HomeMy WebLinkAbout15-16801 ; CITY OF ZEPHYRHILLS
; r� , 5335-STH STREET
(ais)�so-oozo 16 1
° " BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 16801 Address: 5537 12TH ST
, 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-11700-0050
Improv. Cost: 12,590.00 , OWNER INFORMATION
Date Issued: 12/08/2015 � Name: PARRISH, LEE & SUZANN
Total Fees: 150.00 Address: 5537 12TH ST
Amount Paid: 150.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/08/2015 Phone: 813-782-3749
Work Desc: SCREEN RM ADDITION 15 X 16 INSTALL DW
CONTRACTOR S APPLICATION FEES
BOBB E.HILTON T I BUILDING FEE 150.00
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Ins ections Re uired� �
FO TER 2ND RO GH P UMB I IN TION EI N
FOOTER BOND DUCTS INSULATED SEWER MISC. �,
ROUGH ELECTRIC LINTEL MISC MISC. I
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY � � Yl
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 pertormed 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
� .
813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021
. � ' Building Department
Date Recelved Phooe,Contact for Permitttn �� -
Owner's Name �c �Z n/ �° �4�iQ►Sh Owner Phone Number b ^�7��`�7�
� Owner's Address �3+7 �a7� J,', Owner Phone Number
Fee Slmple Titleholder Name Owner Phone Number
Fee Simple Tltleholder Address
JOB ADDRESS Sc5�7 ca�`� LOT# �
SUBDIVISION PARCEL ID# `�! 1 26 —2" � — �� 1 Q '�� ���0 �� D��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED , B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED,USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME Q STEEL Q
DESCRIPTION OF WORK A�G S��Ye.� ��.v� � �j ,W�p ,
BUILDING SIZE ��X�''� SQ FOOTAGE a 7� HEIGHT � d
�BUILDING $ ��!5"Gl��.� VALUATION�OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
OMECHANICAL $ _VALUATION OF MECHANICAL INSTALLATION f�� � ,
l
GAS �
Q Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER �?�'� � � , �'�'�° connPan�v ['�bbC f1�1��� C��us�, ?.�vc.
SIGNATURE REGISTERED / N FEE CURRE� Y/N
Address Lfcense# G�iC���7d��—�
ELECTRICIAN COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address � License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y;/ N FEE CURRE� Y/N .
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N
Address License#
RESIDENTIAL, Attach(2)PlotPlans;.(2)sets of,Building'Plans;(1)set of Energy Forms;R-0=W Permit for new construction,
Minimum;teri(10)�working:days,after,submittal date:-Required onsite,ConsVuction Plans;Stormwater Plans w/Silt Fence installed,
Sanitary FaciliUes&.1:dumpster,Site Work=Pertnit for subdlvislons/large projects ,
COMMERCIAL Attech(3)complete sefs of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUuction.
Minimum ten(10)working days after submittal date._Required onsite,Construc8on Plans,Stormwater Plans wL Silt Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Pertnit for all neiw proJects.Ail commercial requlrements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.._ ,
""PROPERTY SURVEY required for all NEW construcUon.
Dlrections: -
Fiil out applicadon completely.
