HomeMy WebLinkAbout17-18083 I! ��
Ii CITY OF ZEPHYRHILLS �
5335-8TH STREET
,. � (813)78o-oozo 18083
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18083 Address: 3838 QUAKER RIDGE ST LT 129
Perrrvit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: -
Propos�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�;e Feet: Subdivision: MAJESTIC OAKS
Es� Value: Parcel Number: 24-26-21-0030-00000-1210
Improv. Cost: 2,000.00 OWNER INFORMATION
Datellssued: 1/18/2017 Name: NHC-FL115 LLC
Tot'al Fees: 67.50 Address: 6991 E CAMELBACK RD STE B310
Amo�nt Paid: 67.50 SCOTTSDALE AZ 85251-2493
D�ite Paid: 1/18/2017 Phone: 813-395-8795
Wo�k Desc: INSTALL SUN SHADE 12 X 16 FT
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 67.50
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Ins ections Re uired �
FOOTER I 2ND ROUGH PL MB MISC NSULATION CEILIN
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH E�ECTRIC LINTEL MISC MISC.
1ST ROUC�H PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRIYCTION POLE FRAME MISC. MISC.
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
II 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 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
improvements to your properly. 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
�� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
I � NO OCCUPANCY BEFORE C.O.
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'CONTRACTOR SIGNATURE PERMIT OFFI R I
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 CONIMENTS
Contractor/Homeowner: �� (Z���� �/ �C d C�
Date Received: / // a�/�- �
� Site: $ /- �'
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Permit Type: S(� Sh�(�,e
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�� Approved w/no comments:❑ Approved w/the below comments:� Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans. �
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Kalvin Switzer— 1 � aminer Date Contrac or and/or Homeowner
(Required when comments are present)
a�3-78aoa2o City of Zephyrhills Permit Application Fa�c-813-784-Q021
i • Building Department
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Date Recelved� � phane Contact for Permitting � � —
Owner's Nam� � � ,U /� Owner Phane Number 7�a
Owner's Address �. �� '1 � " Owner Phone Number � �
Fee Simple Ti�lefiolder Ftame Owner Phone Number �— �
Fee Simpte Ti tehoider Address
J08 ADDI2ES � ' � S �D�� lOT# C�
SUBDIVISION � � PARCEL ID# �''2Y� '' �/�' ����^t.v���^t ZI {�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP�SED e NEW CONSTR 8 ADDlAl.T � SlGN Q Q DEMO�ISH
INSTALL REPAIR
� PROPOSED SE Q SFR Q CQMM � QTNER
TYPE'OF CO STRUGTION [� BLOCK • [� FRAME � STEEL [�
DESCRiPT10N 8F WQRK J`t � � T� f{P �
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BUI�DING SIZE -d A I� �` SQ FOOTAGE _� °�` HEEGHT �— �
BUI I DING � ��...��� VALl3RT10N OF TOTAE.CONSTRtJGTlON
.,,..... '�
QEL CTRICAL ($ — � AN1P SERVICE Q PROGRESS EIVEF2GY Q W.R.E.C.
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QPL MBING (�>� �
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�]ME�HANlCAL $ VRLUATlON OF MECHANlCAL iNSTALLRTiQN �'
QGAS Q ROOFING Q SPECIALTY � QTHER
FINISHED FLQOR ELEVATIONS FLOOD ZQNE AREA QYES NO
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BUELDER �� ��� CONIPAFlY (
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
ELECTRICI COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� Address Ciaense# �^ y �
PLUNIBER: CONlPANY
S(GNATURE REGIS7ERED Y/ N FEE CURRE� Y I N
. Address - License# �— �
� MECHANiCAI. � COMPANY
SIGNATURE REGISTERED , Y/,N FEE CURRE�. Y/N
Add�e`ss ` � " License.# � _��
QTHER �pMppNy �
SIGNATURE=. ' REGISTERED Y/.N- FEE CURRE�' Y./N
Address = - - - License# � �
-.� : "
� `.RESIDENTlAi�;�- RtEach-(2)PIQt P.lans;:{2}-sefs o#Buitdirig=Plans;"{1}`set`of Energy'Fdrms;R-Q-W.Pe�(TtI�.fOF f18W COt1SfTUCfIO(1,
�. � Minimum.ten;(10}woricing,iiays after'sufirriittat�date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed, ,
� Sanita.ry-Faailities:&<,t.dumpster;Site Work Permit for:subdivisions/large projects . � ' -
,;..COMMERC►AL Attach`(2}complefe sets cif Buitdirig Plans ptus a LiEe Safety Page;{1}se#of Energy Fotms.R-O-W Petmit fbr new construction.
Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, �,
Sanitary Faailities&1 dumpster.Site Work.Permit fo�all new proJects.All commerciat requirements must meet compliance i
;�y StGN P�RMIT i4ttacti(2}sets af;Eng�neered Ptans. '�,
*'**PROPERTY SURVEY required for all NEW.canstructian.
Directions: ;_ -�-= , ,
FilP.out a�plication completely. �
Owner&(,Contractor sign.back of application,notadzed ,
lf over$2540;a Natice af Cammencement!s reqaired. {A!C upgrades over$7500)
*' Agent(fo��'th'e contractor)or Powerof Attomey(for'the owner)would be someone with natarized letter from owner authorizing same
';,OVER TME C�1UNi'ER,FERM17?IHG {copy af cantract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIaUSurvey/Footage) ,
Drivewa� Not over Counter if on public roadways..needs ROW - ..,a..�-. 4:F'w+'��SRM:✓a�=eN �•- -� — ' \
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NOTICE OF DEED RESTRICTIONS: 7he'undersigned understands.that this.permit may be subject ta"deed" resfrictions" �T�
'� which may_be,more�restrictive#har�County, regulations. The�_undersignei3 assuri�es�responsitiil�ty`for corripliance with arty�';°�
applicable deed"restrictions. � , � °. : • � . ; . . �
UNLICENSED CONTRAGTORS AND GONTRAC70R RESP4N�IBILlTIES�� Ef�the owner has fiired'-a� contractar or ^
contractars�ta undertake work,,#hey may be re.quired to be iicensed in accardance with.state and local:regulations: =lf-the��.
contractor-is not licensed as required by law, both the awner and Icontractor�may��be cited for�.a misdemeanor violation `
under sfate law. If the owner or intended'contrac#or are uncertain as to what ticensing requireriients::may:appfy}far:�the� "°
intended work, they are advised to contact the Pasco County Buildi�g Inspection DiVision=Licensing Sectian at ?27-847-
80Q9. Fur#hermore, if the owner has hired' a contractor or cantractars; he is advised to ;have the contractor(s}, sign ;
portions of the "con#ractor 81ock" of this applicatian for which.they�vill be responsible. If you, as tlie ovirner sigri as'tfie �
cantractor, that may be an indication that !ie is not properly license�d and is not entitled'#o permitting�privileges in Pasco "
Caunty. _ ` ' .. , ' '�--
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transporkation Impact Fees and Recourse Recovery Fees may4apply ta the constructiart of new buildings, change'of� '" '
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such�fees, as�may be due, will 6e identified at ttie time-of `
permiiting. It is further understaod that Transportation tmpact Fees�i and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" ar final power retease. If the praject does not involve a certificate of accupancy..or,.: �
final power release, the fees must be paid prior to permit issuance.� Furthermore, if Pasco Gaunty Waterl,Sewer�lmpact. -
fees are due, they must be paid prior ta permit issuance in accordanae with applicable Pasco Caunty ardinances.�
CQNSTRUCTtON LlEN LAW(Chapter 793, Plorida Statu#es,as ai�encled}:, If valuation of work is$2,500.00�or rrioce,ai.� ,.
certify that I, the applicant, have been pravided with a copy of �the "F'landa Construction Lien Law—Homeowner's�
Protection Guide" prepared by the Flarida Department of Agriculture and Cansumer Affairs. •!f the appficant is someone_
other than the"awner�, I,certify that 1 have obtained a copy of the above descri6ed docurnent and promise�in good faith to
deliver it to the"owner" prior to commencemerit. - '
C�NTRACTOR'S1C?WNER'S A�FIDAVIT: 1 certif.y that aH the information in this applicat�on is accurate and�that alt 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 wofk and installation as inclicated. ! certify that no work or installatio� has
commenced prior ta issuance of a permit and tha# all wark will be �performed ta meet standards of all laws regulating
canstruction, County and City codes, zoning regulations, and land development regulations in�the jurisdiction. I also
cerEify that 1 unaerstand #hat fhe regula#ions of at#�er gavernment agenc�es may app�y to the in#ended wark, and thaf it is
my respansibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: , •
- Department af Environmental Pr.otection-Cypress Bayhe" ds, Wetland Areas and Environmentally Sens9tive
Lands,Water/Wastewate�Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Carps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitafive Services/Environ�mentai Health Unit V1lells, Wastewater Treatmen#,
Septic Tanks.
