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17-17969
CITY OF ZEPHYRHILLS 5335-8TH STREET .{7 �^y i � �$J.��78�'��2� 1 1��a� BUILDING FERMIT �= PERMIT INFORMATION LOCATION INFORMATION Permit Number: 'f 7969 Address: 37606 GILL.AVE LOT 270 Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL. Township: Range: Book: Proposed Use: MOBILE HOME SUBDIVISIf3N Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est.Value: Parcel Number: 34-25-21-0170-00000-2700 Improv. Cost: 800.00 OWNER INFORMATIQN Date issued: 1110/2017 Name: HC}1NELL, DAVID Total Fees: 60.00 Address: 376p6 GILL AVE Amaunt Paid: 6Q.00 ZEPNYRNILLS, FL. 33542 Date Paid: 1/10/2017 Phane: (813 713-2530 Wark Desc: ENCLQSE CARPQRT INTO GARAGE CONTRACTOR S APPLICATIt�N FEES HCIMEOWNER BUILDING FEE 60.00 � � . �� /� , !-� � Ins ections Re uired F TER 2ND ROU PLU B MI 1NSULATIO CE UNG FOOTER BOND DUCTS INSU�ATED SEWER [t�ISC. ROUGH ELECTRIC LIN7EL MISC MISC. 1ST ROUGH PLUMS PRE-METER INSULATION WALL MlSC. DUCTS INSTALLEt3 WATER M1SC DRNEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTIQN POLE FRAME IVtISC. 11AlSC. REINSPECTxON FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the loca!governmenfi shali impose a fee of four times the amount of the fee impased far the initial inspectian or first reinspection,whichever is greater,far each such subsequent reinspecfiion. NOTICE: In addition to the requirements of this permit� there maybe additional restrictions applicable to this property that may be faund in the public recards of fihis county, and there may 6e additiona( permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Yaur failure to record a notice af commencement may result in yaur paying twice for improvements to your property. If you in#end to abtain financing,consult wifih your lender or an attorr�ey before recording yaur natice of commencement." Complete Plans,Specifications Must Accomp�ny Application.All work shall be pertarmed in accordance with City Codes and Ordirtances. NO OCCUPANCY BEFORE C.O. NO dCCU.PANCY BEFORE C.O. l t �. -�- = , r�I .. '" ' �4�" . CONTRACTOR SIGNATUE�E PERMIT OFFI R PERMIT EXPIR�ES IN f MUNTHS WITH{3UT APPRC?VED INSPECTION CALL FOR INSPECTTON - 8 HOUR NOTICE REQUIRED PR{�TECT CARD FROM INEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � Building Department Date�Recetved � 2J -% —/� Phone Contact for Permitting ��S`,3 i / Owner's Idame �-� / Owner Phone Number �' ' � Owner's Address 9 // -� Owner Phone Number 8� - ��,3 - ��5�'-�d Fee Simple Titleholder Name Owner Phone Number �� . ' Fee Simple Titleholder Address JOB ADDRESS ��(n 6� � � y�c LOT# ��v SUBDIVISION PARCEL ID# 3 � —�.(S�' " �-�- / (� -- C�00 - ? � (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE'OF COfVSTRUCTION Q BLOCK • Q FRAME �] STEEL Q DESCRIPTION OF WORK , G/O /yI / C�/��(�j'7� / l.�C� I �i'�. BUILDING SIZE SQ FOOTAGE� HEIGHT QBUILDING $ 6 �� VALUATIOM OF TOTAL CONSTRUCTION , QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ � l� (a�� � l QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO , , C , 0� BUILDER �-�` COMPANY 0����� SIGNATURE - -'�y�-C REGISTERED Y/ N FEE CURRE� , Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address Cicense# J PLUMBER COMPANY - SIGWATURE REGISTERED Y/ N FEE CURRE� Y/N Address - • ' License#' � MECHi4NICAL � COMPANY � SIGRIATURE REGISTERED -Y/ N FEE CURREI� Y/N Adcl�e'ss � � L•icense#�. .