Owner&Contractor sign back of applicaUon,notarized
If over a2500,a Notice of Commencement ts required. (AIC upgrades over 57500) -- ' - ' �
" �qent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter,from,owner authorizing same
DVER THE COUNT.ER.PERMITTING .au'i�''�EronEof Application•Only) �::� �i ' �" _ �_� �- � ��� � _, _ -
.,, r ��� ,�
Reroofs ifshingles Sewers '; �3ervice,Upg'redes 'A/C,>.� ,Fences(PIoUSurvey/Footage) =� - ' �Q�' ' +��"� . ,;;,;'
i �. " �. .. ;� . �, � , "�'y.. '`� - ..=.. .1 . , , _ ' ;,•'..,
Driveways-Not over Counter if on putilic'roadwaysf:needs•ROW ,.., y '?b_r .. f y,
.. �H i s r{ { i'
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NOTICE UF DEED RE�TRICTIONS: The understgned under�tands��.th�t.thls.pet�mit.may.be.sabject to"deed",restrlctlons°
which may be�more r.estrictive�th�n.Gounty�regulatlons:'TNe`underailgned"a§sumes'responsibility for'compllance with�"any
appilcabie deed rest�ictions. �
UNLiCENSED CONTRACTCIRS AND CONTRACTOR RESPONSIBILiTiES:= tf the owner has�hired a' contractor or
conlractors to undertake work, they may be required.:to be:licensed In accardance.wlth state.and•local regulatians. If the �
contractor is not ticensed as requlred�by law� both the owner and contr�actar=may be alted-for-a�misdemeanot vlolation
under state law. If the awner or intended�contrae.to� are._uncertaln as to what Iicensing.require�nents;may�apply:�for'the
intended wortc,they are advlsed to aontact�the Pasca Coutity 8ulldfng�.inspection Qivislon—LtcensEng SectEon at 727-847-
SU09. Furthermare, if the owner has htred a cantractor or coritractois, he is advised to have the contracto s . slgn
K-�-
portians of the "cantractor Black" of this appllcatian for which they will be .responsible....If you� as.the ovirne�"slgn'as the
contracfor, #hat may be an Indicatian that�Fie is not.propa�y Ilcensed and��ls nat entiNed to perinitting priuileges in Pasco
County. �
TRANSPORTATiQN.iMPACTIUTIl1'CIES`IMPACT ANb:RESOURGE RECOVERY�FEES: The undersigned understands
that Transpartatian impact`Fees and:Reco.urse'Recove.ry.Fee's'may,°��pply;to:the conskruction of new,bulidings,!change of
use in existtng buildings, or.expansion�.of�exfsti€ig'�buildings; as speclfled.ln Pasco County Ordinanoe number 89-07 and
90-07, as amended. The undersigned also,understands, that.�such fees.-.,as�tnay.be.due;;.will,:be identt#ied at fhe�time=of
permitting. It is furtFier understood that Traasportation�impacf Fees and Resou�ce Recovery�Fees.must be paid priar to
receiving a "cert�fcate.-oi occupancy"ar�inal power=release. :4�the pro�ect,.does:no#ir►vatve:a_ce�ti�cate of occupancy. at`
finai power release; the.fees rrau�t be paid prior#o permit Issuance. Fu�thermare;if Pasco,County�lNater/Sewer�lmpact - � ��
fees are due�they.must be-pald prlor ta permit-fssuance'!n acconiance wttti app!lcable Pa'sco�County ordlnances. •
CONSTRU�TiON CIEN-LAW(Chapter 718,�iaNda Statutes,as amended): if vatuation of work is$2,500AO:or more, t - ,
certify that I, the applicant, hsve.been provlded wlth. a copy-of the_"Flortda-Constructfan:Lien :Law—Homeowner's
Proteotla� �uide" prepared by the Flbrlda Qepartment�of Agricult�re and Cansumer�Affalrs. If the appllcant i� someane �
other than the"owner", I certtfy that:l have,obtalned'a copy;of.#he�above..described tlocuii�ent°and.promise in,good fatth_to
delivet It to.the'awne�'pr3or to�commeneemerit:�` �� • .
CONTRACTOR'SIUWNER'S AFFiDAVIT: I certify,.that all�the,lnformation ln thl.s applfcatlon is accurate and that ail work
wiil�be done in camplianoe with all applicable laws regulating construction, zontng and�land develapment. Applicatlan ts
hereby made to obta[n...a permit.to da. worlr_;and ins#ailation as tndlcated.�. =1 certifjf�tfiat no wark'.or tnstallation has
commenced prior to Issuance�of'a�perm(k' arid'that�all work will be pertarmed to meet standards of all laws regula�ing-
canstruction, Caunty and City codes, zoning regulatlans� and iand devebgment regulattons�in the jurisdic#ion, I.�iso
certify that I understand that the regulations of other gavernment agencies may�apply�to the intended wark, and thak it is
my�esponsiblfity to Iderttiiy�what.aotlons!must t�ke to besln:.corr�pfiance. 5,uch agencles-Include but are-.not Ifmiter!to:
- Department of EtYvironmentat Profection-Cypress.Bayhead�, Wefland Areas and EnvironmentaHy Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Ftorida Wa#er Nlanagement .Dfstrfct Wells, Cypress.'�Bay�eads; Wetland Areas, Altering
Watercourses. ,
- Army Corps of EnglneetsSeawa!!s,Docks, Nsvigabie Waterways,
- Department of Health'�& Ret�abllltafive Services/Enviranmentai Health Unit We{ts, Wastewater Treatment,
Septtc Tanks� � � .
