HomeMy WebLinkAbout16-17740 ' � ' CITY OF ZEPHYRHILLS
5335-8TH STREEf
(813)780-0020 17740
BUILDING PERMIT
PERMIT INFORMATION. � LOCATION INFORMATION -
Permit umber: 17740/17736 Address: 39404 6TH AVE
Perr►�it Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Propo ed Use: NOT APPLICABLE Lot(s): Block: Section:
Squ re Feet: Subdivision: ZEPHYR HEIGHTS
E t. Value: Parcel Number: 12-26-21-0040-00100-0010
Impr�v. Cost: 2,360.00 -� -. OWNER INFORMATION �
Dat Issued: 9/16/2016 Name: SR TRUST
To al Fees: 127.50 Address: 396 DORCHESTER DR
Amo nt Paid: 127.50 VENICE FL 34293-7202
D te Paid: 9/16/2016 Phone:
W rk Desc: ADD CLOSET & MOVE WALL
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 67.50
HOME �WNER ELECTRICAL FEE 60.00
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` Ins ections Re uired � �
FOOTER - 2ND RO G PLUMB MISC SULATION CE LI
FOOTER OND DUCTS INSULATED SEWER MISC.
ROUGH LECTRIC LINTEL MISC MISC.
1ST ROU H PLUMB � � PRE-METER INSULATION WALL MISC.
DUCTS I STALLED " WATER MISC DRIVEWAY
PRE-SLA SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REIN PECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local overnment 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.
NOTIC : In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may b 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.
"Wa ning to owner: Your failure to record a notice of commencement may result in your paying twice for
impr vements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Comp ete 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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
- PROTECT CARD FROM WEATHER
�813-7 0-002�1 Gity of Zephyrhills Permit Application Fax-813-78Q-0021
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/Oate Received; . ` , ,, :,,; ' �Phone Coo�Nac#�for�Ferrrilttin ' . ,. �� _ �
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Owner's hta�ne - " �t�{✓u�-�;� , � �.e� � t�l"lwner Phone�Plumber. %� �5��'��J�
Owner's Add s � ! �j' 1�� Qwner Phone Number -
Fee Slmple Tit eholder Name �� ' � Qwner Rhone Number � �
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Fee Simple TI ebalder Address `
JQB ADDRES �� b G��� Al�� - �.aT� �
SUBDIVI$ION � � PARCEL ID# , .
. • (OBTAINED FROM PROPERTIF TAX NOTICE)
WORK PROP� S�p ;.NEW CONS7R ADD/ALT [_� SIGM` C] Q DEMQLiSN
��e, INS7ALL 8 REP�AIR -
PROPOSEQ; SE Q SFR� Q COMM Q �OTHER ,
TYPE OF GO STRUCTION Q� ' 'BLOCK " Q FRAME 1� , STEEL Q
DESCRIP"fl0 OF WOFiK ��-�'"Yn 1 � / W� + ��1� `�"
BUILDI(VCs Sl ��� St�FOOTAGE HEIGHT � � J
OBU LDING $ � .„/ � �U� VALUATION�`OF TOTAL CONSTRUCTION �
5�
QEL CTRICAL $ e,, �� AMP SERV{CE Q PR�Gi2ESS ENEt2GY Q W.R.E.C.
QPL�MBlNG �> � -.
[�M CHANIGA� $ VAI�UATION OF MECtiANtCAt.!PlSTA�.I:ATION
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QG�S Q ROQFING Q SPECIAI_TY C� f Q1'HER�
FINISH�D F IOOR ELEVATIONS � ��� FLqOD ZONE AREA QYES. NO
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BUILDEI2 �,,.�,.�.�� � �.�`�'\ � i� CAAIIP�WY��
SIGNATURE � ��`�- REGISTERED Y/ N FEE cuRRE� Y l N
Addres Lfcense#'� �
ELE�7RIC1 -�--ar� •, COMPAPIY' ����"����
SIGNATURE� REGISTERED Y/ N FEE CURRE�'' `Y/N
Addres ' License#,� a �
PLURABER COMPANY
SIGNA7UR � ` REGISTERED Y./-N F��cuRREn Y/N,
Addre
, � � � ,License# � �
IYIECHA�i1C ` r � COAAP.ANY _
SIGNATUR '4 ' ' � REGIS7ERED Y_/ N FEE CURREP- Y/�N
14ddres .. � . , � � ` ' License#
O'THER � ' � 'F GOMPAi!IY;
SIGNATUR � -�`�' `" ^ ' "� � � ' REGISTERED ' �Y/ N.:,.. 'FEE CURRE�', , Y/N
�►ddre � �� • � � license# 1 �
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RESIDEN __. � �At#2ich(2}oPtof°Plans;,;(2}sets of�Bult'ding�Plar�s;{1}s"'st af Energy Form,s;R=O=W=Pertrilt#or new construo�on,
� .. ._ ,,.�. ,.
