HomeMy WebLinkAbout17-19053 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19053
` � BUILDING PERi�IIT '
PERMIT INFORMATlON ^ LOCATION INFORMATION
Permit Number: 19053 Address: 38546 4TH AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-18300-0015
Improv. Cost: 2,000.00 OWNER INFORMATION
Date Issued: 3/22/2018 Name: BORDEN CHARLES &ANITA
Total Fees: 75.00 Address: 8357 HUNT HOLLOW RD
Amount Paid: 75.00 NAPLES, NY. 14512-9536
Date Paid: 3/22/2018 Phone: (585)953-3099
Work Desc: REPLACE ROOF ON THE PORCH
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 75.00
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Ins ec i ns Re uired
FOOTER 2ND R UGH 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
s�sasaoo2o City of Zephyrhiils Permit Appiication Fax 813-780-0021
• Building Department ��.•
Date Raceiyed Phone Cantact for Permittin JP ��J –c��c/ �
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Owner's Name r't='� � � P t� �QD C/✓ Owner Phone Number J CC'I� �C� ���
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Owner'sAddress �d�75�O �7✓"� � �S /��- �� OwnerPhoneNumber �� �
Fee Simple�Titleholder Name � � Owner Phone Number �— �
Fee Simple?Titlehoider Address
JOB ADDRESS �� /`771• � h y' .�ll � �7a'Z LOT# C,�
SUBDIVIStON � � PARCEi;IQ#
(OBTAINED FROM PROPERTIf TAX NOTICE)
` W4RK PROPQBED e . NEW CONSTR 8 ADDlA[.T � SIGN Q � Q DEMO�ISFI
INSTALL °REPAIR
- PROP.,OSED'USE Q SFR Q CQMM �] QTHER .
TYPE"OF CON$TRUCTION Q BI,OCK • [� FRAME � Sl'EEL Q
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,.' QELECTRlCAL � � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
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,QGAS Q ROQFING [�] SPEClALTY �] QTHER
FINISMED FLO�R ELEVATIQNS r`� FLOOD ZONE AREA [�YES NO
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c..R�SfDE TIAL� ... .. . �.,. , . ,.. ,�y�,f:.;.• : �, ��,: .: . _ . .; , , • . .
Attac}�.(2}:PI'at:Pians•°'(2}:'°`s�of�Bufliiirig�i'lan"s;'{1•)`set'of`Energp�Forins� ��
, N___ .._ „ � � ° .� - set R'-OjW f'emiit-#or ctew,constivctian, "- ,
�`-,;� -;� ;�.�;>�r�-�: ;:Minimum;•ten,(;10).working�.tlays;afte�sutimittai:date.�Required�onsite;�Con`striictian Plan's,:Storinwater�Plans w/Spt Fence installed,
;,��: �,.. :�.�,� , . .
f�•;:.__ '� Sanita;ry;Facilities��&�lydumpste.r,•;Site,.WoG1c Fermlfifoc'subdivisions/large°'projects�. � t'
� `_GONlMERCIAL At#ach�{2}�corripEete"sets of'BuiC�ing Plaos�plus a��ife Safety Page;{1}set of Energy Forms.R-O W Permit for new conshvcfion.
; �;r " Minimum ten(10)working days after submlttal date. Required onsite,ConstrucBon Plans,Stormwater Plans w/Silt Fence installed,
'�-` - Sanftary FactliUes&1 dumpster.Site Work Permiffor�all,new projects.All commercia!requirements must meet complia»ce
't�S1GN:PERMIT �Attacti(2}setsyof.,Eogineeiecl.`Plan,s:��: , , - ; � .
1�""'�4 _ ""**PROPERTY SURVEY required for aII.,NEW constructlon: �
`�t:Dice�tEcans: s. . .:,. .. .
' •Ffll,but�application completely.
