HomeMy WebLinkAbout07-6647
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6647
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:
6647
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
NOT APPLICABLE
Address: 5208 16TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-19600-0160
1,000.00
52.50
52.50
4/19/2007
28 X 15 DECK AT REAR OF HOME
Name: DEVILLERS, HENRY
Address: 5208 16TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813785-0728
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(o-1S-07
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FOOTER BOND
PRE-SLAB
FRAME
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 INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
..~-_..__._.._----_...-._"._. ... ~.
, City of Zephyr bills
BUTI..nING PLAN REVIEW CO:MMEN'TIS".
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Approved wino comments:D Approved withe below comments: rsI Deni.ea withe below comments: ~
~NS""-~Lr\ ;;sf 5)~ ~l ~ ~T~ L~I
&~lN~ .Dr;Trtt,\..~ ~E;L...tb4cl-s Ic> fr 5l~)i... ~~f",jl~ If
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Contractor/Homeowner: '
~' .
~
Date Received:
Site:
Permit Type:
This comment sheet shall be kept with the pemri.t and/or plans.
. ~c#Id .
Contractor and/or Homeo'Wller
(Required when comments are present)
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6647
Permit Number: 6647
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 1,000.00
Date Issued:
Total Fees: 52.50
Amount Paid:
Date Paid:
Work Desc: 28 X 15 DECK AT REAR OF HOME
Address: 5208 16TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-19600-0160
Name: DEVILLERS, HENRY
Address: 5208 16TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813785-0728
6YlS/Ul-k.) }
~'~~C~
FOOTER BOND
PRE-SLAB
FRAME
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 INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-7so.0021
Date Received
f~&f1
Owner's Name
Owner's Address
Fee Simple Titleholder Name I
Owner Phone Number
Owner Phone Number I
OWner Phone Number I
Fee Simple Titleholder Add,.. I
,slOB
It~ St.
JOB ADDRESS
PROPOSED USE
TYPE OF CONSTRUCTION
~
o
neclc:
NEW CONSTR
INSTALL
SFR
BLOCK
I
E3
DEMOLISH
SUBDIVISION
WORK PROPOseD
BUILDING SIZE
I
D OTHER I
2"f$X/S
HElGKT I / t ind.l5
DESCRIPTlON OF WORK
o BUILDING 1$
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
DGAS 0
FINISHED FLOOR B.EVATIONS I
ROOFING
I
I
I
I
CJ
I
AMP SERVICE
CJ
PROGRESS ENERGY
D
w.R.E.C,
VALUATION OF TOTAL CONSTRUCTION
~- ,....
VALUATION OF MECHANICAL INSTALLATION
SPEaALTY 0
FLOOD ZONE AREA
OTHER
DyES
DNO
~~
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L:!L!:!...J FEE CURRENT Y I N
License # I
~FEECURRENT
I
152..5~
BUILDER
SIGNATURE
COMPANY
REGISTERED
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
L...Y!!:LJ
Address
~~
COMPANY
REGISTERED
License #
J,&rru ~Jft.6
L...1.L.!!..J FEE CURRENT I..iZ&.J
License # I
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED L.:!L..!i..J FEE CURRENT L:!.L!:LJ
License #
COMPANY
REGISTERED L.r.!...!:!..J FEE CURRENT L...Y!!:LJ
License #
Address
OTHER
SIGNATURE
Address
RESIDENTIAL
A1Iach (2) Plot Plans; (2) sets of Building PlanS; (1) set of Energy Forms
Minimum ten (10) 'M>I'king days after submillal date, Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
Allach (3) seIs of Building Plans; (1) set of Energy Fomls.
Minimum ten (10) 'M>I'king days after submlllal date, Required onsilB, Construction Plans, Sanitary Facilities & 1 dumpster
An conmercisl requirements must nee! COIJ1lliance.
A1Iach (2) seIs of Engi.-red Plans.
-PROPERTY SURVEY required for aN NEW construction,
COMMERCIAL
SIGN PERMIT
Directions:
FiN out application complelely.
Owner & Contraclor sign back of application, noIarized
If over S25OO, a Notice of Commencement Is required, (AIC upgrades OWl/' $llOOlI1
- Agent (for the contractor) or ~r of AIlDmey (for the owner) IMlUld be someone with notarized I<<mr from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
RelOOts Sewers Service Upgrades AIC Fences (plotJSurveylFoclage)
Driveways-Not CHer Counter Won public roa~ys.,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 Dlvision-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
Prolection 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 thaI 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 "YO 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 conhection 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 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 the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days 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 INYOUR
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, 117,0 )
CONTRACTOR
Subscribed and swom to (or aflinned) before me this
by
Who islare personally known to me or haslhave produced
as IdenUflcation.
Notary Public
Commission No,
Name of Notary typed, printed or stamped
DJ:SCLOStJRE STATEHBN'l' FOR OWNER
CITY 01" ZEPBYRBJ:LLS BUJ:LDJ:NG DEPARTMENT
J:, l/eH~ (, r.t WlheY5 have read and fu1~y understand and
agree to the provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own damici~e" that he or she
actua~~y occupies, or wi~~ occupy by said damici~e, and same is not for
rent, lease or sale. That he or she sha~l comply with the following conditions,:
8.
That the owner and he or she alone shall act as the builder for all phases of
construction.
That the owner will comply with al~ 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 wi~l persona~ly supervise
such work.,
That in the event the Bui~ding J:nspector shall require corrections to be made,
the owner wil~ assume fu~l responsibi~ity to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
That the oWner shall assume fu11 responsibi~ity for the construction and will
not expect supervision of his Work from the City of Zephyrhi~ls Building
Department.
That prior to final inspection any additiona~ fees, including reinspection
fees, must be paid in fu1l. A written request from this office shall
,constitute an officia1 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 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 bui~d or impr~ea
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 yoti 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 ~ease, 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 appli-cable laws, ordinances, building
codes, and zoning regulations.
OWNER'S SX~~~ jii/L--
~~:SS(B~5C>~.I:D .
DATE
z. - /t{-CJ 7
r
1.
2.
3.
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5.
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9.
WITNESS
PERMIT #