HomeMy WebLinkAbout18-19425 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19425
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19425 Address: 38619 LANSING AVE
Permit Type: SLAB PERMIT ZEPHYRHILLS, FL.
Class of Work: SLAB Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV
Est.Value: Parcel Number: 02-26-21-0260-00000-1190
Improv. Cost: 600.00 OWNER INFORMATION
Date Issued: 3/13/2018 Name: SLEEPY HOLLOW MOBILE (DUKE RICH)
Total Fees: 67.50 Address: 38615 LANSING AVE
Amount Paid: 67.50 ZEPHYRHILLS FL 33542-6312
Date Paid: 3/13/2018 Phone: 989-549-8150
Work Desc: SLAB 6 1/2 FT X 12 FT 19 FT X 12 FT
CONTRACTOR(S) APPLICATION FEES
HOMEOWNER BUILDING FEE 67.50
velcyv�A-
F R Ins pectio s Reguired
SLAB
FINAL
REINSPEC71ON 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."
Compldte 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.
CONTRACTOR SIGNATURE PERMIT OFFIVR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
013-780-0020 City of Zephyrhills Permit'Application Fax-813-7t3U-UU21 \`
Building Department
I
Date Recelv®d 5 :.Phone Contact for Permittin $ ) -S F16
Owner's Nye ►AW u Owner Phone
Owner's ddP®ss '`�0 �L�t(N S/N e Z e P41 r )j.S Owner Phone Number S� `� — •J�
Fee Simple(Tltleholder Name OWner'Phone Number
Fee SimpleiTitleholder Address
JOB ADDRE �'�"f�G LOT#
SUBDIVISION•. PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE) .
WORK PROPOSED R
NEW,CONSTR= ADD/ALT = SIGN 0 = DEMOLISH
INSTALL REPAIR
PROPOSED'USE' = SFR 0 `'COMM 0 OTHER
TYPE'OF CONSTRUCTION 0' BLOCK 0 'FRAME 0 STEEL Q
DESCRIPTION OF W. Ce W1.[e ,r7 IAdS Z P
-BUILDING SIZE F SQ FOOTAGE .•HEIGHT.
F ALUATION'OF TOTAL CONSTRUCTION
r '
ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=.MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=,GAS Q; ROOFING- SPECIALTY. = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
�:.
DIL'DER _ "�a �- ,, COMPANY
SIGNATURE V
oe REGISTERED Y'/ N . 'J FEECURREi`
i
Address 'License:#
``ELECTRICIi4N'. COMPANY
"SIGNATURE REGISTERED Y/ N • I _ FEE;CURREN
Address License#
i
>>PLUMBER.; COMPANY
-SIGNATURE REGISTERED, I Y.-/'N,'' .- FEE CURREN. Y/N. '
Address License
MECHANICAL COMPANY,. "
`',:.,SIGNATURE.' = ` ' REGISTERED Y/ N FEE CURREt` Y/N
Addreas�><. : ' : License.#:
`:_.OTHER:; :,:.........;.-::.
.'COMPANY
REGISTERED Y/.N FEE CURREN Y/N
_..
Address.,;. Cicerise`#
RESIDENTIAL;'` 'fAttacti r =E nergy,Forms;R-O.W Periit fone"PlotPlans; 2peBuildigP ) atof W constructon,:,
4.•.,Y;;, x•�: .Minimum uteri°(10)',workin`';:ia'siaftet submitta6,date.4 e uiretl'onsde,Construction Plans,`StormwaterPlans vir/Silt Fence installed;
s .. s x 9 Y q
Sanitary;Facilittes}8 1 dumpster,Site.,Work Permit.forrsubdivisions/lar ,,projects`::'
-rCOMMERCIAL Attach�2')-camplete sets"of'Building Plans plus`a Llfe Safety Page;(1)set of Energy Forms.R-O-W Permit for'new'construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence.installed,
Sanitary Facilities&_1 dumpster.,Site Work Permit fdVillmew'projects.All commercial requirements must meet compliance
``-:-''SIGNPERMIT YAttach�(2)'sets;ofEiigneer<edPlaris.±>-,:: .�.:=._ - .
"PROPERTY SURVEY re uired_for,.all,NEW.construction'.
Q...
reC
Fill'`outapplication completely.
Owner.'&Contractor-sign.back of application,notarized
If_over,$2500;a Notice-of:Commencement is required. (A/C upgrades over$7500)
Agent'(for the cohfr`actoryor°Power•of'Aftomey(for the owner)would-tie someone with notarized letter from owner authorizing same
`'hOVER TWCOUNTER PERMITTING.,_..,_:. :.(copy_of contract:required) ''""
Rer'oofsi..shingies Sewers. Service Upgrades A/C Fences(Plot(Survey/Footage)
:Driveways-Not over Counter If on public roadways::r eeds'ROW
.i
NOTICE.OF DEED'RESTRICTIONS: The
which:tnay`` _ uridersigned;und`e.r`srta;ndf's:;t;h:at;thls:Pe.rmi maY bes5au1'bje•-e'f'costr.#;53o o,,d=r�ie:peltda+, r c ae,stw-'t.
