HomeMy WebLinkAbout07-6646
I I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6646
6646
ADDITION/ALTERATION
SLAB
SINGLE FAMILY RESIDENTIAL
Address: 4828 CURT ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 15-26-21-0200-00000-0060
400.00
4/18/2007
35.00
35.00
4/18/2007
8x15 SLAB - PARKING PAD
Name: BUCKLEY, PHILIP
Address: 4828 COURT ST
ZEPHYRHILLS, FL. 33542
Phone: 813782-7719
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BUlL-DING FINALj
SILT FENCE i
FOOTER
REINSPEcndN FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are nec=ry 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 n 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 ir'\ the public records of this county, and there may be additional permits required from other governmental
entities such as I water management, state agencies or federal agencies.
The payment ofi inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to 0 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.
./ ~.
CTOR SIGNAT E PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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81 :3-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Name
Owner's Address I CJ
Fee Simple Titlehol~er Namel< tL ( c...r1
.3 t.. c- [ere Y
,I
~ ~ Cow Q"( s r
1-/-1//15
Fee Simple TitlehOlfer Address I 0/ ~
JOB ADDRESS I I '7' @ ,g" ~
I
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
(~6odf ~ J
;l'- /1,//5
PARCELlD#1 '5-';;>(0 - ~\ - O~O() - 00000- OO(PO
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
I
E3
D
D
ADD/ALT
REPAIR
COMM
FRAME
D
D
D
SUBDIVISION
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
BUILDING SIZE
I
I
I
I
D
I
SPECIALTY D
FLOOD ZONE AREA
SQ FOOTAGE I
l' 0 I). Dt:J
LOT #
DEMOLISH
OTHER
STEEL
I
D
OTHER I
HEIGHT I
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
D
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
i Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans wI Silt Fence installed,
, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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.
ROOFING
BUILDER
SIGNATURE
q~~.~
Address
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
Address
OTHER
SIGNATURE
Address
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
OTHER
DYES
DNO
,;r-/ LTt~,
I Y I N I
~-
FEE CURRENT I Y I N
License #
Y I N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N
Y/N
Y/N
Y/N
Directions:
Fill out: applicat on completely.
Owner & Contr ctor sign back of application, notarized
If over $2500, Notice of Commencement is required. (AlC upgrades over $5000)
.. Agent (for the ontractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNT R PERMmlNG (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (PloUSurvey/Footage)
Driveways-No 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, WaterlWastewater 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 s,eparate perm~t. may ?e requir~d for elect~ica,1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n?luded.1n the application. A
permit issued shall be construed to be a license to proce?d With the work a~d not as authorl~y !o vlolat~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II,dlng OffiCIal from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o~ any codes. Eve~ ~ermlt Issued, shall become, invalid
unless the work authorized by such permit is commenced Within SIX months of permit Issu~nce, 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 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) '":)\ () . 12 0 ()_ _
OWNER OR AGENT CONTRACTOR t ~ 1\.JJ-~
Subscribed and sworn to (or affirmed) before me this Subscribed and swol1),.to (or affirmed) before me this . .
4/1<;?{(Jr'] by Ph; j'le Tn:u..ell R<..;c\C Lj 11<;<ID7 by 1-'t'I~ \; p "))o{"ro r I B~c..-'G~
Who Is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced
rL- l)€ \J Z LA (' as Identification. 0 ""D k?'-.\ (L. u <!.... as identification.
Notary Public
~~
Notary Public
Commission No.
Name of Nota
.
"" Troy Fain -I",,,,anca. Inc 800-385-7019
Name of Notary type . .
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CITY OF ZEPIIYRHILLS BUILDING DEPARTMENT
O~NER
JOB LOCATION
PARCEL I.~.' #
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SIIOH ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS.
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UTILITY BUrLDINGS
MUST SHOW IZE &
FOUNDATION. INFOR-
MATION.
C~lJ ~-r 5 r
FRONT PROPERTY LINE
(NOTE EXAM LES 1 & 2) STREET
1. SETBACK FOR Rl, R2 ZONING
60'
10'
P E
R X
0 I
10 P S 10'
0 T 1 0'
S I
E N
D G
20'
FR NT PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
10'
10'
EXISTING
10'
1 0'
PROPOSED
20'SGL FAM
30 ' DUPLEX
FRONT PROPERTY LINE
DJ:Sc::LOsma: S~ ll'OR OWJIER'.
~OF Z~S :s'IT.tLD:rNG DEPART!iIENT
('~"'- '
J:, '. _'-' ( ~ .' .have' read' and, fuJ.~y
'agree 0 tb .prov:isions of . s inSt:rIJ1IISD'C.
ersig1;1ed states and affi:rms that' 'he or she.' j;s desirous of constructing,
:Lng, adding to or reroofing his or her own' damici~e" that he or she
y oceup;...... or w:i11 occupy by :sdd dcDC.cUe, .aDd some is DOt for
ease' or sa.l.e. . 'rhat he or she shaJ.~ camp'ly with the fol~cwing' ccncliticns.:
-.
understand and
1.
