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Home My WebLink About20-1005 m s � City Of Zephyrhilis PE ,MIT NUMBfk*, 5335 Eighth Street Zephyrhills, FL 33542 BAR-001005-2020 ' Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 12/03/2020 Permit Type: Add/Alter (Residential) Property.Number- -Street Address 1126 210010 11000 0061 5639 20Th Street Owniec-Information, 'Y.` Permitlnformation_ Contractof;lnformation Name: JANET HUDSON&MISTY WATERS Permit Type:Add/Alter(Residential) Contractor: HOMEOWNER Class of Work:Add/Alter Residential Address: 5639 20Th St Building Valuation:$2,000.00 ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00 Phone: (813)481-8735 Mechanical Valuation:$0.00 Y I Plumbing Valuation:$0.00 l Total Valuation:$2,000.00 Total Fees:$75.00 Amount Paid:$75.00 Date Paid:12/3/2020 11:48:42AM Project Description a` j zx SCRN RM EXTENSION 9 x 216 SQFT Application,Fees Building Permit Fee $50.00 Building Plan Review Fee $25.00 REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permit required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER . � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department F6 D9 a 2A-24 A) ct for TTrrrrrT= rrrrrrrr ............ Date Received R Permitting Phone Conte Owner's Name Owner Ph -7 -2:5 an one Number Owner's Address 113 -1 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number L Fee Simple Titleholder Address JOB ADDRESS LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR ADD/ALT SIGN DEMOLISH INSTALL o REPAIR PROPOSED USE Q SFR Q COMM OTHER TYPE OF CONSTRUCTION. Q BLOCK RAyE STEEL DESCRIPTION OF WORK @ BUILDING SIZE SQ FOOTAGE HEIGHT Wis 4 BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. =PLUMBING =MECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION =GAS Q ROOFING 0 SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO HHHHHHHHf4+ 1.1.14,4. i i I i v i 2 i i i i i i i i i i v i i v i i i i i v I i i i i BUILDER COMPANY SIGNATURE REGISTERED L�N FEECURREt,, Address License# F ELECTRICIAN COMPANY SIGNATURE' REGISTERED YJ N FEE CURREN Address License# F PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED J FEE CURREN L_y N Address License# OTHER COMPANY = Y/ N SIGNATURE GN E E 1 N SIA REGISTERED _J FEE CURRN L1 I 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 wl Silt Fence installed, Sanitary Facilities&i dumpsten Site Work Permit for subdivisionsfiarge projects COMMERCIAL_ Attach(2)complete sets of Bulldlrigi�Plans pluse Life Safety Page;-(*l)s.et of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working.days after submittal;dete.!'Required onsite,Construction Plans,Stormwater Plans wl Silt Fence Installed, Saffitary Facilities&'I dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance SION PERMIT Attach(2),sets,of Engineered Plans. ****PROPERTY SURVEY required-for all NEWidonstruction. Directions: ...... ....... Fi(tout-application completely. Owner&.0ontractor sigR�backqf application,,notarized .0ov ,er,$2500,a Notice'6fCommehc6m'e'ln't;is:'required. (jNC'upg rades over$7500) Agerit.(for.thecontra6t6),brppwpr.,of.. may,(for the.owner),would be someone With notarized letter from owner authorizing same �r • QVER.THE COUNTER PERMITTING..i. required), lteroofs if sh ingles Sewers ,%Servic6,URg7:c s"AlC Fences(PlottSurvey/Foota go) 'Driveways-Not over Counter if on-public roadways.Abeds ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County reg I ulat�ns. The undersigned assumes responsibility for compliance with any applicable deed restrictions. I 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 at727-847- 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. I - TRANSPORTATION IMPACTIUTILITIES 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 valuatio'n 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.I CONTRACTOR'S/OWNER'S AFFIDAVIT: 1,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 taketo'be in compliance. Such agencies include but are not limited to: Department of, Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive A Lands,WaterlWastewater Treatment. Southwest .Florida Water Management District-Wells, Cypress 'Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls; Docks, Navigable Waterways. Department of Health & Rehabilitaiive 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"V".unless-expressly permitted. If the fill material is to be',used: in I 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 Jn Flood Zone."A" in connection with a permitted building using stem wall that fillwill,',be��used; to fill the area-Within the stem