HomeMy WebLinkAbout17-18639 CITY OF ZEPHYRHILLS
5335-8TH STREET
• (813)780-0020 18639
' BUILDING PERMIT
` PERMIT INFORMATION � -� LOCATION INFORMATION !
Permit N.umber: 18639 Address: 5520 21 ST ST (
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: 12-26-21-002A-00100-0020
Improv. Cost: 2,391.45 OWNER INFORMATION
Date Issued: 7/06/2017 Name: HAYES HOWARD & KAMI �
Total Fees: 75.00 Address: 5520 21 ST ST �
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-4565
Date Paid: 7/06/2017 Phone: 352-617-9967
Work Desc: INSTALLATION 10 X 10 SHED
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE - 75.00
,
�
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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
CONTRAC OR GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, � NOTiCE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. 7'he undersigned assumes responsibility for compliance with any
appiicabie deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIi»ITIES: tf ihe owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and lacal regulations. If the
cantractor is nat licensed as required by law, bath the owner a�d contraotar may be cited for a mssdemeanor violation
under sfate law. I�fhe owner ot intended cantractor are uncertain as to what licensing requirernents may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
84D9. Furthermare, ff the owner has hIred a contractar or contractors, he is advised to have the contractor(s) sign
partions of the°contractor Block"of this appiication for which they will be responsible. if yoU,as the owner sign as the
oontractor,that may be an indication that he is not properly licensed and is not entitled ta permitting privileges in Pasca
Caunty.
TRANSPORTAT{ON IlNPACTIUTILCfIES IMRACT AND RES4llRCE R�GOVERY FEES: The undersigned undersfands
that Transportatian Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified 1n Pasco County Ordinance number 89-07 and
9t7-07,as amended. The undersigned also understands,that such fess,as may be due,witl be identified at t}�e time of
permitting. It is further understood that 7ransportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"cert�cate of occupancy'or final power release. If the projec#does not involve a certificate of occupancy or
final pawer�etease,the fees must be gaid prior to permlt issuance. Furthermare,if Pasco County WaterlSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinences.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): tf valuation of work is$2,500.00 or more,I
certify that 1, the applicant, have been provided with a copy of the "Ftorida Constreaction l.ien Law—Homeowner's
Protectian Guide"prepared by the Florida Department of Agricuiture and Consumer Affairs. If the applicant is snmeone
other than the°owne�', I certify that I have obtained a copy of the above described document and promise in good faith to
deiiver it ta the"owne�'prior ta commencement.
CONTRACTOR'SIOWNER'S AFFiDAVIT: I certify that all the information in this application is accurate and that a!i work
will be done in compliance with all applicable laws regulating constructian,zoning and land development. Application is
hereby mede ta obtain a permit to do woric and installation as indicated. 1 certify that no work or installation has
commenced prior to issuance of a permit and that a1I work wi11 be performed to mset startdards of ail laws regulating
construction, County and City codes, zoning regulations, and land development regula#ions in the jurisdiction. I also
certify that i understand that the tegulatians of other govemment agencies may appiy to the intended work,and that it is
my responsibitity to identify what actions 1 must take to be in compiiance. Such agencies include but are not timited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentalry Sensitive
Lands,WaterlWastewater Treatment.
- Southwest Florida Vllater Management Dlstric#-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Rrmy Corps af Engineers-Seawalls,Docks,Navigable Waterways.
- DepartmeM of tieaith & i2ehabil{tative ServiceslEnviranmentai Health Unit-Weiis, V1lastewater Treatment,
Septia Tanks.
- US Environmenta!Protectiort Agency Asbestos abatement.
- Federal Aviabon Autharity-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressh,�permitted.
- tf the fiD material is to be vsed in Ftoad Zane "A", it is understood that a drainage plan addressing a
"compensating volume"will he submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- tf the 811 maferiai is ta be used i� Flaod Zone"A"in cannection with a permitted buiiding using stem waIt
construction,(certity that fi11 will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversery affect adjacent
propertiss. If use of fill is found to adversely affect adjacen#properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit apptication, for lots less than one(1}
acre which are elevated by fill,an engineered drainage plan is required.
