HomeMy WebLinkAbout07-6916
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6916
Permit Number: 6916
Permit Type: ACCESSORY BLDG.
Class of Work: SHED INSTALLATION
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 2,891.94
Date Issued: 8/07/2007
Total Fees: 67.50
Amount Paid: 67.50
Date Paid: 8/07/2007
Work Desc: 10 x 16 SHED
Address: 6055 10TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: TYSON
Parcel Number: 02-26-21-0080-00100-0300
Name: HERRING, BARBARA
Address: 6055 10TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813355-4180
~.n~eY
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SHEATHING
FINAL
REINSPEcrION 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. n
R SIGNAT
PERMIT E IR IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL R INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-002t
~ 'fIt,
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Owner's Address
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
I f. J-fl
FJ 13 - ZSCJ -1~) 70 tl{tY
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LOT # I 3 ()
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DatI! Received
,/ Owner's Name
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Fee Simple Titleholder Address I
I(QOs-S- IDt! ~f .
1'0 sol) 5a?Jc/'"/)'i5if)j)
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D
TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I
;~;~~~;;;;~~~ L~:, ),~~"" .f.;;~~~t'~,~., ~!~~~~~t. ~~., .~~l.~~~: ~. ""'" .,
~ BUILDING / 1$ J.9ffJ t q t-l
o ELECTRICAL 1$
o PLUMBING 1$
o MECHANICAL 1$
o GAS D
FINISHED FLOOR ELEVATIONS I
/ JOB ADDRESS
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
I
B
D
I~;J-l -.. /~ll 2{J;' S. ~
PARCEL 10# ,)C..... ftWl1 ? ,j
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
D
D
DEMOLISH
SUBDIVISION
PROPOSED USE
ADD/AL T
REPAIR
COMM
OTHER
VALUATION OF TOTAL CONSTRUCTION
e
AMP SERVICE
D
PROGRESS ENERGY
D
w'R.E.C,
@
.eJ
VALUATION OF MECHANICAL INSTALLATION
-el
D
I
SPECIALTY D
FLOOD ZONE AREA
OTHER
ROOFING
DYES
DNO
Address
ELECTRICIAN I
SIGNATURE
Address I
PLUMBER I
SIGNATURE
I
COMPANY 1
REGISTERED
!t:H ~~~
License # I
Y/N
/
BUILDER
SIGNATURE
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
COMPANY
REGISTERED
Y/N
Address
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNATURE
Address I License #
111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) 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 w/ 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.
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
COMMERCIAL
SIGN PERMIT
Di~~~ii~~~':' , . . , . , , , , , , . . , , , , . , , . . , , , , . . . , , . . . , , , . , . . , , . . , , , , . , . . , . . , , , , . , , , , . , , , , , , . . , , , . . . , " . . . , . , . . . , , , . . . . . . , , , , . . , . . , , , , , , , . , , , , , , , , , , , , , , , , ,
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500. a Notice of Commencement is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (PloVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
whichmay 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 ~all. .
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 properti~s, the. ow~er 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 ~f the permlttln~ conditions s~t forth In
this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t. may ?e reqUlr~d for elect~lca.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n~luded. In the application. A
permit issued shall be construed to be a license to proceed With the work a~d not as authorl~y ~o, vlol~t~, 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, con~truction 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 o.f permit Issu~nce, or If work authorized. by
the permit is suspended or abandoned for a period of 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 3) .
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as identification.
Notary Public
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
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City of Zephyr hills
BUILDING PLAN REVIEW COlvllv.1ENTS
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, Date Received:
. ,
.
~.aa~fLir
7- 30 /07 '
U>()t15 '/ o~ s+
fOxl~ SkcJ
'Contractor/Homeowner:
Site:
Permit Type:
ApProved wino co~ents:
Approved withe below comnients: 0 Denied withe below comments
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(Required when comments are present)
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I --B~ ~ ~1111 have read and fully understand and
a~ree to the provisions' of this i:stkent.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve 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 built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
=:s::~=~~: ... m · DATE p07
:no:ss ~~~"14
WITNESS
PERMIT #
~ '
.I ....; I
,/ t;; "f- '7"
ALL WORK SHALL Co!v-n>et W!T~I ALL
nf.l'VAft ft...j'n r,'C).DR....' 1'71 (,;rrnA r..UllD!W3
Pl\.D .lldU~\J \.~ I ~"r)" 1 ",.,~}~....-L--., C - j .~
CODE, NAT10NAL ELECTRIC CODE AN:'
CITY OF ZEPHY1llilLLS ORDINANCES
NATION.A.L. DESiGN, INSPECYiON Be ASSOCIATESl ING.
~.O '~O)l; 611
RUSSELLVILLE, ALABAMA 35tS5:j
PHONE: 256-332-4157
FAX: ~iS6-3J2.2306
EtifiAii.: ND\@CHARn:::R.~-,l~r
RE: Mamaf.~tul"&r: t;c:,~~ 1:1~\:::b(~ WiI:m!I:)i',)'J.."!;
Occupancy: Storage
ND' Pl.n ~ 3RMI5-OO2
REVIEW DATE .~,.. '5 -,D7
CITY OF ZEPHYRR.' 'LL~; ~'
PLANS EXAMINER [<-
-
To Whom It May Concern:
I
I
(
This is to cet1ffy that the plans for the referenced modular building have been
reviewed and approved a. being in compliance with the 2004 Florida Codes and
Standards, with 2006 supplement. subject to the following limitations:
1, Approval covers factory-built structure only.
2. Items installed at the site are subjec.t to review, approval. and
inspectlon by the local authority having jurisdiciton.