- ___ US Environmental Protectian Age�cy Asbestas�batement. „
- Federal.Avlativn.AuthorNy-Runways. �
!u�tders#and that the foliowirig resl�Ectirins`appiy to the use of flll:�
- Use of fill is not atlawed in Fload Zone"V"uniess expressly permitted.
- If the flll material !s to be used�In.:Flood Zone "A", It. ts understood that a dratnage plan addresstng a
`"compensaEing valume"wilt be submlited a#�ime af petmitting wiiich is prepared by a professianat engineer
Iicensed by the State of FMorida:
- Ef th� fiD material.ts ta be used in Flood �one "A" In�conne�tion�wlth�a permitted building using stem watl
' aonstruction, (certify that fill�:wall:b.e used oniy to.iill the area wlthin the stem:wall.
- If fil! mate�lal Is ta be used in any erea; I �certify th�tk .use. of such fll! uvill not adverseiy affect adjacent
properties. if use of fllt is fonnd to adversely_,�ffec#adaaEent��proparties�.the owner may be`cited far vioia#ing
the ca�ditions of the bullding:perml# issued under the attached permit applicatian� for lots less than one (1)
acrs which ere etevated�by fllt,an engineer�ed dralnag�plan is required. �
If I am the AGENT FOR THE QIMNER, I,�promise in goad faith to inform the owner of•the permitting condittons set forth in
ihis affidavlt"prfor to commencing aanstructlan. f understand that a�separate petmft may be requlred fo:electr�cai work,
plumbing, signs, weils, poots; air conditioning,.gr�s, or othet tnstall�tions not,spec�icalty included�in.the appiication. �A
permlt Issued shall be canstrued to be a�Iicense to praceed wlth the work and not as.authority to.violate, cancel, alter, or
se#aslde any provisions of tt�e techalcai codes; nor s#�atl lssuance°of a.permit.pr.event the Bulldlrig 9�1cia1 from therea#ter ,
requiring a aorrection af eRors In.plans, canstnic#lan or violatians of any codes. Every permi#Issued shaii become invalid
unless fhe work autho�#zed.by such permit is-commenced•withfn s�C months of permlt lssv�nce, or tf wark autharized by
the permit is suspended or.abandoned for a:perlad of si�c f8)monfhs.after the time the�work�s commenced. An extension
may be requested� in writing, from the Building,Official_for_a period,;not.to_exceed_ntnety:(90)=days-a�►d will demonstrate- —
- justi�a6le cause fo`tthe extensiori: If work ceases:far nlnety{90}consecutive:days,-the jab�is.considered�bandoned.
WARNING TQ QWNER: YOUR.EAILURE�TO,RECClE2D A �tQTIGE:OF•GOMMENGEMENT�MAY=RESULT IN YdUR
PAYMNGTWICE:�'OR�IMPROVEMEN,'�STOYOUR:PROPERTY. �I�°YO.U-INTE�O'°TQ'OBTAIN�F111FANCING;'CONSULT
WIT U E DE � AN.ATTO N 8 F RE� ECO �Q �� OU � :OF` �` E E .
FLORiDA JUFtA�(F.S.1.17.03} - .
OWNER OR AOENT ,•�"'��'"��_1� '" CONTRACTO i�-�'��%�%-!'
Subscribed and svuom to(ar aflfrtn before m s Subst�lbed at�d'swom to(ot ed)�betate thi�
bY 'bY
Who Islare personatly knrnm,ta.me or has/have produced Who Is/are petsonally�cnown tc7 me or has/hdve•produced • .
as tdenBftcaBon. es lden�8catton.
