HomeMy WebLinkAbout08-6915
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6915
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
6915
SLAB PERMIT
SLAB
SINGLE FAMILY RESIDENTIAL
Address: 39031 3RD AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 12-26-21-0000-03500-0000
2,400.00
67.50
67.50
8/03/2007 Phone:
CONCRETE SLAB WIFOOTERS 18 X18
WILLIAM AR EN
39031 3RD AVE
ZEPHYRHILLS, FL. 33542
813782-2341
SLAB
FINAL
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."
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CONTRACTOR SIGNATURE -" PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyr hills
BUILDING PLAN REVIEW COMMENTS
, Date Received:
, ,
.
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Cdn{ H-f ( <; liJ-b '
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, ContractorlHomeowner:
Site:
permit Type:
Approved wino _of
Approved withe below co1JJIlients: 0 Denied withe below comments: ',0
. ThiSC07' s~heet shall be kept with ~e p~t and/or plans.
U ,~~3 -07 .
K.al(rm Switzer - Ex~er Date Contractor and! or Homeo'WIler
(Required when comments are present)
813-780-0020
ate Received
OWner phone Number ,
OWner phone Number \
OWner phone Numb~r [
Iwner's Name
lOB ADDRESS
I 15. -Fi/ 339-1 ~ LOT # I
PARCEL ID# lJ ~ - d6- 61 j--fJiJ;){) -(l ~~5ZJ d -{)O d 0
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE CJ
]
]
iUBDIVISION
,~ NEW CONSTR
LJ INSTALL
PROPOSED USE 0 SFR 0
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0
DESCRIPTION OF WORK I ( 't;ndP.- Iv 51&.- b W)ilYljJ<<<;
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=:J BUILDING 1$ ~ <;00 l!Z- I VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL 1$ I AMP SERVICE ~ PROGRESS ENERGY
o PLUMBING 1$ ]
o MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
o GAS 0 ROOFING 0 SPECIALTY 0 OTHER
FINISHEO FLOOR ELEVATIONS I . I FLOOO ZONE AREA DYES ~o .
~~~;~~"l'.~~'S~~;;"'.iEj&~:;;;d~~~""n,
Add",.. 1": f5r; rf ~~'fw Uc"'" # I I
ELECTRICIAN COMPANY [ I
SIGNATURE i ReGISro<EO Y IN'" CUR""" Y I N
Address j' Ucen,e # I I
PLUMBER COMPANY l ]
SIGNATURE REGISTERED Y / N FEE CURRENT Y / N
Address I U'""'" # l J
MECHANICAL ( I COMPANY I
~'
ADD/All
REPAIR
COMM
o
o
DEMOLISH
NORK PROPOSED
OTHER I
STEEL 0
OTHER r
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W.R.E.C.
Ucense #
OTHER
SIGNATURE
\
L Y I N
FEE CURRENT
Y/N
Address
SIGN PERMIT
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onslte, ConstrucUon Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) $et of Energy Forms.
Minimum ten (10) working days after submittal date. Required onslte. ConstrucUon Plans. Sanitary FaclllUes & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
RESIDENTIAL
COMMERCIAL
, Directions:
Fill out appll<;aUon completely.
Owner & Contractor sign back of appllcaUon. notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
.. Agent (for the contractor) or power of Attorney (for the owner) would be someone With notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of ApplicaUon Only)
Reroofs Sewers Service Upgrades AlC Driveways Fences (Plot/survey/Footage)
NOTICE OF ,DEED RESTRICTIONS: The und8rsign~d understands that this 'permlt may be subJe~t to .deed;' ~esttlctlorisD
. which may be more restrictIVe than County regulations. The unde~lgned' assumes tesponslblllty for 'Compllahce with l;lny
appllca!>le deed r~strlctlons. '. .' ., '. .'
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:, If the owner has hired, a contractor or
cc;>ntr:actors to und,ertake work, they may be required to be licensed In aCcOrdance willi state and local regulations. If the
contrac.or Is not licensed as required by law, both the owner and con~ractor may be cited fQr a misdemeanor violation
un~er state law. If the ~wner or intended contractor a~e uncertalhas to what licensing reqUl~ment~ may apply .f~t the '
Intended work, they are advised ,to contact the Pasco County Building Ins~tlon blv'sI0ri-L.lcensl~9 Sectloh at 727-847-
8009., Furthermore, if the owner has hired a Contractor, or contractors, he Is advised to heivi!Hhe contraptor(s) sigh
, ' portions of the .cof!tractor BlockD of this QPpllcatlon for Which they will be tesponslble. If you, as the oWner sign as the. .
contractor, that.may be an Indleatlon that he Is not properly licensed and Is not eniltled ,to pennlWhg j:JiiVllege$ In Pasco
County. . . ,_' . . ' ..
TRANSPORTATION I""PACT/UTlLlTlES IMPACT AND RESOUROE RECOVERY FEES: The undersigned Understahds
that Transportation Impact ~Eies ~nd Recourse Recovery Fees may apply to the construction of heW bUildings, chahge of
. use In, existing buildings; or expansion of existing buildings, as specified In Pasco County Ordinance hLlinber 89-07 and
.' " 90-07, as amended. The. undersigned also understands; that such fees, as may be duej will be Identtfled at the time of
permitting. 'It Is further l;Inderstciod: that Transpo$tlonlmpact Fees and Resouree Recovery Fees tnust ~e paid prior to
. receiving a .certlficate of occupan~yD or final power r~lease. If ~he project does hot Involve a cenmca~a of occU'p~hcy or
final power. release, the fees must be paid prior to penn It Issuance. Furthermore; If Pasco COl,JntY, Water/Sewer Impact
. fees are due, they must be paid prior to ,pel111lt issuance In accordance w,ith applicable Pasco County ordlhances,
, cqNSTRUCTION LIEN LAW (Chapter.713, Florida Statu.es, as amended): .lfvaluatlon ofWork.ls $2,500.00 or more, I
. certify that I, the applicant, have been prOVided with a copy of the 8Florlda Construction Lien taw-Homeowner's
Protection GuideD prepared 'by the Florida Department of AgricUlture and Consumer Affairs. If the applicant Is sotneone
other than, the .owner", I certify thl1lt I, have obtained a copy of the above described document and promise In good faitH to.
