HomeMy WebLinkAbout16-17047 CITY OF ZEPHYRHILLS
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(8].3)780-0020 ��
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17047 Address: 3834 QUAKER RIDGE ST �T '128
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: 434-ADDlALT RESfDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est.Value: Parcel Num6er: 24-26-21-0030-00000-1210
Improv. Cost: 400.00 OWNER INFORMATIQN
Date Issued: 2115/2016 Name: NHC-FL115 LLC
Total Fees: 60.00 Address: 6991 E. CAMELBACK RD, STE B-310
Amaunt Paid. 60.40 SGOTSDALE, AZ 85251
Date Paid: 2/15/2016 Phone:
Work Desc: EXTEN� SHED 6.5 X 9 FT
CONTRACTOR S APPLiCATtON FEES �
H(aMEOWNER BUILDING FEE 60.00
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' Ins ections Re uired
FRAME
SNEATHING
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shali impose a fes of four times the amount of the fee imposed for the initiaE inspectian or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit,fihere maybe additianal restrictians applicable to this property that
may be faund in the public recards of this caunty, and there may be additianal permits required from other governmentai
entities such as water management, state agencies or federal agencies.
"iNarning to awner: Yaur failure ta recorrf a natice af commencement may result in yaur paying twice for
impravements ta your property. If you intend to obtain financing, consult with your lender or an attorney
before record'mg your notice of cammencement."
Complete Plans,Specifications Must Accompany Application.AII wark shall be pertormed in accordance with
Ci Cocles and Ordinances. NO OCCUPANCY BEFORE C.O.
NQ OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MClNTHS WITHOUT APPR4VED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PR4TECT CARD FROM WEATHER
a�saaa-oa2a City af Zephyrhiils Permit Application Fax 813-T8ti-0021
Building Depa�tment
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Date Recelved `�� � - �0 �� phone Contact for Permittin �t� ���- KJ���
Owner's Name ` � �� l�����'�^� Owner Phone Nnmber
Owner's Address 3 c� '�`' u�1 I��.�-1 1��� Owner Phone Number �—�
Pee Simple Titiehalder.Name r— � Owner Phone Number �� �
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Fee Simpie i'itleholder Address '
JOSAI�DRESS c���' ����-i��'� � i�G.�. LOT# � �"�
SUBDIVISION � � PARGEL!D#
(OBTAIN@D FROM PRQPERTY TAX NOTIGE�
WORK PItOPOSED ' NEW CONSTR �ALT � SIGN CJ Q DEMOLISH
� e INSTALL 8 REPAIR
PRt}POSED;USE � SFR Q COMM Q OTHER
TYPE OF CON3TRtlCTION � [� B�.00K ' Q FRAME � STEEL Q
DESCRIPTIQN OF WORK �� ��" t,� � `�i 1 S
BUILDING 51ZE �^� � SQ FOOTAGE�� HElGHT .
[�]BUILDING ��Q� � VAI,UATION'OF T'OTA�CONSTRi1CTiON
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QELECTRiCAL (�i� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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QpLUMBiNG ($�� �
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[�]MECHANiCAL $ VALUATION OF MECHANICAL tNSTALLATION �
QGAS Q R{30FING [� SPECiALTY � OTHER ��� � ��
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FINISHED FLOOR ELEVATiONS FLOOD ZONE AREA QYES
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BUtLDER _ � � COMpANI( �67z+� ���-�?r��.
StGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address i:tcense# � � ,
ELECTRICIAN. COMPANY
SfGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N
Addre$s - l.icense# � ��
PLUMBER C4MPANY
SIGNAI'URE _______� ,REGISTERED Y/ N FEE CURRE� Y/N
Address Ltcense# � �1
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ 1V FEE CURREt� Y J N
Address ' License# � �
t3THER COMPANY
S14NATURE REGISTEI2ED Y I �1 FEE GURRE� Y/N
Address l.icense# r— �]
RESIDENTIAt: Attach(2},Rlot Plans;(2}se#s of�Building`Plans;(1)set of EriengyForms;.R-O W Perrrilt far new canstruction,
Minimurrt:ten�{10):wa�{ctng.days;afker.�subcTiSttal date. Required ansfte,Gonstivction Plans,Stormwater Pians w/Siit Fence installed,
, Sanitary FaciliUes&:�.1 dumpste,r,Site Worii�Pecmit#or subdluistonsAarge proJects ��
COMMBi2C1AL Attach(3)complete sefs`of Building Plans plus a Llfe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minlmum ten(40}working days'after submitfal date. Required onstte,Construc8on Plans,Stormwater Plans w/Silt Fence instaited,
Sanitary Facilides&1 dumpster.Stte Work Permit far all new proyesits.All cammercia!requlrements must mest compllance
SiGN PERMIT Attach'(2)sets of Engineered Flans.. �- ..��
*"'PROPERTY St1RVEY required for atl NEW cansfruotion.
