HomeMy WebLinkAbout08-7272
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7272
Permit Number: 7272
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 6136 19TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: ZEPHYR BREEZE
Parcel Number: 02-26-21-0190-00000-0210
1,000.00
Name: ALLEN, JAMES & FLORENCE
Address: 6136 19TH ST
ZEPHYRHILLS, FL. 33542
52.50
52.50
12/05/2007 Phone:
INSTALLATION ACRYLIC WINDOW ,ENTRANCEWAY AND CONCRETE SLAB
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC,
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC,
CONSTRUCTION POLE FRAME MISC, MISC,
REINSPECTlON 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."
~/M'rL &{a1Wo~
CONTRACTOR SIGNA RE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Dav~s 4ILLm,nwY10
Company Name
{)D()703'
I.D. #
DavId &/UU.Y'f'
License Ho1der's Name
39'3fc; OJur-f- 51-:
~hJ!?J !i 339/1
License #:
To Whom It May Concern:
P1ease be advised that Suzanne Bahr, Debbie Dokendorf, and
Stacie Hartwig of Pasco Per.mit Service have my per.mission to
sign and pick up per.mits fo~ me unti1 further written notice.
{;:7~~
License Ho1der Signature
NOTARY
STATE OF FLORIDA - COUN~Y OF PASCO
The foregoing instrument+was sworn~and
subscribed before me this ~.!!. day of e.t!.-
2. (!)LJ 1
Persona11y known ~or Produced identification
otary signatur
State of F10rida
County of Pasco
Commissioned.Stamp
and EXpiration Date
..~~ JUDITH A, BROOKS
~W:tt. .~.\ MY COMMISSION 1/ DO 309761
-\ . ; EXPIRES: April 28, 2008
~Mjl. Bonded TIwu NoIory f'IlbHc UlldeIMl1els
813-780-0020
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date Received
JOB ADDRESS
ow~er's Name VI IOY"&t(JL..
Own." AddN" I W/?c, I!"" Sf: I ~tzMh, R,dJifk
Fee Simple Titleholder NamelJavnfl;:; #l __ ~
Fee Simple Titleholder Address I 5a..m.e.- a ~ ti.-hor(l ~
~/3~ /q-Hc5l; hp~rlJll4 If- 3.3W- I LOU I~I
I PARCEL ID# I(~ - ;;{6--~/- cJ J q {j.-{)L)d O()-6;L/ 0
(OBTAINED FROM PROPERTY TAX NOTICE)
D SIGN D MOVE D
D
D
SUBDIVISION
BUILDING SIZE
NEW CONSTR
INSTALL
SFR
BLOCK
~
o
o
/).) /h d{)W enfr.
ADD/ALT
REPAIR
COMM
FRAME
DEMOLISH
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER
STEEL
I
D
OTHER I ;Cj-LOJ1.1-tA/O m
SQ FOOTAGE
HEIGHT
~
1$ /000 C32- I
D ELECTRICAL 1$ I AMP SERVICE ~ PROGRESS ,ERGY D W.R.E.C
D PLUMBING 1$ I bifu b;, ~ ~~
D MECHANICAL 1$ I VALUATION OF MECHANICALlNSTAllATION~~,L.
D GAS D ROOFING 0 SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ~NO
I11111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIIIIIII~IIIIIIII;IIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111
:~~~~~RE I COMPANY I ~t 1!c~!Il~ I I
License # I t1:..yoo5Z/79
BUILDING
VALUATION OF TOTAL CONSTRUCTION
Address
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/ 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 #
111111111111111111111111111111111111111111111I11111111111I111111111111111111111111111111111111111111111111111111111111111111111111
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 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~~~ti~~~':' . , , , , , . , , , , . . , . . , . , . . . . , , . . . . . . . . . , , , . . , , , . . , , , . . , , , . . , . , . . . . . , , , . . , , , . . , , , . . . . , , . . . . , , , . . . . . . . . , , , , , . . . . , , , , , . . . . . , . . , , . , , . , . . , . . . , . ,
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 mor'e 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 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 ~hat 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 authon~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~lng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction 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) mo~ths after the time th~ work IS commenced: An extension
may be requested, in writing, from the Building Official for a penod 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 LEND OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FlORIOAJUMTIF,S. .03) NTMCTOR odJ;/JAAlfI~
Subscribed and ~;orri~~~) ,fO~~~~
Who Is/are ~y ~ me or has/h~ve p~du~ed
.....' as Identification.
~ ~ Nom~P~'
6mmisslo o. ~..TnTA RY pI Tl3LIC STATE 'JF FLORIDA
.....,'" ""'" Suzanne Bahr
Name of Notary typ~~~dtlS_~ # DD?01110
"",~."" ~_l:Pl!'~S: i"OV. b, 2010
BO\DLD THEW AIL ,iTiC BO:,Dl:,G CO., 11\C.
~ ~~~ Nom~P"b1"
co~sion No,
T'\OTI>.RY PUBLIC-STATE OF FLORIDA
,."" ""'. S~ann€ Bahr
Name of Notary typed. P.i'i~r~~o'RPmlssion # DD601110
'-.,.:/?i'~./ NOV. 15. 20~O
B()\;)~,l) ~TlC DO:\Dl~G CO., 1\C.
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BUILDlliG:PLAN REVIEW COMMENTS
, Date Received:
, ,
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fue<; fJlCUryI/!(j~
, ' 1/- 2 8/01
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A-Ciitt)t,wl1fttv /~tliu1 0e~rks'6
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Approved' withe below comnients: 0 Denied withe below comments: ',0
, Contractor/Homeowner:
Site:
permit Type:
. Approved wIno =errts:f
" ,
, Con:tractor and/or Homeowner
, (ReqciI-ed when comments are presfm,t)
ALLEN
Od-;?~ - ;;21- 0/70- 6coco- Z);;;;uD
-=-i:2E SUBDIVISION o"c:ording to the mop or plot
,-- =:.AT BOOK 14, '=::. 747 of the Public Records
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