HomeMy WebLinkAbout16-17777 CITY OF ZEPHYRHILLS ,
5335-8TH STREET '
' ' (sl3pso-oozo �.-�7777
BUILDING PERMIT
I PERMIT INFORMATION LOCATION INFORMATION
Permit hlumber: 17777 Address: 5430 16TH ST
Perrr}it Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class mf Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Propos�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�-e Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-14700-0170
Improv. Cost: 6,300.00 OWNER INFORMATION
Date Issued: 9/28/2016 Name: INGRAHAM JOAN
Total Fees: 157.50 Address: 5430 16TH ST
Amo�nt Paid: 157.50 ZEPHYRHILLS FL 33540-3041
D �te Paid: 9/28/2016 Phone: 813-469-7980
Wo k Desc: CONSTRUCT GARAGE 24 X 26
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 97.50
HOME WNER ELECTRICAL FEE 60.00
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Ins ections Re uired
FRAME
SHEATHI G
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.
NOTlC�: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly 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.
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CONTRAC � R SIGNATURE 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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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contract 'r/Homeowner: ���C� �2�,�i(�pr.�'`'�
, Date Re�eived: �� Z �� ,6
Site: , ���� �� � sj
Permit e: Q �p
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
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This co ent sheet shall be kept with the permit and/or plans.
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Kalvin ' zer ans Examiner Date Con ctor and/or Homeo ner
(Required when comments are present)
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Rept:1802257 Rec: 10.00
_ �� DS: 0.00 IT: 0.00
09/20/2016 E. M. , Dpty Clerk
NOTTCE OF C011�dMENCEMENT PpULA S 0'NEIL�Ph D PRSCO CLERK 8� COMPTROLLER
Q1g/20/2016 12:00 m 1 of 1
OR BK 943� P� _2_.128
Peimit No.
/'Property IdentificabonNo. f�•—��, — e2-1�— �(�.f Q ` � � 7 Q� "" � ( `T�
THE UNDERSIGNED hueby give informs you thet the improvemeni will be mede to cermin rcal property,end'm accordence with
Section 713.13 of the Floride Steurtes,the foilowing informetloa is provlded'm this NOTICE OF COMhILNCEMENT.
�1.Description of propecty(lega!darcrlpBon:J � ��__�U 7.�7�'LI Z Ei�S/l.t.� " Z[ 6��itrbT"
� 2.� a)Street Address: �c-. ,
ern1 description ofimprovements:
Owner Iaformation �
� � a)Nazne and addtess• • —
b)Neme end eddress of fee simple Htleholder(if othei than owner) O
e)Interest in'ProP�rtY
a.eo��wri�o�bon ��� �-f�' TN � 7E�i,�Y�c'f//LLS FG 3353/z_
a Name aad address: �^p�,�
b)Telephoae No.: �y�?, ��„Q 7�Q n- Fex No.(Opt.)
, 5.5urety Informetion
a)Nnme end'address:
b)Amount of Boed:
, c)Telephoae No.: ' F.ax No.(Oyk)
6.Lender
a)Name and address:
Phonc No. �
7.Identity of pe�son within the State of Florida designated by owner upon whom notices or other dowmenta may be served:
a)Name and address: �
b)Telephone No,: Fa.�No.(Opt.)
S.In addition to himsel�owner designates tha following'person w receive a copy offfie Lienor's Notica es provided'u�Section
i 713.13(1)(b),Florida Stahrtes:
a)Name end addrcss: '
b)Telephone No.: � ' Fax No.(Opt.)
