HomeMy WebLinkAbout16-17151 CITY OF ZEPHYRHILLS
5335-8TH STREET
� _ � (813)780-0020 17151
BUILDING PERMIT
PERMIT INFORMATION LOCAT.ION INFORMATION
Permit Number: 17151 Address: 5232 8TH ST
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: 11-26-21-0010-16800-0230
Improv. Cost: 200.00 OWNER INFORMATION
Date Issued: 3/15/2016 Name: HUGHES, NANCY BAME
Total Fees: 120.00 Address: 5232 8TH ST
Amount Paid: 120.00 ZEPHYRHILLS, FL 33542
Date Paid: 3/15/2016 Phone: (813)783-8864
Work Desc: REMOVE 3 WINDOWS INSTALL S/S WINDOWS
CONTRACTOR S APPLICATION FEES
ELFERS & ELFERS INC BUILDING FEE 60.00
AFTER THE FACT 60.00
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Ins ections Re uired
F OTER 2 D ROUGH PL B MISC INSULATION CEIL G
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 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 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.
�� � � �
CO TRACTOR 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 Building Offici�l: �Vi�"C'�am.�. �urgess
All Building, plurr'bing, ele�trical and r�echanical work
shall cease at the beloanr mentioned property.
Address: �� � � ��� � � ���' �
Date: � v d� J I �
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Code Enforcement Officer: �
C019t�Ct tl1@
Zephyrhills �uildin� Department
5335 - 8th Street
�13-7�0�00�0
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
8utlding Department _ '
Date Reaelved �-�-1.� Phane-Carttact for PermCttin ` C�t� tY� �'' — �U/��
Owner's Name 1 U U l!t�i Qwner Pbone Number
Owner's Address
Z v� ���� Owner Phone Numbsr � �
Fee Simple TlNeholder Name �� � Own�r Phane Number � �
Fee Simple Titleholder Address �
JOB ACIDRESS rj�'-7 Z v� ��''�"Q"�" � �� r l•l I�,S . LOT# t�
SUBDIVISION �— � PARCEL ID#
(OBTA4NED FROM PRQPERTY 7AX NQTICEj
WORK PROPOSED 'NEW CONSTR ADD/ALT �] SIGN Q Q pEMOI.ISH
INSTALL 8 REPAIR
PROPC3SED USE , Q SFR Q COMM � OTHEF2
TYPE QF CON3TRUC'170N �. Q � BI.00K , Q FRAME, �] STEEL Q
DESCRIPTION OF WORK I�2 l7 V� UI�J' dv�t d�0 t�S — c�� /b'B G.� �N '✓1 r,�g w /'�
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BU�LDING SIZE 5Q FOOTAGE�_� HEIGHT •
, �F:���.�- �,r:. .. � ..s-r
�g���'�i�� $ ���;� � VALUATION OF TOTAI.CONSTRUCTION ��+
� QEIECi'RICAi. �� AMP SERVICE Q PRQGRESS ENERGY [� W.R.E.C.
QPLUMBING $ C ����.,, �/'
OMECHANICA� $ VA�UATION OF MECNAFti11CAl ItVSTAi.LATIt�N �J�
QGAS Q Ft04F1i+IG [� SPECIAI.TY � OTfiER � �hr�Oc� �-2 /Fi��'f�"Gt�,�ZtJO���
FINISHED FLOOR ELEVATIONS FI.00D ZONE AREA [�YES NO ` � �l
BUIIDER �y�/�� /�` �/ �r' COr�IIAPANYe ���.F �I�i"3� �vL
SIGNATURE ��� v � v REGISTERED Y/ N FEE CURRE� Y/N .
Address ���> � ��€' � � �' �` ��`r��5 Cice�se# ��C G�d�?6 �3 J �
IELECTF21C1AN ,, COMPANY
SIGNATURE REGISTERED Y/ N FEE'CURRE� Y/N
,
� Address . Llcense# � �
PIUMBER - COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/N'
�
� Address License# r� �
� � �
i MECNANICAL COMPANY
I SIGNA7URE REGISTERED Y�/ N FEE CURRE� Y/N� '
Addreas License# �� ��
Q3HER COMpANY -
, SIGNA7URE REGISTERED Y/ N. : FEE CURRE� Y/N.
