HomeMy WebLinkAbout21-1347 a
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City of Zephyrhills IIIIIIIIII11PRERRMINNSMBER
5335 Eighth Street
Zephyrhills, FL 33542 SL-001347-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 01/14/2021
Permit Type: SLAB
Propeity Number Street Address
24 26 21 0100 00000 1310 3317 Kresterbrooke Lane
Owner Information 11101=1nformation Contractor Information
Name: GABRIEL MONTELONGO Permit Type:SLAB Contractor: HOMEOWNER
Class of Work:Slab
Address: 3317 Kresterbrook Ln Building Valuation:$1,200.00
ZEPHYRHILLS,FL 33540 Electrical Valuation:
Phone: ' (352)407-4711 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$1,200.00
Total Fees:$69.00
Amount Paid:$69.00
Date Paid:1/14/2021 1:19:26PM /
P.ne i Tal RIIIIIIIIIIIIII
SLAB 540 SQ FT
Application Fees
Building Permit Fee $46.00 Building Plan Review Fee $23.00
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
ONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES- IN 6 MONTHS WITHOUT APPROVED-INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
Date ReceivedI It,1 l Phone Contact for Permitting �°5 "� rr
b, f
Owner's Name Gbr; I Men4t66o Owner Phone Number ?S2 r w by— w-?
Owner's Address 33 /�PS"�Yi�'�� h "Zee Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple TitleholderrA�ddres�s7
rs JOB ADDRESS ( Wo,4ff b6 w fit. In Zv A/ I!(, T3 5 N 0 LOT# (3
SUBDIVISION T�i dace �Ve� PARCEL ID# 2 N—,2 Z l —ol ov— C,
g; (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM Q OTHER
;':TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q
ESCRIPTION OF WORK
`n BUIL'DING SIZE SO FOOTAGE -$ v HEIGHT
�BttILDiNG $ `/L oO VALUATION OF TOTAL CONSTRUCTION
y =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . .-._.
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address JJ 1 1r1'eS n�°� �R J n ZP 1✓' wts �L License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N - FEE CURREN LILN
Address License#
1111111111111111111111111111111111111111'111111111111111111111111111
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 subdivisionsflarge 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 understa ds that this permit may be subject to"deed"restrictions".:
which may be more restrictive than County regulations. The undi irsigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPO SIBILITIES: If the owner has hired a contractor or
contractors to undertake'work, they may be required to be licensi id 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 co itractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which th y will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly lice sed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOU�CE 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 F e es and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If t�e 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 accord nce 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 1, 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 co(strut#ion, zoning and land development. Application is
hereby made to obtain a permit to do work a a
nd installation s 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 I nd development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmenlagencies may apply to the intended work, and that it is
my responsibility to identify what actions i must take to be in cam fiance. Such agencies include but are not limited to:
Department.of Environmental Protection-Cypress B yheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District- ells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigabl Waterways.
- Department of Health & Rehabilitative Services/En ironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abat ment.
- 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"V"unless ex p essly 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 3ermitting 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" i connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill th area within the stem wall.
If flit material is to be used in any area, i certify hat use of such fill Will not adversely affect adjacent
properties. If use of fill is found to adversely affect Idjacent 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 drainac,a plan is required.
If I am the AGENT FOR THE OWNER, 1 promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. : I understand the t a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, 'gas, or other ins allations 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 issuanceof 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 per od 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-MICE 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 CONTRA TOZ.-V
S bs¢i ad and swo o( r affirmed)before Fne this SZ
'b n wo (or affirmed)before me this
1' b 3r, AAot4--tla�c r or+ 410.1Who is/are p y nown- me or has/have pr uced Wislar rsonally kno to me or has/have prod deed
as identification. as identification.
Notary Public, r Notary Public
Com lslorg wr RoGES Commi on N
��T"Y"k •; GG
: 276457
=_. Commission#
22 Commission#GG 2?6457
Name of Notarytyp 46N tpTroyFainlneurancesOq•385t Name of atary ;'r Pedxpirst�sper .�
`•a�q,6ri e+.o Sonde '•.Fob F�°• Bonded Thm Troy Fain insurance 809-365.7019
Building Sketch M R No.ain e 19-973 �� Page#21 cl 29
Borrower Monteloqio.Gabriel
F(OPErtif Address 3317 Kresterbrooke L n
city Zephyhills County Pasco State FL Zip Code 33540
LenderiClient Eagle Horne Mori laqe.UC
ALL WORK SHALL COMPLY WITH PREVAILING
CODES--LORIDA BUILDING CODE,
CC)< IONAL�--LECTRIC CODE,
A THE:Cilf OF ZEPHYRHILLS
OTDINANCES
6'
r----
30.1' 4-i
Open A
Patio 4' REVIEW QATE
CITY Z
4�1�7 Nook PLAN E -EPHYRHIL
, MINER
Master
Bedroom Family Kitchen
Room
35.3'
Master
Bath Bedroom
Laundry 65.1'
Bedroom
Garage
20.7'
Foyer Bath
Cov.
Ent
20.8' 0.7' 4.4'
Bedroom
8.4'
14.9'
A—CRIMI.tions Stunnumry
Living A a Calculation Details
Fat Froor 1934.3 so It 40.i x 35.3 1415.5�I
19.3-17 - 328.1 1
14.9-12.6- 190.71
Total Living Ar (Rounded); 1934 Sq It
Non-raving Area
2 Car 430.6 Sq ft 20.7-20,8 430.6
Patio 24 sq it 6-4 . 24
Covered entn' 19.4 Sq ft 4A x 4A = I44
Form SKTADSKI-'TOTAL`appraisal sothjare by a[a mode.ins.-1-800-ALAIDUE
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRKILLS BUILDING DEPARTMENT
]�oil{ i oi, n 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 Zephyrbills
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
cokpietion will call for a reinspection before proceeding with the building.
S. That the owner shall assume full responsibility for the construction and will
not eViect supervision of his work from the City of Zephyrhille Building
D '6nt.
6. TO,t.art'm
prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall
co' 'titute 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
ounite supervision of the construction yourself. You may build oi;;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 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 in 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 P.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 regu
OWNER'S SIGNATURE DATE
-2:3 ) 7 K7,0- 77 ADDRESS W X^ 2ej1v,,w-\15 �C 7 3 49
PHONE L-1-L4-1
WITNESS PERMIT #