HomeMy WebLinkAbout06-6304
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6304
Permit Number: 6304
Permit Type: ADDITION/ALTERATION
Class of Work: SCREEN ENCLOSURE
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 500.00
Date Issued: 12/22/2006
Total Fees: 52.50
Amount Paid: 52.50
Date Paid: 12/22/2006
Work Desc: SCREEN IN PORCH
Address: 38319 EUCALYPTUS DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: DRIFTWOOD
Parcel Number: 02-26-21-0240-00000-0160
Name: BERNOSKY,ROSE
Address: 38319 EUCALYPTUS DR
ZEPHYRHILLS, FL. 33542
Phone: 813 715-6215
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INSULATION CEILING
FINAL MECHANICAL
BUILDING FINAL
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. n
NO OCCUPANCY BEFORE C.O.
~~
PERMIT OFF I
ECTlON - 8 HOUR NOnCE REQUIRED
ECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Date Received:
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J2-(2--{j G
,383 (9 , 6/AC4-fypc/ar -.J-
Permit Type: S ~reel1 J rl ~
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Approved w(no comments: ~ Approved w(the below comments: 0 Denied w(the below comments: 0
Contractor/Homeowner:
Site:
This comment sheet shall be kept with the permit and/or plans.
Date Contractor and/or Homeowner
(Required when comments are present)
,613-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
~?>D~
Date Received
Owner's Name ((OS~ 3~O-uo~'t.-
Owner'sAddress 13~'.:Siq 'i.~(:.A \'-1f\0S t::>VL 2.\-\ '~l-
Fee Simple Titleholder Namel '
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address
JOB ADDRESS
5~~\ ~ ct:...X.Al411>\us. D Q.
.
LOT #
SUBDIVISION
Dl2.t (:'\Lo.)(5>O D
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B
D
D
ADD/AL T
REPAIR
COMM
FRAME
PARCEL ID#I <Y2 -L.b -2\-0'1-4-0-66000 - 01100
E3
D
D
DESCRIPTION OF WORK I '5c.~'l:.~i-J l-~ PC>~\L\A.
BUILDING SIZE SQ FOOTAGE I \200 HEIGHT I I
S"'" ~~,~~~"""" 'i~"'~ ~~ ~:;;"..,.." i"'" ~~:~~~:~~ '~~ ~~~~ :~:-;;'~;;;,;::"""""""""""""""""""" ,
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ~NO
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
BUILDER I
SIGNATURE
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
PROPOSED USE
TYPE OF CONSTRUCTION
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
D
D
D
OTHER 1St \~_'<-e(0 l ~
STEEL D OTHER I
~Dli2TC~
D PROGRESS ENERGY D
\\ ~ 6.. .A.MT -e \A- \ \A. ' \.S,
~ 200, \-\e\fe~ - \,..)':~dlt t?-
VALUATION OF MECHANICAL INSTALLATiON -rcSlA\ \\> ~~O" 00
AMP SERVICE
COMPANY
REGISTERED
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Address
OTHER
SIGNATURE
a 0-<1-c- ~
52. -5~
COMPANY
REGISTERED
W.R.E.C,
Y I N
FEE CURRENT
Y/N
License #
YI N
Y/N
FEE CURRENT
License #
Y/N
Y/N
FEE CURRENT
License #
Y/N
Y/N
FEE CURRENT
License #
\-\cMe. OLU~e\Jl-
I Y / N I FEE CURRENT
Y/N
Address S DO-- License #
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onslte. Construction Plans, Stormwater Plans w/ Slit Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects, All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction,
DI~~ti~~~': . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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)
ReroofEI Sewers Service Upgrades A1C Fences (PloUSurVey/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" reslridions'
which may be more reslridlve than County regulations. The undersigned assumes responSlbllily for compliance wllh any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a c~ntractor or
contiactors 10 undertake work, they may be required 10 be licensed in accordance wtIh ~Iale and local regulabons: tithe
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
inlenlled work, they are advised 10 contact the Pasco County Building Inspedion Division-Licensing Section al 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he IS advised to have the contract.or(s) sign
portions of the "conlractor Btock" of this application for Which they wtll be responsible. If you, as. the owner sl~n as the
contractor, that may be an indioation that he is not properly licensed and IS not entitled to permitting pnvlleges In Pasco
~~. . .
