HomeMy WebLinkAbout07-7350
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7350
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:
7350
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
NOT APPLICABLE
1,355.00
Address: 4929 LAKE SIDE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: WINTERS
Parcel Number: 14-26-21-0000-0020-0000
Name: MO OZ,MERVYN
60.00 Address: 4929 LAKE SIDE DR
60.00 ZEPHYRHILLS, FL. 33542
12/27/2007 Phone: 813 780-9118
12X14 SCREEN RM ON EXIST CARPORT INSTALLATION OF VINYL WINDOW ~
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.
REINSPEcnON 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."
C E PERMIT OFFI
PERMIT EXP ES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
..----...- .._...:...._.._.,-~.._--~ ._.~ .__._--~--_... -... -"~" .:",
. .........._____.-r-o_..
..-------.-..'...-
.................
...................
............1.........
City ofZepbyfuills .
BlJILDING:PLAN REVIEW COMlvIENTS
" Dare Received:
" ,
,
. "
Ae~r' /l1eJ<~f(n C; 1U;[~fk ~~rc~
./2-20-0 7
1?2-q 'idKRs,ch" d:k
I Z ~ l<t. .5LreeA L'frz
'ContractorlHomeowner:
Site:
Permit Type:
J>qiprov.e.J. wIno .;m"".en!s? Approve;l withe bclow comnienlll: EJ Denied withe below camments: . 0
th tbepCrmit andJorplans.
er"
:"<"~ V") .
Date
. . Contractor and/or Homeowner
. (RequiI-ed when comments are prese;nt)
813-780-0020
City of Zephyrhil/s Permit Application
Building Department
Fax-813-780-0021
Date Received
, * .'
,f ~ -, .. ~
Owner's Name I -t! i ( t f .' /',,"( " ,#' ,!
Owner's Address I,.i" .f .,7 i~ i" ~.. ,;;/. ,",' ":0 ~ (J
Fee Simple Titleholder Namel
Fee Simple Titleholder Address
JOB ADDRESS
It' '1 ~ 9
j ,J )1' ~ , .' .'^~ ~
... --'
I
PARCELlD#W", ~-2..' -ODOO ....bo UJ ...0000
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
LOT #
WORK PROPOSED
B
D
D
NEW CONSTR
INSTALL
SFR
BLOCK
I j 11 I
Ej
D
D
ADD/ALT
REPAIR
COMM
FRAME
D
D
D
DEMOLISH
SUBDIVISION
;"1,-' .; >,V'~ t / t
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER
STEEL
I
D
OTHER I
DESCRIPTION OF WORK
JP ')( ILl
Scrft.V;?J.#,.#
I .~} .A . tV"::.. .V J; (~
.v'1 /'" I /'",
BUILDING SIZE J ;7 I \ ,I 1.,/ , SQ FOOTAGE I I , f HEIGHT I f I l' I I
. . . I I . . . I I . . . . I I I I . I I I I . . I I . . . I I . . I I . I . . . . I , . I . . . I . . . . I I I . I . I . . . . I . I . , . I I I . . . I I I I I . . I I I . I . . I . I . . . . I II I I . . . . . . . I I . I I . I . . . , I , I I I I I . I I I I I I I I I . I I I I I I I
D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
J, 1~' ')
D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C,
A./' ~
,
D PLUMBING 1$ I
/tr"
D MECHANICAL 1$ , I VALUATION OF MECHANICAL INSTALLATION
'I',
,',,,-
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA ~ES DNO
BUILDER
SIGNATURE
COMPANY
REGISTERED
I. , .14 ( ~:' ,y' , "
1 Y / N FEE CURRENT
Y/N
Address
ELECTRICIAN I
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE ,
Address I
OTHER I
SIGNATURE
Address I
1I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111
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
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
1I1111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111I1111111111111111111111111111111111111111111111111111111'
Directions:
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 C()ntractor) 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 NC Fences (Plot/Survey/Footage)
l;;! ~" ::J ;/ ,( ti (f , ;' j~ I ,ro}J
License #
/1/
. J
COMPANY
REGISTERED
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y/N
L
"10-"
, ,
COMPANY
REGISTERED
Y/N
." I
/. ",
/to.,.'
COMPANY
REGISTERED
Y/N
, / , .~
COMPANY
REGISTERED
II"~
Y/N
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 "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 permn application, for lols 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 permltttn~ condlbons s~1 forth In
this affIdavll prior to commencing consbucllon. I understand thaI a s~parate permit tnay be requ,,~d for elecincal work,
plumbing, signs, wells, pools, air conditioning, gas, or other Installabons not speCIfically Included tn the applicabon. A
permit issued shall be construed to be a license to proceed wllh the work and not as authonly 10. vlol~t~, cancel, aller, or
set aside any provisions of the technical codes, nor shalllssuanee of a penlllt prevent the BUilding OIIlclal from the~eaft~r
requiring a correction of errors In plans, construction or vlolallons of any codes. Every ~ermlt issued shall become. tnvalid
unless the work authorized by such permit Is commenced within sIX months of pertnltlssu~nce, or II work aulhonzed . by
th ermil is suspended or abandoned for a period of SIX (6) tnonths after the btne the work IS comtnenced: An extenSion
tn: p be requested, In writing, from the Building 01llclal for a period not t~ excead ninety (90) days and Will demonsbale
jus~ftable cause for the extension. If work ceases for ninety (90) consecutive days, th.~ob IS conSidered abandoned.
ARNING TO OWNER' YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT iAA Y RESULT IN YOUR
~A YING TWICE FOR IIVjPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCtNG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F;S. 117.03) //:.~
CONTRACTOR L1t~J
Subscribed and swOm to .<oJ afli ed) before me \I11.s .
