HomeMy WebLinkAbout16-17748 -
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' " "� CITY OF ZEPHYRHILLS �
' S335-8TH STREET �
� {81s)�sa-oo2o 17748
� BUTLDING PERMIT SINGLE FAMILY RESIDENTIAI.
,
PERMIT INF'ORMATION � � 'LOCATION INFORMATION
Perrrtit#:17748 Issued: 11110l2016 Address: 372Q0 NEUKON! AVE I�t}T 298 �
Permit"p'ype: ALUMINUM ZEPHYRHILLS, FL.
Ciass og Work: ALUMINUM PACKAGE Tawnship: Range: �
Proposed Use: NOT APPLICABL.E Lot(s): Block: Section:
Sq. Fee�: Est. Value: Book: Page: .
Cost: � , 5,750.00 Total Fees: 130.00 Subdivision: GRAND HOR(ZONS
Amount�Paid: 130.00 Date Paid: 12/14/2016 Parcel Number: 34-25-21-0180-00000-298Q
I CGINTRACTC�R INF{)RMATICIN fJWNER INFORMATtt�N
Name: ALL FLORIDA MANUFACTURED HOME S' Name: WEIAND PHILLIP & NANCY
Addr: 36814 TERESA RD Address: 5955 BENZ DR
DADE CITY, FL 33523-6537 ZEPHYRHILLS FL 33540-8549
Phane:(813)714-9364 Lic. Phone: (989)350-3006
Wock Desc: 12 X 16 CONCRETE, CARPORT & SHED
APPLICATtC?N FEES
B!J C}N EE 94.OQ ELEC G FEE 44.00
f t �f� ,
� - Ins ections Re uired ��'' �
F TER I FI AL
StAB I SHEATHING
RAISED SLAB ,
�
DRIVEWAY
���E � � . �q, �,� ,
ELECTRICAL ROUGH I
1ST ROUGN PLUMB
i
REINSP'ECTION FEES: (c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)#he
locai governmenfi sha11 impose a fee af four times the amaunt of the fee impased for the initial inspection or
firs�t reinspection,whichever is greater,for each such subsequent reinspection.REINSPECTION FEES:
NOTICE: In addition to the requiremenfis of this permit,there rnay be additional restrictions applicable to this property that
may be found in the pub(ic recards of this county, and there may 6e additianal permits required from other governmenta(;
� entities such as water management, state agencies or federal agencies. ;
"Warr�ing to awner: Your failure ta recard a notice of commencement may resutt in your paying twice for C
impravements#o your property. If you intend to abtain financing,consult with your lender or an attorney�
� before recording yaur notice of commencertient." �-
�'omplete Plans, Specifications and Must Accompany Application.All work shall be pertormed in accardance
� with City Codes and Ordinances. NO QCCUPANCY BEPORE C.O. �
,1 NO OCCUPANCY BEF4RE C.O.