�..-Minimum�t�rr�(•10):worliing�d"ays�;after,submittal'date.�"Requiretl onsfte,'ConsUuotlbn�Plans;Stormwater'Plans w/Silt Fenae installed,
Wµ`` Sanl� FaclflUes.�&;,1,dumpsterrSlke aAlorlc3Pemrit fo[su6diyislonsllaige:projects -. ° ' ' ; . < `
tauY ,... ..t , ,� .;, ,,;,;
COMNIERC AL Attach(3}-comptete"sets af Buil8ing'P{ans plus a Ltfe�Safeiy Page;(1}set of Energyr Fortns.}2-O W Permit for new oonstru�ton.
MiMmum ten(10)working days after submfthal date. Requtred onsite,ConstrucNan Plans,$tortnwater Plans w/Silt Fence installsd,
Sanitary Faclltttes&1 dumpster.Site Work Permit for all naw;projects..AU cammerclal requlrements must meet compliance
_. .. _
- -=�iG9V PER 1T AttacFi"(2)sets of`Engiijeer.edcP__.}ans.: . - . � '
••'"PROPERTY SURVEY r�quired,far_a!I NEW construcUon. �
Direc�Qona: , , '- � -
Ffll ou applicaUon completely.
Owner&Con#ractor slgn back of appitcaBon,notadzad . _
�i�ove S2S00,a Notice of Commencement!s required. (NC upgrade�over 5750�).
'" Agent(for th�e contractor)or Power of Attor'ney'(for tFie owmer)would be sumec�r.a witFe nata_rized letter from owner autharizfng same
�_ , -
OVER'THE CQUPITER,PERM1'Ritd� --(Front of�pplication Oniy) •� -
Reroofs 1f s ingles Sewers Service Upgrades A/C Fenaes(Plot/Survey/Footage) - -- ----� __..
Drlve ay�-Plot over Counter ff on public roadways:.�eeds ROW -
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��, NClTIGE OE DEED RESTRICT{O�IS: The undersigned s�nderstands�;tit�t.ltils.°�+�rml�may.be.sa�bJect to°deed"restr[ctions"
whlah may be-more�-r.est�(ctive th�I�Coun'tj,►fegulatlons: �The`undersigneid�assumes-�esponsitillity for�i��ipfiance with�"any
. aPpttcabte dsed-tes#rtctlons. , r ` . .
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' UNLICENSED CONTRACT,ORS -AND CONTRACTOR RE�P����IBILITIES: If the owner has �hired a�cantractmr or
� contractars to undertake work, they may be.�requlred.�to-;be<Itasnsed In acc�rdance.with stats.and•t9ca1 cegulatlons. �If�the� �
cantractot�ds not Itcensed as'required=by I�rnr, both #he ou�mmer and-contfiae#arMi�ay be cited-for�a�misdemeanor vialatton �
under state law. If the owner or Intended,�contractor�are,.,uncertaln as to what Ilcensing.requlna�nents,may�apply�for the
intended warK. tttey are advlsed to contaot tlie'Pasca Gounty ButtiiEng Inspectlon�lvislon--l.Ecettsing Sectlon at-72?_-847-
8009. ��nrthermore, It the awner has hlred a� con#racto� o� �ar�teactors. he-�ts `advised to have the contractor(s) sign
portions of the "contractor Block° of this appllcatlon tor whtah they,wilLbe r.esponsible.. If:you,-as.tn�-owne�°"sign'�as`tlie
� contractor� tha��rrray be an Indica#ion tha#'he is not.properiy licens�d and`�1� riat entl#led to permitting pri�ileges In Pasco
Count�., �'�
TRANSP�RY�►TlON.iMPACTtUTit:1�lES=lNlPAG�'�ANt�R�SQURCE RECOVERY�EES; T�he ttnderslgned understands
that Transportatlan Impact Fees and.Recourse Recove.ry.Fees may�apply�to:the constructian of new buildfngs� chan�e�_of_" _. _. _ _
use In existtng bulldl�g�, or�.expansion>of�aezistin�:ibulldings, as speci�ed�in_P�sco�Co�nty-�?rdi�ance�number"89-0'T and
�o-O7,_as amended.-;;;&!�e-unde�ign�d�alea.untlerstands, that�such fees,=:as��may:be::d�te;rwltl�be identifted at th�=time=of'
- permitting. It is turtfier unde�stood that Transportation Impact Fees and�Resource:Reco�ery>Fees must be paid prior to
' feceiving a.°cerfi�cate.of�occup�ncy"or flnal-power xelease; :I�rthe.pro�ec#_does�:not;lnvotve}a:certlftc�te of occupancy-ot��.
