HomeMy WebLinkAbout16-17084 CITY OF ZEPHYRHILLS
5335-8TH STREET
; (8i3)7so-oozo 17 4
� BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17084 Address: 38104 9TH AVE
i 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-09700-0190
Improv. Cost: 23,878.10 OWNER INFORMATION
Date Issued: 2/24/2016 Name: AMBROS ALVARO & KATHRYN
Total Fees: 50.00 Address: 38104 9TH AVE
Amount Paid: 50.00 ZEPHYRHILLS FL 33542-3956
Date Paid: 2/24/2016 Phone: 813-364-3243
Work Desc: REROOF SHINGLE & REPLACE SEWER LINE
- CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 50.00
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� Ins ections Re ui�ed -
FOOTER 2ND ROU H PLUMB MISC INSULATION CEI ING
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.
'I NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly 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.
RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� � .
By order of the ��ilding Offici�l: �NiCC"Zam.,�. �urgess
All �uilding, plurr�laing, electrical and rr'echanical worfc
shall cease at the belovv mentioned property.
Address: �� 1 � i� ��� ���
Date: o�, — ��J — � �
Code Enforcement �ficer: J ��'�'��
Contac�t the
Zephyrhills �uilding Depa�trr'ent
5335 - 8th Street ��j ��
�13-7�0-0020 � ��'�
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: CI�'Y OF ZEPHYRHILLS — CODE ENFORCEMENT
5335 EIGHTH STREET, ZEPHYRHILLS, FL 33542
813-780-0020
� VIOLATION NOTICE �
BY ORDER OF CODE ENFORCEMENT OFFICER
IT SHALL BE UNLAWFUL FOR THE OWNER OR OCCUPANT OF A
RESIDENTIAL/COMMERCIAL BUILDING OR STRUCTURE, OR
PROPERTY TO UTILIZE THE PREMISES OF SUCH PROPERTY FOR
THE OPEN STORAGE OF ANY:
❑ UNLICENSED VEffiCLE ❑ INOPERABLE MOTOR VEHICLE
❑ HIGH GRASS & WEEDS ❑ DEAD TREES OR GS
❑ FURNITURE ❑ TRASH
❑ UNKEMPT ALLEY ❑ UNSECURED REFRIGERATOR
❑ APPLIANCES ❑ UNSECURED SWININIING POOL
BUILDING MATERI�iL ❑ OTHER:
���� �v r�D�N� P�R,c�ti�`�'
ADDRESS: ��1�� Ik� ��� DATE: a. �, �� ` � �'
UPON NOTICE FROM THE CODE ENFORCEMENT OFFICER IT SHALL BE THE DUTY AND
RESPONSIBILITY OF SUCH OWNER OR OCCUPANT TO KEEP THE PREMISES OF SUCH
PROPERTY CLEAN AND TO REMOVE FROM THE PREMISES ALL ITEMS LISTED ABOVE.
FAILURE TO COMPLY MAY RESULT IN FINES ASSESSED UP TO $500.00.
J � A C�� a� -- �;� ����
�ODE ENFORCEMENT OFFICER DEADLINE
8��-�ao-ooza City of Zephyrhills Permit Application Fax 813-780-0021
Bu3lding department
Dafe Etecelved Phone-Contact for PermitEin
Owner's Name C4��t" ri � �t`tJ'��� �YWb�a't?� Owner Phane Number � a� �"�J��.�
'" ��- �a ?- �9 ,��
Owner's Addrass +��4 a l � � i � Owner Phone Number
Fee Simple Titleholder Name �i � Owner Phane Number � _ �
0
Fee Slmple Titleholder Address
JOB ApDRESS
3$ �0�'{ �� J� 2�h`"t rh.;tt5 �t, 3 3 5y.2. LOT# �_Z�____J
suBaivisoN� <<-�to-a1-o0�0�4'�ToO• PARCE4.ID#
tS�R�Q (O@TAINED PROM PROPERTY 7AX NQTICE)
WORK PROpOSED �NEW CONSTR ApD/ALT � SIGN [� Q DEMOI.ISH
e INSTALL 8 REPAIR
PROPOSED.USE �, SFR Q Ct�MM [„� OTHER
TYPE OF CON3TRUCTION , BLOCK � Q FRAME C� STEEL Q
�
DESCRIPTION OF WORK @ I A,C E C�`r l/J�'.1� (� ,Yl C':
BUILDING SIZE ���� SQ F007AGE g�� HEIGHT � �'�'
�BUILDiNG $ '�''"� �r�.�_.::. `-�.-
'1,.` a� VALUATION OF TO7AL CONSTRUCTION
QELECTRICAL ($� � AMP SERVICE Q PROGREBS ENEI2GY [� W.R.E.C.
