HomeMy WebLinkAbout19-21682 CITY OF ZEPHYRHILLS
.r 5335-8TH STREET
(813)780-0020 21682
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21682 Address: 6220 10TH ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0080-00200-0280
Improv. Cost: 2,367.71 OWNER INFORMATION
Date Issued: 8/27/2019 Name: SHOULTS, DORIS
Total Fees: 82.50 Address: 6220 10TH ST
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 8/27/2019 Phone: (813)783-1444
Work Desc: REPLACE 3 WINDOWS S/S
CONTRACTORS APPLICATION FEES
LOWE'S HOME CENTERS INC BUILDING FEE 82.50
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Ins ections Required
FO TER 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.
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CO CTOR SIGNATURE PERMIT OFF16VR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Sla-780-0020 City of Zephyrhills Permit Application Fax=813-780-0021
' t Building Department
Date Received
Z Phone Contact for Permitting _
Owner's Name, Owner Phone Number
Ownars Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Foe Simple Titleholder Adyydrr�ess l.l1 JOB ADDRESS ® LOT#
SUBDIVISION TL.�So PARCEL ID# ZM _O 0
�- (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEWCONSTR. ADD/ALT = SIGN Q = DEMOLISH
e (NSTALL 8 REPAIR
PROPOSED USE ' SFR = COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK = FRAME STEEL Q
DESCRIPTION OF WORK FL I G •S
BUILDING SIZE SO FOOTAGE= HEIGHT
[:;�KUILDING $ /_l5J 71 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL S AMP SERVICE Q PROGRESS.ENERGY Q W.R.E;41 --11
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=PLUMBING $
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS' = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS —� FLOOD ZONE AREA =YES NO
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BUILDER COMPANY Lima
SIGNATURE REGISTERED Y/ N FEE CURREN rJ4441,41CU" 41
Y/N
Address To titsiV75199 7-S 0 1 ikNa r, OL License# Ift: 7
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ELECTRICIAN COMPANY
SIGNATURE REGISTERED YIN FEE CURREIt
Address License#
PLUMBER COMPANY
SIGNATURE �— REGISTERED YIN FEE CURREN Y/'N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y J N FEE CURREh Y/N
Address License#
OTHER COMPANY
SIGNATURE l REGISTERED YIN FEECURREh Y/N
Address License# �—
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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 Wcrk-Pemmjt for all I sari projeots.Ad)commercial requirements must meei compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'-PROPERTY SURVEY required for all NEW construction.
DlfeCtierlS:■
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 Attciney(for.the.Owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs it shingles Sewers Service Upgrades A/C Fences.(Plot/Sulvey/F.00tage)
Driveways-Not over Counter if on public roadweys_needs ROW
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NOTICE OF DEED RESTRICTtONS: The undersigned understands that this Permit may be subject to"deed"restrictions"
which may be more restrictive titan 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 undertakew,ork,;they maybe required,to be licensed in accordanCer 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 l,,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'S10WNER'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, 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 by a professional engineer
licensed by the State offlorida.
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 cite&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 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)
OWNER OR AGENT CONTRACTOR
Subscribed and by sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by
T%he islare personally known to me or has/have produced Who islare personally known to me or haslhave produced
as identification, as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Nance of Notary typed,printed or stamped
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Plan Review
Windows & Doors
1) Need. manufacturing installation specifications:
2) Must meet sections.11308 and R612 of the 2017 F.B.C.
3) If windows are to be installed inside the historical district,they will need to be approved
by the historical committee.
4) No other work shall be permitted (framing, plumbing, and mechanical) unless otherwise
specified:
5:) This is for replacement (glass for glass) only. If you wish to change from screen or vinyl
windows to glass,then additional information is required.
6:) All windows to wall connections shall be left visible for inspection.
7) All.-labeling and stickers.shall remain on windows until final inspection.
8) No work shall start without permit first.
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PC
013241312
ONTRACT#
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LOWE'S AUTHORIZED REPRESENTATIVE NUMBER; CUSTOMER
j! STORE NO. STREET ADDRESS • STREET ADDRESS
CITY STATE ZIP CITY.l: ✓� rATI
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TELEPHONE ``. «.. TELEPHONE. n, '
DATE LOWE'S CONIVAC:TOR I,ICENW.NUMBER CASKf eANK LCC REG
Y _' I;: j CGC1riDBd1T CARD CHARGE
This is only a quota for the mergasndise.and:sLuylc9s pdmed:tielolY:'rnYs heCamos ari&Qrett2iiOht.,4lirin;paym0riL Ufporj pd i,prttf aYont ro aF}rroemont,InGuilirig'Uw:iipWfkyly cornpleted pages of VS.
dmimenl,U,a.Yamis;antl;Conditbns IndGdud.with(ffls stcourrient Bnd rtny od,w.eiTdepdp and.ltue6incgtslter�so;:shell:lw;reramed,toJWeIn.ss fhrs`Convact:•
PLEASE READ ALL TERMS AND.CONOITIONS ON THF'REVER3E.SiDE'OFTHlS_.PAGE ANp:FOLLOWING PAGE6•B6FORE-SIGNING: '
1 _ INSTALLATION STREET ADDRESS �• C,n/7 V STATE ZIP
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NOTICE TO CUSTOMER:-�PRICE CALCULAr ONS:.:ln:order to properly perform the installation of Certain Goods,the Contract Price may include more
Goods than actualiywill be installed based on the rpcfasured squaro.footago of the,Project Area, As.a result, the parties agree that the lump-sum Price
stated in this Contract is calculated upon both the.value of estimatediGoods required to fulfill the Contract(including waste),which may exceed the actual
square footage of the Project Area;and the'labor which may be estimated based on the amount of Goods required to fulfill the Contract(including waste).
