HomeMy WebLinkAbout07-6495
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6495
Permit Number: 6495
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees: 102.50
Amount Paid: 102.50
Date Paid: 2/28/2007 Phone:
Work Desc: SCREEN ROM W/ELECTRIC 264 sa FT
Address: 6033 HARRIET ST LOT 44
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: PINE CREST M.H.P.
Parcel Number: 03-26-21-0210-00000-0440
2,400.00
<~{\~\O ~
LINTEL
PRE-METER
SHEATHING
FRAME
ELECTRICAL FINAL
BUILDING FINAL
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.
- ~~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPEcrION - 8 HOUR NOTICE REQUIRED .
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit ApplicatiOn
Building Department
I
I
Fee Simple Titleholder Address I 5ti~ . !
I !P~~ ~St) f7tJb) fL 33~ I LOT' 1 w 1
11117 _ ~ . -- P - PARCELlD.1 (),-5../;2/,- .2f-()~O--eJoot'Y5-O(ffo 1
Ef (OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONSTR D ADD/ALl D SIGN D MOVE D DEMOLISH
INSTALL D REPAIR
PROPOSED USE D SFR D COMM D OTHER
TYPE OF CONSTRUCTION D BLOCK I:t:J FRAME D STEEL rn
DESCRIPTIONOFWORK I ~4'eUJ ~":i ~~ ~~;-
BUILDING SIZE I /1 X:<' '-f ISQ FOOTAGE P HEIGHT 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 r I I I
C$ BUILDING 1$ J...JfttJ ~ ;tl ~LUATIONOFTOTALCONSTRUCTION /
r;o ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY ~ W.R.E.C,
D PLUMBING 1$ I lY'~p - 01>r<"'''~l.4-v ~
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
D GAS 0 ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES
Dale Receiv'ad
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Owner Phone Number
wner Phone Number I
Owner Phone Number I
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
OTHER I ()!.tun
fiONO
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1111111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIIIIIItllllllllllllllllllllllllllllllllll1111111111111111111111
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 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 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.
111111111111111 J 11111111111 J 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application. notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC
BUILDER
SIGNATURE
'~<-..&' e-e:~-~ro1'''')1
COMPANY
REGISTERED
Address
ELECTRICIAN
SIGNATURE
~<~.
cc;;~~,..- ~<).$'"I
COMPANY
REGISTERED
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
Lq~'f{'I- 'le~NT COin y~1
License # I
I r)/~Jf)ffJ :Iu.d; ~ Y}~rS
~ Y I N I FEE CURRENT I Y I N I
License # I
Y I N FEE CURRENT
License #
Y I N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N
Y/N
Y/N
Driveways-Not over Counter if on public roadways..needs ROW
Fences (Plot/Survey/Footage)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions;
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 violatiOh
under state law. If the owner or intended contractor are uncertain as to what licensing requirernents may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Sedion 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: Theundersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, change tif
use in existing buildings, or expansion of existing buildings, as specified In Pasco COlinty 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 Transportatioh Impact Fees and Resolirce 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 Bayheadsj 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 offill is not allowed In Flood Zone .vn unless expressly permitted.
If the fill material is to be used in Flood Zone "An, 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 hot 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 s.eparate perm~t. may ?e requir~d for elect~ica,1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCifically In~luded.1n the apphcatlon. A
permit issued shall be construed to be a license to proce~d with the work a~d not as authorl~y ~o vlolat~,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., Every ~ermlt Issued, shall become. Invah~
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 n1n~ty <.90) dars 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 VqUR
PAYING TWICE FOR IMPROVEMENTS TO YOult 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 ~M' g~""-----
Sybscrlbed and.AWOVl to affi"!ledl.before me this / 5"'1'......
tcbrWV'ife"'Y ~ ~T~ CfJlA..n,./:;
Who Is/are ersonally known to me or haS/have produced
-po L-. as Identification.
." - -----
CONTRACTOR""c:... y-
Subscribed and swo {ojQr affirmed) before me this Is-r-...., r'a.P.
,;2t?o 7 by uuk C! Otu"lt!!,....;
Who Is/are personally known to me or haslhave produced
p. 1--. as Identification.
z~~~ Nom~P~i,
Co mission o. NOTARY PUBLIC ~T^Tf Qf FlQl.lT~)\
"........'... Suzanne Bahr
Name of Notary typed, Prlnt~~mlSSlon # pOCO ll'.~
-_" .,.' Expires: NO\. 15. ~O" )
BO~Dill THRU AIL )me BO"W.1.i U), L._
~~ p~ "oW,b'"
Commission o.