- US Environmenta!Protection Agency-Asbestos abatemen . , � � .
Federal Aviatian Au#hority-Runways. 1
1 understand that�the following restrictions apply to the use of fill:
- Use of fill is not allawed in �lood Zone uV"unless expressly permitted.
- If the fill materiaf is to be used in Flaod Zone "A", it is understoad that a drainage plan addressing a
"compensating vaEume" will be subrr�itted at time of permifting which is prepared by a professional engineer
�icensed by the State of Florida. '
- lf the fill material is ta be used in Flood Zone °A" in co`nection with a permitted building using stem wall
construction, 1 certify that filt will be used only#a fill the are�within the stem wail.
- If fill material is to be used in -any area, I certify that use of such �ll will not adversely affect adjacent
properkies. If use of fll is found ta adversely affec#�adjacent properties, fhe owner may be cited far violating
the conditions af the building per�mit issued under the attached permit application, for lots less than one (1) ;
acre which are elevated by fill, an engineered drainage plan is required. �;
If I am the AGENT FOR THE OWNER, i promise in good faith ta inform the owner af the permifting canditions set forth in
this affidavit prior to commencing constructian. 1 understand that a separate permit may be required for electrical work, �,�
plumbing, signs, wells, poats, air car�ditianing, gas, or ather instailations not specifically included in fhe applica�ion. A '
permit issued shall be construed #o be a license to proceed with the work and not as authority to violate, cancel, alter, or .
set aside any provisions of the technicaf codes, nar shall issuance of a permit prevent the Building Qfficial from #hereafter
requiring a correction of errors 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
Ehe permit is suspended or abandoned far a period-of six(6}manffis after the time#he work is commenced. An extensian -
may be requested, in�writing, from the Buildirig Official for a period.nat to exceed•ninety (90) days and will demonstrate�
justifable cause for the e�ension. 1f wo�rk ceases fbr ninety{90}cansecutive days,the job is considered abandoned. �
WARNING TC? OWNER: YOUR FAILURE TO RECORD A NOTICE iOF COMMENGEMENT MAY RESUl.T !N YOUR
PAYING TWICE FOR iMPROVEMENTS TO YOUR.PRORERTY. tF YOU�INTEND=TO OBTAIN FINANCING, CCINSULT
WITH YOUR L'END�R OR AN ATTORNEY BEFORE_REC�R�ING-YC)l1R-ldCDTlCE-OF COMMENCEMEEI1f. -"�" - -� ~ �
- �Fi�<}RIDA JURAT(F.S. 1T 03) � -`
OWNERQRAGENTo�/dA�.�NC� �'S`�' ":1C ' CONTRAGTOR I �)�-![—
Subscr bed and swa{�to(or affi�ed}be e�ne this Subscribed and s�niorn ta{or a�irmed)befare rne thls
�i/ ./ by T7U.�Q.e�,/c� �.�s �O C'.� byl
W a/�1s/aqre onall knpwn to me or has/have praduced , Who islare personally known to me or has/have produced
�K_l��t'� �-[���S Id6T1�fCd�l4tt. ( as iden�ficat(on.
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1���c�� 'G(..6.�..Q.�.� c�ta"ry Public Notary Public
Commisslon Na.�l.f �����..�� Commission Na. !
��,6r'� �ru��e �U �' �
Name of Notary typed,printed or stamped ,' � Name af Notary typed,pr3nted or stamped
��,•4�;p�,"�'���.�DEBRA ELAINE RUFFELL
,-.J. � •c;.Commission#�G 0453�3 -
•����:Fxpires November 7,2020 `
''F°�;;°c' EondedTtwTroyF2lnlnsuranca8Da385�7019
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� , DISCLOSUXE S�ATEMENI' FOR OWNER
� CITY OF ZSPIiXRHILLS Bt3II�DING DSPA1tR'I�N'P
�, ���rc� �� �j��Q� h�ve read aad fully uaderstaad aad
agree to the pravisioas af this iastrumeat.
