and ratings. tl � � ° � x
2. Praduct anchors shalt be as I'�sted and spaced as shown on details.Anchor embedment to � X � Y�x a
base material shall be beyond wall dressing,stucco,foam,brick and other woll coverings. ' ` �'''�
3. Wood screws shall be installed following installafion instructions of ANSI/AF&PA NDS 2005.All �
other fostener types to be installed following fastener manufocfurefs insFallatfon inshuctions. ���
4. Fostener embedment depihs,edge distances and cenfer-center d�tonces shall be as / �a�W o
specified by the fastoner manuFacturer but In no instonce shall they be less than shown in this '
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drawing. $o o �
5. Where shims are used,lhey must be a'Yigid/s1ifP'material thal complies with the � c°���� �
requiremenh of the 2010 FBC, w c,¢8
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6. Positive ond negalive desfgn pressure requfrements for use with this drawing shali be �N� m
determined by others fdr speci(Ic Jobs in accordance with ihe goveming code. ^^"° Z
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7. Site conditfons not covered by this drawing are subject to fu�lher engineering onarysis, .+v o�° �
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ITEM DESCRIPTION MATERIAL
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BYtHEENGINEERORARCHIiECi �� ��ro�
OF RECORD BASED ON WIND LOADS z `o �
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CONCREfEANCHOR NOTES: ����
1.Su b s ii f u tion oF equat concrete screws from a different supp(ier may have dffferent edge distcnce ond center distance requiremen}s. �,°�� _
2.Concrele screw localions ot tho comers may be ad)usted to matnta(n fhe mfn(mum edge tlktance to martarJolnts.IP concrete screw �F^o -
locatbns notod as"MAX.ON CENTER"must be adJusted to malntain 1he mtntmum edga dlstonce to mort�Joinis,additional concreta
screws may be required to ensure the mo�dmum on center dimension is not exceeded. N b o r Q �
3,Concrele anchor table: N.-o ;
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SIffET 4 OF� N
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813-780-0020 City af Zephyrhills Permit Application Fax-sTSasa-oaz�
Building Department
Date Recelved ' d' Phone Contaat for Permitting (� �G� — � 1
Owner's Name Yl c � Owner Phone Number
Owner's Address �r�. Owner Phone Number �— �
Fee Simple Titleholder Name Owner Phone Number � �
Fee Stmple Tlttehotder Address
JOB ADDRESS �U��' lti.' �'2 �!� � LOT# �
SUBdtVIS18N � FARCEL ID#
(OBTAINED FROM PROPER7Y TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADDIALT [� SiGN Q Q DEMOLISN
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTIQN Q BLOCK Q FRAME � STEEL Q ,
\ p�
DESCRtPTtON OF WORK � � �i� il
BtlILdIFICa SIZE � � SQ FOO'iAG��____i� HEIGHT ���
�BUILDlNG $1_/_ ����f VALUATIOR!OF TOTAI.CONSTFtUCTCOt� �,,i���
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QElECTF2ICAL �s ----�� AMP SERVlCE 0 PROGE2ESS ENERGY [� W.R.E.C.
QPLUMBING �> t �����,f„ , �`V
� ����
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OMECHANICAL �> � VALUATtQN QF MEGHANICAI.ENSTAl.tATiQN ���p�jlril
�
QGAS Q ROOFING Q SPECIALTY � OTMER ,I j j ���
FINISHED FLOOR ELEVATIONS FLOQD ZONE AREA QYES NO ��` r `��
BUILDER. �r-���� ��COMPANY �-'�N��'E,��--�
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License# �� �
E�ECTRICIAN CQMPANY
SIGNATURE REGISTEf2Ep Y/ N FEE CURRE� Y/N
Address License# �- �
PLUMBER �� GOMPANY
SIGNATURE , ,,, , Recisrea�o Y/ N Fe�cuRRSn Y/N
Address � �icense# �` �
MEGHANlGAL COMPANlf
SIGNATURE ,, ,,_. R�cisrEReo Y/ N Fe�cuRREn Y/N
Address �icense# �- �
Q'f HER CQMPANY
S1GFIATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I.icense# � �
RESIDENTIAL Attach{2�Plot Ptans;(2�sets of Buitding Plans;{1}set af Energy Forrns;R-O-W Permit for new canstruction,
Minimum ten.(10}warking days aftet submittal date. Required onsite,Construction Ptans,Stormwater Plans w!Siit Fence installed,
Sanitary Facill8es&1 dumpster;Sike Work Permit for subdivisions/large projects
COMMEi2C1AL Attach(3}compfe#e sets of Butlding Plans plus a Llfe Safety Page;(1)set of Energy Farms.R-O-W Permit far new construcGon.
