HomeMy WebLinkAbout17-18814 CITY OF ZEPHYRHILLS '
' � 5335-8TH STREET �
(813)780-0020 18814
BUILDING PERMIT
- PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18814 Address: 38529 11TH AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
� Est. Value: Parcel Number: 11-26-21-0010-05300-0090
Improv. Cost: 1,000.00 OWNER INFORMATION
Date Issued: 8/28/2017 Name: CONTRERAS JOSE & CONTRERAS JUA
Total Fees: 80.00 Address: 33330 TAMMY LN
Amount Paid: 80.00 ZEPHYRHILLS, FL. 33543-4934
Date Paid: 8/28/2017 Phone: (813)714-1069
Work Desc: ELECTRICAL/PLUMBING UPGRADE
CONTRACTOR S APPLICATION FEES
HOMEOWNER ELECTRICAL FEE 40.00
HOMEOWNER PLUMBING FEE 40.00
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' Ins ections Re uired �
F OTER 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 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.
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CONTRACTOR SIGNATURE 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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DISC�OSIIRS STATEP�T FQR OI4NER
CITY OF ZSPF3YRFiILLS HIII�DII�TG DBPARTA28�T
I, ��'r'� �����"�� have read aad fu11y uaderstaad aad
a�re�e to the provis3oa of �his iastrumeat.
The uader�igaed etates aad affirms that he or she is desirous of constructing,
reaovatiag, addiag to or reroofiug his or her owa domicile, that he or she ,
actually occupies, ar will accup�• by said domici].e, and same is aat for
r�at, lease or sale. That he or she shall comply with the foZlawiag coaditions:
1. That the owaer aac� he ar �he alaae shall act as the builder for all phaees o�
C4136tZ'11C�7.031.
2. That �he otva�r will comply with aZl provisioas of the City of Zephyrhills
ordiaa.aaes an� codes pertiaeat to the buildiag.
3. That ia the event variaus phases af aoa�tructioa �x� subcoatracted, he will
eagage oaly properly lic�ased �ubcoatractors aad wi11 p�rsoaally supervise
such work.
4. Th�t in the eveat the Buildiag Iaspectar sha1Z requize corrections �o be made,
the o�aaer �ei12 assume fu21 respaneibility to iaeure they are made, aad upoa
campletioa will aali for a reiaspection be�oxe proceediag arith the buildiag,
5. That the owaer shall assume full re�poasa.bility fos the construatiau aad i+*ill
aat expect supervisiaa of his �rork fram the City of Zephyrhi33.s Huilding
Departtneat.
6. That priar to iEiaal 3nspectioa aay additioaal �ees, includiag r�iaspectiaa
fees, muet be paid ia full. �i writteu r�quest fram �his affxce sha�l
con�titute aa o�ficial aotxc� to pay additioasl fees.
7. Tha.t the owaer sha12 comply with all Ci.ty, State aad Pe�eral. Iaws ia regard to
saeial security, warkmanrs compensation, Iien laws, etc. , where applicable.
8. That the cwaer sh�ll comply `eith all the safety codes issued by the Floxida
Sadustrial Commissioa.
9. State law requ�re� construction ta be doae by liceased contractors. Y'ou have
applied fcrr a permit uader aa exemptiaa �o that Iaw. The eacemgtion allows
yau, as the awnear o� yaur property, ta sct as your own coatractor with ce=taia
restrict3oas evea though yota do aot ha�re a licease. You must pacovide direct
oasite aupexvi�ioa of the coastruatioa gaurself. Yan m�y build or imprave a
oae-fsunily or �wo-familg resid�:aae az ra fa.sm outbuildiag. You may a3sa build
ar impsove a cosa�ercia7. buildiag, provided your aosts do ao� exceed $75,000.
