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Home My WebLink About19-21537 \ CITY OF ZEPHYRHILLS 5335-8TH STREET ' ,1 (813)780-0020 215 BUILDING PERMIT PERMIT, INFORMATION LOCATION INFORMATION Permit Number: 21537 Address: 38901 1 STAVE 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-20100-0120 Improv. Cost: 12,925.00 OWNER INFORMATION Date Issued: 7/22/2019 Name: HAYDEN MARGARET ANN Total Fees: 105.00 Address: 38901 1ST AVE Amount Paid: 105.00 ZEPHYRHILLS FL 33542-2107 Date Paid: 7/22/2019 Phone: 813-782-7602 Work Desc: REPLACE 15 WINDOWS S/S (EXP PERMIT#20019) CHARGE FOR NEW PRMT ONLY CONTRACTORS APPLICATION FEES THE HOME DEPOT BUILDING F E 105.00 n� � 1 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. .00 CONTRACTOR SIGNATURE PERMIT OFFIC9R 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 p Date Received2 -. q )) phone Contact far Permitting �✓ W — l Owner's Name /fi &C- (00 Owner Phone Number Owner's Address 38 o 1 Owner Phone Number COwner Phone Number JOB ADDRESS P3 i I st /�tl� LOT# C� SUBDIVISION 1 G 1O Zrek c-�db PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR 8 ADD/ALT SIGN 0 [� DEMOLISH INSTALL REPAIR PROPOSED USE SFR 0 COMM 0 OTHER TYPE OF CONSTRUCTION BLOCK FRAME 0 STEEL Q DESCRIPTION OF WORK �tt GG �!J Lll,nct w ALL° BUILDING SIZE r !� SQ FOOTAGE= '' HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE �j 0 DUKE ENERGY Q W.R.E.C. =PLUMBING $ �1531 =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING 0 SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO HHHHH"HHHHH 1 71 11 111111111111111111111111 1 11 1. BUILDER �!% '` —� COMPANY SIGNATURE REGISTERED Y/ N FEE CUR Or REh Y 1 N Address Q rt .3.301F License# I C ric ne.I (,q I ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address I License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y J N 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 W,brk 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. 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) " would be someone with notarized letter from owner authorizing same Agent(for the contractor)or Power of Attorney,(for the,own OVER THE COUNTER PERMITTING :'(copy:of;contract;regdired}_ Reroofs if shingles Sewers Ser i'rce,Upgrades.,A/C� : 'F.ences(Plot/Survey/Footage) Driveways-Not over counter if on public Toadways..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._compliarlce 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 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. y FLORIDA JURAT(F.S.117.03 - -_- - - - - - --- OWNER OR AGENT `%G ✓' CONTRACTOR ��Su crib d and sworn to(ppr affim�.gd)before me this SLbscribed and sworn o(or affirmed)bef rp me this 11by �f4��11n J�f�r If c� l Who Ware personally known to me or has a produced Who is/are edrsonally knoo to me or has/ha roduced as identification. as identification. Notary Public 1itJ Notary Public Commission No. Co m' io ti:?s{►?y JACQUELINEDOGES Name of Notary typed,printed or stamped Name of No �P Expires December 12,2022 Q" Bonded Thm Tray Fain Insmnee 80 95.7010 9208 Florida Palm Drive•Tampa, Fl-33619 (813) 626-7548 n 0 City of Zephyrhills Building Department po Re: Building permit— 21537 -- ?j Customer — 10801252-10801261 - Hayden Address — 38901 1st Ave To Whom It May Concern: Please extend the above permit for the purpose of completing the installation and conducting the final inspection. Multiple installation and product issues have prevented timely completion of the project. Thank you for your consideration. If you have any questions regarding this request, please contact Nancy Pacini at 813-413-7999. Regards, Arthur Francis Licensed Contractor STATE OF FLORIDA COUNTY OF HILLSBOROUGH The f going instrument was sworn and acknowledged before me on this day ofM by_� Y ' , who is personally known to me (Seal) Notary , blic- orida — Commission #GG079891 Printed Name: Nancy 1. Pacini My Commission Expires: 4/28/21 �aayas Nancy J.Pacini 51 sow NOTARY PUBLIC r.. _STATE OF FLORIDA ' ' =Comm#GG079591 s�NCE 19�� Expires 4/28/2021