The �'uadersiga�d states aad affisms that he or she is desirou� o� cons�ructiug,
=eaavatiug,, addiag ta or zerQofzag hxs ox her awa dnmicile, th�t he Qr ehe
act �all.y odcupies, or will occugy by aaid domic3le, sad same a.s aot for
reat, lea�e ar��sale. That he or she sha21 comply with the follawing aoaditioae:
1. � hat the owaer aad he or ahe alone shall aet as the builder far a11 phases of
oastructian.
2. �hat the ovrn�r will comply with a13 g►rovisions of �he City cf Zephyrhills
rdinaaces and codes pertiueat to the bui3.diag.
3. '�hat iaci the eveat various phases of coastruction �re subeoatracted, he will
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�nga�e aaly propexly liceased subcoatractors ax�.d will persaaally supervi�e
�uch work.
4. �Y►at ia the eveat the Suildiag Inspeetar sha21 require correations to be made,
�he owner �ill asszun� fu12 respoasibi2ity to insure they �re ma8e, and upon
completion will call for a reiaspection before prac��ding with the buildiag.
5, Tb,at the owaer �h�ll aseume :Eull seepoasibility far the constructian aad �i.1Z
�ot eacpea� superv3sion of hia work Erom the City of Z+ephyrhilis Suildiag
Departmezit,
b. �hat prior to 7Eiaa1 inspeotioa aay add�itioa2sl feee, i.acluding reitispection
�ees, must be paid ia full. A. writtea request from this affice sha1Z
c�nstitute aa official aotice ta pag additioaal fees.
7. �Jhat the aoraer sha31 comply with a1Z City, 3tate aad Federa3 Iaws ia regard to
s�iocial secuxi.ty, workman's campensatian, Iien laws, etc. , whe�e appli.cable.
$, R�hat the owner sha�Il camply with �I1 the safety codes ieoued by the Florida
I�ndustrisl Commissioa,
9. S�tate lara► sequire� coastructia� to be done b� 13ceased contractors. Yau have
app2ied fcr a permi� uader aa exea►ptioa ta that iaw. The exempt3.oa a.11ows
y°pu, as �he awner of your property, to act as your owra, coatractor with certai�
r�estrici�ions even though you do aat have a license. You mu�t prov3.de dixecti
oasite supervision of the cona�ructsau yourself. You may 'bui2d or imprave a
oae-fam3.ly or taro-family reeidenae or a fasm aui:buildiag. Yau may also bu3.Zd
or improve a eamm�sc3a3. buildiag, provided your coets do aat �xceed $75,000.
The bui2diag ar resid�nce must b� for your owa use or occupaacy. It may aot
be built or substantially improved �or s�le or lesse. Zf you �ell ar lease �
buildiag you have built or substaatially impraved yourself w�.thia 3. year afte=
the constructioa is coaip3ete, the 1�� wi11 psesume that you built or
s�bstantially improved if �or ��le ar l.ease, which ia a violatiaa of thfs
e�temption. You may aot hire aa ualiceased persoa to act as your caatraatox ar ,
to supervise people warkiag oa yaur buiidiag. =t is your respansibila.ty ta
m�ake stare that people empioyed by you have lieeases required by state law aad
b� aou�ty or muaiexpal liceasiag ordin.aaces. You may aot delegate the
respaasibility for �upervi�ing wark to a liaensed coatrac�or mho 3s aot
1�cease8 to perform the work being done. Aay persoa teork3ag on yaur building
w�o is aot lic�as�ed mus� wark wnder your disect soperv3sioa aad mast be
em�ployed by you, whiah meaas that gou mu�t deduct F.I.C.A. aad withhaldiag tax '
and prava.de work.ersr compeasation for that employee, alI as prescribed by law.
Your canstruetiaa muet comply with all applicable 1a�ss, ordinauces, buildingr
co�des, arid zaa3.ng re�ulat3ons. ' . ,
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OWNER�S SIGNATt7RE Q/ ,t� ��_�"„�� ` DATE �!'J /r ""' f �
ADaR8S8�8�c� �L.�R�f� '�t.������' --�--
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