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Home My WebLink About15-16131 CITY OF ZEPHYRHILLS �' S335-8TH STREET f (si3)�$o-oozo 1613 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16131 Address: 5754 12TH ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-05200-0110 Improv. Cost: 1,000.00 OWNER INFORMATION Date Issued: 4/10/2015 Name: FORCE, SHIRLEY Total Fees: 60.00 Address: 5754 12TH ST Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/10/2015 Phone: (407)892-4978 Work Desc: ENLARGE 8 ' X 10 ' PORCH CONTRACTOR S APPLICATION FEES HOMEOWNER BUILDING FEE 60.00 � � - l t� �-l S ��= �S Ins ections Re uired FOOTER 2 D R UGH PLUMB MI C INSULATION EILING 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 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 properly. 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 City Codes and Ordinances. NO OCCUPANCY BEFO C.O. � � N RACTO SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � � Yj �t Y� l 'e `� : �i��/ /� � �'f d" �' 7 s �` � �: �� .S . �G� tr � �� . ` ./ .r ...1 A.... ,. � � � �/� c�i S � t� a � I � �` � � -��`� �"1r' �� r� � ��U�..� ' � �� --,4 l��/��,� �G��... �S 1' � P�-c�,S � �C=�i[=`-ak� �±p�t� �� .��.�,� � C;TY�,s�� .�{„��i'r'=��l��I_�'� —. , .> w _, iv �1�� --�--_ � �y�� -� � � L� �� r� �C73..�..fll.E:�iii.2.t��..? fat,fi��3�..�� YY 1 f� � r �V IL�3A't�J, rqs,�. '��'�1..Ai.?.a�.];..i ��..�rtr.ri`I�..�.�..:i�,.y'}SL�.a�v�.��7 f�.'�� 'L1�:,i,I:.4.T�T's�`Q,,;_, r'.C�'J�.��- CITY OF ZEPHYRHILLS BUILBING DEPARTMENT �� ] Owner: ,��#4��I��d/�C � Job Location/Address: S7�`l /a�-��` S � ��Li c��i<��5, �/, �� c�.� Parcel I.D. #: SHOW ALL EXISTII�TG&PROPOSED STRUCTURES GNING DIMENSIONS &SETBACKS UTILITY BUILDINGS MUST SHOW SIZE &FOUNDATION INFORMATION I �g s �� . p��,�- � � f � " � � � ��s [ � � � . � l FRO1�bT PROPERT3� � E — — — STREET — — — — — — — — — — — (NOTE EXANdPI.ES 1&2).. Example 1. Setbacks for Rl &R2 Zoning Example 2. Setbacks for R3 Zoning ' I �' I 60' — — ia io� p E R X + 0 I lU �� lU ia o T ta . 140� I s I '�' I E N D (3 PROP05m �, 2U•SINCd.EFAiu�,Y f 30'DUPIFX FRONT PROPERTY LiNE FROHT PAOPERTT].BtE - - - SfREE'f - - - - - - - - - - - - -- SfREEf -- - - - - - - - - - � DISCLOSIIRE STATII�NT FOR OWNSR CITY OF ZEPHYRHILLS BIIILDING DSPARTMENT I, ` / G�te� have read and fully understand and agr to the p ovisions of this iastrumeat. The undersigned states and affirms that he or she is desirous of constructiag, renovating, adding to or reroofiag his or her own domicile, that he or she actually occupies, or will occupy by said domicile, aad same is not for rent, lease or sale. That he or she shall comply with the followiag conditions: l. That the owaer and he or she alone ahall act as the builder for all phases of � coastruction. 2. That the owaer will comply with all provisions of the City of Zephyrhills ordiaances and codes pertineat to the building. 3. That in the eveat various phases of coastruction are subcoatracted, he will eagage only properly liceased subcoatractors and will persoaally supervise such work. 4. That ia the eveat the Building Inspector shall require correctioas to be made, the owner will assume full respoasibility to iasure they are made, aad upon completion will call for a reiaspection before proceediag with the building. 5. That the owner shall assume full responsibility for the constructioa and will aot expect supervision of his work from the City of Zephyrhills Building Departmeat. 6. That prior to final inspection any additioaal fees, including reiaspection fees, must be paid ia full. A written request from thia office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State aad Federal laws ia regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commissioa. 9. State law requires coastruction to be doae by licensed coatractors. You have applied for a permit under aa exemption to that law. The exemptioa allows you, as the owaer of your property, to act as your own coatractor with certaia restrictions even though you do aot have a licease. You must provide direct onsite supervisioa of the coastructioa yourself. You may build or improve a one-family or two-family residence or a farm outbuildiag. You may also build or improve a commercial building, provided your costs do aot exceed $75,000. The buildiag or residence must be for your own use or occupaacy. It may aot be built or eubstantially improved for sale or lease. If you sell or lease a buildiag you have built or substantially improved yourself withia 1 year after the