HomeMy WebLinkAbout17-18152 -- - ,. I
CITY OF ZEPHYRHILLS
_ � 5335-8TH STREET'
(8i3)78d-0020 $1�Z
BUILDTNG PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18152 Address: 38640 A AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADDlALT RESlDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s}: Btock: Section:
Square Feet: Subdivision: MOORES FIRST ADDITION
Est. Value: Parcet Number: 14-26-21-0010-0'[900-0010
Improv. Cost: 410.00 OWNER INFORMATION
Date Issued: 2I15/2017 Name: WI��[AMS BRIAN MARTIN
Tatal Fees: 60.00 Address: 38640 A AVE
Amount Paid: 64.00 ZEPHYRHILLS FL 33542-6034
Date Paid: 2I15I2Q17 Phone: 813-780-9632
Work Desc: REPLACE WATER HEATER
CONTRACTOR S APPLICATItJN FEES
HOMEOWNER BUILDING FEE 60.00
Ins ections Re uired
F (�TER 2 ROU PLU B MI NS TION CEIL G
FOQTER Bt�ND DUCTS INSt1LATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISG MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
dUGTS INSTALLED WATER N11SC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
C4NSTRUGTION POLE FRAME MlSC. MiSC.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
loca!government shall impose a fee of four fiimes the amonnt of the fee imposed for the initial inspectian or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additianal restrictions applicable to this property that
may be faund in the public recards af this caunty, and there may be additiana( permits required from other gavernmental
entities such as water management, state agencies or federal agencies.
"Warning ta awner: Yaur failure to record a notica af commencement may resalt in your paying twice far
improvements to your property. If you intend to abtain financing,consult with yaur lender ar an attorney
before recording your natice af commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NCl OCCUPANCY BEPORE CA.
NO BCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MCINTHS WITHC}UT APPR4VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRCITECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMIv�IVTS
Contractor/Homeowner: �`���. (��������
Date l�eceived: 02 l/�� �- �
site: � ���Q � ��-
Permit Type: ���(���C�.�Q✓ h� n�.
Approved w/no comments:❑ Approved w/the below comments: �Denied w/the below comments: ❑
y'�ia- f`�'l i�', .r.�u� ��+�5
This comment sheet shall be kept with the permit and/or plans. j
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� l� ���z f� �7 `��5� I
m witzer— ans Examiner Date Contractor and/or�Iomeowner I
� (Required when comments are present)
� ,. _.. �z3-j��,-v�1uua.-,.�:n- �. ..�.«-'.. ." - City af Zephyrhilis Permi#Application Fax-813-780-0021
-,:�>,i,.4;c��� , �r'r:��r ..
���- •• � Building Department
,:J'�— -fi e , ir�...ii;;�` i`�:U:iit
Dafe�.Receiyed;,;�:; - -.I;�,,:.:,,E'�r:;.�� • a. �� � .
�����'� Phone Contact for Permitting " �
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� Owner's Name Ll r'c cti,� ,U ' �� ���a n,� y Owner Phone Number
� Owner's Address . 3 U�� vl U /"t !y-(1�- pwner Phone Number �� � " � ( � ' ���?�¢,fi�.
Fee Sirnpte Titteitotder Name � � Qwner Phone Number �— �
Fee Simple Titlehalder Address
^ ���JOB ADDRESS � �t-�t�C� [f'� LQT#
SUBDNlS10N �� – - � PARCEC 1�
(OB7�11NED FROM PROPERTY TAX NOTICE)
i WORK PROPOSED e . NEW CONSTR"8 ADDtALT � SIGSV Q � Q DEMOLISH
' 1NSTALL REPAIR
' PRQR.OSED USE Q SFR Q CQMM 0 OTHER
� TYPE':OF C4NSTRUCTION Q BLOCK• • Q FRAME � STEEL Q
. - � .
' DESCRIPTiON 4F WORK � �'� CG�G2. 1�,��:�'2�- � c.}"E'_�
BUIGDIFIG SE2E � � SQ FOOTAGE��� NEICoHT •C��
�Bt1!l.DING $ �'' f L� VALUATtOtV'OF TOTAC GONSTFtOCT1UIV
. ��, � � � ��
QEI:ECTRICAL � � AMP SERVICE 0 PROGRESS ENERGY Q W.i2.E.G.
