HomeMy WebLinkAbout15-16797� • CITY OF ZEPHYRHILLS
5335-8TH STREET
�si3��so-oo20 16797
� BUILDING PERMIT
PERMIT INFORMATION . � ., ` LOCATION.INFORMATION � �
Permit Number: 16797 Address: 7637 MERCHANTVILLE CIR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CRESNIEW HILLS
Est. Value: Parcel Number: 35-25-21-0120-000000170
Improv. Cost: 612.00 - - � � OWNER INFORMATION �
Date Issued: 12/04/2015 Name: KUBINA RICHARD & MELODY
Total Fees: 60.00 Address: S71 W26250 MARSH AVE
Amount Paid: 60.00 WAUKESHA WI 53189
Date Paid: 12/04/2015 Phone: (414)617-6614
Work Desc: INSTALL STORM WINDOWS (6) SUN PORCH
CONTRACTOR S • - - APPLICATION FEES �, ' - � �
ME ER B D N FEE 60.00
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� - � `� ' - � Ins ections Re uired �� -
F T 2ND ROUGH PLUMB SC I SU T 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.
REINSPECTlON 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 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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONT CT SIGNA U E 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: �1 �G{ �-� �� 6���
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Date Received: l�- � �� ��
Site: ��p� 7 ���C����/��1�.
PermitType: ���1� � G��`n�U?� �t S7v�r►'`��.
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 S 'tz r � 1 Examiner Date Contractor and/or Homeowner
(Required when comments are present)
_ 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Recelved Z,� ,� � Phone-Contact forPermitting '
Owner's Name G//� �1N�I Owner Phone Num er f 333 ��
Owner's Address ��� ` �° �G�� vj���/�' Owner Phone Number � / IO��
Fee Slmple Titleholder Name l � L���b' C?/�1"J Owner Phone Number �G J
Fee Slmple Titieholder Address
JOB ADDRESS �('�� � �¢ � S LOT# �'/
SUBDIVISION C� �CCST' � PARCEL ID# ��''��" � �Ca�`-6�� fj,�'I�
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED , e NEW CONSTR e ADD/ALT � SIGN Q [� DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION BLOCK " �— FRAME � STEEL Q
DESCRIPTION OF WORI(� u� s����J°6� �-U�/ fi�IJ��� �/� ��
BUILDING SIZE ���6 SQ FOOTAGE��. HEIGHT ��
QBUILDING S � �2 , ,�l VALUATIONfOF TOTAL CONSTRUCTION��
�CJ
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ���-7?7 8���� �1����
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOfV :�/��� /
QGAS Q ROOFING Q SPE6IALTY Q OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATIIR�.
�� REGISTERED Y/ N FEE CURRE� , Y/N
Address Lfcense#
ELECTRICIAN COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Llcense#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/-N
Address License#
OTHER COMPANY ���I�
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N
Address - Ucense# �
RESIDENYIAL Attach(2)Flot Plans;(2)sets of:Building Plans;(1)sefof Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10):working days aRer.subrtiittal date: Required onsite,Constniction Plans;Stormwater Plans w/Siit Fence installed,
Sanitary FaGlitles 81:dumpster,Site Work_Permit for subdivislonsAarge projects
COMMERCIAL Attach(3)complete sets of Builii6rig Plans plus a Ltfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUucUon.
Minimum ten(10)worki�g days after submittal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
�. Sanitary Facilitles&1 dumpster.Site Work Permit for all new proJects.All commercial requlrements must meet compliance
SIGN�E9ZM T AttacH'(2)sets of Engineered Plans.:,.�
�"'PROPERTY SURVEY required for all NEW construcdon.
Directlons: _��.
FIII out application completely. �� �
Owner 8 Contractor sign back of applicatlon,notarized
If over 52500,a Notice of Commencement ts requir`ed.{ C upgrades over 57500) ,
" A ent for the contractor or'P_ovVer.of�Attome �for the�owner�vvould'be someone with notarized letter from o '`�`"'�`
9 � ) Y� „).. w�,��aNthorizing•same••��.a_..< ..
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DVER THE COUNTER PERMIT7ING., `;',',(Frorit,of:Application�OnIyJ, 4 "- ��� " -� �'"�='' �"� � ' ��
Reroofsifshingles Sewers §e�,rvice_Upg�ades;i4/C.,..-�"F�nces(Plot/Survey/Foota'ge}� __ 1, • - �'" '�' _ _ . >;
, . . . , , - t� _ Z •;:�.. ._ , ..
Driveways-Not over Counter..if on',publ�roadweys::�eed�s�ROW�_� � - _ ... .�. ,�,..� ,. .' �ri•.�,,:^:��,'.-..�..
