HomeMy WebLinkAbout15-16689 - CITY OF ZEPHYRHILLS
'--- --•' S335-8TH STREET i
(s1s)�so-oo20 16 9
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION - �
Permit Number: 16689/16467 Address: 3621 COPELAND DR
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: SITE WORK Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 24-26-21-0000-00100-0070
Improv. Cost: 90,000.00 OWNER INFORMATION � -
Date Issued: 10/26/2015 Name: MORROW REALTY HOLDINGS LLC
Total Fees: 445.00 Address: 3058 SUTTON WOODS DR
Amount Paid: 445.00 PLANT CITY FL 33566-9606
Date Paid: 10/26/2015 Phone: (813)715-0404
Work Desc: SITE WORK ONLY*************
CONTRACTOR $ � " APPLICATION FEES
STINE CONSTRUCTION INC BUILDING FEE 445.00
� ` vR-� S .�b� ��� ��/�
��
-� � l
� I� �� �
�-D��
� Q.
,
� � Ins ections Re uired
FOOTER 2ND ROUGH PLUMB ISC IN ULATION 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.
REINSPECTlON FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
� first reinspection,whichever is greater,for each such subsequent reinspection.
� NOTICE: In addition to the requirements of this permit, there maybe 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
��
, CONTRACTOR IGNATURE PERMIT OFFI R �
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
��aaao-oazo City of Zephyrhills Permit Applicatian Fax 813-7aaoo2�
Building Department
Date Recelved � .., .._ ._:.i"`�3 '��.� .,.. _.' 9!.'!� f .
Phone Gontact fo�Permi4tin :.' Z�
5• i. �'
Owner's Name �D�i��U> .SI�i+�t ��L i � D iN S �IrC �Ownec Phone Number� ��3 -;7/S-�y�`��
Owner's Address �� '� � �0 p� U�`�b J2��i-� `Owner Phone'Number N �! �
Pee Simp�a Titiehotder Name � � Owner Phone Number ,� �
Fee Simple Titleholder Address
JOB ADDP2ESS .�G d�1 L v j��_L l�r3 t� z}�� .. LOT# �___�
Sus�#ViSSO� � � Partc�L ro# �'�'��° ��- o���- a a 1�� - a�`��'
(OBTAINED FROM pROPERTYTAX NOTICE) f
WORK PROPOSED , e NEW t4NSTR 8 ADDJALT � SEGN Q [� DEMflLISH
INSTALL REPAIR
PROPOSED USE Q SFf2 Q CQMM Q OTHER S� 7-� t,�p��
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DEBCRtP"C10T�OF WORK S)� D rc 7C jso c�ra1K� t,�i�'ia t3�w Lti�F"�G'+t l��z p�*} �„ "'car��r � i l�S� (�o
�iUiLDING SIZE � � SQ FQOTAGE�-1 HEIGHT ���
�s;�.���Ry�,, � W���Ga� VALUATION OF TOTAL COt�STRUC'TiON
�J
[�ELECTRIGAL �>----^M� AMP SERVICE Q PROGRESS E�lERGY [� W.R.E.C.
QPLUMBING �>-___--� � � /' � ..�y
� �� ,�
QMECHAMCAL $ VALUATIQN OF MECHANIGAL.(NSTALLATlON _
QGAS [� ROOFING Q SPEClALTf C� OTHER
FtIVtSHED FLOOR ELEVATtONS �_� FLOOD ZONE AREA [�YES NQ
,,, ^, ,_„_.,,, „_„_.,
BWLDEE2 �'. f COMPANY . T!�t� GOY1�" -
StGNATURE � � �" �+ "~ REGISTERED Y/ N FEE CURREI� Y/N �
Addrass I.Icense# ��C' � ��'� 1� -i��
E��CTRiG1AN" CQMPANY �
S1Gi�ATURE , ,, " RE�is7Etteo Y! N FEE CURRE� Y/N
A�re�s Ucense# � �
P�UMBER � Ct}MPANY
SIGt+tATUR6 REGISTERED Y! N FEE CURRE� Y/N
Address E.icense# �� ��
MECHANICAL COMPANY
SIGNATIIRE REGtSTERED Y J R1 FEE CURRE� Y/N
Address l.lcense# � 1
OTHER COMPANY
SlGHATURE RE�ISTERED Y J A! , FEE cuR�tEt� Y/N.