!f 1 am the AGENT FOR THE OWNER,1 pramise in good faith to inform the awner of the pesmitting condifians set farth in
this affidavit prior to commencing construction. 1 understand that a separate permit may be required for electricai work,
piurnbing, signs, wells, pools, air conditioning, gas, or ather installations not spec�cally included in the application. A
permit issued shall be construed to be a license to pracesd with the work and noY as authority to violate,cancei,alter,or
sef aside any provisions of the technical cades,nor shafl issuance oi a permit prevent the Buiiding Official from thereafler
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 withitt six months of permit issuance,or'rf wark authorized by
the permit is suspended or abandoned for a period of six(6}months after the time the work is eommenced. An extension
rnay be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
Justifiabie cause for the extension. If warlc ceases for ninety{90)cansecutive days,!he job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NO710E OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWlCE F4R IMPROVEMENTS TO YOUR PROPERTY. !F YOU INTEND TO OBTAIN FINANCING,CdNSULT
W1TH YOUR LENDER OR AN ATTORNEY BEFC}RE RECORDiNG YOtlit TICE OF OMMENGEMENT.
FLORIDA JURAT(F.S.71 03)
OWNER OR AGENT ,���� CONTRACTOR
�'S b ri nd swo t r ai ir�ted efore me�this sc�bed and (or affirmed batore e this
s/�/�by '�t i PCdXrs�l L /!tW/JS � "-� "( by c
Who Is/ar personally known to me or haslhave p uced Who islare personal me r as ve oduced
)"iL �fj�fr j j �Et14_ as tdentlfication, a entificatian.
s�!%�%r�a�- .-�-�"' Notary PubGc ��_L��•Notary Pubiic
Commfi�s�fon No. '"� l > Com ' lon No. \J
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a��-�eo-0o2o Gity of Zephyrhills Permit Application Fatt-813 780-0021
Bu3lding Deparlment
• , Date Recelved Phone Contact for PermitUn
Owner's Name Owner Phone Number
C� o il C�C� �.....�.JF � �Ylti �5.�'�I ,OwnerPhonaNumber � �
o,�,ers,adare$$ �
Fee Simple TiUeholder Name �^"u� O�1 3, �"' �wner Phone Num6er �� �
Fee Simple TlUeholder Address
JOB ADDRE53 � i ~ T ��
SUBDMSION � � PARCE�tDl3
�88TAINID FRO►i PROAERTY TAX Nt/710E}
WORK PROPQSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALI REPAIR
PROPOSED USE [� SFR Q COMM � OTNER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � S7EEL
t
DESCWPTION OF WORfC
BllILDItiG SIZE � � �4 FOdTA6E HElGtiT
�BUILDING $ Q �—� VA�UATION OF TOTAL CONSTRUCTION
J j
QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUM9ING ��
�MECHANtGAt. $ VA�UATtOtV 4F MECNANtCAt tNSTALLATION '�7 � ���,l t
�r
QGAS Q ftQOFINC3 Q SPECIALTY � 07HER
FtNISHEQ FLOOR ELEVATtONS �� FLOQD ZONE AREA �YES tdQ
BUILDER "'—�� �"����COMPANY � •��"" ��"""� �
SIGNATURE ��7�' REGI3TERED Y I N FEE CURREN Y/N
,Addreac License#
ELECTRICIAIV � � COMPANY � �
SIGNATi7RE REGISTERED Y/ N FEE CURREN Y 1 N
Atldreas License# �—�
PLUMBER � � COMPANY � �
SIGNATURE REdI3TERED Y/ N FEE cURREN Y/N
Address Llcense# �—�
tItECHANIGAL � � CdMPANY �
SiGNATURE REC��STERED YI N FEECURREN YIN
pddrsss Llcense# � �
OTHER � � COMPANY � �
SIGNATURE r��ls�n Y/ N �E cUwxEN Y/N
Address Ltcense# ��
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAi. Attacli(2)Pbt Pians;{2)sets of Buttd(ng Ptana;(1}set of Energy Forms;Ft-QNft Permit for�ew construcUon,
Minimum ten(1U)woricing days after submittai date. Requtred onsfta.ConsUuction Ptans,Stottnwater Piaiw w!Sitt Fenae tnstattsd,
Sanitary Facilities&1 dumpsler,Site Work Permit fat subdivisionsAerge projects
COMlNERCUU. Attach{2)cnmplete sets of Building Plans pius a Life S�fety Page;{1)set of E�ergy Forrns.R-O-W Permit far new consWction.
