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HomeMy WebLinkAbout19-22109 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22109 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22109 Address: 3843 QUAKER RIDGE ST LT 62 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: 2,300.00 OWNER INFORMATION Date Issued: 12/02/2019 Name: NHC-FL115 LLC (3843) QUAKER ST Total Fees: 82.50 Address: 6991 E CAMELBACK RD STE B310 Amount Paid: 82.50 SCOTTSDALE, AZ. 85251-2493 Date Paid: 12/02/2019 Phone: (813)783-7518 Work Desc: CARPORT SCREEN CONTRACTORS APPLICATION FEES HOMEOWNER BUILDING FEE 82.50 i Ins ections Required 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 SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: mil, `ee Date Received: Site: Permit Type: 3%rf erk 1 Yl t Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ X- This comment sheet shall be kept with the permit and/or plans. KPIans t19HWYR � � 2 I LS Ivin M _ate Contractor nd/or 11 meowner �p (Required when comments are present) DISCLOSURE STATEMENT FOR OWNER CITY OF ZZPHYRHILLS BUILDING DEPARTMENT have read and fully understand and agree to the prc4iskohs 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 Zephyrbills 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 o3i 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 occupancV0. 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.X.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 I DATE M rV 2-22, 261 C-1 ADDRESS 20t PHONE j i:Z So 10- et>,j V WITNESS PERMIT # EXTERIOR IMPROVEMENT REQUEST .v. 1111DIrA[T. E.._ `.IGOMMUNITY NAME �`�=� _ ��� ..�'_— -�--_`��-�=. � _ __�6v_•ter..__ ADDRESS DATE OF REQUEST TELEPHONE NUMBER PROP086 COMPLETION DATE The above named Resident requests approval to build, add-on, or otherwise alter his/her manufactured home; its associated structures. or site. Approvar by the Community Management does not waive Resident`s responsibility to secure any and all permits required by the governing municipality whose name and telephone number is: Description of Alteration: _Upon review of the above request.we find it is within our guidelines. Resident will obtain any and all permits necessary to Construct improvement. If Resident hires an independent contractor,it is recommended that they be licensed and insured. Upon review of the above request,we find it is not within our guidelines. DISTRICT MANAGERICOMMUNITY MANAGER DATEUSE SPACE,BELOW TO SKETCH THE ALTERATIONS AND LOCATION ON YOUR HOME SITE. (ATTACH SEPARATE SHEET IF NECESSARY) FOLLOW-UP INSPECTION Management reserves the right to inspect the alterations described above upon completion. DISTRICT MANAGERZOMMUNITYMANAGER DATE WHITE•Community Files YELLOW-Resident S12 EIR 2k73`"r 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received hone Contact for Permitting -- Owner's Name CL 1 G* Owner Phone Number �j (L 'rj o(0 - Owner Phone Number Owner's Address r a II �� Owner Phone Number es�-i C__. JOB ADDRESS �'gy-3 fi.Cve/' h+Cp �. v LOT# fob SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED. B NEW CONSTR ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE SFR Q COMM = OTHER TYPE OF CONSTRUCTION = BLOCK. Q FRAME 0 STEEL Q DESCRIPTION OF WORK n +7Q_ Car BUILDING SIZE F7 SO FOOTAGE= HEIGHT BUILDING $ �b- O D VALUATION OF TOTAL CONSTRUCTION � =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER �l COMPANY t 1Q. C�CDJ'K�1� SIGNATURE REGISTERED Y/ N FEE CURREN Address' License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN L11 N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address 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 subdivisionsnarge 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 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: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'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 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 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 RESULT1N YOUR PAYING TWICE FOR.IMPROVEMENTS TO YOUR-PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH,YOUR LENDER OR—AN—ATTORNEY.BEFORE_REC.ORDING YOUR NOTICE OF-COMMENCEMENT. FLORIDA JURAT(F.S.117.03) , OWNER OR AGENT /I� CONTRACTOR ) Subscribed and sworn to(or affi e )before r4e this Subscribed and swom to(or a ed)befoo me this- by (A I r)Cam_ by S Who is/are personally known to me or hasthave pro ced Who is/are personally known to me or h s/have pr duced as identification. as identtfication. 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