HomeMy WebLinkAbout07-6409
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
6409
ermlt :6409
Permit Type: ALUMINUM
Class of Work: CARPORT
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value: III Y\t:tJ'.1f-
Cost: 3,500.00 Total Fees: ., t;I'
. 1-' u(JJ-
Amount Paid: Date Paid: v
Address: 6907 DAIRY RD
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: UN SATE ALUMN.
Addr: 6148 FT KING RD
ZEPHYRHILLS,FL. 33542
Phone: 813 788-7308 Lic:
Work Desc: INSTALL ALUM PAN COVER
CITY F ZEPHYRHILLS
6907 DAIRY RD
ZEPHYRHILLS, FL. 33542
Phone:
01
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SLAB
RAISED SLAB
DRIVEWAY
FRAME
ELECTRICAL ROUGH
1 ST ROUGH PLUMB
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."
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L.OO~TORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW coIv1MEN1'S
Contractor/Homeowner:
Date Received:
Site:
Permit Type:
Approved wino comments~ Approved withe below comments: ~ Denied withe below comments: D
tJo Y~\T tlzi-:' )?(I.o.i~Ll rs ~fJ... UTi or- ~~'+~lL\
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This comment sheet shall be kept with the permit and/or plans.
Bfz~~(:~ Official
1/-1-1 },
Date
C wner
equired when comments are present)
813-780-0020
City of Zephyrhills Permit ApplicatiOn
Building Department
Date Received
\ 12....\(01
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address
JOB ADDRESS
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\;? JCj
PARCELlD#1
LOT #
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE 0
DEMOLISH
WORK PROPOSED
D
D
D
1$
1$
1$
1$
D GAS 0
FINISHED FLOOR ELEVATIONS I
lXl
BUILDING
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C,
ELECTRICAL
~cc.
~-h@~ .
PLUMBING
VALUATION OF MECHANICAL INSTALLATION
MECHANICAL
ROOFING
SPECIALTY 0
FLOOD ZONE AREA
OTHER
DYES
DNO
OTHER
SIGNATURE
Y/N
I
I
I
I
I
I
I
I
I
I
BUILDER
SIGNATURE
Address I (01 S q,
ELECTRICIAN I
SIGNATURE
Address I
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~~
COMPANY
REGISTERED
"5u.~
I Y I N
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FEE CURRENT
Du.. VV"
I Y/N
License #
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Y/N
Address
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Y/N
Address
COMPANY
REGISTERED
Address
111111111111111
RESIDENTIAL
License #
11111111111111111I111I111111111I11111111I11111111111111111111111111111111111111111111111111111111111111111111I1I11I11111111111111I
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
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
Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
Dl~~~ti~~~': 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 . , I , I I , I I . I . . . , I I . . . , , , . I . . . , , , . . . I . . . . . . . , . . , .
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500. a Notice of Commencement is required. (AlC upgrades over $5000)
.* Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
'. .N~T.ldi!;"'t)IEED RESTRICTIONS: The undersigned understands that this permit may besubjedto jid~ed~f~~fflqfIOns7':
:W f' . ';o.re restrictive than County regulations. The undersigned assumes responsibility for bompli~~~i;;, .).
- ap ..re.strictions. . .' ... . .... ............. ,\ei','
,; . ':'.. u$i '"',9NTRACTORS AND CONTRACTOR RESPONSiBILITIES: I[the oYJr1erhashifed.~tca
'; roB dertake work, they may be required to be licensed in accordance<withstate ahd.loc~I... ',,, . .
K:;,i;,~\e'Jlc.ensed as required bylaw, both the owner and contractor mayb~~itedJofa filis'
:j;:,:;:}:, .If the owner or intended contractor are uncertain as to wh~t Iig~nsing...tE;qUif~m~nt~
;.,),'" ' ': are advised to contact the Pasco County Building Inspection DiVislon,."iUc@n~ii1g' "i< ...' .~..., ..;'
i/'('f;"" ri..J:iirt'..' 1'.'0'.":.'...' '\~' if the owner has h\red a ~ontractor .or contractors, he Isadvlsed,Jo ha~e~h@~~lt~~l~r.~~)~sl~n;'?;
fi.lied'!;'. co':;.U..JL...t'I'.'.a'~.... ~tractor Block" of this application for which they will be responsible. If you; as the bW~~rsi9n as.tfje;. ,. r
"r ,ay be an. indication that he is not properly licensed and is hot entitled to permittin~ priVli~ges .'111 Pasto .