NUlflliY PUBLIC.STATE OF FLORiDA
..Il:~"u"""""
Name of Notary typed, prlnte ~ r~mmission # DD60 1110
-.".""\,,., Expires: NOV. 15 2010
BO.\DED fHRLi AfL STle BOl\DING co., ]",
PASCO PERMIT SERVICE,
6440 FORT KING RD. ZEPHYRHILLS, FL. 33542
(813) 788-5314 or Toll Free 1 (866) 824-7894
INVOICE DATE: ;} - / S- -07
BILLED TO: llAd i c..OI'\(\er5
JOB NAME: ~nt)~r5 ADDRESS: ~033
PHONE: ~13 7g;t-S78le
H-arn eft St" P, ;,~ eres t
FULL SERVICE FEE INCLUDES:
CONSULTATION
APPLICATIONS FilLED OUT & NOTORIZED
SITE PLAN & ELEVATIONS
STANDARD ALUM. ENGINEERING
DUPLICATE COPIES AS REQUIRED
DROP OFF & PICK-UP
PERMIT FOR: '- ~~VeeM- ~""-"-
$ ,;2;)s-.. 00
$
ADDITIONAL CHARGES:
NOTICE OF COMMENCEMENT (includes $12.50 recording fee) $20.00
SEPTIC LETTER - non living area (includes $30.00 application fee) $50.00
SEPTIC APPROVAL -living area (includes $85.00 application fee) $105.00
Pump Out & Certification - CONTRACTORS or OWNERS RESPONSffiILITY
PASCO CO. CHARGE: PLAN & SITE FEE ( 25.00 or .04 per sq. ft., & 30.00) $
* AMOUNT NOW DUE: $ e?l ;25: CJl; ,IL ~
,
OTHER:
dcJOr Ft"tl~ e~.
..5O.~t)
$
$
Permit #:
$
Permit #:
$
Balance of PERMIT(S) COST: $
DEPOSIT: $
Permit #:
$
**BALANCE DUE: $
*AMOUNT NOW DUE: Basic fee, standard engineering, and any application charges,
are due prior to any service provided.
,**BALANCE DUE: APPROXIMATELY $
BALANCE OF,OR TOTAL PERMIT COST,
& any other charges that have not been paid, ARE DUE UPON RECEIPT OF PERMIT.
I AM AWARE OF THE BALANCE DUE UPON RECEIPT OF PERMIT
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DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
Juo/
agree to the provisions of this instrument.
I,
d,~A/~
have read and fully understand and
The undersigned states and affirms 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 domicile, and same is not for
rent, lease 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.
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 will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility 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, including 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 laws 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 licensed 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 yourself. You may build or improve 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 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 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
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regulations.
OWNER'S
ADDRESS
PHONE
SIGNATURE ~L~ ~~~
~033 ~ . v'-. '
~01~;1r
DAT....df..-b /~~7
WITNESS
PERMIT #
Jadi l.on17er5
Name I L. . CL_..L.
603:3 rTtArYie- f- 0T~
AddreS7 tJrh) &,) h 33~
To Whom It May Concern,
Please be advised that:
ffa-rkiJ
Stacie e~o~s, & Debbie Dokendorfof Pasco
Permit Service have my permission until further written
notice to act as my agent to sign and pick up permits.
Sincerely,
~~. c0~~-'
signa re
c.J..d7 / s;0 7
date I
NOTARY
STATE OF FLORIDA, COUNTY OF PASCO
The foregoing instrument was sworn to and
subscribed before me this /5fA day of Febrt<arlf
- J
, 02007
Personally known
KOTARY POODe-STATE OF FLORIDA
..<""""''1. Suzanne Bahr
~ W i Commission # DD601110
...,."",.... ExpiIes: NOY. 15,2010
~_:.1 J j L~li A.~-L.. ,;~1.( B()SDI~G (0.. 1.\:"=.
or Produced identification ...,/
Commissioned Stamp
and Expiration Date
A ~_
Nota~e
Page 1
_...h......------.--.. .,.... ... ..-.-.---.--------~...--..-. .., ."
. City of Zephyr bills
BunnING PLAN REVIEW COMlvIEN'TIS
Date Received:
~ ~aml+
2 - 2 7--- ~ 7
Site: {; 0, '33 Jk m e-I s/' Lf 'I'!
pcrmitType: : :SrJff f\ "hn / tJ / ej('('?-c~
, . I I
Approved wino comments: i Approved withe below comments: 0 Denied withe below comments: 0
Contractor/Homeowner: '
This comment sheet shall be kept with the permit and/or plans,
~O
iC( . ,.-(.... .
Bill gess - ~g Official
t7~!~
( Date
Contractor and/or Homeowner
(Required when: comments are present)
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