coastruction is complete, the law will presume that you built or substaatially improved if for sale or lease, which is a violation of this exemption. You may aot hire an unlicensed persoa to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may aot delegate the responsibility for supervisiag work to a licensed coatractor who is not licensed to perform the work beiag doae. Any person working oa your building who is not licensed must work under your direct supervisioa aad must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers� compensation for that employee, all as prescribed by law. Your constructioa must comply with all applicable laws, ordiaaaces, buildiag codes, aad zoniag regulations. OWNER'S SIGNATURE �e1'l.c�- DATE �� c5 � f r� J ADDRESS 7 S y ' � / -- �3�� PHONE WITN�SS '��' '�1•L � '-s, / � e� PERMIT # � l7�� ' ��-,au-�L� City of Zephyrfiiiis Permit Applicatron Fax-813-780-dd21 Buitding Department Date Rec�ived �- �,?--� ,�� Phone Contact for P�rmittln – Own�r's Name �"' t,1 P< Ov+rner Phone Number (! ,i�� {.l Owner's Address J -�� ..2.� � �- Owner Phane Number �i � Fee Simple Titiehoider Name �' � � Uwner Phone Number � � Fee Simple Tltteholder Addres� i �aB a��Ress '7�.5 /,� ,.S'1'` / L„%�s LOT# � S„SO�„�S�Q,� r— ' � PARCE�!D# t . 2� � �c �-ooto- o s o4 -��o {OBtAINED FROM PROPERTY 7AX NQTICE) WORK PROPOSED NEW tONSTR ADDlALT - SIGN CJ Q DEMOLlSN e INSTALL 8 REPAIR PROPOSED USE � SFR Q COMM � OTHER , TYPE OF CONS7RUCTIQN BLOCK FRAME S7EEL Q ` dESCRIPTION OF WORlf 4 f� � Lj � _cZ f IBUlLDlNG SlZE SQ FOOTAGE HElGHT QBUILDING $ �� VRLUATlON OF TOTA�CONSTRUCTION QELECTRICAL � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ F c�.�(J� '" S��I'� t � �yJ QMECHANICAL $ '" � VALUATIQN QF MECHANICAL INSTALI..ATION �,,, lV��#"S,�� e� ' QGAS Q ROQFING Q SPECIAL.TY [� OTHER �� `�1 �' =tN1SHEa FIOOR E�EVATIQNS F�OOD ZON�AaEA QYES NO �\� 3UILDER f(� �' COMPANY `�"0�1,�i�1�-� �tGNATURE / l REGISTERED Y/ N FEE CURRE� Y/N Address License# �— �1 eLEGTRICIAN COMPANY >IGNATURE REGISTERED Y/ N FEE CURRE� Y/N _,...,_,.�,.� Address Llcense# �— �� 'I.UMBER � COMPANY i1GNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �ii ^� �ECHANICAL COMPANY i1GNATURE REGISTERED Y J N FEE CURRE� Y/N Address ' license# � �� '�E� COMPANY � +IGNATURE __ REGtSTERED Y 1 N FEE CURREA Y/N Address _ Lfcense# �` � :E3IDENTIAL Aftach(2)Plot Pians;(2}sets of Building Plans;(1}set of Energy Forms;R-O-W Permit for new construction, M'snlmum ten(10}watkfng days after submittai date. Requirad onsite,Construction Pians,8#ormwater Pians w!Silt Fence insta�ted, �� Sanitary Faciiitles&1 dumpsker,Slte Work Permit for subdivisionsAarge projects ` OMMERCIAL A#ach(3)comptete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construotlon, Minimum ten(1d}war{c€ng daysaffer submittai date. Required ansite,Canstruction Plans,Stottnwater Pians wJ Siit Fence installed, San(tary FaciliNes&1 dumpster.Site Work Permit for all new projects.All cammercisi regufrements must meet camplEance IGtd PERMiT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for aH NEW construction. � irectlons: Fitt out appiicafion campleteiy. Owner&Gontrac#or sign back of appticatkon,notarized ' If over y2500,a No#ice af Commencement is required. (A/C upgrades ov�r$7540j �, Agent(for the contractor)or Rower.o6�Attomey,(for tHe•owr'i�r)'woulii be'someone with notadzed letter from owner authorizing same �� VER THE COUNTER PERMIT7ING � (Eront,of Application.Only) '. ` eroofs if shingles Sewers S�ervice t)pgrades A/C Ferices(1?IoUSurvey/Footage) driveways-Not over Counter if.on-p�bliaroadways::needs'ROW""'`-'�� `` NOTICE OF DEED RESTRICTIONS: The undersigned undecstands°that this,petmit.may be subJect to"deed"restrictions" " which may be:more restcicttve-.than C.ounty regulations. �The undersigned assumes responsibility for compliance with any applicable deed restrictions. � UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required..to.be;Iicensed in accordance with state.and•local regulations. If the contractor is not Iicensed.as required=by law, both the own�r 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 Bulldtng Inspection Divlsion—Licensing Section at 727-847- 8009. Furthermore, tf the owner has hired a contractor or contractors, he is advised to have the con�ractor(s) sign portions of the "contractor Block" of this application for which they will be responslble. 