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HomeMy WebLinkAbout06-6140 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL ~' 6140 Permit :6140 Permit Type: Class of Work: Proposed Use: Sq, Feet: Cost: Amount Paid: ALUMINUM ALUMINUM PACKAGE SINGLE FAMILY RESIDENTIAL Est. Value: 957.65 Total Fees: 52.50 52.50 Date Paid: 9/28/2006 Address: 5041 8TH ST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-20700-0060 Name: HOMEOWNER Addr: Name: SPENCER, LOIS Address: 5041 8TH ST ZEPHYRHILLS, FL. 33542 Phone: Lic: Work Desc: DOUBLE CARPORT Phone: /' (.. , \U^- /\ D \,1 y '1.-- t./ , \lY r? 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." v,;fY~~ ~~ CONTRACT S SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City ot Lepnyrnllls t"'ernlll f\ppllLdllU11 Building Department Owner's Name - 1...015 q-~~ S f/;t/ C E(Q. & rf.. ':j t- @ Date Received OWner's Address Fee Simple Titleholder Namel 6-04/ , Owner Phone Humber Owner Phone Humber I OWner Phone Number r Fee Simple Titleholder Address I 5CJL/1 I JOB ADDRESS ~. III Sf" LOT# I I ~ D D PARCELID#L \\ - ~lp~d.\- OD'D.' -a-o/OO -ObCoO (OBTAINED FROM PROPERTY TAX NOTICE) ADD/ALT 0 SIGN D MOVE 0 DEMOLISH REPAIR COMM 0 FRAME 0 OTHER I STEEL ~ SUBDIVISION B PROPOSED USE 0 TYPE OF CONSTRUCTION 0 DESCRIPTION OF WORK I JZAt,.:.L b J e C'/f I? P<::} A. f BUILDING SIZE I I?)( ~ I I SQFOOTAGEI ,j'7t6 I HEIGHT Iq ;;~~IJ/t'tlt I ,,-ft Si.tc;:. 1I11 I111111 I II , I . 1111 III . . 11111 111I . 111111111111111111 . 111111111111111111111111111111 ' ; 1111111111 ' 111111111 . 1111111111 ' I , I .. . I . . , ' 1111111111111 ' II o BUILDING '1$ o ELECTRICAL 1$ o PLUMBING 1$ D MECHANICAL 1$ o GAS 0 FINISHED FLOOR ELEVATIONS I WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK OTHER I C\CS'J.(o5 VALUATION OF TOTAL CONSTRUCTION ROOFING AMP SERVICE 0 PROGRESS ENERGY 0 ~1J;6 ~~L- ?~ ip6'd,.. ~ uJ(~J.bu.c(~ ~.J.". f\i,.) ~~ -rrHJ I Y\ 6~ v ~'iLATION OF MECHANICAL INSTALLAT . jtfJf)rt....^J r'"'l- lrr74^- 209M" ~ \. D V ~PECIAL TY 0 OTHER I FLOOD ZONE AREA DYE W.R.E.C, Address 111111111111111 RESIDENTIAL I I I I I I I I I License # I I 1111I1111111111111111111111111111111111111111111I1111111111111111111111111111 i 1111111111111111111111111111111111111111111111111111 Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onslte, 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 onslte, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. **uPROPERTY SURVEY required for all NEW construction. II.IIII!IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111111111111I1111111111111111I11111111111111111111111I1111111111111111 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 NC ""7, ,,~~ r/L~ COMPANY REGISTERED BUILDER SIGNATURE Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y I N FEE CURRENT Y/N Address License # COMPANY REGISTERED PLUMBER SIGNATURE Y/N FEE CURRENT YIN Address License # MECHANICAL SiGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # OTHER SIGNATURE COMPANY REGISTERED YIN FEE CURRENT YIN COMMERCIAL SIGN PERMIT 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 und.ertake 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 Divlslon-Licenslng 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 pfior 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, WaterlWastewater 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 ~all. . 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 a~versely affect adjacent properti~s, the.ow.ner 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 permlttln~ conditions s~t forth In this affidavit prior to commencing construction. I understand that a separate perm~t may ?e reqUlr~d for elect~lca.