HomeMy WebLinkAbout18-19583 CITY OF ZEPHYRHILLS j
5335-8TH STREET
(813)780-0020 19583
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19583 Address: 5639 20TH ST
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: 11-26-21-0010-11000-0061
Improv. Cost: 2,000.00 OWNER INFORMATION
Date Issued: 4/19/2018 Name: HUDSON, JANET WILKINS
Total Fees: 75.00 Address: 5639 20TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/19/2018 Phone: (813)481-8735
Work Desc: CONSTRUCT SCRN RM 20 ' X 7'
CONTRACTORS APPLICATION FEES
HOMEOWNER BUILDING FEE 75.00
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Ins ections Required
FOOTER 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. I
"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. j
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
.13-780-0020 Gity of Zephyrhiiis Permit Application Fax-813-7e0-0021
Building Department
Date Received . _=,.;.Phone'ContacfforPerraittin
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Owner's oaame :L S 4 Owner Phone Number
Owner's Ajtdress 77
/ Owner Phone Number-•
Fee Simple Titleholder Name _T� O*neePhone Number
Fee Simple Titleholder address
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JOB ADDRESS � c� � �` l ,d t d-* LOT#
SUBQIVISION PARCEL•1D#,
(OBTAINED.FROM PROPERTY NOTICE)
WORK PI2C)P...OSED NEW.CONSTR ADWALT [ S1GW Q Q DEMOLISH �.
' INSTALL 8. REFrAIR
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PROPOSED;:USE• SFR 0. COMM [�' OTHER
TYPE OF CONSTRUCTION: ``: BLOCK ([ FRAME. 0., STEEL _[�;
7`DESCRIPTION"OF WORK
-BUILDING AIZE SQ ROOTAGE '. HEIGHT
F-(BUILDING $
j 00 VALUATION'OF TOTAL,CONSTRUCTION'
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0 ;=ELECTRICAL $ . AMP SERV.iCE PROGRESS ENERGY W.R.E.C.=PLUMBING $
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=141ECHANlCAL $ VALUAl`ION OF MECHANICAL INSTALLATION ,x
;GAS C]: ROOFING Q, SPECIALTY., OTHER'
FINISHED',,FL60R ELEVATIONS FLOOD ZONE AREA =Y.ES
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BUILDER; '� ( COMPANY.
SIGNATURE REGISTERED Y-/ N FEE CURREP
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Address, . 'License
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ELEC.TItIGiAN. COMPANY':
SIGNATUi1 E REGISTERED Y/ N FEEURRREEA
Address . License#-
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GNAPANY
SITURE:` REGISTERED YT.Nr FEE-GURREN.
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u�t'SIGNATURE - RsGis7eRE D Y/.N FEE:cuRREn.
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mRESID.ENTiAi:: ttaEh;{2)$Pto#:Pians�:( jesetsraf.Buiicling Rlans,.(1}.�et of Energy F6 t,R-O t�V P.ettnit or:new canstiuctlori�;,
1.. .,.r..h;;'.:'i,. .u,•• _ .•.'F,a.jz_. : "..£._-.4,,.,.....y: pn•,c j.F:' ,C.y {'1!.[ ..v; , SIIt.Fenc
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1:= ~. °�;_• rfllinimu ;.etem TO;i�vojk n'fla `after•sut rriittai date.:.:Requlred ansite;Gon§tni'gtion Plans,:Stopnwater'Plans w/ e:installed; '
Sancta, 5Facllltiestslum ste. 4VVorle Permit=forssrbdivisions a 'e; fo acts
MMERCIAL Attach(2�=i�mp(ete sets of`Builitin Pisns plus`a Cife Safety Page;(1)set of Energy Forms.VR-O W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,,.
ry ' l=new=projects.Aitcommercial requirements mustmeatrampilance
Sanitary,Facilities&-1 dum star.Site Work Petmit fot al
I',S1.�IY�PERili1(T 'Attach'(�)setscif�Engrae�reclPlaiis.,, ...,�,.c. . ........... .. . ..•:
""PROPERTY SURVFY required„)or,eU.NEW.construction....
Ss l<auto'
pllcation.completely.
