HomeMy WebLinkAbout16-17061 CITY OF ZEPHYRHILLS
` � 5335-8TH STREET
(813)780-0020 17061 ,,-
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BUILDING PERMIT ��,.-l'",
� ' PERMIT INFORMATION � LOCATION INFORMATION'
Permit Number: 17061 Address: 3707 BLACK DIAMOND DR LOT 242
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 700.00 OWNER INFORMATION
Date Issued: 2/17/2016 Name: MAJESTIC OAKS LLC
Total Fees: 60.00 Address: 3707 BLACK DIAMOND DR
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/17/2016 Phone:
Work Desc: CONSTRUCT DECK 15 X 14.6 & CLOSET 3 X 9.5
CONTRACT.OR S APPLICATION FEES
HOMEOWNER BUILDING FEE 60.00
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Ins ections Re uired
FOOTER 2ND ROU H PL MB MISC INSU T ON 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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
Contractor/Homeowner: /l,U���Q /�S"�t�
Date Received: 2 -�`�
Site: � 70� I�lG�c�IG''�'(�11,,�/
Permit Type: c3 • � C�C.�.i-e�~ /�J� l�- �i �a��
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 i -Plans Examiner Date Contractor and/or Homeowner
, (Required when comments are present)
�—
813-7eo-oo2o City af Zephyrhills Permit Application Fax-813-7so-oa2�
, • Building Department _
Qate Received � ���! phone Cantact far Perntlttin —
Owne�'s Name �--� Owner Photte Number �;, , ��,�?��i��
Owner's Addrass �� Owner Phone Number � �
Fee Simple Tltleholder Name ������������?'�"'� Owner Phane Number �
�
Fee Simple Titlaholder Address � �
JOB ApDRESS �B LOT#
SUBDIVISION ��r_ �.�2 6� .� PARCEL ID#
�� (OBTAINED FROM PROPERTY TAX NOTICE)
WQRK PRQPt}SED � NEW CONSTR ADDJALT Q SIGN Q Q DEMOI.iSH
� e INSTALL REPAIR
PROPQSED USE Q SFR � COMM Q OTFiEF2
TYPE OF CONSTRUCTION Q BLOCK " � FRAME � STEEL. Q
i r' �l � d/
DESCRIPTION OF WORK .T:�"��� ��.i ,,,,r
BtlILDING StZE � � SQ FOOTAGE��. HEIGHT ���
�����'d�N�' 1"'�L�,�� �d' VALUATION`C1F�T0`TALCONSTFtUCTiON
L :�!
QELECTRICAL $�'� � AMP BERVICE Q PFtt?GRESS EhlEi2GY Q W.R.E.C.
�
OPLUMSING � �
Q{1r1EGHANlICAL $ VA�UATION OF MECHANICAI.it+1STALLATIt}N_ V��
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OGAS Q i200FING Q SPECiAt.'FY � OTHER
FINISHED FLOOR ELEVATIQNS ��� FI.00D ZONE AREA QYES NO
������� .,�A� �or�p� dr�� �.�/�";%� .
SIGNATURE /'�� REGI37ERED Y/ N FEE CURRE� Y/N
Address Ucense# � �
ISIG ATURE� �' R�spe� Y/ N FEE CURRE� Y/N
Addres� - Ltcense#
P�UMBER � COMPA�tY
SIGNA'TURE REGISTERED Y/ N FEE CURRE� Y/N
Address license# � �
MECNANIGJ4t. COMPAHY
SIGNATURE REGISTERED Y./ N FEE CURRE� Y/N
Addrass License# � �
OTMER ` COMAAt�IY
SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
Address " � Cicense# �� �
EtES1D�NTIAL Attach{2}.Rtbt Plans;(2)sets af Sultdlitg i'lans;(1)set of Energy�Form's;R-d=W Permit for new construct�on,
Minimum tenw(t0).worliing;days afte[."submlttal date. .Requlred onsite,Constructian Plans;Stormwater'Plans w/Silt'Fence Installed,
Sanitary FacillUes&:U.dumpster Slte Work�P.ermit for subdiVislonsAarge projects - � �
COMMERCIAl. Attach{3}complete sets of Sullilitig PEaris plus a l.{fe Safety Page;{1}set of Energy Fotms.R O-W Parmit for new canstsui:tldn.
Minimum ten(10)working days after submlttal date. Required ansite,ConstrucNon Plans,Stormwater Plans w!Silt Fenae installed,
Sanitary FaciliHes&1 dumpster.S(te Wark Permit for all,new proJecfs.All commercial requlremenfs must meef compliance
St�N PERMIT Attach{2}sets of Engineered=Plans. - ' � � - - .
"""PROPERTY SURVEY reguireci�for all NEW aanshuctian. _ ' - . � � , '
Dlrectlons: -
PIII out application completely.
