HomeMy WebLinkAbout17-18250 ' =�= � CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(813)780-0020 182 �
BUILDING PERMIT ��
PERMIT INFORMATION" � �- LOCATION INFORMATION � �
Permit Number: 18250 Address: 38122 HENRY DR �
� Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0080-OOA00-0070
Improv. Cost: 2,350.00 OWNER INFORMATION
Date Issued: 3/13/2017 Name: CITY OF ZEPHYRHILLS
Total Fees: 135.00 Address: 38122 HENRY DR
� Amount Paid: 135.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/13/2017 Phone:
Work Desc: REMOVE AND REPLACE WIRE TO GENERATOR
CONTRACTOR S � APPLICATION FEES
NEW-TECH CONSTRUCTION CORP BUILDING FEE 75.00
NEW-TECH CONSTRUCTION CORP ELECTRICAL FEE 60.00
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� Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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 recordinq 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.
NO OCCUPANCY BEFORE C.O.
.. �
C NT TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES N 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� _.. . a�aaao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
'7 Building Department
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Date Received Phone Con or Permi;' � � Y "�DO" �� 1
1 1 1 1 1 1 I 1
Owner's Name Owner Phone Number ZS
Owner's Address I a�ao SE �. �1 v W�Owner Phone Number
�$00(n
Fee Slmple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
e �JOB ADDRESS LOT#
SUBDIVISION PARCEL IDlk
, (OBTAINED FROM PROPERTY TAX NOTIC�
WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OP WORK QV� a(�Ll r `�C� ` ` �� ��'� 1�I �
BUILDING SIZE SQ FOOTAGE� HEIGHT e,��Sfi���j ao o �.m P
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION 9� "'�� ��S) �V ,�
ELECTRICAL $ ��Q r p�F� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. `�`�J��
l.l.J ,� �-� F�c�.� P Pc
QPLUMBING $ ^ ,
, QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �/ v m�'�� � �G
• � ��,y��( w � � 3�
QGAS Q ROOFING Q SPECIALN 0 OTHER � l� �„r � �I''� /'
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO " \ � `�`�
- � . g��.�.d .
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BUILDER MPANY Y V T
SIGNATURE REGISTERED Y/ N�,1� FEE C RRE� Y/N I
Address r �J�_Llcense# ( w�
` SELECTRICIAN ��� ,` i �COMPANY � ��
SIGNATURE REGISTERED Y N FEE CURRE� Y/N
Address ���`�i L��icense# �I.�VV� Ul
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
, Address License#
1'1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construcUon,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
i Minimum ten(10)working days after submittal date. Required onsite,C s c ion ans,Stormwa er ans w Silt ence installed,�—
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized -
If over$2500,a Notice of Commencement is required. (AIC upgredes over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage)
, Drlveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions°
which may be'more restrict(ve than County regulations. The undersigned assumes responsibllity for compliance with any
applicabie deed restrlctions.
UNLICENSED CONTRACTORS AND�CONTRACTOR RESPONSIBILITIES: If the owner has hired a cantractor or
contraclors to undertake work,they may be requfred to be Iicensed in agcordan�e with state and local regulations. If the
contractor(s not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violaUon
under state law_ If the owner or Intended contractor are uncertain as to what licensing requirements may apply for the
intended wark,they are advised to contact the Pasco County Buiiding Inspectlon Division—Licensing Section at 727-847- �
8009. �urthermo�e; If the owner has htred a wnkactor or contractors, he is advfsed to have the confractor(s) sign
portions of the"contractor Blocl�'of this appUcation for which they w111 be responsible, ff you,as the owner stgn as the
contractor,that may be an Indication that he Is not properiy licensed and is not enBtled to permitting privileges fn Pasco �
' County. - . •
TRANSPORTAl10N IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands '
that Transportation Impact Fees end Recourse Recovery Fees may appiy to the construction of new buildings,change of
use in existing butldings,or expansion of existing buildings,as specNied in Pasco Coynty Ordinance number 89-07 and
90-07,as amended. The undersfgned also understands,that such fees,as may be due,will be Identified at the tlme of
permftting. It is further understaad that TransportaUon Impact Fees and Resource Recovery Fees must be paid prior to
recefving a'certificate of occupanc.y"or final power release. If the project does not involve a cert'rficate of occupancy or �
final power release,the fees must be paid prior to pertnit Issuance. Furthermore,ff Pasco County Water/Sewer Impa�t
fees are due,they must be pald prior to permft issuance in accoMance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Flodda Statutes,as amended): if valuation of work is$2,500.00 or more,I �
certify that I, the appiicant, have been provided wfth a copy of the 'Flarida ConstrucNon Lien Law—Homeowner's
Protection Guide'prepared by the Florida Departme,nt of Agriculture and Consumer Affairs. If the appliqnt Is someone
other than the'owner°,I certify that 1 have obtained a copy of the above described document and promise in good faith to -- -
deliver it to the'owner prior to commencement. �
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the informalion in thls apptication is accurate and that all work
will be done in compllance with all applicable laws regulating construction,zoning and land development. Appiication is
hereby made to obtain a permft to do work and Installadon as indfcated. I certify that no wark or installatlon has
commenced prior to tssuance oF a permit and that ail work wrill be performed to meet�standards of alf laws regulating
construction, County and Ciiy codes, zonfng regulaUons, and larid development regula8ons in the jurlsdiction. I al"so
certify that I;dnderstand that the regulaiions of ottier govemment a'gencies may apply to the intended work,and that it is
my responsibiltty to identify what acttons 1 must take to be in compliance. Such agencles include but are not IImH�ed to:
- Department of Environmental Protection-Cypress Bayheads, VNatland Areas and Environmentalty Sensitive
�Lands,Water/WastewaterTreatrnent - �
- SoulhwesE Florida Water Management District-Weils, Cypress Bayheads, Wetland Areas, Altertng
Watercourses. °
- Artny Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8 Rehabliitathre Servlces/Envlronmental Health Unit-Wells, Wastewater Treatment,
�Septic Tanks. , . ,
- US Environmental Protectlon�qency Asbestos abatement.
