HomeMy WebLinkAbout06-5831
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
RESIDENTIAL SWIMMING POOL
5831
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
5831
SWIMMING POOL RES.
POOUNEW
NOT APPLICABLE
Address: 5247 17TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-17900-0060
!:>' ii"
2,000.00
5/25/2006 Name: FISHER, THOMAS
95.00 Address: 5247 17TH ST
95.00 ZEPHYRHILLS, FL. 33542
5/25/2006 Phone: 813782-0611
REPLACING ABV GROUND POOUDECK - REPLACE 24 sa FT FENCE
[11
POOL ST EL
POOL PLUMBING/PRESSURE_
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."
~~ ~-~
CO CTOR PERM IT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
t-ax-l:ll ::I-fl:lU-UULI
(jj)
Owner's Address
Date Received
SUBDIVISION
. PARCELlD#11f -Zh-ZI- 6010 -17<100 - OO~()
(OBT "INED FROM PROPERTY TAX NOnCE)
SIGN D MOVE 0
g 13 -7e:2 - ({Jf//
ownerPhoneNumberL~ 13 ~9C;7- 235%' I
Owner Phone Nu~b~r I I
:
I
LOTt#
Owner's Name
JOB ADDRESS
S'4me..
I
E1 NEW CONSTR r=J' ADD/ALT D
INSTALL D REPAIR
PROPOSED USE D SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL D OTHER I I .
;;~~~;;~~;;~~ .T.~~,.. ,I, ,~:.~J,., ~~~;~~,(: ~.. ,~,~T~~,~~,t~.:, ..,.~~,~ ),~~ :".~",..~
o BUILDING 1$ c~ \ D D D 67).. I VALUATION OF TOTAL CONSTRUCTION .
o ELECTRICAL 1$ ~ 15f5' I AMP SERVICE . 0 PROGRESS ENERGY D
D PLUMBING 1$ I p\W~ q ~
.. Plc* -\-0 ~cA-+O
o MECHANICAL 1$ I VAlUATION OF MECHANICALlNSTAlU.TION ~~'
o GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES
DEMOLIsH
WORK PROPOSED
W.R.E.C.
BUILDER
SIGNATURE
DNO
Y/N
I
I
I
I
I
I
I
I
I
PLUMBER
SIGNATURE
License #
Y/N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y/ N FEE CURRENT
Address
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
Y/N
Address
COMPANY
REGISTERED
Y/N
Address
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Y/N
Address
I
OTHER
SIGNATURE
COMPANY
REGISTERED
Address License #
11111' 1'1111' 11111'. II' 111111.11111111' 11111111111111' 111'1111' 1'111'1111111' 11'1111111111' 1'11'1111'" 1111111111111' II. 11I1 i 1111111111111111111111
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
Attach (3) 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
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTy SURVEY required for all NEW construction. .
111111111111111111111111111111111111111,11111111",111,'II"II,.III,IIIII.III,liIIIIIII11iiilllllillilll.ili1IIIIilillllillllillliliiilliiilliiliii
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500. a Notice of Commencement 15 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 PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC
COMMERCIAL
SIGN PERMIT
Driveways
Fences (Plot/Survey/Footage)
. NOTICE OF .DEED RESTRICTIONS: The undersign~d understands that this 'perlnit maybe subJect to -deed- restrictions"
.' which may be more restrictive than County regulations. The undersigned assumes tesponslblllty forcompllance\vlth any
. applicable deed r~strlctions.. . . . . . . . '. .
UNLICENSED CONTRACTORS .AND CONTRACTOR RESPONSIBiLITIES:' If the owner has hired. a contractor or
cl;mtl:actors to undertake work, they rriay be required to be licensed In aCcOrdance willi state and local regulations. If the
contractor Is not licensed as required by law, both the owner and con~ractor may be cited for a misdemeanor violation
un~er state. law. If the ,?wner or intended contractor are uncertain as. to what lI~ensli1g reqUlrement~ may apply .f~r the .
Intended work, they are advised .to contact the Pa,sco County Building Insp~ctlon Divlslori-llcensl~9 section at 727-84'1-
8009. Furthermore, if the owner has hired a contractor or contractors, he Is advised to havEdhe contractor{s) sign
. portions of the .contractor Block" of this EJPpllcatlon for which they Will be tesponslble. If you, as the owner sign as the. . .
contractor, that;niay be an indication that he Is not properly licensed and is hot enlltled to permitting privllege~ In Pasco .
