HomeMy WebLinkAbout17-18144 CITY OF ZEPHYRHILLS
,, 5335-8TH STREET
'� (s�3)780-0020 18144
BUILDING PERMIT � '�
PERMIT INFORMATION LOCATION•INFORMATION
' Permit Number: 18144 Address: 38919 12TH AVE
� Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-04400-0080
Improv. Cost: 2,497.00 • OWNER INFORMATION
Date Issued: 2/14/2017 Name: PETRIE, JAMES & SHIRLEY
Total Fees: 75.00 Address: 4087 GRAHAM RD
Amount Paid: 75.00 EAST JORDAN MI 49727
Date Paid: 2/14/2017 Phone: (813)783-7495
Work Desc: INSTALL 8 X 10 SHED
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 75.00
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Ins ections Re uired
FRAME
SHEATHING
FINAL
REINSPECTION 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.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be 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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements 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.
ONTRAC R SIG ATURE 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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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: , ��L�rr�
Date Received: �- `��% 7
Site: 3�j c ��, �I`�
Permit Type: � 'v[ � ��� I
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
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This comment s eet shall be kept with the pernut and/or plans.
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Kalvin S � s Examiner Date Contr or an or Homeowne
( ired when comments are present)
813-7$0-0020 City of Zephyrhills Permit Applica#ion Fa3c 813-780-0021
•• Building Deparkment
Date Received �� �-- . -phone Contact for Permitting-- ' -
Owner's Name �� Y' i� Owner Phane Number —aZ
Owner's Address . � c�� U2 r Owner.Phone Numkier �� �
Fee Simple Titlsholder Name �! � Owner Phane Number �— �
Fee Simple Titleholder Address
JOB A1�DRESS �Ys�C- LOT# �
SUBDIViS10N � � P����-�� .
(OBTAINBD FROM PROPERTY TAX NOTICE)
WORK PRQPOSED � e ., NEw eoHS�rt 8 ADDIAGT [� SEGI� Q � [� DEMOLtSH
INSTALL °REPAIR �
PROP,.OSED USE Q SFR Q COMM 0 OTHER
TYPE'.OF CONSTRUC710N Q BLOCK •• Q FRAME � STEEL Q
.. a=�, sfia11 s��� �Xjp �
. DESGRIPTION 6F WORK
BUILDING'S1Z� � � � SQ FQOTAGE�,i� HE1GliT ����
QBUI�Dt(UG $
��,. VACLIATIQN'OF'TQTAL CONSTt?tiJCT10N
QEI.ECTRICAt $ AMP SERVtCE [� F'F20GRESS ENEFtGY Q W.R.E.C,
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o���„�$��� � �� � ���--- ����
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QMECHANICAL $ VAIUATiON QF MECHANICAL INSTAl.LATiQN
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QGAS Q ROOFING Q SPECIAL.TY Q OTNER �! �I �,
F I N I S M E D F L O O R E L E V A T I O N S FLOOD ZOIVE AREA QYES NO 7'"1-'°�'""`��
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BUItDER �
�� at��ar+�r � o�r, � C�cv�.e�
SIGNATURE �� REGISTEREp Y"/ 'N� FEE GUF2RE� Y/N
Address License# � �
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; ELECTRiCIAN CC}MPANY
:. SIGNATURE REGISTEREQ Y/ N FEE CURRE� � Y/N.
Address License# �� �
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P.LUlU18ER,� C{?MPANY-
�SIGNA7URE,` Re��sreaeo Y./ 'N FEE GURRE� Y/N -
Address, License# � �
` .MECFtAPI(CAi:., ' . :. COMPANY �
SIGNATURH'' ' REGISTEREp , Y/ N FEE GURRE�, , Y/-N
Add�ess��`- ` ' � ' Liaense.# � �
a,;,;, . ,.. .
