HomeMy WebLinkAbout16-18011 CITY OF ZEPHYRHILLS
5335-8TH STREET
`� (813)780-0020 180
�UILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
' Permit N'umber: 18011 Address: 6431 LAURELWOOD DR �
Permft Type: SLAB PERMIT ZEPHYRHILLS, FL. I
Class of Work: SLAB Township: Range: Book:
Pro os�d Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est� Value: Parcel Number: 03-26-21-0120-00000-0272
Improv. Cost: 1,950.00 OWNER INFORMATION
Date Mssued: 12/16/2016 Name: WILMOT BARBARA ANN
Total Fees: 67.50 Address: 6431 LAURELWOOD DR
Amo�nt Paid: 67.50 ZEPHYRHILLS FL 33542-4870
Da e Paid: 12/16/2016 Phone: 813-997-4530
Wor,,k Desc: CONCRETE BLOCK WALL W/ CONCRETE SLAB 324 SF X 96
I CONTRACTO.R 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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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
first reinspection,whichever is greater,for each such subsequent reinspection.
' NOTlCE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may b i 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
imprmvements 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 pertormed in accordance with
I City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
; NO OCCUPANCY BEFORE C.O.
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C NTRACT 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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813-7I 0-0020 City of Zephyrhills Permit Application Fax-813-780-0021
: Building Department
Date Received'I� Phone Contact far Permitting —
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Owner's Name' �( ! �.� � Owner Phone Number ,_ ,_
Owner's Addre s �9 �Q� �d� Owner Phone Number � �
Fee Simple Tit eholder Name ���..�c/ f'�� (it 2/ _.1��'�_-��� Owner Phane Number �— �
Fee Simple Tit,eholder Address � � �
JOB ADDRES( LOT� �
SUBDIVtS10N �� V ���'��� PARCEL ID#� �'`C� '�`�l�'�•�''� �v�� ,
(OBTAlNED FROM PROPERTY TAX NOTIGEp _ .
WORK PROP�SED � NEW CQNSTR 8 ADDlALT � SIGN Q [� DEMOLISN
INSTALL •REPAIR
PROBOSED U+ E Q SFR . Q COMM � OTHER
TYPE'OF GONSTRUCTION Q BLOCK - Q FRAME C� STEEL Q
DESCi21PT10 OF WQRK Cs� � �"(,/�Z�J < GJ�=t�-- G"''�'l�
BUIlLi1NG S! � � SQ FOQTAGE C� HEIGNi' E�_�{�
�9U!�DING �9i ���^��� r�"�"' VALUATIQN'OF TOTAL CONSTRt7CTtON
L ► � ��,�__I
QELEI TRICAL . (9> � AMP SERVlCE [� PROGRESS ENERGY Q W.R.E.C.
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QPLU BING (8i �
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OME� HANICAL $ VALUATION OF MECHANICAL INSTALLATION ��`'� �
Q,GA, Q ROOFING [� SPECIAL7Y Q OTHER
FINISHED FL��OR ELEVATIQNS FLOOD ZONE AREA QYES NO � }�� �� ��
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BUELDER i /'�� ��/"' C4MPANY ( `�li�Li�3 d/�
SIGNATURE �'' �K1��` REGISTERED / FEE CURREA Y 1'N ,
Address License.# ����� �
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ELEGTRICI CQM RANY
SIGNA7URE REGISTERED Y! N FEEGURREA Y!N
� Address l:icense# � 8 ��
PLUMBER. CQMPANY
SIGNATURE � REGISTERED Y'/ N ' FEE CURREA ' Y J N
. Address ' ' License#��` ^'�
MECHANlC COiVlPA�+1Y
SICaMATURE � REGISTERED Y/.N FEE GURRE�+ ' Y/N
Aid��essE ` License# � i��
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OTHER� `"', . � COM,FAPfY
SIGNAT,URE�: - � REGISTERED . Y/.N,. FEE GURREA' . Y.(N
Address . � ' • [.icense# � �
; RE3IDENTIAI�'� Attach(2�.PIot Rlans;'{2).se#s of�Building-Plans,{1)'set of Energy For�ns;R-U-W,Permit for new.construction,
� Minimum.,ten;(10}irvorking,days aftersubrriittal:da#e. Required onsite;Constrvction Plans,.Stormuvater Plans w!Silt Fenoe instaAed,
� Sanita Facitities.&1�.dum ster,Site Work Permit for.subdivisions/1a e ro ects �
,rY;. . P. .� r9 P 1
�COMMERCIA Attach-(2)`complefe sets of Builiiirig Plans pttas-a,Life Safety Page;{1)set af Energy Fartns.R-O-W Permit for new canstruction.
