HomeMy WebLinkAbout16-17760 f �
' CITY OF ZEPHYRHILLS 'I
5335-8TH STREET
(813)780-0020 1776
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17760 Address: 37106 GEIGER RD
! Perrr�it Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Propos�d Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-21-0000-01400-0000
Imprav. Cost: 1,000.00 OWNER INFORMATION
Date Issued: 9/22/2016 Name: MORE MYRTIS
Total Fees: 60.00 Address: 5025 E LINEBAUGH AVE
Amount Paid: 60.00 TAMPA FL 33617-4631
Date Paid: 9/22/2016 Phone: (813)422-0530
Work Desc: CANOPY
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 60.00
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Ins ections Re uired
FRAME
SHEATHING
FINAL I
REINS�ECTION 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
I I 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 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.
"Wa �ning to owner: Your failure to record a notice of commencement may result in your paying twice for
imprmvements 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, Spec�ficat�ons Must Accompany Applicat�on.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CO TRACTOR SIGNAT RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED I,
' PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIE�C4N�MENTS
ContractarJHomeowner: __,�t`'�'�j�'Tl S f'��/�/'2�
Date Received: , � �l5 ,f I�O
Site: .��10�o �'L�/�� f��
Pezmit T e: /�,fSTh�,t�L�, Gr9N Q �l.
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Apprave wtno comments:❑ Approved wlthe belaw comrnents: Denied wlthe below comments: ❑
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, This comment sheet shall be kept with the permit andJor plans.
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I Kalvin S 'it ' —Pl xaminer Date Contra r andlor Homeowner
(Rec�uired when camments are present)
813-780-002o Ci of Ze h hills Permit A licatian Fax-813-7$0-ao2�
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, Buiidfng Department
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Date Rsceiwe ' �' _
�1: �'�Phone<Cantact for Parmttti» -
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Owner's tdam • � �wn Phone Nem er��� . � ��
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Owner's Addr�ss �� � � ' -Owner Plione Number
Fee Simple Ti leholder Name Qwner Phone Number � �
{•i� � � ..
Fae Simple TI leholder Address `
JOBADpRES ��� �/ ' I.QT# �__�
SUBDIYISION � � PARCEIID# '
(08TAINED FROM PROPERTY TAX NOTICE)
WORK PROP SED -NEtfit CONSTR ADDIAl.T Q SIGN {� Q DEMOLISH
, INSTALL � REPAIR
PRQPOSEDt SE SPR � COMM "Q OTNEi2
TYPE OF GO�STRUCTION • BLOCK " Q FRAME � S7EEC Q
DESCRiPT10�OF WORIC . ��� `•..�r"�/C�
BUI�DING Sl�E` �� � Sti F04TAGE " HEIGHT � ,.�
QBUILDING $ ��i'"J 9� �ALUATtO1V`OF 1'C3T11L COt+iSTFtt1C'1'IQi�
C/
QELECTRiGAt. $ W� AMP SERVICE Q PROGRESS ENEftGY � W.R.E.C.
QPL MBtNG $ '� —
QME�HANfGAL $ ' � VAl.UA3lONOF�MECHANIC,4lINSTAI.tAT10N
QGAS Q ROOFlNG .Q SPEClRLTY Q OTHER
FIfVISHEp FLOOR ELEVATIONS FL04D ZONE AREA [�YES. NO
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BUI�DEit ' f COMPANY_ �JC„r....�
SiGNATUFtE � � , REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� �
El.ECTRICIAld Ct?MPANY
SIGNATURE � REGISTERED Y/ N FEE CURRE�° Y/N
����� � License# � � �
P�UMBER COMP.ANY �
SIGNATURE" REGISTERED Y/ N FEE CuwtE�� '" Y/N.
Address i.icense# I ��
NlEGHANlC � � COMP_AN1C
$IGNATURE ' � REGISTERED Y..,/ N FEE CURF3E�. Y/N
Address , . _ L:icense# �, , �
OTN�R � �... , . .
