HomeMy WebLinkAbout16-17967 J T ,
�
., ' • CITY OF ZEPHYRHILLS --�
5335-8TH STREET �/
� (813)780-0020 17 7
,
BUILDING PERMIT
' PERMIT INFORMATION � . LO.CATION INFORMATION
Permit (�lumber: 17967 Address: 38919 3RD AVE
- Perrt�it Type: RE-ROOF ZEPHYRHILLS, FL.
Ciass of Work: ROO� REPLACEMENT Township: Range: Book:
Propos�ed Use: NOT APPLiCABLE Lot(s): Block: Section:
S ua�re Feet: Subdivision: CITY OF ZEPHYRHILLS
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Est. Value: Parcet Number: 11-26-21-0090-17700-0091
Imprc�v. Cost: 3,650.00 OWNER INFORMATION
Date,tssued: Name: KNECHT�Y, LARRY& DIANA TRUST
Total Fees: 82.5Q Address: 38919 3RD AVE
Amo�unt Paid: 82.50 ZEPHYRNILLS, FL. 33542
Date Paid: 11/29/2Q16 Phone: (813 788-6644
Wo, k Desc: REROQF METAL
CONTRACTOR S APPLICATION FEES
HOME(JWNER REROC)F RESIDENTIAL 82.50
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Ins ectians Re uired
D IN R� F IN
TAPE JOI TS RC?C7F INSP
FINAL I
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REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Flarida Statute 553.80(2)(c)the
lacal °avernment shall impase a fee of four times the amount of the fee imposed for the initial inspeetion ar
first reinspection,whichever is grea#er,for each such subsequent reinspection.
NOTIC� : In addition to the requirements of this permit, there maybe additiona! restrictions applicable to this property that
may b faund in the public recards of this county,and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Wai�ning to owner: Your faiture to record a notice af commencement may result in your paying twice for
impravements to your property. If you intend to obtain financing,consult with yaur lender ar an attorney
� before recording yaur notice of commencement."
Comp ete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with
( City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
1 NQ OCCUPANCY BEFORE C.O.
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�CON CTOR SIG TURE � PERMIT OFFI R
� PERMIT EXPIRES IN 6 MCtNTHS 1NITHflUT APPROVED INSPECTIBN
! CALL FOR INSPECTXON - 8 HOUR NOTICE REQUIRED
j PR{�TECT CARD FROM WEATHER
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�omp i�nce M�thod: Florida Depa ment of�u�i ��s snci Pro��s�ional
R�gulation for�tatewide Acc�pta ce p�r Rut� N�3.�Q5 mett�od �8(d�. .
PRE �R�SHALL C(�
( ����G CODES ���Y��rH
�LOR�q gUILDiR1G CODE
�ATI NAL ELECTRIC COp'
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E�aiFleer valua o � �!��s���1�I��S
Sa`muel A: Greenberg, P.E.#34245 i .
P,O. Box . 400 � - � ��_-
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iFlorida En ine�ring Solutions, Inc. �s+•fl�'�!oaooe ��������HY�
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2016188053
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- " Rcpt:1818564 Ree: 10.00
DS: 0.00 IT: 0.00
� 11/29/2016 E. M. , Dpty Clerk
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NOTICE OF CORIlI�NC�NT � __ _. - -- - • - -
' PpULR S 0'tJEIL,Ph D PRSCO CLERK & COMPTROLLER
P"°'rtN°. ilOR BK 1946�m P� 3129 _
PmPvlylderttifimtionNo. �� �i°�u d0/O-/7?00 -U�q� — — ,
17�CTNDERSTGNED hceby give in5orms you thet the i�aovement an'il be mede to cr.�mm nal pmperty,md'm eccordaace w(th
Sa4ioa 713.13 of the Florlde SOa�tes,the fo1lowing mformetlon ia pQovlded in thiy ppTTCE OF COlY�NCEMENT
i 1.Descriptimn ofP*operty(lesa�a on.)•�`t�7?m ((TD u1r�s`vd 2b ���i JC/�tl�� Z% �acs7'
a)S'eeetAdd�ss: .3 F5� 3r�T�,n � r—r--
2.C3eaaat deseripitoa ofim�rovameeb. !2p J►-t-�
� 3.Owner Info�mati0n -
� a;x��a�aa�: �a.,�-v Gc ntc�i�lc� �3�P'919 ��d ,�� 2��ti�lrs Fi-
� • b)N�e alod address offee simpi titkholda(if other tt�owner) .