�PLUM8ING � „ � .� f
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QMECHANlCAL $ VAl.UATION OF MECNANICAL INSTALLATION ��� J
Q,GAS Q ROOFING Q � 3PEGfAL3Y � OTHER
FINISHED FL.00R ELEVATIONS � � FLOOD ZONE A DYES NO
SIGNATURE ' -������"'��^`'
BUII.DER `�,r.' Ct? PAPIY �t.J,'�.2/'
� REGISTERED Y/ N FEE CURRE� Y%N
Address "License,# �— �
EZEGTl�iGlAN , COMPANY
SIGWATURE REGISTERED Y/ N �FEE CURRE� Y/N
Address - License# �� _ �
;,_,
PI�UIIItBEIt.,, Ct?MPANY
SIGNATURE REGISTERED Y•/ N ` FEE CURRE� � Y/N
Address - License# �� �
. MECMANICAL`. , COMPANY
SIGNATURE�' ' REGISTERED Y/ N FEE•CURRE� Y/N '
A8d`r`e`ss' � ' � Licens.e# �� �
°;;si�,,, . .._.. .
:...OTHER:: ,:�:. ° CONIPANY
' SIGNA'T.URE':'� c� - REGISTERED Y/.IV.. FEE CURREK Y/N
Address,�=n .E. ,; _ - � ,� - ' License# �— � �
�"��:ti, �•�••,- � . . . . ...^ •-- •.+ " . F£.r.t�^�' •. - ' ," •
��,:,RESIDEN'fiRL•.:�:- ;Aftacti-,{2);;PIot:P.la�'s;`{2}ts'sfs�of`:Bulldl�g�t?larrs;{1)'se#of'Enet9Y:.For`rrts;R`-,O=Vi(Periiilt,for aew.constivgti,on,,
,.. ..,.
:<;*���, ��-.Minimum„tenr.(t1Q)µwor"king;days�.afte��"s"ukimittal�date.�'Required'ansite;'Con§tr`uction Plans,`S`tormvirater Plans w/Silt Fence installed,
;:, .. ,.�:::..x�•=.., . . . , :.
� Sanitary<Facilitie,s:&a1,;dumpster;.Site<W.o,r,k.Betmitfor:subdivisionsflarge:proJecfs -- ' �
-"�;;�COMMERCli4L Aftach�{2)'coinplete''s'ets�afBuili3ing Plans plus a�ife Safety Page;{1)set of Energy Fotms.ft-O-W F'ermit for new construction.
- Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed,
`'�` Sanitary Facilities 8�4 dumpster.Site,Work Permlt"foi a!I new piojects,A11 commercial requ�reme�is must meet campiiance
;-�-�,.
s•�::SIGNrPERM1T -AttacFi`2�'sets�ofiEn ineerecl;Ptans.��= :.t � �
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����`� - ""**PROPERTY SURVEY re ui.red foc aII.NEW construction.
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�*'.Ci[`ectioris: ,��s,�.f:- , _ , • _
'� Fill.out application completely.
��� =0wner&Contractor s(gn.back of appffcatian,naEarized
`4'
: 1f over�2508;a Not�ce of'Commencement is requlred. (A/C upgrades over$750Q)
`'"' Agent(for'ttie`contractor)�or°Power'otAttomey(for ttis owner)would tie someone with notarized_letter from owner authorizing same
x:�'OVER;THE COUNTERaPERMITTiNG:_ -.(copy-ofi contract required) �""°' -' ,
,.��Rero'a'fs ifshingles Sewers Service Upgrades AJC Fences(Plot/Survey/Faotage)
Diiveways-Not over.Counter if an public�roadways..needs ROW
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;
NOTlCE OF DEED RESTRtCTlONS: The undersign�d.undecstands,that this;,permit may be.subjeet-to".deedi'restrict`i;on's"<'�'", _
; N� . ..., � 7., .«-� .a.;r. ..;'^i�::-� ::.,. :. >.-r.,�.,§r,�„r.�.. Y' �i
which;may;,b,e`more-restrictive::than.Countyr_egulatioris:'VTfiezundersignetl�assumesrresponsEbllitji`-foc�corripliance"with�.any'�s�-� .