,,,,,,_._., „_—,,,,
Address lEcense# � � �
RESIDENTIAL Atkach(2)Flot Plans;.(2)seks of Building Plans;{1)set of Energy Fotms;R O-W Permik for new consUuation.
Mlnlmum ten(10}working.d�tys after.submlttal date. Requited onsite,Ganstruction Plans,Stonnwater Plans w!Sitt Fence installed,
Sanitary Fac111Ues&1 dumpster,Site Work Permit for subdivislonsAarge proJects
COMMERCIAl. Attach(3)camplete sets of Building Plans plus a Life Safety Page;(7}set of Energy Forms.R-O-W Permit for new constrvction.
IUlinimum ten(10)working days after submlttat date. Required ansi#e,ConstrucNan Plans,StaRnwater Pians w/Sit#Fence Installed,
Sanitary FacilPtles&1 dumpster.Site Work Permit for all new proJects.All commercial requlrements must meet compllance
SIGN PERMIT Attach{2)sets of Engineared Plans..
""PROPERI'Y SURVEY required Eor ail NEW construction.
Dlrectlons:
F311 aut applice�on completely.
Owner&Contractor sign back of appl(catlon,notaHzed
1f aver 52500,a Natice of Commencero�ent i�required. {RtC upgrade$over�75QQ}
`" � Agent(for ihe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
C7VER THE GOUNTER PERMITTING (Front of AppticaUon Onty)
Reroofs it shingtes Sewers Service Upgrades A/C Pences{PlodSurveyJFootage}
Driveways-No#over Caunter if on pubitc roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: Th�undersigned under.�tands�that this.p�rmit.may be•subject to"deed"resVictions"
which may be:more test�ictive than County�gulat(ons. �The underslgned assurries respvnslbility for compllance with any
applicable deed rest�ictlons.
UNLICENSED CONTRACTORS AND CONTR�►CTOR RESPONSIBILITIES: If the owner has hired � contractor or
contractors to undertake work, they may be-requlred#o be�licensed In accordance.wtth state.and•local regulatlons. If the
contractor is not Itcensed as required�by law, both th� owner and contractor may be cited�for a misdemeanor vlolatlon
under state law. If the owner or Intended�contra�tor are�uncertain as to what Ilcenaing.requlrements may appiy�for the
intended work, they are advised to contact the Pasco County BuildEng Inspectlon Division—Licensing Section at 727-�4s- � --
8009. Furthermore, If the owner has hlred a contractor or=contra�Z�rs, he is advised to have the contractor(s) sign
portlons.of the "contcactor 81ock" of this applicatlon for wrhich they will be responsible. If you� as.the owner sign as the
cont�actor, that�may be.an indicatfon that he is not.properly licensed and Is not entitled to permitting privlleges in Pasco
County. �
TRANSPORTATION IINPACTIUTILITI�S IMPAC7 AND RESOURCE�RECOVERY�FEE3: The unders(gned understands
that Transportation Impact Fees�and.Recourse Recove.ry.Fees may��apply to:the constructlon of new buildings, change of
use in existing buildings, or expans(on�of;ezisting:liulldings, as spec(fled.in P�sco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees�.as�may�be�.due,:wIII De identified at the time of
permitting. It Is further understood that Transportatlon.Impact Fees a�d Resou�ce Recovsry-�Fees must be pald prlor to
receiving a "certiflcate of�occupancy" or flnal power. release. :If the project does not involve a certiticate of occupancy or
final power �elease, the,fees mu�t be paid prior to permtt Issuance. F�ttk�ermore, if Pasco County Water/Sewer Impact
fees are due, they�must be-pald prior to permit-issuance�in accordance with�appllcabte Pasco�County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes, aa�mended): If valuallon of work is$2,500.00 or more, I
certify that I, the appllcant, have.been provided with a copy� of the° �Florida CmnsVuction Llen Law�—Homeowner's
Protection Gufde" prepared by the Florida Department of Agric.ulture and ConsumerAffalrs. If the applicant Is someone
other than th�"owner", 1 certify that I have.obtained�a copy.of,the abQVe.described�docurr�ent�and.promise in,good faith to
deliver It to the`owne�'prior to�commencement. •
CONTRACTOR'SIOWNER'�AFFIDAVIT: I ceitf�y that all the infocmation.in thl�applicatlon Is accurate.and that all work
will�be don� in compliance with all appiicable laws regulating constructlon, zoning and land devetopment. Application is
hereby made to obtain .a permit Co do work.and insteliatlon as indicafed.. I certffy that no work or installatlon has
commenced prlor to Issuance of a permlt and that.all �nrork will be performed to meet standards of�all laws regulating�
construction, County and City codes, zoning regulatio.ns, and land development tegulatlons•in the jurisd�ction. I ai'so
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,act(ons I must take:to be,in:.corr�pliar�cs: $uch agenctes..include but are..not lim(ted to:
;� Department of Env(ronmental Protection-Cypress.Bayheads; Wetland Areas and Endironmentally Sensit(ve
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management .l�tstrict-Wells, Cypress. Bay.heads; Weiland Areas, Altering
Watercourses.