The bi211CISACJ or r�sidence must be for yaur ortim use or oceupa�acy. It m�y ao�
be built or substantially impraved for sale or ].ease. If you se7.l or lease a
buildiag you have built ar subetaatially 3mproved yousself within 1 year after
the caastraeticn ie eompZete, th� l�w wil2 ps�svime t�t you built or
substaati�lly iaeproved if far sale or l��se, sehicl� is a vialatian af this
exemptiaa. You may aat hiace �a, ualicensed p�rsan to act ae your caatractor or
to superviee peopl�e warkiag oa yaur buildiag. It is your respoasibility ta
make sure �hat peogle emp�oyed by� you hav� Zicens�s required by stat� lav� aad
by coun�y or mvaieipa2 lieeasiag art�3aaac�s. You may not de2egate the
respansibilsty for supervi�ing work to a liceaeed contractor wha is aot
liceased ta perfoxm the work beiag done. Any persoa work3ag oa your building
who is aot 13ceased must tvark uadex your directi sugervision. a�nd must be
-------- e�l�ed_by�ou��v���.��tg_�7zat �rn�: mu�t-ded2���-R.�:C-�-:--e�d-wit�o-rdsnt„T�s�t----_�__ -- ----
and provide workers' compensation for that emplayee, a2I as prescribed by law.
Xaur cons�ructioa must ao ly with al agplicable lav�s, osdiaaaces, buildiag
codes, �,nd aaa' Iatio
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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
� `� Building Departrnent .
Date Received `
�° Phone Contact'for.Permittln — ` ` -
Owner's Name � !l �� Owner Phone Number �� `"► � ���
Owner's Address � �� 1� Q�� � � Owner Phone Number
Fee Simple TitleFiolder Name � ' � Owner Phone Number
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Fee Simple Tltleholder,Addresa
JOB ADDRESS LOT# �
SUBDIVISION � PARCEL ID# '
� . (OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED. ;..NEW CONSTR ADD/ALl' Q` SIGN' Q Q, DEMOLISH
'-B= INSTALL 8 ^ REPAIR
PROPOSED.USE _ Q SFR Q �COMM Q -OTHER
TYPE OF CONSTRUCTION � Q" BLOCK " Q FRAME Q STEEL 'Q
DESCRIPTION OF WORK-' Y -S�� � 'U �p � � � ` ' �- �
BUILDING SI2E `SQ FOOTAGE�_ . _HEIGHT
QBUILDING , $ VALUATION:OF�'1'TOTAL CONSl'RUCTION 'A -
�ELECTRIGAL $ s� �O AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ,
�]PLUMBING $ �
�� �
QMECHANICAL ' $ VALOATION OF.
� . MECHANICAL INSTACWTION
D�S Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES NO
BUILDER � COIIAPANY� � � ' �V . - � .
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N�
6lddress � Gcense#' -
ELECTRICIAN: : � � ,-COMPANY ' - �
, SIGNATURE � REGISTERED Y/ N FEE CURRE�•� � ' �Y/N�
Addresa ' � � ` ` ; . License�# � - '
PLUMBER '� � COMPANY � ' °
SIGNATURE" '" ' REGISTERED Y.L.N: ,- :FEE CURRE� ",Y./N. -�
Address � License# -_ .
MECHANICAL ' ' COMPANY ' . .
' SIGNATURE� - � ' ' ' � � '`- REGISTERED , Y,/ N � FEE CURREA. X/�N , , ,
Address: . - , • � , �; ..�� ' ' . ; .. � License# , .
, „ ,: , . � . _ . . _ -�. .,. , .. _
I� OTHER ' - - ` _ � � `: ',COM,PANY ' . . � '..
,,,. , .
SIGNATURE ..- r' � - - � " `REGISTERED` ` ' 'Y/ N_.. ' FEE"CURRE� Y/N
'Addres� ,ry =.� - - - ' E. �' , . Li6ense# ` � �-� � �_ .
