HomeMy WebLinkAbout06-5975
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
Permit Number: 5975
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:
21,120.00
7/28/2006
215.20
215.20
7/28/2006
BEDROOM ADDITION
Address: 38142 9TH AV
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s):E 1/2 LOTS Block: 98 Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-09800-0210
Name: HERNANDEZ, RAMON & NORMA I
Address: 38142 9TH AVE
ZEPHYRHILLS, FL. 33542
Phone:
MECHANICAL FEE
35.00 RADON
2.40
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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.
REINSPECTION 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."
NO OCCUPANCY BEFORE C.O.
'fnllvO'C., ,~C .~'1C('lr!1R:5- ~ ~
CONTRACTOR 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
Date Received
q+h A-v~
Owner Phone Number
~5V~ner Phone Number I
I Owner Phone Number I
../ Owner's Name
./ Owner's Address ~0 J 4 a
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
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../ JOB ADDRESS
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1$ \600,00 I
1$ I
1$ I
1$ I
o GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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WORK PROPOSED
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PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
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ADD/AL T
REPAIR
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FRAME
./ DESCRIPTION OF WORK
On
;' BUILDING SIZE
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LOT #
(OBTAINED FROM PROPERTY TAX NOTICE)
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PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
OTHER
SIGNATURE
COMPANY
REGISTERED
IL~~,,;'j rn ~~
License # I
Y/N
h\~.cn...ur~
Y / N FEE CURRENT
Y/N
License #
Y / N
Y/N
FEE CURRENT
License #
Y/N
Y/N
FEE CURRENT
License #
Y / N
Y/N
FEE CURRENT
Address License #
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RESIDENTIAL 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
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date, Required onsile, 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,
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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 PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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 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 number 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 of fill 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 proceed with the work and not as authority to violate, cancel, alter, 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, construction 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, 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 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 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)
CONTRACTOR
Subscribed and sworn to (or affinned) before me this
by
Who is/are personally known to me or has/have produced
as Identification.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) 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
Ramon/Norma Hemandez-38142 9th Ave
SQ. FEET PRICE
MAIN OR LIVING: 240 $ 88.00
.
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 21.120.00
FEE SHEET $ 140.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 142.80
ELECTRICAL: $ 35.00
PLUMBING: $ -
MECHANICAL: $ 35.00
SUB-TOTAL $ 212.80
RADON: $ 2.40
TOTAL $ 215.20
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ .
WATER METER:I $
IRRIGATION METER $
- I
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ .
PUBLIC SAFETY IMPACT FEES
POLICE $ -
FIRE $ -
5% $ -
TOTAL: $ .
SUB-TOTAL $
215.20 I
PARK IMPACT FEESI $
. I
SIF'S: $ -
100.0% $ -
1.0% $ -
TOTAL: $ .
~ I
TI F 'S :1 $
99% $
1% $
TOTAL: $
215.20 I
Fee Sheet
o\.~
S3'7,1 't L GrnJ fJV
Comm
ResL
Square Feet
2. .--
. "-tv
Dollar Amount
:J ',-v
"8'0, ..;.
Valuation
- '(>
'Zllli). .>
j
(Use System for calculation offees)
Radon
2:40
Connection Fees
Sewer N} rl
Water ,rJ) ~
W. Meter ,JJf1
(All Residentials _ 3~ ")
% (180.00) _
1 (250.00) _
1.5 (650.00) _
2 (875.00)_
3 & 4 (Contact Louie) _
Irr. Meter
tliB
~'fr
Irr. Conn
Impact Fees
JJ;~ Transportation N)fr
,J}rr Public Safety ,J}f)
,
School
Park
have read and ful~y understand and
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domici~e" that he or she
actua~~y occupies, or wi~~ occupy by said domici~e, and same is not for
rent, ~ease or saJ.e. That he or she sha~~ comp~ywith the fo~~owing conditions.:
~. That the owner and he or she a~one sha~~ act as the bui~derfor a~~ phases of
constructiOI1.
2. That the owner wi~~ comp~y with a~~ provisions of the City of Zephyrhi~~s
ordinances and codes pertinent to 'the bui~ding.
3 . That in the event various phases of construction are subcontracted, he wi~~
engage on~y proper~y ~icensed subcontractors and wi~~ perso~~y supervise
such work..
4. That in the event the Bui~ding Inspector shaJ.~ require corrections to be made,
the owner wi~~ assume ful~ respOI1sibi~ity to insure they are made, and upon
comp~etion wi~i ca~~ for a reinspection before proceeding with the .bui~ding.
5. That the owner sha~~ assume fu~~ responsibi~ity for the construction and wi~~
not expect supervision of his Work from the City of Zephyrhi~~s Bui~ding
Department.
6. That prior to fina~ inspection any additiona~ fees, inc~uding reinspection
fees, must be paid in ful~. A written request from this office sha~~
.constitute an officia~ notice,to pay additiona~ fees.
7. That the owner sha~~ comp~y with a~~ City, State and P'edera~ ~aws. in regard to
socia~ security, workman's compensation, ~ien ~aws, etc., where app~icab~e.
8. That the owner sha~~ comp~y with a~~ the safety codes issued by the Florida
Industria~ Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a pe:r:mit 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 bui~d or imprC!Vea
one-fami~y or two-family residence or a far.m outbui~ding. 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. s~stantia~~y improved for sa~e or lease. If you seal :or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law wil~ presume .that 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 un~icensed person to act as your contractor or
to supervise people working on your building. It is your responsibi~i ty to
make sure that peop~e employed by you have ~icenses required by state law and
by county or municipa~ 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 supervision and must be
employed by you, which means that you must deduct P'.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all app~icable laws, ordinances, building
codes, and zoning regulations. '
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OWNER'S SIGNATURE . . . 0 . .... . .A
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8UILDING SHALL COMPLY WITH
ALL APPUCABLE CITY OF
lEPHYRHILLS ORDINAN(."'E.
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~ NOTICE OF COMMENCEMENT
State of ~r'/ Or ick County of ~~ G 0
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
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2006153399
1. Description of Property: Parcel No.
\/~ 2€
(Legal description of t
2. General Description of Improvement ~ d..)< d- 0
Dr-) bock \ eB s ,< de Df
Rcpl : 1019558 Rec: 10.00
OS: 0. 00 IT: 0. 00
07/28/06____ Dpty Clerk
3. Owner Information: Name ~mc)n 4-- N O(fV)(A :c. l:t.eJf\QA,~~
Address3f5Jiif C)+h ~ City~_State~}
Interest in Property:
3.36"'<f.J-
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
Signature of Owner: '-t\ Ol,rY'O. 0 . ..Jf ~~((
Sworn to and subscribed before me this Q)'lf day of
H ($$. 6'O/q. I q. .$10. 0
..:r u I. '1
, 20 0 if .
Notary Public:
cp C(b. i.c-.lA.J VoIJ.. ca.
My Commission Expires:
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