HomeMy WebLinkAbout19-20979 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20979
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20979 Address: 6153 17TH ST
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: PARK HILL
Est.Value: Parcel Number: 02-26-21-0180-00000-0190
Improv. Cost: 5,000.00 OWNER INFORMATION
Date Issued: 4/04/2019 Name: BARTHOLOMEW BRENT MICHAEL
Total Fees: 97.50 Address: 6153 17TH ST
Amount Paid: 97.50 ZEPHYRHILLS, FL. 33542
Date Paid: 4/04/2019 Phone: 727-422-8010
Work Desc: INSTALLATION SHED 12 X 20
CONTRACTORS APPLICATION FEES
HOMEOWNER BUILDING FEE 97.50
HOMEOWNER
l
FRAME Ins ections Re uired
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
efore recording your notice of commencement."
Complete Plans,S cifications ust Accompany Application.All work shall be performed in accordance with
City C des and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
C SIG RE PERMIT OFF I R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INSTR#2019048781 OR BK 9877 PG 3109 Page 1 of 1
03/25/2019 10:40 AM Rcpt:2039383 Rec:10.00 DS:0.00 IT:0.00
Paula S. O'Neil PiLD., Pasco County Clerk&Comptroller
Pennh No. Parcel ID No
-Ll-D 180-0d000--61,T0
(�� NOTICE OF COMMENCEM (1/�
state of i O r1 AV, county of os w
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real props agd In accordance with Chapter 713,Florida Statutes,
the following information is provided In this Notice of Commencenren �.� r- 0/Qr �0000Q 0j qD
1. it Description of Property:Parcel identhkatlon_NQ a
•r�,Street Address:_ 1(1 .(� r it
2. Genera Deserfptio of I pro nt ` •-,,�r b
3. Owner Into atlo+ tithe Lessee contracted forthe Improvement: Q v
f' Name 'th
Address tat.
Interest In Property:
Name of Fee Simple Titleholder:
Of different iron Owner Qsted above)
Address City State
4. Contractor. C—�d�
f e
Address City State
Contractor's Telephone No.:
5. Surety:
Name
Address City State
Amount of Bond:S Telephone No.: CO Q Z CW)
s. Lender. C) L � n W C
Name C9 z O =�/J
Address City State < O C —~I N O H
Lenders Telephone No.: LL �W LU d C
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by ®.O = — J 2
Section 713.13(1)(a)(7),Florida Statutes: > W l'—C) U O
Name Z 0 r
® � aw0 Y J
Address City State (9 Q O iY tYc
Telephone Number of Designated Person: Z U U z W
Q F- -j -I
6. In addition to himself,the owner designates —Of— W M 0 LL U
to receive a copy of the Uenoes Notice as provided In Section 713.13(1xb),Florida Statutes. ® F- Of fL QLL
W
Telephone Number of Person or Entity Designated by Owner. LL. 0 O O > 0 z
9. Expiration data of Notice of Commencement(Me expiration date may not be before the completion of conshucdon and fine)payment to the LL O O
contractor,but will be one year from the data of recording unless a different data Is spedfied): O !—
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT LLI (n Q J LLl Q
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1 SECTION 713.13 FLORIDA STATUTES.AND CAN W — -r
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP9RTY. A NOTICEx OF COMMENCEMENT MUST BE Q 0 W Z 0
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT f" _ (Y z
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECOR R NOTICE OF COMMENCEMENT. Tn 1— I— O d m
Under penally of per)rsy,I declare that I have read the foregoing not of amme e a the ads staled therein are true to the best
of my knowledge and belief.STATE OF FLORIDA
COUNTY OF PASCO G�`e •a ' • bD
Signs we VOwn.rs lessee,or s or Lessee's Authorized 1 d
Officer or/Partn rJMa or (f a
00
tl Signnattoys�Tiverof icee e ' 00 •
forog 1ns_tr,ms 1 was owledged before me tlds day of 20
, • �l.P't••3't.1S l8 as of authors e. officer,trustee,attorney
(type ty, g., may in fact)for @ .
_. (name ofartv on behalf InRl 0.ant was exaxcuted).
Personally Known❑Q$Produced IdentiSaU\nVp Notary Signature "LUAI v'� a
Type of Identification Produced A-^c�x cjr CMj;Cf/[.$—Name(Print)
ffJACIZIEM BM
OWS
d*9u7G22la E0046'�T01 g
wpdstslbafiolfaoomrtxerxcement�C0530g5
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting
rrrrrrrrrrrrrl,rrrr...... ........ ...... ......