e)Iaduest m propaty ��/a
4.Cot�BctcrInS�rmenila / "��t/7
a)Nanpe�d eddizss: �YCf�
b)Tchphoae No: Fex No. O
5�u+ety Iafoimetllon . � P�)
a)11ema ead"eddewss; ,
b)Aaioupt ofBond:
c)Telephoao No.: • ' Fax No.(Opt)
6.i.ender
a)Neme mmd ed�ess:
" Phame No.
, 7.Ide�ity of petson v�nthm the Smte of Florida dealgnated by owver upon whom notius ot athv docm�e�s mey be eerved:
a)Name ead addcras:
, b)Telephane No.: � Fmc No.(OpL)
S.ln eddition to himsel�owae�designatrs dte{opowiag pet�oa p�rxoiye a copy bfthe I3rn�'a Natice as�pmvided'm Saxion..
713.13(Ixb],Floride�: , �
e)Name snd addrs,vx •
, b)Telephoae No.: {- �� .Fiq�No.(Opt.) •
9.Expi�tton deta ofNotiee of Commeacem�ot(tha eaEaation date ia one Year frva!the da6e of recordiog tmlavs a diffe'rcat date is
spacified}:
' ' � �GNARNiNG TO OWNBB: ANX PAYA�Nr3�lADE BY THE OWNER AIrPER'I�E�X�AtATlON OF TEE NOTICE OF�
(;OMMENCE1N�Pl'I'A7t8 CONSID�RED Ih�PROPER PAYMLIITI'9 IINDI+R CSApTEg 7]3,PART I,SEGTION 713.13,
FI:ORIDA STAT4)TES;AND CA1V gg,SUI,T I[V YOIIR PAlCIfJG TWICE FOR II4g'ROVSMENTS TO YOCJR PROPER7`Y.
A NOTICE QP COM1p�NGBMSNT MU3T BE RECURDRD AND POSTED ON'!'HE JOB S1TE BP.Iro�t&I�E F1RST
IIVSPECI'ION. IF.YOU INTEND TO OBTAIIV FINAPICIIYG,CONSULT YOTJ�t LENDSR OR AN A'I'I'ORNEY BEFORE i
, , COIYAV�+IVCIIVG WUBK OA RECORDINC�YOIIR 1�01TCE OF COMIYII6NCEMENI: �
STATEOBFLORIDA q '
ODIJNIY OFPASCO f
gurtne ot er'i Au�Ear�rd O�ar/Di � v
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-crrume
The foieBoing 9nsaumc�Fv�v acimowledged befine ma this�day of- /Ul�'t°.1Kl�+� .20 b by .
f 1 B,y (type ef°�ehocitY.aPr uffiCer.�ntee,eaomaY
� )f (aema ofpacry oa behalf of w �mc wat mcauEed),
onaRy ICnown Produced Identlficatioa Not�y gigaehme �f�..
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Type of Ideati6cation Pmdueed Nanxe(prmt) � liC� /1 e
� Vcrificatioq piusumt to 5ection 92525,Floride Smh�bes.Unda penalHes ofpajivy,I dalaze ttiet I have read the foiegomg and lhat
the facts s�ated"m it aza hue w the tiest of my lmowkdga end belie�
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Fonnisnioe,y.mcm - s��onwmd rersao s�,►eo,,e•.
