HomeMy WebLinkAbout08-7196
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7196
7196
Permit Type: ACCESSORY BLDG.
Class of Work: SHED INSTALLATION
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38919 11TH AVE
ZEPHYRHILlS, FL.
Township: Range: Book:
Lot(s): 10 & 11 Block: 47 Section:
Subdivision: CITY OF ZEPHYRHlllS
Parcel Number: 11-26-21-0010-04700-0100
2,000.00
11/16/2007
60.00
60.00
11/16/2007
STORAGE SHED INSTALLATION
'I
fii /1 #-- (,7ft /.
,I' l- 0 6
"t - crf
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."
~
C8NTRACTOR 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
Site:
~csv...~- ~ p~
\ \-\6--6;
3%~\q l~ Aue
Sha.-r>t
ContractorlHomeowner:
Date Received:
Permit Type:
Approved wino comments: 0
Approved withe below comments:; Denied withe below comments: D
itJJ
LSt7 - ;?J4-c L
S tfI1LL- (JI?
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.9\qo ( C'lCS1 k' ~ ob U (l rO
This comment sheet shall be kept with the permit and/or plans.
Kalm Date ~~eowner
(Required when comments are present)
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Name
?C/C;'
Owner's Address 0
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address
/ ,JOB ADDRESS
3.g C( (c(
( { tit d- v("
I
D NEW CONSTR n
D INSTALL D
PROPOSED USE D SFR D
TYPE OF CONSTRUCTION D BLOCK D
;' DESCRIPTION OF WORK I5+DfO--%<- sne.c1
,. BUILDING SIZE I / () >( (;A I SQ FOOTAGE I I HEIGHT I I
III'III"II'I'II'III'II:I~I~"~IIIIII'III"'IIIIIIIIII11'11"111""111'1111'111'111111111"111'11'111"111'11111"11'11111111111111111111'1111
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SUBDIVISION
WORK PROPOSED
LOT #
PARCELlD#1
i\-2~- Z-\- 00\6 -l')O-,OD- 0\00
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
ADD/ALT
REPAIR
COMM
FRAME
D
D
D
DEMOLISH
I
D
OTHER
STEEL
OTHER I
I 1$ ~ b 00
1$
1$
1$
c=J GAS D
FINISHED FLOOR ELEVATIONS I
I
I
I
I
D
I
BUILDING
c=J ELECTRICAL
c=J PLUMBING
c=J MECHANICAL
ROOFING
BUILDER
SIGNATURE
Address
ELECTRICIAN I
SIGNATURE
Address I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
o
W.R.E.C.
PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
ONO
COMPANY
REGISTERED
~YniLc..>u-;~
I Y I N I FEE CURRENT
Y/N
License #
COMPANY
REGISTERED
Y/N
Y/N FEE CURRENT
License #
YI N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N FEE CURRENT
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
License #
III 1111111111111111111111111111111111111111111111111111111I111111111111111111I111111111111111111111111111111111111II1I11I111111111
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 subdivisionsllarge 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.
Address
111111111111111
RESIDENTIAL
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 (Plot/Survey/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"
which may 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 "N, 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 properti~s, the.ow.ner 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 that a s.eparate perm~t. may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations 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 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.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. EveI!' ~ermlt Issued. shall become. invalid
unless the work authorized by such permit is commenced Within SIX months of permit Issu~nce, 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 nln~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. 117.03)~
OWNER OR AGENT ~ ~ CONTRACTOR
( ffi ") b thl Suqscribed and sworn t.P (fIf rmed) bef, ore me this (\1_ ~ \'
Subscribed and sw~rn to or a. u e ore m5 '~\' I \ 1\':510 -, by f~~ t~Y"LcL l::: r \' ~ \(> S
I \ 1\ c::) r c> '"7 by 0 \I ~n ~ Y\'" - hI \ If)"'> Who is/are personally known to me or haslhave produced
Wh-9. is/S!!:e personally known to me or has/have produced' .
Lk: J2~ [L G (L as identification. PL--'l)~?_uli"L u. <!- as identification.
~ ~~ Notary Public
commissio~_~ Karen L Mi~664
f::' ':~ Commission # 0
.. . : -
~ ~ ~ ~ Notary Public
Commission No. ,~~ Karen L. Miller
......~ .. ~ # Ol"\t>no~
€!! ':~ Commission ~~
~ r
Name of Notary ty . .., .......--. ....'/01.
" ,W,fl\ 8onde<lTl'OOI Fm't-....
Name of
,cm "OF :ZEP.HYRBJ:L1;S . .:BUI.i.a>.ING DEP.l\RTHENT
OWNER
JOB LOCAT.ION'
'PARCEL J:..:1L' if .
:SHOPl :ALL 'EXISTING ;& :.P.ROPOSED STRUCTURESGIV:IHG .DIMENSIONS :& .SETBACKS..
-
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1'WO.W-nSHAL05&OMPL'{WiwAli ..
. kK. S~ . . illLDING
PRBVAlL' .
CODE, NATIONAL ELECTRIC CODE j..,
CTfY OF. ZEPI:IYRHII+~ ORDINANCES.
UTILITY BUrLDINGS
'MUST' SHOW SIZE &.
FOUNDATION INFOR-
MATION.
