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HomeMy WebLinkAbout20-1186 m Imo. City of Zephyrhills pERMII'°NUMBER "' _- �`* 5335 Eighth Street a ` ' Zephyrhills, FL 33542 BGR-001186-2020 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 12/11/2020 Permit Type: Building General Residential Property Number Street;Address�; 02 26 21 0080 00200 0100 6134 11Th Street Owner Information Permit Information ContractorAnformation Name: HEINZ BRASCHOS Permit Type:Building General(Residential) Contractor: HOMEOWNER Class of Work:Electric Service Replacement/ Address: 6134 11Th St Building Valuation: ZEPHYRHILLS,FL 33542 Electrical Valuation:$400.00 Phone: (813)782-0254 Mechanical Valuation: Plumbing Valuation: Total Valuation:$400.00 I �� Total Fees:$45.00 Amount Paid:$45.00 J Date Paid: 12/11/2020 11:48:40AM Project Description; SERVICE UPGRADE 200 AMPS Application Fees Electrical Permit Fee $45.00 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. C'� Ll e 4.12 �ECONTRACTOR SIGNATURE PE VIT OFFICE RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s 813-780-0020 City of Zephyrhilis Permit Application �v Fax-813-780-0021 Building Department Date Received Phone ContaCt.for,Permitting. _ : Owner's NaMb ..: ,. . e ( Z,: _ C r d A- © "5• ^�Owner,Phone'Number: •>" iTtl OwneeiAddress, . t S'' w r: L . I ' Owner;Phone'Number:" " �',7�� �' f?,'• Fee Simple`Ttleholder Name C` e( s�Z o owner Phone`Numti'er..; Fee Simple Titleholder Address ` JOB ADDRESS LOT.# SUBDIVISION S > PARCEL ID#, (o8TAINED'FRW.PROPERTY TAX NOTICE).. WORK.PROPOSED NEW:CONST.R°. < ,.: ::'ADD/ALT Q ' .,,SIGN Q Q . ,-:DEMOLISH 'INSTALL: ..e REPAIR. PROPOSED USE Q :SFR. Q' COMM,' ',Q OTHER :,f,• TYPEOF CONSTRUCTION "BLOCKFRAME" ` Q^' STEEL :. DESCRIPTION.OF WORK I �- S G' V•l"�ca �( 1 i� BUILDING SIZE:., ..SQ FOOTAGE � �'. �� HEIGHT' =BUILDING... Is :VALUATION OF:TOTALCONSTRUCTION ELECTRICAL . . $ " .'AMP SERVICE PROGRESS ENERGY.: -; W.RE.C. =PL`UMBING' . $ =MECHANICAL $: VALUATION.OF:MECHANICAC INSTALLATION r =GAS = ROOFING Q-,:•..'SPECIALTY =' : -.,OTHER;:. FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ' ,NO' BUILDER COMPANY' SIGNATURE REGISTERED ^Y/'N_ ' 'FEE CURRER,, "Y L'N;: Address License'"# ELECTRICIAN' COMPANY U 4e d SIGNATURE 'REGISTERED' 1Y'/-,N''-:' FEE'CURRE�` : : :: Yi/:N";; •a -Address ,License#, PLUMBER COMPANY SIGNATURE ­ , `REGISTERED :­..­-, Y:/'N: F.EE;GUR17. REK.: 4 Address. License.# MECHANICAL COMPANY SIGNATURE,. REGISTERED. ,Y./ N., FEE.CURRE� '.:Y/N_; Address OTHER , COMPANY' SIGNATURE REGISTERED Y,?1 N " FEE CURREN Address: _.:License'#; RESIDENTIAL Attach'(2)Plot Plans;''(2)sets of"BuildingPlans;(1.)•set ofiEnergysF.ones;R=O=W'P:ermiYfor new-constnictlon;+:.: 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�subdigisionsAarge projects COMMERCIAL Attach(2)complete sets of Building,-•Pians•plus a Lffe:Safety'Page;(1)set of Energy Forms.•R-O-W.Permit for,new constructions' Minimum ten(16)working days after'submittai;date"-Required onsite,'Construction Plans;Stomtwater',Plans w/'Si.lf'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 slgn.back of application,notarized If over$2000,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 notarizedletter from owner authorizing same OVER THE COUNTER PERMITTING (copy-of contraetirequired) Reroofs if shingles Sewers' - --Senrice•Upgrades,;A(C -. ...;Fences(Plot/Survey/Footage) ij--•=- --=-s =�•- 1. �K,.-.:..,�,_,_,. ;' U:ir•,;:ii',.,.:�'ail r •, [' C�'.':�'',...,Jr, ?:. t::,�.";;:•. Driveways-Notovet.'Counter ifonOublicroadways.:needs:�ROWs �;.r��-..;. _:,::i."f:i f'�:, , ,. , .. ..- .�4,'.;1' 13 ��•i�lc:.:'^:c i _t..•..;I- ,.. !i`i.