HomeMy WebLinkAbout15-16782 CITY OF ZEPHYRHILLS
� s 53�35-8TH STREEf'
�sis)�so-oo20 1678
BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION -
Permit Number: 16782 Address: 39851 COG HILL LP LT 113
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s):113 Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 2426-21-0000-00100-0090
Improv. Cost: 13,500.00 - OWNER INFORMATION " "-
Date Issued: 12/01/2015 Name: NHC-FL115 LLC
Total Fees: , 157.50 Address: 39851 COG HILL LP
Amount Paid: 157.50 ZEPHYRHILLS, FL 33542
Date Paid: 12/01/2015 Phone: 813-783-7518
Work Desc: INSTALL SHED 9 X 13 & 13 X 28 SCRN ROOM
CONTRACTOR S � APPLICATION FEES
S N ATE ALUMI N I C BUILDING FEE 157.50
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- Ins ections Re uired " ''
F OTER 2ND ROUG PLUMB M INSULATION EILING
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.
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- NTRACTOR 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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813-780-Q024 City of ZephyrhiNs Permit Applic�iiort �aX-s�a-7aaooa�
Bu!lding Department
,
Date Reaelved �( ' _
i Phone Contact far Permtttin
Owner's Name � u�-4-� Owner Phone Number
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Owner's Address Owrner Phone Number � � �
Fee Sfmple TI21aholder Mame � � Qwner Phone Nnmber � �
Fee Slmpie Titlehoider Address
JOB ADDRESS � � �l J � 0 LOT# [___�
SUBDIVISION �� � PARCEL ID#
(OBTAINED FRdM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT [� S1GN Q [� DEMOLiSH
� INSTAL.L 8 REPAIR
PROPOSED USE Q SFE2 � COMM' �� OTtiER
TYPE OF GONSTRUGTlON Q BIOCtC " Q FRAME � STEE� Q
DESCRIPTION QF WORK �� xL �3�..(U�'� �`�D J ��
BUILQING SI2E ��! �.SQ FOOTAGE C� HEIGHT ���
�B�t�'di��"" - $ �`��D� VALUATION'OF TOTAL CONSTRUCTION
[�EI.ECTRICAI. �� AMP SER1lfCE Q PFtOGRESS ENERGY C] W.R.E.C.
OP�UMBING r>� ����� � J�
QMECHANICAI. $ '— YAWATION OF MECNANlCAE.INSTA�IATiON 1,,.;J ����f �
QGAS Q ROOFlNG Q SPEGlAITY � OTHER �
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FIIIISHEQ FLOOR ELEYATIONS ��� FLOQD ZQNE AREA QYES NO /� �U�
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�Ut�DE� ,�'��'�._' oMQ�ar�nr 'Sul� 3�'�-6. p,lS�� s�
SIGNATURE ttEGis7��d Y i N FEE GtlRREA Y!N
Address Lfcense# � i�
EIECTRICIAN COMPANY
SIGNATURE ' REGIS7ERED Y I N FEf CURRER Y I N
,0.ddress License# �—��i��� ,
PIUMBER �..— " ..—� CQMpANY I
SIGNATURE ( REGISTfiRED Y i N FEE CURREF Y J N
Address License# � �
MECHANlGp! COMPANY
SIGNATURE REGlSTERED Y! N FEE cURREE Y I N
Address License# � �
C?THER s-_� CQMPAHY
SIGNATURE ,_,, , REGIs7El�b Y/ N , FEE CURREt� Y!N
Address Llcense# ��i�i'�
RESIDENTlAL Attach(2}FIot.Plans;(2)sets of=Bii!!iling"Plans;(1)set of Energy�Porms;R-0-W Permit tor new constructian,
Minimum's ten:(10)working days after,submittal date. Requfred onstte,Construc6on Plans;Stonnwater'Plans w!SUt Fence lnstalled,
Sanitary Faciiitles_8�:1,dumpster Site,Wark�Rertnit far subdivislons/large projects `
COMMERCI�l. Attach(3)oarraplete`sets of Bu!!iling'Pians pius a Life Safety Page;{i}set of Energy Fam�s.R-O-W Parmit far new canstnaefion. ._
Minimum ten(10)working days after submittal date.,Required onstte,Constructlon Plans,Stonr►water Plans w!Silt Fence instalted,
Sanitary Facilities 81 dumpster.Site Wark Perrnit far ail new projecfs.All cammerclal requirements must meet compliance
SIGM PERMlT Rtiacti(2)sets vf Enginesred,Pi'ans.�; � - �
'""PROPERIY SURVEY required for ai!NEW canstruation.
D}recttons:
F(II out appflca8on completely.
