HomeMy WebLinkAbout22-3467Ills
5335 Eigh�h Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BAR-003467-2022
Issue Date: 01/14/2022
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 relinspection.
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.
11 Iff iIIIIIIII I I illiffflil 11 1 i III III
I ft
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.
C06TR'A7f0R SIGNATURE PE IT OFFICEC)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER I
813®780®0020
Date Received
Wt des Name
n
Own
ergs Address f
Fee SInI TithoholdorName
Fee Simple Titlohdider Address
JOB ADDRESS
SUBDIVISION
Buildingoff
=x
LOT
{
rVUHIM
ELECTRICAL $
=PLUMBING
OAS ROOFING
FINISHED FLOOR ELEVATIONS'
AMP SERVICE PROGRESS ENERGY. W.R;E.O:
VALUATION OF MECHANICAL INSTALLATION
PION'
a
SPECIALTY OTHER, J
FLOODZONE°'AREA =YES NO
-
COMPANY
REGISTERED ��—FEE�CVRREN�/hl
Addrea
License
MECHANICAL
COMPANY
Si�FI "it1RE
REGISTERED '
"Y f IV FEE �URREP'" Y�.N
---------------------
Address
License
OTHER
COMPANI
SIGNATURE
REGISTERED
Y 1. N ,.:� ; FEE C-6-I N
Address
UcenSe
b Ci
a
pill I
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 RPNI ILII 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 inspectibn'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.Blockl 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 RESOURCE RECOVERY FEES: The undersigned understands
that-Transportation Impact Fees-end 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 69.07 and
90-07, as amended. The under ignedralso,understands, that"such`'fees, as,may be,due, will be identified at the'time of
permitting. tt is further understo0d'thatTransportation 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'Lo" (CIiaptØr 713, Florida Statutes,as,amended) if valuation of work is$2,500,00 or more,I
certify that I, the applicant, ha e<been provided-with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs, if the applicant is someone
other than the"owner", I certify that l-have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
C ACT0 / . =, ;$ AFFIDAVIT:,I certify that all thee.informatiorr..in this.,application is.accurate,and that,all work
will be done In compliance with 611 applicable laws regulating construction, zoningand 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 rregulations, 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,WaterlWasteWater Treatment.
- Southwest Florida iWater 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 EnvironmentaloProtection3Agency§Asbestos abatement.,
® Federal'Aviation'Athority-Runways,
I understand that the following,restrictions apply to the use of fill:
® Use of.fill'is not allowed in Flood Zone" "unless expressly permitted.
m If the fill material is to be used in Flood Zone "A", it is understood'that a drainage plan addressing a
'compensating Mvolur ie""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.,- lf'use::ofMflI.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,.,annengineered drainage plan is required.
if I am the AGENT F R-TH .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..specific.11y:'included in the application. A
permit issued shall be construed to be a license to proceed withthe work and not as authority to violate, cancel, alter, or
set aside any provisions of thete""Mini 1 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: Everylpermit;issued 0shall become invalid
unless thework authorized by,s0oh-permit is commenced within six months of permit issuance,or if work authorized y
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 extensiorL If Work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNINGT ,OWNER: YOU , F IL TO .TIC F COMMENCEMENT MAYLT I
PAYING . , .
TWICE, 'IMPROVEMENTS TO YOUR PROPERT. IF,YOU 1INTEND'T OBTAINFINANCING,��C LT
WITH YOUR LENDER'OR N A O N FOR RECORDIN YOUR,,NO° I OFkCOMMENCET,
o NEi oR AGE T. m CONTRACTOR
Subscribed and wom to(or affi )before me this Subscribed°and sworn to"(or=affirmed)before me this
by by,
Who is/are personally known to me or has/have has/have,produced Who is/are personally known to me or haslhave,:produced
as idenification. astdentit1 tion_
Notary Public Notary Public
Commission No, Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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phyrhilis
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APPLIcATIOIV WNERS ASSOCIAT101V
FOR 1PP4A1.
EXTERNAL ARCHITECTURAL Olt LANDSCAPIN.
"'PROVEMENT, ATLrRATION, ADDITION, DELETION OR REPAIR
Date- '
I J9U
4& SCAKKED
Please Print Below information:
From: OWNER: 4
LOT#
ADDRESS
REQUEST FOW--�
Preliminary Approval?