.COMPAPIY
SIt3NA7�IttE �� - " � '� REGISTERED ' Y/ N,, -FEE CURRE�' Y/N
Address ' " - � Ucerise# ( �� �
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RE8IDENTi '.•� AttacFi"(2}rRtdt�P.,lans;.�{2)"s`efs:of�Butidingf Alans;{1)set of Energy�Fa`rms;Ft=O=W Rerrriit for new const�uction,
„ ,>�Minimum�ten�(10);worlting;dayswaftei;s"ubmlitai�tlate::'R'equlred onslte;`Co"nstitieU�on=Pl�ans;Starmwater Plans w/SiltFence Instelleii,
� Sanlfary FaGltties:&=1.,dumpste,r,;Site;Work;P.,ermit,#qr�su6divislonsAarge.proJects_. " '� "
CQOfIMERCI Attach(3}-carnplete'sets"'of Bultdiiig Plans ptu�a Ctfe"Safety Page;(1}set af Energy Forms.R-O-W Perm�t far new canstrucHan.
� Minlmum ten(10)working days'after submtttal date. Required onslte,ConstnucUon Plans,Starmwater Plans w/Sllt Fence fnstalled,
Sanitery Facllltles&1 dumpste�.Slte Work Permit for all new proJects..All commerclal requlrements must meet compllance
StGN PERMt� Attacti'"(2)sefs'of Eng}rieered�f?fans.,,:�:---. ,.
""'PROPERTY SURVEY reyulred for all NEW consWctlon.
D1�eatlons: . °
Flll out a plicatlon completely.
Owner&Contractor slgn back of applicaUon,notarized
If over 5�500.a Nctice of Camm�ncemeM Is rsqulr�d. {J�1C upgrades aver STS00)
" Agent(f�r the contraator)'or Powe�of'Attomey�(for tFie owner)would be someone with notarized letter irom owner authorizing same
aVER THE C�UHTER PERM17T1NG - {Front af Appltca�an O�ly}
Reroafs If shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Faotage)
D�ivewa�ta-fUat over Caunter if on publlc roadrvays..tieeds ROW
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NQ710E OF DEED RESTRICTIONS: The underslgaed unde�tandsrttt�E�#h1s;��r:mif.may be�subject to"deed",resUlctio�ts"
which may be:more�rest�tctive-thsln County�regulat(ons: �The`undersigned�'assume��ivesponsitilllty for�compliance wilh"'any
' appllcabte deed testriatians. , � : �. , . �
UNLICENSED� CONTRACTORS .AND CONTRACTOR RE3PaNSIBIL�ITiES: if the owrner has-hired a canhactor or �
contractats to undertake work� they may,be;r,�qui,r;ed.to-be:llcensed In.arr.ordance.with state.and�local regulatlons. if�the� � (
corrtrac#or 1s no# ticensed as�requtred:6y 1euv� both the awner arid cont�actor�may !�e-otted-fora�misdemeanor vlolation
under state law. If the owner or intende.d„�contr;a,ctor are,.uncertaln as to what Ilcenaing;requlrecnents;may��apply<�for.�the '
Intended work.they are advlsed to coritaat�tfie'Pascn Courtty Bultding tnsgection D�tlsion-LEcensfng Sec#fan at 72T-647-
8009. Furthernnore� tf the owner has'hlred a conk�acto� or contractors, he is advtsed ta have the contractor(s),_sign
porklons of the "contractor Black° of this_appllcatton.for.which they,will.be r.esponslble. If you�-as.fhe awner"sign`'as�the '
contrac�or, that may be an Ind�cation #ha#�1ie is not.properly licensed and=�ls not entl8ed to penriitting privileges En Pasco
County.