- �Federal Aviation Authority-Runways.
I understand that the following resMctions apply to the use of fill:• ��
- Use offill is not allowed fn Flood Zone`V'unless expressly permitted. �
- If the flll matedal Is to be used in Flood Zone 'A', ft Is understood that a drainage plan addressing a
,'compensating volume'will be submitted at Hme of pertnitting wh(ch is prepared by a professional engineer . •
licensed by the State of Florida.
- ;If the flll material is to be�used in Flood Zone'A°in.connec�ion with a permttted buiiding using stem wall
c:onstrucUon,I certffy-tf�at fill will be used only to flil the area withln the stem wall.
' - 'If flll material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
'propertles. If use of fill is found to adversely affect adJacent properdes,the owner may be cfted for violaUng •
lhe condl8ons of the building pertntt Issued under the attached pertnft appl(cation,for lots less than one(1)
acre which are elevated by ftll,an engineered dralnage plan is required.
if I am the AGENT FOR THE OWNER,I promise iri good fatth to inform the owner of the permttting conditions set forth fn
this effldavft prior to commencing cbnstruction. I understand°thet a separate permit.may be required for electrical work,
plumbing, signs,wells, pools, air conditioning, gas, or other installations not specffically induded in the application. A
` permit issued shall be construed to be a I(cense to proceed with the work and not as authorfty to violate,cancel,alter,or '
set aside arry provfsions of ihe technical codes,nor shall issuance af a permit prevent the Bufldfrig Offictal from thereafter
' requiring a correctton of errors in plans,construction.or vtolaUons of any codes. Every parmft Issued shall become invalid
uniess the work authorized by.such permit is commenced withtn six months of permit issuance,or ff work eulhor¢ed by
the permit is suspended or abandoneil for a period of six(6)months after the time the work is commenced: An extension
' may be requested,in writing,from the Building.Ofliclal for a period not to exceed ninety(90)days and will demonstrate
jusHfiable cause for the extension. tF work ceases for ninety(90)consecutive days,the�ob ts considered abandoned. .
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN7'MAY RESULT IN YOUR
PAYING?1NICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TD OBTAIN FINANCING,CONSULT
YYRH YOUR LENDER OR AN ATTORNEY BEFO ECO IP1G YOUR OTICE OF CO ENCEMEN'F
FI.ORIDA JURAT(F:5.117.03) �
OWNER OR AGENT CONiRACiO
Subsalbed en�m to(or eftirtned)before me thls �ubratb�and 6swom to(or a befo e thLs� .
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Who ishare personally known lo me or hasThave pmdiu�d Who re pe Pnally Imown me haslfiave produced
as Identlfiraeon. S cuvS.-�s Ide�tiflcaiion.
Nobry Pubilc / � Notary Publlc
Commission No. Com o o.
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NameoTNofarytyped,printedarshamped �NameofNotary ; , .4?���December12,2018
� �'.�pF����Q.p��` Bonded ThN Troy Fain Ineurenaa B00•385-7019
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'� l ALL WORK SHAI!COMPLY WITH
j� ,✓� PREVAILING CODES
�J FLORIDA BUILDING CODE,.-
NATIONAL ELECTRIC CODE,AND
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �`� `Z-�-W �C°(��, ��'�1✓1�'S�YG[C>.7`r �
,
Date Received: ��! � �
Site: �'�Z Z- /`�.l1/`
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Permit Type: ��1�.P r��
Approved w/no comments� Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be ke t with the permit and/or plans.
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Kalvin Switzer—P s xaminer Date Contractor and/or Homeowner
(Required when comments are present)
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POVVER OF ATTORNEY '
I, Cosper L. Tullos, Jr., have made, constituted and appointed, and by this instrument I
do make, constitute and appoint, Angie Cassidy , as my true and lawful ',
attorney for me, in my name, place and stead: 'i
1. To execute such documentation as may be necessary to pull construction permits '�
and submit all necessary and appropriate documentation relative thereto.
' 2. To commence, file, prosecute, discontinue, compromise or defend all actions or
other proceedings before any commission, board or administrative body, and/or '
governmental staff relative to construction and building permits and approvals.
With full power of revocation reserved in the undersigned, but granting to said
attorney each and every foregoing power and authority.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this �1 day of
2017. `�� � I
Cosper L. Tullos, Jr.
New-Tech Construction
Lic# EC0001689
Signed, sealed and delivered in presence of:
STATE OF FLORIDA
COUNTY OF SARASOTA
.—�-The foregoing instrument was acknowledged before me this�l day of
� � 2017, by Cosper L Tullos, Jr who is are
�ersonally wn to me or has/have produced as
identification and who did/did not take an oath.
�
�tN'�p eG Notary Public State of Florida Notary Public
+ ^ Angela Blase
4
py�G �c� My Commission FF 068043 M Commission Ex7�ires
? �d° Expires 11/03/2017 Y Y
1�79 Barber Road v S�rasot�, Flo��ida 3�270
Phone. 941-4'5�-89�4 � Fax: 941-37S-0�00