.. OTHER°�.'=c:: °. , GOMPAMf
~'�'SIGNie1TURE.:.�r.>' .^ ' ' REGISTERED Y/ N FEE CURREK Y/N
Address.� - - . - - License# �= (
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���:.ftES1DENT1A1..:.� "Ai,tact�;,(2};,PIot�Pl'arts;(2}�sets�of�Building�Plans;�('i}°set of�Energy;Forms;R=Q=W.Perri�iit,for new�.canstruc�on,
, �.�«������,.,:;.,Rn;,t rysMinim.um;;#en;(1_0,.):wo,rking;•.days afte�s.ubmittal.date.`'Required orisite;ConstructiomPlans,'Stormwater Plaits w/Silt Fence,installed,
;��rt„ ; � Sanitary,,Facilides&1,,dumpstes;^Site;WortcP.emtitfor`�utidivislons(large;pr'ojecfs. ` � ' - - -�` ,
r,�:cGOMMERCiAt._ At#acti4(2)comptete seis of"Buitding Pians plos a Life Safety Page;{1}set of Energy Farms,R{}-W Permit for new constructlan.
_ � - Minimum ten(10).working days after submittal date. Required onsite,Constructlon Plans,Storrnwater Plans w/Silt Fence installed,
�``_ Sanitary Facffities&9 dumpster.Site Worlc Permit"fo�ail nefnr p'rojects.R!I cammercial requirements must meet compliance
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N�:SIGN:PEi2MiT "Afta`ch°(2}"se#'s;9f;Engineerec!Plans:,r• ; .. • �
"��''" "*`*PROPERTY SURVEY required for..aII,NEW cbnstruction._.
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�'xDirectiorisr ,,�:y=�_c:,.,• _ . , _ -
' -=F(IC:oLYapplication completely.
��` Ovirner 8 Contractorsign back of application,notarized
;� - lf over$2500;a Notiae.of:Commencement is required. (A!C upgrades over$T5d0)
"'*' .Agent'(fort�e�cont�actorj°or�Power-'of Attomey`(for'the ownei)woulcl lie someone-with notarized letter from ovmer authorizing same
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;;.r�OVER;7HE�GOUNTER'PE.RMt7;TING, (copy-of-contract�,required) � "` " � � ,
``�Re'r.oafs if�shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Faotage) „
" Driveways-Not over Counter if on public roadways::needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that.this;permit may be subject to".deed".resfnctions":�:;;'.,,.?
. . ,. ..�v.-..,:-...�..n;..-M- t '- t'" �. r � �t•.:,�
; �which:may.be�more�restrictive,.than�Couri#y ceguiations..The-undersigned°�assuriies�.responsEtillity fnf�corripliance with any = •'�,<;
� applicable.deed restrictions. . � =�,�izy�:` - �,:�n"�
UNUCENSEQ- C4NTRACTORS ANQ CONTRAGTOR RESPONSi�lLlTIES: If�the-owrisr=ttas��hired��a���con#cactor .or
i contractors#a undertake work, #hey,may be�ceguired.to be�licensed in accordance with.state and'°locallr_,_egulations:��lf::the�,�::� =;
contractor is not licensed-as required by law, botfi the owner:and'`confractor;may��be�cifed�`fora::a'misdemeanorviolation ;- .;;i
under sta#e laur. If the av+mer or �ntended:.contcactac are �ncer#asn as to what_licensing requireinents;�ma,y_�_apply for:�the�:�:'��r�i
r.�.d. .tnG..r
intended wock, they=are.advised to confacf the Fasco County"Building Inspection"D:'ivision-Cicensing S.ectian af?27�847- :�
8009: Fur-therrnore, if the owner-has tiired�a corittactor or contrac#ors, he is advised to Ihave the contractor}(s).,sign;`�, 1
portions of the °cantractor Block" of this applicatian__for which they will be resp,onsible.�:�(f yau, as'°fhe`owner�sign:as�;#lie� �"'"�u�
contractoc, that may be an indication that he is not properly•licensed�and�is not erititled��to�permitting pcivileges,in,,,Pa,'sco; ;_,;:;:
Caunty. � � .�:r� - �;:
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TRANSPORTATION IMPAC7/UTILITIES IMPACT AND RESOURCE RECOVERY FEES:�Tfie undersigned understands ';"�
that Transportation Impac# Fees and Recourse Recovery Fees.may:app{y to the construc#ion of new:builiiings,•ctiange;of�'=-��::;�:
, use in existing buildings, or•,ezpansion-of,:existing buildings, as specified in Pasca County Ordinance number $9=Q7:and ' ��:�
� 94-07, as amended. The undersigned also ur;zderstands, that such.fees, asJmay,..b.e<due, wi!l�tie;ident�ed��afi3�ttiertiriae�of°�`:�=�:;,,,
� permitting. �(t is further understood that Transportation Irnpact Fees and Resource�Recovery.Fees mast be paid pcior to ;,
' receiving a °certificate of accupancy° or final.power release. If the.project does not invalve a�certificate of occupancy:;o�����r$_s".;,
� final.pawer release, the fees�must be paid prior#o permit issuance. ,FurtFiermare,..if Pasca�County W,_,aterl.Sewer�tmpact;:�=-' '}�
fees are due, tliey must,be paid prior to permit issuance in accordance with'applicable;P�asco'Coun#y ardinances. "
GQNSTRUGTtON�LiEN-l:A1N(Chapter 713;"Elorida Statutes,as amended}: If valuation of work is$2,500.Q0-_or rnore,:,l:$,,:�< :,
certify that I, the applicant, have been. provided with a capy.-.of the °Florida Constcuction::Lien Law—Homeowner's "
' Protection Guide" prepared by the Flarida Department of Agriculture and Consumer.Affairs. !f the applicant�is.sameone.,..,_
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I ather#han the"awner", I certifjr that i.have obtained a copy of the above describetl�document-and.promise�in gopd�:faith;fo,_,,,�,
� deliver,it,to the."owner"..p�ior:.to commeneement: "
GONTRACTt�R'S10WNER'S AFFIDAVIT:, �.I.certify.fhat all the infor:mation in this application is accurate and that all�work
will be done in complianae with all applicable laws regulating construction, zoning�and land development. Application is
I�, hereby made ta obtain_a,_permit #o_do work-and instaNation as ir�dicated. I�certi€y that no work ar:Jnstallatioi�•has
commencecl prior-to issuance of a p.ermit and�that all work will be performed ta.me�# standards af alt laws regulating ,
i� construction, County and City codes, zoning regulations, and land development regulations i.n'.�the jurisdiction. L�also `
certify that i understand tha#the regulations of other government agencies rrtay apply to the intended work, and #hat it is z
my responsibility to identify what actians I must take to be in compliance. Such agencies include.but are not limited.to: .:
- ,�Depattment of Ertvironmer�tal.Pratection-Gypress Bayheads; Wetland Areas and Environmentally Sensitive `
L.ands,WaterNVastewater Trea#ment. �
- Southwest �larida Water Management � District Welis, Cypress Bayheads, Wetland Areas, Altering .+
� Watercourses. •
- Army Corps of Engineers-5eawralls, Dacks, Navigable Waterways.
- Depa�Ement of Health,& Rehabil�tative SerrriceslEnvironmental..Heal#h Unit Wells, Wastewater Trea#ment, ,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement. � .
- Federat Aviation-Au#hority-Runways. ' �
I understand that�:the:follawing restric4ions apply to the use of fill:
- Use of fill is nat allawed in Fiaod Zone"V"untess expressiy permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating valume" will be submitted at#ime af permitting which is prepared by a professional engineer ��
licensed by the State of Florida.� `
- If the fill material is to be used iri Flood Zone "A" in conneckion with a permitted building using stem wal!
cansfruction, t certify that fill witl be used anly fo fill the area within the.stem wali.