Owner's Name Owner Phone Numbs
Owner's Address[4� .5:3 S� Owner Phone Number
tFL
Owner Phone Number
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK 37C1.JZV4J1�Wce,
BUILDING SIZE SQ FOOTAGE 1 I HEIGHT
BUILDING ) VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE = DUKE ENERGY Q W.R.E.C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
1 1 1 1 1 a 1 2
BUILDER COMPANY 0t4M_Rr
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LjLNLJ
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED FEE CURREN LXLN J
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L)L/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L_Y_L N
Address License# I
HHHH! HHHHHHHHH HHHHH+tf I HIIIHHHHHHHH
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Perm'it for new construction,
Minimum-ten(10)working'days,after.submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpstdr;.Site Wdrk_Permlt 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)�workifig days after submittal date. Required onsite,Construction'Plans,Stormwd'ter Plans`w/Silt Fence installed,
Sanitary Facilities&1.dumpst6r..SIte Work Permit for all new projects.All commercial,requireimenits must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
4 D=t4 ..........
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 owns_r),%youldpe someone with notarized letter tgrR,.PWPP-E.9ut.horizi,p,g,,Igagle
THE COUNTER PERMITTING— copy oicontract req'b'iired"
ihingies Sewers Seryid16b, rades VC ::Fences(Plot/Survey/Footage)
-Not over Counter if on 666iio rop ays;.needs ROW
'!r^ 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.Consume'r.Affairs. If the applicant is someone
other than the "owner", I certify that,l have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to comriiencement.
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 lb 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
Watercourse's.
- 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.
y understand that the following restrictions applyto 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 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 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 IMPROVEMgNISZQ YOUR PROPERTY. IF YOU INTEND TO qpTkhl FINANCING, CONSULT
--WITH YOUR LENDER OR AN41il-T—ORNEX 6EFORE RECORDING YOUR NOTICE C M NCEMENT.
FLORIDA JURAT(F.S.117 - - - - - - - - - ---
J"
OWNER OR AG EN CONTRACTO
S b c•ib�e an b�w to i is S sg�ib?�nd b to a d e r th's
-d �(
Who is re personaJlx known to me or has/have produced Who's/are PP�rs��o all kgawn two or has/have produced
(� GQ� as identification. �$JlCt as identification.
(aJy"C,Q1 in
(;Ie
Notary Public Notary Public
C 6 MINN
ssioON Com ' sion o.
Commission#GG 276457 "
91
Name of-Notary ty ber 12,2022 Name of N in
''�.?f„ f'BO M 7hm Troy Fake I11iUf=8W85.7018 ':�, Comm ion#GG 27645
7
s December 12,2022
BandeC Ttuu TroyFahi Insu.anCe 800.385,7Q18''
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Sheds and Carports
Plan Review Comments
1) All property markers shall.be fully exposed at time of inspection.. (RED TAG IF NOT
MARKED)
4 All sheds shall be installed and anchored per manufactures specifications. (RED TAG IF
NOT ANCHORED.PER PLAN)
3) All set-backs shall be met.
4) Sh.all not be installed in:easements.
51 Shall be set in the rear or side yards.
6) only 2 accessory buildings per parcel.
7) Sheds shall not be rented''or inhabited.
.8). Must meet and follow all conditions of ordinance780=01
.
9) No accessory building shall be larger than 300 sq ft without site=plan-approval
10) Not to exceed 16' in height at peak.
11) No other work shall be permitted (framing, plumbing, electrical and mechanical) unless
otherwise specified.
12) Accessory buildings in residential zones that.exceed 150 sq ft shall be constructed of
masonry, wood frame, aluminum or-vinyl. Aluminum and vinyl shall be residential grade
and be consistent with existing architecture of the principle building and adjacent
properties.
13) Fence shall not encroach neighbor's or property or.right of way:
14).Fence shall be no taller than 6 feet in the rear and sides of home. 4 feet from the front
of home:
15)Good side of fence shall face out.
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
have read and fully understand and
agree to the provisions ol -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 co'notruction 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 1 applicable laws, ordinances, building
codes, and zoning re i
OWNER'S SIGNATURE DATE
ADDRESS I
PHONE
WITNESS PERMIT #
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received:f ��
Site:
ro
Permit Type: r V,
' h
�J
Approved w/no comments:❑ Approved w/the below comments: [ Denied w/the below comments: ❑
This comment sheet shall a-kept with the permit and/or plans.
MR 1 3 2019
Kalvin S r—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)