� '. ��"•.,, JACQUELINE BQGES
- � ��tM��:: Commission#FF 150422
. ' . ���: Expires Decemher 12,2018
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S7ATE OF �LC�RIDA,COUP�TY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A ��'C�Je10/�,
TRUE AND CORRECT COPY OF THE DOCUMENT • ,,�
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE � e . , �
WITN S Y HRND OFFI AL SEAL THI �
DAY OF 2 � • rh,o �C
PAU S. 'NEIL, L OMPTRO ER rr� ,�' �kpT,�� • y
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BY DEPUTY CLERK q�'a ;�a ��,��, • �
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
� , ' . Building Department
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Date Received f� /� ��• Phone Contact for Permitting • � / ( �� — ��
Owner's Nami 6�1� n. Owner Phone Number �>(�J E�T
Owner's Address � J � �`� a Owner Phone Number
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Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � � � � v�C LOT# �
SUBDIVISIO PARCEL ID# � "— '�� �'� 77��'""�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP,OSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
� INSl'ALL •REPAIR
PROPOSED USE Q SFR Q COMM Q�OTHER . c ' D vlQ1`
TYPE'OF CONSTRUCTION Q BLOCK • Q FRAME 0 STEEL Q
�s- /
DESCRIPTIO OF WORK (' . 4 ' � �� � �S�
BUILDING SI I E ,f7OO .j SQ FOOTAGE ��l� HEIGHT F�J y •
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BU�LDING $ �.���Q �� VALUATION OF TOTAL CONSTRUCTION
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QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �� � �� �
4
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGA� Q ROOFING SPECIALTY OTHER
FINISHED FLIOOR ELEVATIONS � FLOOD ZONE A�REA QYES NO
BUILDER I � /�j/ �COMPANY
SIGNATURE �Y REGISTERED Y/ N FEE CURRE� Y/N
Address � �� � ' r/'2.- �License# � I
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ticense# ' I
PLUMBER, , COMPANY �
SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N
Address � License#-
MECHANIC COMPANY
' SIGNATURE' ' REGISTERED Y/,N FEE CURRE� Y/N
AddFe'ss- . License#�
OTHER+� � COMP..ANY I I
SIGNATURE � ' � REGISTERED. , Y/N.. FEE CURRE�' ,, .Y/N
Address � � - - License#
__;_.RESIDENTIAL -� Attach(2).PlofRlans;.'(2)sets of�Building-Plans;'(1�)set of EnergyFo,rms;'R=0-W Perrriit.for new construction,
,ti,� ...;I._..` Minimum�ten;(.10)working:days after.§ubmittal'date. Required'onsite;Construction Plans,Stormwater Plans w/Silt Fence installed, -
� Sanita,ry,FaciliGes:,&;1.dumpste[;Site..Work�Permit foe subdivisions/large projects
�-.COMMERCIAL Attaeh'(2)�'complete sets of Building Plans�plus a Life Safety Page;(1)set of Ene�gy Forms.R-O-W Permif for new construcUon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
San(tary Facilities&1 dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance
� SIGN PERMIiI Attach(2)sets of,Engineered Plans.,
'"'*PROPERTY SURVEY requi[ed for.aII.NEW construction.
Dlrections: il E, . _.,...._._. �.. : ._.:<. _�.r.._. ...> . . ... , - _.."1;:'; ;.,'i;� .!:., ,.:�... },.
Filloutapplicationcompletely. •':� .._:i� ... .,,;�_^t)�'..:s��-s�"� �, r;;,�:,�.;,p�..R�„ .,..i,�.. ,.. _�
. OwnerB�IContractor sign.back of application,nota�iieii:� .....-ei;n^o:!_ - ' .; ;�•;�_, r,,r;;...,; :..�, ' ,�� �s;
� :.. , ::; ;;, • ..: �, _,. .,:.. ,,�,,�.,,: �_.t�
If over$2500,a Notice of Commencement7sirequired:v(A/C•r�pgrades�ove�;$7500) « e;t•�-:�:,,' ..- �_� ..� .,.s�.,�r�,s'��=• ,,,..,. ''
�.:�'- •? '('f.1;,: :.':.�r.a r'� F�,._�:.-,v�...�,
�� i i i iq';v:�;j,,;ri.`.�i2c'�, `':' , ,. ".' -.... ,.. . ,..- ..�Re.._.