Address � Cicen'se# r� ����
RESIDENT1At: Attach(2},p16t Plans;(2)se#sofiBuil'ding Pians;{9}sef af Energy�Forms;R-O-W Pertriit for new construction,
Minfmum�,terr(1.0).working�days�afte�_submittal date. Required onslte,ConstiucNon�Plans;Stormwater Plans w/SAt Fence installed, _
Sanitary FaciliUas&�1,,dumpster,Slte Work�Permit for su6iltVislotis/large projecM . , �
COMMERC(AL Attach{3)corrfpiete se#s of 8uil�irig Plans plus a Ltfe Safekyr Page;(1}set of Energ}r Forms.RA W Permit for new canstruction.
Minimum ten(10)working days after submittal dake. Requl�ed onslte,Canstrucdon Plans,Stortnwater Plans w/Silt Fenae installed,
Sanitary Facilities&1 dumpster:Site Work Perm(t fcr aii new projects.Aii commerciai.requirements must meet compliance
SIGN PERMIT Attach{2}sets of Engineer.ed Rlans.;; �� ., -
"""PROPERTY SURVEY reyuired for all NEW canstrucUan.
Directians:
FIII out applicatton completely.
Uwc�er&Contractoc stgn back of appifcaflon,natatized
ff aver�2500,a Notice of Commencement is re,quired.. (AlC upgrades over 57500)
" Agent(for ttfe contractor)or'Power of Attomey.(for the owner)wauld.be someone with notarized letter from owner authorizing.sarcie ,
OVER THE CQtiNTER PERMITTING � (Front,of Applicatlon Oniy) � ' �
Reroofs if shingles Sewers Serviae Upgredes A%C Fences(Plat/Sun►ey/Foatage) . . � -
- , „- _
Driveways-Not over Counter if on pubifc roadways..needs ROW '" - � ,„,
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NOTiCE OF DEED RESTRICTIONS: The undersigned unders�tands::th�t this:,p�r:mit:may.be,subJect to;"deed",reStNctlons"
which may:be�more`�rest�ictive�than Gounty��r"egulations:=TFie-und`er"elgned'�assur'ries'r'esponsitiility�for�compliance witf�'any`
appflcable�deed resnictions. � � �
� UNLICENSED�_CONTRACTORS AND CONTRACTOR RESPONSIBILITiES: --If the owner has �hired �a�contractor or
'� contractors to undertake work, they may,be.;cequired.;to;be;ltcensed in accordance.with state.and•local regulations.- If�the
�� contractor,.ts�not:licensed as cequlredAtiy law, both the ovmer and-confracto�=may be-cited-for�a-mtsdemeanor violation
' under state law. If the owner or intended�.contractor,�are uncertain as to what Iicensing.requlrements.may.apply.;for the
. .,.
� intended work, they are advised to�contact the Pasco County Building-In"spection Dlvlsfon-L(censtng Section at 727-847-
8009. Fu�thermore, If the°owner has�hired a contracto�o��aontractors. he ts adirised to have the contractor(s), sign �
� portions of the "contractor Block" of this appllcatlon for which they will be r.esponsible. If you�-as.#he owrier'sfgn�as the ;
; contractor, thatmay�be-an indication that�he is not.properly Hcensed and-is not entitled to permftting privileges in Pasco ;
� County. - ' . . ' _. _._ i
�, TRANSPORTA710N�IMPACTIUTILITIES-IMPAC'I'ANb-RESOURCE RECOVERY•FEES;��The undersigned understands �
that Transportatfon Impact Fees and.Recourse Recove.ry.Fees may�;apply�,to�the construction,of new bulldings,�change of �
use in existing buildings;Wor..expanslon�of-�ezistin�g:�butldings� as speclfled.in Pasco County Ordinance number 89-07 and ;
90-07, as amended..The undersigned also:understands, tha�t:�such fees��.as�tnay.be�.due;;:wlll,.be identified at the�tirrie-of - '�
permitting. It is fu'rtHer understood that Transportation Impacf Fees and Resource Recovery��Fees must be paid prior to ;
' rece�ving a °certificate.of occupancy" or flnai power-release. :If Ehe proJect.does.not involve:a;certificate of occupancy o� - �
final power release;•the.fees-must be paid prior to permlt issuance. Ft�tthermore;-if Pasco County�lNater/Sewe�r impact ;
fees are due,_they�.must.be�pald.prior to,permit�issuance-In accordance with applicable Pasco County-o�dinances.