Owner 8 Contraotor stgn back of appticatlon,nata�lzed
tf over�2500,a Notice of Cammencement is reqnite8.; (AIC upgrades ovar�T50d) . . ' � -
'" Agent(for ttie ciintractor)ar Power of Atfomey..(for the owner)would-be someone with nota�ized letter fram ownerauthorizing same:, . .
DVER THE Ct3UNTER PERMIT7ING (Front of Application.Onty)° ' ' -,' ' � ,
Reroafs if shingles Sewers Service Upgrades,A/C ' �Fences(PlodSurvey/Footage) � • , , � �•
Driveways-Not over Counter if an pubiic roadways..needs.ROW . . :_ ` _ • --� - : _ .. _
_ __ ;_—�
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NOTICE OF DEED RESTRICTIONS: The underr,lgned under�tands°=th�t.thls.p�rmit may,be.sub�ect to,�deed"restr�ctians°� :�
. �.
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which may be�more'�r.estrictive�than County regulatlons: 'The underslgned�assumes responsibillty°for�complia�ece with any �
appllcabte deed-resttictions. � - .. . ,
UNLiCENSED�CONTRACYORS .AND CCIIdTRACTOR RESPONSIBtL1T1�S: tf the ovirner�has �hired �a contractor or
contractors ta undertake work, #hey m�y be:requlred:.to=be.11censed la� a��ardance wrlth state.and•lacal.regulations:.�If�the� �' �
contractor is not 1lcensed-as�teqttlred'6y law. both the owner and canVactor�may be'-clted for�a�misdemeanar vtolatlon
under state law. .If the owner ar Intended�contractor.ace,uncertaln �s @o uvhat Iic�nsing..r�quiremenQs;may;:apply�for�'tlae �
. .
intended wark, they a�e advised to contact Ehe.Pasco Cotinty Building Enspectlon Qtvtsion—Llcenstng Seattan at 727-847-
8009. Furthermore, if the owner has"ht�ed a contr"acto�'or contractors, he is advlsed to have #he cantractar(s} sign
portions of the "co�tracto� 81oak° of this appltc�tlon for which they wili be,te�ponsfble..If you�-as.the owner'sign�as'"the �
contractor, that tnay be an lndication that�lie is not ptaperly iicensed and is no#entitied fb perimiitting privileges in Pasca
County. � ` ' � '
TRANSPORTATION IMPACTtUTICITlES�lMPACT AN�t RESt}URCE RECOVERY FEES:-The t�ndersigned understands
that Trenspartation impact Fees and.Reco.urse Recove.ry.Feas may=appty�#a�tfie oonskniction of n�w bulldings�°change�of< � -
use in existing buildl�gs, or,expansion of-��existiny'<6uildings� as speclfled in Pa�co County Ordinance number 89-07 and
90-07, as amended.. The undersigned also understands, tha�t such fees,.,as�may:b��:due;:wili:�be identl�ed at the�time�of � 4
permikting. It fs furtfier understaod that Tra�sportation Impact Fees and�Resource Recoveryr Fees,.mus# be paid prlar to
r+ace�ving a pcerfificate.of�occupancy"ar flnal.power-release. :i��fhe pro�eat does no�inuotve.a:cert�3cate of occttpancy�o�=-
finai power release; the.fees must be paid prior#o permft issuan'ce, Furthermare,-ff Pasco County�VVater/Sewer-.Imp�ct • -�
fees are due,they�muskbe-pald prior ta permlE tssuance°!n accordance wlth appticable Pasco�County ordtnances.
CONSTRUCTtON`t;lEN�1AW(Cfiapter 713�Ftor�da Statutes,as amended): {f valuation of work is$2,500.00:or more, i- �
certify that (, the_appllcant, heve.�been providetl wi#h `a copy��of the "Florida-Construction Llen_Law=Homeowner's
Pratectton Guide" prepared by the Flnclda Depa�tment of Ag�lcult�re and Cansumer�Affatrs. If#he appllcant ts someone �
other than the"owner", I certify that I have..obtalnetl a�copy;of..#he above.des.crltied document�and.p.r.omiserin,goad faith�to
deliver it to the."owne�prior_�to•commencement:` ' ' " ' ,
CONTRACTt}R'S/t'iWNER'S AFFiDAViT: I certify;.that ail the lnformation In thl.s appttaatlon is acaurate and tha#aii work
will'be done in compliance with all applicable'lawa regulating construction, zoning and:land develapment. Appltcation is
hereby�mr�de to abtaln .a perm€t to do work,and instailatlor► as Indt�eted.�� :1 ce�tifjr"that no work x.or installation has-
commenced p�(or to Issuance of'a permit and that.all work will be pertormed to meet standards af ail laws regulaxing-
construction, County and City aodes, zoning regutati�ns, and land devetopmer�t regutatlons�in the Jurlsdtc#ion: 1 al'so
certlfy that t uaderstand that the regulaflons of other government agencies may�apply�ta the intended work, and that it is
my responsibility to Identify�whak.act(ons!must kake.to be<ln:.cor�'�pllance. $uch agencles includs but-are:not timiter!to: -
- Department af Errviranmental Protec#ion-Cypress.'Bayhead�', Wetland Areas and Environmentatly Sensitive
I.ands,WaterNVastewater Treatmenk.