flnal power rele�se;.the fees mu�t•be pai� prlor to permit issuance. Fu�thermore;ff:.Pasco�County�VVater/Sewer-Impact !
fees are due�.they must be=pald:prlar to permlE:lss4ance-in_accordance witt�appllcabie Pasco'-County ordinances. •
CONSTRUCTIQN`CIEN`LAYV(Cfiapter 713� Florida Ststutea�as amendsd}: ff valuadon af work is$2,500.00.�or mare, i � ,
certify that I, the appQcant,. have.been proylded. with a copy of the• "Florida° �onstruatlon� Lien Law�Homeawner's:
Protection GuEde" prepared by.-the F1a�lda Departmenf af AgrEc�l#ar�and Cans�mer�Atfi�airs. if the applicant is someane
other than the"owner", I cerktfy�that i�h�ve.obtalned�a��copy;af:the�ab�ove..�lescrl�ed�docuri�ent�and.promise��in,g�od`faith-ta
delive�it to.:th�"owner."`prlor.#o;commericement:' � _ � -� ' .
CONTRACTOR'SIOWNER'S AFFIDAVIT: i.certiiy<.that:all.the:infarmati�an 1��tM1�appttcatlan is accurate and that all work
will'be done in compliance vnrith all.appliaable laws regulating constructlan� zoning and�•land�develapment, Appltcatian is �
hereby macfe.to obtatn .a perm�t,.to do..�worlc..,and lnstellation as indl�ated:•• ..1- certify that no woric=or tnstallation has
commenced prlor to issuance of a permlt and that`.all work will be performed to meet standards-of all laws regulating�
constructEan� County and C�ty codes, zoning regulatiansr and iand devetapmen# tegalations�`In the Ju�tsdtction, ! ai'so
certify tha# t u�derstand that the regulatlons of other government agencies may�apply�to the..intended work, and that it(s
my respansibility to ldentify.what,acttons 1 must�teke:to be�in:.cotrfpllance: Suoh agencles Include but-are.not Ilmlted to: i
- Departmen# af Er�vironmental.�Protecttbn-Cypress.�Bayheads�, WeHartd Areas and Environrnentaiiy Sensitive I
L�nds,WatedWastewater Treatment. �
� ''�- Southwest Flor�da Water Management :D�strlc#-Wells; CyPress.� 8ey#�e�ds;� �Wetland Areas, Attering
- Watercourses. �
- Az�y Corps of Englneers-SeawaNs� Racks,Navtgabte Waterways.
- Depar#ment of Hea6th�'� ReMabtlitative Services/Envitonmental Health Unit Welis� Wastewater�Treatment,
Septic Tanks: � - - - _ _
- US Envlronmentai Pro#ection Agency-Asbest�s abatement:-~ -� -._- _ �
- Federal Avlatlon;AuthoNly 4ftunways. , - --
!undecstand.that the.foRowing:resUlctions apply ta the use of fll1;•
- Use of fili is not aflowed in Flood:Zane"V"untess expressly permitted. -
- If the �fiil material is to b:e used�in �f.lvod Zone. "A", tt. is understood that a drainage plan addresstng a
"compe�sating volume*will be submltted at#ime of.permitting whlch �s prepared by a prafessional engfneer
Iicensed by the Skate af�Flortda: �
- If th� fi11-material�ts to-.be used tn Flood �one "A° in.�conneciion�vulth:a'�permiEted bailding us�ng stem wall
construction, i certify th,at fUi�:wlil.b.e used only.to.flll the area within the�stern�wall.