CONSTRUCTION LIEN'I:AW�(Chepter 713, Florida Statutes,as amended): If valuation of work is$2,500.00:or more, I - �
certify that I, the applicant, have.been provided with a copy� of the "Florida ConsVuction� Llen .Law�.Homeowne�'s �
Protectfo� Guide" prepared by the Florida Departme�t of Agric.ulture and ConsumerAffairs. if the applicant is someone ,
other than the°owner", I certify that I have.obtained a copy.of the.above..rlescribed docu�ent°and.ptomise in,good faith.to
deliver It to the"owner".prlor to>commencemerit: • ,
CONTRACTOR'SIOWNEEt'3 AFFIDAVIT: I.ce�tify:.that.all the•Information�in_this appHcation is-accurate and that all work
will'be done in compliance with all applicable laws regulating construction� zoning and land development. Application is �
hereby made to obtatn .a permit.to do_work and installation as indicated:•� °I certffy that no work or installatton has
commenced p�for to issuance of'a permit`and that.all work will be pertormed to meet standards of all laws regulating- �
construction, County and City codes, zoning regulatlons, and land development regulatlons�in the jurisdiction. ( also
certify that I understand that the regulatlons of other government agencies may�apply�to the intended work, and that it is
my responsibility to identify.what�ct(ons I must take:to be=ln:.corrlpllance: S.uch agencies.include but-are..not Ilmited to:
- Departmenf of Environmental�Protection-Cypres"s.Bayhead�, Wetland Areas and Env(ronmentally Sensitive `
Lands, WateNWastewater Treatment. '
- � Southwest Florida Water Management .-Distr(ct-Wells, Cypress. Beyheads�, Wetland Areas, Altering ;
Watercourses. , � ,;
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. '
- Department of Health & RehabiNtative Services/Environmental Health Unit Wells�_Wastewater=Treatment,
Septic Tanks: � � _ , ,
- US Environmental Protection Agency-Asbestos abatemen�...'• � •
I� - Federal Avlatlon Authortty-Runways. � � � � . ; . ,
I understand that the following restrictlons apply to the use of flll:• ,
- Use of fill Is not allowed in Flood Zone°V"unless expressly permitted.
- If the flll materlal: is to be used. in �Flood Zone. "A", It. (s under`stood that�a dralnage plan addressing a
"compensating volume" wil) be subm(tted at time of permitting which (s prepared by a professional engineer
Ilcensed by theState of Florida. '
- If the flll material_:is�:to be used In Flood Zone.°A" in�connectfon�with.a permitted building using stem wall •
construction, I certify that fiil�:wall=b.e used only.to.flll the area within the�stem�wall.