- If fill material is ta be used in any area, I certify that use of such�fill will not adversely a#fect adjacent
prape�ties. If use of filt is found to adversely affect adjacent prope�ties, the awner may be cited far violatirrg
the conditions of-the building permit issued under.the akkached permit.application; for.lots less than one (1) '
acre whichare elevated by fill, an.engineered drainage pfan as requited.
ff 1 am the AGENT FOR THE OWNER,-I promise in good faith to infarm the owner of-the permitting conditians set forth in
this affidavit.prior Co commencing construction. I understand that a separate permit may be required for electrical wark, _
plumbing, signs, wells, pools, air conditianing,�gas, or other instaltations nat specifically included in the apptication. A. ,
permit issued shall'be construed to be a license ta,proce�d with the work and not as�authori#y to violate, cancel, alter, ar
set aside any provisions of the'technicat codes, nor shall Issuance of a permit prevent the Building t3fficial from thereafter
requiring a carrectian of errors in plans, constructian or violations of any codes. �Every permit issued shalf become invalid
unless the wark authorized by such pe�rnit is cammenced uvithin six months of permit issuance, or if work au#horized by , ',
the perrrtit is suspended.or abandoned for a peciod..of.six(6}months after the frme the wark i�•commenced, An extension_
may be requested, in writing, from the Building Official far a period not to exceed ninety(90) days and will demonstrate "
justifiabte cause for the extension. If work ceases for ninety{90)consecutive days,the job is considered abandoned.
WARNING T4 OWNER: YOUR,�AILURE TO REGORD,A NOTlGE O� CQMMENCEMENT MAY RESULT tN YOUR �
PAYING TWiCE FQR tiVIPRBVEMENTS TQ YOUR_PROPERTY.. 1�'YOU:iNTEND�TO•_OBTAIN fiNANCING,CQNSU�T '�
- V!lITH YOl1R LENDER OR_AN A7TORNEY BEFORE RECORDING YOUR NOTICE O��COMMENCEMENT.
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FLORIDA dURAT{F.S.9'f 7.03} - �-
OWNER OR AGENT _is�G�� CONTRACTOR ��A�.;�"
Subscribed and swarn a a#�rmed) rae me thts Sutsscribed and swo ;(or affi�rned efore-me th�s � �
by ��+.�'c1Y�. . � r. • by ,_..1��.s-�,� �a �I-r i�
Who is/are personally known to me or has/have pro uced � Who is/ace persanally knovm to me or has/have produced
as IdenBficaUon. as iden�ficat�on.
Notary' Public Notary Public
Gommisston No. Cammission No. �
Name of Natary typed,printed or stamped Name af Notary typed,printed ar stamped
. • CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I Owner:
Job Location/Address:
Parcel I.D. #:
SHOW ALL EXISTIl�TG&PROPOSED STRUCTURES GIVII�TG DIMENSIONS&SETBACKS
UTII,ITY BUILDINGS MUST SHOW SIZE&FOUNDATION INFORMATION
I
C� � .,
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� FR4rTT PROPERT3� LIbTE
— — — STREET — — — — — — — — — — —
(NOTE EXAMPLES 1&2)..
Example 1. Setbacks for Rl &R2 Zoning Example 2. Setbacks for R3 Zoning
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60'
6D'
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p E
R X �
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�a o T in ' �aa
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D 0
PROP05FD
� 1D'.SUIQEFANIII.Y1 �'DUPIi�7�
FRONT PROPEl�fY LINE }ROHT PROP}7fCY LINE
- -- 57REF.T - - - - - - - - - - - - -- �1REE7 -- - - - - - - - - -
DTSCLOSURE ST�TEP�N�° FOR OWNLR
CITY QF Z�PHYRiiZ?�LS BIIILI�ING �SPARTP2SN�'
I, have read and fu21y unde�s�aad aad
agree to th� proviaians ot this iastrument.