TR/#NSP06tTA'�"IQt�:ll�lP��"i�l�Tl�:lTlE�°�NlP,��C�'�P��l�l�E�Q�9�t���'��aVI�I�Y���5: Ti�e crnderslgn�rf�understarrds
– � that Transportakion Impact Fees�and.Recourse Recove.ry.Fees may;appty�to�the constructian of new buildings�-chan�e�of`'
use in existing bulldings� o�.�expansi�n:•of-�ezis#iri���buildings� as spec[8ed.in Pasco �'aunty Ordinance number 89-07 and
' SO-O7. as amended.._,The undetslgned �isa,�nderstands, that:-such fees��.as>tnay�tie•:�due;,:wi1F<be Ident�ied at the��time�of` �
�; permitting. It Is furtfier understood thak Transportation Impact Fees and�Resource:Recovery'Fees.must be paid prior to
rece�rEng.a "ce�tficate.-of�occupancy"or flnal-power=release: :1�-the.pr�j�ct:.does°:not invoEve<a}ceettflcafe of occupatncy..orY ,
flnal power rele�se;�the fees mu�t be pal�pc�or to.perm(t Issuance. Frr�thermore;If.Pasc�a County�lNater/Sewer•�Impact
fees are due#.they_must be-pald.prior�o.permit;lss�ance-ln.accordance wttti appllaable�Pasco�-.County ordlnances. •
CONSTRUCTICIN"LtEN"!AW(CFiepter 713� Flortcla Statates�as amended}: if vatuatlon af work is$2,500.Q0 or more� 1
cerlifiy that I, #he applicant,. have.been proylded with-a copy- of the "Florida� Canstructton� Llen .Lavir—Hameowner's
ProtectEon Gutde" prepared by the Florlda Depertmenf of A�rlcui#are and Consumer�Affalr'�. i##he apptican#is someane
other than the"owner", I certity.that i h�ve.obtainedta`�copy;of..the;abave..�lescrak�ed du$um�nt�and.pr�mise��in,g�aod fatth to
delive�it ta:the'+awnec"`p�oc:toxcommericemerit:' - . , .
CClNTRACTOR'S/OWNER'S AFFIDAViT: i.ce�tify.;tiiat;afl.#he,.inf�rmatl�an in;thl�appiicatlan is accurate and that a0 work
wlll'be done in compliance with all.appitcable laws regulating constructian� zonfng and�land development. Appl[catlon Is
hereby mada to obtatn .a permit,Eo do work>:.and Ihstalla#ion as ind[�efed:� .'!. cet�tEfy that no work-or installatton has
commenced priar to issuance of a perr�lt and that.all work w(II be perFormed�to meet ska��dards of all laws regulating-
aonstructlon, County and City codes, zoning regulatianst and tand deveiopment r.egulatlons`in ttie �t��isd3ctlon:- ( alsa
ce�ify that 1 understand tha#the regulations of other government agencles may�apply�to the..intended work, and that it is
� my responsibiliky to ldentlfy�what.aottons!must�teke:to betin�corr�pllance. S,uch:agencles-include bu#-are.not Hm#ted to:
- Departmen# af E�tvlronmental�Profection�Gypress.�Bayhead�, Vlletlend Areas and Environmentatly Sensitive
Lands, WateNWastewater Treatment.
- Southwest �torlda INater Management: .)�fstrlct V1lelts, CYPress.�"8ay�eads;- V{tetland` Areas� Ai#er�ng
Watercourses.
- Army Corps of Englneers-Seawalls, Docks+ Navigatile Waterways.
- Department of Hea{th�'& Ret�abiiitativs Services/Environmental Health Uhit Weli.s; Wastewater�Treatment,
8eptic Tanlis. . i
- US Er�vlronmental Protec#ion Agency-Asbestos abatemen#. .
Federal Avlatton,Authorily;Runways.
- _f.��d�r�ta,.��+_i!�?�t_ths-ft�!l�v�'r:�:Fastrl��l�^�-a�rlr t�-�h��as��##���:- - - - - ---- -----
- Use of fifl is not atiowed in.Flood Zone"V"untess expressly permltted.
