HomeMy WebLinkAbout07-6419
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6419
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
6419
SLAB PERMIT
SLAB
SINGLE FAMILY RESIDENTIAL
Address: 37401 TEABERRY LP
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: WEDGEWOOD MANOR
Parcel Number: 10-26-21-0120-00000-0060
975.00
2/01/2007
35.00
35.00
2/01/2007
PATIO EXTENDED 4'x13.6
Name: REILEY, KEITH
Address: 37401 TEABERRY LP
ZEPHYRHILLS, FL. 33542
Phone:
r: V\,~ l
./1
(crT'
-4
- (f-() 7
SLAB
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."
NO OCCUPANCY BEFORE C.O.
'y &-.
GNATURE 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
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Fee Simple Titleholder Address
Owner Phone Number
OWne, Phone Numb" :
Owner Phone Number
;y (?- /f 2 b 71 0
~.,,?-oi~J
JOB ADDRESS
~~,,~
SUBDIVISION
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
D BUILDING ::
D ELECTRICAL
D PLUMBING 1$
D MECHANICAL 1$
D GAS D
FINISHED FLOOR ELEVATIONS I
0/"/ ~---
/ .
ROOFING
BUILDER
SIGNATURE
Address
PARCEL ID# I
ADD/All
REPAIR
COMM
FRAME
:
I
I
D
I
LOT #
lo-~Co- a-I- 0\ d-.6, DOD0C5 - OOCoO
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
OTHER
STEEL
I
D
OTHER I
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
D
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
ELECTRICIAN
SIGNATURE
Address
COMPANY
REGISTERED
PLUMBER
SIGNATURE
Address
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Address
COMPANY
REGISTERED
OTHER
SIGNATURE
COMPANY
REGISTERED
License #
1111111111111111111111111111111I11111111111111111111111111111111111111111I11111111111111111111111111111111111I111I1111111111111111
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 w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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.
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
DNO
~c~
Y / N I FEE CURRENT
Y/N
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
Y/N
Y/N
Y/N
DI~~~ii~~~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 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)
Rerool's Sewers Service Upgrades NC Fences (Plot/Survey/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" resfrictions"
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 Division-Licensing 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 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 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 ~nstallations not specifically in~luded. in the application. A
permit issued shall be construed to be a license to proce~d With the work a~d not as authorl~y !o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Eve~ ~ermlt Issued. shall become. invalid
unless the work authorized by such permit is commenced Within SIX months o.f permit Issu~nce, 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 n1n~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 ATT RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S, 117 0
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as Identification.
c / ~~J "'"' ~ --n~Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Keith Reiley, Lot 6
Application to enlarge existing patio from 13 '6" x6' to 13 '6" x 10'.
>-n,LJ.
Deck will be made of concrete,ttJ~mlfactured or tr@a cd lmnbcr.
The deck will have a seat 10' long on the out side edge.
Existing Patio
Proposed addition
..
~
13 ' 6"
DISCLOSURE STATEMENT FOR OWNER
OF ZEPHYRB:ILLS Bm:LD:ING DEPARTKBNT
I,
agree t
this instrument.
have read and fully understand and
The undersi~ates and affirms that he or she is desirous of constructing,
r~;~din 'to or reroofing his or her own domicile" that he or she
ctually erif'i' or will occupy by said domicile, and same is not for
r ease or sale. That he or she shall comply with the following conditions,:
1.
That the owner and he or she alone shall act as the builder for all phases of
construction.
That the owner will comply with alJ.. provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.,
That in the event the Building :Inspector shall require corrections to be made,
the owner will assume full responsibiJ..ity to insure they are made, and upon
completion will call for a reinspection before proceeding with the 'building.
That the oWner s~l assume full responsibi'li ty for the construction and will
not expect supervision of his Work from the City of Zephyrhills Building
Department.
That prior to final inspection any additionaJ.. fees, ~ncluding reinspection
fees, must be paid in full. A written request from this office shall
,constitute an official notice. to pay additional fees.
That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable.
That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
State law requires construction to be done by licensed contractors. You have
applied for a per.mit 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 yourself. You may build or imprC?Ve .a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. It may not
be built or sUbstantially improved for sale or lease. If you sell or lease a
building you have built or.substantially improved yourself within J. year after
the const~ction 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, ~icensed person to act as your contractor or
to supervise people working on your building. It 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
J.icensed to perform the work being done. Any person working on your building
who is not J.icensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and rithhoJ.ding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply wit~ all applicable laws, ordinances, building
codes, and zoning regulati
2.
3.
4.
5.
6.
7..
8..
9..
OWNER'S
ADDRESS
PHONE
7--/ /0 7
/ I ,/
r
DATE
PERKIT #
w:I:TNESS
MAP OF SURVEY
C:,
C")
LOT 5
FCIR 1/2'
#3555
S 9.34'4 7"E 1 02.1 0 (P)&(M)
FPKD
#3555
~~ ~
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f'J h ....~ i ~
8 ~ ~~~
en ~ c..:.
r '-0
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I
47"W 54.05 (P) J
----------------------~
CO'WWAU. DIllIE
(17' ClSphal-t pav....."t>
(22.00' RIGHT-[Jf"-IJAY PER PLAT>
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in.
