HomeMy WebLinkAbout07-7181
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7181
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost: 1,500.00
Date Issued: 11/08/2007
Total Fees: 40.00
Amount Paid: 40.00
Date Paid: 11/08/2007 Phone:
Work Desc: INSTALL 11 VINYL WINDOWS IN SCREEN RM
7181
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
RV PARK
Address: 38741 CR 54 EA T LO
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: SLEEPY HOLLOW T.T.PK #2
Parcel Number: 02-26-21-0010-05000-0030
DRA VE , LA VON
38741 CR 54 EAST LOT 80
ZEPHYRHILLS, FL. 33542
813779-4163
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REINSPECTION 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."
CONTRAC R SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
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Date Received:
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Site:
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Permit Type:
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,
Approved wino comments'
Approved withe below comments: 0 Denied withe below comments: 0
ept with the permit and/or plans.
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Date C-~~or and/or ~~
(Required when comments are present)
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
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Date Received
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Owner Phone Number
Owner Phone Number I
Owner Phone Number I
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/ Owner's Name
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Fee Simple Titleholder Namel
Fee Simple Titleholder Address
,/ JOB ADDRESS
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LOT #
PARCEL ID#I
NEW CONSTR
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SUBDIVISION
". DESCRIPTION OF WORK
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PROPOSED USE D
TYPE OF CONSTRUCTION D
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BUILDING SIZE 1$ / ;:>< 20 / I SQ FOOTAGE HEIGHT I
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D BUILDING ~ 1$ /5 CJ t/~ dO I VALUATION OF TOTAL CONSTRUCTION l
ADD/ALT
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SIGN D MOVE D
DEMOLISH
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OTHER
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AMP SERVICE
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PROGRESS ENERGY
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W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
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COMPANY ~ Q)'1&..1"~
REGISTERED Y I N I FEE CURRENT Y I N
I License # I
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
License #
11I1111111111111111111111111111I1111I1111111111111111111111111111111111111111111111111111111111111111I11111111111111II111111I11111
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 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 w/ 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.
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 (Plot/Survey/Footage)
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
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"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with ar.lY
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 (C"~nhu 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
"~\1 fh...f I ,... provided with a copy of the "Florida Construction Lien Law-Homeowner's
I Department of Agriculture and Consumer Affairs. If the applicant is someone
I obtained a copy of the above described document and promise in good faith to
~ment.
": I certify that all the information in this application is accurate and that all work
able laws regulating construction, zoning and land development. Application is
work and installation as indicated. I certify that no work or installation has
lit and that all work will be performed to meet standards of all laws regulating
ming regulations, and land development regulations in the jurisdiction. I also
Jns of other government agencies may apply to the intended work, and that it is
I must take to be in compliance. Such agencies include but are not limited to:
al Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
"eatment.
Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
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~awalls, Docks, Navigable Waterways.
.ehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
n Agency-Asbestos abatement.
~unways.
ns apply to the use of fill:
=Iood Zone "V" unless expressly permitted.
I used in Flood Zone "A", it is understood that a drainage plan addressing a
I be submitted at time of permitting which is prepared by a professional engineer
.rida.
used in Flood Zone "A" in connection with a permitted building using stem wall
w.."."..-..-."' _ _ fill will be used only to fill the area within the stem wall.
Ilf 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
I 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 ~nstallations not specifically in~luded. in 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. vlol~t~, 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 violat~o~s o! any codes. Eve~ ~ermit 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 mn~ty (.90) da~s and WIll demonstrate
justifiable cause for the extension. If work ceases for mnety (90) consecutive days, thEl\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. ) , r2
OWNER OR AGE
Suqscribed and s (or affirmed) before me this C
\ \ 1 ~ 10-' by ~(Y,," Au c>u cs. +- "1>.e. ~t:\PS
Who Is/are personally known to me~r has/have produced
N\\t:Y\<'T"X" D-eu12.. u.E' as IdenUficaUon.
~~ "---'"""' ~ ~ Notary Public
Commission ~o. ~.~*'l'~!.~~ Karen L. Miller
€:[ )~ Commission # 00609664
Name of Notary' '. r 29, 2010
'". IlOlldtcl TlOy FIln 'Inour.nc.. Ine e00-385-7019
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Notary Public
Commission No.
~,"'''WJu Karen L. Miller
::; \~ Commission # 00609664
- ~ : - .
Name of Notary typed, p
DISCLOSURE STATEMENT FOR OWNER
CITY OFZEPHYRHILLS - BUILDING DEPARTMENT
I, ~At/oA./ . P~Ac/.,e..s
provisions of this inStrument.
have read and fully understand and agree to the
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.
2.
That the owner and he or she alone shall act as the builder for all phases of construction.
That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes
pertinent to the building.
That in the event various phases of construction are subcontracted, he will engage only
properly licensed subcontractors and will personally supervise such work.
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.
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.
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.
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.
That the owner shall comply with all the safety codes issued by the Florida Industrial
Commission.
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 $75,000. The
building or residence must be for your own use or occupancy. It may not be 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 work~r's compensation for that employee, all
as prescribed by law. Your construction must comply with all applicable laws, ordinances,
building codes, and zoning regulations.
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DATE ~/A'Oc?/
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OWNER'S SIGNATU
ADDRESS
PHONE
PERMIT
IfMasterforms/OwnersAffidavitINov07
LavoD. & Dianne Draves
38741 Co. Rd. 54 East
Sleepy Hollow Park 2 Lot 80
Zephyrhills, Florida 33512
SLEEPY HOLLOW MOBILE ESTATES, INC.
38615 LansiDg Avo
. ZepbyddlIs, Fl. 33542
813-782-1111
813-783-7681
s~isp.com
This is a request to the Board of Directom as called for in our Prospectus to make the
fuIIowiDg addiIionor~to DIY home or homesite. ~
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DatcofRequest /:~/b,y
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OWNER
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.L/?//O/7 ,..PR,4 l/E S
JOB LOCATION
PARCEL I.D.'ff
SIIOW ALL EXISTUIG & .PROPOSED STRUC'l"URRS GIVINGDIHRNSIONS '&SETBACKS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
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REVAILIN CO S, FLORIDABUILDr~r(
.ODE, NATl N ELECTRIC CODE~~\J
lTY OF ZE ILLS ORDINANCE..,
1. SETBACKS FOR Rl, R2 ZONING
60'
10'
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10' P S 10'
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20'
FRONT PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 'DUPLEX
1 0'
FRONT PROPERTY LINE
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REVIEVV DATE
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ALL WORK SHALL CGMPLY THALL
PREVAILING CODES, FLORI ABUILDING
CODE, NATIONAL ELECTRI CODE AND
ern OF ZEPHYRHILLS O. lNANCES
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