`h i
fTd
n"d sesign,ed ye more€r Gou ty.regula#i" srTh me: on :-- er sresp os.b3C
applica-ble.d.e,.ed:restrictions.
'
UNLICENSED'°CONTRAC_ TORS:�AND"*CONTO,iACTOR RESPONSIBILITIES: If the> bwr er has°:Fiire'd- a}contracts~ or
contractors to undertake work;.they-may be r quired to be licensed:'in.accar-dance with stafe and local regulatlonst if;they`` .:`4
contractor is,not.licensed•as:requI a "tiy'law, both the owner'and con#~seta~ may be cited foria mi§tlemeanor vlolatron. '•
under state,law. If the owner or:Intended:contractor are uncertain as,to.what:-Ilcensing,requirements,inay->apply:"<for# ex Kr="
intended work;.the. :are.advised�to 66fifict`the�`Pasco Coun Buildin Ins eclion`D vision -tL censin .Section af':727=847
8009. Furthermore, if the owner has fiired'°a° corftractae or contjactocs, he is advised to:shave the."contractor(s}::.sign►
portions of the "contractor Block",of this.application:for which.they:will�be_responsible. If,yb%, aat the owner sign as the !
contractor-,"that may be an indication�thaf he is not properly licensed and is not�entitled to permitting,privileges,
County. .
TRANSPORTATION`IMPACT/.UTILITIES-IMPACT AND RESOURCE RECOVERY'FEES:"The underslgned understands;..-.
;;.
that Transportation Impact Fees and Recourse Recovery Fees,may.apply to;the.construction:of.new.:builcfings,ciia'nge
use in existing build'irtgs,_<or expansion 6f3:exl9tIh6 buildings, as specified in Pasco County Ordinance number 89=07 and
90-07, as amended. The undersigned'also understands. that-such...fees, as,.may;-beidue; will lbo identified?atythe
permitting. It is further understood that Transportation Impact Fees•_;and aesource'r,Recovery.Fees must be paid prior to
receiving a"certificate of occupancy or tinal,.ppwer release. .,If the.-project:does not Jnvolve;a'certificate of accupancytt,
final''pawerreleasejJhe:fees=must be;paid prior to permit issuance.',furthermore,:If•Pasco County Water/Sewer:itnpact>-:
fees are due,.they,.must-be.:paid prior to.permit issuance imaccordance with--applicable.Pasco County ordinances.
CONSTRUCTION`LIEN`L AW(Chapter?13;Florida Statutes,.as amended): If valuation of work is$2,500..00or:more4-
certify that i, the applicant,.have been,.provided with -a copy,:of- the "Florida Cons#ruction Lien.Lavii=Homeowners
Protection Guide" prepared'•by-the Florida Department of Agriculture and Consumer:Affalrs. If the applicant is someone;;
other than the"owner"J;eertify;that:l have obtained a.copy of the:above';desctibed tlocument,and promiseR"in.good faitii`ta
deliver:it;to`flae"owner'':pFior.to:commencement`
CONTRACTOWSIOWNER'S AFFIDAVIT: ',I c ertify that'aI1 the information-in this application is accurate and-that all work
will be done in compliance with all applicable'laws_regulating construction, zoning_and'land-development. Application,ls
hereby:made to.obtain;:a permit?to do.tUvork Vand_.installation as'aindiaaEed': 'l certify that no work or-installation,-has
commenced prior to issuance of a permit and•that all work will be performed to:meet:standards-of all laws regulating~
construction, County and City codes, zoning regulations, and land development`regulations-in-the jurisdiction. ,,Fd'Iso
certify thatl understand that the regulations of other government agencies may apply.to the-intended work, and that it is
my responsibility to identify what actions l:must.take,to be incompliance.,Such,agencies include butare not aimited to: .
Department of EnvlronmentaF°Protection=Cypi ess Bayl cads, We#land Areas and Environmeritally Sensitive
Lands,Water/Wastewater Treatment. s
Southwest Florida Water Management District-Wells; Cypress .Bayheads, Wetland Areas, Altering
Watercourses. r.
- Army Corps of Engineers=Seawalls, Docks' Navigable Waterways.
Department..of Health.,.&-Rehabilitative--Services/Environmental Health-.Unit-Wells,:Wastewater.Treatment,
Septic'Tanks.
US Environmental Protection Agency Asbestos..abatement.
Federal Avlation;;Authority-Runways,.
I understand that.the:following.restrictions apply to the use of fill:
Use of fill Is not'allowed in Flood Zone°V"unless expressly permitted.
If the fiill:,material:pis to be used in. Flood Zone "A", It is understood that a drainage plan addressing .a
"compensating volume" will be submitted at time.of permitting which is prepared by a professional engineer
licensed by.theStato.of Florida.