��y, � � ... . ' �i OTHER� '� COMPANY "' SIGNATURE: � REGISTERED Y/.N , FEE CURRE�' Y/N Address _ - � License# ' RESiDENTIAL �- Attacli'(2).Plot Rlans;(2)•sets of Building'Plans;(1)set`of EnergyForrris;R,O-W Permit for new.construction, , ;- , -, Minimum,:ten-(10).working:days after subrriittal�date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&:1�.dumpster,Sife.Work Permit for subd'ivisions/large,projects • COMMERCIAL Attach'�(2)complete sets of Buildirig Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W'Permit for new construction. ' Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.,Site Work Permit fo�al{new projects.All commercial requirements must meet compliance � SIGN PERMIT Attach(2)sets of,Engineered Plans. � ""•*PROPERTY SURVEY required for aII.NEW.construction. , Directions: . , -. - � � Fill out application completely. Owner&Contractor sign.back of application,notarized If over$2500;a Notice of Commencement is required. (A/C upgrades over$7500) �" Agent(for the contractor)-orPower of Attomey(for the owner)would be someone with notarized letter from owner authorizing same ;'UVER THE COUNTER PERMITTING (copy of-contract required) ":Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) :�.i�-A.e-.�..�.'.":s,�,-.. .. :ai��_.-a.�...:�bu4.':.. rrveways-Not over Counter if an public roadways..needs RO.W,. _..:.... , • . � '`�- , .,.,,n. -,:-" .._ ''ti i .�_f:�t' . - .,...:'r'��irii,i j; .-, , lir'..f:r���..;�J 'i 1',�'s::;_`;'�'�i^:`{��i:f;:T:L','' ' _ ' } ,1�{�.� _c�'i ttfq.,c!i....i�., ���� :`. �' L'::�'. -��:'��.:;;�,tii!';y,.. .l� �I�. � �If�i�.��I'l�: :! � _: �� .. �1�ti.��� � ��. �� el�':I�li1�C.�.�' . •' .... . �;�I�','�1 i'��:''T��r��... .��I� i • , �•:..;��.� � v . • n .H-ss ... ♦ .�1.e�'t� y -- _ —_ � `. . .. ..�i 1=.r'�lt.n .�s.�.u- .�_-l_��� _r.K..rx,•n.:' � .. . . _ — — — _ .__ .,.�:�.��::�:�:.�,::�:E � � . y . (dOT#CE OF DEED RESTRlCTIONS: The undersigned understands that this,permit may be subject,to"ae�a"restrictions», '` which.may,.be.rnore�r.estrictive;than Caunty regulations: The-undersigned�assumes responsibitity�for`compliance wifFi any'`` applicable deed restrictions. � � - � � UNLI�CENSED CONTRACTORS AND CONTRACTOR RESPONSlBlLlTIES: If ttie�owner has hired~a contractor or contractors�to undertake wark, they may be required to be licensed in accordance vuith state and lacal regulafions. 'If the � canfractar_is not licensed as required by`taw, botii�the owner and confractor rriay=�be ci#ed for�a misd"emeanor violation under state law. If the owner or internded contractor are uncertain as to what ticensing requirements.may..apply foc:�tfie,� �� intended work,they are advised#a cantact�the Pasco County Building`fnspectioii�Division—Licensing Secfion-at 727-847- � 8009. Furthermare, if the owner has hired a contractor or contraatars, he�is advised to 'have the contractor(s}i sign „ portions of the "contractor Block" of this application for which they will be responsible. !f you, as#he owner'sign as ttie �, contractar, that.may be an indication that he is not properiy licensed and is not entitled to permitting privileges in f'asco � County. . _ � � � ' TRANSPORTATII�N lMPACTLUTILITIES IMPACT AND RESt3URCE RECOVERY FEES: The undersigned understands that Transporta#ion lmpact Fees and Recourse Recavery Fees may appiy ta the constrtact#an af new,builclings, cliarige=af' �" � use in existing buildings, or expans'son of existing buildings, as specified in Pasca County Ordinance n�tmber 89-07 and � 90-07, as amended. The undersigned also understands, that such fees, as may:b.e.due, will be identified at:tlie time,of � permit4ing. It is further understood that Transportatian Impact Fees and Resource�'Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the p,rojec#does no#involve a certificate af occupancy�:or.. �' final power release, the fees must be paid priar ta permit issuance. Furthermore, if Pasco County W.,aterlSewer.