HomeMy WebLinkAbout06-6169
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
c/
6169
Permit Number: 6169
Permit Type: ACCESSORY BLDG.
Class of Work: SHED INSTALLATION
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5136 17TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-210010-20200-0200
Name: KRUEGER, CLINT
Address: 5136 17th ST
ZEPHYRHILLS, FL. 33542
67.50
(P "7. 5ofJ.
INSTALLATION OF SHED
Phone:
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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.
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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
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KRvfGff\
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Owner's Name
I (/ ? I
Owner's Address _ ,~
Fee Simple Titleholder Name I
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address
JOB ADDRESS
I~'
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J 7..:.,...
LOT #
B
PROPOSED USE D
TYPE OF CONSTRUCTION D
DESCRIPTION OF WORK I TV)/ P. L L
I fa ''; /6 . I SQFOOTAGE I
NEW CONSTR
INSTALL
SFR
BLOCK
I
B
D
D
C)HFO
SUBDIVISION
PARCELID#I /I.) h'dl OOI.C)-~Cjd O(i'C);;'OO
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
D
D
D
DEMOLISH
WORK PROPOSED
ADD/ALT
REPAiR
COMM
FRAME
OTHER I
STEEL D
OTHER L-
BUILDING SIZE
I 60
HEIGHT I
o
BUILDING
1$ ) ~OO. QO
i
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS D
FINISHED FLOOR ELEVATIONS I
ROOFING
I
I
I
I
D
I
AMP SERVICE
D
PROGRESS ENERGY
D
W.REC_
VALUATION OF TOTAL CONSTRUCTION
SPECIAL 1Y D OTHER
FLOOD ZONE AREA DYES
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Jl:t'd t.--1-4+- ilIJ'-t..+f~9 .
It ~,~)tfzv^"r-)flil~f_
VALUATION OF MECHANICAL INSTALLATION
DNO
Ji) BUILDER
Cf SIGNATURE
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YI N
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FEE C RENT ~
License # I
Address
ELECTRICIAN I
SIGNATURE
Address I
PLUMBER I
SIGNATURE
I
COMPANY
REGISTERED
~
FEE CURRENT
~
License #
COMPANY
REGISTERED YIN FEE CURRENT ~
License #
COMPANY
REGISTERED YI N FEE CURRENT ~
License #
COMPANY
REGISTERED ~ FEE CURRENT ~
License #
Address
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNATURE
Address I
RESIDENTIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns
Minimum tan (10) working days aftar submittal date. Required onsite. Construction Plans, Sanitary Facilities & 1 dumpster
Altacl1 (3) sets of Building Plans; (1) set of Energy Fonns.
Minimum tan (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
AU commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
-PROPER1Y SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
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 Powe- of AlloI'Cey (for the owner) would be someone with notarized leller from owner authorizing same
OVER THE COUNTER PERMlmNG (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (PlollSurveylFootagel
Driveways-Not over Counter if on public roadways._neads ROW
Permit.Application Review Comments
By: Bill Burgess
Date:
Address:
Type:
ItJ-((-{)~ [Q]
'5131p 1 Y:;t' S'kee f-
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No Comments
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 Divisio~icensing 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 WaterlSewer 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, 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 ''Y' 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 Ilbandoned 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.5. 117.03)
OWNERORAGENT~ J~
Subscribed and sworn to (or a rmed) before me this
by
\I\Itlo is/are personally known to me or has/have produced
as identification.
ROBERT MARTIN
Notary Public, State of Florida
MyComm. Expires April 20, 2009 .
PIe. DD ~2GB73 Notary Public
CONTRACTOR Ct):r ~~
Subscribed and sworn to (or affirmed) efore me this
by
Who is/are personally known to me or has/have produced
as identification.
?
Commission No.
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ROBERT MARTIN
Notary Public, State of Florida
MyComm. E(5;ires ADri/20 2009
No. 0420873
Commission No. (? ~~
Name of Notary typed, printed or stamped
Notary Public
Name of Notary typed, printed or stamped
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CITY OF ZEPHY LL.
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STATE OF FLORIDA
DEPARTMENT OF COMMUNITY AFFAIRS
"Dedicated to making Florida a better place to call home"
JeB BUSH
Governor
THADOEUS L. COHEN. AlA
Seaetary
Certification Number:
Manufacturer:
Address:
"
IvfAF-1367
Superior Sheds, Inc. - OC
2323 S. V olusia Avenue
Orange City, FL 32763
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Expiration:
November 09, 2007
Certified for Manufacturing: Storage Sheds
This will confirm that SUDerior Sheds. Inc. - OC is certitied to manufacture
manufactured (modular) buildings, as defined by Rule Chapter 9B-1, FAC, and Chapter
553, Pan I, FS, for location or sale in the State of Florida. The condition of this
certification is limited to authorization specified in the above references. Each building
shall bear a State Insignia located on the electrical panel box cover.