- !f filV material is to be used in any ere�i� ! cettify tttat .usa of�such flll w!!I r�ot adversely affeat adjacent
proper#ies. !f use of fitl is_found_to advers�iy:,�ffect adJaeent�•properties,,the owner may be cifed far vlorating
the cond�io�s._of.the b�ilding,permit lssued under the'attached permit eppl(catian;_for.iots less�9han..one (1)
acre wHiati ar�elevatei��tiy fltt;�n engineered drafnage plat�is requir�d. .
If I am the AGENT,FOR TH�OWNER, I;�promise In gaod faith to inform the�o,wner of°the.�pecmitt(ng conditlons set.farth In
thls aHidavlt'priar to commencing constn�ction. 1 uridersfand that�a�separate permtt may be required for etectrfcal'work.
i �..� .,a,.:r.
plumbing,.:signs, wetls,.poots; air conditianing,..gas,..or.other. tns,t',all�tions noE.spec�icatly included�in.fhe applicatian. �A
� permlt issued shall be consfiued ta tie��a�Ncense'to�praceed with�tlie work and-not-as:authodty.ta;vlolate,�cancel. alter, or
i set aslde any`pi»vls�ons of the:techaical ar�de�; nor shall issu�nce�of a.petmlt.pr.event the 8ultdlrig O#tici�l from @herea#ter
�equlring a conection af errors�in.plans.; construction.ar violatlons of�any�cades, :Every��permit�issuedshall become inval(d
unless the work autt�ortzed.by such permlt:�ls-commenced�withln sfi�t,_�nanths af�petmlt issuance, ar if work au#1►or�zed by '
the permif.is.suspended�•oc.abar�doned;for-.a_:period:of�six�:�8)months:afte�the;tlrne�th��work ts commenced. An extension
� may�be reguested. 1� writtn�g;�from tiie`�Building,Offlcfal for a perlad°�not#o-exceed:ninety=(90)days a�d�wll!'demonstrate
just�iabie:cause for the extensio�: If work-ceases:for nittety�{90}cons.ecutive:day.s,..fhe Job�is cansfdered abac�doned. �
, . ..,.: , , �- �
WARNlNG TQ CtWNER: ' YC?UR..FAIlURE�TCi.,R�E.C.QRD,A:_M4TIGE;Q��COMME�ICEMEMT�Ili�i�lY-RESt1lT�tN=YUUR
PAYING TWICE,FOR IMPRQVEMENTS•-TO:Y_OUi��.PR1aRER-'T�Y. IF°.YO.U�IM�E�D�TE'����OBTAIN�-PINAf�E1NG;'CONSiULT
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FLORiOA 3t1RltT:{F,.S:1."t7.03}.. � _ � . � ' - } - - �
OWNER OR AOEN7. (J� . � 1 CdNTRACfiO • �
Subs � an bswom C�{o�-�rm����" —� �d6s� b and'swam�to(at'afltrmedpb' ��t��a.��htS .
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oJ&!ar p �onelly, novm.lo,me or,haslheae produced Who l,�re:p rsona!l�yknowr�•to me:oc.ha�/he�ve�producsd .
.�-�-���r tr�+� �r�'l'f�i�:�as Identt�cailon. � � ��1�. �� ,��>7,�r� l;.r�-r�-t�as idenNftcatton.
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' � �i�✓� otery Publlc ' ' ' � 'l�" =+j;�!.IG�t� � �------ Notary Public
Gcmini No` Gomt�tsslon.: .
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,.�,�.;B,, ;.�i �r:�c; JACQUEI.INE BOGES
Narns af NatarX � R�!!d�3�lRF��}F�150422 Name of Nota ' �t 50422 �
� p�; Expires December 12,201$ - ':;�g� �0.P: �PareNT ec�mber 12,2p18
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