-tmpac# fees are due,they must be paid prior to permit issuance in accordance with applicable Pasca Caunt}r ordinances. CONSTRUCTI4N LIEN LAW(Chapter?13, Flortda Statutes,as amended}: If valuatian af work is$2,50Q.Q0 or mor.e,.l:,, , certify that I, the applicant, have been provided with a copy.of the °Florida Construe#ion Lien -Law—Homeowner's Pratection Guide" prepared by the Florida Department of Agricul#ure and Consumer Affairs. If the applicant•is someone other than the"owner", I certify that I have obtained a capy of the above descri6ed document and promise-in good faitli to deiiver it,to the"awner"priar to commencemen#. CClNTRACTQR'S/OWNER'S AFFtDAVIT: f certify that all the information in this application is accurate and fhat all wark wil! be done in compliance with all applicable (aws regulating consttuction, zaning and-land�development. Applica#ion is hereby made to abtain a permit to do work and installation as indicated. I certi€y that no work or irtstallation has commenced prior to issuance of a permit and that all work will be pertormed to meet standards of al! laws regulating consfrucfion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certtfy that 1 understand that the regulations af other government agencies may apply to the intended work, and that i# is my responsibility to identify what actions!must take to be in compfiance. Such agencies include but are not timited ta: - Department of Environmental Protection-Gypress Bayheads, 1Netland Areas and Environmentally Sensitive Lands,Water/Wastew�ter Trea#ment. - Southwest Florida Water Management -District-Wells, Cypress Bayheads, Wetland Areas, Altecing Wa#ercourses. - Army Corps af Engineers-Seawa(is, Dacks, Navigab(e Waterways. - Department of Heaith & Rehabilitative Services/Environmenfal Health Unit Wells, Wastewater Treatment, Septic Tanks. , - US Environmenta! Protection Agency-Asbestos abatement. . - Federal Aviation Authority-Runways. ' I undersfand that the following restric#ions apply to the use of fitl: - Use of fill is not allawed in Flood Zane"V" uniess expressly permitted. , - If the fiEl .materiaE is to be used in Flood Zone "A", it is understoad that a drainage plan addressing a � °compensating volume" will be submitted at time of permit#ing which is prepared by a professianal engineer � '� licensed by the State of Florida. - If the fill ma#erial is to be used in Flood Zane "A" in connection with a permitted building using stem wall constructian, I certify that fi(I wil� be used anly to fill the area within the stem wall. - tf �II materiaf is ta be used in any area, 1 certify that use af such-fill witi not adversely affect adjacent properkies. If use rif fill is faund to adversely affec#adjacent properties, the owner may be ci#ed for vialating the concfitians af the building permit issued under the attached permit application,-for lots less than orte {1} ; acre which are elevated by fi!!,an engineered drainage plan is requi�ed. � If I am the AGENT FOR THE OWNER, I pramise in good faith to inform the owner af the permitting conditions set forth in #his affidavit priar ta commencing construction. I understand that a separate permit may be required for electrical