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Agent(f II We contractor)or Power of Attome"(for tFie owrier)woulii;be,someone with notarized letter from owner autFiorizing same~
< . ,._.���, .�_.,.w,..,._ ,�._ . .
OVER THE COUNTER PERMITTING �(copy of contract required)
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Reroofs if shiigles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drlvewa s-Not over Counter if on public roadways..needs ROW
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NOTICE OF DEED RESTFtiCTIC1NS: The undersigned understands that this,permit.may be subject ta"deed" restrictions;' ''
which.may:be..more:restrictiue than Caanty cegulations: The undersigned-�assumes�iesponsibility'f6rcom�Eii'iance with any��'��
applicable.deed restriction�. .,
UNLICENSED C�NTRACTORS AND CONTRACTOR RESPQNSEBILlTIES: Ef ttae owner has� hired-a� con#ractar or
contractors to undertake work, they may be required to be licensed in accordance with sta#e and loca! re�ulations: If:the: �
contractar is not licensed as,required by law, both�the owner and contractar may,'�be cited>for�a misderr�eanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements:;m�ry�apply for°the.- '� ,
intended work, they are advised ta coritact,the Pasca Caunty Buiiding Inspection Division-Licensing Section at 727-847-
8009. -Furtherrnare, if the owner has hired a canfractor ar cantractors, he is advised�to �have the coiitractar(s.} sign '
portians of the °contractor Block" of#his application for which they will be rssponsible. If yau, as�the awiier'sign a"s�fhe
contractor, that may be an indication that he is not properly licensed and is no# entitl'ed ta permitting privileges in Pasco
Caunty. - .
TRANSPORTATItJN 1MPA�T/.UTtLIT1ES 1MPACT AND RESOURCE REGOVERY FEES: The undersigne:d understands
that Transpartation Impact Fe�s and Recourse Recovery Fees may appiy to the consfruction of new buildi�ngs, change`of `� ,
use in existing buildings, or expansion of.existing bt�i(d9ngs, as specified in Pasca County Ordinance nurr�ber 89-07 and ;
90-07, as amended. The undersigned alsa understands, thaE such fees, as may,-be due, wi11 6e�identifie� at:the�tirrie af�a � .,
permitting. lt is further understood that Transportation Impact Fees-and Resource Reeovery Fees must b�e paid prio�to �
receiving a °certificate of occupancy" or final power release. If the,project does not involve a certificate of'ocaupancy:or
finat power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water,�Sewer-.I,mpact
fees are due, they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTlON LIEN LAU1t(Chapter 743;Florida Statutes,as amended}: (f valuation af wark is$2,�Ot),Od.or more,.I
certify that I, the applicant, have been provided with a copy of the "Florida Constructian t�ien Law=�Nomeawner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone
other#han the"owner", I cerfify that I have obtained a copy of the above'descr`ibed document and promise�ii�goad faitli to
deiivec it to the"owner"prior to commencement.
C4NTRACTOR'SIOWNER'� AFFIDAViT: I certify fhat all the information in #his appiication is accurate an�d�that all work
wiN be done in compliance�nrith all applicable laws regulating construction, zaning and tand-develapmen#. Application is
hereby made ta obtain a perrnit to do work and installation as indicated. 1 certify that no work ar�insta(latian has
_,commenced prior to issuan'ce of a permit and that all work wEl! be performed to mest standards of aA laws regulating
construc#ion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ! also
certify that I understand tha#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 campliance. Such agencies include but are nat timi#ed to: ,�
- Department of Environmental Protec#ion-Cypress Bayheads, We#land Areas and Environmentally Sensitive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Ar�:as, Rltering
Watercourses.
- Army Corps of Engineers-Seawal(s, Docks, Navigable Waterways.
- Departmenf of Health � Rehabiiitative Services/Environmentat Health Unit-Welis, Wastewate;r Treatment,
Septic-Tanks.
- US Environmen#a!Protection Agency-Asbestos abatement.
- Federa!Aviation Autnority-Runways.
I understand that the follawing restric#ions apply to the use af fill:
- Use of fill is not allowed in Flood Zane uV" unless expressly permitted.