�;;-„ O.wner 8 Gantractor sign back of appllcation,notarized
, tf over-$2500,s Notiee ofCommencemeat ts required. (AIC upgrades over$T500)
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Agent(for`khe°confractorj or'�Power'of Attomey(fbr'tFie owner)wbuld tie someone with notarized letter from owner autharizing same
"�itEft:�THE�C{aUNTER PERII+t!?•,T.ING. .. (copy..of-confract required) - Y`' ``'
�ofs-if shingles 3ewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
'reways�Not over Counter 3f orrpublic raadways..n"eeds ROW �
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�NOTICE OF DEED RESTRICTIONS: The undersigned unde.cstands:that.tk�is,permit may;be,;subje:ct,to,"deed"„restr'iction.s"�'�,;;
which,may:be�r�or.e-r,estrictive.;fhan:�Gourity°regulations. Ttae-untlei�"s�gned�assumes`respon�i�ill�ty�#ar`compliancetlinr3#h any�"�
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applicable;deed re�tricticins. - ����.�a::�r<��E�-��Fa��:'
I UNLICENSED :CQNTRACTORS At+iD� CONTRACTQR RESPQNSIBtLIT1ES:= -�If�flie xowiier#i�as�Fiirecl��a�`contractor or
contractors to undertake work;'#hey�tmay;be..required to be�:licensed in accardance.with,state;and�local:.regulations:,��lf.�.the�;��:�� ;�
oontractor is.not.lic.ensed,-,as�:rEquired��b.y`,.'law, `bath.the owner':and�conttacfor�rriay�be�citecl�for�.a�:�misdeirieanor violation�� ; ,;;,
under state�law. tf the awner or_intended-.,contractor are uncertain as to what.iicensing requice'ments�;may�apply for��the��;�{,'
� y.i 1St'.P --: .:r:'.�.., ..,�....,
intended woek,.they are.advised to confactthe'Pasco County"B`uilding"Inspecfion"Division-Licensing.Sec#ion af:727-84:7= ' ,
80Q9. Furthermare, if fhe owrier has��iired��a corittactor or cont�actars, he is advised�to;.{have`the,contractor(s)�s,ign;.t:_.�,,,ts'
portions of the contractar Block,of this applicatian.;for which.they.will.be�responsibleh�-1f.you, as__the�.owner signrasY:the� �",.7
contractoc, that rnay tie an indication-that�he�is not properly licensed anii`'ts rtof eritifleil to�permitting privileges in�Pasco� ,�.r;A�
Caunty. .. . . - ,_ . _ _• .� _�, .. �r �r}:;=„.,,�
TRANSPORTATION IMPACT/.UTIL-ITIES IMP-ACT AND RESOURCE RECOVERY FEES: The undersigned understands '��
_:'t..�r,-�_�� •s,
( that Transportation tmpac#Fees and R�course Recovery Fees.may;:apply to_the construc#9on.of.new:buildings,.�ctiange%of'�>��,'`�;f
use in existing buildings, or•.expansian=:of::existing��buildings, as specified in Pasco County Urdinance number 89=U.7 and, ':�>
90-07, as amended. The undersigned aiso undecstands,�that•such fees,�as�may:�b.e�.due, wilE�be=identified�at:the�:time�of=�-��;�''.�
permitting. `I# is further�understood that�Transportation tmpact�Fees��and Resource�Recovery'..Fees must be paid pcior.to �,�;
receiving.a.°certificate of occupancy° or,finalr;power release. If the. pr.oject does not invalve a certificate of oecupancy:or-`�'��;-;
final:.power release, the__f.ees�t�tus#�be-paid priar to perri`fi# issuance,.,.Furtfiecmare, if-:Pasco�County Wa#erJSewerslmpact'-...=� �;
fees are due,tliey.must;be paid prior ta permit issuan'ee-in�accordance with,applicable Pasco:County ordinances. �
CONSTRUCTION 11EN"I:�A1N{Chapter 713, Ftori�da Statutes,as amended}: If vafuation af wor'k is$2,500.00nor mor.e,,i,;:,,�, ;
certify that I, the, applicant,_.have. been-.pravided with�ra��copy:aof the °Florida� Constrwction.�Lien Lavw==Homeowner's �
Protection Gu�de" prepared�by the Flarida Department of i4griculture and Consumer Affairs. !f the applicant is;soi�eone,_>_ ,
k, .,...'-, •.!:I.t .
