HomeMy WebLinkAbout07-6616
I I "
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6616
3,000.00
45.00
45.00
Address: 4821 6TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-01500-0080
Name: GARCIA, ALEJANDRO & MARIA
Address: 4821 6TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813239-4723
~~o.l.Q &
~-7-07
\av--
REINSPECTI N FEES: Reinspection fees will comply with Florida statute 553.80 (2)( c) when extra inspection
trips are n ssary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty c 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 n the public records of this county, and there may be additional permits required from other governmental
entities such a water management, state agencies or federal agencies.
The payment inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to wner: 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 reco ing your notice of commencement."
NO OCCUPANCY BEFORE C.O.
C2nroi . r~-~
CTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-7ao-q020
City of Zephyrhil/s Permit Application
Building Department
Fax-813-780-0021
--Owner's Name
Date'keceived
Fee Simple Titleh11der Name~~ \)Af\.c'\' W . ~D...\J r
I
Fee Simple Titleh1der Address 2:> 3l 0
..... JOB ADDRESS i Lf6 2 \ lo~
i
,
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
SUBDIVISION
I
~
D
D
ADD/AL T
REPAIR
COMM
FRAME
\\~ ~~
~ ~ t ~~SL\ 2.... LOT # I
PARCELlD#ltLi- Lu-2..\ -W\D--DlsrD-C(jsO
(OBTAINED FROM PROPERTY TAX NOTICE)
D SIGN 0 MOVE D
D
D
DEMOLISH
i
i
WORK PROPOSE~ D NEW CONSTR
i D INSTALL
PROPOSED USE ~ SFR
TYPE OF CONSTRpCTION D BLOCK
- DESCRIPTION OF tORI< lfu - ({ 00{-
- ~~~~;~l"",,' 'i~' ;;~"" ,~~ '~~T~) ~~:~~~:~~ '~~ ;~~l ~:::::~~~~,.,"""""""" I".,.,""""".,..."
1$ I
1$ I
1$ I
D GAS I D ROOFING D
FINISHED FLOOR ~LEVATIONS I I
OTHER
STEEL
I
D
OTHER I
D
D
D
ELECTRlfAL
PLUMBIN~
i
I
MECHANlCAL
AMP SERVICE
D
PROGRESS ENERGY
o
No6/
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
ONO
PLUMBER
SIGNATURE
+ BUILDER
SIGNATURE
COMPANY
REGISTERED
~ Uor\QU
LL-IV I v~ Y FEE CURRENT
License # I
Y/N
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N
Address
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
Y/N
OTHER
SIGNATURE
Address
RESIDENTIAL
COMMERCIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
inimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed,
anitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
ttach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
inimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed,
anitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
ttach (2) sets of Engineered Plans.
...PROPERTY SURVEY required for all NEW construction.
SIGN PERMIT
Directions:
Fill out applicatio 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 Fences (PloUSurvey/Footage)
Driveways-Not er Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictiollii"
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
cO,ntractor, 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 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 th~ work is commenced.. An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed ntn~ty \90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ntnety (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~ v\Q.-L 'O..YCl~
V.:,c[~7and ~y ~Lr"~f~~~sLl Q
Who is/are personally known to me or has/have produced
l ,'Cr...A ~.A' _ as identification.
co~dJJ~':~BOGEG Nom~ pubn,
:~. Commission DO 621833
..' ~2 281e
Name of Notary typed, p~~iWt'8tces00.385-7019
Notary Public
I I
NOTICE,OF;COMMENCEMENT
fl countyof~"m
THEUNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accord'!lce with Chapter 713, Florida Statutes, the following infonnation is provided in
this Notice of FOInmencement:
1. DescriPti~n of Property: Parcel No. j 4- 21 (J -- 2L:ill 0 - D l~()' m ~ ()
(Le~~ d~scriPtiOn f.t: rrr'o~{~d street address if available) ~~!~~~!~1I1111111111111111111111111111111111111
2. General D scription of Improvement A-.f, DO f
State of
Rcpt: 1090391 Rec: 10.00
DS: 0.00 IT: 0.00
04/11/07 Dpty Clerk
3. OwnerInt: rmation: Name f\)Qv1G
. ~S+
Address
a AreprdYo f\p,rci::\ ~d
City ,~tqYlIdr/4,tateJ I :3:?> 5
N~
Name of ee Simple Titleholder: fV'l\.
(If 0 er than owner)
Address
4. Contracto :Name~O 011
Address h ~
City State
Gor('tQ
City I ~()DUV' t-h l\ S StateD-
~~91~~~~~:~..PASC01CO~NTl CLERK
OR BK 74:>>1 PG 834
5.
Address j
Amount 0 Bond: $
6. Lender:N me~
!
City
State
Address
City
State
7. Persons w' in 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:
t\-
.
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided i Section 713.13 (1) (b), Florida Statutes.
