HomeMy WebLinkAbout07-6391
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6391
Permit Number: 6391
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid: Phone:
Work Desc: INSTALLATION OF 5 NEW WINDOWS & SIDING
Address: 38776 VUL AN CIRCL
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: VILLAGE GROVE
Parcel Number: 02-26-21-001 D-00000-051 0
2,000.00
60.00
Name:
Address:
JONES, WILFRED
38776 VULCAN CIRCLE
ZEPHYRHILLS, FL. 33542
813782-1365
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FOOTER DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL Mise 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 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.
~~~
CONTRACTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECfION - 8 HOUR NOTICE REQUIRED
PROTECf CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6391
6391
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc: INS
Address: 38776 VULCAN RCLE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: VILLAGE GROVE
Parcel Number: 02-26-21-001 D-00000-0510
2,000.00
~ 0-.3 9-0'01
.J 60.00
l:oo. L1l)
-;:}'3 aCi07 Phone:
LLATION OF 5 NEW WINDOWS & SIDING
Name:
Address:
JONES, WILFRED
38776 VULCAN CIRCLE
ZEPHYRHILLS, FL. 33542
813782-1365
I
FOOTER DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL Mise MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION 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.
"r/L{~R ~~ ~.
NTRACTOR-S NATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
;;.:_m. ..
City of Zephyrhills
BUll..nING PLAN REVIEW COMMENTI3
ContractorlHomeowner:
lu~pA ~CI"rULD (~~J~
\ -&o-bl
Date Received:
Site:
3%77~ '-J u.Je.n..n' ~~"
Permit Type: W~cn..L) ~tcu"P~ ('5)
Approved wino commJ Approved wl1he below comments: ~eoied wl1he below comments: 0
'_\I'\'i\~P11L'~ or uJft--16Pv1-' cSl~ ~'fl1 ()JJ11i tIfu-
Pffu ~ U>'f a.:_J~-O&. o:on:..":>.
This comment sheet shall be kept with the permit ~d/or plans.
Date
-N.<~.J ~ ~
Con or and/or Ho" wner '
(Required when comments are present)
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
2.-
~/3-7~ 2. -/ ~ t';-
0//42j'd ~61Rhfr'Ptrone Number r
I Owner Phone Number I
Date Received
/' Owner"s Name
./
Va/eLM Ci~cb
Fee Simple Titleholder Address
LOT #
/' JOB ADDRESS
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2 - 2-1,,-2../- Q;) I SJ - cxxm-
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLISH
SUBDIVISION
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ADD/All
REPAIR
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FRAME
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WORK PROPOSED
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PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
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sa FOOTAGE I
/' DESCRIPTION OF WORK
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BUILDING SIZE
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SPECIALTY D
FLOOD ZONE AREA
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D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS D
FINISHED FLOOR ELEVATIONS I
5/0
OTHER
STEEL
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S'd/1
HEIGHT
BUILDING
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VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
AMP SERVICE
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W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
Address License #
111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111 J 1111111I11111111I1111111111111111111111
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 onsite, Construction Plans, Stormwater Plans wI Silt 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.
ROOFING
BUILDER
/ SIGNATURE
~ ....
C~MPANY " I
REGISTERED
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
OTHER
DYES
DNO
t!)WNc:...-V
I Y / N I FEE CURRENT
I
I
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I
Y/N
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y I N FEE CURRENT
Y/N
Y/N
Y/N
Y/N
jjl~~~ti~~~':' . , , , . . , , , . . , , , . . , . . , . . , . , . . , , , , , , , , . . . , , , . . , , . . . , . . . , , , , . . , . , . . . . . , . . , , , . . . . . , . , . . , . . . . . . . . . . . . . . . . . , . . , . . , . . , . . , . . , . , , . , . , , , , , . , . . . . .