other than the"owner�,�i.certify,.that.I:haWe'obfained a copy of the above descri�ed'document-and.promise�in`goo.d`�faith�tq ,.�
deliver,it,to the:;owner":�prior°;to:commencement: � ' ' ' ' � � . �
CflNTRACTOR'S1�WNER'S-AFPIDAV.IT:,Y.;1;cerfify#hat alE,the infocmation €n this appl�cation is accura#e and'#hat all�inrark
will be done in compliance with all applicable�laws regulating construction, zoning�and land�development. Application.,is
( hereby made to obtain.,a,.perrr►itto��:do,�work�-and installatian:as-'rndicated. #�certifjr that no�work or ic�sfaltationt has
�, commenced prior�to issuan`ce of a permit and��that all work will be performed ta.meet�standards of all laws regulating
� construction, County and City codes, zoning cegulations, and land development'regulations"in.the jurisdiction:. i�l:also
certify that 1 understand that#he regu(atians of other government agencies may apply ta the intended work, and ttiat it is �
" my responsibility ta identify wha#actions I must take to be in compliance. Such agencies include.but are nat,limited ito:
- ;Department af Envlrorir►ien#al:'P`rotectian-Cypress Baylieads, Vltetland A�eas and Ertvironmentally Sensitive
Lands,WaterMlastewater Trea#ment. � '
- Southwest Florida Water Management District 1lUells, Cypress Bayheads, Wetland Areas, Altering
Watercaurses. . `
- Army Corps of Engineers-Seawalls, Dacks, Navigable 1Naterways.
- Department of Hea1#h & Rehabilitative ServiceslEnvironmental Health Utti#-Vttells, Wastewatec.Treatment,
5eptie:l'anks.
- US Environmental Protection Agertcy-Asbestos abatement. < �J
- Federal Aviatian Authority-Runways. `
I understand that.the followingrestrictions apply to the use of fill:
- Use of fi11 is not allawed in Flood Zone"V"unless expressly perrr►itted. '
- � If the fill material is to be used in Flood Zone "A", it is understoad that a drainage plan addressing a
"compensating volume" vuill be submitted a#time of permitting which is prepared by a p�ofessional engirieer --.
licensed by the Sta#e of Flarida. �
- !f the �I! materia! is to be used ln Fload Zane "A" in connectian with a permitted building using stem wal!
construation, 1 certify fhat fiil wiii be used only to fiil#he area within the.stem wall. � �
- If fill� material is to .be used in any area, I certify that use af such�fill will not adversely affect adjacent
propert3es. If use of fill is faund ta adversely affect�adjacent properties, the owner may be cited for violating.=
the conditions of�:the building permif issued under the attached permit.application, for lats�less than one (1)
acre which are elevated by fill, an eng'sneered drainage plan is requ��ed. ;
lf I am the AGENT FOR THE OWNER;:I pramise in good faith to infarm the owner of.the permitting conditians set forth in �
this affidavit prior.to commencirig construction. I understand that a separate permit may be required for electrical�work, ;
ptumbing, signs, wells, paots, air conditioning, gas, ar atiier iiistallations not specifically included in the appiication. A , -
permit issued shall`be consfrued°#o be a license to proceed�wi#h the work and nofi as.authority to violate; cancel, alter, ar
set aside any pravisions of the'technical codes, nor sha11 issuance of a permit prevent the Building flfficial from ther,eafter
requiring a car�ection of errors in_plans,'yconst[uction or violations of any codes. •Every permit issued shall become i�nvalid
unless the work authorized by such permit is commenced.within,six rnonths of perrriit issuance, or if work authorized by ,
the parmit is suspended.ar abandoned for a per.iod;of six(6}moriths.after the time the wark is'commenced. An extension
may be requested, in writing, from the Building-Official for a period nat to exceed ninety(90) days and will d.emonstrate ;
just�able cause for the extensian. If work ceases far ninety{90}cansecutive days,the job is cpnsidered abandanedt �
WARNING`T4 OWNER: YOUR FA#�URE TO REC4,RD A.NOTICE OF GQ,i1flNlENCEMENT Itll�►Y RESULT IN Y4UR
PAYING TWICE'FCiR;IMPROVEMENTS.TO YOUR�PROPERTY., IF YOU�INTEND`TO��OBTAIN'FINANCING, CONSUI.T
WITH YOUR L'ENDER OR AN'ATTORNEY BEFORE REGORDING YOUR NOTICE"OF�COMMENCEMENT.
FI.ORIDA Jl1RAT{F.S.117.03) - , . ,
OWNER'ORAGENT -__ _ _._L_ . _ _.— CONTRACl'Off ' -- - --- - — - -
Subscdbed and swom to{ar affircned)befare me this Subsc�ibed an'tl swom to(or aff`irmed}before me this -
by by
Who is/are persanally knawn to me or haslhave produced � Who is/are personally known to me or has/have produced
as Edentifica6on. as ldentiiication. `
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Notary Public Notary PubUc
Gommisston No. Camm�ssian No.