�
QPt�UMBlNG $ rf� 1��}�
�G is
�MECHANiCAI $ VAIUATION OF NtECHANICAL INSTALtAT10N
� �.
QGAS [� ROQFING Q SPECIAI.TY Q OTNER
FINISHED FLOOR ELEVATIQNS C�'--___� FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE-CURRE� .Y/N r
Address Cicense# �� �
�.
ELEGTRtCIAN ., COMPANY
SIGNATURE RECaISTERED Y/ N FEE CUFtRE� Y/N
Addres� � � License# � �
PLUMBER � � COMPANY �1l�o.ro t'"�P't�' O�'Y1G (7Cli �
SIGNA7URE' REGISTEREp Y/ N FEE CURRE� Y/N '
Address Ltcense# � � ��
MECHANlCAR. COMPAWY
SIGNATURE REGISTERED Y�./ N FEE CURRE� Y/N
Address ' License# �� �
o��R SE'�,.� conn�artv �4�'t� Dt�t'1,E f.
SIGNATURE REGISTERED Y/ N FEE CURRE� . . Y-/N.
Address ~ ` L'Icense# �� -�
RESIDEN17A1; Attach(2}Plot Plans;{2}sets of+Bu3lcling'Plans;(1}set af�Erierc,�y�Porms;R-t)-W PerrrBit for new construc6on,
. Minimum�ten,(1,0}:working,d"ays after.submittal date. Required ansite,ConstiucHan-Plans;Stormwate�°Plans vd Silt Fence installed,
Sanilary FacillUes.&;1;,dumpster,�Site�Wotic�Rermit far sutiiiivistansflarge pro�ects _ ' ,
COMMERCiAL A#tach{3j complete sefs of Builclitig Plan`s plus a life Safety Page;{1)set of Energy Forms.R O-W Permit for new construcflon.
Mlnimum ten(10)working days after submittal date. Requtred ansite,ConstrucGon Pians,Stormwater Plan's w/Sflt Ferice installed,
Sanitary Facliitles&1 dumpsiec.Slte Work Permft for aif new proJei�.Aii cammerciafxequlrements must meet comptfance
SIGN PERMIT Attach`(2)s`ets of Engiiieer,ed Ptans.�,_ � ,° •.
`«""PROPERTY SURVEY'reguired for all NEW cansttucUan. , '
DtreaElons:
FIII out applicaUon completely.
Owner&Contractor slgn back of appifca�on,natarized
If over�2500,a Notice af Commencement la required. (A!C upgrades over 5750Q)
" Agent(for ttie contraotor)ar Power of Attomey(for the ouvner)woutd be§omeone with notarized letter from owner authorizing same_,,
OVER THE C4UNTER PERMITTING (Front of Appiication Only)., . � � � ,
Reroofs if shingles Sewers Seroice Upgrades A/C Fenaes('PIoUSurvey/Footage)`
Driveways-Not over Counter if on public.roadways::needs°ROW" ' � ,�
NOTiC�OF DEED RE3TRICTiONS: The undersigned unders�tands::th�t ihls,,p�rtnit,may.be:subJect to,;",deed"rrestrictions"
. . �:..,., �, r
which may}be�more��rest�ictive-than Gvuntyr�areg�lations:=The uniiersigned�-assumes•�resp�inslbility<for°coinpliance�witn any
applicable.deed ces�tctbns. . .. : .,. , -. . �. ,:,
UNLlCENSED.'::CONTRACTORS AND CClNTRACTOR RESPC?NSfBlLlTIES: -�If�tfie ow�er has �hlred:�a contractor or
contractors to�underkake work, theymay.be.-;r.equlrecl:ta:�b��:ltcensed ln.accordanae.wtth�#ate,and�local regulatlons.,�:If�the -
cantractor,�is:=not,ltcensed as cequlrad`by taw, both�the owner and�conf'racta�=may be�cited�for a�misdeme�nar violatlan
under s#ate iaw. tf the owner ar intendedr.contractor..are:uncertain as fo what Ii�ensing.requtrements�may��apply���for�the
�ntended wark, they-are advised to contact the Pasco County Bufidirtg tnspec#�on Dtvislon—Ligensing Section at 727-847-
_ _._...., .