Dtrections: -
Fi11 out appticatlon completety.
(}wner 8�Contractor sign back of appllcatlon,notadzed
If over$25Q0,a Notice of Commencement is required. (AIC upgrade�s over�750Q)
"" Agent(for tFie�contractor)or Power.of Attomey(for tlie°owner)would be.someane wlth natarized I�atter fram owner authoriz4ng same M T
DVER TME COUNTER PERMITTING � (Front of ApplicaUon O�ly). ' ' - � � � ' '
Reraofs if shingles Sewers 8ervice Upgrades A!C Fences'(Plaf/Survey/Footage) ' � � � " `
Driveways-Not over Caunter if on public roadways,.needs'ROW " �� � �
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NOTICE QF DEED RESTRICTIONS: The undetsEgned under•s�fands�:th�t#hts;p�rmtf may{6e�subject;to"deed"restrlctions° "
whioh maybe-more�r.estfict(ve�than'County��regulatlons:�The undersignetl�assumes �esponsitiflttyfo��compliance`Vi+itli`any ' ��
appAcable deed restrlcttons. � _ °
UNl.10ENSED C�NTRACTCIRS .AND CC►NTRACTCIR RESPONSt81LIT1ES: -If the awner-has fiired s conhac#c�r or
contractors to undertake work, they may be,r�qulred.:ta be Ilcensed In accordance:with state.and�local,cegulations. :If�the� �
contractor is not Itcensed as�requlred�6y I�w, bo#h #he own+et and contraiictor•irtay b�-clfecl for-a�misilemeanor violafion
under state law. !f the owner or Intended�cantractor;ere�unce�taln as to whak Itceneing.requirements may�.apply.��farr=the ��_ -
Entended work,they are advlsed to contact the Pasco County BuNding lnspectian Qlvlslorr=l:.icensing Seatlon at 727-847-
8009. Fur#hermore, if the owner has titred a caritracfor or contractor`s� he is adviseci ta have the confractor(s) ,sign
portions of the °contractor Block" of thls appllcatlon far whlah they wlll b.e tesponslble. If.you�-as.the ovirner slgn�as the '
contractor, that mey be an indlca#iorr that�he Es not:properly licensed and�ts noti enti�ed`to petmlt#Ing ptiulleges In Pasco
Counky. - �'
TRANSPQRTATIQN.-IMRACTNTIl.ITlES CMRAC�'ANb-RE�C?URCE RECQVEltY�FEES:-The�undersigned understands
that Transpartatian impact Fees and.Recaurse Recove.ry.Fees may�appty�to�the constructian of new_bulld3ngs�.:chan�e�of' �'^ '
use In existing bulldings, or�expanslan�of��existi�ig`buildings, as specified.In Pasco County Ord(nance number 89-07 and
90-07. as amended. The.unde�slgned atso.uaderstands. that such fees,-.as�may_�e�.due;:wili..be ident�ied at theFtime'of�� , ,
permitting. It is furthe�understood that T�ansportatlon Impacf Fees and Resource Reco�ery'Fees_mus# be pald prlor to
receFvfng a "cecf!lflcate-ot'occupancy".or flnal�power.retease. :I�the pro�ect,does nat tnvofve:a.cert�ic�te of occupancy of� :�
final power release;the:fees must be paid prtor to permlt Issuance. Ft�Mhermore,�If:Pasco County�INater/Sewerlmpact _ �
fees are due,they must.be-pald.prlor to perrnit-I�suance°in accardance wlth app!lcable Pasco County aEdtnsnces,
CONSTRUCTIflN'L�EN�LAW(Cfiapter 713� F#or�da.Stalut�s�as amended}; if�atuation af woric is$2,500.QO�or more, 1. .