1, the undersigned owner, hereby request approval of the following described external architectural or
landscape improvement, alteration, addition, deletion or repair as required by the governing documents:
Plans are attached: Yes No >5' - Estimate Date of Completion:
Note., Plans are REQUIRED for all requests detailing any and all changes proposed. Plans need to provide
the homeowner. See back of this form for additional instructions.
Owners Signature:
M�-, t:. ,�
Date: ZL � �9
Date:
Date: ,L� �—Q�
IFZEPHYRHILLS
5335-8TH STREET
(813)780 0020 17969
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17969 Address: 37606 GILL AVE LOT 270
Permit Type: ADDfl1ON/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est Value: Parcel Number: 25-21-0170-00000-2700
Improv. Cost: 800.00 OWNER INFORMATION
Date issued: 1/10/2017 : H ttVELL, AVI
Total Fees: 60.00 Address: 37606 GILL AVE
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/10/2017
n : 813 7132530
or esc: E L ARP RT I T GE
CONTRACTORLi TI FEES
HOME N IL IN FEE 60.00
( ) 2 I
Ins e i ns�l auired
FOOTER BOND DUCTS INSULATED SEWER_________________ Misc.
ROUGH ELECTRIC LINTEL Misc Mlsc.
1ST ROUGH PLUMS PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER Misc DRIVEWAY______________
PRE-SLAB SHEATHING MISC. Misc.
CONSTRUCTION POLE FRAME_________________ Misc, MISC.
REINSPECTION FEES: (c)Wlth respect to Reinspectlon fees will comply with Florida Statute 553. (2)(c)the
local government shall Impose a fee of four times the amount of the fee imposed for the initial inspection or
firstreinspectlon,whichever is greater,for each such subsequent reinspectlon.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water mane Bent, state a envies or federal a envies.
'Warning to owner. Your failure to a notice of commencement may result in your paying r
Improvements to your property. If you intend obtain financing,consult withyour lender or an attorney
e in our notice of commencem
Complete Plans,Specifications Must pany Appllcation All work shall be performed In accordance wi
City Codesand i OCCUPANCY BEFORE C.NOJCCUPANCY BEFORE CO
CONTRACTOR SIGNATUE PERMIT OFFI R
PERMIT EXPIS IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION 8 HOUR NOTICE REQUIRED
01%3-1ov-w4u uity oT 4epnymin5 FerMlt Application I,-ax-a13-fbv-uuz1
z Building Department
WORK PROPOSED NEW CONSTRE]
ADDIALT
INSTALL
REPIR
A
PROPOSED USE SFR
Ej
Comm
TYPEOF CONSTRUCTION BLOCK
FRAME
DESCRIPTION OF WORK WJNwo-A,
SIGN DEMOLISH
W.116ilu ................ . ....... .............
---------------
[jj]BUILDING 6:0-6, VALUATIOROF TOTAL CONSTRUCTION
=ELECTRICAL
AMP SERVICE
PRO GRESSENERGY W.R.E.C.
=PLUMBING
=MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
=GAS
ROOFING SPECIALTY
OTHER
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA
=YES NO
BUILDER
COMPANY
SIGNATURE
REGISTERED
Y/N FEE CURRa
Address
'Llcense
EC CI
'LEI TRIAN
F
COMPANY
E
�Y/ �N �FEEWR�REN �Y/
SIGNATURE
REGISTERED
IN
Address
E-
License #
PLUMBER
COMPANY
E
�/N �CURRB�N��
SIGNATIJifit
REGISTERED
Y FEE Y /
Address
License
MECHANICAL
COMPANY
SIGNATURE
REGISTERED
C�URREN
Address
OTHER-
COMPANY
E
;;;;�FEE
SIGNATURE,
REGISTERED
C�URREN
Address
Lloense #
RP-9110FUTIA1
D ¢
NOTICE I 1 N The undersigned understands that this permit may be subject to"deed"restrictions"..
which,may.be.mores tries i .e.than County regul ions: T. =underslgned-'a._ e�rin r-,.•'s:•�'iasibit}ty fripliai V, With any'
applicable deed restrictions.