8009. Fnttl�e�more, !t the'owner ttas`�hir+ai!`a conk�acto�.or coritractors. he is advtsed to have the ca�tractor(s},:sEgn
partians of the "ct�ntractor Black" of thi�application for which they wil! be r.esponsible. .If you,-as..the ownec sign`as the ,
cantrac#or,�that may be�an Indicatlon fhaE fie ls not.properly llcensed and Is�noY entitied�to permittfng p�ivileges in Pasco ;
County. � - ; � " ' • h , • , ' '
TRANSPORTATiQN21MPACTIUTIL171E5�rMPAC�'�ANd-RESOURCE REC01/EaY FEES:�The undersigned understands. �
that Transporkatlan fmpact Fees and Reco.urse Recove.ry..Fees may,��applyrta°the construcEion of,r�ew.bulfdtngs�:rchange=of
use in existing build(ngs;�ar:�expansitrn��.of-�ezisti��:�buildings, as specifled in Pasco�Gounty Qrdit�ance number 89-D7 and �
90-07, as amended. ..The undersigned also understands, that-such fees;�,asrrnay_.be�due,::will�be identl#ied at the��tirYie�of � " i
� ,,.,..
permitting. lt is fu�tfier'understood that Transportatton impact Fees and�Resou�ce Recovery�Fees:.must be paid prior ta ;
receFving a "cerflf6cate..of occupancy� or flnaF,power.:release. :If�#he project does:not involvea a:.certificate of occupancy�o� = 3
final pawer�release;;#he;fees mu�t be paid prEor ta permft issuarice, F.,urthermace;•-if Pasco,Caunty�V+Jater/Sewermimpact .
fees are duei�ttiey must.be-Rald.prlor to permlt�lssuanae-in a�:ordance v+rith appllcab}e Pasca'Caunty�a��ilttances. .
CONSTRUCTION"LIEN"LAW'(Chapter 713, ElorJda Statutes,�s�mendedj: If valcratton of work is$2,5QO.aa,or more,.� .
certify that 1, lhe. applicant,. have been provided: with a copy_ of�the "Flarida-Construaklon:�Lien_L`'aw.=.Homeowner's .
Pratecfian Guide" prepared by the Florida Department�of Agrtc.ult�re and ConsumerAffairs. If the appllcant ls someone
other than#he°awner", t certify,that i have..obtained�a�copy.of the:above:.descrlbed�loctiinent�and.promis�t�in.gaod faith.ta
deliver ft to the�°owner.'�.prior=tovcommencement: " . `" _.