- tf the fill materi�l is to be used in Flood Zone "A", it is understaod that a drainage plan addressing a
°cornpensating volume° witl be submitted at time of permitting which is prepared by a professicmal engineer �
Ncensed by the State of Florida.
- If the fill material is to be used in Flood Zons "A" in connection with a permitted building using stem wa!!
constructian, I certify that fill will be used anly to fill the area within the stem wall.
- If fill materiai is to be used in any area, 1 certify that use af such--fill will not adversely aff'ect adjacent
praperties. If use af fili is found to adversely affect adjacent properties, the owner may be cited for viola#ing
the conditions at'ttte builcfing permit issued under the attached permit application, for lats less than one (1) '
acre which are elevated by fil1,an engineered drainage plan is required.
!f I am the AGENT FOR THE QWNER, I prorriise in gaod faith to inform the owner of the permitting conditions set forth in �
this affidavit prior ta cammencing construction. I understand that a separate permit may be required for ele:ctrical v+rork, �
p(umbing, signs, welts, pools, air conditioning, gas, or other installations not specifically included in #he ap�plication. A
permit issued shatl`be construed to be a license to proceed with the work and not as authariry to violate, caricel, alter, or
set aside any provisions af the fechnical codes, nor shaE( issuance of a perrnit prevent the Building Clfficial from #hereaf#er
requiring a correctian of errors in plans, construction ar viokations of any codes. Every permit issued shafl berame inva(id
unless the work autharized by such permit is cammenced within six months o#germit issuance, or if work ap,athorized by�
#he permit is suspended ar abandaned far a period-of six(6) months after the time the work is commenced. ��n e�c#ension
may be requested, in writing, from the Buildirig Official for a period not to exceed-ninety (90) days and will iiemonstrate
jus#ifiabte cause for the e�ension. tf vvark ceases for ninety(90}consecutive days,the job is considered abandoned. �
WARNlNG TQ QWNER: YOUR FAILURE TO.RECORD A NOTlCE O,F COMMENCEMEN'T MA.Y_RESUI..T–IN YOI�R------
PAYlNG TWICE_FQRIMP_RA�EMENTS 7CD YQUR-P'RC?PER'Y'Y:!F Y�0-INTEND-TO�BTAlN FlNANGING, CQNSULT
�WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR�NOTICE OF�COMMENCEMENT.
FLflRIDA JURAT(F.S.117.03) r�
:.�'
OWNER OR AGENT � CONTRACTOR :�
Suqscnb and swom to{or a efofe ~ Subscribed and wom to r ftirm d befor e fhi
rr(/ (d by L' tl�l(o�fUby . � f `
Who is/are ersanall kno to me or has g duced � Wha s/are ersonall k ow to me or ha /h p duced F�„pk'./�}� AR/l/��S�✓G
en i ca f�fication. �
:i�`•�;►„�,,� : i'',`�R�l'FF�LL = <;a?►L'��.. DEBRAEtA#NE FtU�FEtI.
_ =Commission#GG 045343 •- ^�'�� �"�=�ommisston#GG 045343
:"��=a�:Expires November 7,2424 ` =•� :*=
s%�;o;�;°;''' eondedrnNTrayF�tntnsurance8oa39�7ot9 '�; �o;E%plresNovember7,2020
Notary Public Not��ry Public
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Commission No. � Commission No.
,1��'.�/z E�-i.�l� ���'E:�G-- ��'%.�9 �i�/�✓L R(�G�',�. ,
S3ame of Natary typed,printed or stamped Name of Notary typed,prin#ed ar stamped
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� 4 DISCLOSURE STATEA�S�]T FOR OWNER
CITY OF ZBPFIYRHILL� BIISLDING DBPAR�
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I, ' fr¢" � have read aad fuZly un8erstaad aud
agrla�e to th ,provieiou� ot th' inatrumeat.
The undersigaed states aad affirms �hat he ox she ie desiraus of conetructing,
rea vatixig, addiag to or rezoofiag his or her owa domicile, tha� he ar she
actually occupies, or will oecupy by safd damieiZe, and same ie aot far
rent, lease ar sale. That he or she sha11 comply with the �ollawiag coaditioas:
1. That the owaer and he a= she alane shall aet sa the builder �or sIl phases of
aoas�x�uc�ioa.