9.F,xpiredon date ofNotice of Commencement(tLe expuatioa date is ono ybar from the date of rewrding unless a diffetmt date is � �
5���s�a�: 04
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WAI2NIIYG TO OWNER: ANY PAYMENTS MAbE BY THE OWIY6R AFPER THE EXPIItATION OF THE NOTICE O
COMMENCEMEIVT 'ARE CONSIDERED IMPROPER PAYMENTS UNIIER CHAP1'ER 713,PART I,SECI'ION 713.13 0 � ;i�3 -�
I FT:ORIDA STATUT'ES•AND CAN RESIJLT IN YOUIt PAXIIVG TWICE FOR IMPROVEMENTS TO YOUR PROPER � �
A NOTICE OF COMMENCEM&NT MUST BE RECORDE�D AND POSTED ON TEiE JOB S1TE BEFORE THE FPRST � � __ � � �
INSPEC['IO1V. IF 1'OU TNTEND TO OBTAIl�I FINANCING,CONSU[,T YO[JR LENDER OR AN ATTORNEY BF.F'O � �+ v �
COMMENCING WORK OR RECORATNG YOiJR 1�iOTICE OF COMMENCEMENT. �� 'o �^'
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STA'CE OF FIARIDA �� • �a�
COUMY OF PASCO � , � �//I/ !/1.. J
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The going iyg�ument wes aclrnowledged before me this ��dey of � 20�by U z � Q � J �
�D Ct�'1 ���as (type of autharity,e.g.ot5cer,hvstee,attomeY � — U (n J Q 1—
in fact)for (neme ofparry on behalfof om inshvment wav exec � 0 O = Q � �
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Pe�sonally Known_OR Produced IdenHfication_T Notary Signature � � O = Z J �
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Type of Ideati6eatioa Produced �.�V`�✓�l��Name(print) a�-�1 u G//�e ��' � = O O � U �
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Vertfication pursuent to Section 92.525,Florida Smtvtcs.Under peaa}ties of perjury,I declam that T have reazl the foregoing and thai O � � V � W
the facts stated in it are true W the best of my lmowledge end belie£ Q I— � J U
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�- 813lrso-oo2o City of Zephyrhills Permit App(icatian Fax-813-780-0021
• Building Department
Date Receive�d .r _ •�
��"'C�0 Phane Cantact far Permitting ' �
Owrner's!da e 1 J Owner Phooe Plumber , -°� �
Owner's�Add ess _ Ouvner Phone PJumber �/��'"' __�,��
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Fee Simpte T'tteholder Name 9 •- „��;�/1 � Owner Phane Number
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Fee Simpte T"t�eholder Address �
JOB A6�DRE�S �r-%�� /'CY� LOT# �
StlBDIV1S10 I � � PtdRCE�lD#
(OBTAINED FROM PROPERTY TAX NOTICE)
WOFtK PRO OSED _ NEW CONSTR ADD/ALT C� SIGN [� Q DEMOLISH
e INSTALL. � REPAIR
PROPOSE� SE � SFR Q COMM [� QTHER �
� TYPE`4F CO STRUCTION BLOCK - [� FRAME � STEEI. Q
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8Ut1:DIPIG'SiIZE-�������„s,��,��.SG!FOOTAGE F9E[GHT ��
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���i�'D��� � �(,,,� � VAl.t1RTION'OF TOTAL CONSTRUCTtON
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�EL GTRlCAL � $ p ��' � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.G.