This certification renewal shall be for a period of three years, as indicated above. The
manufacturer will receive a renewal notice by E-mail, generated by the Building Code
Information System (BCIS) 90 days prior to expiration of this notice. The manufacturer
must submit the information required in s. 553.381 F.S, and Rule Chapter 9B-1.007 FAC
online at www.f1oridabuildimz.oru.
If you have questions regarding licensing requirements for site-related permits for
installation of manufactured buildings, YOI,l may contact us, your local building
dePart:x:nent or the Department of Business and Profession Regulations at (850) 487-
1395. .
Sincerely,
uu~ &~
NIichael D. Ashworth
Program Manager
Manufactured Buildings Program
Building Codes & Standards
Phone: 850-922-6075
FAX: 850-414-8436
cc:NDI
2 55'S S HUM A ROO A 1(" B 0 U LEV A RD. TAL L A HAS SEE, F LOR IDA 3 2 3 9 9 -2 1 0 0
Phone: 850.48a.8466ISuncom 278.8466 FAX: 850.921.0781/Suncom 291.078.
Internet address: hftD:llwww.dca.state.fl.us
W.e.A.TAMPA
10/11/06 WED 14:09 FAX 813 248 5946
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_III (3) S41~ of 1l.1nO .P'....o: (1)... 0/ EIle!1I)' f'onns. .
"'I_1ft len 1101 W<dine ..,$ ...., !uIl/nlft.' -. Required anoll.. CaIIclnlcliCll1 PI:an.~. Solniu,ry F~dllll~e & 1 dump"....
All CDlllIl1e/da, '~,,"II modt mc:ol """,,'''na..
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-PROpeRlT IURVE'I' OIIqulred Ib, 811 NEw """""'-ion
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"over woo, . Nodc. .rc__lIIlIIlt III ,_no. INC "PIIIIoII"6 ~v'r $lIGOO1
"' >\g....I//or..... CON"'*" ar PO\O"'a'.Mo~ (ftorll1e....""" v,oUl<111e :;"-""a...'" nollrl:<ao lel\ll,,,,,", Owne, .ulhc'li>.i"" "''''e
Ol/Eft THE COU/II'l'!J\ PER"'lTTlHQ ~'''''l 01 ~Uat1 Or~YJ
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TRANSACTION REPORT
OCT/ll/2006/WED 02:08
P.Ol/Ol
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RECEIVER
92485946
TYPE/NOTE
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ECM 3545
813-78~OO20
City qf Zephyrhills Permit APr?lication
Building Oepllt1/ll9nl
Fax-813-78G-0021
Dale Received
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OWner I'hDlle Numb., ~ 11 - 7 -, , - r / } 0
Own~ Phon. Number I
Owner PIIone Number I
OWne!'. Nlm' C I \ t"
OWner's Address l:r f 1 t
Fee Simp.I 11tllholder NlImc I
"89 Simple TllIlholder Addre.. I
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Joe ADDRESS
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TYpe OF CONSTRUcnON
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WORK PROPoseD
DESCRIPTION OF WORK
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HEIGHT [
BUILDlNG'IZE I fa .~ 16 ·
[21' BUILDING. 1$
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D ELECTRICAl. 1$
D PLUM81NG I'
D MeCHANICAL I'
D OAS 0 ROOFING
FINISHED FLOOR ELEVATIONS I
I VALUATION Of TOTAL CONSTRUCTION
-1 AMP SERVICE
I
I VALUo'TION OF MECHANICAL INS1'ALlATlON
D SPECIALlY 0 OTHER
I FLOOD ZONE AREA DYES
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Lleens. ..
AII8ch (2) Plot PIMS: 121 le\8 of Building Phlns; (1) sel 01 energyFomlI
MInimum len (10) v.o/1(lng d8\18 efter IUbnillal da",. ReqlO"red 0l1811l1, CCll1slruc:tian Plane. SrisIV Fecll,," .. 1 dump"
AIl8c:11 (3)",s oflluilding.Plllllr, (1) eetol El14IF1lY Fmns. "
Minimum len (10) -wne d!lyS efl&r 9ub~1 dele. Required onel\8. ConsllUcIion Phln$, ~eflitary Fedllllee & 1 dumpster
All COmmerdel requAm,"'& mu$l meet COI'I1Inancs.
AIIBCh (2) Rb 01 Engtneer&d Plans.
-PROPERlY SUlWEY requJnld fur e" NeW c.onslrlldlen.
Directions;
Fin Qut app/ic:aUon compl-'ely.
Owne, & ConltaClo( elan bad< of iIpplictllon. nol8l1Zed
II owr $2500, a Notice of Cllmmencsmentls required. lAIC upgrllGe& ov.r $IVOOI