HomeMy WebLinkAbout19-20909 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20909
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATIONf
Permit Number: 20909 Address: 3811 PRAIRE DUNES ST LT 22
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: 24-26-21-0000-00100-0090
Improv. Cost: 2,200.00 OWNER INFORMATION
Date Issued: 3/06/2019 Name: NHC-FL 115 LLC
Total Fees: 82.50 Address: 6991 E CAMELBACK RD STE B310
Amount Paid: 82.50 SCOTTSDALE, AZ. 85251
Date Paid: 3/06/2019 Phone: 813-793-1849
Work Desc: 13. 8 X 13 ' DECK CONSTRUCTED UNDER CARPORT
CONTRACTORS APPLICATION FEES
HOMEOWNER BUILDING FEE 82.50
�T
1 7
1
Ins ections Required
FO TER 2 D ROUGH PLUMB misc INSULATION EI ING
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.
,!�& r" - &I
CONTRACTOR SIGNATURE PERMIT OFFItXR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i"
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: at j��Gt
Date Received: Z 2-5-- l q
Site: 3 $ 1f PYCL,P7e- S�
Permit Type: %3� X �c3 � •` ��' ' ,�c�3�Q'9'�Gr�
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.
FEB, 2 8 2019
Kal 'fi-Sr—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 1 ,
Building Department /
Date Received --I Phone Contact for Permitting
Owner's Name -cT 6 7 A) . JOR �T T Owner-Phone Number
Owner's Address l- 1 A I P, K' b V A) Owner Phone,Number
Z I'iy41 fit L-5 �� 33j Ya) Owner.Phone Number `
JOB ADDRESS 1IF/I PR _R(C— JI N15 Sr Z6Af YPI WS 3 LOT# d�cZ
SUBDIVISION M Trr.S7ore Ift � PARCEL tD#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED V ONSTR DDIAL SIGN Q Q DEMOLISH
INST LL REP
PROPOSED USE R V , Comm OTHER
TYPE OF CONSTRUCTION H��BLOCK Q .FRAME STEEL 0
DESCRIPTION OF WORK 13 r�tl X lb t O JE 6 KI rd X wV469 &c:X1 S r e g g Pp R
BUILDING SIZE SO FOOTAGE HEIGHT C �
444
BUILDING $ fi 1 �br B� —) VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL s AMP SERVICE Q DUKE ENERGY Q W.R:E.C.
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION p
=GAS Q ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO
BUILDER 4ff� COMPANY
SIGNATU REGISTERED Y/ N I FEE-CURREII
Address License# �—
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Ly/N
Address License#-F
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F I
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
OTHER COMPANY,
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F
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,Stonnwater 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.
14 Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
** Agent(for the contractor.)or Powerof-Attomey'(for`the;oiriner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING,',:'; „(dbpyFof,coiitra"ctrequired) i.�. `'":,•
Reroofs if shingles Sewers Service-,Upgrades A/C• Fences(P1ottSurvey/Fo6tage)
'Driveways-Not WdFCountet if on Lc jr,Qadways..ne'eds ROW �i
NOTICE OF DEED
EED 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.
UNLICtNSE6,.CON,TRACTORS 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 locail''e4e'ulations. -:If the
.9
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'r6quireiments; may_apply for the
intended work, they are advised to contact the Pasco County Building Inspectidn'Division—Licensing Section at 727-847-
8009. Furthermore,- if the owner hat hired �a*contractor or contractors,
tractors, be- is�advis6d'to'have the cont.ractor(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/1.11TILITIE&IMPACT AND RESOURCE RECOVERY FEES: The Undersigned understands
that Transportation Impact Fees-and Recourse,Recovery Fees may apply to the constructionof new buildings, change of
use in existing
buildings, or expansion,,of existing buildings, as specified in Pasco.Cdty Ordinance:County Ordinan 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 F'ees 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
pp
y
fees are due, they-must be paid prior to permit issuance in accordance with applicable licable 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 "Floridai Construction- Lien Law Homeowner's
Protection Guide"'prepar'ed by the Florida DOpartmentof'AgricWtUre'and Consumer Affairs. 'if the applicant is someone
other than the"owner", I certify that Fhave obtained a copy ofthe above described document and.promise 161 good faith to
deliver it to the"owner'prior to commencement.