certify that I, the appllcant,. have-been provlded wl#h.a copy� of the "Flarida Constructla� :Uen Law=-Homeowner's
Protectlan Gulde" prepared 6y the FEorlda Depat�tmenf of Agrtc.ttlture ancf Gonsumer-Affairs. If the applicant is someone
other than the"owner", I certlfy that I�have,abtalned�a copy;of.the above.descrlbed docu�ent°and.promise ln;gaad:faith to
deliver!t to the-"owner"�.prior•.to commencement:� � " ' . ,
CONTRACTOR'S/OWNER'8 AFFIDAViT: i cerkify that.atl the,information in�this application is accurate and that alf work
will�be done in complfance with all-appllcable laws regulating constructlan, zoning and�land develapment. AppUcatlon (s
hereby made to ob#a!n .a permit to do. work,tand Instaila#ian as indt�eted: 1 certify that no woric ar ins#attation has
commenced prlor to Issuance of"a permlt and that.all work will be performed to meet standards of all laws regulating�
construaElon, County and City codes, zoNng reguiattc�ns, artd tand developmerit regula#�ons-in the jucisdiction. 1 al'so
certify that I u�derstand that#fie regulatlons of ather government agencles may�apply�#o the lntended work, and that it is
my responsibility to(den#Ify-what actions 1 must t�ke:M berin:,corr�pllance. S.uch agencles lnclude but are:nat lim{ted to:
- Dep�rkment of E�vironmental�Protectivn-Cypress.Bayheads, Wetland Areas and Environmentafiy Sensitive
Lands, WakedWastewater Treatment.
- Sauthwest Ftorida Wa#er Management Dls#rict WeIIsF Cypress.`'Bay�eads; VYefland Areas, AI#e�ing
Watercourses.
- Army Gorps af Enginesrs-Seawalls, Docks�ldavigable Vlfaterways.
- Department of Health� & Ref�abiiita#ive Services/Ernironmen�al Health Unit Wells, VNastevwtater Treatment,
5eptic Tanks. � .
- US Environmental�Prb#ection Agency-Asbestos abatemen�. �
- Federal Avlatton:Authorlty-Runways. -- - '
f understand that the following:restrlctlans apply to the use of flll:
- Use of fiil is not allowed in F1oad Zone"V"unless expressiy permitted.
- If the fill materlal fs to be used;'In_�Flood Zone. "A", It. is understood #hat a drainage plan addressing a
"compensating volume"will be submltted at##me af permltting which Is prepared by a professfonai engineer
Ilcensed by�he St�te of Florlda.
- 1f th� fill materlal.Es to be used In Ftoad Zone �A" In�conneclEon�uv1Eh.a permitted bu�td€ng usfng stem wal!
� construction, I certify that fill�.wlq:b.e used only�to.flll the area wlthln the stem�wall.
- !f fll! materla! Is to be used In any area, I certlfy that .use. of such fll! wlll not adversely a#fect ad�acent
properties. If use a#fill is fonnd to adversely:�ifect adjacent�propartie$�.the owner may be cited for vioCating
the condltions of the building,permit Issued under the.attached�pertnit applicatlon, for lots less than one (1)
acr$whlch ace elevated�by flll���t englneer�d dralnage plan Es required. .
If I am the AGENT FOR THE OIMNER, I�promise In gaod fatth to Infa�m the ownerof�the permltting condlttons set forth tn
thls affidavlt�prlor te commer�cing constructlon. 1 understand that a�separate permlt may be requtred for efectrical work,
plumbing, signs, wetls, pools, air candifiaNng, .gas� or atMer instalt�tions not spec�ficatty inctuded�in.tMe appiication. �A .
permit Issued shalf be conshued to be a�Ilcense.ko praceed wlth tNe work and nat as:authority to.violate� cancel, alter, or '
se#aslde any provisians of the technEcal.cades;�nor shall issuance=of a permlt.prevent the Bulldlrig O#�tcial from there�fte�
requlring a correction af errors In plans, constructlon or vlolatlons of any codes. Every perm(t Issued shall become invalid
unless the work authorizecl.by such permit��ls.co�nmenced�wlthfn s�C�onttts o#permft fssuance, or tf work authorized by
the permit is suspended or.abandoned for a periad ofsix��8}mont�is.after#he tirne#he�work is commenced. An extension
may be requested. In writing, from the Bullding,Offlclal for a perlod not to exceed nlnety(90) days a�id wlll demonstrate
justi�abte cause for.the extension: tf work ceases:for nlnety(90}cons.ecutiwe day.s...th��ab fis considered aba�doned.
