HomeMy WebLinkAbout21-1589 m
tail UH City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 SL-001689-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 03/22/2021
Permit Type: SLAB
Property Number Street Address
05 26 210080 00600 0160 6512 Wagon Trail Street
Owner Information Permit Information Contractor Information
Name: JAIRO&MARTHA BARRIOS Permit Type:SLAB Contractor: HOMEOWNER
Class of Work:Slab
Address: 6512 Wagon Trail Street Building Valuation:$1,500.00
ZEPHYRHILLS,FL 33541 Electrical Valuation:
Phone: (201)406-9240 Mechanical Valuation:
Plumbing Valuation: r
Total Valuation:$1,500.00
Total Fees:
Amount Paid::$47.$47.50 v
Date Paid:3/22/2021 12:23:57PM
Project Description
38 FT X 33 FT SLAB EXTENSION OFF PATIO REAR
Application Fees
Building Permit Fee $47.50
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.
CONTRACTOR SIGNATURE PE f
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 Received 2�Z Phone Contact for Permitting —
Owner's Name \ ' � `t Owner Phone Number 0
Owner's Address Owner Phone Number —\"\o
Fee Simple Titleholder Name Owner Phone Number
9
Fee Simple Titleholder/Address l
JOB ADDRESS �� ��� \\ S , 11 LOT# l G
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
R INSTALL a REPAIR
PROPOSED USE = SFR = COMM = OTHER N
TYPE OF CONSTRUCTION = BLOCK Q FRAME
S = STEEL \=
DESCRIPTION OF WORK NO
BUILDING SIZE �B 1 10 W` SQ FOOTAGE � �' ` HEIGHT l l
=BUILDING $ `
l .50 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $.
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
■_•
BUILDER COMPANY G �m e2 0 177,-1
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREK Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREK Y/N
Address License#
11111111111111111111111111111111111I1111111111111111111111111111111
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/Slit Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionstlarge 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(?)sets of Engineered`Plan's:
'*'"PROPERTY SURVEY`fequired fog all NEW construction. - :.:r4::, _,`...
■ ■- ■ ■ ■ ■ ■ ■ ■ ■ ■'■ ■ ■ ■ ■ .■.■ ■ ■ ■ ■ ■ ■ ■ ■ ■ i ■ ■ ■
Directions:
Fill out application com letel
Owner&Contractor sign back of aplication,'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
813-780-6020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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 contractorpr 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 theilipwrier 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 F 6es;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 Co,I unty 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
CONTRACTOWSIOWNEWS 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-SeawallA 1, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
,.Septic Tanks; ""5:,�p
nvironm', 'tion Agendy-Asbestos abatement.
E I il" -,On Pr6ik
Federal Avi6tlonR Runway,s.
I understand that the following restrictions apply to the use:of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be usedllin 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. �i,
- If the fill material is to be used in Flood Zone "A7 in connection With a permitted building using stem wall
construction, I certify that fill will bd 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 f9und 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,
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT /5z? CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn9(or affirmed)before me this
by I by
Whols/are=j fLy known tome or has/have produced 0 is/arronallonor to me or has/have produced
...............................as identification. . ..... --- as identification.
Notary Public
Notary Public
Commission No. Commission No. LI/
9
Name of Notary typed,printed or stamped Name of Notary"ad,printed or stamped
CARLOS MALDONADO M
CARLOSMALDONADO
is
Commissi6n#GG 346275 Commission#GG 346275
e F
Expires June 18,2023 4V Expires June'111,2023
` 11.....at, Fain Insurance 800%185-7019
Bonded Thm Troy Fain Insurance 800-3857019 BondeJThwTroV
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS—BUILDING DEPARTMENT
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 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—. '---Tha-FtK-e owner shalt—ags—urfi-e--fu-ii—rd-sp—d-n§ibility-fo—r-thd--c-6-n-sFru-clio—n and will not-&)Cp-e—ct
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 construction 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 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 Qo-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 with all applicable laws, ordinances,
building codes,and zoning regulations.
OWNER'S SIGNATURE DATE&t:::!
ADDRESS
PHONE e (-/0
WITNESS A PERMIT
7-
I/Masterfozms/OwnersAffidavit/NovO7
� � ��----� -�---- ------��---- �-----------�7
� . |
�
/
`
'
`
� .
�
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 16, BLOCK 6, SILVERADO RANCH SUBDIVISION PHASE 6, 8 & 9A
AS RECORDED IN PLAT BOOK 75, PAGE(S) 75-80, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
Q—Tow.
a../ L.neu Rod ue D.II. Chord B.miAg I Chord
Cl 39.92 I 5SDo• 41.35'13• N74D2'Irw I 39.13V ALL WORK SHALL_ COMPLY WITH PREV1j I�
26 c� l C2 .27• ,CO 58'.DD' 15Dr NMWZD-W 26.19 ODES FLORIDA SUICDING, p�F �,
NATIONAL ELECTRIC-CODE, s�• s�oger
AND THE CITY OF e�ti
ORDINANCES YR ',
s
�o a /X
REVIEW DATE°O AR
CITY OF '
GRAPHIC 3C�ELAN EXgEP�YRHIL ,��o ; (y .
oRT3 INER � ,� ;
11,N0qp
,�J• / �•/ N\ (p
10.
a��\ �ii' .O i
+r•;
yy�'"""�/ / 4�
LOT ON LOT = 7134� SO.FT.
