HomeMy WebLinkAbout16-18010 CITY OF ZEPHYRHILLS
5335-8TH STREET
• (813)780-0020 18010
BUILDING PERMIT �'�
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18010 Address: 6433 LAURELWOOD DR
Permit Type: SLAB PERMIT ZEPHYRHILLS, FL.
Class of Work: SLAB Township: Range: Book:
Propos�d Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-0270
ImproL. Cost: 1,950.00 OWNER INFORMATION
Date�ssued: 12/16/2016 Name: TAYLOR, DEBORAH
Tot I Fees: 67.50 Address: 1808 ADDISON CT
Amo�nt Paid: 67.50 FREDERICK MD 21701-9403
Da,e Paid: 12/16/2016 Phone: 240-447-2857
Worjk Desc: CONCRETE BLOCK WALL W/ CONCRETE SLAB 324 SF X 96
I CONTRACTOR S APPLICATION FEES
KEITH �EEVES CONSTRUCTION INC BUILDING FEE 67.50
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� Ins ections Re uired
F OTER I
SLAB i�
FINAL
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REINSt?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 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.
"War� ing 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."
Complete 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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C N RACTOR 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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BEARIN�S BASED ON THE CENTERLINE OF LAURELWOOD DRIVE, JOB NO.01627
SAID LI _ BEARS S 00°47'32"W_ASSUMED. DATE: 11-13-2001
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LINE DATA �C�J 1 p �j� /�
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IN CONCRETE N�'�Py �� �j�/•
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� �9Z'p0��% l�� RADIUS 140.00'
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SHEET 1 F 2. SURVEY NOT VALID WITHOUT SHEET 2 OF�2. BOUNDARY SURVEY
LEGAL D�SCRIPTION
A SURVEY F lAT 27B,OF TF�PLAT OF SILVIIt OAKS PHASE ONE,
AS RECORD I D W PLAT BOOK 26,PAGES 46�9,OF TI-IE PUBLIC RECORDS OF Pasrn m�mrrv �nume
� $��-�$�-ao2� City af Zephyrhills Permit Applicatian Fax$'f3-780-0021
:. Building Department
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Qate Received Phane Contact far Permitting —
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Owner's Nam �. � Owner Phone Number
Owner's Addr ss �� � � Owner Phane Number �^, �
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Fee Simple Ti ehotder Name �,����'��V�, (,G�-r.�� � Owner Phane Number � �
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Fee Simple Ti ileholder Address � � d '� `
JOB ADDRES� LOT#
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su�aiv�siorr 11��"�t� � a�cec.�a� C',�J �G��`� G�l 2� --Ck�—���
(OBTAItdED FRpM PROPERTY TAX NOTICE)
WORK PROP I�S8D NEW CONSTEt ADDIAl.T 0 SIGN Q Q DEMOI.lSH
� INSTALL ,8 �REPAIR
PROPt?SED SE Q SFR �J CC7MM 0 OTHER �
TYPE'OF CO STRUCTiON Q BLOCK � Q FRAME [� STEEL [�
DESGRIPTIO OF WORK 4 7�+ ��� ��'
BUiCDING&1 IE �— � S4 FOOTAGE �� HEIGHT Z� I�
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�8�� d��� � C t� ,. r VAIUATtON QF TOTAL CQNSTRUGTlON
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DEL CTRIGAI $ A�t1iP SERVICE � PRpGRE3S ENEFtGY Q W.R.E.C.
QPL�MBtNG $
�ME�HANICAL $ VALUATlQN OF NiECHAMCAL 1NSTALlATtQN �%�`�
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�GA Q ROOFtNG � SPEClAI.TY 0 QTNER
FINISHED FLi OR ELEVATIONS �� FLOOD ZONE AREA �]YES NO �� �(>�� ���Q
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BUILDER COiVIPAt�]Y ."'Gttl����� d`�+�
SIGNATURE '�^ REGISTERED Y/ N FEE CURRE� Y/N
Address� _License.# �a-+1���--��"2{[�'O �
ELEGTR[C[ COMPAt+]Y
SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
, Address - Cicense# �' ¢ �
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PLUMBER. COlVIPANY
SIGNATURE REGIS7ERED Y•/ N- FEE CURRE� Y/N
. Address � ' _ �"License# � ��
NIEGN`1'4NiGAl. � C4MPANY
SIGNA7URE REGISTERED Y/ N FEE CURRE� ��Y/N
Adifress - � " L•icense.# � �
OTHEE2� " COMPANY
SIGNATURE:� - RE�I5TEREo Y/.N FEE CURRE�' ,. Y/N
Address < < < �icense# � �
.."`ItES1DENT! � Attacti{2),Plof P_}ans;'{2)"sets of Build`ing�PEans,'{4)'seE ofEnergy For`ni's;'R-0-W Permit.for new construcc�on, .