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically In?luded In the appllcatron. A permit issued shall be construed to be a license to proceed with the work a~d not as authorl~y !o vlolat~, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~e,aft~r requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every ~ermlt Issued. shall become. Invalid unless the work authorized by such permit is commenced Within SIX months ~f permit Issu~nce, or If work authorized. by the permit is suspended or abandoned for a period of six (6) months after the trme th~ work IS commenced: An extension may be requested, in writing, from the Building Official for a period not t~ exceed nrn~ty ~90) dars 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 INYOUR 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 affirmed) before me this by Who is/are personally known to me or haslhave produced as Identification. OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or haslhave 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 OWNER .,.-----...---- CITY OF ZEPHYRHILLS BUILDING DEPARTMENT ~p ; S Sf E vet L R. 56 4 L S oJ St 1/- ::I..(,-.J...I. PARCEL I.D.' # JOB LOCATION ;Z~ ~~ r<-fv l{ S tJ C) {O - :J.. 0700.- ~o t,d .:JI ~36-Lf-:z SHOW ALL EXISTING & PROPOSED STRUCTUR&if .GIVING DIMENSIONS & SETBACKS. 4t 'j~ \~ ~O~ ,~ v~~ 6 \'\).')i',et~ ~0\ ' . f\ fV\\~' It] \ /w~~ (lr~'7 , ~-t V\f\~~f{L) . ?r'&}7 ?V~ 0~lS>"\l ~ )'~ ..- c> -r IN)) . .'Kl 1l\M.~ B. l ;O\'\' . .:v.;, ~ r UTILITY BUILDINGS ,MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (~OTE 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' O. 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 D:ISCLOS1JRE STATEMENT FOR OWNER C:ITY OF ZEPB.Y1Ul::ILLS B'O:ILD:ING DEPARTMENT :I, J-"" / .5 S P e /1/ c Eft!... have read and ful.~y understand and agree to the pr~isions of thi's instrument. The undersigJ;l.ed 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, ~ease or sa~e. That he or she sha~~ comp~y with the :Eo~~owing conditions,: ~ . That the owner and he or she a~one shaJ.~ act as the bui~der 'for a~~ phases of ,. construction. 2. That the owner wi~~ comp~y with a.J.~ 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 o~y properly ~icensed subcontractors and wi~l personally supervise such work.. 4 . That in the event the Bui~ding :I:c.spector sha~~ require corrections to be made, the owner wi~~ assume ful.~respons:i.bi~i ty to insure they are made, . and upon comp~etion wi~i cal~ for a re:i.nspection before proceeding with the bui~ding. 5 . That the oWner shal~ assume fuJ.J. respo:a.s:i.bi~i 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 reinspection fees, must be paid in fuJ.l. A written request from this office shall ,constitute' an officia~ notice,to pay add:i.tiona~ fees. 7. That the owner shall comply with all city, State and :Federal laws' in: regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shal~ comp~y with all the safety codes issued by the :Florida :Industria.J. Commission. ' 9. State ~aw requires construction to be done by ~icensed 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 bui~d or impr~ea one-fami~y or two-family residence or a far.m outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The bui~ding or residence must be for your own use or occupancy. :It may not be built or, stibstantial~y improved 'for sa~e or lease" :If you seal ;or' lease a bui~ding you. have built or substantially ini:pr.oved your:8elf wi tldn 1 year after the construction is comp~ete, the law will presUme.thclt you built or substantial~yimproved 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 respon.sibili ty to make sure that people employed by you have licenses 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 supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax' and provide workers' compensation for that employee, all as prescribed by iaw. Your construction must comply with all appli-cable laws, ordinances, building codes, and zo:c.i.ng reguJ.ations. ' OWNER'S SIGNATURE ADDRESS :::;- Cl '-I i R '1 c-. S.,- PRONE >ri:~ . ? ~ '2 ~ ~ 2? 8 DATE Z <i!.~ h.'fJlh f I { s I '7-1 ?>":{~~:1.. r W:ITNESS PERMIT #