QPL MBING �� /� ]� f�
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0!V! CHANIGAL $ VALUATtON OF MECHANICAL INSTAIlA7tON � �j -'' �
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C]G S Q ROOFlNG Q SPEGlAL.TY 0 QTHER �/�? t i �
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FINISHED FLOOR EI.EVATIONS FLOOD ZONE AREA L]YES NO ��
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BUILDEf2 _ '�)�O�tIPANY � . ��j� �� �
SIGPLATUR� (__ V, ��� REGISTERED Y/ N FEE CURRE� Y/N
Addres License# �� �
ELECTRICI tst CONlPAtdY �'ft� �C.�.,�vl f `
S1GPlATURE � �' REGISTERED Y/ N FEE CURREP Y/N �
Addres Cieense# �— �g �
�CUR��ER.,. GOMPA4tY
SIGN/�1TURE REGISTERED- Y•/ N FEE CURRE� Y I N
. Addres License# � �
MECNANtCAl. COMPANY
SIGPIATURE� ' REGISTERED Y/ N FEE CURRE� Y/N
� �;ddres � License# �� �
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OTHER.� `.'.' COMPANY
'SIGNATURE , "� ' REGISTERED Y/ N FEE CURRE� Y/N
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Addres � = - License# � �
�`RESlDEPlT1,4!_ : Attacli,{2}�Ptot P.lans;(2}se#s of�Builcliiig�Plans;{1�)set of°Energy Forms;R,O-W P.ermit.far new.consfruction,
_ . • ,.,,;�,,; ;iVlinimum.;ten.(.10)working�days after.submittal-date. Required`onsite;Con'stniction Plans,Stormwater Plans w/Silt Fence installed,
Sanita.ry Facilities.&1,.dumpster Sife.:Wotk Permit foa.subdivlsionsllarge.projebts
COM3U1�RC1 Attach�{2}comple#e sets of`Building Ptans�plus a L3fe Safety Page;(1}sef of Energy Fotms.R-O-W Permit far new canstnsction.
Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt.Fence installed,
- Sanitary Faeilittes 8�1 dumpster.Site Work Perrrtit foi•all new proJects.A!I commercia!requirements must meet compiiance
-;SiGN PERMII AttacFt{2}"sets of;Eng�neerQc!Plans:'.� . ` .
'•"`PROPERTY SURVEY required for_aII,NEVV cpnstructian.
;•Direcficns:. _ ,- . - , . , , . � '
� Filhouta�pplication completely.
Owner 8{Contractor sign back af applicatian,notarized `
�, if aver'$2500,a NaEice of Commencemen4 is requirgd. (kJC apgrades over$7500) ;
I ** Agent(for'the cont�actor)�or Power of Attomey(for tlie owner)would be someone with nokarized letter from owmer authorizing same
t3VER.'fHE C�OUNTER.P�Rt�tl'fTiNG. (copy.af contraet-required)
Reroofs if shingles Sewers 8ervice Upgrades A/C Fences(Plot/Survey/Footage)
. - =- ___.. _. , --`-. _..... _ ,. Z . , . . ,. , -. .. ,
Dr(vewra s-Not over Counter if on public roaii`ways.:needs;ROW , � - - .
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NOTICE OF DEED RESTRICTIONS: The undersigned understands.that.this,permit may be subject to"deed° restrictions";'�f�;
which may.be:more;restrictive than:Cownty:r.egulations: :Th`e-undersigned�assumes��esponsibility�forcompliance'w'itli�any�"`"
applicabie deed restcictions. , ,_._ ,_. _,; :
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UNLICENSED CONTRACTORS e4ND CONTRACTOR RESPONSIBILITIES: - If�tfie=�owner��has�hired��a��contractor. or
coritractors to undertake work, they may be_required.to be�licensed in accordance with state and�local..r.egulations:�:�lf'tfie�-=� �
contractoc is not licensed as��required �by'law, both the owner�and�cont�acfor�-rri`ay��be�ecited�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 wock,•they are advised to contact'ttie P"asco County Building Inspection'Division'=Cicensing Section at 727=847-
8009. Furthermore, if the owner Has hired a contractor or conf�actors, he is advised to`,;have the contractor(s).;sign_,.�, ;
portions of the "contractor Block" of'this application for yuhich they.will..be responsible:--If you, as°�the�owner`'sign as the"�``
contractor, fhat may be an indication that he is not properly licensed and is nof entitletl to permitting.privileges in Pasco:_, � �
County. � -- ..� -_ _ _. _ _ - .. _._�. _-< ,
TRANSPORTATION-IMPACT/UTILITIES IMPACT AND�RESOURCE RECOVERY FEES: The undersigned undecstands
that Transportation Impact Fees and Recourse Recovery Fees may,apply to the construction of,new buildings, charige.'of T�= ��.