% LIVING AREA = 1,672 SQ.FT.
\ AE 382
ENTRY
SO.FT.
'po,�CyS� 's�„Jelf• 1 LANAI = 96 SQ.FT.
q�,FF \ PATIO o 0 so.Fr.
$q
)j T DRIVEWAY 427 SO.FT.
�9Y �4Sp SNP RP A/C PAD s 12 SO.FT.
WALI(WAY 28 SO.FT.
q44 41 IMPERVIOUS = 3BR
? I m 2705 s0.FT.
SOD = 4,429 so.FT.
PREPARED FOR: OFF LOT CALCULATIONS
RIGHT OF WAY - 480 SO.FT.
DRIVE APRON - 42 SO.FT.
pRHIIILIIIN' , PUBLIC S/W - 331 SO.FT.
1FaMlta't SOD = 107 SQ.FT.
TOTALS
BUILDING SETBACKS AREA - 7.614 SO.Fr.
DRIVEWAY = 469 SQ.FT.
FRONT: 22' SIDEWALK ' = 359 SO.FT.
REAR: 7'5'
SIDE: 7. SOD - 4,536 SO.FT.
SIDE STREET: 20•
LEGEND:
NOTES: —•—•— BUILDING SETBACK LINE PE POINT OF INTERSECTION
PC POINT OF CURVATURE
1. ELEVATIONS SHOWN ARE PER LOT GRADING —-— CENTERLINE PT POINT OF TANGENCY
PLANS PROVIDED BY THE CLIENT. —--— RIGHT OF WAY LINE RP RADIUS POINT
2. ELEVATIONS ARE BASED ON NAVD 1988 PROPOSED ELEVA710N PRC POINT OF REVERSE CURVATURE
DATUM. Pe PONTC OF COMPOUND CURVATURE
PROPOSED DRAINAGE FLOW CS CONCRETE SUB
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES CONCRETE PER(P) �LATT
ONLY.THIS IS NOT INTENDED FOR THE CONSTRUCTION OF "'�'-" (C)
THE PROPOSED HOUSE REFER TO HOUSE PLAN AND A/C AIR CONpnoNEA PB PUT BOOR( -
OPTION PAGES
LIST FOR CONSTRUCTION.ALL BUILDING SET BACK WIN SIDEWALK 50 FT SQUARE FEET
LINES SHOWN HEREON IS PER DATA FURNISHED BY CLIENT F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
AND IS FOR INFORMATIONAL PURPOSES ONLY. FJ.R.M. FLOOD INSURANCE RATE MAP
HCVD VD NA°TTH ON�L GEOD TICC VERTICAL DATUM
ATUM
THIS IS NOT A SURVEY D&UE DRAINAGE&unuTr 1JL411ENT
THIS IS A PLOT PLAN ONLY POE PRIVATE DRAINAGE EA6EYENT
UE UTILITY EASEMENT(PUBLIC)
€6®®®N®T€f suRvrroR NOTES:
I HAVE EXAMINED THE F.LRM.MAP FOUND 121DICO28BF, 1. THE SURVEYOR HAS NOT ABSTRACTED THE
DAZED SE TO UER 26,20KE' AND FOUND THE SUB.TO PROPERTY LAND SHOWN HEREON FOR EASEMENTS,RIGHT
APPEARS TO tlE IN ZONE•X'.ARE/5 DETERMINED TO BE auTsmE THE OF WAY,RESTRIC11ONS OF RECORD WHICH
42s ANNUAL CHANCE FLOOD"N.THE SURVEYOR MAKE NO
MAY AFFECT THE TITLE OR USE OF THE LAND.
GUARANTEES AS TO THE ABOVE INFORMATION.PE PAc CONTACT THE I,,.
LOCAL F.E.M.A AGENT FOR VERBICATON. 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
BEARING BASIS: LOCATED EXCEPT AS SHOWN.
BEARINGS SHOWN HEREON ARE BASED ON THE CEHIQIJNE OF WAGON A5NI 3. NOT VAUD WITHOUT THE AUTHEN71C
TRAIL STREET BEING N53*W22•X;PER PUT. ELECTRONIC SIGNATURE AND THE AUTHENTIC
(FIELD DATE) REVISED:
A M E R I CA N ELECT NI ASE L OF A FLORIDA LICENSED
SMe ,•_30FEET SURVEYING
APPROVED BY.
8c MAPPING"INC.
CERTIFICATION M G RE BOULZATIONEVARD.
NUMBER LB/6393 M�.�..�. �,
318E MAl.91IRE BOULEVARD•SETTEE 200 • �"'"'••ti/17fO1J LOT 16,BLIC 6
ORLANDO,FLORIDA 32803 •^•+"" THE
JOB NO. (( 26-7979 FIRM
°� 81' °Ch ,WWW.AMEIUCA}NSUR 4VEYINGANDMAPP[Nr.COM JAMES W. BOLEMAN PSM 6405 DATE
PLOT PUN i1 0 17 KJW Q