The und�r�aigue�d states aad affirms that he ar sh�e ie de�irous af coastructiug,
seaavating, addiug to ar reroo�iag his ar her owa domicile, that he or she
actualZy occupies, or vaill aecugy by sai� damicile, aad same is not for
reat, lease ar sale. That he or she sh�ll co�ply with the foilawiag eondi�ioas:
1. Tha� �he owaer aad he os she alone sha11 act as the bu3lder for a11 phase� af
constructian.
2. Tha� th� owaer tvill campl.y with a1.2 pravisioas af the City of Zephyrhille
ordiaaae�s aa.d aodes per�iaent to the bui2dia�.
3. That ia the eveat various pha�ea of COt18�Z'12Ct1031 are subeoatraated, he wi21
eugage oaly properly liceased subcoatractors aad seill persoaally s�pervfse
such work.
4. That ia the eveat the Suildiag Iaspectar ahall require correctioas ta be made,
the ov�aer will assume full r��paasibility to 3.aazu�e they �re made, and upaa
camplet3oa will call for � reinspection before prcceec3iag with the bu32di�sg.
5. That the owaer shall assume full respoasibility for the coa�truction aad will
aot expect supervisian of h3s wark from the C�.ty of Zephyrhills Suildiag
Departmeat.
b. That priar to final inspection any add3.tionai fees, fucluc�iag rei.aspection
, fees, must be paid in �u31. A wz3ttea xequest from this office sha21.
aotistitut+e aa official aatiae to pa� additional fees.
7, That the owtser shall comply with all City, State aad Fedesal laws ia regard �o
social security, raorkmaa's compensation, ],iea laws, etc. , �ahete. applicable.
8. R'hat the owaer shall comply with all the safety aodes issued by the Florida
Tadustria]L Commission.
9, State law requ�.res constructioa to be daae byr liceased contrac�ors. You lzave
apgl3.ed for a ,permit uader an ex�mptioa to that 1aw. The �emptioa allows
y►ou, as the owaer af your proper�y, to ac� as your own contractor with certiaia
re�strictioas eveu �hough you cia aot have a licease. You must psovide direct
onai�e supervisioa of the coastructian yours�lf. Yau may'build or improve a
oae-��m.i.ly ar twa-£amily res3denCe or a faxin outbui�ding. Yaex may a2sa build
ar improve a commercial building, provis�ed youx costs do aot e.�cceed $T5,000.
The buildiag or residence must be far yaur o�wa use or occupaucy. 2� may aat
be built or substaatially impraved �or sale ar leaee. If you sell oz lease a
bui3di.ag yoit have built or subota�atially impxoved youraelf arith3a 2 yesr af'tez
�he eaastructioa ie complete, the law w3.11 pxesume �hat you built or
substaa�ia�lly improved if for sale or l�msej whieh is a vialatian of this
exemption. You may aot hire au unlic�a��d persoa to act as your coatr�ctor or
to supexviee people warkiag aa your buildiag. It i� your respoas3bility to
make sur� that peaple employed �sy you have Ii,ce�ses required by state law aad
by couaty ar muaieipa2 2ia�asing ordiaaace�. 7�'ou may not delegate the
acespoasibili'�y far supezvisiag work ta a 13cexised coatractor who is aat
].iceaeed to perfarm the taoxk beiag doae. Any p�rsoa working oa yaur buildiag
who ia aot liceased mus� work uad�r yonr direct supexvisioa aad must be
employed by you, which meaus that yau must deduct F.T.C.A. and withholc�iag �aac
and pravid� work�rs' compensataon far that employee, a13 as preaaribed by 3aw.
Your construat3oa mus� comgly vr3th a13. appla.cable 3aws, ardiaaaees, buildin�
codes, aad zaa3.ng regui iane. .
OT�INER'S SIGNATURE J' DATE ���'��
ADD1t8SS ' '�'t Lr�.
P�ONS .'�.�—��(-rz�.'�'�
WITPTS9�S PBRMZT # i �
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