�
TRACTORS 81GNATURE PERMIT OFFI
� PERMIT EXPIRES IN fi M�Jtl�THS INITHOUT APPROVED INSPECTIO
CALL FOR INSPECTIO�I - 8 HOUR NOTICE REQUIRED
CPROTECT CARD �i��M 1NEATHER
� �� �
. � " '! 813-780•0020 City of Zephyrhills Permit Application Fax-81&780-0021
iBuilding Department I
iDate Recefved � ` phone Contact for Pertniriin – I
i � Owners Name �� ' 1 Owner Phone Number ' O � I'
i I Owner's Addreas � ���L Owner Phone Number
�
I Fee Simple TiUeholder Name Owner Phone Number �
I
Fee Simple Titleholder Address �
I I JOBADDRESS Z � � LOT# �
I SUBDIVISION PARCEL ID# " �S� " O I �Ow�� � �v v
� ' (OBTAINED FROM PROPERTYTAIC NOTICE)
WORK PROPOSED B NEW CONSTR� ADDIALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME • 0 STEEL Q �
DESCRIPTION OF WORK L.IJ� ' � C� (�- �'F' ►�lL. �
BUILDING SIZE � � SQ FOOTAGE 13��� HEIGHT � I' �
BUILDING $ �' VALUATION OF TOTAL CONSTRUCTION �i/ �
l7' .�• �
QELECTRICAL $ ' �—/� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
V V . ,
� QPLUMBING $ , , � c / _
� '�r-'�'� ���•�, �
� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �D�
' QGAS Q ROOFING Q SPECIALTY Q OTHER
,3 ,� , a!� �
� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��%lV'""/�
✓
BUILDER COMPANY A � C�� �+�Y�- "�
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address `'1 �133 �3.icense#
/ � ��
..L ELECTRI � '� COMPANY y � � �
��� SICaNAT E REGISTERED Y/ N �cuwtEn Y/N
i
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N � FEE CURRE� Y/N
i
Address License# •
MECHANICAL COMPANY �
SIGNATURE ' REGISTERED Y/ N FEE CURREI. Y/N ,
Address License#
I
OTHER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N ,
i
Address . License# �
IIIIIIIIIIIIIIIIIIIIilllllllllltllllllllllllllllll.11lllllllllllllll '
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for riew construction, ,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpstar;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Bulding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. '
Minimum ten(10)working deys eker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, �
Sanitary Facilllies 81 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plens. , .
""PROPERTY SURVEY required for all NEW constructfon.
DlrecUons:
' Fill out applicatlon completely.
Owner 8 Contractor sign back of application,notarized
If over E2500,a Nodce of Commencement Is requlred. (A/C upgrades over 57500)
" Agent(fo�the cont`acto�)or Powac of Attorney(for the owner)would be someone with notarized larier from owner authorizing same
' OVER THE COUNTER PERMiTTING (wpybf contract required) _ . - -- _ �
Reroofs if shingles Sewers '' Service Upgrades A/C Fences(PIot/SurveylFootage)�l �
Driveways-Not over Counter if on public roadways.:needs ROW � , '
, .
NOTICE OF DEED RESTRICTIONS: 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.
UNLICENSED 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 Iaw. 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.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
- that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
I 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 WatedSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,1
' 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'SIOWNER'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 reguiating 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 wili 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:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment. �
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses. -
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatrnent,
Septic Tanks.
- US Environrriental Protection Agency-Asbestos abatement. .
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill: '
- Use of fiil is not aliowed 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 pian 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 Flood Zone"A" in connection with a permitted building using stem wail
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 fiil wiil 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 fi,ll,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 electrical 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 violate,cancei,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 wiil demonstrate
I justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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 A RNEY BEFORE RECORDING YOUR NOTICE OF C NCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
S ' d d swo ed) e this �cribe d� r affirtned e t is
b
Who is/are p o own m has/have p duced Who islare p n to me or haslhav roduced
as identi ation. as identlfication.
V"l. Natary Public Notary Public
, � �
Commission o. Commission No.
,.•;P4 ,JENE BLACK
Name of Nota l�qr stamped L.JENE BLACK me of Notary typed,p � r I "_d My COMMISSION#FF 2430
'°' ��= EXPIRES:October 20,2019
=:� �.�: MY COMMISSION#Ff 243095 ��' '`'`
±' Ob 20 2019 .�'`oF;;°`''� �nded Thru Notary Pub6c Undarwriters
" ��= EXPIRES;pct er
'�;�;;q4 Bonded Thru Notary Publi�Unde�writers
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,
' " � CITY OF ZEPHYRHILLS
' S335-8TH STREET
� �sis)�so-oo20 17748
� BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
PERMIT INFORMATION LOCATION INFORMATION
Permit�`:17748 Issued: 11/10/2016 Address: 37200 NEUKOM AVE LOT 298
Permit Type: ALUMINUM ZEPHYRHILLS, FL.