, . 4 Minimum.ten;(10)working:days after'submittai'dafe. Required bnsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary;Eacilities.&.1,dumpster;5ite:Work Permitfor�subdi`visions/large:projects•� -
COMMERCI Attaoh-{2)`comptete'seEs of Building Pla�s ptus a[:ife Safety Page;{1}set af Energy Farms.R-O-W Permit far new construction.
Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.5ite Work Permit forall new projects.AIt commercia!requiremenis must meet eompliance �
` SIGN PERMI AttacFi{2}sefs of,Eng�neererJ Plans.
� I •"•*PROPERTY SURVEY required for.aII.NEW canstruction.
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, ,Directiorts: ,. ,._.- � • ,
Fill out a�plicatian completely.
Owner&f�°ntractar sign back.of application,notarized
tf over$2500;a Natice of Cammencement is required. {A/C upgrades over$75d0}
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"" Agent(f6I th'e contractor)arPower of Attomey(for the owner)wauld be someone with notarized letter from owner authorizing same
OVER THE C�UNTER PERMtT'CtNG (copy of contract required), _, .
`:Reroofs if shi� les Sewers Service Upgrades NC, 'Fences(PIoUSurvey/Footage)
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Drivewa's-iVotover Counter if.on pubGc roadways..neeci's�ROW,�' .,�` '
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NOTtCE OF DEED RESTRICTIONS: The undersigned understands that.this.permit may be subject,to"deed° restrictians"_ ',
which may.be more-restrictive than County regulations: •The�:undersigned=assurries�responsibility�for compliance with ariy"`
applieable deed restrietions. • � -� � `
UNLICENSED�CONTRACTORS AND CONTRACTOR RESPCINSlBIL17'IES: If the�owner has�hired a-cantractor. ar
contractors to undertake work, they may be required to be licensed i� acco�dance with state.and lacal�r,egulations: If.#he��-= .
contractor is nat licensed as required by law, botFi the owner and cont�actor rriay��tie cited=forra-misdemeanor vialation
under state law. lf the awner or intended contractor are uncertain as to,what licensing requirements.�may�appiy forthe�='�
intencled work, they are advised to cantact the Pasco County Building tnspection�Divisian=Licerising Section at 727-$47- `
8009. Fur#herrz�ore, if the owner has hired'�a contractor or cantractars, he is advised to have the contractar{s),sign _;
portions of the "cantractor Block" of this application for which they wil! be responsible. _!f you, as ttie`,owrier'sign as�'ttie ,
contractor., that may be an indication that he is not properly licensed and is not entitled�to permitting privileges in,Pasca ,
County. _ . _ • t - , .
TRANSPORTATION IMPACTIUTtLITiES IMPACT AND RESt�URCE RECOVERY FEES: The undersigned understands �
that Transportation Impact Fees and Recourse Recovery Fees may apply to the canst�uction of:new buildings, ciiange�af` �X
use in existing buildRngs, or expansion af existing buildings, as specified in Pasca County Ordinance number 89-07 ancS
90-07, as amended. The undersigned also understands, that such.fees, as may�b.e_due, wil!"fie ide�tified at the time of �
permitting. It is further understood that Transporkatian Impact Fees and Resaurce Recovery. Fees must be paid prior to
receiving a "certificate of occupancy" or fina( power release. lf thesproject does not involve a certificate of occupancy+or� -�
finai power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateclSewer-Impact �
fees are due,they must be paid priar to permit issuance in accardance with applicable Pasca Caurtty ardinances.
GONSTRUCTIQN L-IEN LAW(Ghapter 713; Elarida Statutes,as amended): If valuation of work is$2,500.00 or mare, 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 Gonsumer Affairs. If the applicant�is someone ,.
other than the`"owner", I cerkify that 1 have obtained a capy of the abave described document and promise-in good faitli to
deliver it to the"awner"prior to commencement.
