HomeMy WebLinkAbout18-20308 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20308
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20308 Address: 37633 LORENA AVE LOT 119
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-1190
Improv. Cost: 150.00 OWNER INFORMATION
Date Issued: 10/02/2018 Name: RUSH MARVIN & PATRICIA
Total Fees: 67.50 Address: 37633 LORENA AVE
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542
Date Paid: 10/02/2018 Phone: 813-715-2833
Work Desc: MOVE CARPORT POST 31'inches EXTENSION
CONTRACTORS APPLICATION FEES
HOMEOWNER BUILDING FEE 67.50
t
/I
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 reco-rds 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.
1
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - B HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i
GRAND HORIZONS HOMEOWNERS ASSOCIATION
APPLICATION FOR APPROVAL
OF
EXTERNAL ARCHITECTURAL OR LAILIDSC G
IMPROVEMENT,ALTERATION,ADDITION, DELE OR REPAIR ,
Date:
To: Architectural and Landscaping Committee (ALC)
From: OWNER n 1f , LOT# �l
ADDRESS 9763.3 L o e-e n e �i It`'I/-t Fl,
l� �'
REQUEST FOR: Preliminary Approval Final Approval
I, the undersigned owner, hereby request approval of the following described external
architectural or landscape improvement, alteration, addition, deletion or repair as
required by the governing documents:
bjee, Ce. 3/ On axI s , h�
t!*10
C�,M an t 1�Ps �r 'ff e- ?/.a/4
Lotr e-
Plans are attached: Yes �No
6f
Owners Signature: Q ,
RPlease print name: rc�"t/r � a �,+�'
"J7 407
4 Pro
lizy
2i O,y OO m��
cS'
�u� 7
�£ �® IV
VA
Su 0 ',9s,'�� U 3a.t
m
:SAN ANTONIO CREDIT UNION ZH1LL 813 782 4660 05/02/2013 09:�),
a
� pap �
a r�VV
146
b �
VIO
91
rw
fo
rn
m �' �.,r .•;• +:., ;1�;Xi�,«e•.: Fes' 'yG�.y �S`°•rp �,..
�.
0'J11_f0U_UUZU City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
DatiRecelved 9-2-048 Phone Contact for P;ermittinR.
........... 3=
Owner's Name HeLi-j..'r 4 Owner Phone Number
Owner's Address[Y7e,?-? Owner Phone N .2.6c —0?,z'r
10 kie-17-:V- I or " q I
Nu
01
Fee Simple•Titleholder Name Owner Phone Number
Fee Simple1itleholder Address
JOB ADDRESS -F_,374,:?3 .&tle LOT#
SUBDIVISION &.0-1'r-045 PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH
e INSTALL REPAIR fi
PROPOSED USE SFR 0 COMM OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL
DESCRIPTION OF WORK ma s 7t
-BUILDING!,S ZE SQ FOOTAGE HEIGHT F
1 1 1 1 1 1 2 2 114 144-4-
BUILDING
VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.$
=PLUMBING $
MECHANICAL VALUATION OF MECHANICAL INSTALLATION 2,0 3 0
ti
=GAS Q ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER irOMPANY
SIGNATURE REGISTERED Y/ N'; I FEE CURREN LYLN J
Address License# F
ELECTRICIAN COMPANY
'SIGNATURE REGISTERED Y/ N FEE CURREN
Add S License#
Address r
PLUMBER, COMPANY
SIGNATURE REGISTERED Ln_N_J FEE CURREN
Address I License# I—
MECHANICAL: COMPANY
SIGNATURE REGISTERED L_Y/ N_J FEE CURREN
Address License# [
OTHER...: :' COMPANY,
SIGNATURE, REGISTERED Y/ N FEE CURREN L_y L N License# F_
'RESIDENTIAL Attach.(2)PIot•PlanSif2)Seip.of Building Plans;.(I)-set of,Energy Forms;R-07W P'erinit,foe.fiew,'oonstructon,,,
Mifil'Mumtiff(lo�Wdrkind'daysaki§rs'u*bmittal'datLi; ReqUiredonall-te,Conitrucflon Plansc SIormv4t&Plans..w1',Sllt Fence in I stalled,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsfiarge projects
"COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pen-nit for new construction.
