HomeMy WebLinkAbout07-6614
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6614
ermit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
6614
SLAB PERM IT
SLAB
SINGLE FAMILY RESIDENTIAL
Address: 6015 9TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
4,140.00
82.50
82.50
4/11/2007
PATIO SLAB 12 X 45
Name: GRAY, ARRON
Address: 6015 9TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813782-0757
(i flIL[(lt/
rJ~ '-(I /0 1
SLAB
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 ~ 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.
~o~~- ~M~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6614
Permit Number: 6614
Permit Type: SLAB PERMIT
Class of Work: SLAB
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 4,140.00
Date Issued:
Total Fees: 82.50
Amount Paid:
Date Paid:
Work Desc: PATIO SLAB 12 X 45
Address: 6015 9 H ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: GRAY, ARRON
Address: 6015 9TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813782-0757
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.
~~
CONTRACTOR SIGNATURE 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
,~~~f~
Fee Simple Titleholder Name
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date Received
Owner's Name
Owner's Address
Fee Simple Titleholder Address I
Il~IP/!J A/'~.~
1~071 I PARCEL'llOl
E3 NEW CONSTR rt:r'" ADD/ALT D
INSTALL t=l REPAIR
PROPOSED USE ~ SFR D COMM D
TYPE OF CONSTRUCTION D BLOCK D FRAME D
DESCRIPTION OF WORK I Pa::zfJ, ~ 1-:2-. / X .L/.5' {"
BUILDING SIZE I SQ FOOTAGE I I HEIGHT
111111'111111111111111111111111111"'11111'1"11111'11'1'1'111111111111111111111111111111111111111111111111111111111111111111'1"'1111111111'11111
1$ .lf1~tJ ~ I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES CJNO
1111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111I11111111111111111111111111111
:~~~~~RE !.d}(~ ~1..' ~~~~~ ~Y/N
Address , License # I
I
JOB ADDRESS
LOT #
SUBDIVISION
WORK PROPOSED
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
OTHER
STEEL
I
D
OTHER I
D
BUILDING
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C,
VALUATION OF MECHANICAL INSTALLATION
ND~
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
YI N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y I 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
License #
11111111111111111111111111111I111111I1111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111
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 on site, Construction Plans, Stormwater Plans wI 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 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.
DI~~~ii~~~':' , , , . , , . , , , , , , , . , . . , , , , , , , , , . . , , . , , , . . . , . , , , , . , , , , , . , , , . , , . , , . , , , . , , . , , , , , , , , . . , . . , . , . , , . , , , , , , , . . , , , , , , , , . , , . , , . . , . , , , , , , . , , , , , , , , , , , .
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 AlC Fences (PloUSurvey/Footage)
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
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" 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 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 offill 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 thereafter
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every ~ermit issued. shall become. invalid
unless the work authorized by such permit is commenced within SIX months of permit Issuance, or If work authorrzed 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 Officia~ for a period not t~ exceed nln~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. 11 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.
~~4--
Notary Public
Notary Public
Commission No.
,'~:;""'f~ .lAr.OIII=I INE BOGES
Name of tfotal~,i' ~d~IOO~833
\~,;~~,,,:# Expires December 12, 2010
I~~,fi:::~~'f.'" BCl!"lded ThnJ Troy Fain Insurance 800-385-7019
Name of Notary typed. printed or stamped
-,
~,~
'agree to the .provisi
DJ:SCLOStmE S~~ FOR owmm,
F Z~S Bm:LDING DEPARTJ&:Jnn'
l1ave read' and fuJ.1y understand and
i:c.strummrt:. .
""" ",""""si""e" states .,m she, 3;S """:Lr=s of o=suucti3>9',
~tin!l, adding to or ~fing hie or her '!"", CIaD:l.~"," that be or ~be
'taBlly occupies, or w:i.11 oc= 'by , 's""''' .,.".,,=J.e, ,.,m s.... ~s not for
;::"t, ,1ease or "aJ.e. , """t be or sbe si>aJ.1 o.....1y with the f011->= ooniliti=S'
1. ",...t the owner .,m he or sheLL=" shaJ.1 set as 'the "nUder for all phases of"
construct:i.cn.
.2. That the owner w:i.:L1 oomp1y with aJ,1 prodsi""" of the City of zephyrld11s
orcl::i.na:D-oeS and codes pertinent to the building. '
:3 . 'l'hat in 'the event various phases ofconstructi~ ,are subccxi.traoted, he will
engage cmJ.y proper:!"y licensed sUbcontractors and rill persona::L1Y, supervise
such wo:r:k..
4. 'l'hat in the event the Building J:nSPecter shaJ.1 requi:r:e cerrectionS to be made,
the owner will assume full' responsibility to. ;insure "they are madel 'a:c.d. upon
completion wi~l call fer a rainsPecticn before prece~d1ng with the Duilding.