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NQTICE OF DEED RE3TRICTIONS: The unde�slgaed anderstands:th�t:thts:P�t�alf may.b�.sub�e�t t�"deed"�es�tc�ons"
which may be�mare�regtrictiv�.�th�n.Countya regulatlons. =The�undersigneid assurines responsi6ility°far complianc�with a�y �
app!#cahle deed restrlctlons. . .
UNUCENSEO CONTRACTt3RS AND CqNTRACTi�R RESPONSIB1i:ITiES: fif-the owr9er has�fiiced �a cantrac#or or
con#ractors�:to undertake'work, they may be�requ'i�edl:to be;llcensed In accordance.with state.and�local regulations: If�the
contractor ts not licensed as�t�equlred=t�y law, bath the owner and�contcac#orhrria�_be�c�#�d far-a��misdemeanar violation
under state law. If the owner or Intendedr.contractor. are_unce�tain as to what Iicensing.requirernents �may apply��far'the
intended work,they are advfsed to contact the Pasao Caunty Buili!ing��n"spectioti Dlvl�ion—l�lcensfng Section at 727-847-
SOU�. Fur#hermore, if the owner has hired a contractoT or contractots, he is aclvised ta have the contrac�or(s) sign
porkia�s af the "contractor Black" of this applicatlon far which they will:be responsible. . If you,-as#he owner �ign��a's tiie
con#�actor, that�may be an Ind�catlon that�Fie 1s,noY.prope�y Itc�nsed�and�ls not entltlecl�to pem�ilt#ing privi#egias in Fasco
County. '
TRANSPORTATION.IMPACTIUT!l:ITIES��CMPAGT•At�b-RE$�URCE R��QVERY�FEES: The undecslgned unders#ands
ihat Transpartatian impac�Fe�s and Recaurse Recove.ry.Fees may,.apply to:the cons#ruction of nerer buildings,.�change o� _
use in exi�ting bulldings, or�.expansion:.of�exis#in,g;'�buildings� as specffled.in Pasco County Ordinance number 89-07 and
90-07, as amended. .The undersigned aisa understands, thait�such fees�-:.as�mayr."be�dne,.:wili.be identitied at the<tiineaof -
permitting. It is turtfier understood that Transpo�tatfon Impact"Fees and'Resource Recodery�Fees mus# be pafd prior to
receiving a"certi#icate of accupancy"-or flna!-power.=release:-;I��the proj�ct doe�,not Involve:a_cetti�ieate of accupanc'y. o� '
finai power release; the fees mu�t�be paid pciar to,permR issua"n'ce. Fw�thermare,-�if Pasco,County�1NatedSewer��lmpact � � �
fees are due,theY•-mustbe-pald�prior to permlt�tssuance�ln accord_ance wltli appllcable►Rasco Coun#y�or�lrtances. -
CONSTRUCTION C�EN LAW(Cl�aptet T13, Flarlda Statutes,as amended): if vatuation of work is$2,500.00;or more, i x
certify tha# I, .�he. applicant, have.been provided wlth-a copy of the� "Florida-Constructlan.Uen .L'a�n�-Hameowner's
Protectlon Guide" prepared bythe Fior�da Depar#men#�of Agrfcult�re and Consumer�Affalrs. 1�#he appticant is someone ��
other than the tlowne�", I certify that.l h�ve:obtained�a�copy.af the:above..descri�ed dbcument:and:promise�In,good faith to
deliver ft to.the:"owne�'pdoc to>commencemerit:`�°'� .°.� .. � �
CONTRACTOR'S/OWNER'S AfFIDAVIT: 1_certify,:that�all.th�.,lnf.ormatiqn.in thls applicatlan is aacurate and that all work
will'be done in compliance with ail applicable'laws regulating construction, zonl�g and�land development. Applicatlon Is �
heceby made ta ob#aln .a pertnit ta do. worlc;,�nd :litstallation as Indi�afed:� `t ce�tity iti�at no wo�k ar I�stal{ation has
commenced p�lar to issuance of'a�permit'"and� that�all work will be perFormed to meet standards of.all laws regulating-
constructfon, Gounty and City codes, zoning feguE�tlQns, and.iand devetopment regulations�ln the jurisdtcfion. t also
cerEify tha# 1 understand that the regulations of other government agencies m�y�apply�to the intended work, and that it is
my responsibility to identify�what.actions!must t�ke to besln:.cont�llanca, S.uch agencles-fnclude but are..nat Ilmlted to:
- Depa�#men# of Et�viranmental�Proteotian-Gypress:'Bayheads, iNe�and Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment. ,.