Minimum,ton(10)working days after submittal date...Required onsite,Construction Plans,Stohnwater Plans w/Silt Fdhc'e installed,
Sanitary.Facilides&Idumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)-sets of,Engineered Plans.
""PROPERTY SURVEY required for all NEW.construction.
..........
ID I=ri 6eei,=s:
Fill,out application completely.
Owner&Contractor.sign..back of application,notarized
Ifover$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agentffor'the contractor).or Power of Attorney-(for the owner)would be someone with notarized letter from owner authorizing same
0 VE111HE COUNTER PERMITTING (copy of contract required)
Ret6bl's'llf-shingles Sewers Service.Upgrades A/C; .Fences(PlottSurVey/Footage)
.Driveways-Not over Counter if on public roadways..needi ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County.regulations. The undersigned assumes responsibility for compliance:with any;
applicable deed-restrictions
UNLICENSED CONTRACTORS AND-CONTRACTOR RESPONSIBILITIES:. If the owner has hired a contractor or
contractorsto undertake work-, they may be-required to be licensed in accordance with state-And',local regulations. If-the
contractor is not licensed as required by law,, both the owner.and contractor may be citedfor.a misdemeanor violation
under state law. If-the owner or intended'contractor are-uncertain as-to-what licensing requirements may-apply,forthe'
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has'hired'a contractor or contractors,. he.is advised to have the contractor(s)`-sign
portions of the "contractor Block" of this application forrwhich they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permifting,privileges.in Pasco
County:
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands . .,.
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07,and..
90-07, as amended. The undersigned also understands, that such fees, as may be due, will-be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid,prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a>certificate of occupancy or,
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN,LAW(Chapter.713, Florida Statutes, as,arnended): if valuation of work is$2;500 00 or-more, I
certify that 1, the applicant,* have been provided with a copy of the "Florida 'Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is-someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise In good faith to
deliver it to the"owner'prior to commencement:
CONTRACTOR'S/OWNER'S AFFIDAVIT: •I;certify-that•.all-the information in this application is accurate-and that all work-
will be done in compliance with.all applicable.laws Tegulating.construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as.indicated. .1 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. I also
certify that I understand that the regulations of other government agencies may apply to"the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment:
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland. Areas, Altering
Watercourses.
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 Aviation 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 fill material 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.
If the fill material is,to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, i 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 fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building.permit issued under the attached permit application, for lots less than one (1)
acre Which,are'elevated<byfill, an:eng_ineered drainage plan is required.
If 1 am the AGENT FOR THE,OWNER, I prornise In good faith to inform the owner of the permitting conditions set forth in
this affidavit prior-to commencing.construction. I understand that a separate permit may be required for electrical cork,
plumbing, signs, wells,pools;'air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter,orr
set aside any provisions.of the-technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shalt become 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 for a period of six(6)months after the time the work is�commenced. An extension
may be requested, in writing, from the.Building.Official 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:]
WARNING,TO-OWNER: YOUR FAILURE.TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWiCE FORIMPROVEMENTS70.YOU R PROPERTY. IF YOU iNTEND°TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR,NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER CONTRACTOR��!/ 62�`
�bsc�ribL and swo or affirmed)before me is bscribed and swppm to for affirmed)b ram�,.tt,is
''��y' }�� by f,.�� ws -2-o. I`P�b�N �IQ1-v,st Ayd
Who tslar pei nally known to me or has/have produced Who re rso�afly o me or hasthave produced
`f�j ctWGrSiC ace- as identification. L• �65 as identification.
k
Notary Public GSL Notary Public
Co scion Commissio N .
t.
Name of Nota ntEd30GES Name of Notary typed
Y ffe 3A QUELINE S0GES
Commission#FF 150422
' Jf"���,� Expires December 12,2018 =«; ;
�' '` 9ondedTtwTrayFeelnsuapce800385.7019 •- ,*; Expires December 12,2018
r �.,•
n;�o;;`s, Bondud Tblu Tray F*lnsk"M 9Q03B6aots
C� o
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received: q - 2o
Site: 3,5 Zoem
Permit Type: MO&C 31 r je-i;t u)) CA00
Approved w/no comments Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Kalvin S tzer ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)