CONTRACTOR'SlOWNER'S APFlDAYlT: 1.certify,that.al!the.lnformation In�this application is accurate�nd fhat all ttiork -
will�be done in compliance with all appllcable laws regulating construatlon, zoning ar�d��land development. Appllcatlon ls
hereby made to obtain .a permit to :do..work and installatlon as ind(cated:-„ '1 cenify"�that no work,or lnsta!latton�has
commenced p�for to issuance of`a permit and #hat a0 work w1i1 be pertormed to meet standards of all laws regula�ing• �
cons#ruction, County and Cify codes, zoning regulafi�ns, and land development r.eguiatlons-in the�jurlsdictlan. I al'so
certify that 1 u�derstand that the regulations of o#her government agencles may appiy�to the intended work, and that it is
my responsibil�ty ta ldentify�whatactlons!must take:to be,in:.cortl�!lance: S.uch agencfes include buE.are..not limited to: ,
- Departmen# of Etrvironmental-Protection=Cypress. @ayheads; V(fetland �reas and E�vfronmental4y SensEtive �
Lands,WateNWastewater Treatment. '
- Southwest .FioNda Wa#er Management .=Distrtct Weils, �Cypress. Bay,heads; Wetiand �Areas, Altering 4
Ih/�teMAUPS@s. t
- Arrray Corps of Engineers�-Seawalls�Docks, �lavlgable Watetways. f;
- Department of Health & Rel�abllitativ,e Servlces/Enviror�menta! F�ealth Unit-Welfs� Wastewrater�Tre�#mer►f,
Septic Tanks: � ,
- US Environmental Pratection Agency-Asbestos abatement.
- Feder�!Aviation_Authority Runways. '
f understand that the foilnvsring restrfctions appiy-to the use of fllt:
- Use of fil!Is not allowed ln Flood Zone"V"unless e�c{�rressfy permitted.
- If the fill�material�is to be used_in �Flood Zone. "A", It. ts under'stood that=a drainage plan addressing a
°compensating volume" will be subm(tted at time of permift[ng which ts prepared by a professiana! englneer �
iicensed:by#he�State-af•Fiorida.
- if the fill materiai::is-�#o be used in Ftood �one °A" in�connection�with.a permitted buiiding using stem wall
� consfructiost, l c+ar�ify#hst fdl.wlll�b.a�used onty.ta filt the area withM the s#em�wa1L
- !f fi#I materlal ts to�tie��ased !n:any area, I certlty that use of�sucli flt! w#ti not adversely affec# ad)acent
properties. If use of fll! is found to_adversely.�ffect adJacent��properkies,.the owner may be clted:for vlolating
the condi#ions af ttie'�uildin�;permit issued�under the:atfacfied permit �pplicatlo�►, for lots less than:one (1) `f
acre which are elevated°by:fllt;aR englneered drainage plan 1§requlred. , ,�
f;
tf!am the AGENT ft}R THE t�{AFNER;1;>.promise in goad fi�ith to tnfarm#he�owner of-ths:permitting condi#�ons set forth tn �i
#Ms a�davlk"prlor to commei�cing aonstruc#Eon: �1"undens#and theYa-separa#e parmit may 6e requtred for eiecfricai work, ,�
plumbingf signs, wells,.poals; a!r condltioning,.gas, or'other Instaltatlon"s nat,spec�ftcaity Included�In.the appltcatfat�. .A � ��
permit lssued shall be canstrued to be a°�Iicianse to-proceed with the'wark and nat as:author(#y to violate��cancel; alter, or ' �{
set aside any provisions of the teahnlcal.codes, nor shall issuance�of�a.permit.prevent the Bullding C�icial from thereafter
requiring a correctian of errars in plans,eorisfruction or viotatians of any-code�: Every permi#[ssued shall bscome invalid ;.
uniess the work autfior�Zei!:by such permtt°is�commenc�d�within si�c m�nths of permit issuance� or if work authorized by �
the permlt is suspended or.abar,adaned#or a,perEod of�slx(8)`montfis:after'the ttme ths work�ls commenced..,An ex#ension �
may be requested, in writing, from the Building,Officlal�for a peNod�not to exceed•nlnety�(�80)days a�d w1!# demonstrate �
�ustlfiable cause�for.the extension: If work ceas�s:for ninety{9p)cons.ecutive day.st.the�ob:is considered aba�daned.V ;�
' , ' . E;
, 1NARi�ING TO OWNER: YOUR FAiLURE�Tt1,RECORD,A::NOTtGE,�F�C�MMENCEMEI�T�.MAY=RESCILT IN�YOUR s�
PAYING TWIGE FOR IMPROVEMENTS TO Xi'JUR:PRQPERTY.�,1F°YO.Ujlt+1'�E1�D'TQ°�BTA�iN��FiN�fi1CING,�CONSULT `'
,;
ifiii5'" ��'��R. _ �! -�.��1i�'r_ �'i'O �B F�3 � �i�R�S G:: �Ii3 = t? �� :` 1 -' E ' E T:_ _ _ _ __.. __._
FLORIDA JURAT(F.S.117..03) � -
� DWNElt OR A13EN71� /°1•C�A�'L.�� CQNTFtACTO + ����'Lt/ �""�" �
"suycrlbe a� s ' M(or aHinned)b�{ore me thls Su6ec bed an 's m ot afff ed)�baro re me'�js
z��" Y�„�s /�'+M.b t'tJ.S L� �-,� �by� b r'CrJ
Nha isl�re pe on II k to.me or haslhave produced VYhq.lslare p.erson lykr�o�m M me,orfi�asthave�produced. �
f"�� �������a�identlflce8nn. �S L,r�v r��R., as Identlflcafton.