Minlmum ten{14}wnrking days after submittat date. Requlred onsfta,CoasWcttan P�ns,Stocmwater Plans w1 S3tt fence tnstalled,
SanKary Facilities 8 7 dumpstec Site Wark Parmit for all new projects.Ail commerctai raquirements must meet comp6ance
SIGN PERMIT Ariach(2)sets of Engineered Plans, _
"`•PROPER7Y SURVEY required far ali NEW canstruction.
. . . . . . . . . . . . . . . . . . . . . . . . . . . .: . , .�_,.�_�_. . . . . . . . ,
Directiona:
Fill out applicatlon completey,
Otitrtser&Cantractor sSgn back of applicaHon,notarized
H over�2500,a NoUce of Commenarment is required. (A/C upgrades oxer 57500}
"' Agent(tor the contraGor)or Pawer of Attomey(for the owner)woutd be someone with noterized letter from owner auihorizing same
OVER TNE GOUNTER PERMfl'TING {copy of coztitract required}
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Foofaga}
Oriveways-Ptot over Counter N an public roadways..needs ROW ,
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� �ECTION 12 TOWNSHIP 26 SOUTH RANGE 21 EAST
PASCO COUNTY FLORIDA
DESCRIPTION:
� BEGIN AT THE NORTHWEST CORNER OF TRACT I OF M.YINGLINGS SUBDIVISION, _
AS PER PLAT AS FILED IN PLAT BOOK 2. PAGE 16. PUBLIC RECORDS OF PASCO �
COUNTY. FLORIDA, THENCE EAST 60 FEET, THENCE SOUTH 135.6 FEET, THENCE
WEST 60 FE€T, MORE OR LESS TO THE WEST BOUNDARY OF SAID• TRACT I . THENCE �
NORTH 135.6 FEET MORE OR LESS TO POINT OF BEGINNING. SAID TRACT I . LYING
- AND BEING IN SECTION 12. TOWNSHIP 26 SOUTH. RANGE 21 EAST.
i . _
I N9TES: -. �
� I- THIS MAP REPRESENTS A�BOUNDARY SURVEY. (FIXED IMPROYEWIENTS SHOWN)
. 2- DESCRIPTION SHOWN HEREON PROVIDED BY PREMIUM TITLE. INC.
3- BEARINGS SHOWN NEREON ARE BASED ON ASSUMED DATUM AND REFERENCED TO
� • . 2 p• THE WEST BOUNDARY OF TRACT I BEARING NORTH.
4- 1'HE LAND SHOWN HEREON APPEARS TO BE LOCATED IN FLOOD ZONE-'AE " ACCORDING
TO FIRM COMMUNITY PANEL N0. 12101C 0456F DATED SEPTEMBER 26. 2014.
5- NO APPARENT SURFACE ENCROACHMENTS EXCEPT AS SHOWN HEREON.
6- UNDERGROUND ENCROACHMENTS OR-�.UTILITIES (IF QNY) NOT LOCATED IN CONJUNCTION
WITH THIS SURVEY.
7- FENCES SHOWN HEREON ARE ENLAROED FOR CLARITY AND MAY NOT BE TO SCALE. �
8- THIS SURVEY PREPARED IN CONJUNCTION WITH TITLE INFORMATION PROVIDED BY ,
PREMIUM TITLE. INC. PER COMMITMENT AGENT FILE N0. 17-Ce30.
THIS SURVEYOR NOT RESPOfdSIBLE FOR EASEMENTS, ADDITIONAL RIGHTS-OF-WAY
OR OTHER ENCUMBRANCES OF RECORD NOT FURNISHED TO THIS OFFICE.
9- NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA
LICENSED SURVEYOR AND MAPPER. ADDITIONS OR .DELETIONS TO SURVEY MAPS OR REPORT5
BY OTHER THAN THE SIGNING PARTY IS PROHIBITED.
� 10- ANY REPRODUCTIONS OR DISTRIBUTION OF THIS SURVEY MAP OR REPORT WITHOUT THE
EXPRESS WRITTEN CONSENT OF SIMMONS AND BEALL. INC. IS STRICTLY PROHIBITED.
THIS SURVEY MAP OR REPORT IS VALID ONLY TO THOSE INDIVIDUALS OR �ENTITIES NAMED
FIEREON. SIMMONS AND �EALL. INC. AND / OR THE SIGNING PARTY ASSUMES N4 �
RESPONSIBILITY TO ADDITIONAL PARTIES FOR ITS UNAUTHORIZED USE.