5. 'l'hat the oWner shall assume fuJ.J. responsibi~i ty for. the ce:c.structien and will
net expect supervision ef his Work from the' City of Zephyrhi~ls Building .
Department.
6. 'l'hat prior to final inspeotion anyadditicna::L fesSI :incJ.uding reinspection
feesl must be paid in full. A written request :from this office shall
,constitute' an offic:ialnot:ice-to pay additional fees.
7. That the owner shaJ.l comply with all City, state and Federal l.aws' :in regard to
sec~al security I workmanl s campensat:Lonl lien l.awsl etc" I where applicable.
8. That the' owner shall comply with all the safety cedes issued by the Florida
:Industrial commission.
S. State law requires construction to be done, by J.icensed contractors. You have
app1;ed for a pe:rm:i.tunder an e:x:E!I!IPticn to. that law. The exemption allOWS
you, as the owner of your property, to act as your own contracter with certain
restriotions even thoUgh you de not have a license. Yeu: must provide direct
orisite supervision of the construCtion yourself. You may build. or imprt?Ve"a
one-family er two-family residence or a faxm outbuilding. You may also build
er improve a ccmmarcial building I' provided your costs do net exceed $25,000.
The building _er residence mast be fer your own i:Lse or occupancy. It may net
,be built o;r-, sUbstant:i.ally improved '~e:r: sa.l.e er lease. :l:f' you sell or lease a
bui1 d:ing, yeti, havebuil tor .sUbstantially' improved yc.u:r~eif, wi~' 1 year after
the conStruct:ion is cCmpl.et~, the law will presume "thAt you built or
substant:i.al1y improved if for sale or ~easel which is a, violation of this
exemption. You may not hire an unlicensed person to act as yeur contracter or
to supervise p~ople work:ing on your building. :It is your, responsib:i.li ty to'
make sure that people employed by you have licenses required by state law a:c.d.
by COUJ:1ty er munioipall.:i.oensingord::i......n.ces. ycumay not, delegate the
respons:ib:ility for sup~s:ing work to a licensed contractor who is not
l:ic~ed to ~erform the Work be:ing clone. AnY persO%i. work:i.ng on your bu:i.ld.:i.:ng
who :LS not J..:Lce:nsed =st work under yc:ra::r cl:i,.rect superv:is:ion B:I1d =st be
em;ployed~byyoU, which means' that you must dSduct P'.I.C.A. and. rlthhold.:Lng tax
, and prOV:l.de wo:kersl compens,at:icn fer tl::I.a.t employee, aJ.l as prescribed by iaw.
Your constrtl:~t7on must comply with all applicable lawsl or";......n.cesl bUilding
codes, and ::Z:cn:1.:D.g re t'ions.
= 1(~t)7 l
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City of Zephyrhills
BUll.,UING PLAN REVIEW C01v.lMENrS
Date Received:
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L/~/I() 7 .
6 ~/5 9Cr!. C5f
Permit Type: JJ-/ Y5 /11<4-0 Skh
Approved wino comments: ~pprOVed withe below ~ents:. D Denied withe below comments: 0
Contractor/Homeowner:
Site:
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This comment sheet shall be kept with the permit and/or plans.
Date Contractor and/or Homeowner
(Required when comments are present)
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JOB INVOICE
CUSTOMER APPROVAL
SIGNATURE
TOTAL LABOR
TOTAL MATERIALS
SUBTOTAL
"HORIZED SIGNATURE
GRAND TOTAL
v NC2817
JOB INVOICE
State of
/:L
,
NOTICE OF COMMENCEMENT
County of f1q 5 ~(J
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 f;p 2. J <0 / t& C) &-:J ;/ tOO CJ It/cO
(Legal description of the property and street address if available)
2. General Description of Improvement ,/?9 /"1 G S L 14- ij
11111111111111I111111111111111111111111111111111111111111111
200706333!5
3. OwnerInformation: Name fi-RkJn/}/ ^- (?f~l/
. /
Address .6CJ/~M/V7=H ~pty ;C /flll~
Interest in Property: fiI/k-
Name of Fee Simple Titleholder:
(If other than owner)
State
F..G ~ J3Yf-2-
Rept: 1090260 Rae: 10.00
DS: 0.00 IT: 0.00
04/11/07 Dpty Clerk
Address City State
4. Contractor: Name~J(} fh~ kl ~
Address ),,<8 fli. J61f #5 (,}I'lcif~ ~~ - 61ffI1l;;e~ p f-., :5'3 5' L( 'f
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name" .
JED PITT"AN~ PASCO COUNTY CLERK
04/11/07 bn!53am 1 of 1
OR BK 7457 PG 1766
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
My Commission Expires:
PC93053048/A
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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.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
Signature of Owner: ,a-Uh? ~
Sworn to and subscribed before me this II ~ day of
... ,...
Notary Public: {,
MY COMMISSION # DD573400
EXPIRES: July 12, 20JO
FI. Notary Discounl Assoc. Co.