Name of IVotary typed,printed or s#amped Name af Na#ary typed,pdnted or stamped /
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �i��`� �r�P�
Date Received: �Z—1�j
Site: � �LJ�� ���� ��
Permit Type: �� ' C��
Approved w/no comments� Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
�-��-�d'
alvi witzer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
DISCLOSIIRE STATEMENT FOR OWNER
' CITY OF ZEPIiYRHILLS BUILDING DEPARTM.EPiT
I, C�t/�z"� c�G1/^'�'�� have read and fully uaders�aad aud
agree to. the provisious of this ias�rumeat.
The undersiqued states and aff3.�ns �hat he ar she 3s desirous of canstructiag,
renovatiag, addiag to ar reraofiag his ar her owu domicile, that he or ahe
ac�ually occupies, or will occupy by said domicile, aad same is not for
rent, lease or sale. Tha� h.e ar she shall camply with the follawiug caudita.ans:
1. That the awaer an.d he or she aloae shall act as the buildex for all phases of
construc�ion.
2. That the owner will camply with al1 provisions of the City of Zephyrhillm
ordinanees aad cades pertiaent ta the buildiag.
3. Tha� ia �he event various phases of coas�ruct�ioa are subcozstracted, he will
eagage oaly progerly licensed subcoatraetars and c,rill persona2ly supervise
such work.
4. That ia the eveat the Building Iaspector shall reguire correctioas to be made,
the ov�raer will assume full respaasibility to iasure they are made, and�upon
completion will call for a reiaspec�ion before proceeding with the buildiag.
5. Tha� the owaear shall assume full rasponsibila.ty £ar the coxsstructiou. and will
not expect supervision of his wark farom �he Gity of Zephyrhills Suilding
Departmeat.
6. That prior ta final inspection any addi�ional fees, iaaludiag reinspectiau
fees, must be paid ia full. A Hrrittea request from this office sha11
canstitute aa af£a.cial notice to pay additioaal fees.
7. Tha� the owner sha11 comply with all City, State and Federal laws ia regard �o
social security, warkman's eampensation, lien laws, e�c. r where applieable.
8. Tha� the owner shall camply with aIl the safety codes issued by the Florida
Iadustrial Cammission,
9. Sta�e law requires construction to be done by liceased con�ractors. You have
applied �or a permit vasder an exemp�ion to that law. The exemptioa allows
you, as the ownes of your property, to act as.your own, eon�zaetaar with certaia
restrictioas evea though you da not have a liaease. You must provide direct
oasite supervisioa. of the constructian yourself. You may build or iamprove a
one-family or two-fams.ly resideace or a farm autbuildiag. Yau may also builci
or 9.mprove a aommerciaZ buildiag, pravided your casts do aot exceed $75,q00.
The buildiag or sesideace must be for your owa use or oeeupanay. I� mag aat
be built or substautially improved £or sale or lease. If you sell or lease a
buildiag you have buil� or subs�aatially improved yourself witha.a 1 year after
the cons�rucGioa is camplete, the laav will presume that you built or
substantially improved if �or sale ar lease, which is a vialatian of this
eacemption. You may aat hire an unlicensed person to aot as your eontractor or
to �supervise people warkiag oa your buildiag. It is your respansibi].ity to
ma.ke sure tha� peaple emplayed by you have licenses required by sta�e law and
by county or municipal liceasing ordiaaaaes. You may aot delegate the
responsibilit�y for supervisiag work �o a liceased contractor wha is not
Zicensed ta perfarm the work being done. Any person working on your building
who a.s nat liaeased must wark uader your direat supervision and must be
emgl.oyed by you, whieh meaxzs that you must deduct F.I.C.A. and withholdiszg ta�c
and provide workers' compensation for that employe�, all as prescribed by law.
Your coastruatioa must comply with all applicable laws, ordiaaaces, building
codes, ar�,d zoaing re ulations.
i'
O�+rNER'S SI�NA2'URE DATE
ADDRE S S .j �4 s-� +�e /�. /�'iL .3c.�S�..'�
PHONE .j,S�S� � .�}d�'�
WITNESS PERMIT #
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