County. . .'. . . ... .
TRANSPO~TATION I....PACT/UTILlTIES IMPACT AND RESOURCE REOOVERY FEES: The underslgnedUilderstahds
. that Transpoitatlon Impact Faes ~nd Recourse Recovery Fees may apply to the construction of neW buildings, chahge 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 al the thne tif
permitting. It Is further understood. that Transportation Impact Fees and Resource Recovery Fees must be paid pdor to
. receiving a .certificate of occupancy" or final power rl:llease. If the project does hot involve a certificate of occllp~ncY or
filial power. release, the fees must be paid prior to permit Issuance. Furthermore; if Pasco COl,Jnty 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 th~t I. have obtained a copy of the above descrlbl:ld 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 complianGe with all applicable laws regulating construction, zonltig and land develop"inent. 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 Issuarice' of a permit and that all work will be performed to meet standards of all laws regulating
construction, County' and City codes, zonhlg regulations, and land development regulations In the Jurisdiction. I also
. . certifY that I understand that th~' 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 agenpies Include but are hot limited to: .
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Envl~onmentally 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 He~lth & 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 "N, it Is understood that a dralnag.e 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
. colistruction, 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 'promlse in good faith to Inform the' owner of the permitting ~onditJons .set fo~h in
this affidavit prior to commencing. construction. I. understand that a separate permit may be required for electrical wor~,
. . _ plumbing, signs, wells, pools, air conditioning, gas,' or other installations 'not specffically Included In the application. A
permit Issued shall be construed to be a IIcans.e. to proceed with the work and not as authority to violate, c.ancel, alter; or
set aside any provisions of the technical codes, ~or shall Issuance of a permit prevent the Building Official !rom .t~e~ea~~r
requiring a Gorrection of errors In plans, construction or vlolat!ons.o! any codel3. Every permit lssu~d. shall.become invalid
unless the work aulhorlzed by such permit Is commenced Within SIX months o.f permit Issua~ce, or If.work authotized by
the permit is suspended or abandoned for a period ofSlx (6) mon.ths after the time t~~ ~~rk Is commenced. An .extension
may be requested; In writing, from the Building Official fora period not to ex~ed ninety (90) days.and WIII.dem<:>nstrate
justifiaple cause for thl:l extension. if work ceases for ninety (90) consecu.live days, the Job is considered abandoned. .
WARNING TO OWNER: YOUR FAiLURE TO REt~RD A NOTICE OF COMMENCENII:;NT MAy ~E~ULt INl~O.UR
. PAYING TWICE FOR IMPROVEMENTS TO UR PROPERTY. IF YPU INTENP TO O.BTA~N F~NANCING; OO....SULT
WITH OUR LENDER O' AlTO EY ORE RECORDING YOU . 0 ICE OF COM ENCE ENT.
. ~~~~;~~~~tS._~~~~~3) ~v.) " ~/__~. CONTRACTOR '. .--_.'
dl fo I Subscribed and swom to (or affIrmed) before me this
Subscribed and s\xom toJ.or affirme e be re m. .e s . . .
f' :21(- 1)~, by ~ nl:1J ~ ~. p-/ :5J1rJ , . Who Is/are pers:XallY known to me or has/have produced.
. Who Islare personally known to me or ha~e produ~ . . as IdenUflcatlon.
F'L. "JJ, /.;... . .' as IdenUflcatton. --
. .
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.Canm::::~~iU .m.y Publ~
'''~>. Bob'" $We"'''' . .
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-"~~;;,;;;o~l BONDED THRU TROY fAIN INSURANCE.INC .
"H\'" '. .
NolarY Public
Commission No.
