HomeMy WebLinkAbout07-6484
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6484
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:
6484
COMMERCIAL
ADD/AL T COMMERCIAL
COMMERCIAL
Address: 38550 5TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-16900-0060
2/22/2007
35.00
35.00
2/22/2007 Phone:
INSTALL 12' ALUM FLAG POLE TO BUILDING
Name: CHAMBER OF COMMERCE
Address: 38550 5TH AVE
ZEPHYRHILLS, FL. 33542
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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.
-- ~.
OR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUll..DING PLAN REVIEW COMMEN'PS
Contractor/Homeowner:
2e p~,~' ( ! ':,. ch(}.AC( k of ~C"--.
2-2-D-b7
'30550 S~
Date Received:
Permit Type:
~s'k&J
/2'
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FI'(j Pble. ~. {k'Y'2r
Site:
Approved wino comments: if Approved withe below comments: 0 Denied withe below comments: 0
This comment sheet shall be kept with the permit and/or plans.
Bill
Contractor and/or Homeowner
(Required when comments are present)
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-78u-uu:.n
.
Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
OWner's Name
Owner's Address
Fee Simple Titleholder Namel
JOB ADDRESS
Fee Simple Titleholder Address I
I Jg 55"0
I
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL F1~r
SFR . lb (....
BLOCK
c:. ~r~~' k 1((
PARCELID#I \\-Z<o~ 21-bO\O-ito900 - DOCoO
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
LOT# I
D
P,J;A A Vi- ,
I
u. ADD/ALT 0
~ REPAIR
c==J COMM c=J OTHER I
c==J FRAME c=J STEEL D
DESCRIPTION OF WORK I -r \'\5 6JU J I A JJ'Y1 . f..-/4) 'po ) e k> b '^ \ (J ~ 1\ t
BUILDING SIZE I I SQ FOOTAGE I I HEIGHT I
IIIIIII , I I1I1III1IIII111111 " II t II1I t 1111111111 , 11 r IIIII , IIIII , , IIII , , T T , III1I1I1IIIII , IIIII . I , III t . 1111111111111111 r 11111111111111111111111111111
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SUBDIVISION
WORK PROPOSED
lil
c=J
c=J
DEMOLISH
OTHER I
1$ '--=:bcJY"\aJ-.ec9
1$
1$
1$
c=J GAS c=J
FINISHED FLOOR ELEVATIONS 1
BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
c=J
c=J
c=J
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
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d I (S1 U1'"
PLUMBING
ROOFING
SPECIALTY c=J
FLOOD ZONE AREA
OTHER
DYES
DNO
BUILDER
SIGNATURE
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COMPANY
REGISTERED
lEx e.c.uf\\J e..bf~(toR
--.orl' YI N I FEECURRENT-' I Y/N
License # I
License #
1I1I111I111I111I111111I111111I111111I111111111II11111111I1I1II1111111I1I111111I1111I11I1II1I1III111111111111II1IIIII1111I11111I111
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,
SanitalY Facilities & 1 dumpster; Site Work Permit for subdivlsionsllarge 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 wI Slit Fence Installed,
SanitalY 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.
DI~~~ii~~~~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . , . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , , . , , . . . . . . . . . . . .
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)
Address
111111111111111
RESIDENTIAL
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Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
COMMERCIAL
SIGN PERMIT
Driveways-Not over Counter If on public roadways..needs ROW
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'~F-;~~EDRESTRICTIONS: The undersigned understands that this permit may b~ sUlJjedto'id~~d;.r8sificti6ns"
" .ore restrictive than County regulations. The undersigned assumes respdh~ibiUty fOLcoiTIpli~nc~'Yi.t~ .ahY
.estrlctions. . ..' '. ....... .............. .......,
:~~TRACTORS AND CONTRACTOR RESPONSI-BILlTIES:. IfJhe?~n~l'has~ir~9.tt?ohtf~pbjf6f
D9.ertake work, they may be required to be licensed in accordancewitnstate.~iid@;,~lt~~~i.~tI9,l1Sii:lftKe
'j!qensed as required bylaw, both the owner and contractor may,beicit~dfqt~misd~.rJ1~.~hbr\li9Iati(j~
?'vifthe owner or intended contractor are uncertain as to whf:lt.1i9~nsih~t~~uit~i11~f1I~.m~~>~~p.!,Yf~~ the
,;',. ,', ..~~are advised to contaqt the Pasco County Building 'nspectiqnDi"isiOl"t"LlCerSipgi:?~9ti..(jf)~t!?7::'B4 t~ '.' i
I.FHrl\:1 .'r~, if the oWner has hired a contractor or contractors, he is'advisedJohayeJ~eCO~ltador{s)sitJti
'ot.t.i9ns~'.J.....IP~lltractor Block" of this application for which they will be responSible. lfyou,astheb~h~tsitj~ f:ls,lhe
~~~ktll~W.~Y be an IndlcaUon tha\ he Is not properly licensed and is hot enUUed 10 pe'lTlKtingpriVili!ges ih PascO
'f'J~~-'~-'lfi{,)N IMPACT/UTILlTIESIMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
,.h~~Tt~~" 'i(),~Jmpact F'~es and Reci)urseRecovery Fees may apply to the construction of neWbUiitlingsi changeo!
y~~m~~is..j.lil~ings, or,~xpa",sion ofexistirlg buildings, as specified in Pasco County Ordinance nUmber89-07 and
'~9c-()7iaslil.m.~~~~tl~ The undersigned also understands, that such fees, as may be due, will be identified at the time of
p~thiitting,ltl~:(IJHher understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
re?eiVing aN::e~ifjcate of occupancy" or final power release. If the project does not involve a certificate. of occupancy or
fin~1 power rel~~se,. the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fe~s are due,m~Xlllust be paid prior to p$rmit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTI()N LIEN LAW (Chapter 7.13, 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 proce~d with the work a~d not as authori~y ~o viol~t~, 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
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 Offlcia! for a period not t~ exceed mn~ty \90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for mnety (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 A ORNEY BEFORE RECORDING YOUR NOTICE OF C MMENCEMENT.
FLORIDA JURAT (E 117.Q3)
~ .;:\ ~ -Il.--'-'-- Notary Public
Commission No. ~,~~, Karen L UillAr
{~ \~ commissiOn # 006Q9664
:*- :*-
Name of Notary ty
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Notary Public
Name of Notary typed. print
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Commission No.
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REVIEW DATE'~i 10'1
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