HomeMy WebLinkAbout07-6798
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6798
Permit umber: 6798
Permit Type: PARK MODEL SETUP
Class of Work: PARK MODEL SET-UP
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5915 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 10-26-21-0020-00000-0090
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CONTRACTOR CERTIFICATE
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20.00 CONTRACTOR CERTIFICATE
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FINAL
REINSPEcnON 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.
~TORSIGNATURE ~M.
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Deparlment
Fax-813- 780-0021
Dale Received
Owner Phona Number
Owner Phone Number I
Owner Phone Number I
JOB ADDRESS
Fee Simple Titleholder Address I-
I~IS" fALL Bt..V~" Lfffl'1~ IllS, fL 135"~J.- - j4hLJ I LOU I
I I PARCELID#IID-d~-J-\-C()d{)-OOOO':-- 0090
(OBTAlNEO FROM PROPERTY TAX NOlICEI
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SUBDIVISION
DESCRlPnON OF WORK
NEW CONSTR
INSTAlL
SFR
BLOCK
ADDlAL T
REPAIR
COMM
FRAME
SIGN
MOVE
o
DEMOLISH
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
f.5~ .tSC>
BUILDING SIZE
ROOFING
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141
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VAlUATION OF TOTAl CONSTRUCTION I~'" ()'"'\e~hn.\;\I.:Y~;} ~v FDE:.P
AMP SERVICE 0 PROG~SS. ~NERGY .LJ W.RE.C.. ,
- t~~ CtQC\ l!2\. ~ .~ <C4'-\:5
D BUILDING IS
D ELECTRICAL IS
D PLUMBING IS
D MECHANICAl IS
D GAS 0
FINISHEO flOOR ELEVATIONS I
VALUATION OF MECHANICAl INSTAlLATION
COMPANY
REGISTERED
lt~1Po(1J\f-..~ (Fr~~ -Nt ~\)bQ) VAlJJM(".J
[ZJNO As
SPECiAlTY 0 OTHER
FLOOD ZONE AREA DYES
BUILDER
SIGNATURE
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Address
ELECTRICIAN I
SIGNATURE
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNATURE
Address
License #
~ FEE CURRENT l.!!!U
License #
~ FEE CURRENT lYL!U
License #
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
~ FEE CURRENT l.!!!U
Lk>>nse# I I (~)
l,v~ CPrJ">fltllCnOrl ~",tif~.I'I\tc:..
Y I N FEE CURRENT ~
License # I I
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COMPANY
REGISTERED
RESIDENnAL
COMMERCIAL,*-
Attach (2) Plot Plans; (2) 8818 of Building Plans; (1) set of Energy FOII1\s
Minimum len (10) WOlk/ng days allar eubmlUaI date. Required onslle, Consltudion Plans, Sanllary Fecllities & 1 dumpster
Alt8ch (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days aller eubmiUal dele. Required ooslle, Consltudion Plans, Sanitary Fecllities & 1 dumpster
All COfM1llrdal requirements must meel oompHance.
AUach (2) ..18 of Engineered Plans.
...PROPERTY SURVEY required for all NEW oonsltudion.
SIGN PERMIT
Dlrecllons:
Fill out appllc:etion completely.
Owner & Conlrac:tor sign beck of eppllcallon, notarized
If over $2500, a Notice of Commencement Is rsqulred. (AlC upgrade. over $80001
.. Agent (for the oonlrac:tor) or Power 01 Attorney (for the owner) would be someone with notarized 'eUer from owner authorizing sarna
OVER THE COUNTER PERMlrnNG (Front of Application Only)
Reroofs Sewers Servi<:e Upgrades AlC Fences (PloIISurveylFootsge)
Drlvewaya-Not over Counter lIon 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
applicabie 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 IMPACTIUTILlTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recove/)' 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 Recove/)' Fees must be paid prior to
recellling 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-Homeowners
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-Weils, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabllltallve 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 submltled at lime 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 fallh 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, poots, air condlllonlng, gas, or other Installatlon8 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, aller, 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. Eve/)' 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 wrillng, 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 IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCtNG, CONSULT
WITH YOUR LENDER ORAN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FlORIOAJURAT{F.S.117.0 ~._.--_._"
OWNER OR AGENT CONTRACTOR_
Subsalbed.LIndswomto ore ~Ub . and rmedlbefC}lllm8.thls v
W1-1.'-Q1 by", z... by)Y,V\'~\:L ~\lV\c-~1C
Who IsIare Il!!fSOnefty 10 me or hasJheve ptOduced Who sIe pereoneKv known to me or hasJheve proclu<:ed
es IdenUllcaUon. - aeldentiflcaUon.
KYMIE D. CREWS
MY COMMISSION. DO 302546
EXPIRES: March 23, 2008
BondI<l1l1ru Notary POOIIc Underwriters
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Commission No.l:::::DD ~5 ~ l ( .:s
A\fr i n.J;;, \ \ \f I D. \.Ad
Name of Notary . prinled or stamped
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: ALECIA G~ I
i ~~.. CammlDDClI)5415 ;
:: ~., .; i ExpIrea 313012OO8 :
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'. . I":::('~ Nclary Assn.. L-:::: ~
Notary Public
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Commission No. "bt) 3u:;).5'\ l,p
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Name<< Notery typed, printed or stamped
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10/04/2006 09:56 9042625536 AYRES ASSOCIATES JAX PAGE 02/02
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