If the fill-"material is to be used in Flood Zone "Ar' in connection with a permitted building using stem wall
construction, I certify#hat-fill 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 adversely affect adjacent
.properties. If use of fill is found to-adversely affect-adjacent properties, the owner may be cited for violating.
the conditions ofrthe:'building;permit issued under the`attached permit-applicatlon,.for.lots•less=than one (1)
acre which-are elevated by fill,an engineered drainage plan is required
if I am the AGENT FOR THE OWNER m-Lpromise in good faith to inform the owner of-the,permittingcondit!ons set forth;in
this affidavit prior,to commencing cdnst l understand that.a.separate permit may be required for electrical.work,
plumbing, signs, wells,.pools, air,,conditioning :gas,...or othit instaillatlons not specifically included in the application: A..
permit issued shall';be construed to°°tie a license to.proceed with the work and not as authority.-toviolate,:cancel,,alter,ior
set aside any provisions bf'the-technical codes, nor shall issuance of a permit prevent the Building Offiiclal from thereafter
requiring a correction of errors in plar*,"=.construction-or;violations of any:odes; 'Every permit issued shall'became invalid
unless the work authorized by such permit Is commenced within.six months of permit issuance, or if work authorized by
the permit is suspended.or abandoned far,a perlod Hof:six(6)months after the time the work is commenced,-An extension-
may be requested, in'writing,;trom the Build!ng-Officlal for a period.not to exceed ninety(90) days and`will demonstrate
justifiable cause for-the extension..If work ceases for ninety(90)consecutive days,the job is considered abandoned. ?:J
WARNING TO OWNER:_ YOUR:FAILURErT4,RECORD;.A.NOTICE.OF COMMENCEMENT-MAY-RESULT IN YOUR
-S r - .-c,..3.. __....
PAYING,TWICE:FOR,IMPRIYEMtTSSx'CQ YOURPROPERTY.,.IF YO.UsINTEND=TO OBTAtN:=FiNANCiNG.CONSULT
WITH YOUR`LENDER"OR`AN ATTCIRNEY BEFORE•-.RECORDING:YOUR-NOTI>E`OF{COMMENGEMENT
FLORIDA JURAT(F.S.117
OWNER OR AGENT 64_)L_
CONTRACTOR
Subsc�ribg�and swo o affi ed}before this Subscrib d and swam affirmed}:before te,#_his
by by \ c h IA r C� L..
W s/are a naN known to me or has/have produced W / re�e y known to me or has/have produced
d;t as 3denUflcaBbn. Ivt as identiticatlon.
IVII n,- OASR16CLNotary' Public Notary Public
Co bmis n.No _ _ CCornssl No,
C
Name of Na d -fl W%RMW 150422 Name of Notary typed, - tsia
isst #
4,, xpires December 12 2018 expires 0 ton
FF 150422
Bonded Tau T p ecember 12 2018
�Y Fan Insuran.e 800d,15-]019 1f.W 8ondad Thru Troy Fain)nsur�nr�r
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CITY OF ZEPH t RHILLS
PLANS EXAMINER
ALL WORK SHAL� OMVL`t WITi4 PR AILING
CODES FLORIOA 61JOING-CODS,
NATIONAL F.I,F.CTRIC CODR,
®AN THE CITY OF PHYR14ILLS
ORDINANCES
SLEEPY HOLLOW MOBILE ESTATES, INC.
38615 LANSING AVENUE
ZEPHYRHILLS, FL 33542
Phone: 813-782-1111
Fax: 813-783-7681
sleepyholiewparks@6mall.com
This is a request to the Board of Directors as called for in the
Prospectus to make the following addition or improvement to my home
or home site.
1 wish to:
Al ortk FAST cor/veQ b��,;�.�d ,�'S�f�rAct Sl►�d
Date of Request
I.ot # _
Street LA v
Signature
Date
Approved by
Date
Comments
SLEEPY HOLLOW MOBILE ESTATES, INC.
38615 LANSING AVENUE
ZEPHYRHILLS, FL 33542
Phone: 813-782-1111
Fax: 813-793-7681
slespyhollowparks@gmallacom
This is a request to the Board of Directors as called for in the
Prospectus to make the following addition or improvement to my home
or home site.
I wish to:
(2errtaA)1 -SlAh deprox 9/,f'f_ (.;'Ft- or�"
4 'e k;N1 Swa �vrn.
Date of Request
Lot # tt9
Street'-Ld ASu'03 Ave,
Signature
Date
Approved by
Date
Comments
r.�omun
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: hC� � I
Date Received: S—
Site:
Permit Type: (�P
Approved w/no comments:r Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Kalvin Sytzer— arts Examiner Date Contractor and/or Homeowner
(Required when comments are present)
e
Jacqueline Boges
-k
From: Gail Hamilton
Sent: Friday, March 23, 2018 12:10 PM
To: Jacqueline Boges
Subject: 5045 19th Street
Hey Jackie
The windows are fine ....approved for project
Gail K Hamilton
Director
Community Redevelopment Agency
City of Zephyrhills
5335 8th Street
Zephyrhills, Florida 33542
Direct 813-780-0202
ghamilton(a)-a)
Iransform
e
CROPOr
IWORKS
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