���'''���~�Notary Public . Notary Publlc
Com lon Fto:` ��,�. Commi s10 . .�����
s�ors+ae�ooe p;SZ aun�s�a d� s� '*__ 8 860Z'62 eun�seildx3 =�; :�:
�"=
tVame of(Votary ��P NO � 130P �"'�•�,':i e�i+l�' tVame Nota type , t d��� P • ���'
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PERMIT'APPLICAYION
�RIVEWA�(:PERMIT.AP.PL�ICATION
3CONSTRU�C;[ION�WITHTN:P.UBL�iC-RIGHT�O.F=WAY
All information must be-filled-in completely
� :City.of:Zephyrhilis
"5335.8"'Street,Zephyrhilis,�FL 33542
Telephone.8i3.780.0000 Fax 813.780.0005
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at,u� �.Ir��r,. ��.:�.i=�:-°�-"_:��'AC-p. �,+� '%fxs:::.7:f:i`_3 K-.:Y;�-.N�.y�`� `�} %:l^G��/NI:k4M'�'s�nx,��r."c:.;MrF;�.�,,.:-�'z� .,,H7t:°`:;�%`Pa;���;�)'.�;
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lC,'"�it`�aA�w�;`s�Pi:^'�.:".n�`..N.r' ��Wx��l4 GI'�lT,�uh 'i li :%2=... ' _ ,i�:.d�;•'P;yt�%�'r%k'�'�a^4':;:r;... '�t
�: .,w. ,:._ t s ��9' �. ��;µ.�'i;Y�k'_°" z�?LI�1��4'-'�OL�(S:r+i,*,.,�.., .x�'+'?iE»
� R07ECT .70B�SIT�: PROPERTY'OWNER
Address: '7 / e Name: .�c Z� ,� Qi,�
Unit#: � Address: 3Z- o� Unit: -
Parcel Identification Number: i I " `6- `�/d'/i7 Ci .State Zi �r. 1, il� I- 3 2
ov sc� Phone: 1 - Fax:
�:CONTRACTOR: '
Company: f�fl � 1 H'��. Cc�v � $/i/�.
Name: bb�.� �. N i ��
Contractor's License#: G g�e y77�� E-Mail:
�Phone: $1�- 7u�,_c,��o Cell:g/3-�f�'?-o�(S Fax:
ARCHITECT/ENGINEER: ,
Name: Firm Name:
Address: City: State: Zip;
State License#: Phone: Cell: Fax:
Descrintion of Proiect
TYPE F D WAY �� LEN6rH OF DRNEWAY CULVERTS NEEDED
RESIDENTIAL DRNEWAY �a �IVIDTH OF DRNEWAY ( )RIINFORCED CONCRETE
COMMERCIAL DRNEWAY R.O.W. �CCAVATION ( )CORRUGATED MATERIAL
PUBLiC ACCESS DRNEWAY DEPTH LINEAR FEET ( )BOX N WERT
CONSTRUCTION MATERIAL CURB CUT REOUIRED ( )OTHER(IXPLAIN)
ASPHALT YES NO
�CONCRETE �i
IiEADWALL REOUIRED? YES NO
NOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits or drawings '
will be required.
UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
Page 1 of 3
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,__. E�E[�MIF APPtICATIt)N
OFFICP USE ONLY
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Concrete {min. 6`� Y [Y
Asphalt Base{min. 6"} N
Asphalt{min. 1�li"} Y N
u
Lengtt�{min. 19'} Y N
INidth(10'min—2t}'max) Y N
EXIS�IRJ 5�{�@W�I�C. _ N
New sidewalk. Y N
ADA compliant. Y N
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E�cpansion material requirecf. Y N '
Contiguous parking pad. Y
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Triangular#iare(31N x?'L} N
Visibility triangte o.k.? Y N
Side set back(3'min. R.O.W.} Y N
Plan Review Fee
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Permit application approved by: Date:
Page S of 3
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