.' " bOWi
":'~fRANs ION IMPAGT/UTILlTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned Understands
tMt Tra "n Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, change of
. ys~ (n~L'.., 1161ngs, o~ expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90,-07, a8/;<,..; eel. The undersigned also understands, that such fees, as may be due, will be identi~ed at tlie time of
pefmittirig,lt.2)1~,(unher understood that ~ransportation Impact Fees and Resource Recovery Fees mUst be paid prior to
re?eivlnga.;i1.q~ftifl(:ate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
finfll power rel~ase, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fe~s are dUe;t~~ymust 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 Gulden prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "oWher'. 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 proce~d with the work a~d not as authorio/ !o. viol~te. 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 nrn~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)
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or haslhave produced
as Identification.
e me this
C Of'ye \ a-
to me or has/have produced
as identification.
Notary Public
~.~ d~.Jl.LL.< -
Notary Public
Name of Notary typed.
..,~~. Karen L. Miller
i..~ .~ Commission # 00609664
8 r,
........ TIO'/ ,.,. .,........, '.C. 100._701&
Commission No.
Commission No.
Name of Notary typed. printed or stamped
iST ANT
ALUM RIDGE CAP 'vi /
~10)( 5/8' Stv\S
@ 12' O.C.
CORROSION RESISTANT
3'X12' ALUM RISER PANELS OR
FASTEN PANELS TO BEAM ~I
#10 X3/4' HEX HD CORROSION RESISTANT
TEKS J 'vi ASHER~SEAL
(3) SCRE~SI PANEL OR
3')(4' COMPOSITE ROOF PANELS
STRUCT ALL SNAP N LOCK . FASTEN
1/4' )(4 1/2' LG
CORROSION RESISTANT LAG SCRE~
~ 11 1/2' DIA rENDER ~ASHER
(3) PER PANEL @ BOTH ENDS
~ 8' D.C. @RAKES
,['vi
,
ALUM RIDGE CAP 'vi I
\" #10x 5/8' SMS
~@ 12- D.C.
CORROSION RESISTANT
~/~
State of
NOTICE OF COMMENCEMENT
F/eJrr...L Countyof? U ('C!/)
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. <::>'"2- '2.10 "2... \ ~ \ a an'~l:::)~ ~a
~ y d 7 /J ~ 1Zd. 2e r/Jp rl J3J--yJ-
(Legal desc . tion of the property and street address if available)
2. General Description of Improvement
Ctl/LjJ()rf
,
111111111111 1111I11I1111111 1111/1111111111 11111111111111 1111
2007017029
3. Owner Information: N ame c...~
Address S33r g-rA cf.)J..ed ,
, & YO? .lJcJLy t€oad
Interest in Property:
~ "",?Q~~.
City Ze~~r/Jir
'State ;:to 3 JSYoL
Name of Fee Simple Titleholder:
(If other than owner)
Address
Repl: 1069384 Ree: 10.00
DS: 0.00 IT: 0.00
01/30/07 Dpty Clerk
City
((W IJ~Atl'J"v/YJ :LAC
/C-/ City ~~rW!r
State
R ~:::::tor::;;; ~: K{~r
StateFI JffflrL
5. Surety: Name
Address
City
State
Amount of Bond: $
JED PITTnAN1 PASCO COUNTY CLERK
01/30/07 0 : 0Jpm 1 of 1
OR BK 736D PG 1253
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
My Commission Expires:
PC93053048/ A
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
SignatureofOwner~ )1'f~ ~#. Ijg.,/o
Sworn to and subscribed beforelme~ this ao>f4..- day of 7a..1?~
Notary Public: ~~ ~
NOTARY PUBLiC.STATE OF FLORIDA
l" Stacie Cross
~~. '" ,-:Ull;l!111SSJOI1 1f J 0984
.' . LxplfCS: OCT. 16 2009
B,)[jc!edihru J\'clamk P'moin', Co., Inc.
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