HomeMy WebLinkAbout17-18866 t . ,
� CITY OF ZEPHYRHILLS
5335-8TH STREEf
, ` (813)780-0020 18866
� BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 18866 Address: 36161 STABLE WILK AVE
Permit Type: IRRIGATION ZEPHYRHILLS, FL.
Class of Work: IRRIGATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVERADO
Est. Value: Parcel Number: 04-26-21-0070-00100-0230
Improv. Cost: 500.00 OWNER INFORMATION
Date Issued: 9/26/2017 Name: D R HORTON INC
Total Fees: 40.00 Address: 12602 TELECOM DR
Amount Paid: 40.00 TAMPA, FL. 33637
Date Paid: 9/26/2017 Phone: (813)549-1968
Work Desc: IRRIGATION CONNECTION ONLY
CONTRACTOR S APPLIC/ATION FEES
PIPE PROS INC IRRIGATION CONNECTION 40.00
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Ins ections Re uired
PLUMBING FINAL
REINSPECTION FEES: (c)1Allith 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
I� 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 properly 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.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION '
CALL FOR INSPECTION - 8 HOUR NOTICE REQUYRED
I PROTECT CARD FROM WE14THER
e��-�eo-oozo City of Zephyrhills Permit Application F�-a�aaaaooz�
8uilding Depertment
' , Date Recelved Phone Contact for Permitt(ng ' � � +��-'V
-i-IT7-7-i-f T- - �
Owners Name C Y'� Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name � Owner Phone Num6er
Fee Simple Titleholder Address
JOBADORESS l, �- • ;��5 � � LOT# �
SUBDIVISION � 1 r C3 PARCEL ID#
(OBTAINED FROM PROPERTY TAX NO CE)
WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
��
DESCRIPTION OF WORK � �(
BUILD113G 51ZE SQ FOOTAGE FiE{GFfT �
QBUILDING S VALUATION OF TOTAL CONSTRUCTION � ''�,'��U . (�� y�
; �
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � /
QPIUMBING $ � • `�
\V�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE RE�IsiERm Y I N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE RE�IS7ERE0 Y/ N FEE CURRE� Y/N
Address License# �
PLUAABER A [/��� COMPANY �'�T 'k�r'd
SIGNATURE ,/1 ,� c �"���_ REGI9TERED Y N FEE CURREP Y/N
Addreas l.•1�: ` 1�'� —+� � 'lo� Llcense# �Wr �� � C9
MECHANICAL COMPANY
SIGNATURE REGIS7ERm Y/ N FEE CURRE� Y/N
Address License#
OTHER � � COMPANY �
SIGNATURE RE�Is7eREo Y/ N FEE CURRE� Y/N
Address License# �
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RESIDENTIAL Attech(2)Plot Plans;(2)sets of Building Plens;(1)set of Energy Fortns;R-O-W Pertnit for new constructlon,
Minimum ten(10)working days afler submfttal date. Required onsite,Constn�ction Plans,Stormwater Plans w/Silt Fence installed,
Sanitery Facilftfes 8 1 dumpster;Site Work Pertnfl tor euhdivisionsllerge projects
COMMERCIAL Attach(2)complete sets of Building Piens plus a Life Safety Page;(1)set of Energy Forrns.R-O-W Pennit for new consWction.
Minimum ten(10)working days after aubmittal date. Raqulred ansite,Consirudlon Plans,Starmwater Plans w/Silt Fence Installed,
Sanitary Facilities&1 dumpster.Sita Work Permlt for all new projects.All commercial requirements must meet wmpliance
SIGN PERMIT Attach(2)sets oF Engineered Plans,
`•'"PROPERTY SURVEY required for all NEW construction.
Directlons:•
FII out application completely.
Owner 8 Contractor sign back of application,notarized
IT over$2600,a Notice of Commencement is required. (AIC upgrades over$7500)
•• Agent(for lhe conVactor)or Power of Attomoy(for the owner)would be someone with notarized lelter from owner authorizing same
OVER THE COUNTER PERhRII"fING (copy of contract require�
Reroofs if shingles Sewers SeMce Upgrades NC Fences(PIoUSurvey/Footagey
Driveways-Not over Counter If on public roadways..needs ROW
, ' NOTICE OF DEEb RESTRiCTi013S: The trndersigned understands tha#this permit may be subject to"deed"restr'rctions"
which may be more restrictive than County regulations. The undersigned assumes responsibility far compliance with any
appifcabte deed restrict4ans.
UNGiCENSED CONTt2ACT4RS At3D CQ�tTRACTOR RE3POPlSiBiLI7iES: If the owner hss hlred a cantractor ar
contractors to undertake wQrk,they may b�required to be licensed in accardance with state and lacal regulations. if the
� contractor is nat licensed as required by law, both the owner and contraatar may be cited for a misdemeanor violation
under state iaw. If the owner or intended confcactor are uncertain as fo wha#IicensEng requiremerrts may apply far the
I intended work,they are advised to contact the Pasca County Building Inspectfon Division—Licensing Section at 727-847-
' 8Q09. Furthermore, if the owner has hfred a cant�acko� or contractors, he is advised ta have the contractor(s) sign
; partions af#he"contractor 8lock°of this apptication far whlch they will 6e respansib4e. If you,as the owner s[gn as Ehe
cantractor,that may be an fndication that he is not properly Iicensed and is not entitled ta permitting privileges in Pasco �
County.