Minimum ten(1D}wprking days affer submittal date. Required,onsite,Constnaction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciflUes&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SiGN FERMIT Attach{2}sets of Engineered Plans.
""PROPERTY SURVEY required for at�NEW construction. - - - •- - - -- `
Dfrecttans: -
Fiil out appUcation campletety.
Owner 8 Contractor sign back of application,notarized
tf aver�25d0,a Notlae of Camm�ncament is reqaired. (AfC npgrades av�r$�500} . _ ., _ _, _.�, . ..„ . , _ „ ,
� .
" Agent(for the contraator)or Power of Attomey(for the owner)would be someone with nota�ized letter from awner autFiorixing same .� , •
DVER THE COUNTER PERl1#IITTiNG {Front af Application Only) - -. �
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) , , � � , ,
Driveways-Not over Counter if on public roadways..needs RdW
NOTICE OF DEED RESTRICTIONS: The undersigned under.stands that this permit may be subject to"deed" restrictions"
which may be more restrict(ve than County regulations. The underslgned assumes responsibility fo�compllance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor br
contractors to undertake work, they may be required to be l(censed in accordance.with state.and•local regulatlons. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violatfon
under state law. If the owner or fntended 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-
80�9. Furthermore, tf the owner has hired a cbntractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be respons(ble. If you, as.the owner sign as the
cont�actor, that may be an indication that he is not properly licensed and is not entitled to permitting privlleges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES 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 identifled 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 Water/Sewer Impact
fees are due, they must be pald 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, �he 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 ce�tify that all the information in this appllcation is accurate and that all work
wili�be done in compliance with all applicabte laws regulating construction, zoning and land development. Application is
hereby made to obtain .a permit to do work and instailation as indicated. I certify that no work or installation has
commenced prior to fssuance 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 tn 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 tnclude tiut are not limited to:
- Department of Environmental Protection-Cypress Bayheads; Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses. �
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Heaith 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 flll:•
- Use of fill is not ailowed 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°connectfon with a permitted building using stem wall
construction, I certify that fill wlll 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 flll, an engineered drainage plan is required. � ,
If I am the AGENT FOR THE OWPIER, 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 installatlons 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, no�shall issuance of a.permit prevent the Buildirig Official from thereafter
requiring a correction.of errors in.plans, constructlon or violations of any codes. Every permit Issued shall become invalid
unless the work authorized by such permit is.commenced within six months of permft issuance, or if work authorized by
the pe�mit 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 perfod not to exceed ninety_.(� days_.and will demonstrate�__ _ __ _
�justifia6le cause fo�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�COMMENCEMEfdT.
FLORIDA JURAT(F.S,�I'1'7�03)
OWNER OR AC3ENT6�li� s CONTRACTOR
Subscribe and sworr�(or ai ed before me this Subscribed and swom to(or affirmed)before me thfs
.�10-f� by o(Ke�.� �. �c�u�ez-- by �
Wh islare personally known to me or has/have produced Who Is/are personally known to me or haslhave produced
�rr{a_. as identlficatlon. as identlfication.
�Publtc . ' Notary Public
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=�y ��:� Commission FF 150422
Co ml o . - �_ Commission No.
%N. .0=
I�''��pP��°.``�, Bondad Thru Troy Fain Insurance 800�385-7019
Name of Notary type ,printe or s ampe Name of Nolary typed,printed or stamped
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S�EEPY HOLLUW MOSILE ESTA7E'ES,INC.
38615 Lansing Avenue � . -
Zephyrhills,Fiorida. 33542 �
Phone: 813-783-1111
Fax : 813-783-7681
Sleep h�wpark(a�verizonnet
This is a request to the Board of Directors as called for in the Prospectus to
make the following addition or improvement to my home or homesite.
I wish to
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Date of Request 3 ��o � 1 5
Lot# �
Sixeet 3���3 �Q�v� S��
Signature �?�'� �
Date 31 �n��5
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