HomeMy WebLinkAbout06-6147
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6147
Permit Number: 6147
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv, Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38541 WIND L WER AVE LOT 21
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SLEEPY HOLLOW T.T.PK #2
Parcel Number: 02-26-21-0260-00000-0210
350.00
10/03/2006
52.50
52.50
10/03/2006
SCREEN ROOM 11.8x12.5
Name: HINMAN, NORMAN/MATILDA
Address: 38541 WINDFLOWER AVE
ZEPHYRHILLS, FL. 33542
Phone: 813 779-7963
r; i\JL c ,.. cb
1'1 /7 l,;'
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REINSPEcnON 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.
07~ fZ,~_~
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CONTRACT SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-789-0020
City ot Lepnyrnllls t'ernllll-\\J\JlIljdllUII
Building Department
Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address I
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PROPOSED USE 0
TYPE OF CONSTRUCTION 0
DESCRIPTION OF WORK I s ~ !<...fi,i;';Y
BUILDING SIZE II i I 8 'X p, IS/II sa FOOTAGE I I HEIGHT I
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O BUILDING '1$
360, OD
o ELECTRICAL 1$
D PLUMBING 1$
o MECHANICAL 1$
o GAS 0
FINISHED FLOOR ELEVATIONS I
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I License # I I
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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
Ail commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
.'.~PROPERTY SURVEY required for all NEW construction.
111111111111111111111(1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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
JOB ADDRESS
SUBDIVISION
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WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
ROOFING
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BUILDER
SIGNATURE
o/)~t4t51~
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Address
ELECTRICIAN
SIGNATURE
License #
Address
LOT #
2.1
PARCEL ID#I 0:2.
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(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
ADDIALT
REPAIR
COMM
FRAME
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DEMOLISH
OTHER I
STEEL D
OTHER I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
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W.RE.C,
PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY 0
FLOOD ZONE AREA
OTHER
DYES
DNO
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I YIN
FEE CURRENT
License #
COMPANY
REGISTERED
YIN
YIN
FEE CURRENT
PLUMBER
SIGNATURE
License #
Address
COMPANY
REGISTERED
YIN
YIN
FEE CURRENT
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
111111111111111
RESIDENTIAL
COMPANY
REGISTERED
YIN
YI N
FEE CURRENT
License #
COMPANY
REGISTERED
YIN
YIN
FEE CURRENT
COMMERCIAL
SIGN PERMIT
Driveways-Not over Counter If on public roadwaysooneeds ROW
Fences (PlotlSurvey/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 R~SPONSIBILITIES: 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 auildlng 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 ~ESOURCE 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 understalJds, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportatioh 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 p~ior 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 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 ~hat a s.eparate perm!t may ~e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically 1n~luded.ln the application. A
permit issued shall be construed to be a license to proce~d with the work a~d not as authorl~ ~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~eaft~r
requiring a correction of errors in plans, c~n~truction 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 o.f permit Issu~nce, or if work authorized. by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~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 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 lslare personally known to me or has/have produced
as Identification.
OWNER OR AGENT
Subscribed and swom 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
Permit Application Review Comments
By: Bill Burgess
Date: q-aq.-o Co
[Q]
No Comments
Address:
~1S SL\- \ L~\ nd0rn..uJLA- ~
Type: Sr.J\ C Q.'Y) POt c.JJ
S\o,-t:P_Gt "--HU'sUL.. ~ no ('0o._~~. s~ 6vL
SQ...;~ c\.UGYL
f)LUk.\.INUI\;\ J7t.l~J'l~1~6 IS l2J4\,...)n~\)
9 flJt IUb
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DJ:SCLOStIR.E STATEMENT FOR OWNER
CI'l'Y OF -ZEPRYRBJ:LLS BUJ:LDJ:NG DEP.A:R."rMENT
J:,jllfJflJ'4.At..J f Mf/f/;..,JIJ /!/)/i1lJfI have read and fuJ.~y understand and
agree to the provi~ions of th.i-s instrument.
The undersigned states and affirms that he or she .is desirous of constructing,
renovating, add.ing to or reroofing his or her own domicile~, that he or she
actually occupies, or w.ill occupy by P-Jl.-f....cl f:[At(' said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the ;following cond.itions,:
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 City of Zephyrhills
ordinances and codes pert.inent to 'the build.ing.
3. That.in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.,
4. That in the event the Build.ing J:nspector shall require corrections to be made,
the owner will assume fuJ.l responsibility to insure the.y are made, 'and upon
completion will call for a reinspection before proceed.ing with the building.
5. That the oWner shall assume full responsibi~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 add.itional fees, inCluding re.inspection
fees, must be paid in fuJ.l. A written request from this office shall
,constitute' an official notice, to pay additional 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 shall comply with all the safety codes issued by the Florida
:tndustrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a per.m.it under an exemption to that law. 'l'he 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 improve .a
one-family or two-family residence or a farm outbuilding. You may also'build
or improve a commercial build.ing, provided your costs do not exceed $25,000.
The build.ing or residence. must be for your own use or occupancy. J:t may not
be built or, sUbstantially improved 'for sale or lease.. J:f you s≪or' lease a
building you,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 unlicens'ed person to act as your contractor or
to supervise people worlci.ng on your building. J:t is your responsibility 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
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 licensed must work under your direct supervision 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 employee, all as prescribed by iaw.
Your construction must comply with all appl.icable laws, ordinances, building
codes, and zoning regulat~ons.
OWNER'S
ADDRESS
PHONE
SIGIlA= ~ ,'4 ~ DATE 'l- - l-7 ~ Cl ?
-i r~f~ ~~r--- ' .. -/g~ th', It. .R/!IJ.i</ fJ..33.:F'iJ. .
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WITNESS
l?ERKIT #:
CITY OF ZEPIIYRHILLS BUILDING DEPARTHENT
OWNER 1\10 At1AN -;- Hit !I/... JA H 1f\IMIJN
JOB LOCATION Jejtfl t#/fldfJ..t7iU;=A 1It/~
PARCEL I.D,' # OJ.. A{,).../ ()')..bo (JOt/DO OJ../O
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
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(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
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2. SETBACKS FOR R3 ZONING
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FRONT PROPERTY LINE
FRONT PROPERTY LINE
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