HomeMy WebLinkAbout19-20666 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20666
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20666 Address: 38410 18TH AVE
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: TYSON
Est.Value: Parcel Number: 02-26-21-0080-00100-0180
Improv. Cost: 950.00, OWNER INFORMATION
Date Issued: 1/11/2019 Name: BROCK, PRESTON
Total Fees: 67.50 Address: 38401 18TH AVE
Amount Paid: 67.50 ZEPHYRHILLS FL 33542-3540
Date Paid: 1/11/2019 Phone: 813-377-9993
Work Desc: INSTALL SHED 12 X 20
CONTRACTORS APPLICATION FEES
HOMEOWNER BUILDING FEE 67.50
I �
FRAME Ins ections Required
SHEATHING
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute SS3.80 (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.
—4A'0
CONTRACTOR GNATU E 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 I
Date Received Phone Contact for Permitting 1 'Lf
7 -- 3
Owner's Name ( _ Owner Phone Number
Owner's AddressF�i Owner Phone Number
Owner Phone Number
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR R
ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM = OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK 2-6 2,-5
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL. $ AMP SERVICE = DUKE ENERGY = W.R.E.C.
PLUMBING $ 4.1 A
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,
IVhV/.Y 1
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY `W17-ek,
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I 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 subdivisionstlarge 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)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
~ ^
NOTICE OF DEED : The undersigned understands that this permit may be sub�� ��^ ��o�
wh�hmay� �� ���t�nC�r�m����. The aa�m� r���|�|t' i��mp|�n�w� o�
applicable deed raodoUona. '
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake vvnMh, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not Uoonmod as required by |ow( both the owner and contractor may be cited for 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. Furthermmno, 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. |f you, oa the owner sign aothe
uontraotor, that may bean 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 bm the construction of new buildings, change of
use in mniabnQ bui|dingo, or expansion of existing bui|dinge, as specified in Pasco County Ordinance numbar8Q-O7 and
0O-D7. osamended. 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 o "certificate ofoccupancy" or final power release. If the project does not involve a certificate of occupancy or
final power ne|eooe, the fees must be paid prior to pann|i issuance. Furthermore, if Pasco CountyVVaher/Savver 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, assrmemded): If valuation of work im$2.5OO.O0mr more, |
certify that |, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
ProtecUonGuide^ pnsponadbxtheF|mr|doDeportmentof Agriculture and Consumer Affairs. |f the applicant iasomeone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver itto the^owner" prior bncommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: ( certify that all the information in this application in 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. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meat standards of all |amm regulating
oonotnuction. County and City oodeo, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply tmthe intended work, and that it is
my responsibility bm identify what actions | must take iobmincompliance. Such agencies include but are not limited to:
' Department ofEnvironmental Protection-Cypress Bayhaadm, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida VVabmr Management D|adhut-NeUo. Cypress Bmvhmada. Wetland Areas, /UbehnQ
VVatmnoourmoo.
- Army Corps ofEngineero-8eawmUa. Oooke. Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Und-WeUs, VVaohavvater Tremtnnmrd.
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authmrib+Runmmya.
I understand that the following restrictions apply ho the use offill:
' Use of fill io 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 o
^compensating volume" will be submitted cd time of permitting which is prepared by professional engineer
licensed by the State ofFlorida.
- If the fill material is to be used in Flood Zone ^K in connection with o permitted building using stern xvoU
construction, | certify that fill will be used only tofill the area within the stem vva||.
- If fill material is to be used in any area, | certify that use of such 5U 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 (oba |oaa than one (1)
acre which are elevated by fill, mn engineered drainage plan iarequired.
If| am the AGENT FOR THE OWNER' | promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. | understand that e separate permit may be required for electrical work,
p|umbinQ, oigns, vva||s, poo|o, air conditioning. Qoo, 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, construction 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 imsuence, 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 raquaoted, in vvhUng, from the Building OMiniol fora period not to exceed ninoh/ /BO\ 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.
OWNER OR CON
Subscribed and sworn to(or affirmed)before moons Subscribed and sworn m(or affirmed)bemrom�mw
b 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 PuWio NotaryPvmm
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
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.
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.
S. 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 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.;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.
4Z;_
-QMRIS SIGNATURE A e� q-r DATE
*DRESS lave
PHONE
WITNESS PERMIT #
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Owner:
Job Location/Address:
Parcel I.D. #:
SHOW ALL EXISTING&PROPOSED STRUCTURES GIVING DIMENSIONS&SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE &FOUNDATION INFORMATION
I
FRONT PR ERTY LINE
— — STREET
(NOTE EXAMPLES 1&2)..
Example 1. Setbacks for RI &R2 Zoning Example 2. Setbacks for R3 Zoning
I I
60'
I I
60' —
10'
10,
p E
R X
0 I 1� EXISTING 1p
10, O 10 la
T
S I 140
E N
D 0
PROPOSED
2T 20'•SINGLE FAMILY/ 3V DUPLEX
FRONT PROPERTY LINE FRONT PROPERTY LINE
- - STREET - - - - - - - - - - - - -- STREET -- - - - - - - - - -
r
' t
uperior S he*, iri'r,..= Orange.pity, Florida
It CON.ST. TYPE -Mfg.`P90able storage Building
1C a Florida—U.C.A.—ID—SSI - 222.0
FLOOR LOAD: Live--Z-� ROOF LOAD: Live 20
WIND VELOCITY BATI iG.' 150-UPH -AS1-iE 3 See. Gust
FEMA BASE FLOO&ARF.A: Pressure Nated Lumber&
Hydrostatic Vents Ad,de.
Section 553,(3) (S) Florida Spates .
Built and designed to standards of FLORIDA BUILDING
State inspection insignia Below
:ham
0
1 1 w O Rtttii
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: Re- � &,-k,
Date Received: (— to-0
Site: 3 C
Permit Type: tb-
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
� S01A
!Ae f
/ 1 4
ftI'e
This comment sheet shall be ept with the permit and/or plans.
JM i p 20
Kalvin Swi r'- Ian finer Date Contractor and/or Homeowner
(Required when comments are present)