- If the flIF inaterial is to b.e used:ln �flood Zone. "A", It. is understood that a dralnage plan addressing a
"compensating voiume"wilt be submtfted at#Ime af permitting w61ch ts prepared by a professional englneer "
Iicensed bythe�tate of:Floctda. I
- If the fiii-m�teriai Is�to be used in Flood �one "A" in=c�nnec�to��w1Eh:a��ermltted building us�ng stem waN
� , conatruction, i certifj+th.et fUl:w�li.b.e used anly.to.fill the.area wtthin#he�stem�walL '
- If fill material Is �to be used in any area� l�certffjr that .use of suah flN wlll r�ot adversely affect adJacent
properties. If use of fii) is found to adversely..�ft`ect a+dja�ent��pra�perties�.the awner may be cited for vtotating
the condi�ons._of the bt�ilding;permlt�issued-under thia attached,.permit epplfcation;for:lots-less than.one {1)
aare whlcFi ere elevated�6y#lli;e�t engineered drainage plan ts r�qulrecf. • .
If I am the.AGENT.FOR.THE OVYNER�,.I;��promise In_good faith to inform the owner.of:the.permitting.conditlons set farth In
th�s affidavtt prlar to oammencing construcUon. 1 understand that�a�separate permlt may be reqalred ior eleatrlca# work,
ptumbing,_signs,�welis,,paots; alr canditioning,-.gas,..ar ott�ec fnstall�Nons not,specJflQal�y inctuded-in.the�appticatian. �A
permll Issued sfiall be cons#cued to b'e'a`Ilcense,to�,praceed with`tFie:work,end�not:as:authoNty.,:to:.,violake;�cancel, alter. or
set aslde any�provisions o##he tectinEcal.r,.�d�s;�nor shalt[ssuancejof a.permlt.prevent the Bulldirig O#fEc�al from therea�ter
requiring,a.conection af ecrors-In,;plans; c,a.'nstructl.on.or.violattons of°any�cades. .Every•perm(t�issued�shall�become invalld
unless the�work aathartzed.by such permlt:�s.commenced•within sGc,�nonths bf�permtt Essuance, or ff wark autharized by
the permit.is suspended�or.aba�doned�f,or-�;;periad;of�six,f8)�montfis`aRer,the ttme the�wotk•Is commen�ed. An extension
may be �equested�_In wciting�.from tfie,�Bullding,Official for a period::not to_exceed nlriety�(90)�dayis�a�d-wlt!`demonstrate
just�iable_cause for_�fFte e�enslo�: If work ceas�s.for ntnety.{90}cons.ecutive:day.sr..the)ob:is consfdered abaadoned.
WARNINC�TO t?WNE�; YOUR.FAILLtRE�TC�a.R�E.Gt?RD;A.:1►10T�GE:QF.�CCMM6MCEMEI�T:(i�A►Y RESULT.IN YUUR
�PAYING TWiCE;FOR�iMPRUVEMEN�3�'CO Y�OU�:P�ROPERTY:�:�IF°.YO.UrIN��'E�1D:'�TQ�OBTAIN•-FII�tA(��1WG;'CONSULT
WIT D -0. A Tf0 O'R�� -O ��� O ' , �C �° . ' -
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! FLORI�A,lURAT:{F.S.1.'17.03} � ..� , ,. . . -
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OWNER OR AGENT-�"'`� � . �' u•�,� �, CONTRACTQ �.� �.� .
�ub�'s_cri�e,d and av�m M or afltrm �e#ore � ts Subat�bed'and'svv��r t�(at a �dpb�tor�.metpf�,� 'M
y-I�i',L_br � �1.�'Zk� ,by�S�1 '�lv-r-'t•, � �"� ��1�Y YJK'`�L.
Whq.�(are,pe►�onal povm to� e..or,has/heve produced UVha.l re pe . nally#cno r�me or haslheve-produced
��)rt c�L�?r�S��cc�c�e--$s Iden��caUpri. ' la�, r� .��P�s��. as idenUflcatlon.
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.,i�c.� - Notery Public . ' ' r�2. Notary Publia
C Isston .` ' Co ston. .
���Y'yq�, JACQUELINE BOGES , s2q�""•�"�:a��. JACQUELINE BOG�S
,••;F+s.: .
