HomeMy WebLinkAbout21-3050City of Zephyrhilis
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BAC-003050-2021
Issue Date: 10127/2021
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.
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accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
5P`0- NTRACTOR SIGN PEfAIT OFFICEt)
IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
Date Received Phone Contact for Permitting 1( 813 294 5158
City of Zephyrhills Owner's Name i�I Owner Phone Number
Owner's Address L5335_8th Street ZePhYrh'IIIS FL 33542 Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS [38537 5th Ave. Zephyrhills FL 33542 LOT # ll
SUBDIVISION City of Zephyrhills PARCEL ID# 1 11-26-21-0010-15200-0070
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF__1 ADDIALT Ey] SIGN DEMOLISH
El INSTALL F__1 REPAIR
PROPOSED USE SFR FCOMM 0 OTHER
TYPE OF CONSTRUCTION BLOCK F-1 FRAME STEEL
bathroom, on sate wrapped opening "m kitchen to bath, and create wrapped opening earn bathroom to storage Install men outlet.1
by %offpIumWbg�o, f.'prop.rid.l
DESCRIPTION OF WORK L11-1.1111 b eralk in m.mistraga.... .bIbg,
BUILDING SIZE SQ FOOTAGE P HEIGHT
. . . . . . . . . .
[Z]BUILDING I' VALUATION OF TOTAL CONSTRUCTION
®ELECTRICAL $ e V AMP SERVICE OGRESS NERGY W.R.E.C.
EE]PLUMBING W
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
A
=GAS ROOFING E] SPECIALTY = OTHER
FINISHED FL079VATIS :] FLOOD ZONE AREA =YES NO
COMPANY
REGISTERED
ELECT;RrJAN(,,f
COMPANY
R
S RE
REGISTERED
Address ======
PLUMBER
COMPANY
SIGNATURE
REGISTERED
Address
I
MECHANICAL
COMPANY
SIGNATURE
REGISTERED
Address
I
OTHER
COMPANY
SIGNATURE
REGISTERED
Address
Kerns Family Construction Company, Inc.
Y/ N FEE CURREN Y/N
License #
Reese Electric
YIN j FEE CURREN L N
License #
Jackson Plumbing, Inc.
L_X_L_N_j FEE CURREN L_)LLN_J
License # I i
L7:.YIN �FEE..RR.NN�
License# E_
I
I Y/ N FEE CURREN I Y/N
License #
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
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 clumpster; Site Work 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 & I clumpster. 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
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Client:
5335 8th Street
Zephyrhills, FL 33542
813-713-7330
Propeq:
Jeffrey's House
38537 5th Ave
Zephyrhills, FL 33542
This is an unpublished indsting condition
measurement I as -built Imor plan document
created by American Building Calculations,
Inc. Any site plans are ou"iftes only and are
net to be considered Valid engineering
drawings.
This document has beer, createdbased on the contract for this projed agreed,
upon between the owner and American
Building Calculations, Inc. Any publication,
copying distribution or exhitifting of this
document with attributes Identifying
American Building Calculation#, Inc, Is not
pemifteel in any boarish without the written
1 pe—issitin of Anneften Building
Inc,
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QUAD ELEC OUTLET
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SINK2
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DUAL ELEC OUTLET
0 THERMOSTAT
OVAL
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TELEPHONE JACK
AIC HANDLER
SINK
DATA 1 CABLE OUTLET
A/C SUPPLY
TOILET
813-730-0020
Date Received
a
Owner®s Name
Owner's Address
ir� uu
M � ��. �« Iw7 illy' .
SUBDIVISION
WORK PROPOSED
NEW CONSTR
El
INSTALL
PROPOSED USE
SFR
PE OF CONSTRUCTION
BLOCK
• 1#,,
Building Department
Owner Phone Number
Owner Phone Number E:::::=
Owner Phone Number E:====
,OBTAINED FROM PROPERTY TAX NOTICE)
ADD/ALT E-= SIGN DEMOLISH
REPAIR
Comm OTHER
FRAME STEEL
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDINGEKE= I VALUATION OF TOTAL CONSTRUCTION
.vI
NOM
�a.
MECHANICAL
$ AFC SERVICE DUKE ENERG�, VY RkE.C.
J,�.
a
$ VALUATION OF MECHANICAL INSTALLATI
ROOFING SPECIALTY OTHER
FLOOD ZONE AREA =YES NO
T
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
E=::=
REGISTERED
l
Y / N
FEE CURR
Y / N
License
Y / N -
�FEERREI,
Y ! N
;;;;�FEECURRE�
License #
Y 1 N
License #
==
Y / N
FEE CURREh
Y / N
License #
Y/ N
FEE CURREN
Y i N
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 a days after submittalConstruction
SanitaryMumpster; Site Work Permitsubdivisions/largeprojects
PlansCOMMERCIAL Attach (2) complete sets of Building
Minimum ,e 0 working days after submittal date, Required onsite, Construction Plans,Plans
Sanitary Facilities & 1 dumpster. Site WorkPermit for all new projects.•requirements must meet compliance
SIGN PERMIT Attach (2) sets of M
****PROPERTY
,rr. Rrequiredfor all NEW construction.
� S!� If,� . 'BAR . .! �R :. � ' � .. . , �.. . l.' � , ' � I ■ .:a , :_i '..'. � �' folk . �� .!. '.
Directions:
Fill out application completely.
Owner t: Contractor sign back of application,
If over 11' a Notice of Commencement is required. t 00)
— 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(Plot/Survey/Footage)
NOTICE OF DEED T ICTI S: 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'ahy.
applicable deed restrictions.
UNLICENSED CONTRACTORS CONTRACTOR RESP I ILITI : 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 E U 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 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 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 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"V"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 C NOTICE F COMMENCEMENT Y RESULT IN YOUR
PAYING IC FOR IMPROVEMENTS TO YOUR . IF YOU INTEND TO TAI FINANCING,CONSULT
Il'FI YOUR LEN D ER OR AN ATTOING YOUR TIC OF COM M EN CE T.
FLORIDA JU A T(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
Who is/are personally known tQ me or has/have produced Who is/are personally known to me or has/have produced
as identification ____________________________________as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped