HomeMy WebLinkAbout06-6155
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6155
Permit Num er: 6155
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square F~et:
Est. Value:
Improv. Cost:
Date Issued:
Total Fe~s:
Amount Paid:
Date Paid:
Work De c:
2,000.00
10/09/2006
95.00
95.00
10/09/2006
ENCLOSE CARPORT
Address: 3801314 AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-01100-0130
Name: BUSSELL, MIKE
Address: 38013 14TH AVE
ZEPHYRHILLS, FL. 33542
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BUILDING FINAL
INSULATION WALL
INSULATION CEILING
A
ELECTRICAL FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are nece_ry due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty cOhstruction 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 inl 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 o. ner: 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 recordi g your notice of commencement."
NO OCCUPANCY BEFORE C.O.
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.'~ONT CTOR SIGNATURE PERMIT OFFI
. CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-ob20
City ot Lepnyrnllls ~errTlIl J-\l-'l-'lIlJdUUII
Building Department
Date Received
~ 5- '1- .. (93i
Owner Phone Number 135 ~.. f ",- L1' ($
OWner Phone Number I
Owner's Name
Owner's Address :
Fee Simple Titleholder Name
Fee Simple Titleho'd~Address
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DEMOLISH
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTR~CTION
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VALUATION OF TOTAL CONSTRUCTION
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VALUATION OF MECHANICAL INSTALLATION
Address
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BUILDER
SIGNATURE
Y/N
LIcense #
Address
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Y I N' I FEE CURRENT I Y I N
License # I
ELECTRICIAN
SIGNATURE
PLUMBER
SIGNATURE
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
COMMERCIAL
SIGN PERMIT
Driveways-Not tver Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit liIlay be subject to "deed" restrictions"
w!J!b!''!iI~Y~Q'CJlle. n~91~ctive than County regulations. The. u.ndersig~~d assumes tr!3s~onslbtllty for ,compliance with any
applicable deM restrlbtlens. H~.Js"' .,' ttI' : .~: \,~ -. ' .'
UN~EN1)epOO~'J~~TORS AND CONTRAC(TR~.~E;5PONSIJ3.1l.111E~: . the owner has'fiirelli s contractor or
contracTots to" ulfdertake work, they may be require4:td hS, Liq~I'}l\~~..in:pc~dlanc ~it" s\at~M.Io~.(egulations. If the
contractor is not licensed as required by law, both the owner and contractor may be c1ted'foi'-a'frnsdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what)ipensl,ng requirements may apply for the
intended work, they are advised 10 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 adv!sed to have the contractor(s) sign
portions of the .contractorBloq~" of thl~ ap'plication for which they will be resRonslble, If you, as the owner sign as the
contractor, that may'bei1t\~.J.o~ti!ln~at..~e i~ .~ot pf8ierly Iicens~d ~nd~not e.ntltl~.to, PQt,mitting privileges in Pasco
County. ' l,.",' "\ . . " , ....' "
TRA~SpeRTATION IMPACT/YTILlTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees ar'\d~eco\Jrse Recovery Fees may apply'to theconstruqtion of Jlfiw 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 sucf:t.Mlt!:;, 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 ~rtificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco f;ofJ'lty Water/Sewer Impact
fees are due, the~\~.~t. be pajp pflpr to"per\Dlt,issuance in ac, cordance W"ith applicable Pasco elflU1ty ordinances.
CONSTRUCTION~!,,"!5AV.~t.r..M3t: F.~"~J.lt"\~~am..nde~): Jf yaluEdion 'OJ ~k is $2,500.00 or more, I
certify that I, the applicElnt, hBve beEln provided with a copy or tM "~rrcfcl. conlltfctioa~en Law-Homeowner's
Protection Guide" prepared by the Florida Departm.ent of ~Qriculture 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 '!indo premise 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 w~~
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 th!3 fillmateri~1 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 "N 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 authorio/ !o violat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the Building OffiCial from the~e,aft~r
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 Officia~ for a period not t~ exceed nln~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 INYOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR ANATT NEY BEFORE RECORDING YOUR N TI OF COMMENCEMENT.
FLORIDA JURAT (F.S. 1 3
OWNER OR AGENT
Subscribed and swom to
by
Who Is/are personally kn
to me or haslhave produced
as identification.
CONTRACTOR
Subscribed and swom to (or afflnned) before me this
by
Who is/are personally known to me or has/have produced
as Identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
Permit Application Review Comments
~y: Bill Burgess
Date:
Address:
J1ype:
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D:ISCLOSURE STATEMENT POR OWNER.
CITY OF -ZEPRYRB:ILLS B1J'J:LDmG DEPARTHENT
:I, .M., l_l4Ja. I M ~ 6 u. ., fJ t 1 ,.. 'have read' and fuJ.~y. understand and
agr~ the -provisions of tids J.nstrument.