Wall. construction, I certify use . I If fill material is to be used in,,any-1:area,,,T,cqrtify that use.of such fill will. not adversely affect.adjacent properties. If use of fill'is-found o,,adversely�eiffect'adjacent.properties, the owner may:be cited for violating the conditions of the build!6g,pe'r'mit issued,,unidet:the-attached permit application, for lots less than one (1) acre which are elevated by-filf, an engineered drainage plawis-required. If I am the AGENT FOR THE OWNER,:I'"p-romiselin,good'faith to inform-the owner of the permitting,conditions set-forth in this affidavit prior to commencing construction. I junderstand:that a;separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditio ning,,gas, or other installations not specifically included in the application. A permit issued shall be construed.to be a license tlo..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 work authorized by 41�, 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 FAILUREJO%RECORD-A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PA,YfkG,T.WICE'FOR,.IMPROVEMENTS,TO YOUR-PROPERTY. IF YOU,INTEND VOOBTAIN FINANCING,CONSULT WITH,YOUR LENDER:OR AN ATTORNEY BEFORE,RECORDING...YOUR NOTICE.OF-COMMENCEMENT. FLORIDA JURAT'(F.S.117.03)/ OWNER OR AGENT X14� CONTRACTOR rA Subscribed and sworn t before bsclbed a d-s JV1 to-I[or-affirm )�efore (or affirm be --Su 71 d' t. L-r So n A7 ( __pa thb n 42 L. ��_763 0/7 -lit- by J f�y\-e Who islare personaft�,known to me or has/have produced Wh /are persot)a, known to me or has/have produced �Dam,5s Gtle� as Identification, 1,5 Uce-'ait., as Identification. Notary Public i e Notary Public com Iss! n N commi U 6S,0 o Name of Na -IM MIR RogrA d Wn Name of Notary typed 'MI d 8 _G_G 276457 imom 17 Z,lo n#?G52 7L 5 7 ExplresD Expires December 12,2022 . Bonded Thruecember12,2022 Day Fain Insurance$W38,r,?0i9 Bonded Thru Troy Fain Insurance NO-385-7019 W ^ . . � DISCLOSURE STATEMENT FOR OWNER CITY OFZEPRYR0H\LLS—BUILDING DEPARTMENT 1, -M t,04 &Cky---N have read and fully understand and agree to the p �i of this instrument. rovis . The undersigned states and affirms that haorshe is desirous of constructing, renovating, adding toor reroofing his or her own domicile,that haor she actually occupies, or will occupy by said domiui|e, and same is not for nerd, lease or sale. That he or she shall comply with the Foil—owing conditions: 1. That the owner and heor she alone shall act as the builder for all phases ofconstruction. 2. That the owner will comply with all provisions of the City ofZephmhiUo ordinances and codes pertinent tothe building. 3. That in the event various phases of construction are mubcontn*ct*d, he will engage only properly licensed subcontractors and will personally supervise such work. 4' That in the event the Building Inspector aheU require corrections to be made, the ovwmerViU ooaunmo full naepmnoibi|ib/ to insure they are made, and upon completion will call for m nainepemtion before proceeding with the building. 5. That the owner ehoU assume full responsibility for the construction and will not expect supervision of his work from the City ofZephyrhiUo Building Department. 6. That prior bofinal inspection any additional fees, including nainmpeoUon#ama. must be paid in full. A written request fromthieofficeoha|| nonmiituhoanofficia| notiootoVayoddiUono|feeo. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, vvorkrnen'acmnnpenao1ion' lien laws, mtc..where applicable. 8. That the owner shall comply with all the msdetv 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 oUnvms you, as the owner of your property, to act as.your own contractor with certain restrictions even though you do not have ` a |icenoe. You must provide direct onsite supervision of the construction yourself. You may build or improve m one-family or two-family residence or farm outbuilding. You may also build or improve a commercial buUd|n0, provided your costs do not exceed $75.000. The building or residence must be for your mvvn 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 wrto supervise people working on your building. It is your responsibility to make sure that people employed by you have Uomnnem required by state law and bv 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 mnzo|oved by you, which mnmono that you must deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all as prescribed by law. Your construction must comply with all applicable |axva, ordinances, building codes, and zoning regulations. OWNER'S SIGNATURE DATE ADDRESS pHONE WITNESS PERMIT ' '