HomeMy WebLinkAbout07-6367
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6367
Permit Number: 6367
Permit Type: ADDITION/ALTERATION
Class of Work: SCREEN ENCLOSURE
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38634 LANSING AVE L
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SLEEPY HOLLOW MHSUB DIV
Parcel Number: 02-26-21-0260-0000-1390
2,474.32
Name:
Address:
JOHNSON, WILLIAM/CAROL
38634 LANSING AVE
ZEPHYRHILLS, FL. 33542
813 782-0959
67.50
67.50
1/16/2007 Phone:
SUNROOM ADJACENT TO MOBILE HOME
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FOOTER DUCTS INSULATED SEWER MISC,
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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 n,ot 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.
~.. ~.
~ CO NT OR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Date Received \ - '
Owner's Name WIJ..UAf'.;1 CAIZt?L JP, iJ:
Owner's Address I "B~"!J4. /..AN~I ""7 AI/I: ZJt'
Fee Simple Titleholder ~amel
Fax-813-780-0021
~~1
. 613-780.0020
City of Zephyrhills Permit Application
Building Department
Fee Simple Titleholder Address 'I
'I ~'~~;J- k9~~OV6- AVE , LOT# 1
1.5I.S!riPY ~l.LDW ~/~ PARCELID#I O~ 1..b 2/ 02..(00 Ooa:>O
, ' (Q8T A1NED FROM PROPERTY TAX NOTICE)
D NEW CC)NSTR rvr- ADDIALT 0 SIGN 0 MOVE 0
D INSTALL t:J REPAIR
PROPOSED USE 0 SFR D COMM 0 OTHER
TYPE OF CONSTRUCTION D BLOCK D FRAME 0 STEEL 0 OTHER I
DESCRIPTION OF WORK I C4:1tvTlC.iJC'" ~#,f!:D~1'L1 AJJ~Aca.Jr"T7> MDt3Il.E' ~~G
~UILDINGSIZE 11//'1)L /F!s I SQFOOTAGI~I /~~f~- I HEIGHT I et, I
JOB ADDRESS
I~~'"
SUBDIVISION
DEMOLISH
WORK PROPOSED
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. I I I I I . . I I I . . I I I I I . I I . I . I . . '. . I ." I I I I ._ I . I . I I. : I . .' I . I . . .1 I I ~ . . . . . I . I I I I I I" I I I . . I I I . . I . . I I . I I . . . . I . . . . I . . . . . . . . I I I . . . . I . . I. I . . I. . . . I . . . . . I I . . I I . . . . I . . . .
SIGN PERMIT
o BUILDING 1$ 24743';- I
o ELECTRICAL 1$ I
o PLUMBING 1$ 'tP I
o MECHANICAL 1$ '0 - I
o GAS D ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ~o
11111111111111111111111111111111111111111111111111111111111111111111'111111111111111111111111111111111111111111111111111111111I11111111111I111I11I
BUILDER ! p~~ ~_ / .. l CO",PANY I lA-~~ CC)7, $""" I
SIGNATURE . "/Y~..e~~" -+ REG~TEREO Y IN. FEECURRENr I Y I N I
Address , LIcense # I I
ELE,. CTRICIAN I COMPANY I
SIGNATURE , REGISTERED V I, N ' FEE CURRENT Y I N
Address I License #1 I
I
I
I
I
I
Address I LIcense # I I
11111111111111111111111111111111111111 ! 1111111111111111111111111111111111111111 i IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIJ 1111111111 lUll
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms '
Minimum ten (10) working days after submittal date. Requiied 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
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction. '
11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Directions: ' ' . ,. . '
Fill out application completely. . .'
Owner & Contractor sign back of application. notarized
If oyer $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
.. , Agent (for the contractor) or Power of Attorney (for the owner) woulli be someone with notartzed letter from owner authortzlntl
OVER THE COUNTER PERMITTING (Front of Application Only) ::
Reroofs Sewers Service Upgrades AlC Driveways Fences (PlotlSurvey/Footag
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C
VALUATION OF MECHANICAL INSTALLATION
COMPANY
REGISTERED
PLUMBER
SIGNATURE
V/N
FEE CURRENT
V/N
LIcense #
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
VI N
FEE CURRENT,
yrN
Address
LIcense #
, OTHER
SIGNATURE
COMPANY
REGISTERED
I VI N
FEE CURRENT
V/N
COMMERCIAL
.
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restriotions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applic~ble dee.d restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contracton:;' 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.l;)e, cited for a misdemeanor violation
understate 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 Dlvislon-LiceR~i~g.S~ctlon at 727-847-
8009., Furthermore, If the owner h~shlred 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/UTII,.ITIES 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 COllnty Ordinance {lumber 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 t;ees 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 Guid~~ prep-ar~d ~y tn~ Flprlda ,Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the .owner", I certify that! have oDtalnt!d~a cbPY' of.the abO'1e'€leacrlbed 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 appllcatlon~IS ,~ccurale' aod 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 ofa permit and that all work will be performed to meet.~tandards 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 Arel;ls 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 fn Flood Zone .Y" unless expr~ssly permitted. '
If the fill material Is to be used In Flood Zone "N, 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
IIcense(jby 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.wlll be used only to fill the area within the stem ~all. ,
If fill material Is to be used In any ~rea, I certify that use of su~h fill Will not adversely. affect adjac?nt
properties. If use of fill Is found to adversely affect adjacent propertl~s, the,ow.ner may be Cited for violatmg
the conditions of the building permit i,ssued 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 ~f the permlttln~ condltrons s~t forth In
this affidavit prior to commencing construction. I understand that a separate permit may be reqUired for electrlca,' work,
lumblng, signs, wells, pools, air conditioning, gas, or other Installations not specifically in~luded, In the application. A
p 't I d hall be construed to be a license to proceed with the work and not as authOrity to Violate, cancel, alter, or
~:~~~Id~s~~ s rovisions of the technical codes, nor shall Issuance of a permit prevent the Building Official from the~eaft~r
requiring a c~irectiori of errors In planS, construction or violations of any codes. Every permit Issued, shall become. In~r~d
I ' th k authorized by such permit is commenced within six months of permit issuance, or If work authorize , Y
un ess ,~':o~s ended or abandoned for a period of six (6) months after the time the work is commenced. An extenSion
the p~rml I ,s t Pd In writing from the Building Official for a period not to exceed ninety (90) days and will demonstrate
~:~fia~l~e:~:e ~o~ the exten'sion. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
, , ' RD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
W:~:~~~EO:~:I~P:g~:~~~~~~ ~~~:~~OPERTY. IF YOU INTEND TO OaTAIN FINANCING, CONSULT
~ITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F. . 3) -
OWNER OR AGENT
Subscrlbed and swo to r affirmed) before
by
Who Is/are personally known to me or has!h ve, produced
"""\'t,.....~ ~ lit... .........: as Identiflcation;
r frMJn; tJ f3, J~ Notary Public
Commission No. "1> G\ :t.1 a ~:)~
NTRACTOR
Subscribed and sworn to (or affirmed) before me this
, by
Who Isfare personally known to me or hasfhave produced
as Identlflcatlon.
Notary Public
Commission No,
. .' " ' ,', ' .~ CennieB'elknap Name of Notary typed. printed or stamped
.',.",:,N,ame of Notary typed. printed or:: '~,' ", ~ CommissiQn #D0218855
'r< ,,' \~" ~,;}Expires: iun.?2. 2007
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