Qwner&Contractor sign baak of applfcatlon,naNarized
1f over$2500,a Natice of Commencement is required. (A!C uqgrades over 3T50Qj
'* Agent(far ti�e oontractor)or Power of Attamey(far�the awner)woutd ba someone with notarized le#ter from owner authorizing same
aVER THE GOt1NTER PERMITftNG (Front of Appiicetion Only}
Reroofs if shingles Sewsrs Servtce Upgrades A!G Fences(PlotlSunreylFootage}
Driveways-Not over Counter if on public roadways..needs ROW
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NOTiCE OF DEED RESTRICTIONS: The undersigned under�tands��.th�t,this,permit.maybe:subJect.to"deedp r�stricttons" ;
which may be�more-r.est�ictive-th�n County�regulatlons:�The undersigned�assumes�responsitiility'for_compliance witFi any
applicable deed restrictions. . - _ � - ,� -� _ '� � � ` .' • � = � "
UNLICENSED CONTRACTORS AND CONTIZACTOR RESPONSIBILITIES: ��If the owner has hired-a contractor or
contractors to undertake work, they may.be;required.,to:be;licensed In accordance.with state.and�local regulations. .If�the
contractor ts not I(censed as�requlred'by law, both the owner and contractor��may be-�cited-for-a�-misdemeanor violatton
under state law. If the owner or Intended,contr.actor are,juncertaln as to what Iicensing.requiremenfs may>apply��for�the
intended work, they are advised to contact the Pasco County Building�Inspection Dlvision-Licensing{8ectton at 727-847-
8009. Furthermore, (f the owner has hi�ed a cont�actor�o� contractors� he is advised to have the contractor(s)_ sign
portions of the "contractor Block" of this appllcatian for whtch they will be .[esponsible. If you,-as.#he owne�sign�as the
contractor, that tnay be an indication that°he�is-not.properly licensed and�is not entitled to permitting privlleges In Pasco
County. • .. . .,,.. . � �. ,
TRANSPORTATION..IMPACTIUTILITIES rMPAC7 A(�b RESOURCE RECOVERY�FEE3:��The undersigned understands
that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may�<apply�to:tF�e.construction of new buildings,�change of '
use in existing buildings, or�:expans(on--_of.-ezisti�i�'�buildings, as speclfied.(n Pasco County Ordinance number 89-07 and
90-07, as amended...The undersigned also.understands, thait:�such fees,-�as��rnay be�.due;:wfll be identified at the�time of '
permitting. It Is furtlier understood that Transportatfon Impacf Fees and Resource Recovery�Fees.must be paid prlor to
receiving a "certificate,.of occupancy" or flnal power�release. :if�the project:,does not Involve:a::certiflcafe of occupancy or
final power release;the fees mu�t be paid prlor to permit issuance. Ft�tthermore;�if Pasco.County�lNater/Sewer�lmpact _
fees are due, they�must be�paid prlor to permit-Issuance-in accordance with appilcable.Pasco County ortlinances.
CONSTRUCTION LIEN-LAW(Chapter 713� Florlda§tatutes,as amended);��;If valuation of work:is$2,500.00 or more, I
certify that I, the _appltcant,_ have-been provided with a copy- of the "Florida�Construction tien..Law=Homeowner's
Protection Guide" prepared by the Flortda Departmenf of Agric.ulture and Consumer Affairs.- If the applicant (s someone
other than the"owner", I certffy that l have�obtained�a copy.of.the:above.described docu�ent°and.promise in,good;faith to
deliver It to the°owner."prior.��to�commencement: ' � ,
CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce'rtify.that all.the�Inf.ormatlon.in;this appllcation"is�accurate and that all work
will�be done in compliance with all applicable lawrs regulating construction, zoning and��land development. Application Is
hereby made to obtain..a permit.to do. work..,and installatlon as indtcafed:-• I certifjr that no work�or Installatton has
commenced pr(or to Issuance of�a permiC and that.all work will be performed to meet standards of all laws regulaling-
construction, County and City codes,� zoning'.regulations, and land development tegulatlons-in the jurisdictfon. ( also
certlfy that I understand that the regulati�ns of�other government agencies may�apply�to the intended work, and that it is
my responsibility to identify�what.actions I must take to be�in_.corrlpliance: Such agencies include but�are.not limited to:
- Department of Envlronmental'Protection=Cypress.Bayheads; Wetland Areas and Environmentally Sensittve
Lands,Water/Wastewater Treatment. �_
- Southwest Florida Water Management .I�istrict Wells, Cypress.� Bay.heads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis, Docks, Navtgable Waterways.
- Department of Health & Rehablfltative Serv(ces/Environmenfal Health Unit Wells� Wastev�rater�Treatment, _
Septic Tanks. " � .
- US Erni�onmental�Protectfon Agency-Asbestos abatement. ,, , n�, , _ _ _
Federal Aviativn:Aulhority-Runways. - �
I understand that the following restric8ons apply to the use of flll:
- Use of fill is nof allowed in Flood Zone"V"unless expressly permitted.