applicable deed�estriations. , ..__��.,;,;��.�:���,a,.�;::,� .�
i:
UNLtG.ENSED•CONTRACTORS AND' CONTRAC'�OR �RESPONSIBILITIES:- �If•the-owner;has�(i"ired��'a-�contractor or
contractors�ta underEake work;they,:may_be required^to be�(icensed in accardance with state:and,�tocal:.r,egulatiqns:,�lf:lhe!`=::�.�:;
/ . _ . �v �. ...x:_:,-..,...<�X+�- . .
contcactor is not licensed�as�requirei3 Eiy'faw; b6tti.fhe owner.:anci:coritracfor�may==t�e{`cif�cf��for�,a:misclemeanor dio(atibn� =:.; „
under state law.��If the owner or,intended;cor,ttFactor are uncertain as to what licensing requicements;�rnay:apply�for;athe,�:�=� ; '
: ...�.�.. k ..o.,�.r,.;i,, .: , . ... . r �
intended wor.k,.they.are-advised to�cantact'the Pasco Caurity Builtling lnspection:Divis�orr-Licensing Sectiort a#?27=847- �
8009. Furthermore, if the� owner has°hired`a` contractor or cont�actors, he�is advised to;have the contract_o.r(s,);��sign...�.,;; �
� parkions af the "contractor B(ock"of,this appticatiantifor which.they will.be responsible.��if.you, as"Ythe`'�owner`s'ig�n�asf�ttie�"`';4 �� �,
contractoc, that ►nay 6e an indication that he�is nofipraperiy�licensed-and i's�not`erifit(ed to permitting priviieges.in Pas,co;, �,.� : �
Coun � ..,. ' �'�_�:.�_::>:r�=�:°s M�A� +� �
tY� 1
, TRANSPORTA710N-lMPACTlUTIL.lTIE3 lMPAC7`AND RE54URCE REC�VERY FEES:"�The un�ecsigned understarids _ ;
P p �Y Y Rp Y . _.__.__9_ 9 �"`' .
that Trans ortation Im act Fees and Recourse Recove Fees.ma :a ! to#he oonstruction of new buil.din s,_chan�'e�of����=-�A% �'
__ use in.existing._buildings,,-or�xpansian af�:exis,ting buildings, as specified�in Pasco County Ordinance number 89=U:7°�anii ':.' ;�
90-07, as amencied. The�undersigned also.understands,�that such.;fees, as�rnay,,be.dwe, will"tie!identified�at,�4hei:fime-�of��?�=�':� ;'
permitting. �It �s further understoad that Transportatian impact Fees and Resource��Reeovery:.Fees must 6e paid p.r.ior to �� ;'
recsiving a "certificate of occupaacy°�or.�rtal._power rslease. !f the,pro}ect does not involve a certificate of occupancy�orj4�<: -;� ,,
final power release,,.the�fees.must be�;paid prior to perm(t issuance, .Furttiermore,_if Pasco,County Water/Sewerrlmpact:x,-� � ,,
fees are due, t6ey must_tie paid prior to.permit is'suance in accordance with�applica6le.P�asco Coun#y ordinances. � �
CONSTRUCTION=LIEN�L�AW(Chapter 713, Florida Statutes,as amended�: If valuation af wor:k is$2,500.00.�or more,�,l�,�:� �
certify_that I, the applicant, have .been. provided�with a copy...af #he "Florida Construction Lien..Law=-;Hameowner`s� �
Pratectian Guide" prepared tiy tiie Florida Department of Agricuiture and Consumer Affairs. If the applicant=is.someqne,;,
ather than the°awner",=t:eertify that I:.have o6tained a copy af the above d`escribed'document and pcomise:in�good'faitFi`,to'��
deliver,it�to�the;;owner;`J.�priar.;ko=cammenc:ement. ' � � ,' � '
CONTRACTQR'S%OWNER'S AFPIDAVlT:-�!:certify that all the infarmation in this application is accurate and that all'work
will be done in compliance with all applicable'laws regulating construction, zoning-and land�developmen#. Applicatlon is � ,
hereby.made ta obtain._.a,,permit #o do:�work-and installation :as :indicated. I certify that na work or insta!lation�has .
commenc+ed prioc to issuance of a p.errriit and�that all work will be performed ta-meet.standards of all laws regulating �
construction, County and City codes, zoning reguiations, and land development reguiafions`iri..:the jurisdiction.. I:also ��
certify that ! understand that the regulatians af other government agencies may apply ta the intended work, and tha# it is ' '`
my responsibility to identify what ac#ions I must take ta be in compliance. Such agencies incliade.but are nat limited,to: � �'
- ,Department of Environmental:�Protectibn-Cypress-Bayheads, Wetland Areas and Env�ronmentally Sensitiue ` ;;
Lands,tNater/Wastewater Treatment. .
