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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 <,0~D~ 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. tA<w~) d?t(~~ t'~~ 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 I I I L' fA i e ""D'\7 _ LOT # 1:2 S-Lf I PARCELlD# I G.lI- Z~ - ;).t - 0070 - OOCXX) - Z. <; 4 0 I (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 2>l1<"1 . '\ 0 u e...mA SUBDIVISION I B D D ADO/ALT REPAIR COMM FRAME WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK PROPOSED USE TYPE OF CONSTRUCTION D D D DEMOLIsH I I' OTHER I STEEL 0 DESCRIPTION OF WORK . c: "1 . BUILDING SIZE I ~ ) I )( J () I I SQ FOOTAGE I ~ "'l.. f.. ...............111.......111.....1111.......11111...........................11.....11...............11.......111..............11111.......11...... 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 0>"" - 3,;-(;- c / () 0 C. .r, c; .t:.--- ~ D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION ROOFING D I SPECIAL TV D OTHER FLOOD ZONE AREA DYES Q3-NO ..........11..1111.11.11...111111....11111...11...............111...11..............1.......111.11..11111.11.................11.111...11..1....... BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE set-F Address / PLUMBER SIGNATURE "--~ MECHANICAL I SIGNATURE Address I OTHER I SIGNATURE Address I COMPANY REGISTERED COMPANY REGISTERED COMPANY REGISTERED ~I ~ - ome . Y)f!J' .~ Y I N FEE CURRl:frr-- License # I Y/N /Io-M~nlr I Y I N I FEE CURRENT License # I I S-'1j >;;nj~,", License # I Y/N Y/N Y I N FEE CURRENT Y/N License # Y I N FEE CURRENT Y/N LIcense # I I I , , , f . , II , I1II1I r I , , . , , III , , . , t ft II , IIIIIIII , , , , III1III1IIII111111 , II11I1I11111 , I r . 1111I111II1I1111 , 11111I1I , , I r , I . , I I I 1II11II1I11II11111 r I , " 1 , I 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 ~ I ~. 1.1111111111' ~ ~ III 1IIII IIIII 11111 III ~ I. II11I ~ Ill, I" IIII .11111111111111111111. ~ 1111111111..1,11111111111111111111111111111111111 i III1II1I1III i 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. ~;;:;;::~ 1;1-6" ~ ~CJ - fib} ':L. ' ' 2. 3. 4. 5. 6. 7. 8. 9. OWNER'S SIGNATURE ADDRESS 3 y ~ / PHONE 7o~- DATE o ~ \ .;l.d 0 (", r WJ:TNESS PEBKIT #