Minimum ten(10)working day,s after submittal date. Required onsite,Conskruction Plans,Stormwater Plans w!Silt Fence instailed,
- . ( Sanitary Facilities&�1;dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance
. SlGN,PERMlT Attach(2j seis of.Engineer.eiiPians. ,
,I ""**PROPERTY SURVEY required'for.�_aII.NEW,construction'�'
QIf@Ct141iS.. � . -. ti - . ,
- Fill.out a�i plication completely. ,
� Owner B�jiContractor sign back of application,notarized
{f over$2500,a Natice of CammeocemeM is required. ,(AJC upgrades over$7500}
� *' Agent{f� fhe`contractoc):or.=Power of Attorney(for`the.owner)�virould be sorrieone wi#h natarized letter from awner authorizing same
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:`:OVER THE C ,UNTER,PERM117(NG; ;�,,�.�(copy of:contract�equiirecl} - .
'Reroofs if shi� !es Sewers, :� �Service;Upgracles t1(G�''; �Fences(PiotJSun+eylFoatage}
drivewa s-Not over Counter�if on publia ra�dway's..needs�ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands.that this permit may be subject to"deed" restrictions",: „�
which may be more.restrictive than Caunty regulatians: The�.undersigned;assumes�espansibility for compiiance witfi any' "
applicable deed restriciions. ,- . :
UNLICENSED CONTRACTORS AND CONTRACTO►R RESPt?NSlBtLiTlES: If th�-owner��has-�hired-�a-�con#ractor or
contractors to undertake work, they may be required to be lioensed in accordance with state and locat�r.egulations:=1f the:°�
contractor.is not iicensed as required by�law, both`the owner and cantractor rriay�-6e cite�l�for�.a misder»eanor violation
under state law. (f the owner or intended contrac#or are uncertain as ta what licensing`:�requirements:�may�apply"for-ttie��"
intended wark, they are advised to cori#act the Pasco County Buiiding Inspection�Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractars, .he�is advised to �have the contracfor(s) sign „
portions of the "contractor Block° of this application forr inrhich they will be responsible. If you, as fF`te owner"sigr► as'tFie �!
contractor, that may be an�indication ttiat he is not praperly licensed and is not entitled�fo perm'itting pr'i'vileges in Pasco
County. _ ,. � � .:
TRANSPORTATtON IMPACTIUTtUT1ES tMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpo�tatian lmpact Fees and Recourse Recovery Fees may,apply to fhe construction of new buildings, change.'-of�'�� �
use in existing buildings, or expansian of existing buiidings, as specified in Pasco Caunty tJrdinance number 89-07 and �
90-07, as amended. The undersigned also understands, that such fees, as may-b.e.due, wiEt t�e identified a#�:tiie-tirrie�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�ar: - -
final pawer re(ease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sew.er Impact�� '
fees are due,they must be paid prior to permit issuance in accordance with applicabie Pasco Caunty ardinances.
CQNSTRUCTIQN UEN LAW(Chapter 793,,Florida Statutes,as amended}; tf valuat+on af wark is$2,500.00.or more,,I .�,
certify that I, the °appiicant,' have been provided �with a copy of the °Ftorida Construetion I�ien .Law—Nameawner's �
Protection Guide° prepared by the Florida Department of Agriculture and Gonsumer Affairs. If the applicant�is someone_
other than #he"owner", I certify that I have abtained a copy of the above described document and promise in good"�faith to
deliver it to#he°owner�prior to commencement. �
CONTRACTOR'S/OWNER'S AFFtDAVIT: t certify#ha#all the information in this application is aecura#e and"that all work
will be done irt compliance with al1 appiicable laws reguta#ing construction, zoning and land deveiapment. Application is
hereby made to obtain a pe�mit to da work and installation as indlcated. i certify that no wark or.instaNation has
commenced prior to issuance of a perm'it and that a!I work will be performed to rneet standards af all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdictian. I also
certify that I understand that the regulations of other gavernment agencies may apply to the intended work, and that it is
my responsibiii#y to identify what actions I must take ta be in campliance. Such agencies include but are not_timited to: ,
- Department of Environmental Protection-Cypress 8ayheads, Wetland Areas and Environmeritally Sensitive
Lands,WaterMfastew�ter Treatment.