1NARNING TQ QWNER; YOUR.�AILURE-TO..RECCIRD.A�NQ'�3GE OF•G4MMENCEMEMT,MAY=RESU�T!N YC►UR
PAYING TWICE:�OR IMPROVEMENTS TO YOUR�:PR�PER''IY.,1F�YO.U��Ifii'�END''TQ�OBTAIN��FINANCING��GONSULT
W!T YOU�R LENDER�,C?R AN�TTORNEI���EFClR��i�ECOttDING�YOII '�ND'T:��,C! _� O E N�1'�__-. - .- µ
- ��.��yo�avw�;�F.s��.�7.0��� -
OWN�R OR AOEN _'-���'�G�� COMTRAGTO �
Subsafbed and swo or af�rmed}beiare me thls Subsr.rlbed and`s to at fllnned)�betoce me ttiEs ��/f�,
by ��,� /YI�/1ZLlG�Z�t� •by�'�� 1'r3 �J7�/�'LGr/�'�+4.�
Who Is/are persona y �own to.me or has/have produced Who.ls/are p.ersanel own ttx me ar haslhave produoed •
as Identlfica8qn. as tdentJflcaBon.
�
otary Publla . � Nofary Publlc
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Cammiss r��"°�°ic, JACQUELINE BOGES Commisslo h,t�'�:.=v,g•.. JAGQUELINE BOGE
=.. .��0����� _'� :+e omm ssion FF 150422 '
;�': a Expires December 12,201$ �;�;, ;a; Expires December 12
1 %� QT
Name of No ' Nams of N '����aoo.3�ao,�
7 �
DISCLOSIIR$ STAT&MENT FOR OWNER
CITY OF ZEPHYRHILLS BIIILDING DSPARTN�NT �
I. have read and fully uaderstaad and
agree to the provisioas of this iastrumeat.
The undersigned states and affirms that he or she is desirous of constructing,
renovatiag, addiag to or reroofiag his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same is aot for
reat, lease or sale. That he or she shall comply with the followiag conditions: �
1. That the owner and he or she aloae shall act as the builder for all phases of
coastruction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordiaances and codes pertiaeat to the buildiag.
3. That in the event various phases of coastruction are subcontracted, he will
engage only properly licensed subcontractors aad will personally supervise
such work.
4. That ia the event the Buildiag Iaspector shall require correctioas to be made,
the owaer will assume full responsibility to insure they are made, aad upon
completion will call for a reiaspectioa before proceeding with the building.
5. That the owaer shall assume full responsibility for the coastruction and will
not expect supervision of his work from the City of Zephyrhills Suildiug
Department.
6. That prior to fiaal iaspection any additional fees, iacludiag reiaspection
fees, must be paid in full. A written request from thia office shall
constitute an official aotice to pay additional fees.
7. That the owaer 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 c.odes issued by the Florida
Iadustrial Commission.
9. State law requires constructioa to be doae by licensed contractors. You have
applied for a permit uader aa exemptioa to that law. The exemption allows
you, as the owner of your property, to act as your own coatractor with certain
restrictions eveu though you do aot have a licease. You must provide direct
onsite supervisioa of the constructioa yourself. You may build or improve a
oae-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 buildiag or resideace must be for your owa use or occupancy. It may aot
be built or aubstaatially 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 violatioa of this
exemption. You may not hire an unliceased persoa to act as your coatractor or
to supervise people workiag 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 liceasiag ordinaaces. You may aot delegate the
responsibility for aupervisiag work to a licensed coatractor who is aot
licensed to perform the work beiag done. Any persoa workiag oa your buildiag
who is not liceased must work under your direct supervision and muat 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, ordinaaces, building
codes, and zoaing regulations.
OWNER'S SIGNATURE ��G4i2� DATE ��� �^ZD I�
ADDRESS ��� �L( ,�-y�'�'� -c�!' �
pxorrE ��-� ��� 3��3
WITNESS PERMIT #
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ALL Wp�SHALL COMPLy WjTgqLL
PREUAILING CODES,FLpRIDA BUII,DI�JG
CODE,NATIONAL ELECTRIC CODEAIVD
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� City of Z�phyrhills �
� BUILDING PLAN REVIEW COMMENTS '
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Contractor/Homeowner: C����� /�'l �.1��I f�if
Date Received. Z`�= f�
s�t�: .�c�3� ���;1�{ e�°f;�f
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Perinit Type: °��+���-7 �,�i�'����' t� �� ?�'/�
Approved wlna camrnents:❑ Approved w/the below comments: Denied w/the below comments: 0
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'I This cornment sheet shall be kept with the peYmit andlor plans.
!'p7Gk.�,�'./1't ..��C.t,.rt.�� -
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Kalvin Switzer—Plans Exarniner Date Contractor and/ar Horneowner
(Required when comrnents are present)
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