HomeMy WebLinkAbout18-20344 CITY OF ZEPHYRHILLS
5335-8TH STREET '
(813)780-0020 20.44
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20344 Address: 5642 19TH ST
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-11000-0060
Improv. Cost: 6,696.20 OWNER INFORMATION
Date Issued: 11/05/2018 Name: FRASER HUGH & AMY
Total Fees: 112.50 Address: PO BOX 292
Amount Paid: 112.50 ST REGIS FLS NY 12980-0292
Date Paid: 11/05/2018 Phone: 518-651-5624
Work Desc: INSTALLATION SHED 22 X 26 X 8 FT
CONTRACTORS APPLICATION FEES
HOMEOWNER BUILDING FEE 112.50
14
Ins ections Required
FRAME
SHEATHING
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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
%4/,ez/j
O CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
E
Date Received
Phone Contact for Permitting
Owner_'s Name
_—j-�= =__— -- � Owner Phone Number
Owner's Address a� 3 r Z Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple.TitleholderAddress r I �!
JOB=ADDRESS=` C � Chi r W s r b 35S 2— LOT OF
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ® NEW CONSTR R ADD/ALT = SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR = COMM = OTHER
TYPE OF CONSTRUCTION =: BLOCK = FRAME = STEEL =
DESCRIPTIONAEVYORK ,� .4 :4 --;U D l ' u BM 22_��
BUILDING SIZE SQ FOOTAGE= HEIGHT
BUILDING��1 $'02/ r�® VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE = PROGR`EES(S�ENERGY = W.R.E.C.
=PLUMBING $ D3l '
Ott
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION CC) 6�A_
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
-BUILDER �--_— — ` COMPANY
SIGNATURE— 1 REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 1 License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
- - — -- Sanitary Facilities_&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life 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,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.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.
Directions:
Fill out application 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 contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required) N
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
i
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
contractors to 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 cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
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 for which 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 permitting 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 amended): If valuation of work is"$2,500.00 or more, I
certify that I, 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 regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I 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,IDocks, 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 W" 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 by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction.I I understand that a separate permit may be required for electrical(work,
plumbing, signs, wells, pools, air conditioning, igas, 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, or
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, construcction or violations of any codes. Every permit issued shall 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 FOR IMPROVEMENTS TO YOUR 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)
OWNE4-OR ADEN?=
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
I
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped -
�r
. 2018186967
Re
pt :20036fi3 Ree: I0.00
DS. 0.00 IT: 0.00
11/05/2018 K. R. M„ Dpty Clerk
pgULA S.4'NEII.Ph.D.pASC4 CLERKof
& G4MFTR4LL
11OR�B�19813 PG 2039
NOTICE OF COIi�IIVIENG7.'141ENT '
Permit No.
PropertyIdrAficuion No.
.�r'oZtO�_
THE UNDSOGNF,D hereby give In&=you thatThe b Vw,,emeat will ba made to dotal,real property,and in=or&=with
Section nxn oftho Florida Sbtatea,the foliowing fi f atwon is provided in this NOTICE OF O01!'swczmm.
IDescriptiaut ofpmperty(legal drsa7pdon:
a)St a0Addm w,
2.Denerai dens 1ptioa ofbmproveme0:
3.OwnwhiMmuidon
a}Name aad sddtasa: eY . '.J `�' 354 2—'
b)Name and address of fee le Mahoider(A other than owner)
e)btaatt ia`prap uty 421 n
4.Cou mcWk*nnvMM
a)NaMaa3}daddtcsa:46h rr'as*- &VP jTt& AM-f 1115 0 FL 33W-2-
b)Tekphoae Na: u
SSmnty Information .
a)Nama apdeddress: .
b)Awottat ofBoad:
a) Fmcno.(Opt,)
6.Landc
a)Name and address:
Pho"No.
7.identity ofperson wWn the State of Florida designated by owner apoA wham Haines or other docamants troy ba served
a)Name and addnax
b)TelephoneNO.: FUNO.(opt)
UJn addition to hhwit owner desipzw*o fallowlrig penM to tareipa a copy oftbe{,fences Nottee asptov m is Section
7I3.13(I)(b}�Florida Statmea: •
a)Naataaadaddtss:
b)TebghowWo.: Pare NO.(Opt)
4.Expiretion due of Nottc¢of Commeaeamrait(the ertpiratian date�one ytar frbnp the date of xecording a dtffamt date is
edk
WAtt MG TO O*MP— &Y YAYM8NTJ4I AD9 BY'I"I90WNEttAFTBdtTii BRPi1tATION O1tT�NOTICE OF
4YyMlti�I+ICB1V1l�NT ARB CONSID$BED> iiOPERP/}YMEd4TS UNIySR fTER 713,PART I,SECTION 71333,.