Class of Work: ALUMINUM PACKAGE Township: Range:
Propos�d Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feei;: Est. Value: Book: Page:
Cost: � 5,000.00 Total Fees: 90.00 Subdivision: GRAND HORIZONS
Amount;Paid: 90.00 Date Paid: 11/10/2016 Parcel Number: 34-25-21-0180-00000-2980
� CONTRACTOR INFORMATION OWNER INFORMATION
Name: ALL FLORIDA MANUFACTURED HOME S' Name: WEIAND PHILLIP & NANCY
Addr: 36814 TERESA RD Address: 5955 BENZ DR �
DADE CITY, FL 33523-6537 ZEPHYRHILLS FL 33540-8549 �
Phone: (813)714-9364 Lic: Phone: (989)350-3006
Wor,k Desc: 12 X 16 CONCRETE, CARPORT & SHED �
APPLICATION FEES
B ILDING FEE 90.00
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' Ins ections Re uired
FOOTE I FINAL
SLAB I SHEATHING
RAISED SLAB
DRIVEWAY
FRAME I
ELECTRICAL ROUGH
1ST ROUGH PLUMB
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
fi�t reinspection,whichever is greater,for each such subsequent reinspection.REINSPECTION FEES:
NOTICE: In addition to the requirements of this permit, there may be 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 i
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 and Must Accompany Application.All work shall be pertormed in accordance
�� with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. �
�1 NO OCCUPANCY BEFORE C.O.
� I
'� CONT TOR SIGN��4� RE PERMIT OFFI I
RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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' City of Zephyrhills
� � BUILDING PLAN REVIEW COMIVIENTS �
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Contractor/Homeowner: �� ��
Date Reeeived: 9 ����
Site: � 72� /�LY,�i�.��.'.C�-�`Gv�_
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Permit Type: ,� �� ! ���p�- ���s `
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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 ' ze —Plans Examiner Date Contra o and/or Homeowner
(Req ' d when comments are present)
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Si ptember 7,2016
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Re.: Attachment Beam(Host Beam)Verification: ',
Serial Number: 76395 �
! Address:37200 Neukom Ave Zephyrhills Fl.33541
To whom it may concern;
The above listed Jacobsen manufactured home has been constructed with a structural attachment
bieam, or"host beam".The host beam design and the home plans are both approved in accordance with
the requirements of the Federal Manufactured Home Construction and Safetv Standards commonly
referred to as the "HUD Code". The design of this host beam allows an attachment (typically sheds,
carports, screens rooms, etc...) to be made directly to the included structural member in lieu of the
typically required "fourth wall construction". Please refer to the serialized floor plan to verify the
location of the host beam.
'11his manufactured home is required to be set-up or installed, on-site, in accordance with the Jacobsen
Homes "Set-Up Manual" and it's "Addendum". Please specifically refer to page SU-01-0008, which
includes site requirements that must be followed in order to attach a structure to the host beam
provided. This page also has the maximum sizes allowed for any attached structure along with the
iequirements for perimeter blocking along the entire sidewall area where the host beam is installed. i�
All site installed structures shall be designed by a Professional Engineer (PE) registered in the State of ,
Florida or as allowed by the Local Authority Having Jurisdiction (LAHJ). The design shall comply with all ,
applicable sections of the Florida Building Code that is in effect during the time of the construction of �
the addition. All attachment designs and construction are by others, not Jacobsen Homes. Any site �
installed structures shall be subject to permitting,plan review,and inspection(s)by the LAHJ.
If I can be of further assistance,please feel free to call me at 727-726-1138.
Sincerely,
� �-,� -,
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, Craig Young '
� �
Director of Engineering
�acobsen Homes
�
File
600 Packard Court,Safety Harbor,FL 34695
Telephone:727-726-1138 Fax:727-726-7019
National:800-843-1559 In Florida:800-282-5389
www.iachomes.com
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