9. Expiratio? ate of Notice of Commencement (the expiration date is 1 year from the date
of recordin unless a different date is specified.)
-Signature of 0 ner: We. }r\ CA fu'I0G-.--
~ qayof_{ l
,20 0-:1
My Commissio Expires:}-
PC93053048/A ? (2 "J-l... (,~ J.
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fa, ......pAMeiA.i:PiiTi.4AN.......;;
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D:rSCLOStmE S~~ :rOE. ow:NER.',
c:tTY OP' zlilPBYRXILIiS BIJ'J:LD:rNG DEPAX~
:1:, \' liD y{) &~ib. .have read' ane;, fuJ.ly understand ami
'agr~o the .provisions' of .this ins'trmlllmt.
dersig.Q;ed states and aff:i.:l:ms that' 'he or she' i's desirous of construct.ing I
tng, a~!3' to or reroofing h:i.s or her own'domic:i.le,. that he or she
ly occupies, or rill occapy by :sa.:i.d dam:i.ci.le, ,and same is not for
lease or sale. . That he or she shaJ.l camp:J.y w:i.th the follow:ing ccmd:i.ticns.:
1..
t the aw:ner and he or she 'alone shalJ. aet as 'the builder for all phases of..
truct:i.on.
t the owner w:i.ll compJ,y w:i.th al1prO'Visions of the C:ity of Zephy:rh:i.lls
d.:i.nanoes and codes' pert:i.Dent to the bUilding.
t :in .the event various phases ofconstrl1cti~
gag'e only proper4,Y licensed sUboo:E1traotors ami
ch work..
t :in the event the Building J:nspeotor shall requ:i.re correotionS to be made I
e owner rill assume full' respcmsibili ty to ins1U:'e 'they are made I . and upon
letian ~ll oall for a r~eotion before prooeeding with the Duil~g.
t the oWner shall assume fulJ. respcmsibiJ.i ty for .the cons truoti on , and will
t expeot s~e:rvision of his Work from the' C:i ty of Zephy:rh:i.lls Build:i.ng' .
artment.
t prior to finaJ. inspeotion anyadd:iticmaJ. fees, including reinspeotion
es, must be pa:i.d in full. A written request from th:i.s office shall
titute' an offici~ notioe.to pay additional fees.
t the owner shall comply rith all C:ity, State and Federal :1;.aws' in regard to
S c:Lal security! workman' s campensatd.on, lien laws, etc., where applicable.
t the 'owner shall oomply with all the 'safetycod.es :i.ssued by the Florida
dustrial commission.
ate law requires construCtion to be done by lioensed oontractors. You have
lied for' a pe=mitunder an ElXE!!!IPtion to that law. The exemption allows
u, as the owner of your propert:y, to aot as your own contraotor with certa.in
strictions even thoUgh you ,do not have a license. You must prO'Vide direct
site supervision of the construction yourself. You may build or imprO'Ve.a
e-fam:i.ly or t:wo-'fam:i.ly residence or a fm outbuilding. You may also 'build
~rO'Ve a commercial building, provided your costs do not exceed $25,000.
e building "or, res:i.dence must be for your own US,e or occupancy. It may not
buil:t:: or. sUbstant:Lally improved for sa.:l:e' or lease~ If you sell or lease' a
'lding yoti.have built or ,~UbstantiallY' ~~ed y~~eif within. 1, year after
e ccnstruction is cOmplete, the law will presume 'thAt you built or
stant:Lally improved if for sale or lease, wh:i.oh :Ls a violation of this
emPtion. You may :riot hire an. m:1lioensed person to act as your contractor or
supervise p~ople working on your building. :l:t:Ls your respcnsi.:bili ty to'
e sure ,that people employed by you have licenses required by state law and
b county or munic:Lpal licensingorr=H ..,,,,,nces. You may not. delegate the
r sponsi.:bility for sup~sing work to a licensed contractor who :Ls' not
1 'c~ed to ~er:fo:rm the Work bei.:c.g d.o:ne. Any persOJ:i. working on your bu:i.ld.:i=g
o :1.& not l:l.censed. must ",:,rk under yoa::r d:Lrect s-cperv:i..s:i.on and must be ,
loyed.:b:Y,y.ou, which means. tJ::La.t you must deduct P'.J:.C.A. and withhold:i..ng tax'
d prcv:l.de wo:kers' ccmpens,atio:c. :for tJ::La.t employee, all as prescribed by iaw. '
ur ccns~~t:l.o:c.. must comply nth all appl:i-cab~e laws, orn-i"'''''''ces, bUilding
des, and zoning ~:~:Lons. -, . '. \'.
=~~~tfTI~1:.~~3 /~~ltL'>. ?l ~~ql"TE
2.
::3 .
,are subcontracted, he will
rill person.a:J.~ysuperv:Lse
4.
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