HomeMy WebLinkAbout15-16816 -.�—
CITY OF ZEPHYRHILLS _
� � 5335-8TH STREET
(sis)�so-oo20 16816
BUILDING PERMIT
� �PERMIT INFORMATION - - - LOCATION:INFORMATIQN �� �
Permit Number: 16816 Address: 38630 SOUTH AVE
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: ��
Square Feet: Subdivision: CITY OF ZEPHYRHILLS '�
Est. Value: Parcel Number: 14-26-21-0010-00600-0150 '
Improv. Cost: 600.00 - OWNER INFORMATION � -
Date Issued: 12/09/2015 Name: PBJC INC
Total Fees: 40.00 Address: 38630 SOUTH AVE
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/09/2015 Phone: (813)714-9415
Work Desc: SHED INSTALL 11'X 32 '
CONTRACTO.R S -. � - - APPLICATION FEES� ' - �- `
O EO ER BUILDING FEE 40.00
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- - � � � �Ins ections Re uired � � � �
FRAME
, SHEATHING
FINAL
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.
"Warnin to owner: Your failure to record a notice of commencement ma result in our a in twice for
9 Y Y p Y 9
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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR IGNATURE 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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'� 813-780-0OZO City of Zephyrhills Permit Application Fax-813-780-0021
- Building Department
Date Received � Phone Contact for Permitting �3 .r
1 1 1 1 1 1 1 t 1 1 1 1 1
Owner's Name '✓�� �e• Owner Phone Number �.3� 7� 7 ��y/ -�
Owner's Address 3 S��D �D K�� /`T I/� 3 3 S � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �� Q J��µ'►►1 � �y�r�`S 33 S y� LOT# �S ���
SUBDIVISION � �� �'1�/70 PARCEL ID# � "d�G� /- •- 00 G DO—O/S D
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL 0
DESCRIPTION.OF WORK S/11��L \�LG�G�e%1't�I't� r, - /�e.�G�� 3�� ��J'E;
BUILDING SIZE I��C 3a- SQ FOOTAGE 3 s� HEIGHT
QBUILDING $ �O `o VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � 0 PROGRESS ENERGY Q W.R.E.C.
QFLUMBING $ �`�
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QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER -
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
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BUILDER 6�� ,I�,� n / COMPANY ��her� �� Kp` p�
SIGNATURE t' �'�v� REGISTERED Y/ N FEE CURREf� Y/N
Address License# .
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� 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#
IIIIIIIIIIIIIIII. IItlllllllllllllllllllllllllllllllllllll" 11111111111
RESIDENTIAL Attach(2)Plot Pla�s;(2)sets of Building Plans;(1)set of Energy Forms;R-0.W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w%Silt Fence installed,
Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements,must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans_ � � ,
"'*`PROPERTY SURVEY required for all NEW construction. '
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Directions:
Fill out application completely.
Owner&Contractor sign back of application,nbtarized . , _
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
"�` Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITi7NG (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICYIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. -
UNLICEfVSED CONTRACTORS AND CONTRACTOR 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 is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSP012TAT90N IMPACT/UTILITIES IMPACT AND RESOURCE.i2EGOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construcfion of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
COfVSTRUCTION LIEN LAW(Chapter 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 Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner�, I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner'prior to commencement.
CONTRACTOR'S/OVNNER'S AFFIDAVIT: I certify that all the information in this application 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 obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations 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 compliance. Such agencies include but are not limited to:
- Departmerit.ofi,Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in F1ood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, 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 conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for etectrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to viofate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWfdER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEMT 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 YOU12 NOTICE OF COMMENCEMENT.
FLORIDA JURAT( . . 7.03) -
OWNER OR AGEN CONTRACTOR
Su sc'bed and swn�to(or affir ed before me this Sub cri ed and swor to(or affirmed efore me this
,s by /Jfl yl!2 Gc, DO�7 L��bv �onn�. ao
W o i /are'ersonallv known to me or haslhave produced W o i /are oersonallv known to me or has/have produced
as identification. as identification.
Public St@��I�I���IC UbIIC
2 � ^ Susan Ann Lavallee o�0'� �e� Notary Public State of Florida
Commission No. `���� ` My Commission EE 218188 Commission No. : ^. Susan Ann Lavallee
ov c� xpires y o y ommission
�'oF F�°°' Expires 07/22l2016
Name of Notary typed,printed or stamped Name of Notary typed,printe or s a pe
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City of Zephyrhills �
BUILDING PLAN REVIEW COMIV�NTS
Contractor/Homeowner: � � � � '�� �'"
Date Received: �� ` �� ���
Site: ��� �•��� �.`�c-•,'�l�t d�1�'� -
Permit Type: J �
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Approved w/no comments:❑ Approved w/the below comments: � . Denied w/the below comment�
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This comment sheet sha11 be kept with the permit and/o .
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Kalvin S ' zer lans Examiner Date Contr.actor and/or Homeowner
(Required when comments are present)
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