(l/to -07 by _ /'1 er Vi tv' Ctr; 1'{4 -Z-
Who is/are personally known to me or has/have p~dU?ed
C/ l'LI Sit 17 as IdentIfication.
Notary Public
Notary Public
I1l'rI'. ~ . .
ff "L . ^" e... if >l" / 1'1, <.j" t h
. OWNER. ~ T ~ .
JOB LOCATION if 'i .2. 1 L A- J( LS' J ~ ~
PARCEL 1.0. .
f\1 0 I? () 7-
Pr, Z f" i' 1, )',.. h,.~ 1/ ~ ~/ 33';-'\LL
SHOW ALL EXI8TING · PROP088D 8TRUCTURIS-GIVING DIHENSIONS , SSTBACKS.
E I-" I / r) t ( .A r ,,"Ii ~ I~
-r C//tPd,1 ;,..... <:...,1"
Q,
~lJ;IJ /' 'F,t,.".
71) to
rd)f)~ /2.')(,,/ I,
i',( /;)/:>J.5'fJ,.I
.. 1"1 I) , . r.'
- ,vi 1 i" ,,' )"
/)Vr,/v,!,
I ,~.f t ~
,l-..' /1 _ "J ;,.? 61",0 f:
,. i ~ '" .. t..v..... ~ " . "'7
P"'V'MC {
..' "I: t, cr ~/,'tl
(OM(.?' ./1 .
UTILITY BUILDINGS
HUST SHOW aIZE &
FOUNDATION INFOR-'
HATION.
tiP!,' r'''''&'-'
r-hdrA,-1 , I j
(gX311..
?,-lY .J{I /10'1 ..
/ '.Jo '" j" ~ < c",
f ;; I f ,l" "- w ,1 )
/" Ct' ,.
[f .r (10,,. l /) ~, ;
" (< "
-
-' ~
, , , 'c.. ( /)" t '/ . ,,,
(.It'P') . r "! :', I
/:). 'X 1 IS' ~.;) I '( ~ ~
fr~f?iI~<..( {'C"<IJV
r:r M' /7. I ~ I"
-r~ . . ill('
/']
jli\j
pwl u; JI~
12 !
i
J..-
r
~
I
3' '
(,ftFc.-t'i(. ".,,{~:,.,~,..,.
,. I. If J ~ '
, I
.}
, .
- ).
.::\ ,.
\ )
f) --
"
~
. I'/..' FRONT PRO'IRTY LiNI I L':" II( ~s '/>( P r
.
(NOTE EXAMPLES 1 & 2) STRIIT =
1. SETBACKS FOR Rl, R2 ZONING
60'
10'
P E
R X
o I
10! P S
o 'I'
8 I
E N
D G
20'
...
2. SETBACKS rOR 13 ZONING
60'
o
, ,
10'
. 10'
..
10' IXlaTINO' 10'
,
'ROPOBBD
..
20.' SGL FAH JO'DUPLEX
o'
1 0'
1 0'
.'
"
'" FRONT PROPERTY LINK
. ,
rRONT PROPIRTV'LINI
.FOR CARPQRTS QR LI... SfIlUC'/'UREa PLE"'6~. CQNn~r~ TII~ [O/,LQIjIlilil.
(I) DE8CftIB~ WHAT TYPE' . fRBE' STANDING OR ATTACHID (CIRCLE ONEI.
(2/ If ATTACH~D, HOW 18 IT TO Bt fA8TIN~O TG STRUCTURE?
....
,
III DE8CRIBE PG8T 8PACING , fA8TINING (I' TO CONCRETE, IN WHAT HANNIR?I
-.
( 4 )
GIVE DIHENSIONS or CARPORT LENGTH, WIDTH. 'HEIGHTI ) ~ j >( 11. j
( 51 GIVE All aUNT or OVElUIAHG FROH STRUCTURAL SUPPORT: . ^C .. ,
(61 ~OHPLY WITH REQUIRED SSTBACKS AS GIVEN IN ABOVE REFERENCED PLOT
PLAN.
-.
. " 'I
~ V-. q
.
I
'. 'j
.'.;
(" I..
r
!
I
REVIEW DATE t) -;:).{, --if) i "
CITY OF ZEPHYRHILLS i
PLANS EXAMINER .' ([; : L
ALL WORK SHALL COMPLY WIFl ALL
PREVAILlN(; CODES, FLORIDA BUILD:';'3
CODE. NATlOf-i ,~'rECTRIC CODfAN'
(':"V OF ZE:J'lf.! '{r:, i' I: ryp DIN ^N,r,r.s
_'..1.. "- 'l 1 _' II, L "" "'., ,I f'\ ~ \t- .L'
I
(.
~
I 2 I
"I
1-0" "
t..J r Sri WI
I ') I ,..,1/ 4 ',"I
S~III'~' \""".1:/
"
~.,
,'/
'::J-J II '
;-'"" ~
.' -: (..... ~...~. I I:
Ner"! /I /,,\./ ,,"
(<';~'\V~-
1,1 hf'';j.,'
~ 9
I J .! 'z.
/.-..1 ; t: -I I,
f /> ' i 4
c/ (J I r' .
"" f
","': J,"C
s:'
l.. 1A.,.,,-.. ,I eo L."
'i /' (. t"l /
Z J-I ~<.~ {.;. J'
3
..,./' " ,1.>' ('I r:J ....,;
v/vy(
L{ f
\ ,..., .,~'t
, r
.'
, " (f , 9
(' rr
.. :1'
A
fA.)
I
f I oj
,.
f "
I 1./
I fH ~
l...j 0 iJ ~.
{' (I
!
, III t( ,
Z. \1;"/ II I WI" 1-" tot d ~
~ l:'
\'
-: ;..'; ~ ~ .':
:-