GENERAL LEGEND � g I M M 0NS & �EA L L, INC
� �rn - o�d a- o�-,�t,a,
cra -co�� r�,�,t
P�.CP. -Pernc�-�4.�°'ca,""'�i Po,�,t SURVEYIN� & MAPPING
, PRM. - Permene„4.Refe�-e„ee Mortimenl. FLORIDA LB. N0. 6382
R/W -R�ghk, oF Wey P.O. B�X I'�97
�' -�'��sP`� � 36739 STATE ROAD 52
N@ D - Ne�l erid Dtsk D
�� _�„�„�pe� ��� DADE CITY. FLORIDA 33526 ,
P.C. - Pou,t of c�-.�t.�-e ( 352 ) 567 - 0048
, P.T. -Pcu,k.oP T�� ' FAX ( 352 ) 567 - 0675
If'• " L'on P►P� (Fl -Fteld Dak.e �� MARCH 8. 2017 �,��� CD
�) -Plek. IR. - Iran Rod Dete of
FD. -�`�°'d Q�l - R�ol'' Lt"° pek.e of pleb: MARCN 9. 20 I 7 q.��: MWB
AC-A1r Crndtt�o,-�- ff�1 -Nan Redrel ��,� 2017-015 $}�E; ONE �F ONE
)BBY W. SIMMONS REVISIONS.
510NAL LAND SURVEYOR , �IED T0: HOWARD EDWARD HAYES
� PLS CERT. N0. 2763 EVERETT FINANCIAL INC.
4 LB CERT. N0. 6382
IMPRINTED WITH RAISED SEAL PREMIUM TITLE. _INC.
0 REPU IC AT 0 AL TI E S RANC CO PA
N�tional ���i�ri a�d Ihs.p��ti,�r�
S03 North Jackson Ave.�Suite 2
syars.,Building-
.RussellviCle;.AL 3565:3
July 25,.�015
iVlr.larn Richmond
Ftorida Depiartmeht of�usiness and Pr�fessiona) Regutatian
Manufactur�d Bui)ding P'ragr.am
1940 IVor�h.IVionroe�5tteet
Suite:9OA
T�llahassee;.Florida 32399-4772
RE:Pi�n Approvaf: Residential taw�Storag��g.h.ed
11rta�ufacturer;Benne�t Buiiding S�stems
plan Num6er/Name:530=(�21 Gabfe Shed
Dear Iti/1r: Richmond;.
Pur.suan�.to the requirements of th�e Florida Department o�Susiness and Prr�fies5'ronal.
Regulations,tfie ab.vve refecen;ce+d.do,cuments have.been reviewred for compiianse with:
�U14 FBC, �tli Eclition
These p,lans camply viri�h�(orida �roduct Approval Rule 61G2C1-3.OQ6(FAC).Afso included in fihis
approval and.attacfied to th�plans�are pre=engir�eerecl truss design�P9106.0�; R931.&O8,
P9185.03, and.P91�603,and; Kingpost,lci6#7909�..
A signed and se�led s�t of,pians-�are maintained an file:in-th�Third �arhy Agency office.of
IUa�ional Design and Inspectio�,
All mandato,ry cpmm�nts hav.e been satisfed,an� plans are��pr.d�ted far construction by.a
modular�uiiding manuf�ctu.r.er that is currently appr-oved by.tlie Departrrient af Busin�s�ani!
Professianal Regulations.
if you have:any questions br require rriy assistar�+ce in an,y inia.y;ple�ise d"a ncit.liesita#e tr�coritact
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NOTiES� (8)
4!'�'?fs{Nss has been checiced f,ar uNtatpt toet.il�e.luad anip;e�e"pE us itated:
2j1Mnd:ASC�°7=i0�Vuit�fdpriipb(3seconif gus7�Vssd=T08mp6;TCD4=4.2psi;BC�L�.Opst;h=3dtt;Cat ii,E�cp C;Eaol.,GCp1-D.48;MW�RS(enveli�pe�gaWe erid zarte a�d G•C E3cledoi(2y�nr,e;GC
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� Ci.ty ofZephyrhills
�� BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: 6 ` : �
Date Received: G�'^'f���
� site: j�� 2-/��c:��``
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Permit Type: �� 1��C C(�
Approved wlno cornments:❑ Approved w/the below comments: ❑ Denied w/the below coznments: ❑
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This comment sheet shall be kept with the permit and/or plans. '�
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Ka1vi �witzer— s Examiner Date ontract an omeowner ' ';i
(Required when comments are present) ��;
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