- Southwest Florida Water Managemen# District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmentat Health Unit-Wells, Wastewater Treatment,
Septic Tanks. �
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- US,Environmental Protection Agency-Asbestos abatement. � •
- Federal Aviation Authority-Runways. ' _ .- t`
I understand that�the following restric#ions apply to the use of�ll:
- Use of fill is not allawed in Flood Zone"V" unless expressly permitted.
- If. the 'fill material is to be used in Fiood Zone "A"', it is understood that a drainage plan addressing a
"compensating volume" witl be submitted at time af permitting which is prepared by a professional engineer -
licensed by the State of Florida.
- If the fill material is to be used in Flaod 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 fi11 materiai is ta be used in any area, I certify that use of such-fill will nat adversely affect adjacent
properties. If use of fill is found to adverseiy affect adjacent properties, the owner may be cited for violating ,
the conditions of the building permit issued under the at#ached permit application, for lots less than one (�} �
acre which are elevated by fill, an engineered drainage plan is required. �;
If I am the AGENT FOR 7HE OWNER, ! promise in goad faith to inform the awner of the permitting conditions set forth in 't
this affidavit priar to commencing construction. I understand that a separate permit may be required for electrical work, `
plumbing, signs, weils, pools, air conditioning, gas,_or other installations not specifically included in #he applicatian. A ,.
permit issued shall be canstrued ta be a license to proceed with the work and nat as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor sha11 issuance of a permit prevent the 8uiiding C7fFcial from #hereafter
requiring a correction of errors in plans, construction or violatians of any codes. Every permit issued shali become invalid �
unless the work authorized by such permit is commenced within six months of permit issuance, ar if work authorized by ,
the permit is suspended ar abandoned for a period-.of six (6)'months after the time the work is commenced. An extension
may be requested, in wri#ing, from the Buildirig Official for a periad no# to exceed-ninety (90) days and will demonstrate
justifiable cause for the extensian. tf wark ceases far ninety(90}consecutive days,the jab is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TC? RECORD A NOTICE t?E CClMMENCEMENT MAY RESUL.T iN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YO.l1R PROPERTY. IF YO.U>lNTEND-TO OBTAlN FINQNCING C�NSULT_
WITH-YOtdR'LER(DER OR AN AT-T�i2NEY-�EFORE'RECORDING�I(OU NOTICE OP MMENCEMENT.
F�OR[DA dURAT(F.S.117.d3)
OWNER OR AGENT CONTRACTOR ��`"m`��
Subscribed and swam to(or affirtned}before me ffiis Subscribed and s am (or ed} ��
by L 2—/lr��+ by E
Who is/are personally known to me or has/have produced ' Who are r onall kno to me or has/have produced
as identifica�on. � ,����_as identification.
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Notary Public � No#ary Public
,,Ao;:*:ls�c,, JAGQU I $4GES '
Gommission No. � Co mis on N .
;;;�, .�a; Expires December 12,2018
Name of Notary typed,prinfed or stamped Name of Notary typ ,
BEARI��GS BASED ON THE CENTERLINE OF LAURELWOOD DRiVE, JOB NO.01627
�AID LI�, _ BEARS S 00°47'32"W. ASSUMED. DATE: I 1-13-2001
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, �9`L�Od��/ `l�� RADIUS 140.U0'
� 19�j�p,�y p�Q� ARC 34.62'
/ �/' DEITA 14°70'06"
r �� CHORD 34.53'(CALC) 34 q9'(M)
r�J CB N 27°16'15"E(M}
N 25'39'37"E(CALC)
SHEET 1 F 2. SURVEY NOT VALID WITHOUT SHEET 2 OF-2. BOUNDARY SURVEY
LEGAL D �SCRIPTION
A SURVEY O LOT 27B,OF 7'HE PLAT OF SILVER OAKS PHASE ONE,
AS RECORD I D IN PLAT BOOK 26,PAGES 46-49.OF THE PUBLIC RF.CORnS nF PAS(`n['n��u�rv �nume