•, rh��•, } NOTICE OF DEED RESTRICT-IONS: The undersigned understands thatthis permit-maybe subject to"deed"resVictionsI, which may be more restrictive than'Courity-regulations. The undersigned assumes-'responsibility-for-compliance with-any applicable deed restrictions. UNLICENSED" 0kf TdRS"*Aliiitd4tiA&bWktS0 )NtIBILITlet: -�if-ih6-own6t-fh6i--hIred a-,co nirbetor or contractors to undprlpkq wprk,jheymayibe-requiredfto beilicensed in-accordance with,state and local regulAtions..4fthe, contractor licensed'as,:re, -and-contractor�-may­be-citiid­for�a-misdemeanor violation quired by law, both the owner I under state law. If the owner or intended;contractor are uncertain as to what,licensing require i ments,may y app y,for,the, intended work,t.hey'are-advised to contact the Pasco County-Building.-�inspe6ti,orf-Divis.ion.;."Lidensing Section at 727­847- 8009. Furthermore, If the owner5,has,,hIre&a �contractori or contractors, he is advised to have the.; n a tor(s),sl n,.vi .co, tr i; , 0 - f�yqu,-a.s the.ownersion as the portions,6f the,"contractor.Block",,of this,application Jorwhich they will be responsible. If contractor, that may be an indication that he is not properly-licensed and-is-not entitledJo-permitting,privileges in Pasco " County.,: TRANSPORTATION IMPACT/UTILITIES.IMPACT-AND:RESOURM-RECOVERY FEES: The undersigned understands that Transportation Impact Fees-and-Recourse Recovery Fees..may apply-to-the.construction of new buildings,change use in existing.bUildings, or expansion 6fexl6ting buildings, as specffled:ih­P6sco'CoUhtY Ordinance number 89-07-.and M07, as amended..7heundersigned-also-understands,*th6t.sddh4ees,.as.may be due, will-be identified,at-the'Aim I e:,of--- permitting. it-is further,-uridefgt6od"'theit'Tfghtoortation.lin.pact-Fees and Resource Recovery Fees must be paid.prior to receiving a,°certlficate of.occupancy"i6r 'final-power release. If the�piOieot_dot&,-not�involve ci'cpitificate-ofioccupancy;or,- ..-, final power release, the:feesbe paid prior to permit issuance Furthermorei��lf,"Pasco County Water/Sewer Impact fee ti'due;they-Mbstbe paid.Odor to pprmit4ssuanc6 in accordanc&withi aoplicabliwRasco County ordinances- cdt4Slrk*uct,'Idf4tiEN,LAW.(Chapter 7,13*f,lorida,Statutes;as..-.,amend0d)-"-,-Ifvaluatio'nof work is$2,500.0o.or,more,,I. W­ m certifyAhat --I,':,.tKe-_applicant,:. have.,.beerf.'-.pr.ov.lded.-with-.a copy, of,.thb."Floridw.d6rlstruction:,''Lien,La i' H6 ebw-riee Protection Guide prepared by the Florida Department of Aoriculture.,and,'Consumer Affairs. lUtheapolicant.issomeone.- other,than1he*`owner", l:certff.y-lhat-:l..have,Dbtained'a-copy-,of.-.the above-described-doaument-and;,proMi 'in.good'faith'tiD' deliver it to the"owner"-prior to commencement. CONTRACTOR!S/,OWNERIS-.-AF'iFIDAVIT- `fcertify that all the-informati6rfiri.-this:apolication-is:accurate-and;that'411`wdrk 01 will done' n compliance with'A I a law' s"r6gUlAtifig construction, zo hereby made to obtain a permit to do��wcirk,aand;:installation,--asp:Indlcated I -certify that no`work or irist6ilition' --has commenced prior-to issuance of a-permit and that all-work will be p6rformed-to-meet-standards of all-laws-regulating construction, County,and'i`1 Ity nodes,-,zoningi.regulations, and.1arid;-.development regulations in,the'Jurls.dldtlon:. :::1>also certify-that I understand,that the-regulations of othergovernment -9A -a ncles mayapply-,to the intended work,-and-that it is my responsibility to identify what actions I mast take to'.be incompliance. Such agencies Include-but are not Jlmitedjo: Department of Environmental Protection-Cypress Bayheads.- Wetland Areas and-Ehvironmeniiii Y_ Sensitive Lands,Water/Wastewater.Treatm.ent. 41 ; r '.'Southwest Florida Water' 'Mariagemehit- Olitrict-Wellt, ' Cypress 'Bayheads, Wetland -Areas, Altering Watercourses. Army Corps.of Engineers-Seawalls .Docks, NavigableWaterway.5. Department of Health &--,Rehabilitative Sorvices/ErivironmentaF Health Unit-Wells, Wastewater,Treatment,. Septic Tanks. . b. US Env QnmentaL.Pro.teqti n ir 0 Agency7A pbestos..abatement.. Federal Aviation Authority-ftnw.ays--- I understand-that'the following restrictions apply-to-the,use;,Pffill: Use of '"unless:_0X pressly.,permitted. f--fill is not If-the-fill-.