- If the fill material�is to be used:�In_ Flood Zone "A�, ft. Is understood that�a drainage plan addressing a
°compensating volume" will be submitted at time of permitting which is prepared by a professional engfneer
Iicensed by�he�State�of-,Florida: .
- If ihe fill material_is to :be_used in Flood �one °A° in�connectlon�with��a permitted building using stem wall
' construction, i cenify that f�ll�:wlll:b.e used only.to.flll the area wtthin�the stem•wall.
- if flll materlal is to be-used in any area, I �certify that use of such flll will not adversely affect adJacent
properties. If use of flll is found to adversely:�ffect adJaeent properties,.the owner may be'cited for violating
� the conditions of the"building,permit issued�under the.attached,�permit applicatbn, for•lots less than one (1)
acre which are elevated�by tlil, an engineered drainage plan Is required.
If I am the AGENT FOR THE OWNER, I��promise in good faith to Inform the owner of�the permitting condittons set forth in
thls affidavit�prior to commencing const�uctlon: "�1"understand that,a�;separate permit may be requtred for elecMcal work,
plumbing, signs, wells, pools; afr conditioning, .gas, or other Install�tions not.spec�ically Included-in.the application. A
permit issued shall be construed�to be�a Iicense to proceed with the work and not as.authortty to.violate, cancel, alter, or
set aside any provlsions of the technical cod�s; nor shall issuance�of a.permit.prevent the Bulldirig O#�icial from thereafter
requiring a conection af errors in.plans; construction or vlolations of any codes. Every permit issued shall become invalid
unless the work auihorized.by such permit�ls-commenced•within sfx months of pennit lssuance� or if work authorized by
the permit is suspended or.abar�doned for a:period of-six(8)montF�s.after the time_the�work is commenced. An extension
may be requested, tn wrlting, ftom the Building.Official for a period�not to exceed ninety(90) days and will demonstrate
justifiabie cause for.the extension�. If work ceases:for ninety(90)cons.ecutive:days;..the)ob�is considered abandoned.
WARIVIPIG TO OWNER: YOUR.FAILURE�TQ.,REC.OI2D A.NOTIGE OF•COMMENCEMEf�T NtAY RESUlT IN YOUR
PAYING TWICE FOR IMPROVEMENTS�TO.YOUR.PR�OPERTY: IF�YO.UrINTEND'TD OB7'AIN�FIrFANC1IVG;'CONSULT
WITH YOUR END O AN°�1TTORNEY�� FORE`�RECOR�� f��`OUR' R�'�=— -- - ---!�"-
FLORIDA.JURA�(F.S.-'!17.03) � - " '
OWNER OR A(3EN7 -
Subscribed and swom to(or aflirmed)before me this (of aflirmed)�befot+e me'tFiis
by
Who is/are personally knovm to.me or hasRiave prgduced Who Islare personallyknown•to me or heslhaveproduced •
as IdenBflcatlon. as IdenBflcaOon.
Notery Public . Notary Public
Commisslon No:' Commission.No.
Name ot Notary typed,printed or stamped Neme of Nolary typed,printed or stamped
City of Zephyrhills
BUILDIIVG PLAN REVIEW COMMENTS
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Contractor/Homeowner: - U�/�
Date Received: _�� �2�—�S �
Site: l C1.71 �� yl
Permit Type: � ��l� �� /�?���
Approved w/no comments. Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
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:
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Bill Bur � `' din Official Date Contractor andlor Homeowner
(Required when comments aze present)
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�;������� Page No. of Pages
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SUN STATE ALUMINUM, INC.
6154 Fort King Rd;
ZEPHYRHILLS, FL 33542
(813) 788-7308
SUBMITfED TO
�� � PHONE
STflEET � ��, ���� �
JOB NAME
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CITY,STATE ZIP CODE JOB LOCATION �
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ARCH�TECT DA7E OF PLANS ° JOB PHONE
e h reby submit speciflcations and estimates ,
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tTACt aterial — ete in accordance with above specifications,for the sum of:
`� �0. �'� dollars($ 1���
Payment to be made as follows: z ).
All unpaid balances subject to 1.5%monthiy interest fee.
All material is guaranteed to be as specified.All work to be completed in a worlmianlike
manner aocarding to standard practices.My afteration or deviation from above specifications tho' _
involving extra�osts will be executed only upon written orders,and will become an exd�a
charge over and above the estimate. All agreements contingant upon strikes, accidents
or delays beyond our conhol.Owner to carry fire,tomado and other necessary insurance. Note:This propoSal may be
Our,nrorkers are fulry covered by virorkman's compensation Insurance. withdrawn by us if not accepted within days.
�ICCP-�t��CQ Of �DT�L�CACL—The above prices,specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as spec�ed. Payment wili be made as outlined above.
Date of Acceptance: Signature