The und_rsigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domici~e~, that he or she
actua~~;t occupies, .. u'"'' ...lII!!5 1I] .. said domici~e, and same is not for
rent, ~.ase or sa~e. That he or she sha~~ comp~ywith the Io~~owing conditions,:
L
Tha1j: the owner and he or she a~one shaJ.~ act as the bui~der 'for a~~ phases of..
con,*truction.
Tha~ the owner wi~~ comp~y ~th a~~ provisions of the City of Zephyrhi~~s
ord:ifnances and codes pertinent to 'the bui~ding.
Tha'll: in the event various phases of construction are subcontracted, he wi~~
eng~ge o~y proper~y ~icensed subcontractors and wi~~ persona~~y supervise
sucJi work.,
Tha~ in the event the Bui~ding :Inspector sha~~ require correctionS to be made,
the owner wi~~ assume ful~ responsibi~ity to insure they are made, and upon
coma~etion wi~i cal~ for a reinspection before proceeding with the bui~ding.
That the oWner sha~~ assume f~ responsibi2ity for the construction and wi~~
not lexpect supervision of his Work from the City of Zephyrhi~~s Bui~ding
Dep~rtment .
Tha~ prior to final inspection any additional fees, fnc~uding reinspection
fees!, must be paid in ful~. A written request from this office shall
,co~titute' an officia~ notice_to pay additio~ fees.
Tha~ the owner shall comply with a~~ City, State and Federa~ ~aws' in regard to
soc~al security, workman's compensation, lien ~aws, etc., where app~ica:ble.
Tha~ the owner shall comp~y with a~~ the safety codes issued by the Florida
:Ind~stria~ Commission.
Sta~e ~aw requires construction to be done by ~icensed contractors. You have
applied for a pe1:mit under an exemption to that ~aw. The exemption allows
you, as the OWIl.er of your property, to act as your 0WIl contractor with certain
rest~ictions even though you do not have a ~icense. You must provide direct
onsirte supervision of the construction yourse~f. You may bui~d or improve ,a
one-~amily or two-family residence or a far.m outbui~ding. You may a~so "build
or iF,prove a commercial bui~ding, provided your costs do not exceed $25,000.
The bui~ding or residence must be for your own use or occupancy. :It may not
be bUilt or. s~stantial~y improved 'for sale or ~ease. :If you s&ll ;or' lease a
bui~ 'ng yotihave bui~torsubstantially improved yourself within 1 year after
the onstXlJ,ction is complete, the law will presUme 'that: you built or
subs antial~y improved if for sale or lease, which is a violation of this
ex tion. You may not hire an ~icensed person to act as your contractor or
to s pervise people working on your building. :It is your responsibi~ity to
make sure that peop~e emp~oyed by you have licenses required by state law and
by chunty or municipal licensing ordinances. You may not, de~egate the .
reStnSibi~ity for superviSing work to .a licensed contractor who is not
lic ed to perform the work being done. Any person working on your building
who . s not licensed must work under your direct supervision and must be
emplQyed by you, which means that you must deduct F.:I.C.A. and withholding tax
and provide workers' compensation for that emp~oyee, al~ as prescribed by 1aw.
Your I construction must comply with all pp~ica:ble laws, ordinances, building
COde" and zoning regulat 0 '
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3.
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4.
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DATE
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PElUaT #
CONVERSIONS FOR LIVING AREAS
CITY OF ,ZEPHYRHILLS BUILDING DEPARTMENT
PHONE 813-780-0020
~L CONVERSIONS NOTUNOER A TROSSED ROOF MOST HAVE PLANS (*) SIGNED &
~EALED COMPLYING WITH 110 WIND LOAD REQUIREMENTS PER SECTION 1609, 2004
BC.
~LANS FOR CONVERSIONS UNDER A TRUSSED ROOF MAY BE SUBMITTED BY A
CONTRACTOR OR HOMEOWNER.
lHE FOLLOWING MUST.BEINGLUDED IN ANY PLANS:
1. floor level of converted areas to be'eight (8) inches above crown
of street o~ same as existing floor of living area.
2. If carport, must show evidence of approved footer.
3. If water heater is involved, it must be drained to outside from the
drain pan.
4. Ceilings must show 90 inch height, and doors 80 inches.
5. Florida Model Energy Code must accompany plans. Applicable form
provided by Building Department.
6. Plans must indicate method of heating.
7. Electrical plans must show required outlets.
8. When conversion is a carport or garage, there must be two (2)
paved, off-street parking spaces shown on plans.
The following are required for submittal:
PERMIT APPLICATION
TWO SETS OF PLANS (*) SEALED & SIGNED PLANS REQUIRED
TWO SITE PLANS SHOWING LOT LINE DISTANCE FROM HOUSE.
ENERGY CODE FORM
PROOF OF OWNERSHIP
, .. \'"" ~
City of Iephyrhills
Cash Receipt
lG/09i2006
BUIU\lNG PERMITS
BUILDING PERMITS
Total Rl?o,'i \led
$95.00
'.60 . on
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