CONTRACTOR'SIOWNEItIS: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 iissuance. 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 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,Oy 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 maybe 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 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
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 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 al period not to exceed ninety (90) days and will demonstrate
justifiable cause for-the extension. If work ceasesfor 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 YOU"R,PROPERTY. IF YOU INTEND TO-OBTAIN FINANCING,-CONSULT
WITH-YOUR LENDER-OR-AN-AT-T-ORNEY-BEFORE-RECORDING-Y-OUR-NO-T-ICE-,-OF-COMMENCEME-t4-T.—
FLORIDA JURAT(F.S.117.03
14 -0"A/J
OWNER OR AGENT' CONTRACTORI&
Subscribed and o rn'twoo.,iffirme?b-ato- me this
ethis Subscribed ands m (tea
rm-1),bef ore thl
Wh ersonally known to me or has/have,produced
FLU
are-personally known to me or has/have produced Who ja/!3re
FL, X4�4� Ut�-as identification. as identification..
Notary Public Notary.Public
Commis No. Cowsion NO smdw*mawh__
JACQUELINE SOLES
c&I g fflffUUZ76457
Name of Nota Name of Notary R1 Is e
A7 Plffis ecember 12,2022
WAM617Nd 276457
Exnires Decp,Tiber 12,2022 Bonded Thru Ttoy Fain kalanca
Bonded Thtu Tt,;y Fain lnsurancc:A_N&70I9
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I. 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.
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 pZ
ADDRESS 3 l(
PHONE
WITNESS PERMIT #
. .EXTEMORIMPROVEMENT REQUEST'
'till" �/Ayp_�'. � >j}� t
-- �,C)MtviUtUtTY NAME � � '
.RESIt�EkU't NAFv1E
+ADDRESS �.C?A?E OF ft>=G1t1[ST
_
t � ELEP EI _ - --- RRt)PC�fiED.COMF'LETION,DATE.
-
The above_named .Resident xegtje�sts approval'to build; add-on: or otherwise.niter.his/her manufactured-home;:ifs.
associated structures. or. site. Approval by:the Combiunity, tvtanE(gement•does.-riot waive.Resident's,responsibility.to
:securezny and-all permits required by the governinrg municipality whose-name and teteprione number is:
Qescriptioncol'Alteration: _1 , . ^:t, l�;d :?ssr _Zl k A� a. r - 1✓�'- fU '. .s : r �h�r;u' L:a 1.r
Y -&_ �.J tee" .,L,•_.. *� a.a_,r�A ._�
EWj as£ {�,yy't' i)./ ! J .si j- y/,_ .:y. --._ .f C,�; __f+_sY
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. V Sad' . 't: `�
f, IZ_ Upon review of the above:requ�.sL.'We find it is within our guidelines
Resid, prit.miili obt;Fairt arty:and aft.permit.s necessary+-to construct improverlierit.
Of Resident hires-an independent contractor,itAs recommended'that theybe.ticensed'and intured.
}� Upon review of the above request, we find-it is notwithin out'.guidelines.
s
DISTINCT MANAGEi OOMMUNiTY MANAGER - DATE. _
USE SPACE BELOW TO SKETCH THE ALTERATIONS ANID'LOCATION ON YOUR H011 ESITE.
(ATTACH.SEPAr3ATIEZHEET IF NECESSARY)
,/ r ,,'
JUL
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FOLLOW-UP INSPECTION
Nlanagement-reserve-the right to IInspect the:aiterations described above upon completion.
DiSTvAICT MANAGEA� COMMUNt?Y.MANAGER DATi�
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