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RESIDENTIALt�;;-;`:Attacli`(2)vP1o.t�Pians,;..(2)sefs;of'Building�Plans;(1)sef'ofEnergji�Forins;'�R=O-WPer_mlt�fornew.construction,,_ '''_�,`,',,;'' _ ' ,
F--Minimum;ten,(10):worktng;days,aiter su6mittal`date':s.Required'onsite;Constructlon Plans';'3tortnwate'r Plans w/SfIE Ferice ins�lled,�
_ `SaniEary�Facilitiesr&o-,13�dumpster~SIte�Work..,P,ertnit#or sutidivisions/large�projecfs`;;:_:_;;��; �.- " . .;.;'�,.�,°" .,' •�::.'.;i.•' � " '
COMMERCIAL Attach(3)`complete sets of Buitding"Plans plus a Cife'S'afety.Page;.(1)set of Energy Forms.R-O-W Pertnit for new constniction:•��' - - -
Minimum ten(10)working days after submittal date. Required onsite,ConsUuction Plans,Stortnwater Plans w/Silt Fence Installed,
Sanitary Facilitles 8 1-dumpster.Site Woric Pertnit for all new,proJects.•All commerGal requi[ements_must meet compllance�^'� � • --
SIGN PERMIT AttacFi'2 set§'of`Eri"�ineered Plans:,,��, � - - . • �,,. � . . , -°k`-"..> �
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"••PROFERTY SURVEY repuired„forall NEW construction,,, - ,_. .__ _ .. `.- - -
Directlon�: , ,;1 �, . ,- . • _ • �.
� Ftll out applicadon completely.
Owner 8 Contractor sign back of appl(caUon,notarized
If over a2500,a Notice of Commeacement la requlred. (AIC upgrades.over 57500)
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Agent(for the contractor)`or Powe�of'Attomey(fo�the'owner)would be someone with notarized letter from owner authorizing same
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�VER THE COUNTER.PERMITIING�-� -----(Front of�Application Only):--��-• •� � �' • � ` "
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) _
. ., .� - . _ - . .. �G.-erb.n:T.':.-•JYa:Y_n. �r..e .�s .. <__
Drivewaya-Not overCotYnter`If cin°pUtilic roadway§::iieeds ROVII-"`�°f, �� 3 �- - fi���� � � ` - _ -
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br-._�,,:...�,�.. ,.. .�,�_....,�._ ,r. _ . �. ��:,:.'�< . _ i' "�-��-�»,••._ � .., .�..,F._. _ ;� �_ -' �i
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NOTICE OF:DEED RESTRICTIONS: The undersigned;under�tands,th�t.thls�.p�rmit;may_be,sub)ect to,"deed"restrlctlons°_�_;:. .y._.;�:.
which may tie<more��r.est�ictive�th��County•r+agulat(onss=The�.unders)gned-assumes`respon"sibillty�for�compilance witFi"a'ny'�` �'����"�"�`
appHcable.deed resMctions. � - • .-_ ..� �� � � �-
;.. ..;...:.:: <,;...� =. .; � __- . . --,.-- ._ .._. _:.
UNLICENSED�CONTRAGTORS �AND CONTRACTOR RESPONSIBICITIES: �-1f-the�owner has��hire�tl'a"contractor or
contractors to undertake work,.tFiey may-,b.e,�requl�ed�.to:be�llcensed in accordance.with;state.and�local:regulations:�,-ff=the�-��' �� -=
contracto��ts not�Ucensed as�re�qulred�tiy law�=both��the owner and�contiactor���may�be�clted=for�aAmi"sdemeanor violation
under state law. If the owrner or Intended;,.contractor,•ere:;uncertaln as�to what Ilcenaing:requirements,�may-_-eppty2��for�the''°:-�-> ����`�
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intended work, they are advlsed�to coritact the:Pasco County.Bullding:lnspection Dfvlsfon-Llcensing Sectton at 727-847-
8009. Furtfiermore, 1f the oviriier'has�Filred'a .cont�acto�o�contractors� he Is advised to have�the contractor(s),.sign, .
