HomeMy WebLinkAbout06-5587
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5587
Permit Number: 5587
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est, Value:
Improv, Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 3451 TOURMALINE DR LOT254
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s}:254 Block: Section:
Subdivision: EMERALD POINTE
Parcel Number: 24-26-21-0070-00000-2540
1,500.00
3/21/2006 Name: MAY, PAUL
70.00 Address: 3451 TOURMALINE DR LOT254
70.00 ZEPHYRHILLS, FL. 33542
3/21/2006 Phone: 705329-8612
ELECTRIC BOX AND PLUGS, CEILING FAN, TOILET SHOWER
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DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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. II
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNA E PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
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(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE D
Owner's Name
Owner's Address .3 L.) s:- I
Fee Simple Titleholder NamJ
Owner Phone Number ..-
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address
JOB ADDRESS
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TYPE OF CONSTRUCTION
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D BUILDING 1$
ozi ELECTRICAL 1$
rn PLUMBING 1$
D MECHANICAL 1$
D GAS D
FINISHED FLOOR ELEVATIONS I
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
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VALUATION OF MECHANICAL INSTALLATION
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FLOOD ZONE AREA DYES
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BUILDER
SIGNATURE
Address
ELECTRICIAN
SIGNATURE
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/ PLUMBER
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License #
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LIcense #
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Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
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Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMtTTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Driveways Fences (Plot/Survey/Footage)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictiQns"
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 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 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 humber 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 I, 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 offill 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 proce?d with the work a~d not as authori~y !o viol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the BUilding OffiCial from the~eaft?r
requiring a correction of errors in plans, construction or violat!o~s.o! any codes. Every ~ermit 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 Offici a! for a period not t~ exceed nin~ty ~90) da~s 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
Subscribed and swom to (or affirmed) before me this
by
Who Is/are personally known to me or haslhave produced
as identification.
CONTRACTOR
Subscribed and swom to (or affirmed) before me this
by
Who Is/are personally known to me or haslhave produced
as IdenUflcatlon.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
DISCLOSURE STATEMBNT FOR OWNER
CITY OF ZEPBY.RBILLS BUJ:LDJ:NG DBPARTHENT
I, P ~ U l- m A V have read and ful~y understand and
agree to the provisionsfof this instrument.
The undersig:t:1ed states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own damici~e" that he or she
actua~~y occupies, or wi~~ occupy by said damici~e, and same is not for
rent, lease or sa~e. That he or she shal~ comply with the fo~lowing conditions,:
~.
That the owner and he or she a~one sha~l act as the bui~derfor all phases of.,
construction.
That the owner wi~~ comply with a~~ provisions of the City of Zephyrhills
ordinances and codes pertinent to 'the bui~ding.
That in the event various phases of construction are subcontracted, he will
engage on~y properly licensed subcontractors and wi~~ personally supervise
such work..
That in the event the Building Inspector sha~l require corrections to be made,
the owner will assume ful~ responsibi~i ty to insure they are made, . and upon
completion wi~i call for a reinspection before proceeding with the 'building.
That the oWner shall assume fulJ. responsibi~ity for the construction and wi~l
not expect supervision of his work from the City of Zephyrhi~ls Bui~ding
Department.
That prior to fina~ inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
,constitute. an officia~ notice. to pay additional fees.
That the owner shall comply with a~~ City, State and Federal laws' in regard to
social security, workman's compensation, lien laws, etc., where applicable.
That the owner shall comp~y wi th a~l the safety codes issued by the Florida
Industrial Commission. .
State law requires construction to be done by licensed contractors. You have
applied for a peJ:mit under an exemption to that law. The exemption a~lows
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 impr~e .a
one-family or two-family residence or a far.m outbui~ding. You may also build
or improve a commercia~ building, provided your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy, It may not
be built or. sUbstantial~y improved for sa~e or ~ease. If you sea~ ;or lease a
building yoti. have built orsubstantiaJ.ly improved your.se~fwi thin 1 year after
the construction is complete, the law wi~~ presumeth&t you bui~t or
substantial~y improved if for sa~e or lease, which is a, violation of this
exemption. You may not hire an ~icensed 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 ~icenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibi~ity 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 supervi.sion and must be
employed by you, which means that you must deduct F.I.C.A. and w~thholding tax
and provide workers' compensation for that emp~oyee, all as prescribed by law.
Your construction must comply with a~~ applicable laws, ordinances, building
codes, and zoning regulat10ns.
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OWNER'S SIGNATURE
ADDRESS 3 y ~ /
PHONE 7o~-
DATE
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WJ:TNESS
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