. t the comer and he or she .aJ.""" sha1J. aet as ti>e bniJ.der for aJ.J. phaSss cf.
trUot~cn. .
t the c:nmer wi.~~ ccmpJ,y wi th aJ.~ provisicns of the C:i. ty of zephyrhills
cas and codes pert:i.:D.e:D.t to the bui~d:ing.' . '
t :in .the event va:r:i.cus phaSes ofccmst:rUct:i.~are subcoD:tracted, he w:i~~
age cnJ.y proper:t,y ~:i.censed sUbcontractors and wi.~~ perscm.aJ.~Y. super.v:i.se
work. -
t i.n the event the Bui.~d:ing :tnSPectcr shaJ.l require co~ect:i.cnS to be made,
owner wi.ll assume fuJ.~' respcms:i.:b:i.J.:i.ty to inSure ~ are made, 'and upcm
~et:i.cn ~~~ cal~ for a re:i.nspect:i.cn before proceed:ing With the Dui~~g.
t the eWer sha.l~ assume fuJ.J. respcms:i.:b:i.'l.:i. ty for. the ccmstrUct:i.on. and Wil~
expect superv:i.s:i.on of h:i.s Work from the', C:i. ty of Zephyrhi~~S Bui.~ding' .
artment.
t pr:i.or to final :i.nspeot:i.on anyadd:i.t:i.cnaJ. fees, fnc~ud:i.ng re:i.nspeot:i.on
es, must be pa:l.d :in fuJ.~. A w:r:i. tten request from this off:i.ce shaJ.~
t:i.tuts' an off:i.c:i.alnot:i.oe-to pay add:i.t:i.~ fees.
t the c:nme:r sha.J.~ ccmp~y With all C:i.ty, state and Federal ~aws' :i.n regard to
s c:LaJ. secu:r:i.ty, workman' s ccmpensat:Lon, l:i.en ~awS, etc., where applioable.
t the' c:nmer sha.l~ comp~y With all the 'safetycodes :i.ssued by the Flor:i.da
dustr:i.aJ. commiss:i.on.
ate ~aw requ.ires ccmstraCt:i.on -Co be dene, by ~:i.censed contractors. You have
l:i.ed for' a pe:rm:i.tunder an e:elllPt:i.on to that law. '!'he exempt:i.on aJ.lOWS
u, as the c:nmer of your property, to act as your cw:C. contractor With certa:l..:c.,
strict:i.ons even thoUgh you. de not have a ~:i.cense. Y~ must prcv:i.de direot
site superv:i.s:i.cn of the constrUCtion ycurseJ.f. You may bui.ld or imprqve.a
e-f~ly or two-family res:i.dence or a far.m outbUi~d:ing. You may also build
~rove a ccmmerc:i.aJ. building, prcv:i.dedYour costs de not exceed $25,000.
e build:ing .or residence must: be for your c:nm US,e or occupancy. :It may :c.ct
bu:i.~t or, su:bstantiaJ.~y improved 'for s~e or lease ~ J:f' you seJ.l or lease' a
'~d:ing yoti.have:bui~tor .~Ubstant:i.aJ.J.Y ~roved y~~eif Wi~' 1 year after
e conStrUct:i.on :i.s cCmp~ete, the~aw Wi~~ presume .thAt you built or
stant:i.a.l.~Y i.m;proved :i.f for saJ.eor lease, which is a, v:i.o~at:i.on of this
empt:i.on. You may not hire an unl:i.censed person to act as your oontractor or
superv:i.se p~ople worlcing on your bui.ld:ing. :It:i.s your. respcns:i.:b:i.l:i. ty to'
e sure .that peop~e employed by you have ~:i.oenses requ.ired by state law and
county or munic:i.paJ. ~ioens:i.ng ordi .......n.ceS. You may not, deJ.egate the
espCDS:i.:b~~:i.ty for sup~s:ing work to a ~:i.censed contractor who :i.s not
~o~ed to ~e:r:fc:cn the Wo:rk be:i.ng done. Any pe:rscJ:1 wo:rk:i.ng en yc= bu:L~d:i.ng
ho J..s not ~J..oensed. mast ~:rk. unde:r yatt% di.:reot su:pe:rvi.s:i.c:c. and ~t be
~oyed .:by you. wmch means' that YOU' must deduot F.::t. C.A. and ri th:b.o~di.:c.g tax.
d provJ..de wo:ke:rSI compens,at:i.cn fo:r that emp~oyee. aJ.~ as preso:r:i.bed :by iaw. .
our oons't:r'U:ct:-cn must C~~y w:U:h aJ.~app~:i.:cab~e laws, orr'l-l...."'Tlces, bUi.l~g
odes, and :Z:cnJ..%1g reguJ.at'J..ons. . ,
WNER'.S S::tGNA~~ ~
iDEES S -jC li a. 'tJ 0' O'r:? ..e...r '5 ,... .
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