portions of the:,"co.ntr.actor Block"�of,this_application�for which they..will.,be�r,esponsible: If:you;�as;the own'e'r''stgn'as'tfie` � ' - ���
contracbr, that tna���be an indication�thaE'iie`Is"not properly'licensed�and"is-not entitled to perrnitti'ng}privileges tn Pasco
County. • � - - - - - -� �'�; ., .:� � .._
TRANSPORTATIONAIMPACTNTILITIES=rMPAC7�ANb RE$OURCE RECOVERY•FEES:��The undersigned understands
that Transportatlon Impact Fees and.Reco.urse Recovery.Fees,may;apply:.to:ti�e,construction,of new.buildtngs,.change'of'� ` �� '�
use in existing bulldings,�or:�expansicin�-of=ezlsti�ig�,bWldings, as spectfled.in Pasco County Ordinance number 89-07 and,
90-07, as amended.,.;;The undersigned also;�un.derstands, thait�such fe.es;;as�may�be��due,�wtll:�be identified at the'��time°of`��" �=��` `�"
permitting. It is fu'rtFier understood that Tra�sportation Impact'Fees and�2Resource.:Recovery�Fees._must be pald prior to
receiving-a °cerfificate�of occupancy"�or�flnal,power•.Gelease:''�:If`the proJect�::does}:no�Involveaa�.certificafe of occupanay-�or=���'�""�`"�
flnal power release;=,the;fees-must'tie patd;prlor to.;permit issuance. Ft��thermore;��if Pasco,County�INaterlSewerf,lmpact �� ,_� ,��
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fees are due�.they�;must,be=paid,prior to.permit�issuance=ln_accordance:witF�-applfcabfe.Pasco�.County ordinances. •
CONSTRUCTION'LIEN`LAIfV�(Cfiepter 713� Flortda 3tatutes�aa amended): If valuallon of work ts$2,500.00�or more,,i�-� =�
:.�:
certify that I,-�he. applicant;:-have,.b.een�;provided�•with-a�=copy.of�.the:�"Flor(da�°�onstructton� Lien_Law�—Homeowner's
Protection Gutde" prepared by�fFie Flbi�ida Department�of Agric.ultnre and Consumer�.Affairs. if the app8cant Is so'meone ,: , - ��;
other than the"owner", I certffy that:I�h�ve,o�tained�a�eopy.of.the;abova:des.cMt'ied�.docun�ent-and;pro�ise�rtn,good',faith..to _ . .,.
deliver it to:the.�'ownec"�=Piioc:to�commencemerit:"�'�` y -' `. - .- - � `" -. , � = �..� �.°. . -
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify_:,tli;at.all�.th��lnf.ormatlon:in'�this appllcation is accurate.and that all work
wili�be done in comptt�nce with ail.appltcable laws regulating constructlon, zoning and:_land`development. Appitcatton is
hereby made to obtatn_a .permit��,Co.:dv.,:work;�and.:instellatlon as indl�eted:->.:'I, certity that no.work��:or Installation fias
commenced p�lo� to i'ssuance of a'permif"and that`all work will be pertorm�d�to meet-standards�of all laws regulating-
construction, County and City codes� zoning regulatians, and land development regulations��in�the Jurisd(ctlon.� 1=a1'so _
certify that I understand that the regulations of other government agencles may�apply�to the..intended work, and that it is
my respons(bility to ident(fy.what.actions I must;take:b be�in:.c:orr�pl(ance;;S,uch agencles_include-but�are-:not Iimited to: -
- Department of Erlvironmental�Protectton=Cyp�esg.'Bayhead�, Wetland Areas and Env(ronmentally Sensltive
Lands,WaterMlastewater Treatment. , "..
- Southwest Florida Water Management: �.Dlstrict Wells;' Cypress.� Bay.heads;- Wetland� Areas, Altering
Watercourses. ; � � -
- Army Corps of Engtneers-Seawalls, Docks, Navigatile Waterways.
- Department of Health��8 Rehabilitative,.Services/Envitonmental--Health Unit WeII.s�:Wastewater�Treatment, �
Septlb`Tanks:. � ' � . � _
- US Environmentai Protectlon Agency-Asbestos abatement. .
Federal Av.lation_Authority-Runways:� ' '
I understand that the,following:�rest�ictlons apply"to tfie use of flIL••
- Use of flll is not allowed in:Flood.Zone"V"unless expressly,permitted. .
- if the:fiil material is to b.e used��In.:Flood Zone. "A", t� Is understaod that a dratnage plan addressing a
"compensating volumep will be submitted at�ime of�penr�ftting wb(ch is prepared by a professfonal engineer
Iicensed by#he�tate of`Florid`a: - � , � ..