TRANSPORTATION IMPACT/UTILlTIESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
Ihat 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 t~e tlf~eo of
pem1lt1in9. It Is further understood that Transportation tmpad Fees and Resource Recovery Fees must be peld prior to
rece~ving 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
Prot~ction 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.
CO~TRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will ~e 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:
1" Dep1'irtment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
1" 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 con~itions 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 ~ am ~he ~G~NT FOR THE <?WNER, I promise in good faith to inform the owner of the permitting conditions set forth in
thiS a~ldavlt. prior to commencing construction. I understand that a separate permit may be required for electrical work,
plum~l~g, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit. Issued shal~ ~e 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
unlElss th.e .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
ma~ 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.
WA~NING 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 ORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F,S.117.03) .'
O~ER OR AGENT ,01 ~ C /?J (;) ....... rb~ CONTRACTOR
Sub ,crib and sw9-t,n to (or affl~d) before me thl . Subscribed and sworn to (or affirmed) before me this
'''2.. I z.. 0 &> by ]Sese. E. Ot.?-('Y'\65 k"-'f by
Wholls/~rE! personally known to me or haslhave produced Who Is/are personally known to me or haslhave produced
Db Pf\\(oc!'Nd Sue Ci as identification. as Identification,
Notary Public
Notary Public
Commission No.
Name of Notary typed. printed or stamped
R. CITY OF ZEPIIYRHILLS BUILDING DEPARTHENT
OWNER 1 C>"'~ ~, Sl'O: e....). D $ K'f .
JOB LOCATION ~ <i ~ \ q <Lu q,.. L'f (T'i 0<:; P ~ Z 1-\11 Is r- 1-
02. 2' - 21- 0240- C>ODOO-OlCoO
PARCEL I.D." # .... -
SHON ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDA.TION INFOR-
MATION.
1
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flo 0- TC 1-\ To
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Sc. tteeNt',! ~.
--1"_ _ _
FRONT PROPER'fY LINEr 1Cl'
(NOTE EXAMPLES 1 & 2)
STREET
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1. SETBACKS FOR Rl, R2 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
2. SETBACKS FOR R3 ZONING
60'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 ' DUPLEX
1 0'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
Driftwood Homeowners Association
38333 Cottonwood PI
Zephyrhills, FL 33542
June 26,2006
Mr. & Mrs. Gerry Bernosky
38319 Eucalyptus Ct.
Zephyrhills, FL 33542
RE: Screen Room
Dear Gerry and Rose,
I am acknowledging your request to the Board asking to screen in your front
porch. It was looked at by the Modification Committee and their findings were
given to the Board. We addressed this at the Board Meeting, a motion was
made and passed and we are happy to tell you that we voted to allow you to do
this modification to your property.
Sincerely,
9(~(j.jJf~
Kathleen Sullivan, President
DISCLOSURE STATEMENT FOR OWNER
CI.'l'Y OF ZEPRY:R.BILLS BUJ:LDDlG DEPARTMENT
I, (LoSe t-, '3edt00'Sil-V have read and :EuJ.~y understand and
agree to the prov~s~ons o:E t~s ~nstrument.
The unders~g.ned states and a:E:E~r.ms that he or she ~s des~rous o:E construct~ng,
renov.at~ng, add:i.ng to or reroo:E~ng his or her own dom.ic~~e~, that he or she
actua~~y occup~es, or ~~~ occupy bysa~d domic~~e, and same ~s not for
rent, ~ease or sa~e. That he or she sha~~ comp~y w~th the :Eo~~ow~ng cond:i.t~ons,:
~. That the owner and he or she a~one shaJ.~ act as the bui~der:Eor a~~ phases o:E..
construct~on.
2. That the owner w~~~ comp~y w~th a.J.~ prov~s~ons o:E the C~ ty o:E Zephyrh:i.~~s
ordinances and codes pertinent to -the bui~d:i.ng.
3. That ~n the event var~ous phases o:E construct~~n are subcontracted, he w~~l
engage o~y properly ~~censed subcontractors and wi~~ persona~~y supervise
such work.,
4. That in the event the Build:i.ng Inspector sha~~ require correct~ons to be made,
the owner w~~~ assume :EuJ.~ responsib~~~ty to insure they are made, and upon
complet~on wi~i ca~~ :Eor a re~nspect~on be:Eore proceed:i.ng ~th the bu~~ding.
5 . That the oWner shall assume :Eull responsib~~~ ty :Eor the construct~on and ~~~
not expect superv~s~on o:E h:i.s Work :Erom the City o:E Zephyrhil~s Bui~ding
Department.
6. That prior to :E~nal ~nspect~on any add:i.t~ona~ :Eees, inc~uding reinspect~on
:Eees, must be pa~d in :EuJ.~. A written request :Erom this o:E:Eice sha~~
const~tute' an o:E:E~c~a~ notice. to pay addit~o~ :Eees.
7. That the owner shal~ comply ~th a~~ C~ty, State and Federa~ laws' ~n regard to
soc~a~ secur~ty, workman' s compensat~on, ~~en ~aws, etc., where app~icable.
8. That the owner shall comp~y wi th a~l the sa:Eety codes ~ssued by the Florida
J:ndustria~ Commiss~on. .
9. State law requires construct~on to be done by ~~censed contractors. You have
appl~ed :Eor' a pe%:1l1it under an exemption to that ~aw. The exemption a~lows
you, as the owner o:E your property, to act as your own contractor ~th certa~n
restrictions even though you do not have a l~cense. You must provide d:i.rect
onsite supervision o:E the construction yourse~:E. You may bui~d or impr~e ,a
one-:Eamd~y or two-famdly res~dence or a farm outbuild:i.ng. You may a~so bu~ld
or improve a commerc~al bui~d:i.ng, provided your costs do not exceed $25,000.
The bu~~d:i.ng or residence must be for your own use or occupancy. It may not
be built or. s~stant~a~ly improved' 'for sale. or ~ease,; If you seJ.~':or' lease a
build:i.ng yoti. have bu~l torsubstantia~ly improved yourself within 1 year a:Eter
the construct~on is comp~ete, the ~aw wi~~ presUme 'that you bui~t or
substant~a~ly improved ~:E for sa~e or ~ease, which ~s a. violation o:E this
exempt~on. You may not hire an un1.~censed person to act as your contractor or
to superv~se people working on your bu~lding. It ~s your respo:c.s:Lbi~i ty to
make sure that people emp~oyed by you have l~censes required by state law and
by county or municipal ~icens~ng ord:i.nances. You may not delegate the
responsibi~~ty for supervis~ng work to a licensed contractor who is not
l~censed to perform the work being done. Any person working on your build:i.ng
who :i.s not l:i.censed must work under your d:i.rect superv:i.s:i.on and must be
employed by you, wh:i.ch means that you must deduct F.J:.C.A. and withhold:i.ng tax
and prov~de workers' compensat~on for that employee, a~l as prescr:Lbed by iaw.
Your construct~on must comply w~ th a~~ appl~'cable laws I ordinances I building
codes, and ion~ng re~at~ons. '
,..---' .
OWNER'S SIGNA'l'URE I,]' ~ (' ~~ , DATE/:J.-.~, tJl:, r
ADDRESS 7::>1 -3. \<1. 7-0C4. 1....."10<; DI).. 'Z-L.c~'"i F->. \.4' lIS ~ \. '33"5~L
E'HONE ( ~\~ ') (IS 1.021",,1' .'.
WJ:TNESS
E'ElUaT.. #:
Owner: RQ,Se"E Bemosky Job Location: 38319 Eucalyptus Dr., ZHills FI
Parcel ill 02.,- Z<c.. -~\ -C2.4-0-000ClCl-O ICtoc
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A"l DING SHALL COMPLY I
~\.L i.:.yPUCABLE CITY OF I
, aYRHlLLS ORDINANCE. .
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BUILDING SHALL COMPLY WITH
ALL APpLiCABLE BUILDING,
ELECTRICAL, PLUMBING AND
MECHANICAL CODES.
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