HomeMy WebLinkAbout16-16973 CITY OF ZEPHYRHILLS �,,�'�
5335-8TH STREET ,/
(813)780-0020 16973
BUILDING PERMIT '
- PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16973 Address: 38245 12TH AVE J'
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
• Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL� Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-03300-0090
Improv. Cost: 3,500.00 OWNER INFORMATION
Date Issued: 2/12/2016 Name: KFP VENTURES LLC
Total Fees: 142.50 Address: PO BOX 566
Amount Paid: 142.50 ZEPHYRHILLS FL 33539-0566
Date Paid: 1/29/2016 Phone: 813-778-1840
Work Desc: CARPORT TO BEDROOM 128 SQ FT
CONTRACTOR S APPLICATION FEES
JEFF DIXON CONSTRUCTION CO INC BUILDING FEE 82.50
LEWMAN ELECTRIC LLC ELECTRICAL FEE 60.00
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Ins ections Re uired �
F OTER 2ND ROUGH PLUMB MISC INSULATION 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: (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 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
C CTOR SIGNATURE PERMIT OFFI R
ERMIT EXPYRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills '
BUILDING PLAN REVIEVd C031�3VIENTS �
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Cantractor/Homeowner: \ �1' � ���� � �l.� IYz�G�`7�n
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?Jate Received: " 2'"��l k�
Site: � �2"� / ��� �'�'"`�—
Pernut Type: �-� � `�� ��" � `(� �G���`
Approved wJno comments: Approved wlthe below camments: ❑ Denied wlthe below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
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Bill urgess—B 1 'ng Official Date Contractar and/or Hozneowner
(Required when camments are present)
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Rtpl:1744245 Rec: 10.00
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01/29/2016 K. R. M., Dpty Clerk /
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PermilNo. ParcellDNo_11�n117-�1 —c.o10-d33oo- 0�1� ' pD
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NOTICE OF COMMENCEMENT ���,
Slate o( �I Ur•N�1 County o! ��'�)�� �
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THE UNDERSIGNED hereby gives notice Ihal improvement will 6e made lo certain real proDertY,and in accordance with ChaD�er 713,florida Stafutes, �m�
Ihe following information Is provided in ihis Notice of Commencemenl/: �7 WN�
1 Descriplion of Property Parcel Identifieation No. � � lJ '� � �d J O �OC�q� �•• o
Streel Address: c� 'J�L/� �� �n f�'V e, �e���(R�i//S / J�5 �/ "�p�N
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2. Generel Descrip�ion of Improvement �D S P � A/Q I'VQ ���
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3. Owner Inf rtnation or Lessee in(ormation if iRe Lessee conlraGed tor the improvement: ��'�
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Address C�ty �—� State • r
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Inleresi in PropeAy: ��•+'-�f
Name of Fee Simple Tilleholder:
(If Jifterenl from Owner listed ahove)
Address GFG �v Ciry Slate
4 Conlraclor � l /�7�CG �n�uS�R✓�7ion� �rvc � f
� 75�0�'a/G T-1 .ST/d•eL'7' ZE�'L�N,C�Ti�/S �� .3S•S�C
Address �j / [J City Slate
Conlraclors Telephone No. �J ��� �F ` � ����
5. Surely: �
I Name
Address City Slale �
Amounl of Bond: b Telephone No.. ��°� 'e � �
6. lender �� � �,
Name � �
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Address City State ��`. m k.. �� � �
Lentler's Telephone No. � ���� g.� m �
7 Perscns wilhln the Slate of Flodda designated by Ihe owner upon whom notices or otFsr dowments may be served as provided by � . r�-�"y ' � • Q o A
Section 713.13(1)(a)(7),Flodda Slalufes: � � � T�,- �
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Name � �� '� � ��6
Address ' City Stale �� � • �
Telephone Number o!Designaled Person: �� � • � �
). In addition lo himself,fhe owner designates of_
�a�ec...._o ccpy of ihe iign;.'s;Juucc a5 prov�oe�+in Sectkn 713.13(1)(b),Flodda Stalutes.