3. The Chapter 633 Plan Review and Inspection shall be
conducted by the local fire safety inspector.
4. Signed and ...Ied plans shall be on file with NOI. Inc.
5. Not approved for High Velocity Hurricane Zone (i.e., Broward
and Dade Countie.).
Sincerely.
National Design. Inspection & Associates, Inc.
;:>'d
;o.([c;l'.1 J.::iL'li33'dl dl-'
l~dSQ : \. ,:,D0<l T G~:"l:j
(.
~~. 0, 2005 11 2SAU
roo~ ~ORT~bLE '~R~HOUSE
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STATE 0'- FLO~lDA
. U TY AFFA4RS
DEPl\~.TMEN1' OF C('MMUnl~' '
.'D-'G,(J'i':.:atcd to nU3khrg Fk.r!',,:fe ~;J b,~,'hn p!,'JCJIJ it, 0,;,/1 ;.Mn~!"
'I'1tAODeull L t:-;)~I!". ~A
.J~WJ):;l,)
J!!B ;l.USH
,.K\,,~tt'lo:
C.ertitk.ation Nnr:,,!:1er; MfT~H:;5
Attention: !"k Jll(-.MI;OJ.ld:r
Manufacturer. CIXi~: PmtclbL: W:i.t:,\:.h:,m:iC
/I"dd:ress: l(At DmL,;;;,...:.; ~J:'~~:
V a.ido~ta., GA, 31601
Expiration:
May 22. 2008
';:ertiiied for l'.1:\nllf,...~t',ui:,,~~: atCt1lfft.' ~besJ.~
Hlis will ,oofirm that COQ..~Qlc;' Y{~~ is certified to manufacture ~
(modular) buildings, as defined by Rule Chspte; 9:B...l;, F AC, ar.u:lCh;q:ttt 5.53~ Par:' I; F8,
tor location Ot sa;,';' i:u. th.e ~Hatt: of. niJ,rld<.;.. T;-;,.::: ~OU:mlCn of thi~ J,:e!~fi,::21!..:j.:;:;. ::s lhnt1oo1;]
authClnzation sV'~c!11t:'JU iJJ. tbt: above: l~it:l<:l)CE:S Each buiidir.1$ :>i:.ia.ill-;:.;;aI ~ ~tat~ h:;:i~~ll
located on t.~e e!octrical patld bi,):X, CQVel:. A c'JPS ofU!li$ ~e1i.ex m~l accompiOUY
applications for loe<>J huiid1ng pennits.
-'
ThIS c.ertdic,ation. ren~al shaH be fQJ' a period Qfthr(::~ years, as indicated above. The
manufacturer will receive a renewal notice by E-mail, generated by 'the Building Code
IDfcnnatiQ:) System (BaS) 9(} days prior to expiration of this notice. The mannfactun:T
must :;ubroit the information requir'ed in s. 553.3iP. f.S. and Rule Chapter 9B-1.007 FAC
online at ~~~J1Qridabuilding,9;rg.
If YO'U have questions rega,-iling licensing requirements for sit.e~l'elated permits for
in5taIlation .)f mar,ufactUIed buildings, YOLi may contaCt us, your local building de.part:men.t
N the Depw ;ment of 8usiness and Profession Reg:olatioll5 at (850) 487.-l395.
Sii;I:, ~I/ t .
/llJ~./j ? 01 ~ ;;P(;-
Michae! D ~11~~1 ..,..
Program Manager
Manufacnrred Bi,1ildings Program
Bllilding Codes & St<mdards
Phone: 850-922-:;075
F:\...X: 8SQ-414-S436
r.c :HW C/DougOljv,'t'
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State of
NOTICE OF COMMENCEMENT
E10~DA- County of PA47('t)
1111'" 1/111 1111I 1111I111111111I1111111I11111111111I111I1111
2007133913
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement: r" 4 Pf:. J..09 _ \ ' I
1. Description of Property: Parcel No. loT 30 I E/odt.. 'I ''1 S/JYl -S..tL:JJIl)/ SI I)/J ~
- ,\ S E ~l . ss- ~QL 2~p~rhJbJ
Legal descri tion of the property. and street ~ddress lif available) --7f /)JU1e{ 33541
2. General Description of Improvement I '
-4
~\a\,r) w nf>J \.) ~' . ,
3. Owner Information: Name B1 (k:n.V2t {), 8 'PttIti lie)
Address tQose; IO~@. Cit~~tf~O'Ju1/s
Interest in Property: ()ll'llO]v
Name of Fee Simple Titleholder: _tJo~
(If other than owner)
Rcpt: 1120094 Rec:
DS: 0.00 IT:
08/07/07
State~ %4/
JED PITT"AN~ PASCO COUNTY CLERK
08/07/07 11'1 : 48am 1 of 1
OR BK 7593 PG 735
I-f~re -793-11) {"
5
4.
State ~ .
City
Por-6!ol ~ (I)~ tJ71MJJ
city~A~rh;11 s
State
5. Surety: Name
Address
City
"
State
Amount of Bond: $
6. Lender: Name _~h )'6
Address
City
State
7. Persons within 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:
Name
~t0E
Address
City
-e-
State
8. In addition to himself, Owner designates
of ,-f3f to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
Notary Public:
,20.n.
Signature of Owner:
Sworn to and subsc
day of --.:A ~ ~
My Commission Expires:
PC93053048/A
~, LESLIE DIXON Ii
· ~W~ MY COMMISSION # DD573386 ·
~ EXPIRES: July 12.2010
'Of....:/' FJ, NolU)I DlllCOllnlAtIP- Co,
\ol\\.,.l-NOTARY
10.00
0.00
Dpty Clerk
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