�
- � ,
j�. . otary Pubite . /L/ � Notary Pubitc
�ommi on t�o. -- ' Commis on� o� ,AY P���4
""""� ' :� Cammission#FF 150422�
:,�°;�:•°Y,e4cM JACG�UELINE BOGES ,
Vame of Notary typed,print � '8 ' ' ¢�� Name of Natary �� c a�� �pein Insurence 000385•7of9
,.,r�, 4;�xpir�s December 12,2418
I�I,Pi��}°�'`'� 8anded Thru Troy Feiri Insur;��cu 900.3�95-7019
, � DISCLOSIIRE ST�T�NT FOR OWNER
` CITY OF ZEPHYRHILLS BIIILDINYG DEPARTNlSNT
,Q 1V a�ro 1�"'�""10 r0$
I. `�c��-�r,`ur� �rv�broS ce,s�a have read and fully understand and
agree to the rovisioas of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
reaovatiag, adding to or reroofiag hia or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same is aot for
rent, lease or sale. That he or she shall comply with the following conditioas:
1. That the owaer and he or she aloae shall act as the builder for all phases of
construction.
2. That the owaer will comply with all proviaioas of the City of Zephyrhills
ordiaaaces aad codes pertinent to the buildiag.
3. That in the eveat various phases of coastruction are subcontracted, he will
engage only properly licensed subcoatractors aad will persoaally supervise
such work.
4. That in the eveat the Suildiag Iaspector shall require corrections to .be made,
the owaer will assume full respoasibility to insure they are made, aad upon
completion will call for a reiaspection before proceediag with the building.
5. That the owner shall assume full responsibility for the coastructioa aad will
aot expect supervision of his work from the City of Zephyrhills Building
Departmeat.
6. That prior to final inspection aay additional fees, iacludiag reinspectioa
fees, must be paid in full. A writtea request from this office shall
constitute an official aotice to pay additional fees.
7. That the owner 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 owaer shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requiree construction to be doae by liceased contractors. You have
applied for a permit under aa �acemption to that law. The exemptioa allows
you, as the owaer of your property, to act as your own contractor with certain
restrictions eveu though you do aot have a license. You must provide direct
oasite aupervisioa of the coastruction 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 buildiag or residence must be for your owa use or occupaacy. It may aot
be built or substantially improved for sale or lease. If you sell or lease a
buildiag you have built or subatantially 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 an ualicensed persoa to act as your contractor or
to aupervise people workiag on your buildiag. It is your responsibility to
' make sure that people employed by you have licenses required by state law and
by couaty or municipal licensiag ordinaaces. You may not delegate the
respoasibility for aupervisiag work to a licensed coatractor who ia not
� licensed to perform the work beiag done. Any person workiag on your building
� who is not liceased must work under your direct supervision and must be
employed by you, which meaus that you must deduct .F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all app icable laws, ordiaaaces, building
codes, aad zoniag regulatioas.
�1, ��c I��
OWNER'S SIGNATURE GCrt DATE �
ADDRESS `� . `Z � y I 3 5��
PHONE �I'�.-'�(7 ti'F-� a,LI,3
WITNESS PERMIT #
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