By signing this Contract below,Customer acknowledges receipt of INS notice and agrees and understands that the Price includes these costs which may
not be refunded once the installation Services are performed.
NOTICE TO CUSTOMER: Federal law requires Lowe's to provide you with the
pamphlet Renovate Right.By signing this Contract,Customer acknowledges ,
havingreceived.a co Contract Total ,y f� 7 r
copy of this pamp.hlat befora:work began.informing Customer
of the potential risk ofthe lead.-hazard-exposuke from renovation;activity to be *applicable'taxes included
j.; performed In Customer's.dwelling.unit.
NOTE: If rotted wood 1s.discovered during Installation additional charges will apply.You vtirlil-be given a quote and a change order,
• .must be completed and sit�lied by:the customer for any:additional charges. Customer must Initial.
.Any work.or matorial not spocifred.Is.not inciudad.fn°.this,cont&acC Any.chhnges•ot additions will be al.an additional charge for the material and labor.
t l NOTICE TO OWNER: - ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 7,13.001.713.37, FL ORIDA
` STATUTES ,THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN
FULL HAV A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY.THIS CLAIM IS KNOWN AS A�
CONSTRUCTION LIEN. IF •YOUR. CONTRACTOR ;OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS;
SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THQSE PEOPLE WHO ARE; OWED MONEY MAY LOOK TO YOUR
PROPERTY FOR PAYMENT,EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL.IF YOU FAIL TO PAY YOUR
CONTRACTOR,YOUR CONTRACTOR MAY ALS.O'HAVE ALIEN ON YOUR PROPERTY.THIS MEANS IF A LIEN iS FILED YOUR
PROPERTY COULD BE SOLD AGAINST YOUR WILL TO.PAY FOR LABOR,MATERIALS, OR OTHER SERVICES THAT YOUR
CONTRACTOR OR A:SUBCONTRACTOR MAY HAVE FAILED-TO PAY.TO PROTECT YOURSELF,YOU SHOULD STIPULATE
1N THIS CONTRA.CT.THAT,BEFORE:ANY PAYMMNT IS MADE: YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A.
WRITTEN RELEASE OF''LIEN:FROM ANY PERSON OR C50ANY THAT HAS PROVIDED TO YOU A "NOTICES TO OWNER;"
I. FLORIDA'S-CONSTRUCIION UEEN.LAW.IS`COMPLEX;-AND IT IS RECOMMENDED THATYOU CONSULTAN ATTORNEY_.
TPHOTO RELEASE:Customer grants to Lowe's and Lowe's employees and independent contractors the right to take photographs of the Promises where
:. Installation services will be performed and all work performed at the Premises related to this Contract,and irrevocably grants to Lowe's all right,title and
interest in and to the photographs for use.in all markets and media,worldwide,in perpetuity,Customer authorizes Lowe's to copyright,use and publish the
photographs in print andfor electronically,and agrees that Lowe's may use such photographs for any lawful purpose,including,but not limited to,marketing, ;x
advertising publicity:illustration, training and Web content,By Initialing here,Customer agrees to the foregoing.___[Customer to initial to the left].
Work is to comipence upon reasonable availability of Contractor:; any special order or cystonier made Good(s)which Is anticipated to be at
i'I F G � [fill In date].
J • {fill in data].Estimated completion date is�� h:n a i•, f, S
Said estimated substantial completion date IS:.not:of:the essence,A statement of any contingencies that would materially change said estimated substantial ('-
completion date is as follows:
Cif apptici-ablo,.inArt a statemont•.of such c ontingencies).
This Contract provides that all claims'by Customer'or Lowe's will be resolved by BINDING ARBITRATION,Customer and Lowe's GIVE UP THE RIGHT,
TO GO TO COURT to enforce this Cortract(EXCEPT for matters that may:be taken to SMALL CLAIMS COURT).Lowers and Customer's rights will Is
determined by a NEUTRAL ARBITRATOR and NOT a.judge or jury.. Lowe's and Customer are entitled to a FAIR HEARING. But the arbitration•
j.procedures are SiMPLER-AND MORB LIMITED THAN:RULES APPOCABLE IN COURT.Arbitrator decisions areas enforceable as any court order anti
i,are subject to VERY LIMITED REVIEW BY A COURT. FOR MORE DETAILS: Review the section titled ARBITRATION AGREEMENT,WAIVER OF JURY '
'-!TRIAL AND WAIVER OF CLASS ACTION ADJUD.ICATIOIJ found'ln the Terms and Conditions of this Contract.
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received:
Site: d7-
Pen-nit Type: �-501 achll�c �s
Approved w/no comments:0 Approved w/the below comments: Denied w/the below comments: El
This comment sheet shall be kept with the permit and/or plans.
AUGI 1 2019 OAuf If N2711�7
Kalv* z Plans Examiner Date Cont0flor and/or Homeowner
(R&fuired when comments are prege,fit)