OvunerB-Contractor slgn:back of application,notarized
If:pver:$2500;_a Notice',oft. rnmencement'.Is required. (A/C upgrades over$7500)
•• A ant'.for the can g - ( '+` �'tractar.}�,orPowerrof'Attomey�(fdr-'the'owner)"would be someone with notarized letter from owner authorizing same
OV.ER7TifE COUN ER P Ri,I, �iPIG`,<:w__;(copy:afacontcaattiregwtred)
sRergofs:ifatrin'o bs Sewers. :Service Upgrades A/C Fences(Plot/Survey/Footage)
Iklveways-Not over Counter if on pubiic''roadways h eds'ROUV "
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NOTICE.OF DEED RESTRICTIONS:' The undersi ned,understands tt�at,this; ,ermit.ma'; sub'.ectto
- - �.y. s'%i -i�t;k ,i1.C. .w.u�•'Fi4-':.=7.v. 73'*i^c �'•`'lR'3. :�:4
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hchmayrtie;;more restr.ertne tfiariCointy:<regWation's:'The rinders3g°neck'assuiaaes resposibiCty.foc.cornpllslh >uithtany;
appilctibi deed restrictions:
UNLfCENSEQ: CONTRACTORS::i4ND'CONTRACTOR R�SPQNSiBILtTIES: if tae>owner F as==l fired a contracfar.or
contractors to undertake work,rthey,. pyV-,be.;r_Qquired to:bey licensed 1r accordance.with.state and.=:local re9utatioris'W if:the"h^j
_t>y�:..F,S-�',p,::•:R�1'.'�:..;vSYd'rt. -..q� .i-.'.{i'.:.w1 P 'eY`5.:.:5^i'.Yh`::s'J'�..:a'_'^ -
contractor rs not::kicensed as:required:by.taw, •both the-o owner ani,contr'actor<=rrtaywbe cife�d#o a+masdleiriean 5r,'violation,
under c#ate law.. If the owner.or;.inter? eid;cont�;acto„vare Uncertain as:.to.what:kicensing,requifefieritss�rrtay��pplyYfeY�the?��= `
Intended work,::they:are ativised to coirte°ot'the"Pasco Coun 'Buildc j 1fispecto Drson::T.icensing.S:eurtion at 727-87= :{
F3009: _'Furthermore, Mi
if the owner"has"fiired`a"cocitractor` r contractors, he'is advised to ;h`ave tF e;:.coritractor(s;g ijn
onions of he " " :,.r. ,r j t..,. -, •, . .
p t contractor:Block of-this application for•which rthey:wil -be_responsi le :'>If _fhe owner`sign>as,.ttie -
1 cantractoc, that►inay be an indicafiori>#hat he is not properljl'licensed and'is not entitIbd`-to permitting privileges in P
County:
TRANSPORTATION IMPACT/.UTILITIES-IMPACT-AND RESOURCE RECOVERY PEES- `The urid6rsigned.understands_.: ..:.
that Transportation Impact Fees and Recourse 12ec6very Fe1esr•mayappiy tothe_.cons#ructign,of:new;buiiclings,cian`geTof
use in-existing btaiii it gs; ortAXO`hsiori>a#;lsfind:,buikdings,Ias specked in Pasco County Ordinance number
90-07, as amended: The'undersigned�al'so.understands,rthat,such fees; as`;ririayrbe 4,ip". .will:'be.identified=atptt
permitting. It is"further understood that"Transportation impacf feesvaritl'Resource{Reaovery-..o&>must be paid',ptior.to
recervrng.a.'certificate of-occupaney or finai'.pawer,release.''If theagcoject does,riotinvotvd,'a`...,__ ate of:occtxpaitcy
final:,pawer release,_;the�tees must be.',paid prior to'perM!t issuance..;;furt"he,rmore,,if•,Pasco County Water/Seeker ltx paef TM r
fees are.due;they must,be paid:prior to permit issuance:in.-accartlarice-with-.applicable_ 'asco-Comity,ordinances.
CONSTRUGTION�L»IEN~LAW'(ChapterT4.3,-Florida Statutes,as amended): If vaIuation.of work is$2,50:0.00 or:rrtQr,;e;H1.
certify, that I,. the-applicant, -have been -provided with 7a-:copy;,.Of-.the "Floridan Coastruction"Lien Za' E omeowner's*
Protection Guide"'prepered'by the�Florlda Department of Agriculture and'Consurrter;Affairs. If the applicant is sorrieol
...
other than the owner", :certify that:I::have.obfaitied acopy ofthe above'°descrtbectrtdocument-"antl;pimise,rt-goadY.favthta
deliver.it:to'tiaa .owner"#anor=to:commencenent:
CONTRACTOR'S%OWNER'S AFFIDAVIT:.-;ltertlfy:that'all-the Information in this application Is accurate and'ti at ail'work
will be done in compliance with''all appI16dbie'laws iegulating�construction, zoning�and land-:development. Applicationis
hereby,made to obtain.;.a.permit.a;tot;do%York-and.,.installation .as°'lndicat6d., 'i'certify that no-•work or:installation=has„
commenced prior''#o'lssuance of pi it 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-16,-.the jurisdiction: «k°also
certify that i understand that the regulations of other government agencies may apply:to the-.intended work, and that it is
my respo,nsibility to identify what actions.I must,take,to,be de:
in•.compliance.._Such agencies ihclubut=are ndt limited-,to:.
