HomeMy WebLinkAbout17-19110 r
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CITY OF ZEPHYRHILLS
5335-8TH STREET
�, (si3)7so-oozo 9110
� BUILDING PERMIT
� "��PERMIT INFORMATION - � - � - LOCATION'INFORMATION -�
Permit Number: 19110 Address: 5205 RIDGE ST �
Permit Type: SLAB PERMIT ZEPHYRHILLS, FL.
Class of.Work: SLAB Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SHAW LAKE RIDGE
Est. Value: Parcel Number: 10-26-21-0040-00300-0030
Improv. Cost: 2,350.00 OWNER INFORMATION
Date Issued: 12/18/2017 Name: CHINCILLA RIVERA MARIO E & MARIA
Total Fees: 55.00 � Address: 5205 RIDGE ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542-5484
Date Paid: 12/18/2017 Phone: (813)786-0832
Work Desc: CONCRETE SLAB 10FT X 15FT
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 55.00
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� Ins ections uired �
FOOTER
SLAB
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 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACT S GNA E PERMIT OFFI R
PERM EXP S IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL OR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021
8uilding Department . 'i`
Dat6 Received /_ ' -
�� Z'�.(� ` - �' Phone Confact for�RermlttEn �
Owner's Nama !� �Y'C� � �./`L d �M7'�l 1. Owner Phone er ����' ?O �—� L�
Owner's Address �o2a'� �` �,,�. '�'$ a, Owner Phane Number ��,�, � .�c��-�* ]O'��
Fee 8lmple iTitlehold�r Name ` � Owner Phane Number '�� ��
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Fee Simple j7ltleholder Addresa �
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�os AaaaEss �o +�� � �.- � - i'�ril�S �or# .�
SItBDIVISION S�"����"' .�.Arl« "��� PARCE�td# � � — �Ct O D� QI t') � �D3 jJ
; . , , (OBTAINED F.ROM PROPERTYTAX NOTICE)
WORIC FROPOSED. .,�tEw CONSTR ADDlALT � SiGN ,Q- [� DEMOLISH
4 '•.e. INSTAI..L B REPAIR
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PROPt?SED�USE � Q SFR � CQMM � ��THER '
TYPE OF CGNSTRUCTION Q BLOCK " Q FRAME � � STEEL [�]
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DE3CRIPTfdN OF WORK` [�C�- � /e . SGit /�T S R�B
BUI�DINGSlZE �� �� �q�FOOTAGEC`�, .HEIGHT_� � �
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�$������'' � �, � VAIUA'fiOt+t"t?F�T'OTAL CONSl'RUCTiOtd "
QEIi.EGTRIGAI $ � AMP SEiZViCE Q Pf20�i�SS ENERGY Q W:R.E.C.
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PLUMSING '
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QMEGHANICAL $ VALUATION OF;MECHANlCAt INS7ALLA7'ltOtV
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QG�►S Q ROOFlNG Q SPEGiA�TY � � QTHER -
FiNISHED FLOOR ELEVATIQNS FLOOD�ONE AREA QY�B. NO
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BUII.D�R ' � l-{� COMFi4i�lY: .. , � '
SIGNA'i't)RE ' REGISTERED Y/ P1 FEE CURRE� Y�/N ,
Addre�$ � Cicense# �— � �
ELECTRlC.IAN. , • -CQMPANY �
SIGNATURE � REGISTERED Y J N FEE CURRE�`' ''` %'Y/N �
Address � � ,� � - ltcense# i, ,� � - �
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PLUMBEtt $ , ,-CONI,P,.ANY ; „ � .�.