- Southwest Florida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altering , �;
Watercourses. , ��
- Army Corps of Engirteers-Seawa!!s, Docks, Navigable 11Vaterways. ' �
- Department of Health & .Rehabilitative Services/Environmental Health Unit WeNs, Wastewater Treatment, '
Septic.Tank's. � � �
- US Environmental Protection Agency-Asbestos abatement. ,
- Federat Aviatian Authority-Runways.
t understand that.the following�restrictions appty to the use of fiii:,
- Use of fill is nafi allawed in Flaod Zone"V"untess expressEy permitEed.
- If the fill material� is to be used in. Flood Zone "A", it is undecstood that a�drainage plan addressing a
°compensating valume" will be submitted at time of permi�ing which is prepared by a grafessional engineer '�
licensed by the State of Flarida. � '
- If the fill material is to be used in F(oad Zone "A" in connectian with a permitted building using stem wall
constructian, 1 cerkify that fitl will be used anty to filt the area within the stem wall.
- If fi11 ma#eriaf is to .he used in ar�y area, I certify that use of such��fill wil( not adverseiy affect adjacent
properties. If use of fill !s found ta adversely aff�ct adjacent properties, the owner rrtay be cited for vialating
the conditions of�:the�building permit issued under the attached permit application, for lots-less than one {1) � '
acre whioh are eievated by fill, an engineered drainage plan is requir"ed. �
if 1 am the AGENT FOR THE OWNER,-I.promise in good faith to inform the awner of.the permitting conditions set forth in j �
this affidavit priar#o commencing cons#ruction. .i understand that a sepa�ate permit may be required for eiectrical work, ; �
plumbing, signs, wells, pools, air cohditioning, gas, or other insEallations not specificaf[y inciuded in the applicatian. A - ; �
permit issued sha!!�be construed to�'be a license to proceed with.the work anc! not as authority.to vialate, cancel, alter, or �;
set aside any provisions of the-technical codes, nor shal! issuance of a permit prevent the Building Qfficial from thereafter ; ;
reguiring a correation of errors in pians,�construction or violations of any codes. Every permit is�ued shall become invalid � I
untess the work autharized by such perinit 'rs commenced within six months of permit issuance, or if work authorized by ' �
the permit is suspended or abandaned for a period-;of six(6}months after the time the work i�ccimmenced. An extension � � i
may be requested, in°writing, frbm ttie BuSlding�t?fficia! for a period r�ot to"exceed rfinefy{90} clays and wi(1 demonstrate ?-�
justifiable cause for the extension. !f wa�k ceases for ninety{9Q)consecutive days,the job is considered abandoned.
, �
� ;
1NARNtNG TO CiWNER: YOUR FAiLU.RE,TO REC..O„„RD.,A NOTICE OF COMMENGEMENT MAY RESULT IN YOUR � ;
PAYlNG TWIGE'E8R IiVfPROVEMENTS T0,YOUR.PROPERTY.,.iF Yt3U::iNTEND�T0>,��OBTAIN'FINANCING, CONSULT �
WITN YOF1R°l:ENDER OR AN�A'tTORNEY BEEORE RECORDING,Yt�UR`NOTICE,OFiCOMMENGEIVtENT. .
FLORIDA JURAT(F.S.117.03� • �
QWNER OR AGENT �� �Y COPITRACTOR
Subscribed and swor�to{or atflrmed)�efore me thfs Subscribed aod swom ta{or affirsned}before me thts �
� � / by J.��/�'�l./ zJ/�.J�J,q'J'17.`ra by ,
ha isJare personally knawn ta me or haslhave produced �Wha is/are personatiy known to me or hasthave produced �
as iden�ficatlon. as identificaUon. �
��J(�.1 ����G�e!'�. Notary Public Natary Publlc
Commission Na. �-/� ��-7 Comrnission IUo.
��� �1.�tN� /�Cll-''�'�t.�-- ' .
Name of Notar ty ed,printed or stamped , Name of Notary typed,printed or stamped
�i*�Y.•..• DEBRA ElAINE RUFFELL �
'2�ts��` n#GG
;,. :t.Commissia 045343
.._ ::;,,��o:Expires November 7,2020 '' �
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