Name of Notary typed, printed or stamped
OWNER
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EPHYRHILLS BUILDING DEPARTMENT
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52Lf7 17~ .S-ii. ZflJl~~frhl')lj r Fe 3~51,L;(
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IJ - 26 -- 2/- OOIt!) - /790CJ ~ OL000
JOB LOCATION
PARCEL I.D.' #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
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REVIEW DATE: ~
CITYOFZEPHY I
BUILDING OFFlCI~L
-fX1 STJtJ<S- 10 i
L Y wrIH
ALL APPLICABLE B lNG,
ELEcrRICAL, PU)MBIN AND
MECHANICAL CODES.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
FRONT PROPERTY LINE
BUILDING SHALL
ALL APPLICABLE
ZEPHYRH!LLS 0
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
la'
P E
R X
0 .1
10' P S 10'
0. T
S I
E N
D G
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
20'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
I,
agree to
DISCLOSlJRE STATEMENT FOR OWNER
CI.TY~F ZEPHYRBILLS BmLDING DEPARTMENT
~ ~.... l/J .
I II trn11l5 I ::YYJE-r have read and fulJ.y understand and
the provisions 0 this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domiciJ.e" that he or she
actuaJ.J.y occup~es, or w~J.J. occupy bysa~d domic~J.e, and same ~s not for
rent, J.ease or saJ.e. That he or she shaJ.J. compJ.y with the foJ.J.ow~ng conditions.:
~. That the owner and he or she aJ.one shaJ.J. act as the buiJ.derfor aJ.J. phases of
construction.
2. That the owner w~J.J. compJ.y w~th aJ.J. prov~s~ons of the C~ty of ZephyrhiJ.J.s
ordinances and codes pert~nent to 'the buiJ.d~ng.
3. That in the event various phases of construction are subcontracted, he wiJ.J.
engage onJ.y properJ.y J.~censed subcontractors and wiJ.J. personaJ.J.y superv~se
such work..
4. That~n the event the BuiJ.ding Inspector shaJ.J. require correct~ons to be made,
the owner w~J.J. assume fulJ. responsib~J.~ ty to insure they are made, . and upon
compJ.etion wiJ.i caJ.J. for a reinspect~on before proceeding with the bu~J.ding.
5. That the oWner shalJ. assume fuJ.J. responsib~'J.~ty for the c:onstruct~on and w~J.J.
not expect supervis~on of his Work from the City of ZephyrhiJ.J.s Bui~ding
Department.
6, That prior to finaJ. inspection any addit~onaJ. fees, incJ.uding reinspect~on
fees, must be pa~d in fulJ.. A wr~tten request from this office shaJ.J.
.constitute an off~c~aJ. notice, to pay additionaJ. fees.
7. That the owner shall comply w~ th aJ.J. C~ ty, State and Federal J.aws' in regard to
soc~al security~ workman's compensat~on, l~en laws, etc., where appl~cabJ.e.
8. That the owner shalJ. compJ.y with aJ.J. the safety codes issued by the Florida
IndustriaJ. Commission. .
9. State law requ~res construct~on to be done by l~censed contractors. You have
appJ.~ed for a permit under an exempt~on to that J.aw. The exemption allows
you, as the owner of your property, to act as your own contractor w~th certa~n.
restr~ctions even though you do not have a license. You must provide direct
onsite superv~s~on of the construction yourself. You may build or impr~ea
one-family or two-family res~dence or a f~ outbu~J.ding. You may aJ.so buiJ.d
or improve a commerciaJ. buiJ.ding, provided your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. It may not
be bu~lt or s~stantiaJ.J.y improved 'for sale or lease. If you s&J.l;or' lease a
buiJ.ding you. have buiJ.t or substantially improved yourself within 1 year after
the construct~on is complete, the J.aw wiJ.J. presume .that you buiJ.t or
substantially improved ~f for saJ.e or J.ease, which is a vioJ.at~on of this
exemption. You may not hire an unJ.icensed person to act as your contractor or
to supervise peopJ.e working on your buiJ.ding. It is your responsib~J.ity to
make sure that people employed by you have licenses required by state law and
by county or mun~cipaJ. 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 buiJ.ding
who ~s not licensed must work under your direct supervis~on and must be
employed by you, which means that you must deduct F.J:.C.A. and withholding tax
and provide workers' compensat~on for that employee, all as prescribed by law.
Your construct~on must comply w~~ alJ. appJ.ic~e-taws, ordinances, building
codes, and zoning regulations. . /) / '
OWHI!:R' S S,-.TllRB ~~'h=t~'x~~ DATE 'S (-z./f /06 ;
:~:SS ~/~:--~J'1 ~1~~.s ~~~";~ _{}(PII ~. '
WITNESS
PERHJ:T #