- 5outhwest �torida Water Management� ..I�istrict Wells� Cypress. Bayheads; UVet#artd Areas, A1te�3ng
Watercourses.
- Army Corps af EnglneersrSeawalls� Docks,Navigable Waterways.
- Departmenk of Health`8 Ret�abititative ServiceslErrviranmentai Health Untt Welts� Wasteukater Treatment,
Septic Ta�lis: � ' .
- US Enviconmentai�Pcotection Agency-Asbesfos abatement�
Federal Aviativn_Authorlty-Runways. � -
1 understand that ttte following:restrictions appiy ta the use of flll:-
� - Use af fill is not ailowed in Flogd,Zone"V"unless express{y permitted.
- If the flll material ts ta be used;ln Flood Zone, "A", it Is understaod #hat a drainage plan addressing a
"compensating volume"witl be submltted a##ime af permi#ting wrl�ich is prepared by a prafiassiona) engineer
Iicensed by�he�State of�dorida. '
- !f #h� fili material.fs-to,be c�sed in Flaod �iane °A" in�cannec�ion�w1th�a �ermttted bu11d1ng using stem waN
construction, l certify tha#fi)I�:uul�l::be used only.to.fill the.area within the stem wall.
!f fill material is to be used In any area� ! aertify that .use. of such f�tl wlll .not adversely affect ad�acent
t � properties. if use of fit! is found ta adversely,affect adjaEent praperties,.the ouvner may be cited for violaiing
the conditions of the building-permit issued under the attached .permit appllcation� far Iots less than one (1)
acrs whfctt�a�e elevated�by#�tl,an engineered dralnage pfan Is required. .
�f 1 am the AGENT FO�THE OWNER, I,�prnmise in good fai#h to infarm the owner of-the permitting condft{ons set farth in
this a�davtt'priar to commencing construction. I'understand thatna;.sepa�ate perrnit may be required for etect�iaal work,
piumbing, signs, wetls;poals; air conditioning, .g�s, or otitec instali�iNons not.specifically included�in.the appiication. .A
permit issued shall be constcued to be a�license to proceed wlth the work and not as authority to.-violate� cancel. alter, or
set asfde any provlslons of the techntcal c�odes; nor shall issuanc$�of a.p�rr�ait.pr.event the 8ulldi�ig O#ficlal from thereafter
requiring a correctio� af errors in plans, construction or violatians of any cades.,Every permlk Issued shall become invalid
unless fhe work authoeized:by such permik:�ls_co�nmsnced�withfn st�c�nonths af perml#Issuance, or i€work authortzed by
the permit is suspended or.abandoned for a periad of six�t8}months:after the time the�work is commenced. An extenslon
may be requested� In writ(ng; from 3he Building,Offlcial for a perlod.:not to exceed ninety(90) days and wilf demonstrate
r- �ustl�able cause for.the extensta�: Ef wark ceas��.for ninety{90}cansecu#ive:day.s,..the Job�is consfdeted aba�doned.
VifARNlNG TQ C?WNER: YCtUR.EAiLURE�TO.,RECCI�2D,A:NOTIGE OF�COMMENGE�it�E�t7' MAY�RESUI:T�N YC1UR
PA1rIMG TWiCE,�OR iMPROVEMENTS TO.YOI#R:PROPERTY: IF YQU�IN�END'TQ'OBT/�IId=FIN�AI�CING;'CON3ULT
WIT U E. DE AN.ATTO N � RE� CAl�� Fai=� ��9 '= � � 'O ' E E
FLORlC?A-JURA'�{f.S.117 3 - --_--_�`— — I. -
OWNER OR AQENT �'� COIdTRACTO
Subsc�1�ed rtd swo : �i e uqscrl6e,d�nd swom o�o rme � ef 'r i�-�'�= �
— 12-t�t� by ��L�._.:..�br_ ,,� �' ,�c�
Who is/are personally k owm to.me or has/have pro, . Who Is/ re ersonall kn ~ e oF has�haYe jlroduced
�;���'n s'rC�� a�ldenU�caUon. ��o St�^ 5 as lden8ficatton.
� �,._ ` ? �Notary Publlc , �� NOtary PubliC
Com Rort �"�s%',,,. JA Cnmmiss n. .o � ,•�"►vA•-.,, 3ACQUEf.1N BOGES
_�� :�: Commission#FF 150422 • : :': s�
�;� �4*: Ex i �°;, ��;: Explres December 12,2018
Name al`IVo ; r1#�+o� t� " Name of Notary typ cu '°Y �"°�
P � i��eaoaasrofs
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