2. That the ownez wi1Z comply with a1Z pravisioas of �he Ca.ty af Zephyrhills
ardiaances aad cod�s pertiaeat to the bui].diag.
3. That ia the eveat variaus phases of caastruetioa -are stabeoa�racted, he will
engage only pxoperly licensed subcoatractors and wi11 persoaally aupervise '
auch work.
�. R'hat in the event the Buildiag Iu,speetor sha21 require correctioae to be made,
the awaer will aesume full respoaaib3lity to iasure they are made, aad upan
aompletian wi3.Z ca2l for a reiaspeetian before proceediszg with the buiiding.
5. That the awaes sha11 assume tull respaasibility for the coastructiioa and wi11
ot expect eupervision of his work from the C3tg o� Zephyrhills Building
� epartmeat. �
6. �2'hat prior to fiaal inspecta.aa a�ny additiarsal Eees, iacZudiag reiaspec�ion
��ees, must be gaid in ful2, A i�ritten regu�st from this off3.ce shall
�constitute an official a,otice to pay �ddi�ional fee�.
7. �hat �he owaer shall comply with all City, State aad, Federal laws ia regesd to
C sacial security, workman's ecampensation, 19.en laws, etc. , whe�e applicable.
8. ��hat the cwaer sha11 comply with all the s�,fety codes igpued by the Florida
ZadustriaZ Coa�nission.
9. ��3tate law requires cons�ructa.on ta be done by licensed contractors. You have
�ppZied for a permit uader a�a exemgtiau ta that law. The exeatption� alla�vs
ou, as th� owaer a� you'r property, to act as your owa caatractor with cerCaia
zestrictioas even though you do aot have a licease. You must grovide direat
�aasit� sup�rvisioa of the CO�StZ't1Ct1821 ycurself. You m�,y'build or improve a
ioue-family or two-family res3.dence or a farm outbuildiag. Yau may alsa build
!ar imgrcve a eommesc3a2 buildiag, provic��d gour costs do act escceed $75,OQ0.
1'he buildin.g os resideace muat be .for your owa use ar occupanay. Tt m�y ao�
be built or sub�taa.�Gially improved for sale or leas�. I� you se11. or lease a
buildiag you have hruilt or substantially improved yaurself withia 1 year aEter
�he caastructioa ie complete, the law will preeume �hat you built ar
substaatially imgraved 3.f for sale or lease, which is a v3ala�ioa of this
��.acemptioa. You may aot ]�ire aa uszliceaeed persau ta act as your caatractor or
ta supervise people workiag oa your buildiag. St is your respons3bility ta
sn�.ke suse that people empioyed by you have licenaes requixed by state law aad
�y covaty ox muinicipal liceasiag ordiaances. You may aot delegate the
esposasibility far supervisiag work to a licensed eontractor t,rha is nc�
licen�ed to perform the work beiag done. Aay persoa working on your buildiag
�ho ia aot liceased must work uader your dixect supervis3on aad must be
loyed by you, wh3.ch meaas that you must deduat F.x.C.A. aad wit�aholdiag �ax
in.d provide wor]cers' compensation for �hat employee, all ae parescr3bed by law.
' our constzuctioa must camply with a31 app3ieab2e Iaws, ardinas�ces, bu3lding
�cdes, and zoaiag regulatioas.
OWNER'8 SIGNATURE � � DA2'E J`/ "'"�
'��x�ss � � �� >� s' . 3.�5�.,�
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I City of Zephyrhills
I BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: � �,�e�f�
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Date Rec I ived: f/ / (p�/(p
Site: c��Sql� �rd Av�
Permit T I e: ,
Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑
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<f � �C,c. �r c� � �`L' C' � �3� � .��
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This comment sheet shall be kept with the pernut and/or plans.
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� K vin '' —Plans Examiner Date Con tor and/or Homeo
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(Required when comments aze present)
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