- Southwes# Ftorida Water Management� ..C?ist�Ect Vttells� CYPress.�Bay,heads; We#iand Areas� Attering
' Watercourses.
- Army Corps of Engineeca=Seawalls,Docks,Navtgable Waterways.
- Deparkment of Neaith 8 Ret�abilitative Services/Environmental Health Unit 1Nell.s, Wastewater Treatment,
5epttc Tan1�s: � , ,
- US Envlconmen#a1.Protec�on AgencV-Asbestossa�at�naar�t. - --- ,-- -. ,--- - - - __ : - __.._.
� � _ � - Federal Avlatlon.Author(fy-Runways. � � `
!understand that the tollowing�restrlctlons apply to the use of flit:•
- Use ofi fiti is not allowed in Fiood Zone"V"uniess expressly permitted.
- If the flil material is to be usetl. In.��lood Zone. °A", ft. is understood that a drainage plan addressing a
°compensat€ng volume°w311 be submitted at##me of pemnitting wh[ch Is preparet!by a prafessional engineer
Iicensed by#he State of Florida. �
- !f the fili material Is.to be used tn Ftood Zone 'A" ln connectlon�wl#h.a �ermitted bniiding using stetn wa11
construation, t certifiy that fil(�wall:b.e used only.to..fii1#he area wlthln the stem vtirall.
- !f fill material Is ta be used in any area, I cerkify Ehat .use. of such f!A w!!I not adve�sely affect adjacent
properties. If use of flll is fonnd ta adversely�ffect ad)acent=properties,.the awner may be cited for violating
the conditions of the building,permit issued�under the.attached�ermit applicatlan, for:lots less than.one (1)
acre whfch are elevated�by flll;an sng4neered d�lnage plan is requlred. ' .
If I am the AGENT�OR THE OIMNER, I;promise.in goad faith to infarm the owner of the permltting_conditions set forth in
this affidavlt�prior to commer�oing constnictlan. 1 uni�erstand that a„separate permlt may be required#or eleatrtcet work,
•�.s-.,-�.
plumbing, signs, wells, poofs, alr conditlaning,.gas� ot other tnstalt�itions no�.spec�icaliy included in.the application. �A ._
permit issued shall be construed to be a Iicense to�proceed with tFie work and nat as authoNty to.violate,.cancel, alter, or
se#aside any provfsians of the.#echnEcal.cod�s; nor sh�ll tssuance�of a.permlt.prevent the Build(rig C1�flciat from thereafter
requiring a carrecNon af eRors In plans, constniction or qlolations of any codes. Every permit Issued shall become invalid
unlsss the work authorfzed by such permlt.�ls_conrtmenced�wtthln sfx months of�permft Issctance, or If woric authorized by
the pernti#is suspended ar.abandoned for a;period.of s�C(8}mont�is.after the time the�wotic is commenced. An e7ctension
may be requested, in writing, ftom the Building.Official far a period.not-to.exceed.ninety�(90) days and�will demonstrate
}ustlfiable cause for.the e�ttensio�: If wark ceases for nfne#y{90}cons.ecutive:days;..the f ob is considered aba�doned.
1NARNING TO OWNER: YOUl�.�AlLURE�TQ.,RE..CO�tE?.A MOTIGE QF•GOMMEMCEME�tT�N�AY�RESULT IN Yt7►UR
PAYfNG TWiCE:FC>R-iMPROVEMENTS TC1,Y0UR�PROPERTY.-IF°YO.U�IiV'fEEND�?TO`C�BTAIN�FINANCING;�CONSULT
WI�' Y UR D Or AN 7TORNEI�� FOi�E� CO� �':�� O�i ' � �� "`OF3 �' E� � Y�- - ----� -- --
FI.flR1DA JURA'fi(F.S.117 03 _ _ - , . _
OWNER OR AOENT���s�-�"�"---`� CONTRACTO . . r�
S�scrlb and to or afltrmed) re ,e� ��� Sub bec}pnd'srnro ot af�rm pb #tit�
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Who Islare ers nal vm to.me r ha ave produced Who is/are rsonally own kn me or has/have produced •
as IdendRc.�tlon. as iden��cattan.
a,
�. Notary public . �..Q-- Nofary Publlc
Commi �: C �c��� ctl INE BOGES
:q"""�'' _:' ':__ Commission#FF 150422 �
=;'� k; Commission#FF 150422 , , ,
- =s•. ' �<; x ires December 12 2018
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' � CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner:
Job Location/Address: I
Parcel I.D. #: 'I
SHOW ALL EXIS'TIl�TG&PROPOSED STRUCTURES GIVING DIlvIENSIONS&SETBACKS
UTILITY BUII.I�INGS MUST SHOW SIZE&FOUNDATION INFORMATION
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(1�0�EX�1V�I.ES 1&2)..
