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Home My WebLink About18-20553 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 205 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20553 Address: 3850 QUAKER RIDGE ST LT 1 2 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: MAJESTIC OAKS Est. Value: Parcel Number: 24-26-21-0030-00000-1210 Improv. Cost: 1,650.00 OWNER INFORMATJ Date Issued: 12/07/2018 Name: NHC-FL115 LLC Total Fees: 75.00 Address: 6991 E CAMELBACK RD STE 9310 Amount Paid: 75.00 SCOTTSDALE, AZ. 85251-2493 Date Paid: 12/07/2018 Phone: (813)783-7518 Work Desc: ENCLOSE CARPORT W/SCREEN CONTRACTORS APPLICATION FEES HOMEOWNER BUILDING FEE 75.00 t � 1 Ins ections Re uired 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. "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. CONTRACTOR SIG A URE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0.020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department � Date Received il� y Phone Contact for Permi ing Owner's Name 11 !f�' Own Owner's Address ,?851� Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number �^ Fee Simple Titleholder Address JOB ADDRESS .3 o -6- ' g2tiRkeA. I a691r LOT# SUBDIVISION �A.7'G STI t? ,)191fS1 PARCEL ID# (OBTAINED.FROM PROPERTY TAX NOTICE) WORK PROPOSED ' NEW CONSTR ADD/ALT SIGN Q:. Q DEMOLISH e INSTALL e REPAIR PROPOSED USE , Q SFR 0 Comm OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME [�� STEEL Q DESCRIPTION OF WORK �/✓��v Str Ci9�S"/°G 2T wllt47 BUILDING`SIZE 1, SQFOOTAGE= HEIGHT C -� LENLIYUILIJIMJi $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. =PLUMBING $ � =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING C] SPECIAL OTHER FINISHEDiFLOOR ELEVATIONS FLOOD E REA =YES NO C -} BUILDER' COMPANY 0 V. SIGNATURE REGISTERED Y/ N FEE CURREN - Y/N Address License# ELECTRICIAN COMPANY SIGNATURE' REGISTERED ;- Y/ N FEE CURREN Address License# t PLUMBER r COMPANY SIGNATURE REGISTERED Y/ N.. 1. FEE CURREN Addr,®ss . License# b MECHANICAL._. COMPANY SIGNATURE. REGISTERED Y/ N FEE CURREA`' ' Y/N-- Address License# OTHER ,: COMPANY' SIGNATURE REGISTERED -Y/'-N. FEE CURREN' Address License# �4 RES'tI)ENTIAL Atta6h;(2)PlotPlan's-(2)'s of Building Pians;'(1)'set of'Energy Forms;R=O-W'Permitfor new construction, Minim um.ten`(.10):working days'after submiftalAate.',Required onsite,Construction Plans,Stormwater Plans:w/Silt Fence installed, Sanitary.Facilities&1 dumpster,Site Work Permit for subdivislonsAarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-Oi Permit for-hew construction. Minimum•ten•(10)morldng.days:after-submittal.date""Requiredonsite,Construction Plans,Stormwater Plans w{Silt Fence installed, Sanitary FacilitlesA l dumpster:Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets.of Engineered Plans. ****PROPERTY S'IIRVEY requlred`for'ail NEW construction. `Directions: Fill out application completely. Owner;.:&:Contractor sign:back of application,notarized If over-$2500,a Not)ce 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_con"ct.required)`j Reroofs if shingles Sewers Service(Jp9rades.-AtG�'r::'r 'Fences{Plat(Survey/Footage} Driveways-Not over,'Counter if on public'roadways::rieedsiRO1N . _ ....,.,.4b n.. .... ii NOTICE OF DEED RESTRICTIONS::-The undersigned understands that this permit may be.subject to"deed"restrictions" which may be.more,.restrictive 1han County regulations. The undersigned assumes responsibility-for,compliance vrith any, ,,, applicable dee'd,restrictions UNLICENSED•CONTRACTORS.,'AND: CONTRACTOR RESPONSIBILITIES: If the owner.has hired a contractor or contractors to undertake work,'they maybe,required to be licensed.-in'accordance with.state and�local`•regulatibns 114he ' contractor is not licensed as required..by._law,<b'1oth,the,owner and-contractor may be cited for a misdemeanor violation under state'law. If the owner or-intended contractor are uncertain as to whaf.:licensing requirements-•may-apply"fof:ttle j,.. 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'Re-covery Fees may apply to the construction of new buildings, change"Of use in existing buildings, or-expansion of.existing buildings,asospecified in Pasco County Ordinance number 89=07�and 90-07, as amended. The undersigned also--understands, that such fees, as-may'bd due, will be identified at the tune 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;priori to,permit issuance. Furthermore, if Pasco County Water/Sewer Impact i 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&m.'dre, I`, certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeawl er's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant1s someone other than the"owner°, I certify that I have obtained a copy of the above describe_ d document and promise-in good faith to deliver it to.the"owner:"prior to.�commencement: CONTRACTOR'SIOWNER'S AFFIDAVIT: 1 certify that all'the infbrrrtatian in this.application°ts accurate and that a{i work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application; pplication 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 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.- I - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altoring Watercourses. - Army'Corps of Engineers-Seawalls, Docks, Navigable Waterways. i - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks:. 'US Environmental Protection Agency-Asbestos abatement. FederafAyiatton Authority-Runways.f, i understand that the;following-'restrictions apply to the use of fill: Use of till is notallorlved 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 ma#erial 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 of4he,building permit•issued under the attached permit application, for lots less than one (1), acre which are elevated by fill,an engineered drainage plari 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 f' this affidavit prior to commencing.construction. 11 understand that a separate permit may be.required for electrical Work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A =ra permit issued shall,be construeflo.be a licenseito 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, construction or violations of any codes. Every permit issued shall become invalid ,"I unless the work authorized by such permit-is commenced within six months of permit issuance,or if work authorized`by ?i 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)Fdays and will demonstrate 4 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 t PAYING TWICEFOR,IMPROVEMENTS TO YOUR PROPERTY..IF YOU INTEND TO..OBTAIN FINANCING, CONSULT ; WITH YOUR•LENDEKOR A. ATTORNEYBEFORE RECORDING:YOUR�NOTICE:OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT �,�—``'y cs s+1� CONTRACTOR �se Subscribed and swom, or affirmed} re me thi Su IS c bed and swo tQ-�Qr-affirmed be me,this by R C�. �,�a - S-/$ by J�.� d:~K Se_ Who Istare person Ily known to me or has/have produced Who is/are personally known to me or has/have produce " L .Da2rf.�2rs ~t�lStz as identiffcatton. �L. t t +P Locce � asidentiffcation. I � Notary Public -^ Notary Public r I Cam sion Corri i n 1 •;; JAC Name of olarrq d,,�l lj�R#Ls Name of Nd c3c ;: it §; c i6457 '3A.A*li Commission#GG 276457 = 'O ems December 12,2022 ' Expires December 12,2022• I Banded 7Mr Tray Fain tnavraxa800 385-TOt9 ': •?cFi.?•' Bonded Thca Tray fain Inaurnnce s00.38"70,9 .•„ j DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I, �y/ /[T�Sp� have. 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 regulations. OWNER'S SIGNATURE DATE ADDRESS 3Ro S PHONE WITNESS PERMIT # FLU III UR City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: i G{ r Date Received: Site: Permit Type: -CACIO-se 1S0e(?P( 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. NOV 3 0 2010 Kal it er—Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) vw 47 To fill -44 Zj It rj i�c i -ELF��. ic 0 . PA .......... fX- Fr i . ..... ... 61