- Army Corps of Englneers=Seawalls, Docks, IV�vigatile INaterways,
- Department of Health� & ReMabilltative Services/Environmenfal Health Unit-Well.s, Wastewater Treatment,
Septic Tanks.
- US Envi�onment�l Protectlon Agency-Asbestos abatement.
- Federal Avf�tion Authority=Runways.
I understand that the following restrlctlons apply to the use of flll:�
- Use of fill Is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill materlal is to b.e used in �Fiood Zone "A°, It. is understood that a drainage plan addresstng a
°compensating volume" will be submitted at time of peemitting which is prepared by a professfonal engineer
iicensed by the�tate of Florida:
- If the flll material Is to be used In Flood Zone 'A" (n�connection�with.a permitted building ustng stem wall
construction, I ce�tify that fiil,:will:b.e used only.to.flll the are.a withtn the�stem�wall.
- If flll materlal is to be used in any area, I �certify that .use. of such flll will r�ot adve�sely•affect adjacent
propertfes. If use of flll is found to advers�ly:affect adJacent�properties,,the owner may be'clted for viofating
the conditions of the building:permit issued under the at�ached permit application, for�lots less than one (1)
acre which are elevated�by flll, a�englneer•ed dralnage plan is required. • .
If I am the AGENT FOR TIiE OWNER, I;:promise In good faith to fnform the owner of the p.ermitttng conditfons set forth in
this affidavit�prior to commer�cing construction. I unders4and.that �:separate perrr�lt may be requtred for electrical work,
plumbing, signs, wells, pools; alr conditioning,.gas, or othec Inst�El�tlons not•spec�ical�y included-(n.the appNcation. A
permit issued shall be constcued to be a�license to�proceed wtth the�work and not as:authority to,violate,cancel, alter, or
set aside any provisions of the technical codeis;:nor shali issuance�of a permit.pcevent the Bulldirig Official from thereafter �
requfring a cor�ection nf errors In•plans,-construction or violat(ons of any codes. Every perm(t Issued,shall become invalid
uniess the work authorized.by such permit��is.commenced�within siX months of�permit lssuance, or if work authoriaed by
the pe�mlt is suspended or.abar�doned for.a;perfod of�six(8)month�:afte�the tirne the�work�•Is commenced. An extension
may be requested, in writing, from the Building.Official for a period�not to.exce�d ninety�(90) days and vuill demonstrate
justifiable cause for.the extenslor�. If work ceases:for ninety(90)coe�s.ecutive:days�..the job�is constdered abandoned.
WARNING TO OWNER: YOUR.FAIL'"URE�T�.REC.OltD.,A.MOTIGE OF-COMMEMCEMENT MIAY RESUlT IN YOUR
PAYING'T�IICE.FOR IMPROVEMEWTS TO�XOUI�>�PR�PERTY. I�°.YO.U�IN�E�D�'T��OB�TAIN�FINFANCING;�CONSULT
WIT D O: AN '�TORN • O. E�,. O � ,.:V � : .;� .,� :- . ,. � � � . .
FLORIDA JURA�(F.S.1.17.03) � ' �
OWNER OR�1OENT CONTR�ICTA �
Subscribed and ewom to(or aRirmed)before me fhis Subsqibed'a 'swo o e efo � e'
by _�b ..��� -•-1���o�
Who isfare petsonally knovm to.me or has/haye produced Vho ls/�p o me.or hasRiave�produced. •
as Identlficatlon. as IdenBflcaUon.
Notery Publlc . Notary Public
Commisslon No. Com sion�
—� ,.C`^4i"•?`a�•.
�; ';�: Commission#FF 150422
Name of Nofary typed,printed or atampad Idame of Nof ,.,i�l �f� �
%;,p����;�``� Bonded Thru Troy Fain Insuranca B00�3B5-7019