HomeMy WebLinkAbout15-16133 CITY OF ZEPHYRHILLS
,, i 5335-8TH STREET
(sis)�ao-oo20 33
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16133 Address: 6552 TEAK CT
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: DRIFTWOOD
Est. Value: Parcel Number: 02-26-21-021A-00100-0040
Improv. Cost: 1,680.97 OWNER INFORMATION
Date Issued: 4/02/2015 Name: GREENSHIELDS CURTIS & PATRICIA
Total Fees: 67.50 Address: 6552 TEAK CT
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542
Date Paid: 4/02/2015 Phone: 813-780-8210
Work Desc: REPLACE 4 WINDOWS & STORM DOOR FOR LANI
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 67.50
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Ins ections Re uired
FO TER 2ND ROUGH PLUMB MISC INSULATION CEIL NG
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 pertormed in accordance with
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
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: /�-' �L°�1-� < �Cf 1'
Date Received: �°� 7���
site: l S�S'Z � � G%
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Permit Type: /��(�Ct° ����5 lJ �� �
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 S tzer—Pla� xaminer ate Contractor and/or Homeowner
(Required when comments are present)
a�a-+au-uucu City of Zephyrhiiis Permit Appiicatian Fax-813-784-4424
Bullding Department
Dafe 13ecelved �j �L���" ( Phone Contact for Permtttin t� �-� '�= v L� "
� ""� ; `� `� Owner Pfione Number 7 -���C ��r�
Owner's Name � � �i.r'� ^�� �S
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Owner's Address � J �� � h- � Owner Phone Number _.
Fae Simple 7itleholder Name �— � Owner Phone Number ,_
Fee Simpte Titleholder Address
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JQS MDRESS r .5�.�,� 1`
SUBDIVISION I--�� I f"�W��`�'-`�� � p�CELID#
(QBTAINED FROM PROPERTY TAX NOSIGE}
WORK PROPOSED e NEW CONSTR 8 ADD/ALT [� S1GN [� Q DEMOLISH
INSTALL REPAIR
PRQPQSED USE (� SFR Q COMM 0 UTHER
TYPE OF CONSTRUCTION Q BLOGK [� FRAME C� STEEL Q
DESCRIPTION OF WORK .�'/. 'i':� ~ :.t*'i'�..1�"f�C.r� yis ' C/✓�?�-r".--� �'G.r .�t2� �-i2�;?�
BUtLDtNG SIZE �! SQ FOOTAGE� HEIGHT �`�
QBUtLDiN� � $ J k1� �� VALUATION OF TOTAL CONSTFiUCT10N
1 t/
CJEI.ECTRICAI �- � AMP SERVICE [� PROGRESS ENERGY [� W.R.E.C.
QPI.UMBING ($ii�
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QMECNANICAL $ \lALUA710N 4F MEGHANICA�ENSTALtATiOiV � �
QGAS Q ROOFIfVG [� SPECIA�TY � QTHER
=iNiSHED FLOOR ELEVATtONS �� FLOOD ZONE AREA QYES NO
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3UI�DER y.JL�Y �PANY . ��'G2.�'7'�Q-"P""'
3tGNATURE I REGIS7ERED Y J N FEE CURRE� Y/N
Address Llcense# � �
°_�ECTRICtAN COMPANY
i1GNATURE REGISTEREO Y/ N FEE CURRE� Y/N
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Addrsss License# � '�'�
'I.UMBER � � COMPANY
i1GNATURE 4tEGISTERED Y 1 N FEE CURRE� Y/N
Address License# �— '�
AECHANICAL _ ___� _--r--� COMFANY
tlGMATURE � REGiSTERED Y I N FEE CURRE� Y J N
Address License# � 4�—�
►THER C411RPAMY
�IGNATURE REGlSTEREQ Y i N FEE CURRE� Y/N
Address License# �ii+ ��
:ESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit far�ew construction,
Minimum ten(10�working days after submiktal date. Requtred onsfte,Construction Flans,Stormwater Pfans w/Sftt Fenee installed,
Sanitary FaciliUes&1 dumpster,Site Work Permit for subdtvis(ons/large projects
OMMEFtC1AL Attach(3)complete sets of Building Plans plus a l.ife Safety Page;{1}set af Energy Fomts.R-O-W Permif far new cons#rvction. - � -
Minimum ten{10)wodcing days after submittal date. Required artslte,Constn�ctioce Pians,Stormwater Ptans wl Sif#Fence i�statted,
SanRary Faciltties&1 dumpster,Site Work Permlt for a!!new projects.Rii commerc}at requirements mnst meet comptiance
IGN PERMIT Attach(2)sets of Engineered Plans.
