HomeMy WebLinkAbout06-5829
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5829
Permit Number: 5829
Permit Type: SLAB PERMIT
Class of Work: SLAB
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 500.00
Date Issued: 5/25/2006
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 5/25/2006
Work Desc: EXTEND SLAB 240 sa FT
Address: 7312 HIGHLAND LOOP
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 34-25-21-0100-00000-0040
Name: TRAN, DUNN
Address: 7312 HIGHLAND LOOP
ZEPHYRHILLS. FL. 33542
Phone:
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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 ~f mencement."
NO OCCUPANCY BEFORE C.O.
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L NT~~ SIGNATURE PERMIT OFFI
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
Da~e Received
(--h(~}awd
I <Sl5(l .
OWner Phone Number
OWner Phone Nu~r
5_.~5-0<O
Owner's Name
Owner's Address I, '5 ~ 2
Fee Simple Titleholder Nam~
I
LOT 1# l...4:..--J
Fee Simple Titleholder Address
JOB ADDRESS
SUBDIVISION o A- It.. f2- tJ .() I -25-;;)\- O\bO- 0006-(:)(:)'+
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED E1 NEW CONSTR B ADD/ALT 0 SIGN 0 MOVE 0 DEMOLIsH
INSTALL REPAIR
PROPOSED USE D SFR D COMM D OTHER I I
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0 OTHER I I
DESCRIPTION OF WORK I f'y:~d . S\CLb (2'-10 oS,!> H-) I
BUILDING SIZE I SQ FOOTAGE I I HEIGHT I
...."...,11...,.........,1.....,111,.................,....'..'...,1....,1,....,1,.,1.."...."....1,..,1.111,..........,1.."............,111111..
0 BUILDING 1$ 500, ex::> VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL 1$ AMP SERVICE D PROGRESS ENERGY 0 W.R.E.C.
0 PLUMBING 1$
0 MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
D GAS 0 ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES DNO
BUILDER +\0Y"'n.JL0 0...rn;1......~ I
SIGNATURE I Y / N I FEE CURRENT Y/N
Address License # I
ELECTRICIAN COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License # I
PLUMBER COMPANY I
SIGNATURE REGISTERED Y/N FEE CURRENT Y/N
Address License # I
MECHANICAL I COMPANY I
SIGNATURE REGISTERED Y / N FEE CURRENT Y/N
Address I License # I
OTHER I COMPANY I
SIGNATURE REGISTERED Y/N FEE CURRENT Y/N
Address I License # I
1111'1111111'11' I'" I 1'1 1'1'111 I II 1'1'11111111111' I' I 1"111 I 1'1111111'1111111111" 11111111111111111111 I 11111 r 111111" I 1111111111'111111111111111 r 1
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onslle, Construction Plans, Sanitary Facilities & 1 dumpster
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Fonns.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction. .
111111111111111111111111111111111111111111111111111111111111.,.IIIIIIIII.....llllllllllliillllllillllll.llil1IIIililllllllliillliliiilliijjllillii
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 $5000)
.. Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Driveways Fences (PloUSurvey/Footage)
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 RESPONSIBiLITIES:' If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance witli state and locall'egulations. 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 jntended 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 ~ppllcatlon for which they Will be responsible. If you; as the oWher sign as the.
contractor, thatrriay be an indication that he Is not properly licensed and is hot entitled .to permitting privileges in Pasco
~~. . . .' . . .
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE REOOVERY 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 hllmber 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 th'at Transportation Impact Fees and Resource Recovery Fees must be paid prior to
, receiving a .certificate of occupancy" or final poWer release. Ifthe project does hol.involve a certificalE~ ofoccLlpahcy 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, Fiorlda statu.es, 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 thl,:lt 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 applicatioh 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 p~rformed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations In the jurisdiction. I aiso
. 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 hot 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, Docksl.Navigable Waterways.
Department of He~lth & Rehabilitative SerVices/Environmental H~alth 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 isnot allowed in Flood Zone .V" unless expressly permitted. .
If the fill material is to be used In Flood Zone .N, it is understood that a drainage plan addressing a
"compensating volumeD 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 "N in connection With a permitted building using stem wall
construction, I certify that fill will be used only to fill the ar~a within the stem waiL
. 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 commemcing,construction. I understand that a separate permit m~y be required for electrical wor~,
. . . plumbing, signs, wells, pools, air conditioning, gas, or other installationsnQt 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, aiter. 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,construct!on 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 I or if work authorized. by
the permit is suspended or abandoned for a period ohlx (6) months after the time the work IS commenced.. An extension
may be requested I in writlng,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 abahdoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN~ MAy RE~UL t IN YOUR
. PAYING TWiCE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YPU 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 afflnned) before me this.
by .
Who Is/are personally known to me or has/have produced
as Identification.
CONTRACTOR
subsaibed and swam to (or afflrmed) before me this
by
. Who Is/are personally known to me or has/have produced .
. as Identification.
Notary Public
Notary Public
Commission No.
Commission No. .
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
OWNER
JOB LOCATION
PARCEL 1. D . . #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
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2-4 rl
.
FRONT PROPER'fY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 'DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
DISCLOSlJRE STATEMENT FOR OWNER
CITY OF ZEPRYRHILLS BUILDING DBPAR'l'MENT
I, 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 occup~es, or w~ll occupy by sa~d domic~le, and same ~s 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 all provisions of the C~ ty of Zephyrhills
ordLnances and codes pertinent to 'the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly l~censed 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 responsibil~ty to insure they are made, and upon
completion wili call for a re~spection before proceeding with the building.
5. That the owner shall assume fu1.l responsibiJ.~ ty 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 reinspect~on
fees, must be paid in full. A written request from this office shall
.constitute an officia~ notice. to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws' in regard to
soc~al security, workman's 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 requ~res 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 impr~ea
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 $25,000.
The building or residence must be for your own use or occupancy. It may not
be built or. sUbstantially improved for sale or lease. If you seJ.J.;or' lease a
building yoti have built or substantially imp:z::oved 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 of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people worlcing 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 mun~cipal 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 l~censed must work under your di.rect supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholdi.ng tax
and provide workers' compensat~on for that employee, all as prescribed by iaw.
Your construct~on must c~ly with all ~ laws, ordinances, buildi.ng ,
codes, and zon:J.ng'C.~... .~.t.:J.ons... // //
O"",,"-'S SI""""""" .~ ~~ DATE r: - 2 '? ~ ok
ADDRESS / _______ ____ .
PHONE .
WITNESS
PERHJ:T #