SIGNATURE ' ` . REGIST.ERED . . Y./..N� : ,-..FEE CURREK Y—/N.'�.:
Addre�S � - _ , � " zIC8t1S8r# �_. ' � ,` � ,�-
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MEC#f�tNlGAI:' C{}MPANY � _ � , - •
SiGNATURE � ' � ��� REGI$7EFtE0� , .Y./.N_ � ' FEE�CURRE�-..� XJ�N� ��
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.COMPANY"
� StGNATURE . ` � � ' ' '° `RECIS7E�o' ` ' Y/ N,.:,.' " ' �E Cutu�n' Y/N
Address - .,,° � �� ,� _ � � , � License# �� ���� � �
RESlDENTWi.f'. tAttacti:(2)�Plot?_Flan's;.;(2}s"ets.ofiBii3kling?t?!an"s;('i)setoF<Energy4Fcnns;�f2=Q-1N�Perinitfar'-�ewconstruct�an, - • . ` . -
, *,.,�;;:.,Minimum>ten�(:10);wgrlcing�days,a(terr`subiniitsi'd"ate::Requlreil onsite,=CahstrticHon�Rians,`Stormwafer Plans�w%Si1t Fence installed,
� `Sanitary Faciliti,es-&�1;dumpster?Slte;Work,;Permlt forsutidiylsio�s/large:prnjegts.., .:".,. , . . ,:` . . " ..
� GOMMlEd3�1R1. Attach(3}-coriipfet�i sets of Bult�fetg Piaiis�plus a�I.ife�Safeiiy Page;(1}set af Energy Forcns.R-0-W Pem�tt#o�new constructlon. �
Minimum ten(10)woricing days after submittal date. Required onslte,Construcdan Plane,Stormwater Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpsterRSite Wark Permit for all new proJects:All commerctal requlrements.must meet compllanca �
SlGN PERMIT Attat�(2)sets ofEngineered-Piatis;.,,-- �:..�-. - _� � , � ,
"'•"i?ROPERTY SURVEY�eguired,for all IVEW_constructlan. � . ° ' T � „-
Otrectlons: • . � . . . . , � ' ' '
Fili out applicatlon completely. ,
Ctwner 8 Cantractor sign back of applfcatlon,notadzed
If aver�2500,a Nottce of Cammencement is reguired. (AtC apgrade�aver�750Qj
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Agent(for the contractor)or'Power of Attcmey(fo'r tFie owner)�would be someone with notarized letter from owner authorizing same
OVER THE COUNi'8R PERMlT[1t+lCi.. .-_�(Front of-Appllcation Only)- �
Reroofs If shingles Sewers Service Upgrades A/C Pences(i'IobSurvey/Footage)
Driveways-fVat aver Caunter if on pubiic roadwaps..rieeds ROW � �
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' NOTiCE OF DEED.RESTRICTIONS: The u�dersigned.undergtands,;th�tfthis:pecmit_may,be,subject.to..deed,.restrictlons.._ ,.. _..v.,
which may�be<more�:r.esttictive-tha�County'�r�g�ilaf(ons.�•Tfie undersigned assumea-`�esp�insibiltty-for`compllance:iniitFi�any "� � "' `�
appNcable deed=Pestrictions. � �, . • • - , _ 4. � - - -
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UNLICENSED��CONTRACTORS AND CON�R�►CTOR RESPONSIBIrITIES: -�If=the�owner'has°�hiced �a�`contractor or
' contractors to undertake work; they m'ay;be,requlred�to.;be<ylicensed=ln accordance_wlth`state:and�local,regulations:v�if�the••�` � � �
contractor is-nof ltcensed:as-re�quired`by'leiiv, both��the owner and�conUaator i rriay��beucited-for�a�mis"d,emeanor viofation
under state law. If the owner or Intended,,contraQtor,;are._�unsertaln as to what Ilcenaing..requirements-0may=.apply.��for--.the'�- •� ����
Intended work, they are'advised to_contact:tFi'�:Pasco County Bullding:lnspectlon.Dfvlslon�-l:Icensing Sectton at 727-847-
8009. Fu�ttiermore, if the owner iias"hl�ed�a con►raofo�'or�contractors. he Is advised to have the contractor(s),sign. ,_
port(ons of the:_"contractor Block°.of this_application.for which.they,will.be.,cesponslble.- If you,��as:#he ovim1er,sign'=as�'the� � �
contractor;lhat•rnay be an Indication that'he is not:prope�y Ilcensed"and`is not-entltled to perimitttng priuileges In Pasco ,
County. ' � . . �.... . .._ � • -- • .�_>
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TRANSPORTATION•IMPACT/UTILITIES�rMPAC7 ANb ItESOURCE RECOVERY•FEES: The untlerstgn,ed�inderstands
thatTransportatlon Impact:Fees and:Reco.ucse Recovery_Fees may�_apply<to�tf�e;construction_of new_buildtngs��change=�of�'�t °-= �w
use in existing bulldings;-or:,:expansian��of.�exlsti�i�:`�bulldings, as speclfled.tn Pasco�County Ordlnance number 89-07 and.,
90-07, as amended,r..The underslgned also:_urtderstands, that:�such fees;�as�tnay;rberd.ne;,wfll<<be tdentlfied at the•�time-�of`y"� =°�< ��
permitting. It Is fur'tfier understood that Tra�sp�ortatlon Impact Fees andSResource.:.RecoverysFees.:must be pald prlor to
receivtng-a "cerElficate;=of-occupancy" or�ilnal•-power;release: �:If�Ehe,project::does°no��fnvolve<a�.certff,icafe of occupancy.�o�<�:s���.;:•
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flnal powec refease;�>�tFie=:fees�"mu�t tie"patd�.�pclor to;permtt fs§uance. F��thermore;°if:Pasco;C,ounty�lNater/Sewer,:Impact • ��:��,��•
fees are due�,.theyTmust be�pald.prloc torpermlt�-.lssuance�ln.accordance wlt��applfcable_Pasco'�County•ordinances. •
CONSTF3UCTION.LIEN�LAVII�(Ciiapte�713� Florlda:Statulea�as amended): If valuallon of work ls$2,500.00::or more, I ....
certify that I, 4he appllcant;-have:been-'provlded: wlth-�a=�copyi of`.-the• `Florlda� Constttictlon'.Gen..Law—Homeowner's
Protectlon Guide" prepared by ttie�Flo�lda Department�of Agrlc.ulture and Consumer;Affalrs. If the appllcant Is someone_.�
other than the"owner", I certf�i that I;have,obtaiined�a�copy.of..the.above..descrlbed��locu�ent.,and�p.romisesln,good:.falth�to �.t
deliver it to:the;'owner"^prior�to�comrinencement:'`� `'� - - � ` ' � � ' � -
CONTRACTOR'SlOWNER'S AFFIDAVIT: I.ceitify{:tti;at ell.the�lnf.ormatlon:ln•thl� applQc�tlan is accurate.and that all work
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will'be done in compllance wfth all.appllcable laws regulating constructlon� zoning and�,land=development. Appltcatlon Is
hereby made to obtaln .a .permit��to�do.work;:,and rinstallatlon as indl�afed:�>•..:I. cenify that no work'or Installatton fias
commenced prio� to Issuance of�a perriitf'and thaf'all work wlll be performed�to meet standards-of:all laws �egulating�
construction, County and City codes� zoning regulatlans, and land development regulatlons�ln the�jurlsdlctlon.: I�al'so
cerGfy that I understand that the regulatlons of other govemment agencles may�apply�to the_.lntended work, and that it is
my responsibllity to Identify•what,acdons I must•take:M,be�ln:.corr�pllance: S.uch agencles Include but-are.not Ilmited to:.� ;
- Department of Envlronmental��Protectton=Cypress�Bayli�ead�; Weaand Areas and Envtronmentally Sensitive'
Lands,WatedVllastewater Treatment. �
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- Southwest Florlda Water Management: .l�istrlct-Wells, Cypress. Bay�eads; Wetland Areas, Alter�ng,
Watercourses. ' �
- Army Corps of Englneers-Seawalls, Docks, Navtgable Waterways.
- Department of Health;'& Refiabllltative..SetvlceslEnvfronmental:Health Unit Well.s� Wastewater�Treatment,;
Se�tic Tanks.. ' ' � � - � - -� _ �
- US Envlronmental Protectlon Agency-Asbestos abatement... � �
FederaF Avlatton:Authorlty-Runways: � : � � �' !