"•••PROPERTY SURVEY requ3red for a!I NEW constructton.
irections:
Fql out applicatian completely.
Owner 8�Contractor sign back of appilcation,natarized
!f over b2500.a Notice cf Cammencement fs required. (A►C upgrad+�s ov8r S75dd)
Agent(for the contractor)or Power of Attomey(for tF�e owner)would ba someone with notarized letter from owrzer authorizing same-- - --, � -
VER THE CdUNTER PERMlTTING , (Front of Appiiratian.Oniy} ' � '� , ,
eroofs if shingles Sewers Service Upgrades`A!C Fences(Ftot/Survey/Footage} , ;
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Drtveways-Not over+Counter fF on pubiic roadways..needs ROW ,., _ .� _ -� -. > -� _ � � - °
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NOTICE OF DEED RESTRICTIONS: The undersigned under�tands that this,p�rmit.may.be:subJect to"deed"restricttons"
which may be:more restNctive�than County regulations. The undersigned assumes responsibflity 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:Ncensed In accordance with state.and�local regulations. If the
contractor is not Ifcensed as required=by law, both the owner and contractor may be cited for a misdemeanor violatfon
under state law. If the owner or Intended contraetor are uncertaln as to what Ilcenstng.requirements may apply�or the
intended work, they are advised to contact the.Pasco County Bullding Inspectfon D(vislon—Ltcensing Section at 727-847-
8009. Furthermore, tf the owner has hired a contractor or contractors, he is advtsed 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
co�tractor, that may be an indication that he is not.properly Iicensed and Is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recove.ry Fees may appiy to.the construction of new bulldings, 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 identlfied at the time of
permitting. It is further understood that T�ansportation Impact Fees and Resource Recovery Fees must be paid prfor to
receiving a °cert(ficate of occupancy" or flnal power-release. :If the project does not involve a certiflcate of occupancy or
final power release, the fees must be paid prior to permit fssuance. Ft�rthermore; if Pasco County Water/Sewer Impact
fees are due, they must be-paid prior to permit lssuance-in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIHN 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 Departmenf of Agrfc.ulture and ConsumerAffairs. If the appl(cant (s 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 ce�tify that all the lnformation in this application is accurate and that all wrork
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 pertormed 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 uaderstand 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.cor�lpliance. Such agencles include but are.not Iimited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WatedWastewater Treatment.
- Southwest Florida Wate� Management ..District Wells, Cypress. Bay.heads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navtgabie Waterways.
- Department of Health & Rehabilitative Servlces/Environmenfal Healfih Unit:Welis� Wastevirater Treatment,
Septic Ta�ks. � _
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal Aviatton 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 material-is to be used in Flood Zone "A°, it. is understood that a dra(nage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
Ilcensed by the State�of Florida.
- If the fill material is to be used in Flood Zone "A" ins connectfon with a permitted building using stem wall
� construction, I certify that fill�.will�b.e used only.to fill the area withln the�stem wall.