-material Js -to-be used.in.Flood Zone-9A", it-is--under6t6od­that' d7 dnilhage4"plah­Addressing a compensating volume"w1lI!)be:submitI6d at time of pqrmitting•whithAs prepc r6d.by a.professionaVengineer % licensed-by-tha'State-offlorida.- If the fill material is to be.used.in Flood.Zone--,W:4n-,connection with a permitted building using stem.-;wall construction; l -ly-to fill the�area'�witliln Ahei stem_wall. 'If fill-,material' -4be.used in-any.--areer, Fcertify-that--use-of-such fill will:-.not adversely--affect-adjacent -properties.. Ifuse,of fill;-isv-found.....to,,adversely,.affect:,adjwent,,-.propertles,,the,�Qwner may-,be-cited for violating. 'the coriditloft:*61"the b0ildid g.permit46sU.ed-,uhder-`the-Attached-permit-application, for,lots,less-than one (1) .acr.e.-.w,hich-ar-e.elevatediby.--,fill,.on..ongi0oored.-.drcitrioge-plari"!s required. If I am.the AGENVFOR-THE,:OWNER, t prornlse::ih:-good'feiith,,,to-inform Ahe-owner.of the.permitting.conditions-set'fdrthAn,- this affidavit prior ilo-dom men61n"g.construction. I understarid':-thtit'a separate'permit.may be reqUireid'fdr electrical work, plumbing,,-,signsi..,wqllsi--pppls-,-air conditioning,, gas, or.other.-,Instaillations.not-speeffically-�included-in..the.-�Application.-`-A permit-issued shall be.'construed to be a I icense top.proceed with'tha work.and not asauthority to violate, cancel,.alter, or tof-a permit prevent the-Building:Ofricial-froin-thereafter- set;aside-any-provisions of the technical.co. desi por,shall-issuance requiring,,ci.corre,cti6n.-of-erroro.in plans, construction or violdtibriv."of.any codes:,-,,E-v.erylperm,it-iss.u-edi.s.h�t-li-bdcome.1tiv�ilid- unless the work authorized by such permit is..commenced within-six months of permit issuance, or'lf work authorized by the.,parmit,Is-suspended.,or-abandoned-for a-period of.six(6)months-after-the.-,time:-the.-work-is commenced:::An.extiinsion may be requested, in writing, from-the Building Official fora:period not-to exceed ninety (90) days and Will demonstrate justiflablecause for-the-extension.-.,-If.-,work�ceases7for�ninety(90),c6riseputive days;theJob is considered abandoned... WARNING-TO OWNER: YOUR-,FAILURE*TORECORD A NOTICE-OF-COMMENCEMENT=VAY RESULT-ARXIOUR PAY.tf4.6-�TW-[C'E,.,,F-'dk',,'IMPk-O,VitMEN-TS T.O'-iY�()UR•`PROP.. T-Y,ER .'*.",I eN '0 F_YQV-,1NT D`TO BTAIN FIN-AN,,C--'ING;,,CONSULT WITH YOUR LIENDEL OR-,AN-ATTORNE-Y--BEF,,ORS,RECORDING:YOUlt.,.146TiCE.,,dF ZOMMENCIP-MeNT' FLORIDA,jURAT---(F.&"117.03),, _OWNER.011 AGENT 1/y C CONTRACTOR µ'.'!my /J � �" -G ,._ Subscribeo,;indswom.-,to(9r.a"ed),befbre�me,this, Subsorib6dend sworn to(or�P11med),b6lbre me-this' by Who BY known to iris or h6s/MVe'oioducdd' Who I 9-'pens p?y Inown to'me ok'tias/hdvb 0G9ce0',; 401den Lion, L --asIddritificallon. , Uca Notary Public Notar-y.Public.: Commission No 'CommlsslonVo.,: Name ofN ry typ eck pr ped Name of Notary typedj��.printed or stamped Lpto or stem CARLOS MALDONADO CARLOS MALDONADO [7 Commission#GG 346275 v, #GO 346276 commission g Expires June 18,2023 oig Expires June 18,2023 A Bonded Thru Troy Fain Insurenoe 8*3W7019 -385-70ig Bonded Thtu Troy Fain Insurance 800 DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS—BUILDING DEPARTMENT 1, r� l A/v r 4 Sc-- 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 WII 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 wil 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 Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reiinspection 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, workmarfs 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 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.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 laws, ordinances, building codes, and zoning regulations. OWNERS SIGNATURE � c-::/ DATE ADDRESS 6' 341 PHONE Z -2— S- WITNESS C, /K r,( viw PERMIT VMasterfbrms/0wnemAffidav"ov07