FI:ORIDA STATIJTF$;AND CAN RESULT W YOUit>'A'YII�`O.TWYCE P`OR BYIPROV$NIETITB Tl)YOUR pROPItRI"Y:
A NOTICE OF COlVIt1'IENCEhiE1aT)VIU$T'BE RECORiN3D�POSfED ONTS$JOB SITS Bi?1rORBTffit FB2ST •
INSP13ClION,II{YOU1N7'i'vND TO OBTAIIfi F1'NAit`CING,CONSU[.TYOUIiLBNDER OR AN ATTORNbY BI>TORIt
Co woRlc oat RcoR�alN YOvi:xoica aF COic> +rl:
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Yerificatlon pnrsvant to Section 42 525,Florida SYadTted.Under penetHes of perjozy,I declare dial bava tad the fatgohlg tad rhu
the facts st¢md in it at true w the base ofmy imowbdga and bathe£
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STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT o
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
dVITNE Y HAND AND OFFICIAL SEA L THIS I'lV God
_ DAY OF i ./1 2
PAULA SLO' EIL, &CLERK COMPTROLLER
BY DEPUTY CLERK 41, e'
�s ®�FLQ�,��
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received: -. 2 --1,6
Site: . l )t
Permit Type: ' =Y�l
Approved w/no comments:❑ Approved w/the below commenr Denied w/the below comments:
t " &d Mat �r l !1 d
This comment sheet shall be kept with the permit and/or plans.
Kalvin S 6 r ans Examiner Date Contr r an or Homeowner
(Required when comments are present)
r
475
STRUCTURAL DESIGN
ENCLOSED BUILDING
EXPOSURE B
MAXIMUM 30'-0" WIDE X 20'-0" EAVE HEIGHT- BOX EAVE
FRAME AND BOW FRAME
18 December 2017
Revision 4
M&A Project No. 16022S/17300S
Prepared for: REVIEW DATE
CITY OF ZEPHYRHFLLS�
Tubular Building Systems, LLCPLANS EXAMINER
631 SE Industrial Circle
Lake City, Florida 32025
Prepared b L WORK SMALL COMPLY WITH PREVAILING
tODE-S FLORIDA BUILDING CODE,
NATIO AL ELECTRIC CODE,
Moore and Associates Engineeri; to YRHILLS
1009 East Ave> INANCES
North Augusta, SC 29841
401 S. Main Street,Suite 200 .�'�NE S.
Mount Airy,NC 27030 %�P ••�G E NS
Digitally signed No 57170 •:
by Wayne S
Moore
Date:2017.12.19 STATE OF .•w�
13:09:10-05'.00' MOORE AND ASSOCIATES :�T•'•'O Q'•'.�`'
ENGINEERING AND CONSULTING ��I� ••C R,O•••G'\
This item has been electronically signed and
sealed by Wayne S.Moore,PE.
using a Digital Signature and date.
Printed copies of this document are not
considered signed and sealed and the
signature must be verified on any electronic
copies.
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To From
Name ZEPHYRHILLS BUILDING DEPT HUGH FRASER
Fax 813-780-0021 518-856-0090
Phone 813-780-0020 518-651-5624
N Date October 5,2018 # of Pages 2
y Subject ATTN: JACKIE BOGES
I HOPE THAT THESE DRAWINGS SUFFICE. IF YOU HAVE ANY COMMENTS OR QUESTIONS PLEASE
CONTACT ME DIRECTLY AT (518)651-5624. THE BUILDING IS SCHEDULED FOR DELIVERY ON
NOVEMBER 15,2018.
THANK YOU,
HUGH FRASER
564219TM ST.
��i4'
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPKYRHILLS BUILDING DEPARTMENT
Iquak r 6's e;( '�, ' have read and fully understand and
agreeto'tje_provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his 0 lVerown 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 s all 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.
5. 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 youdo 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 impro.ve 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 I 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.X.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 regulations.
OWNER'S S.IGNATIME DATE aq,
7-4, AA,LL qf 3 3,!�qry
ADDRESS77rQ-51AV:A_JT*
PHONE— - 2-
WITNESS PERMIT #