Department of Environmental"Pi6tec66Q,Cypress Baytieads; Wetland Areas and Environmetitally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells;' Cypress- .Bayheads, Wetland Areas, 'Altering
Watercourses. k .4
Army Corps of Engineers=Searaiis, Docks; Navigable Waterways.
Department:;of Health:..,,&..Rehabilitative,'Services/Environmental,-� ealth ',Unit Wells,:Wastewater:Treatment; 4
'Septic Tanks.-..,..
US Environmental Protection Agency-Asbestos abal�oment.
Federal.Aviation,Authoeitjr-Runways,!understand that.thefollowing:restrictions apply to the use of.fill
Use of fill is not*aklowed in Flood Zone"V"unless expressly permitted.
If..'the-fill,.:matenal'-Is 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.the`State-of•Florida. : I.
If the fill material:is.to be used in Flood Zone "A" in connection with a permitted building using stem walli.
construction,,1.certify,that: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 fills found to adversely.affect:;adjacent,-properties, the owner may be cited for violatingi
the conditions:-6f•,lhe:building:permit:issued undee t'e,attach6d:permit-application, forJots'less than one (1.)
acre which are eievated by,fill,,an engineered drainage plan is required.
If I am the=AGENT;FOR;THE.OWNER k-,promIse.in_gaod faith tiDInform the owner.of-the�permitting•conditions set forth in
this affidavit::priar'fa commencing constriictiori. :i understand thaaa separate permit may be required for electrical.work;_. . .. �.;
plumbing; 'signs, wells,,.;pools,.air-conditioning;.;gasY:.or,other"*Tlh liati6nt.not specifically included in the application: A.. _?
permit issued shail'1.e?:construed�to'`oe,a'l cetise`:ta.proceed:uvitit' he work, nd riot,�as authocity.to vioiate,.cancel,:alter, or
set aside any provisions of"thd fechnical codes, nor shall issuance of a permit prevent the Building Official from thereafter;
requiring.a;corree.hon of errors in.�plan''tdngt uctlon'.or,violatiohs 6f,any-;codes: Every permif Issuedf shall'become Invalid l' +
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unless the authorized by such per is.commenced.within,oIk_months of permit issuance, or if work authorized by;_ F
the permit is,:suspended-or..abandoned for a.period�;of six{6).r 6hit s.aftarthe time the work is cornrrienced. .An extension.{
maybe, requested, in:°virriting, from the Builtlrrig-C)ffi-clal for a period.not to=exceed,n1hoty t90)days and`will demonstrate f,
justifiable cause for-the extension .;if work,ceases for ninety(90)consecutive days,the-job is,considered abandoned:
Y T
WARNING'.-TOzOWNER LL`iOUh FAIL URE*XO=RECORD A,.NOTICE.QF,COtVkMENCEMI NT MAY RESULT IN YO' _UR ,
PAYING=TWtCE'FOR iM,,% �01fEMENTS TQ.�Y .UftjPRQPERTY.. F=Y ' '� } . - ;€ j
.,:.,... , :.:, _:...-�,., . Q �.:.,.. , QEl tNiFEi11D TO:OBTAIN.FINANCING;C'ON$.ULT l
WITH 1fOUR?hENISEt�QI�AN ATTORNEY BEFORE RECORDING=YOUR`NOTICE''QF=GaNIMENCEMENT
FLORIDA.JURAT,(F,.S.,'t 17.03
OWNER OR AGENT CONTRACT,pp
- cribed and sworn 'ffinned)before this" Subscribed aird swo o affirmed)befcre;me' T `
3- by �e c _ u c5-� I .'bct. a t-•:L .., : I4 5
Who, are,i�ersonatiy known to me or.has/have produced y Who /are �rsgna iy k own:to;me,or haWhave,producedr-
r"L• rrr�i2r5G�ui•s�:as:identiAcation.° as tdendflcatlon.
Notay Public Notary Public
lACQU ibuuro
,om n N ,„ Commi ' n No ��q`' r°��: cAmmission#FF 150422.
Commission#FF 150422 I a= Expires Decem m ,
lame of Notary-' �.1 % ' 'pp ndodThmTroyFWnlmmenc*8003857019
psninsurenco800'385.7919 Name of Notary typ
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� /sty ._ IL'O�,ii_�,••
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received: ���
Site:
Permit Type:
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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.
Kalvin Switzer ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Lhave read and fully understand and
agree to the provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
S. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You- have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $75,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be =
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regAtions.
OWNER'S SIGNAT DATE • % ' !-3 —�
ADDRESS
PHONE
WITNESS PERMIT #
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