T3tAhiSPORTATtON iMPAC'F1llTIUTtES tiYtPAC?AIdD RESOURGE REGOVEi2Y FEES: 7he underslgned understands
that 7ransportation Impact Fees and Recaurse Recovery Fees may apply ta the canstruction of new buildings,change of
use in existing buiidings,pr expanslon of existing buildings,as specified in Pasco County Ordinance numher 89-07 and
90-07, as amended. The unders'sgned also undersfands,fhat such fees,as may be due,witl be iderttified at the fime of ,
permitting, It is furkher understood that Transportation Impact Fees and Resource f2ecovery Fees must be paid prior to
�ecelving a"certificate of pccupancy"or final power release. If the project does not involve a certificate of occupancy or
11na1 power release,#he tees must be paid prior fa perm3t 3ssuance. Furthermare,if Pasca Gounty WaterJSewer Impact
fees are due,they must be paid priar to permit issuance in accordance with applicable Pascn County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Fiorida Statutes,as amended): If valuation af work is$2,500.00 or more, I
certify that E, the appl3cant, have been provided wjth a copy of the "�torida CanstructEan lisn Law—Hameawner's
Prqtection Guide"prepared by the Florida Department of Agricuiture and Cansumer Affairs. tf the app(ieant is sameone
other than the"owner",I certify that I have obtained a copy of the above described document and pramise in good faith to
dellver it ta the"awner"priar ta commencement.
COWTRAC70R'SIOWNER'S APFIDAVIT: !certify that ail the infarmation in th3s applicafion is eccurate and fhat all work
will be done in compiiance with aii epplicable laws regufating construcfion,zoning and land development. Application is
hereby made te obtain a permif ta do work and insta}tatlon as indicated. f certify that no work ar instaliation has
commenced prior ta issuance of a permit and fhat ai{wprk wiil be performed to meef standards af atl iaws regutating
epnstruction, Counry and City codes, zoning reguletions, and land development regulatlans in the jurisdiction. I also
� cert(fy that i understand that the regulations of ott�er government agencles may apply ta the Intended work,and that it is
' my responsibilfty to idenfify what actions 1 must fake ta be in compliance. Such agencles Inc{ude but are nof iimited to:
- Department af Enviranmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterlUVastewater Treatment.
- Sauthwest Flarida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aitering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Waterv��ays.
- Depar#ment ot' tieaith & Rehabilitative SenricesiEnvironmer�tai Health llnit-Weiis, Wasfewater Trea#menf,
Septic 7anks.
- US Environmenta!Protection Agency-Asbestos abatement.
- Federa(Aviation Autharity-Runways.
I understand that the fol�oWing restrictions apply to the use of fill:
- Use of flll is no#allowed in Flood Zone"V"unless expressly permitted.
- If the fill maEerial is 4o be used in Flaad Zone "A°, �t is understaod #ha# a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fiil materfiai 3s ta be used Pn Flo�d Zane °A° In cannectian wi#h a permiited buiid�ng using stem wati
construction,1 certify that fill wii(be used only to fiii the area within ihe stem wai(.
- If fill material is to be used in any area, I certify that use qf such fi�l will not adversely affect adjacent
propefties, if use aE titE is found to adversely affect adJacent propesties,the owner may be cited for v3olating
the conditions of the buifding permit issued under the attached permit application, for lots(ess than one{1} ;
acre which are elevated by fill,an engineered drainage plan is required. '
i ff 1 am the AGENT POR 71iE 4WAtER,i promise in good faith to iriform the awner of the permitting canditions sat forth in
� this affidavit prior to commencing construotion. I understand thai a separate permtt may be required fer etecfrical work,
, plumbing, signs, welis, ponls, air conditianing, gas, or other installations not speoifically Included in the application. A
� permit issued sha!!be construed ta be a 3icense io ptoceed with the wark and nat es authadty to violate,cancel,alter,or
set aside any provisions af#he technicai codes,na�sha{{issuance of a pe�mit prevent tfia 8uild(ng flfficiai from theeeafter
requiring a correction of errors in plans,canstn.iction or vialations of any cades. Every permit issued shall become invalid
� unless the work authorized by such permit is commenced within six months of permtt'sssuancs,os if wark autharixed 6y
the permit is suspended or abandoned fo�a period 4f six{6}monfhs aitee#he time the work is commenced. An eutensian
may be requested, in writing,from the Bu3lding Official for a period not ta exceed ninety(90) days and will demonstrate
I justifiable cause far fhe sxte�sfon. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO QWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
� pAY1NG'iWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB7AIN FINANCING,CpNSULT
' Wt'fH Y4t3R LE(dpER QR AN ATT4RNEY BEFQFtE REG4RDlNG YflUEt NOi'ICE OF GOMMENCEMENT.
FLORIDA JURAT(F.S.117.03) n
� OWNERaRAGE99p .l�z{a+..���--�1 CONTRACFO�,,,�rwr,� S� ('�-�_
scribad and� m to(ar a�nned)befote me fhis G�bso`;d and bwa,,,��r�tmed}6ei re m,�fhis
Y� ._(`�LZ� Y `�
Who is/are p ally known me or has/ti e produced Who is/are pe on nown to e or asJheve produc d
� as identitica8on. aS identiflcation.
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_ Notary Pubifa Notary Pubitc
Gommission No.�-�"�lA,�t t�� Commission No.�� ��.D J�� J �
' Nameof ota ypnnt������ x�KERSbN I
;�:'t""���;: AMA�dDA ACKEFtSON ��'��=
�'� '" CvtY CflMt+AISSSON#FF$63676 � '"= �Y COMMISSION M f F963675
;���,;: y �.'';�.. ��.# EXPiRES Febfuary 23.2D24
� EXPIRES Februar 23 2020 ��
�r�, I+IC71398-0i53 �Iu�dallo:aySemcecun' ,
(I /4C�1 348-0753 FloridallomySernco c�n'
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