work, " plumbing, signs, welts, pools, air conditioning, gas, or�other installations not specificaliy included in the application. A permit issued shaif�be construed to be a license fo proceed with the work and nofi as autharity to violate, cancel, alter, or � set aside any provisions of the technica!codes, nor shall issuance ofi a permit prevent#he Suilding{)fficial fram thereafter '� requiring a correction of errors in plans, construction or violations of any codes. Evety perrnit issued shaN become invalid unless the work autharized by such permit is commenced within six months of permit issuance, or if work authorized by the permi�is suspended ar abandoned for a period-.of six(6):manths,after the time the work is commenced. An extension may be requested; in writing, from the 8uitding Official for a periad�not to exceed•ninety (90) days and wi0 demonstrate jusiifiabte catase for the extensian. if work ceases for ninety{90}cansecutive days,the jab is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF GOMMENCEMENT MAY RESU�T IN YOUR PAYING TWICE FOR I ROVEMENTS TO YOUR PROPERTY. IF YO.0_INTEND-TO OBTAIN FINQ►NCiNG, CONSULT WtTH YOUR L`ENDER�AN ATT RN BEFORE RECQRDI(VG VOUR NCIT! E i3F C�Ol4111lAENCEM@ T. -"� "FCORtDA JURAT{F.S.117 3 , i �=C-..___�_.�tis�� _,ta�--c ,i OWNER OR AGENT � � � CONTRACTOR Sub crib and sw En or rmed be or me #� Sub�crib d and swom to or affii ed for,e this �� °bY�� � / t'/1/g by_.1.�.��� �/" cJ�e �hp is/a e pe pally known to me ar as/have produced ` Who is/are personally known to me or has/have praduced �� D�It/�� ����1'-aas identification. ,�,G._ ��l1v�12S L/�J�./.5� as iden6fiption. .,1'�}"A,Ue�2?� a�.��'1./1� /��GL,�� Notary Public ,��� ��-� ��G��?1��'� Notary Publlc Cammission No. t.�t� DI�S.�� Commissian No. �� ��Sc3�.� � ,�1�R�9 ��.A/hl� /�'tI1�'�l..L„ j���Pi9 E�9//�I� I�UF�E�t,L-- Name of tVotar�r ty�ed;printed or stam� Name of Natary typed,printed or stamped �, ir ra�ir.e.�en;anr x: � . rp„ �`' ����;g:�;�,.DEBRA Et1lINt RUFFEi.l. _,��:�:;4p'�,^DE9RA ELAIN�x;,;�; -C+ammission#GG Q45343 h .,- � ;•c ;.:Camm;ssion#G�q�i;; z^; ¢;:Expires Navember 7,2020 � :,�,�:,;E�Ugs l�oy af � %;d86L4a` BosW�dfiruTro Faintnsurance860�3385�7Q19 ?� .,�,op�.��Pd 8tTl:i_ t,:..i«. „�,,, Y ,:� • ���� Bond�dThruTroyF3:.�r:;:;ncc-F(r:�,:. ..rr.rr�+..w�w� a: ���o� ' --��.__�� - - ,�;�- a�. s �..� �� ,>_"' �=�s,".;�;�r:r�;t�� ` .�` �� --�.� ,-s�;,:.: '''--_ �.�..-.,,r..:: , City of Zephyrhills BUILDING PLAN REVIEW COI��MENTS Contractor/Homeowner: ���,,[,��--� f,(��;�,r— ' I�ate Received: ��. 1 �� � �{ Site: c � i c��� �71,�� r���f�.- Pernut Type: ,�(/I C/� �'(.�,/' 'eZ� ��Cn°'� � Approved w/no comments: Approved w/the below comrnents: ❑ Denied w/the below comments: ❑ 'This comm t shee shal e kept with the pear.tnit andlor plans. � � �( f� Kalvin w ans Examiner Date Con�ractor andlor Hameowner (Required when comments aze present) DISCLOSIIRE STATEI�SNT FOR OWNER CITY QF ZBPSYRHI7,LS BIISLDING DBPAItTP2ENT I. ���}��:,.: � �f�t,vGf,f have read and fully uaderstaud aad agree to the provisioas ot this ine�z�umeut. The undersigaed statee aad aff3,rms that he or she is desirous at coustructing, reaovatiag, adding to or rerooEiag his or her own domiaile, that he or she aatually aceupi�s, ar will oceupy by saa.d domieile, and same is not far °renG. lease ar sale. That he ar she shall comply with the followiag coad3tioas: I. fihat the owaer and he ar she alone shall act as the builder for all phases of coastruc�ion. 2. That the ownear will comply with alI pravi.sions af the C�.ty af Zephyrhills ordinaaces and codes pertineat ta the building. 