Name of Notaty ritgd Name of f�otary iyped, =.�, o�,••��es December 12,2018
;��, •o�: xpires ecember 12,2��� ' � ��K„,.•` Bonded Thru Tro Fain Insurance E00.385J019
,��;;°��`�` Bonded ihru 7roy Fein Inswunce E00.385•J019 P��� Y
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner:
Job Loca �on/Address:
Parcel I. '� . #:
SHOW EXISTII�TG&PROPOSED STRUCTURES GIVIl�TG DIlvIENSIONS&SETBACKS
UTILI'T�BUII.,DINGS MUST SHOW SIZE&FOUNDATION INFORMATION
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— �— — STFtEET — — — — — — — — — — —
(NOTT'E E LES 1&2)..
Example 1. Setbacks for Rl &R2 Zoning Example 2. Setbacks for R3 Zoning
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FRONT PROPIItTY LINE EROHT PROPER79 LQR
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DISCLOSIIRS STATEI+�NT•FOR OWNER
CITY OF Z$PHYRIiILLS BIIILDING DEPARTI�NT
I =. have read and fully uaderstand aad
' agree to the provisions of this instrumeat.
Thelundersigned states and affirms that he or she is desirous of conatructing,
rea vatiag, adding to or reroofiag his or her owa domicile, that he or she
act�ally occupies, or will occupy by said domicile, and same is aot for
rea , lease or sale. That he or she shall comply with the following coadi�ions:
1. That the owner and he or she aloae shall act as the builder for all phases of
conatruction.
2. That the owaer will comply with all provisioas of the City of Zephyrhills
ordiaaaces aad codes pertinent to the buildiag.
3. That in the eveat various phases of coastruction are subcontracted, he will
eagage oaly properly licensed subcontractors and will personally supervise
such work.
4. That ia the eveat the Buildiag Inspector shall require correctiona to be made,
the owaer will assume full respoasibility to insure they are made, aad upon
completioa will call for a reiaspection before proceeding with the building.
5. , That the owner shall assume full respoasibility for the constructioa and will
not expect supervision of his work from the City of Zephyrhills Buildiag
Departmeat.
I6. That prior to fiaal inspectioa any additional fees, includiag reiaspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additiona�l fees.
7. That the owaer shall com 1 with all Cit
p y y, State and Federal laws ia regard to
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owaer shall comply with all the safety codes issued by the Florida
Industrial Commisaion.
9. State law requires construction to be doae by licensed coatractors. You have
applied for a permit uader aa exemptioa to that law. The exemptioa allows
you, as the owaer of your property, to act as your own coatractor with certain
restrictions evea though you do aot have a license. You must provide direct
onsite supervision of the coastructioa yourself. You may build or improve a
one-family or two-family reaideace or a farm outbuilding. You may also build
or improve a commercial buildiag, provided your costs do aot exceed $75,000.
The building or resideace must be for your owa use or occupaacy. It may aot
be built or substantially improved for sale or lease. If you sell or lease a
buildiag you have built or substaatially improved youraelf within 1 year after
the coastruction is complete, the law will presume that you built or
substaatially improved if for sale or lease, which is a violation of this
exemptioa. You may aot hire aa unlicensed person to act as your coatractor or
to supervise people workiag on your buildiag. It is your responsibility to
make sure that people employed by you have liceases required by state law and
by county or municipal licensiag ordinances. You may aot delegate the
respoasibility for supervisiag work to a licensed contractor who is aot
licensed to perform the work beiag doae. Aay persoa workiag oa your buildiag
who is aot liceased muat work under your direct supervision and must be
employed by you, which meaas that you must deduct F.I.C.A. aad withholdiag tax
and provide workers' compensation for that employee, all as prescribed by law.
Your constructiou must comply with all applicable laws, ordiaaaces, buildiag �
codes, and zoning regulations.
OWNER'S SIGNATURE i � 1lM�l� O� n � \��.. DATE � � � 1
ADDRESS
PHONE . Q
WITNESS PSRMIT #