Example 1. Setbacks for Rl &R2 Zoning Example 2. Setbacks for R3 Zoning ,
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PREVAILINGCODES,FLORIDABUILDING �.,���y,, ����" �
CODE,NATIONAL ELECTRIC CODE AND � �.,� �,�
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DISCLOSIIR� STATEMENT FOR OWNER
CITY 4F ZLPAYRt�iILLs BUZLDING DSPARTN.�L+IT
_, -%y����� ���'��'�� have read aad fully uaders�aad aad
agree ta the provisioas of this ins�rum�at.
The uadeacsigaed states aad affi.rms that h� or she is desi�rous of construatiag,
reaovatiag, addiag to or reroo�'iag his or her own domicil�, that he or she
actuallg oceupies, or will occupy by sa3d domicile, aad same is not for
reat, l�ase or sale. That he or she shaZl comply with the follawing con.ditioas:
1. Tha� the awaer and he or she a1aa� �hall aet as the buildeac for al2 phases of
coastructioa.
2. That the own�r hri31 camply with all provisioas of the City of Z�ph�rhills
ordiaaaaes and codes pertineat to the buildiag.
3. That in the event various phases of cons�ruction are svbcoatracted, he wi11
eagage oaly propezly licensed subeoatrae�ars and will persaaallg sup�rvise
such worls.
4. Tha� ia �he event the Buildiag Iss.spectar shall r�quire corz�ections to be made,
the awner wi7.1 as�ume full xespoasibility to iasure they are made, �ad upon
campletioa will call for a reiaspection before proceeda.ag with �he buildiag.
5. That the owa�r shall assume fuZl respoasibility far the constructiaa and will
aot expect supervieioa of his wark from the City af Zephyrhills Suilding
Departmeat.
6. Tha� prior to final iaspec�ion any additioaal fees, iacludiag reinspectiaa
fees, must be paid ia �ull. A wzittea request from this office sha11
constitute an offiaial not3ce to pay additioaal fees.
7. That the owner shall camply with all City, State and Federal laws ia regard to
sacial seeurity, workaraa's compensatian, lien laws, eta. , where applicable.
S. Tha� the owner shall comply with all the safety cades i.ssued by the I�'lorida
Industrial Cammissioa.
9. State law require� con�truction to be doae by liceased contractors. You have
applied for a gerrnit uader aa eeyccemption to that law. The exemption allows
you, as �he ov�ra�r af your pxopeztg, �o act as your owa caatraator with certaia
res�rictions even though yau do aot have a� liaease. Ycu must provide direct
oasite augervisioa of �h� coastructioa yaurs�lf. You may build or imprave a
oae-family or two-family residet�ce or a farm autbu�.ldia,g. You may also build
or imprave a commercial building, provided your ca�ts do nat exaeed $75,Op0.
The buildiag or resideace must be for yotzr owa use ar ocaupaacy. It may aot
be built or substaatially improved for sale ar lease. If yau 8e11 ar lease a
buildiag you have built or subsGantially impraved yaurself witha.a 1 year after
, the construction is complet�e, the law will presume that you built or
substaat3ally impraved if far sale or lease, which is a violatioa of this
exemptioa, Yau may ao� hire an ua3iceas�d pezsoa to aet as your coutraotar ar
to supervise peop].e working on your building. It is your respoasibility to
make sure that peaple emglayed by yau have lia�nses reguired by state law aad
by ccunty or municipal liceasiag ordinances. You may aot deleg�te the
responsa.bility far supervising wark to a liaenaed coatractar who is ssot
liceased to perform the worls besag daae. Any person workiag on your building
who is not liceased mu�t work uader your direct supervisioa aad must be
employed by you, whieh meaas that you must deduat F.I.C.A. aad withholding t�sc
and provide workers' compensaticrn far that employee, a11 as prescribed by law.
Yous cosistruction must ccmply with all applic�ble 1aws, ordiaances, buildiag
codes, aad zoaing regulatiaas.
OWNER'S SIGNAR'URE DATE
ADDRESS �`
PHON33
WITNESS PERMIT #