3. That in the eveat various phases of coas�ructiaa are subeoatsacted, he �i.Zl eagage omly properly lfcensed subcoatxactars aad will p�ersoaally aupervise such work. 4. That in the event the Build3ng Zaspeator shall require correctioas to be made, the awaer will assvme �ull respaasibility to iasure they are made, axxd upoa completion will call for a reinspect3.an befare prcceediug with the building. 5. That the owner shall aaeume tull reeponeib3li�y for the constructiioa aad will uot expect supervis�on cf his wosk from the City of ZephyrhiZls Suilding T�epastmeat. 6. That priar to �iaaZ iaspectioa auy additioual fees, iacludiag reiaspection £ees, must b� paid ia fu11, A w,z4itten request fram this af£iae �ha31 aoas�itute an official aotice to pay addi�ional feee. ?. That the owaer shall compiy with aZl City, State aad Fet3eral 2aws zn regard ta soeia2 seaurity, warkman's compensation, lien laws, etc. , whete applicable. 8. That the owaer shall comply with all the e�fety codes ieeued by �he Florida xnduetriaZ Ccmmission. 9. State law requires oons�ructioa tio be done by licensed contractors. You have �pplied foz a perm3.t uader aa exemptioa ta that la�+r. The e�cemption a3.Iows you, as the owaer af your pr+aper�y, to act as your awa coatractor with certaia restrictious evea though you do aat h�ve a licease. You mus� provide direot onsit� supervisiaa of the eaastructiou- your�elf. You may 'build oz improve a ane-£amily or �wo-family reaideace or s fasm outbuildiag. Yau may also build ar imprave a cammexcial buil.diag, provid�d you�c aas�s do aat exceed $T5,000. The buildiag or resideace must be for �our owa use ar occupaacy. It may aat be built ar aubstan�ially im,pzoved for sal� or lease. If you sell or lease a buildiag gou h�ve buiZt or stsbstaatially imgroved youreelf withia 1 y�ar after �he caastructioa io complete, the law will presume �hat you built or � substaatial�y improved it for sale ar lease, wh3ch is a vialatian of this eacemptioa. You may aot hire aa ualiceansed peraon ta act as your coatr�ctor or �o superv3se people workiag oa your buildiag. It is ,you= rs$poasibili�y to make tsla.re that peopl� ettiploy�d by you have liceasea r�quired by s�ate law and by couuty or munici.pal liceas3ag ordiaaacea. Yau may aot delegate the respcasibility for sup�rvisiag c�ark .to�a 13.censed coatractar who is aat liceaeed to perform the work beiag done. Aay pereoa working on your buildilsg who ia aot lic�nsed must work under your direct �supervis3an and mnst be empZoyed by you, which meaas that yau must deditct B.S.C.1�., and wi�hholding tax az�d provide workers� compensation for t.kiat employee, all' as prescribed by law. Your coastructioa must camplY with a13. app3. cable Iaws, ordiaaaees, building codes, aad zoni,ag regulati ns. . �...-. .� OWNER'� SIGNATURE � DATE -/�'s- �� A.1)DRESS ��a!.� __ �'I�f}N8 �l� �,f�- ���45�� I ws�rr$ss ���x� # , 1 � � . � t7��� ������:lf�i��`(7����i���[�.���17S3�i��,13'.IV� I /"�'i—������� .�������VT1� - • . . �� ,. ., . • � ��ii�������€'�i�"1�����.�'t��'47R.s���,`3 .. ,. . '�lli#T�T<J,���YYi��� J`ii.������;.1liJ������,•�����i�JiV����,���1't'iR ,_;. .r, . . _. ,. b�: .�'��-° �,�� ,/� " � :. , . . .. _ . . :.r � Tt�: �r-cl��+��a1 �n� Lan��� ���a��t�e��t�.�� . � - . , � ,.- ���: o�� ���v e:����r�'��/` ���� �-��� __ , .. • �€t)1�RES.S��,��6�e � „('��/!�� � � .. , ,.�. 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