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (Ale upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
Ntj)TICE OF bEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
W~ichrnaYt>~rnore restrictive than County regulations. The undersigned assumes responsibility for cotnpliariceWith ahY
apiplic~l?lei~~~restrictions. .
lJf1I,L.l6E~~Iii~iiC()NTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contr.acfof 01'
c?htractotstl>lmdertake work, they may be required to be licensed in accordance with state ardlo~ltegulations. "'lIthe
cobtrsctor,i$h9t licensed as required by law, both the owner and contractor may be cited for ~ ,misd~~ea.horVlol~tioh
un.d~rstat~.la~i If the owner or intended contractor are uncertain as to what licensing requitementstnaYl:ippIY.fot tHe
int~ndedwofk,l~ey are advised to contact the Pasco County Building Inspection Division-Licensing secti,oh at .t~7--847-
80;Og. ,Futtl1etrnore, if the owner has hired a contractor or contractors, he is advised to have the cOhti"actof(s) sigh
po)ii?~s ?f the.llcontractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractorl thatniay be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County,
t~NSP()R~~tION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
th~t Transp~~~tiol'1lmpact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
us.~ inexisti~~i~Uildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90.~7, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
pe;tmitting.lt 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
fe~s are due"th~Y 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, 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 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 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 the~eaft~r
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 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 mn~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 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.S. 117.03)
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as identification.
OWNER OR AGENT
Subscrlbed and sworn 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
CITY OF,ZEPHYRHILLS BUILDING DEPARTHENT
OWNER i.N ~ I F foe d K. , :r 0 /'J/ e ~
JOB LOCATION 3877"- ' V tI. /c()'/Y C ,;c.(c 10 j}a~ -f-, G J..O vC-
62--- 2--,,- U - O(J (j).- 60000 - OSlO
PARCEL I.D." #
SHOW ALL EXISTING & PROPOSED STRUcruRES GIVING DIMENSIONS & SETBACKS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
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i.r" . - i I.( - - - )
FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS FOR R3 ZONING
60'
10'
P E
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1 0'
10'
10' EXISTING 10'
,
PROPOSED
20'SGL FAM 30'DUPLEX
1 0'
20'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
DJ:SCLOStr.R.E STATEMENT FOR OWNER
CITY OF ZEPRYRBJ:LLS BtJJ:LD:ING DEPARTMENT
I, 'w / I F/-c:-J R
agree to the provis:i.ons of
q-" Ne ~
this instrument.
have read and ful~y understand and
The undersig:l:l.ed states and affinns that he or she .is desirous of constructing,
renovating, adding to or reroofing his or her own domicile;, that he or she
actually occupies, or will occupy by said domici~e, and same is not for
rent, ~ease or sa~e. That he or she shal.l comply with the following conditions,:
~ . That the owner and he or she a1.one sha.J.l act as the builder for a~l phases of"
construction.
:2. That the owner will. comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to "the building.
3 . That in the event various phases of construction are subcontracted, he wil.l
engage onl.y properly l.icensed subcontractors and will personally supervise
such work.,
4. That in the event the Buil.ding J:nspector shal.l require corrections to be made,
the owner will assume full responsibility to insure they are made, 'and upon
completion wili call for a reinspection before proceeding with the building.
S. That the oWner shall assume full responsibi~ity 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, fncl.uding reinspection
fees, must be paid in full.. 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 l.aws' 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
Industrial Commission.
9. State law requires construction to be done by l.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 yoursel.f. You may build or improve ,a
one-famil.y or two-family residence or a fa.r.m outbuilding. You may also 'build
or improve a commercial bU:Ll.ding, provided your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. J:t may not
be built or, s~stantially improved 'for sale or lease. If you s&ll ;or' lease a
building you,have builtorsubstantia1.ly .improved 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 unlicensed person to act as your contractor or
to supervise people world.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
l.icensed to perfoJ:1ll the work being done. Any person working on your building
who is not 1.icensed must work under your direct supervision and must be
emp1.oyed by you, which means that you must deduct P. J:. C.A. and wi thho1.di.ng tax
and provide workers' compensation for that employee, a1.1. as prescribed by law.
Your construction must comply with all. appli'cable laws, ordinances, building
=:::~::r;)~@.. ~ DATE /<2-2-07'
ADDRESS :3877(, Va I .IV ; . ~C ' ~ G-l-t1v..e.
PRONE ?I..:~ - "'"1 - I '3 t. j , '
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