, deliver it to the .0wnerD prior to cOIT.Jmencement. . , .
CONTRACTOR'S/OWNER~S AFFIDAVIT: I certify that all the.informatlon In this application Is accurate and:that all Work
will be don~ in compllanqe with all applicable laws reglJlatlng construction, zonlhg and land development. -Application Is ' .
hereby made to obtain' a permit to' do work and Installation as Indicated. I certify that ho work or Installation has
commenced prior to Issuance' Qf a permit and that all Work will be p~rformed to meet standards of all iaws regulating
construction, County' and City codes, zoning regulations, .and land development regulation!!) In the jurisdiction. I also
,certify that I understand that th~' regulations of other government agencies may apply to the Intend~d work, and that It is .
my responsibility .to identify what actions I mUst take to be In compliance. Such agencies hlclude but are hot limited to: '
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive '
Lands, Water/Wastewater Treatment. , ., .
Southwest. Florida Water Management District-Wells, cypress Bayheads,' Wetlahd Areas, Altering.
Watercourses,' , '. . , . .
Army Corps of Englneers-Seawalls, Docks..Navlgable Waterways. ' .' ,
Department of He~lth Be RehabllltatlveSe..vlces/Envlronmental H$altf1 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,fillls,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 addr.essing a
. .compensatlng volumeD 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 -AD In connection wlth a permitted bUilding using stem wall
. construction, I cEilrtlfy that fill will be used only to 'fill the ar$a within the stem wall. .
. If fill ,material Is to be used In. any area, I certify that use of such fill will hot adversely affect adjacent
properties. if use of fill ,Is found to adversely affect adjacent properties, the owner tnay be f?lted for Violating
the conditions of the bUilding penn It issued under the attached permit appllcatlcm, 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 permlttln~ ~ondltlonsset fo~h In
. this affidavit prior to commEmclng.construc~lon, I, ~nderstand !hat a sep~rate permit may be reqUired for electrical wor~,
,. plumbing, signs, wells, pools, air conditioning, gas,' or other installations 'not speCifically Included 10 the application. A
permit Issued shall be construed to be a license, to proceed with the work and not as authority to violate, c,an,c.el, alter, or
set aside any provisions of the technlcaloodes, ~or shalllss~ance of a permit prevent the Building Official fivm. t~erea~~r
requiring a qerrection of errors In plans,constructlon or vlolatlons,of any code~, Every penn It lssu~d shaUb~com~ Invalid
unless the work aulhorlzed by such permit Is commenced within six months of permit Issuance, or If Work authorized. by
the permit Is suspended or ab.andoned for a period of six (6) months, after the time t~~ ~~rk is com~ehced. 'An extension
'may be requested; in Writing, .from the Bu,ldlng Official for.a period not to exc~ed ninety (90.> days,and WIII..~etn(:mstrate
justifiable cause for th!3 extension. If work ceases,for ninetY (90) cons.ecu,tlve days, the job Is conslde~ed abandoned. .
, WARNING TO OWNER: YOUR FAiLURE TO RECORD A NOTICE OF COMMENCENII;N~ MAy ~E~ULt IN ~OUR'
'PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YPU INTENt) TO O.BTA~N F~~ANCINGj CO~SULT
IT YOUR LN' B FORE CORD IN OU 0 C
FLORIDAJURAT(F.S.117.0~) II I '
. . OWNER OR AGENt N" f{{ 4(,i. vt/(),f t't...IIt-- .d-
E'"" and """"' ,"" b malhl.. I
rt~y
Is/are personal y known to me or has/have produced
.v-/_. ~
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, . . " . olary Public
"Commis on No: NoTARY """"<~, j~TE OF FLORIDA
. . .' ~\ Sllz;mne Bahr' ,
Name of Notary ~ trt~lf# DD601110 .
, ~', ," 'xCll-ec' NO" 15' ')010
'. . ~;H\\' L'r' 1 J., 1 \'. J ~
" BU.,DLD 111KL:ArI.;ilC BO;';Ul\G CO"I:\C
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'Jb.<;(,;J!D COf'C.Q-W- ~ 1Y)ItSdflLd +)lJc..
~mpany Name I.D. #
~;_y\ ~DS;C./(LCJ 009777 (pArCO)
License Holder's Name License #:
~D/~ ejO~
ress
tsRookrl }// Ie "
DiL.
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."?4<-or
To Whom It May Concern:
Please 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 for me until further written notice.
Sincerely,
~- ~?1_
Lic nse Holder igna ure
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing instrument was sworn t~and
subscribed before me this .:;!i1 day of /7/JtJ~-f
~r Produced identification
, .;;.~L) 7 .
Personally known
e>>.~ .lJOITH A. BROOKS
; :.\ MY COMMISSION' DO 309761
. . ' i EXPIRES: April 28, 2008
IIcnded T1Iu NoIIIy PIIbIlc UncIIl_"s
Commissioned Stamp
and EXpiration Date
tary signature
State of Florida
County of Pasco
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" BOUNDARY SURVEY" prepared by:
JOHN lROELSlRUP LAND SURVEYING
3111 S. KINGS AVENUE
BRANDON, FLORIDA 33511
813 477-1872 Htt ://WWW.JTLS.US