CONTRACTOR'StOWNER'S AFFtDAViT: I certify-that ail#he information in#his application is accurate and tha#ali work
will be done in compNance with a!I applicable laws regulating construction, zoning and land-devetopment. Applicatian is
hereby made to obtain a permit to do work and installation as-indicated. ! certify that no wark or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards af all laws regulating
construction, County and City codes, zoning regulations, and land development regulations irr.the jurisdiction. I also
certify that 1 understand that the regulations of other government agencies may apply to the intended work, and that it is �
my respansibilit}r ta identify what actians i must take to be in campliance. Such agencies include but are nof limited to: ,
- Department of Environmental Pratection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterNVastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
=� . � Army Corps af Engineers•Seawalls, Docks, Navigabie Waterways.
� ` � ' - Department af Health & Rehabilitative Services/Environmentaf Health Unit-Weits, Wastewater Treatment,
Septic Tanks. -
- US Environmenta!Protection,Agency-Asbestos abatement. , -. .� - ,
- Federal Avia#ion Autharity-Runways. ,��'' . �
� understand that�the fo�lowing restric#ions apply to the use of fill:
- Use�of fill is not ailowed in Flaod Zane"V" unless expressly permitted.
- ff the fill material is to be used in Fload Zone "A", it is unders#oad that a drainage pfan addressing a
"compensating votume" wil! be submitted at time of permitting which is prepared by a professianai engineer
licensed by the State of Flarida.
- If the fill material is ta be used in Flood Zone "A" in connection with a permitted building using stem wall
constructian, 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, t certify tha# use af such�fill will not adverseiy affect adjacent
properties, tf use of fiil is faund to adverse(y affect adjacent properties, the owner may be cited far violating
the conditions of ttte building permit issued under the attached perrrtit applicatian, far lots less than one ('t) ,
acre which are elevated by fill, an enginsered drainage plan is requi�ed. �
If I am the AGENT FOR THE OWNER, I promise in good faith to infarm the owner of the permitting conditians set for#h in '
this affidavit priar to cammencing construction. I understand that a separate permit may be required for electrical work, ..
plumbing, signs, wells, pools, air conditioning, gas, ar other installations not specifically included in #he app(icatian. A
permit issued shail be canstrued ta be a license fo proceed with the wark and nat as authority to violate, cancel, alter, or �
set aside any provisions af the technical codes, nor shall issuance af a permit prevent the Building {)fficiaf from thereafter
requiring a correction of errors in plans, construation ar vfolations of any codes. Every permit issued shall become invalid
unless the work autharized by such permit is commenced within six months of permit issuance, or If work authorized by
the permit is suspended or abandaned far a period..of six(6) manths after the time the work is commenced. An extension
may be requested, in writing, from the Buiidirig Officiat for a period not to exceed•ninety (90) days and wiil demonstrate
justifiable cause for the extension. !f work ceases far ninety(90}consecutive days,#he job is considered abandoned,
WARNlNG TO OWNER. YOUR FAILURE TO RECORD A NOTlCE C?F GOMMENCEMENT MAY RESULT !N YOUR .
PAYING TVNICE FOR IMPROVEMENTS TO YOUR PROPERTY.�IF YOU;INTEND TO OBTAIN FINANCING;CONSULT
- W11'H-YOUR iL-EtdDEEt-�!2/�M-aITT'Ol2IVEX-BEFORE.I2EGCIRDING.YOU_ :IVOTIC OF OMMENCEMENT. __ _
FLORiDA JtlRAT{F.S.117.03}
OWNER OR AGEN? CONTRACTOR ' �
Subscribed and swom to{or affirmed}before me this ubscribed nd sw o jo ti }b fare e this
Who is/are personally known to me ar has/have produced ' Wha Is/ar p rso ally knovm to�o�r�h�produced "
as iden6ficatian. ry�(. ��c5 Lt tl!.z-g'=— as identificat�on.
Natary Public ""��" Notary Publlc
Commissian Na. m' ion N .
.��ti�"��t%''•,, JACQUEL
Name of Notary fyped,printed or stamped Name of No �: d��+ tt�tl'►tis��tiq�p�22
' ,y •ti: Expires Deasmber 12,2Q18
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