HomeMy WebLinkAbout07-6454
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6454
r: 6454
Permit Ty e: ADDITION/ALTERATION
Class of W rk: 434-ADD/AL T RESIDENTIAL
Proposed U e: MOBILE HOME PARK
Square Fe t:
Est. Val e:
Improv. C t: 400.00
Date lssu d: 2/12/2007
Total Fe s: 52.50
Amount P id: 52.50
Date Pa d: 2/12/2007
Work De c: DECK
Address: 6132 HARRIET ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: PINE CREST M.H.P.
Parcel Number:
EN, B B
6132 HARRIET ST
ZEPHYRHILLS, FL. 33542
Phone:
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A
FRAME
INSULATION WAL
ELECTRICAL FINA
PLUMBING FINAL
FINAL MECHANIC L
BUILDING FINAL
REINSPEcn N FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are n ry due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty nstruction c) repairs or corrections not made when inspections called d) work not ready for
inspection w en called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In ad ition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found i 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 0 inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to ner: Your failure to record a notice of commencement may result in your paying twice for
improvemen to your property. If you intend to obtain financing, consult with your lender or an attorney
before record ng your notice of commencement."
NO OCCUPANCY BEFORE C.O.
, -lU-- ~-~
R 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
(;).- \()..-07 Building Department
Fax-813-780-0021
Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
JOB ADDRESS
dtt C;O~JU>
Owner's Address I (;, J 3 ~ /-1 H Il/lJ ~ t S + I
Fee Simple Titleho der Namel fZo b ~11 t G (!) ~- Jt/ ~
Fee Simple Titleho der Address I ~ 111-, If fl /l- n.- (J: f
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D
D
[) LPG 1-<
LOT #
1.?0-
Owner's Name
SUBDIVISION
PARCELlD#1
WORK PROPOSE
ADD/ALT
REPAIR
COMM
FRAME
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
BUILDING SIZE
NEW CONSTR
INSTALL
SFR
BLOCK
D
D
~
OTHER
STEEL
I
D
OTHER I
PROPOSED USE
TYPE OF CONSTR
DESCRIPTION OF
SQ FOOTAGE I !; (pCfJO /
HEIGHT I
D
VALUATION OF TOTAL CONSTRUCTION
D
D
D
D
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C
MECHAN CAL
VALUATION OF MECHANICAL INSTALLATION
GAS
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
DNO
Address
~~:.~ I/f1ft'!] (?/ill!!l7fy I N
License # I
BUILDER
SIGNATURE
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
Y/N
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Y/N
Address
RESIDENTIAL
COMMERCIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
ttach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
II commercial requirements must meet compliance.
ttach (2) sets of Engineered Plans.
...PROPERTY SURVEY required for all NEW construction.
SIGN PERMIT
Directions:
Fill out applicati completely.
Owner & Contra tor sign back of application, notarized
If over $2500, a otice of Commencement Is required. (AlC upgrades over $5000)
.., Agent (for the co tractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTE PERMITTING (Front of Application Only)
Reroofs Service Upgrades NC Driveways 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 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 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 lam 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 a~d not as authori~y!o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~J1.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. 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 o~ six (6) mon.ths 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) 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. 117.03
CONTRACTOR
Subscribed and swom to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as Identification.
q ~ .lL,w9:~j.,Ia~ p",,;o
Notary Public
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Name oil ",j.yped. prirWiIlie~
t.:" .~.\ MY COMMISSION # 00268763 EXPIRES
~" ~~1 Februory 22. 2008
~'f.iif.;r.,~., BONDED THRU TROY FAIN INSURANCE. INC
~. the owner and.he or she alone shall act .as the builder 'for all phases of
truction.
2. . the owner will comply with all provi~ions of the City of Zephyrhills
nances and codes pertinent to "the building.
3. :i.:c. the event various phases of constructi~n are subcontracted, he will
ge on1y properly licensed subcontractors and will personally supervise
work. .
4. 'inthe event the Building Inspector shall require corrections to be made,
owner will assume ful~responsibility to insure they are made, 'and upon
letion wili call for a reinspection before proceeding with the building.
.5. the oWner shall assume full responsibi~i ty for the construction and will
expect supervision of his Work from the City of ZephyrhillsBuilding .
rtment.
6. prior to final :i.:c.spection any additional fees, including reinspection
, must be paid in full. A written request from this office shall
titute' an officia2 notice.to pay additional fees.
7. Tha the owner shall comply with all City, State and Federal laws' in regard to
soc' al security, workman's compensation, lien laws, etc., where applicable.
8 . Tha the owner shall comply with all the safety codes issued by the Florida
J::c.d strial Commission. .
9. Sta e law requires construction to be done by licensed contractors. You have
app ied for a pe:cni t under an exemption to that law. The exemption allows
you as the owner of your property, to act as your own contractor with certain
res rictions even though you do not have a license. You must provide direct
ons'te supervision of the construction yourself. You may build or improve .a
one family or two-family. residence or a f~ outbuilding. You may also 'build
or' rove 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 uilt or. sUbstantially improved 'for sale or lease~ If you seJ.I';or' lease' a
bui ding you. have buil tor . .~Ubstantially improved your,self within 1 year after
the constr'\lction is complete, the law will presUme .that: you built: or .
sub tantiallyimproved if for sale or lease, which is a. violation of this
tion. You may not hire an unlicens.ed person to act as your contractor or
upervise people worldng on your building. It is your responsibility to
sure that people employed by you have licenses required by state law and
ounty or municipal licensing ordinances. You may not. delegate the
onsibility for supervising work to a licensed contractor who is not
ed to perform the Work being done. Any person working on your building
is not licensed must work under your direct supervision and must be
oyed by you, which means that you 1I1USt'deduct F.I.C.A. and wi.thholcling tax'
provide workers' compensation for that employee, all as prescribed by law. .
construction must comply with all applicable laws, ordinances, building
s, and zoning reguJ.ations 9. -1"d.-67 I.
DATE L3--) Lf ~ -J-Ci;f~
DISCLOSURE STATEMENT FOR OWNER
CITY OF -ZEP:EY1UIILLS BUILDING DEPARTMENT
CJ EN>-
this instrument.
have read' and fully understand and
rsi~ed states and affirms that he or she is desirous of constructing,
ng, adding to or reroofing his or her own domicile~, that he or she
occupies, or will occupy by ,.'said domicile, and same is not for
ase or sale. That he or she shall comply .with the following conditions.:
,.
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Permit Type:
Approved win comments:' Approved withe below comments: 0 Denied withe below comments: Y
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This comment s eet shall be kept with the permit and/or plans.
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Date Contractor and/or Homeowner
(Required when comments are present)