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 tn Pasco County. TRANSPORTATION�IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees;and.Recou�e°Recove.ry Fees�m��apply to the construction of new buildings, change of use in existing buildings,-or-expansion�of exi"sting'.buildings, as specifled in Pascv County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fie�s� as;may�be�due,.will be identlfied at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be pald prior to receiving a °certificate of occupancy° or flnal 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. Ft�rthermore, if Pasco County Water/Sewer Impact fees are due, they must be-paid prior to permit issuance-in accordance with applicable Pascv County ordinances. CONSTRUCTION LIEN Llo1�(Cha�ter 713, Florida�tatutes, as amend�ef): If valuation of work is$2,500.00 or more, 1 certify that I, the applicant, have been provtded with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agric.ulture and ConsumerAffairs. If the appltcant fs 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�cornmencement: • CONTRACTOR'SIOWNER'3 AFFiDAVIT: I ceMify that.all,the information in thi� appltcation is accurate and that all wrork will�be done in compliance with all applicable laws regulating construction, zoning and land developrnent. Application is hereby made to obtain .a permit.to do work and instailatlon as indicafed. I certify that no work or installation has commenced prior to issuance of a permit and that.all work will be pertormed to meet standards of all laws �egulating construction, County and City codes, zoning regulations, and land development regulatfons�in the jurtsdiction. ( �also certify that I understand that th� regul�tions 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 agenc(es.inciude but are not limited to: - Department of Envlronmenta! Protection-Cypress.�Bayheads, Wetland Areas,and Envlronmentally Sensitive Lands, WatedWastewa#�r Treatment. - Southwest Florida Water Management .District-Wells, Cypress Bayheads; Wetland Areas, Altering Watercpurses. - Army Corps.;of Engineers-Seawalls, Docks, Navtgab�o 1iVaterinrays. - Department of Health & Rehabilitative Services/Environmenfal Health Unit-Wells� Waste�taQer Treatment, Septic Tanlcs. _ - US Environmental Protection Agency-Asbe�tos abatement. -��- -- -- � . - Federal Aviation_Authority-Runways: � I understand that the following_restrictions apply to the use of flll:� - Use of fill is not allowed in Flood Zone°V"unless expressly permitted. - If the fill materiai 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 �sing stem wall construction, I certify that fill�.w89:b.e used only.to.flll the area withln.the stem wail. - If fill material is to be used in any area, I certify that use. of such �ill will not adversely affect adjacent properties. If use of flll is found to adversely:affect adJaeent properties,.the owner may be cited for violating the conditions of the building.permit issued�under the attached permit application, for Iots less than on� (1) acre which are elevated by flll, an englneered drainage plan is required. If I am the AGENT FOR THE OWNER, I,promise in good faith to inform the owner of the permltting 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 condttioning,.gas, or:other installations not specifically included in the application. .A permit issued shall be constcued to be a Iicense 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 Bu(Idirig Official from the�eafter requiring a correction af errors in.plans;construction or violations of any codes., Every permit Issued shall become invalid unless the work authorized by such permit:�is commenced�withtn six months of,permlt 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(s commenced. An extension may be requested, In writing, from the Building.Officlal for a pertod.: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._ _ _ __ _ _ WARNIWG TO OWNER: YOUR FAILURE�TO,RECORD A MOTIGE OF-COMMENCEMENT IVIAY�RESULT IPI YOUR PAYING TWICE,FOR IMPROVEMENTS TO YOUR P.ROPERTY. IF YOU,iNTEND`TO OBTAIN�FIPtANCING,�CONSULT WITH YOUR LENDER OR AN ATTORNEY�f3EFORE RECORDING:YOUR`NOTICE'OF COMMENCEIV,ENT: FLORIDA JURA�(F.S.117.03) � ' OWNER OR AGENT COt�IITRACTOR �� Subscribed and swom to(or aflirmed)before me this Subscribed and's to r affirme • e re me this by — — VYho Islare personally knovm to me or haslhave produced Who Is/a� ersona known to me or haslhave produced as Identlflcatlon, as IdenBflcaOon. Notary Public . otary Public Commisslon No. om sio i==°` Y�9Y P� �''��{; "�}E��GES a�,: '��..� ;��:'�?��20 ;• Name of Notary typed,printed or stamped Nam�of Notary