UNUCENSED CONTRACTORSAND CONTRACTOR RESPONSI ILITi If the•owner hasp' red-a contractor or
contractorto undertake work, they may be required to be licensed In accordance with state and local reguiètIons. 'If the..
contractorJs not licensed as required by'law, bath the owner and contractor:n ayyt a cited-faa misdemeanor violation
under state law. ifi the owner or intended contractor are uncertain as to what licensing requirements:=may.apply for:the.
intended work,they are advised to cortact The Pasco unty Building'Inspection DiVislbñ :LI nsing Section-at 727-847-
8009. Furthermore, if the owner has hired-a contractor or contrátors, he-is advised to have the ctor(s). sign
portions of the "contractor lock" of this application for which they will be responsible. If you, as--the ®wriei'sigi s the
contractor, that.may be an indication that he is not properly licensed and is not entitled to permitting privileges,in Paco
County. {
TRANSPORTATION IMPACT/UTILITIESi FEES: The undersigned understands
that Transportation Impact Fees and Recourse RecoveryFees may apply to the construction of new,buiJdings, -art: . &bf
use in existing buildings, or expansion of existing buildings, as specified in Pasco CountyOrdinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may.. .e.due, will'he Identified atthe time-Of
permitting. it is further understood that Transportation Impact Fees and Réource:Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or fines power release. If the project does not involve a certificate of occupancyor
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County W*r/ ewer-impact
fees are due,they must be paid prior to permit issuance in accordance applicable Pasco County ordinances,
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended): if valuation of work is$2, .00 or more,.l:
certify that 1, the applicant, have been provided with. a copy.of the "Florida Construction !ien .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",. ner"prior to commencement.
CONTRACTOWSIOWNER'SAFFIDAVIT: I certify at all the information in this application is accurate and'that all rk
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,i ._llatiotih 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 net limited to:
- Pepartment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment,
- Southwest Florida Water Management District-Wells, Cypress ayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative ervic lEnvi nmen t Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US nvironmental 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 Flopd Zone 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 the building permit issued under the attached permit application. for lots less n one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE , I promise In good faith to inform e 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 ins "liations not specifically included in the application. A
permit issued shalt be ns ed to be a license to proceed with the and not as authority to violate, cancel, alter, or
set aside any provisions of the technical d , nor shall issuance 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 thin six months of permit Issuance, or If work authorized by
the permit Is suspended or abandoned for a period..of six(6),hionths,after the time the work is öommenced. 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( )consecutive days,the job is considered abandoned.
_____m.e®®-. ®mr ®o:.e._® s. ..w a-w. .n-®._ vm m - -.®_.s® ®m sA9-.ND-®.A�.-�®. . i.. ,fl w° .... ®PSb/F9
City of Zephyrhills
W-MI'MAIG-LUL
Contractor/Homeowner:
Date Received:
Site:
CLG
Permit Type: jzdoav ill
(" A - —
Approved Who comments: r Approved w/the below comments: 0 Denied w/the below comments:
Date
(Reqi&ed when comments are present)
DISCLOSURE STATENENT FOR OWNER
CITY OF ZEPEYRNXLLS DUILDIN DEP2RTT
I, , S have read d fully uaderaand and
agree tp the provis, ens 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 be or she
actually occupies, or will occupy by said cile, and s .me 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 1 provisions of the City of Zephyrhille
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. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from a 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'a compensation, lien laws, etc. , whe±e applicable.
6. 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 er of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
oneite supervision of the construction' y self. You. may'build or improve a
one-family or two-family residence or a farm uilding. 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 orsubstantially r d for sale or lease. If you sell or lease a
building you have built orsubstantially rov yourself within 1 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 oft s
exemption. You may not hire an unlicensedperson to act as your contractor or
to supervise people working on your building. It is y 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® y person working on your building
who is not licensed must work under your rect supervision d must be
employed by you, which means that you must deduct F.I.C.A., and witbholdiug tax
and provide workers' compensation for that employee, all' as prescribed by law,
Your construction musst comply with all appi cable laws, ordinances, building
codes, andzoning re sat ns.
F C
WITNESS PERNIT
APPLICATION FOR APPROVAL
OF
Fmm OWNER LOT.REQUEST FOR'. —2�fP.m*nWwyAMMval
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