Telephone Number of Person or Enlily Oesignated by Owrier
i. Expiralion date o!Notice of Commencemenl(Ihe e�cpiration date may�ot be before the completion of constructian and final paymenl to the
coniractor,but will be one year from ihe date of recording unless a differenl dale Is specifieA): W Y
WARNING TO OWNER: ANY PAYMENTS MADE BY THE ONRJER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT a Z U Q,' ;W
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIOA STATI.iTES, AND CAN � W_LL"� W J
RESU�T IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE � Ur � IL — J U
RECOROED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT C.�� _
WITH YOUR LENDER OR AN ATfORNEV BEFORE COMMENCING WORK OR RECORDING YOUR Nf�TICE OF COMMENCEMENT Pn z U O �"" O �
Under penally of per�ury,I deGare lhat I have read the foregoing�otice of commencemenl a�d that lhe faGs stated Iherein are tr�e to the best � � � = Q N � �
of my knowledge and 6elief. w � F— LL7 � W
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;TATE'OF FIORIDA � Q = — J
:OUNTY OF PASCO ' � � � � Q
Signature of Qwner or Lessee,,or Owners or essne's Aulhorized � � U
OKcerlDirector/PartnedManager I � = Q Q �
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Signatory's Tille/Offic � Q Q � Q �'
he faregoing fnslrument was acknowledged before me this,L��day of�F+1UG� ,20��,by �'"^ u`C► ���"� •�'�� ,�� � J W
`1 (�� as 1/t'1u��'� �."�� (!ype af aulhority,e.g.,officer,huslee,aY.omey in faG)tor Q �} W m � �
v f�/�7[Ff�S L v(� (name ol pa n b�II o( om inst ment was2xewled). � � � a � �-1
ersonally Known�OR Produced Identificatlon� Notary Signalure _ � � � � O O � Q W
I IPe of Idantlficalion Produced 1�V�� ��t�n 1G Name(Prinq_L_�• �/ '�r�"�� � U U�[ }
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813-780-0020 City of Zephyrhills Permit Application Fex s�sasaoo2�
BuIlding Qega�tcnent -
Qate Recetved � -� -- phone-�antact tor�ennttt�n �'�3 � � 1 L/ � _ ,3 0 �
OLarner's Name � �'f�"��-'��� �L� Owner Phone Number �� r � " �`7 �
Owne�'s Addrass � •� ��� �+" ��� I��- Owner Phone Number� �� —��
Fee Simple Titleholder Name ' Owner Phone Number �
Fee Simple Titleholder Addresa
JOB ADDRE3S ��� / � /��fT %(�'� z�' � �: / ./S �� .�-�.��/ LOT# C_��
SUBDIYISiON � � � ' PARCEL.tD# �` -o�� 'bO,D •� C� Q
. s (OBTAINED FROIYI PROPER7Y,TAX NOTICE)
WORK PROPOSED �• NEw CONSTR ADDIAI�T C� SIGN Q �Q DEMOLlSH
'e. INSTALL. F REPAIR � �
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- �FtOPC3SE�7t1S�- :- �----- - :--S�R "__� -- CQNtM ��-�-- OTFIER" : .
TYPE OF CONSTRUG710N � LOCK '' Q FRAME C� STEEL CJ
DESCRIPTION OF WORK ~ �/7���tlGS� �f��'S� ��� ��'' ��'���d�� Sl•
BUILDING SIZE �� �`SQ FOQTAGE���� NEfGHT �� '
��»'����'' � ; , ��, �, VALUATION':OF"TO'i'PiL CO(�STRt1GTION *
EI.ECTRICAt ($ " � �1MP SERVlCE Q 'PROGRESS ENERGY Q W.R.E.C.
L � �QPLUMBING ' $ � ��� �;�,,t"�/ ,
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QMECHANtCAL' $ " VAII'!ATlON'OF MECHANICAI INSTALLATIt71V ��� `�✓" C�{�-''
QGAS Q Rt}QFING Q SFECIAI.Tf Q OTHER �' ��
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FINISHED FLOOR ELEVATIONS FI.00D ZQNE AREA �]YES. NO � ��c�73
, eu��o�� ���/� coM��r� -��'r��1 x�lv r,�;�sT,QvcTo�v ._,Z� c�2.,S�
SIGNATURE ��_� REGISTERED Y/ N FEE CURRE� Y/N �
Address ��1��'fd ff�S"r zc" �f�il,5���,J'S�l Cicense#' ��Cj/�S��b � �
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lEC'CRiC1At�1: `X.r�-�,��r " �,(J��, 'COMPANY ' ` , �,v
NATURE �� "" �, " REGISTERED Y/ N FEE CURRE� � Y/N ��
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Addre�s , .. � , ., Llcense,#.�� (
P�UMBER , � .. � . COMP.AHY � . �
31GNATURE ' "` , ,REGISTERED , Y./�.N FEE CURREk ". Y./N.
Address ` � , � ,.Llcense.# �` .�. � �.
MECHANICAI: ° - COMPANIf, , _ ,
SIGNATURE F � � � � '� REGISTERED Y/ N . _ ; FEE CURRE� Y./��N :
Address` . .. - ', ' ` • � , „ License# ��
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OTHER ` _ - ` � ;GQMPANY �
SIGNATURE •,- �• �� � � ` ° " ` ` ' 'REGISTERED " Y/ N:G. FEE CURF2E� Y/N.
Address' _ ` • License# ' �
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RESlDEN'E�AI:,'r..a Atta�li{2};PtoffP,ians;,(2}sets-af�Bullding�P..lar3s;{1)set oF�iiergysFa`"rm's;R=0-W Perinit for new canstruction,
�, o�. Minlmum;ten;(�1,0)�workingidays�_after;subinlEtal-dete::Requlred onsite;�C►a�'structlon=Rlans;Stormwater'Plans w%Stlt Fence InstaUed,
' "� �� Sanitary FaGlldes;&�1,clumpster��ite Worlc,Pertnit tor.subdiVisions/large.projects,:._ '�-'� • ' ' �
COMMERCIAL Aftach{3)coin'plete set's''afBultiltiig Pla�is plus a�l.ife�Safefy Page;�{1}set of Energy Forms.R-�-W Fetmlt for new cons#ruc�on.
Mlnimum ten(10)working days after submlttal date. Requlred onsite,Canstrucdan Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliHes&1 dumpster.Site Work Pertr►it for all new,proJecis:All commerGal requlrements.must meat compliance
StGN PERM�T ,4ttaet�-{2)sets of�E�igliieered�Plans..._�,.-�:°> r ` .
"""PROPERTY SURVEY raquirec!for all NEW.constructlon... _ , •
Dlreatlan�: < . . '
Fill out applicadon completely.
Owner&Contractor sign back of appltcaUan,notarized • �
If aver S2S00,a Notice of Cammencement is required. {A/C apgrades aver S750Q) '
ent for the con ':•.�, '
�,, .I .
`" Ag ( �� 'tractor)or Povuer of Aktainey'(fo�tlie�bwiner)would be someone with notarized letter from owner authoHzing'same
DVER 7HE COUNTER PERMiT71NG. _..(Front af ApplicaBon-Only) . - . ._
Reroofs If shingles Sewers Service Upgradas A/C Fences(Plat/Survey/Footage)
Driveways-Not over Counter if an pyblic,rosdways::n�eds 120W^ , '"''�"`. , --t „ � " � ��,.�,:,{��,r,' +.1 ;;;ri;�,�.`,a,��,'; ".....,..,..._`. :� - t -
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813.780-0020 City of Zephyrhills Permit Application Fax•s��-�eo-ooz� �
Building DopaAment
Dato Rucoivod g I 3�� � _ 1$y O
, � � � � � � � � �Fi otn_�o Contact for Pormi_,�g
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Ownors Nama �pv�l�tt�rtS LLC, Ownor Phone Number �� —
Owners Addresa Owner Phone Numbor
Fae Slmple Titlnholder Name Ownor Phone Numbor
Fea Simpla 1'tGeholder Addraea
JOB ADDRESS 3�24 1� V� . LOT A �
sueoiv�s�oN rnRCE�ioa ���'u.o—Z.�`001(�-(�330V' O 9 d
(OBTAfNEO FROY PROPERTY 7A7(NOTC�
WORKPROPOSED NEwCONSTR ADDlALT Q SIGN Q Q DEMOUSH
B INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF COPISTRUCTION � BLOCK Q FRAME Q STEEI Q
DBSCRIPTION OF WORK �w bUt1GtS ' C�.r '�� ��1C.�a5 L�(�.
BUILOING SIZE SQ FOOTAGE� HEIGHT �
OBUILDING S VALUATION OF TOTAL CONSTRUCTION
I
�ELECTRICAL SG O� � �Q AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
J
QPLUMBING S
QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIAL7Y Q OTHER
I FINISHEO FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE ��~ r�G�sTEaEo Y J N FEE Ctmr�n Y!N
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Add�oss � uce�se a
ELECTRICIAN COMPANY L�.u�ma n �1C ct-�r;� LL
SIGNATURE sTEaEo Y I N FEE CURRE� Y/N
Addroan �� S 1Pv m �1 License q �.. V �
PLUMBER COMPAN1f
SIGNATt1RE REc�,StEaEo Y/N FEE CURRF_n Y/N
Addrosa ���q
MECHANICAL COMPMIY -
SIGNATURE aeois�aEo Y/N FEE CUARE� Y I N
Addrec9 Llcanse!t
OTHER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURREN Y 1 N
Address Ltcense# .
III1111111IIIIIt1i1111111111111111111111111itt111111lIIIIIIIIl11111
RESIDENTTAL Attach(2)Plot Plans;(2)sets ot Ba�ding Plans;(�)set oT Energy Fortns;R-0.W PertnR for new consWqion,
Minimum ten(10)workirtg days eNer submittsl date. Requlred onske,ConsWetion Ptens,Stortnwater Plans w/SBt Fertce tnstalled,
Sanitary Faalities 31 dumpsler,Stte Work Permit for subdivisionsAaBe proJeds
COMMERCIAL Attach(2)complete sefs oi Buiiding Pians plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Parmfl for new oonetniaion.
Mintmum ten(1Q)worktng days aRer submittal date. Requfred onsRe,Construdlon Plans,Stortnwater Plans w/SAt Fenee tnstalted,
SaNfary Fac�ttles 31 dumpsler,SNe Work Permft for all new projeets.Ail eommereiel requlrements musl meet eomqfanee
SI�N PERMIT Altech(2)sals of Engineered Plans.
'^•PROPERTY SURVEY required for eil IdEW tonslruetlon.
Dlroctlons:
Fill oul appUralion wmpleleiy.
Owner 8 Contractw stgn baek of appliption,notarized
If over 52500,a Notice of Commetteement!s required. (AIC upgrades ovar 57500)
" Agent(for 1he conUactor)or Power oi Attomey(for the owner)would be someone with notarizad letter trom owner aulhorizing same
OVER THE COUNTER PERMIT71N0 (copy of conlract requlred)
Reroofa if shingles Sewers Service Upgrades AIC Fences(PtoUSurveylFootage)
Drtvoways-Mot over Counter R on public roadways..needs ROW