I understand,that the.followtng.restrlctlons apply fo tfie use of flIL••
�- Use of flll Is not allowed 1n:Flood:Zone"V"unless expressly permltted. - �
- If the:flll mate�lal-Is to��b.e used:�ln �Flood Zone. "A", It Is understood that a dralnage plan addresstng a'�
"compensating volume"will be submltted at time of;permitttng wh(ch ts prepared by a professional englneer=
Ifcensed by#he�tate of'.Florlda: ° ��t ��- . j
- If th� flll materlal.ls to•:be�used In Flood Zone 'A° In�connection�with�a�permitted buflding using stem wallj
construction., I ce�tify that�flll:�rall:b.e�used only.to.flll the area wlth(n the�stefn�wall:
- If flll materlal ls to-be used In any area; I �certlfy that .use. of�such flll will not adversely affect ad)acent�
propertles. If use.of flll Is found�.to adversely:�ffect adjacent�pra�pertles,,the owner may be clted for vlotating'
the condl�ions,:of_the bullding=.permlt Is"sued�under tFie'at�acfied,�ermlt appltcatlon;:for-.lots�.less�than.-one (1)�
acre wlilcfi are elevated�tijr flll;arr englneered dralnage plan Is requlred. . ,
If I am the�AGENT.FOR THE.OIfIENER, I,�promise In.good falth to Inform the owner of�the�permltting condftlons set forth Int
this affidavtt�p�tor to�commencing constructlon. I understand that ajseparate permlt may be requlred for elecMcal work,}. .
plumbing;_signs,_wells,.pools;. alr.condlttoning,.gas� or othec Install�tlons not.specfflcally lncluded�in.the�application. .A�
permit Issued shall be conshued to'be`'a'Itcense'to-proceed wlth tFie;work and not-as.authoNty:.to.vlolate;`cancel, alter, or;
set aslde any'provislons of the technlcal,codes;�nor shall Issuance�of a.permlt.prevent the Bulldlrig Ofticlal from thereafter� �
requir(n.g a conection af ercors�ln,plans;:constnictlon.or violatlons of-any codes. .Every permlt Issued sliall become�invalid�
unless the uvark authorized.by such permlt.is-commenced•wlth(n s�cYm.onths of�permlt lssuance, or If work authorized by;
ihe permlt Is suspended�or�.abandoned��f,or,a;pertod;of six{+8)montfis�.after the tlm�the�work�ls commenced.. M extensioni
may be requested� In wrlting;:�from ttie,Bullding,Offlclal-for a perlod.no#-to.exceed-ninety�(90) days and-wlll demonstrate i
justl�able'cause for.�the extension�. If work ceases:for nlnety(90)cons.ecutive:day.s...th�job�ts consldered aba�doned. ';
MIARNING TO OWNER: YOUR.FAILlJRE�TO.R�EC.OttD,A:;MOTICE�.OF;�COMMENCEMEMT-,MAY�RESUlT�IN YOUR� �
PAYING TWICE;FOR.-IMPRO�/EMENTS.TiJr�f�UE�:PROPEI�'I�Y:;�I��YO.tJ�IIlF'�EWD���� "'i0BTA1N�=FIN�►f�1EtNG;'C.ONSULT;
IT U � D �O. A TTO FORE�.� -O �:+ OU ' f ' , , I_.
LORIDA JURA'��(F:�:117.03} - � . -• , . . _ . ------ -- --
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WNER OR AOENT�b� . CONTRACTO V - � �
ubsatbed and swo tq(or�affl ed)bef e thls / Subscrlbed and'swom (o rtned� ' re 't
2- by� ,�'�Q ct� d G' l Z-�O�c 7 ..�by... � , . t�'] 6 �
o Isla personal known M.me or:haslhave produced Who. arep�rsonal own:to:me-or heslhave-produced. • ,
as Id'entlflcatlon. � ; �)Lca�- l.i�A...�e� es Identlflcaflon. -
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Notery Publlc _ Notary Publlc
mml lo No: � Co ts No.
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me ot Notary typed,printed or stamped Name of Notery lyped,pdnted or stamped
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City of Zephyrhills
BUILI3IIVG PLAN REVIEW COMMENTS
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Contractor/Homeowner: �� , �/�p� '
Date IZeceived: f � '�P�l �
Slte: � � �� v f
Permit Type: (� �� �
Approved w/no comments: Approved w/the below comments: ❑ D�enied w/the below comments: ❑ -
This comment sheet shall be kept with the permit and/or plans.
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Kalvin Swi —Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)'