VIEW DATE' " "IS -0 ~
CITY OF ZEPHYRH L~ tC..5 :
PLANS ,EXAMINER lr-,
ir;
FRONT PROPERTY LINE
I:'.
I ( Ah,~
'd~~i:::~~PLES 1 & .2)'
1. SETBACKS FOR Rl,
60
STREET
ONING ."
2. SETBACKS, FOR,R3 ZONING
60'
P
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o
.10" P
O.
S
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10', .
E
X
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10'
" 1.0 I
1.0'
EXISTING
10'
1. 0'"
1. 0'
PROPOSED
'20'
'20' SGL FAM
30 '.DUPLEX
FRONT PROPERTY LINE
FRONT PROPERTY. LINE
(,;
.~,{.L .
4tV ~
/l~
STOP WORK
By order of the Building Official: Wi{{iamjI. (]3uTgess
All Building, plumbing, electrical and mechanical work
shall cease at the below m~ntioned property.
Address: 3?J9/9 // Th /1V~
Date: // - It/ - 07 '~
Code Enforcement Officer: ~!- ~ ~ =
Contact the
Zephyrhills Building Department
5335 - 8th Street ~
813-780-0020 ~.L 0.,.)1
5Vt-~ \-vDV
.( 1 ')
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DISCLOSURE STATEMENTFOR OWNER
CITY OFZEPHYRHILLS- BUILDING DEPARTMENT
I, &,'a/1 fJ";f~f
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. 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 $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.CA and withholding tax and provide worker's compensation for that employee, all
as prescribed by law. Your construction must compiy with all applicable laws, ordinances,
building codes, and zoning regulations.
OWNER'S SIGNATURE
ADDRESS ~
PHONE
~~
DATE /1 - IS --r;//
WITNESS
PERMIT
I/Masterforms/OwncrsAffidavit/Nov07
cm 'OF :ZEPjiYRHII.LS BUDdlING .DEPARTHENT
OWNER,
JOB LOCATION
PARCEL 1: ..D . . -ff
SHOW l\LLEXISTItIG :& PROPOSED STRUcruRES GIVING .DIHENSIONS '&SETBACKS.
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~.
I'
~
UTILITY BUILDINGS
.MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
~
t)
VIEW DATE " ,S -0-'
CITY OF ZEPHYRH LL
PLANS EXAMINER
FRONT PROPERTY LINE
(~N0!DE'~iXA:MPLES 1 &2)
STREET
1. SETBACKS FOR Rl,
60
ONING
2. SETBACKS FOR.R3 ZONING
60'
1 0'
10' .
101 EXISTING 10'
PROPOSED
.20' SGL FAM 301 DUPLEX
1 0'
10'
P E
R X
o I
10' P S
0. T
S I
E N
D G
10'
20'
FRONT PROPERTY LINE
FRONT PROPERTY LINE
Au; 09 2007 4:21PM
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_ u-rr LrTY
NATIONAL DESJGN\ INSPECTION & ASSOCIATES, INC,
P.O. BOX. 621
RUSSELLVILL-E. ALABAMA 35653
PHONE: 256.332-4157
FAX: 256.332.2806
EMAJL~ NDI@CHARTER.NET
RE: Man\l'hlclt\lrer. Cook Porta" W.~
~eupancy: $to~
NOe p_", #: 3R<495--002
To Whom It May Concern:
This. is to certify that the plana for the referenced modular bUilding have been
review" and approv.d ... being In compliance wiU1 the 2004 Florida Codes and
Standards. with 2008 8upplement, subject to the following IimataticM:
1. Approval covers factory-bU11t strueture only.
2. Items installed at the site ant ..ubject w review, approval. and
inapection by the local authority !Ulvlng juriadiCiton.
3. The CNapt8r 633 ptan Rm.w and Inspection shell be
conducted by thtIlocal fire ptety inapec;tDr.
4. Signed and _led plana .tHllI bft on file with NOI, Inc.
5. Not approv4KI for High Velocity Hurricane Zone (I.... Broward
and C.. Counties).
S'ne.....'.
Nationa' D8s5gn. Inspection & AaaOGiatea. Inc.
;i".,~I,Jh; .... -.~ OF 'It..:;
,: .". '-F.h,> ~-' [h
~~:~r l003/'1/8G
Au~ 09 2007 4:21PM
HP LASERJET FAX
&l-f ,";': f:y
p. 1
FBEO $. CARDWELL Profe$3i~1 Ell i7lecr. Land Sun'evor
1000 S. Bekhe: Road' B,dg A. Ur...rt~,. i'~ Largo, Florida 33771 "Phone (727) 524-1905' Fax (72:) 524--1299
Iul y l7,2006
Cook Portable Warehouse
iCO D:::ugjas ST.
Valdcs~a. GA 31603
TO "WHOM IT :;VIA Y CONCERN:
I Fred S. Card\vell. PE approve [be opcio!l of installing (1) Simpson H3 Hurr..tane clip or
equal to each llotJr jOJSl In Leu il..' h:iving III Sl:7;pson H3 Hurricane clips or ~qua.i to ,.very othe~
floc.l jOlsL ~~~s shO'V'!11 on p1.2_n~
IS YQU ;:.a'.<~ ar:y qcesti()l"1s <;:,krtse te,=l free to call rr.e.
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