use in existing buildings, or exparision,of,ezisting buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such,fees, asymay<be��due, wilf`be'identified at'tfie::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. Furtliermore, if,-Pasco County Water/S.ew.er.;lmpact;•;:- :
fees are due, they musf be paid prior'to.permif issuance in accordance with applicable.Pasco.County ordinances.�
CONSTRUCTION LIEN LAW(Chapter 713; Florida S4atutes, as amended): If valuation of vvork is$2,500.00..or.-moce,..l:r. �
certify that I, the applicant, have tieen provided--with�a copy of the "Florida Construction, Lien,_ Law=�Flomeowner'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 descri6ed'`document�and~promise in good'faitfi_'to. .
deliver it-to the"owne�' prior to commencement. ' ' ` , �
CONTRACTOR'�/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.installatiorr�-has
commenced prior to issuance of a permit and that all work will be performed to meet standacds 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 npt limited;to:
- � �Department of Environmental�Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,VVaterM/astewater Treatment.
� - �Southwest Florida Water Management District-Wells, Cypress Baylieads, Wetland Areas, Altering
Vllatercourses. '
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & 'Rehabilitative Senrices/Environmental .Health Unit-Wells;-W.astewater 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 Flood 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 tfie�building permit�;issued under the attached permit application,_for lots less than one (1)
acre whieh are elevated by fill, an engineered drainage plan is required.
If I am the AGEMT FOR THE OWNER,�1=promise in good faith to inform the owner of the permitting conditions set forth in ,
this affidavit prior to commencing�construotion. I_understand that.a separate permit may be required for electrical work,.
plumbing, signs, wells, pools, air conditioning, gas,. or other` insfallations not specifically included in the application. A ,
permit issued shall be construed to be a license to proceed'inrith the work and�not as authority to violate, 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 er.rors 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 tlie Building'Official for awperiod not to�exceed•ninery(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 OWNER: YOUR FA9LURE T.O_RECO,,RD A.PIOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE.FOR,IMPROVEMENTS.TO YO.UR.PROPERTY. :IF YOU::.INTEND�TO OBTAIN FINiANCING; CONSULT
W1TH YOURtENDER OR�►N ATTORNEY BEFORE<RECORDINGYOUR NOTICE OF'COMMENCEMENT"
= FLORIDAJURAT(F.S.917:03)-- - - - - — ------ -- - -- --- - - - =--- -- — - — -- - -----
OWMER OR AGENT /' t� L CONTRACTOR ' �
bsc�ib d and swo to o affirme )before me' Is Subscribed and swom to( rtned be�q re this il
�?A�-g by � rl�. � 9 ZO—/,6 by � / f�' <f
Who is/are personally known to me or hasJhave produced ' Who�are personal known to me or has/have produced
�L.���`1�r�s 4�C�� as i den tl fica tion, L. �����' L��P.n.E� as Identificadon.
/�Q-- Notary Public � Notary Publlc
o missio o. Co is ' n No.
Name ti:� d Q L Name of Nota ,2,p ��n� �r��r�$OGES
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_,. � .=: Commission#FF 150422.. :.: .: Commission#FF 150422
;�:��'a: Expires December 12,2018 :���oa Expires December 12,2018
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30.o' 99 0�
BLOCK'147" �
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19� LOT LOT LOT
LOT - LOT LOT
BLO�K`f4P B���y47• BLOCK°947' BLOC3'147' BLdCK'147' BL CK'14P
- 30.0' .
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Legal Description:
I - � Lots 17 and 18, Bloclt 147, TOWN OF
ZRPHYRHII�LS, according to the plat
__ thereof, recorded in Plat Book 1, Page _.
� 54, of the Public Recorcls of Pasco
� ao o ,5 3o Coun.ty, Florida.
� ' Property Address:
GRAPHIC�SCALS (Ia Feet) 5430 l6th Street
GENERAL NOTES: � 1 inch = so rt
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