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5,78'
5.71'
56.5'
CONCRETE
DRIVEIrIA
1 STORY
MASONRY
RESIDENCE
#37401
o
.,:
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LOT 6
o
ui
SPKND
SCIR
42,0'
SCIR
CURVE DATA
C4
CHORD BEARING = N44.37"9"W
RADIUS = 24.0
CHORD = 33.92
ARC = 37.66
CURVE DATA
C7
CHORD BEARING = S4S'2S'13"W
RADIUS = 24.0
CHORD = 33.94
ARC = 37.70
DESCRIPTIONt
LOT 6, 'w'EDGE'w'OOD MANOR PHASE I AND II, ACCORDING TO THE MAP DR PLAT THEREOF, AS DESCRIBED
IN PLAT BOOK 27, PAGE 11 Through 14, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA,
PllrPIJR[D FER' n l ~
t '" ~DPDlTY L.IHE.
R..... .. RIGHT [IF" V"'Y
C .. CENTERLIHE
M: .. AIR CONDITI[WER
CS .. Cl>>oICRETE SLAB
s.... "' SIDEltALJ(
fit .. MEAS~D
C .. CH..CLLATOl
R 'II RECCRDED
D .. OCt>>
P .. PLAT
f" .. FIELD
F"ND .F"~D
Fe,", .. F'lJLI\ID ctIIIC
_NT
MAS .. M.uoNRY
NCF"S" NO CORNER F'ND
OR SET
RES .. RE:SIDENT
II: .. RIIlDUIS
D '" DELl,. ot.NGl.E
II .. ARC LENGTH
C .. Ct<<RD LENGTH
CJ .. CHORD BEAIlING
IlL "ONL.INE
eLf .. CHAIN LINK FENCE
\Jf .. VOOIl fENCE
OHW .. OVERHEAD ....IRES
CP .. CARPCRT
we .. \illNESS
fJf:JK!
A B..arlng of S89.34'47'E was assuM..d
along th.. c..nt..rlln.. of cornwall drlv..,
L..gal d..scrlptlon Furnlsh..d by cll..nt (Warranty n....d OR 4586 PG 330)
_ StdiI fBBd CIaII. ipJ
imit
BOUNDARY SURVEY IJITH LOCATIONS
F"PlCN .. F"ND PI( NIUL
SPlCND- SET PI( NAIL .. DISK
F"PlCND- F"ND PI( NML L DISK
.PIP .. F'ND PINCHED IRON PIPE
FelR .. F"NIl CAPPED IRON ROD
SCIR .. SET CAPPE:D IRON ROD PSM 4$6017
fIR .. F'ND tlaJN ROD
FIP II r-NIl IRDH PIPE
PCP .. PERMAHENT CQNTRlJI..
POINT
VG .. VALLEY GlJTTER:
CC; .. CLRB .. GUTTER
1itrr'D .. IlEF"ERENCCI
CHR .. CAP NOT RE~DAJL(
BLDCi .. BUILDING
CDNC .. CONCRETE
COY .. COVERED
p,o.B. .. POINT Dr BEGINNING
p~ .. PERMNtlENT REF'ERENCE
"""""'NT
PI .. POINT IT INTERSECTION
If .1lET.....EF;N F'fJrrfCES
NTS .. NOT TO SCALE
I,., .. ON SUlUECT PROPERTY
Qu1: .. OFT SUBJECT PRrPERTY
LP .. LlGIT ~
clnv .. CABLE TV BOX
\hi .. "'ATER METER
IJV .. 'WATER VALVE
~ .. 'WIJlD(N UTILITY POLE
TYPE OF SURVEYI
fLOOD ZONE INf'ORNA TION'
SUBJECT PRDPEI?TY SHDIJN HEI?EON LIES IN nl?H ZONE C
ACCORDING TO THE NA TlDNAL FLODD INSURANCE RA TE HAP,
Cf1HHUNITY NO. 12023~ ,PANEL ~
SUFnx~ , I?EVISED 12-17-91
THIS SURVEY 'liAS CDNDUCTUl fIR THE PlJRf>Ou: or
A 1[lJrrfDARy SURVEY tN.. y. .t.ND IS IIJT INlENJJ(D
TIl DELINEATE THE REGUlATDRY .JJRJSmCTION IF
N<N F":EDER...... ST.-fE. ~ DR LOCAL ICIENCY,
BIlAIm. ctM4ISSIDN OR OTHER SIMILAR ENTITY
U .II -/v. ~'2.2 ~d (
I:~ d LEMAY, PSM 16017
~T VALID tnTIOfT rHC SHM41lRC AN/J TIE ,OIIUG,IM4L RArSED
seAL iT A rLJJI1/lJll LlCCNSEJ) ~ MID WtI'PCJ1.' ADl11TJlMS
DR DCLUllIiS 1'0 sur~ IMPS lilt REFUlTS BY tmER THAN 'DC
SIriNIN6 PNlTY lR fWlTIES IS 1'fl(IHlNTD ~JnoJr I,IR/TTCN
CDNSCNT iT 11E: SJ6NJIIG 1WITY lR PtWTJEs.
PETER}, LEMAY
PROFESSIONAL SURVEY AND MAPPER
3443J LENA Y DRIVE:
ZEPHYRHlLLS,. FL 33343
TCLEJiiHJIE: aJl3J 7tJe-2627
DI?A'>IN BY
PARTY CHIEF
CHECKED BY
EV 1
EV 2