- If ih� flll materlal�:is to be�used In Flood Zone 'A" in>connec�ion�with�a�permitted bnilding using stem wali
construction., l certify;th.at.fUl�:wall:be-used only.to.fill the area within�the�stem wail:
- If fill materlal is�to be used In any area, I �certify that .use of such flll will not adversely affect adjacent
properties. If use of flll,is found.to adversely:�ffect adJaeent��pr�perties,.the owner n�ay be cited for violating
� the condi#ions�of.the buildtng':perm(t Issued�under tfie'�at�ached,permit application,-for.lots.less than:one (1)
acre wfilah are�elevaterl�by fllt;arr englneersd dralnage plan is required.
If 1 am the AGENT FOR THE OVIINER; I;.promi�e In good faith to fnform 4he owner of•the�permitting condftlons set forth in
this affidavit`prior to commencing constructlon. f understand that,a�separate permit may be requlred for electrical work, .
_ . .�-,,,... .
plumbing, signs, wells,..pools;.alr.conditioning,.gas,�or otMer Install�ttons no!•spec(flcally Included�tn.the�application. .A
permit issued shall be construed to'ti'e�a'license`-to�pi�oceed with'"tiie�work and�not:as-authoNiy.:to:violate,�cancel, alter, or
set aside any provistons of tFie:tecFintcal c+odes;�nor shall issuance�of a.permit.prevent the Bulidirig Official from thereafter
requirin.g a;conection af errors_In.plans; constFuctlon,or violatlons of-any codes. .Every�p�ermitPissued"shail become invalid
unless the work authorized.by such permft:�is.co�nmenced•withtn s{x,months of permlt Issuance� or If work authorized by
the permit is suspended�or-:abandoned;for:a;period;of�six�:(6)�monlFis.aRer the.tirne the�work is commenced. An extenslon
may be requested, In writing;�f�om_the:Building.Official for a pertod.�not'.to exceed��:ninet�r�(90)"days a�d-will demonstrate
justifiable cause ior�the extension. If work ceases.for ninety.(90)cons.ecutive days.._th�)ob;is�consfdered abandoned.
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WARNING TO OWNER: YOUit;FAILURE:TU,.RE�.ORQ;A MOTIGE.OF.-COMMEMCEMEMT;MAY RESULT IN��YOUR
PAYING TWICE:FOR IMPtt01/EMENTS�TO YOUR::PROPERTY:��I�°:YO.U;IAI-�END�TQ'�BTAIN��FINiAR1EMIG;�CONSULT
wir u o: aN ATTo ,o. �;4,� -o �1 G:' ou ° : � ;�C 'O }. � . E ,
— -FLO4lDA.!l! , ._ 17.(13)� -- - - --- '. _ ' : ,.-, , .,. . ._ ...
- —� —, -- —=—r�-- — — —— — -- � ------
OWNER OR A CONTRAGTO - 1 �S
S'�l�b scxib d and m to aftirm efor@ me thls S� crib e '�wom- (�@ifl�rm )� ' re.jne ttii�
7f � by�'�K or.vl�-n'"i'`�1?�LL� V L�
Who I�(are,�.@,�onally known b.m or haslhave,produced o;(s/ allykn wn•to aslhave:produced •
!,�1L lV�� l rLP_(1�,Qi- as id'entlflcatlpn. /�l •!�� . ���s� as IdenBRcatlon.
Notary Publlc Notary Publl�
Com Isslon NoRLI�y���f'Jc�� Commiss n•No. �(JcW 3�?
��� �/v�r�l� �U����- ��� �,�.A/rtl� ���'�
Name o Nil� Name of Notery typ �
.•1rp:�:� DEBRA ELAINE RUFFELL ��� -�:••; "• ,;; . �
`��=��',,,Comrt�ission#GG 045343 . ;ou':::w�:, �':=` .i:i•, . : .�:
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-'':x�iros November 7,2020 :,; „=�ammisaior�.
.y y���;t ��';:Expires Nuu��.••;. ��
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