HomeMy WebLinkAbout08-8503 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8503
BUILDING PERMIT
,z.'fyYc ^'mac
Permit Number: 8503 Address: 4821 6TH ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 14-26-21-0010-01500-0080
Improv. Cost: 500.00 Y
Date Issued: 11/07/2008 Name: GARCIA, ALEJANDRO & MARIA
Total Fees: 52.50 Address: 4821 6TH ST
Amount Paid: 52.50 ZEPHYRHILLS, FL. 33542
Date Paid: 11/07/2008 Phone: (813)239-4723
Work Desc: RENOVATE 17 X 11 RM IN REAR
HOMEOWNER BUILDING FEE 52.50
1 '
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
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.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one 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."
JC \C ' o l
CONT C OR SIGNATURE PERMIT OFF! R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
S;3t�:i L C. "�iPLY�`'qq ALL
AT�1 yvORK c A
FLORIDEUILI?`
;a NNILING CAE r.v, OLE A
CTRIC" �R+
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�,1`ry OF ZEKYRH
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l ' CITY Y OFnZEPHYRHILLS BUILDING DEPARTMENT
OWNER L14�( I�W Q c �o LQ
JOB LOCATION '1g21 th 5t 7L ph g t h l l s U
PARCEL I .D. - #
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
ALL WORK SHALL coMpti WTTF 'r i
REVAIL ING CODES uRIDi ELI I) s
COD NTft�N°«. _1 I, C. . OD NT_►
CITY OF ZEPHYR EILL5 0RDI ANC S
LL
UTILITY BUILDINGS � \
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION. FRONT PROPERTY LINE
(NOTE EXAMPLES 1 & 2 ) STREET
1 . SETBACKS FOR R1 , R2 ZONING 2 . SETBACKS FOR R3 ZONING
60 ' 60'
10 ' 10'
P E
R X
O I
10 ' P S 10 ' 10 ' EXISTING 10'
O. T 10' 10 '
S I _
E N
D G PROPOSED
20 ' 20 ' SGL FAN 30 'DUPLEX
FRONT PROPERTY LINE FRONT PROPERTY LINE
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 0 Phone Contact for PermittingI TI-I-I-li I I -
.111111 IIIIIIlIIIIIIIIIIII 11111111 ii,. 11111, liii.IlillIlIlIll
Owner's Name ' Lq l V r L" (i ° I Owner Phone Number 5z- & 7'
Owner's Address I 4 LP Lh ( ii F 33. .Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address C < 2
JOB ADDRESS t` `}r S ,ht ( J J I 1 3 -t Z LOT# I
SUBDIVISION I PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR Alf DLALT Q SIGN Q MOVE 0 DEMOLISH
INSTALL Q�EPAlR7
PROPOSED USE SFR COMM L OTHER
TYPE OF CONSTRUCTION L BLOCK 0 FRAME 0 STEEL Q OTHER
DESCRIPTION OF WORK I Vçf (j)rrt on bQ!PV . 1. 'c\QtV'tCmfl Jc'c I V) yQ "
BUILDING SIZE I SQ FOOTAGE . 6 i HEIGHT
Q BUILDING $ '5t7
VALUATION OF TOTAL CONSTRUCTION
LII ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
11111 PLUMBING $ I
11111 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
LIII GAS [ ] ROOFING 0 SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOQONE AREA DYES QNO
BUILDER ["6111GNATURE p /\ ( y pi COMPANY otkyl LSIto �• vl "� l REGISTERED Y/ N FEE CURRENT Y/N
Address I I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT Y/N N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I I License# I
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT Y/N
Address I License# I
OTHER COMPANY
SIGNATURE j REGISTERED I Y/ N FEE CURRENT I Y/N
Address I License#
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&I 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.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C 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 A/C 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 "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 that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to.violate, 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 violations of any codes. Every permit 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 the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days 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
FINANCING,RESULT IN IN CONSULT
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING R
FLORIDA JURAT(F.S. 117. )
OWNER OR AGENT é j477'* CONTRACTOR
Subscribed andwo
Subscribed and sworn to ffirmed)before me t '
s o(or affirmed befor a this by
by ��O S QGr d y1d Who is/are personally known me or as/have produced
re-
Who is/are personally kno to me or has/have produu ceedd as identification.
as identification.
Notary Public
Notary Public ELINE BO
621833 �""'P JACQU D 621833
,: :r CommisSlOn DD Commission Nv '
Commissio' �•, Expires t)ecember
'% �t•h,,`' &xded Thou Troy Fain Ineurence 900-388'7079 bonded ThN Tr Fain Insurance 80038+•`708
Name of Notary typed,printed or stamped
Name of Notary typed,printed or stamped ,
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I, (/ QJC - have read and fully understand and
agree to the provisidrts of this instrument.
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 $25,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you 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 workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regulations.
OWNER'S SIGNATUREP1CI (1 1O. .DATE
ADDRESS
PHONE - .
WITNESS PERMIT #
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7-21 Rev.04/30/2008 Thermastar 0&8ArchitecturalDesignManuel • Division08—Openings•Windows andDOots•www.PelIIADM.com TSE
Judy Ultermarkt
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Judy Uitermarid
Nov. 5, 2008 12: COFM No, 3452 7/11
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Judy Uitermarkt
Nov. 5. 200° 12: COPM No, 3452 P. 8/11
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