- If fill materlal is -to be used In any area, I certify that use. of such fill will not adversely affect adjacent
properties. If use of flll 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 OWNER, I,promise in good faith to fnform the�owner of the permitting conditions set forth fn
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrfcal work,
plumbing, signs, wells, pools; air conditioning, .gas, or other installations not specifically included in the application. A
permit issued shall be constr.ued 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 Officlal from thereafter
requiring a correction af errors In.plans, construction or violattons of any codes. Every perm(t Issued shall become invalid
unless the work authorized.by such permit.�is cammenced within six months of permit 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,Officfal for a perlod.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 IPI YOUR
PAYING TWICE.FOR IMPROVEMENTS TO YOUR�PROPERTY. IF�YOU�INTEND?TO OBTAIN•FINANCING; CONSULT
WITH Y UR LENDE O AN A'�T'ORNEY B FORE�,RECO �I G�YOU = O � C `O O E E NT
FLGR�DAJURAT-(F.S.'09T. 9) - -- � - — -- • - - -
OWNER OR AGEN�� �ti ✓����' CONTRACTO v ��� �
Subscrlbed and swo t (or afflrmed)before e this Subscrlbed and swom to(or afRrmed)�before me this
.3-z7-�s by�l��}l�.�'9�"= � = 3-zS-�s .by�j�i�r�t���i9 r� �A _r-i_�cu'�iG�
Who�ar� e�sona y�Cnowm to.me or has/haye produced, Who Is/ar p.ersonall known to me or hasR�ave produced.
,(�il.�er� Ce.Y.S� as Identlflcatlpn. Ce:2 S-� as Identlfica0on.
(,tQ.��� Notary Public . ' �j� Notary Publlc
"""' Com Issio �""
.•�:�::va��., JACQUELINE B ' �'''�
Co Isslon =,,.' ':k=_ Commission#FF 150422
=�.: ::= Commission#FF 150422
z�a� �'a: Ex ires December 2 =`�' �`'=
Name o(No �`p�I���M'SZ81Y1�0�renc�B00385•7019 Name of Nota tj/ �,����intd,aa:n&tald�p6�I,suranceBWJBS•7019
DISCLOSIIR$ STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BIIILDING DSPARTMENT
I, have read and fully understaad and
agree to the provisions of this instrumeat.
The undersigned states and affirms that he or she is desirous of constructing,
reaovating, adding to or reroofiag his or her owa domicile, that he or she
actually occupies, or will occupy by said domicile, aad same is aot for
rent, lease or sale. That he or she shall comply with the followiag conditioas:
1. That the owner aad he or she alone shall act as the builder for all phases of
construction. -
2. That the owaer will comply with all provisioas of the City of ZephyrhiLls
ordinances aad codes pertinent to the buildiag.
3. That ia the eveat various phases of construction are subcontracted, he will
engage oaly properly licensed subcontractors and will personally supervise
such work.
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4. That in the eveat the Buildiag Inspector shall require corrections to be made,
the owaer will assume ful�l,, respoasibility to iasure they,are made, aad upon
completion will call for a reiaspection before proceediag .with the buildiag.,
5. That the owner shall assume full responsibility for the coastruction and will
aot expect supervision of his work from the City of Zephy,rhills Building
Departmeat.
6. That prior to final inspection aay additional fees, including reiaspection
fees, must be paid in full. A writtea request from this office shall
constitute an official notice to pay additioaal fees.
7. That the owner shall comply with all City, State and 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.
I 9. State law requires construction to be doae by liceased coatractors. You have
applied for a permit un.der an exemption to that law. The exemptioa allows
you, as the owner of your property, to act as your owa coatractor with certain
restrictions evea though you do aot have a license. You must provide direct
onsite supervision of the constructioa 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 buildiag, provided your costs do aot exceed $75,000.
The building or resideace must be for your owa use or occupancy. It may aot
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substaatially 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 aa unliceased persoa to act as your coatractor or
to supervise people working on your buildiag. It is your respoasibility to
make sure that people employed by you have liceases required by state law and
by county or municipal licensing ordiaaaces. You may aot delegate the
respoasibility for supervising work to a licensed contractor who is not
liceased to perform the work beiag doae. Aay persoa working on your building
who is aot liceased must work under your direct supervision aad must be
employed by you, which means that you must deduct F.I.C.A. and withholdiag tdX
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordiaances, building
codes, aad zoniag regu ations.
OWNER'S SIGNATURE �LL���� DATE
ADDRESS ,✓:�" C
PHONE � ��p ^ �Z
LiIITNESS PFsRMIT #
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