- If fill material is--to�=tie used in any area, I �certify that .use. of�suah-flll will not adversely affect adjacent
i;
properties. If use of flll ls found to adversely..�ffect ad)acent�propertles,.the owner may be cited for violating ,
the conditions of the tiuildfng:permit issued under the:at�ached pecmit-application, for.lots less than.one (1)
acre whtch are elevated by flil, a�►engineered drainage pian is required. . _ ;;
If I am the AGENT FOR THE OWNER; I;�promise In good fatth to inform the owner of-the:permitting conditlons set forth in ;;
this affidavit�prfor to commencing construction: I understand that a�separate permit may be required for electrical work, • '�
plumbing, signs, wells, pools; air condttiontng,.gas, o�'otMer installatlons not,specifically included-in.the application. .A �'
� permit issued shall be construed to be a°Iicense to proceed with ttie work and not as�authority to,violate,-cancel, alter, or ;
� set aside any provisions of the technical codes; nor shall tssuance�of a permit.pcevent the Bulldirig Offic(al from thereafter �
' requirin a correctton.nf errors In. lans, construction or vlolations of an codes._ Eve ``
9 p y ry permtt issued shall-become invalid ;;
I unless the work authortzed by such permit-ls-commenced�wtthln six months of permit issuance, or If work authvrized by '
I the permit is suspended or.abandoned for a:period;of�six{8)montFis after the tirne the�wofk�(s commenced..An extensfon '
I may be requested, In writing, from the Build(ng,Official for a peNod.not to exceed nlnety�(90)�days a�d will�demonstrate �;
�ustifiable cause'for.the extension. If work ceases:for ninety.(90)consecutive�days,..th�Job is conside�ed abandoned.�� ;.f
- . � �,
WARNING TO OWNER: Y�UR.FAILURE�TO.,REC.OttD.A.NOTIGE OF•COMMENCEMEMT�MAY RE�UlT IN�YOUR �
PAYING TWICE FOR IMPROV_EMENTS TO YOUt�:PROPERTY.-IF°YOU�INTEhID'TO'OBTAIN��FINtANC1NG;�CONSULT i'
-:'�aFH�70�lR�L-@�D��R-OR-A��-A7TmRN�Y��i�OR��63E�OR�9R9G Y0U�Y9�.�'PICE'O�'CORSJFa7@NC�IMENT�------ - - _ ---- -— -
FLORIDA JURA'�(F.S.11 03) � ��
DWNER OR A(iEN • ��- dD� � CONTRACTOFt 1(a���Y"7�`� �«%""
3ubs,crlbed nd swom to(or a rmed)before me thls Subscribq and'swo -to ot affl�ed)'before me'tFiik
3-z- y „ L 7 �-�Z=1�� �o��/u.r G= �/-�z�J
Nho is/are e nally kno to-me or hasR�ave produced Who.ls/are ersona �cnown me or has/have•produced
as Identlflcatlon. as IdenBBcation.
� --"TQ�tery Public /l' .� � Notary Public
�ommissl n N . •� • Commissl n o. :.���'�'r�e4�; JACQ L1NE BOGES �
,•�o'���PY&'�•: �AC�U s'lotl#Ff 150422 :�r �o*,: Expires December 12,2018
•�c•..•pP�•
Vame of Notary � rl �i�p�lp� ��ea04�5jp19 Name of Notary type
:�: �� Fainln:wx • ' �
`'` Bonded7lwTmY
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PURCHASE ORDER ��� �� �J-�� �� ;
TO DATE , II
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ADDRESS � DATE REQUIRED ' ,
c�'��Z. � �� S7�E� ;
CITY,STATE,ZIP ' TERMS '
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SHIP TO HOW SHIPPED
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ADDRESS . ' , � � REa.NO.OR DEPT. ;
CITY,STATE,ZIP FOR ,
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QUANTITY DESCRIPTION PRICE UNIT ,
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IMPORTANT �
PURCHASE ORDER NUMBER MUST APPEAR PLEASE SEND COPIES OF YOUR
ON ALL INVOICES-PACKAGES,ETC. INVOICE WITH,,ORIGINAL BILL OF LADING. �
PLEASE NOTIFY US IMMEDI_ATELY IF YOU ARE pURCHASING AGENT
UNABLE TO COMPLETE ORDER BY DATE . -i
, SPECIFIED. i
' �:;°�" 5s3i ORIGINAL '
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ���2ilS� �l`��KP
Date Received: c�—Z—��
Site: •,�- �Z aZ �� cS�
Permit Type: � �r`h�OZ{� �l2(�P�2•y[��
Approved w/no comments: Approved w/the below comments: ❑ Denied'w/the below comments: ❑
This comment sheet shall be kept with the pernut and/or plans.
3 -Y�
Kal 'in w' r—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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