HomeMy WebLinkAbout08-8671 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8671
BUILDING PERMIT
Permit Number: 8671 Address: 39729 COG HILL LOOP LT#94
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0030-00000-0750
Improv. Cost: 600.00
Date Issued: 12/29/2008 Name: MAJESTIC OAKS
Total Fees: 52.50 Address: 6991 E. CAMELBACK RD, STE B-310
Amount Paid: 52.50 SCOTSDALE, AZ 85251
Date Paid: 12/29/2008 Phone: (813)779-2777
Work Desc: INSTALLATION OF 6 X 10 SHED
HOMEOWNER BUILDING FEE 52.50
FRAME
SHEATHING
ip
r
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
imp vements to your property. If you intend to obtain financing,consult with your lender or an attorney
recording your notice of commencement."
12l1 . ___
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i.:.:.::::::.............
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor L '- v4)
Date Received: f
Site:
( Q & ( 7
Permit Type:
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
Appro
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This comment heat sh e k t with the permit and/or plans` 0,
Kal Switzer—p xammer - Date Contractor and/or Homeowner
(Required when comments are present)
T F
APPLICATIONOit PERMIT �
CITY OF ZiPHYRFrILLS T1 f ,�,,
BUILDING DEPARTMENT DATE RECEIVED
PLAN Eli FEE
OWNER' S NAME HONE
] �I i / 1•Tr
JOB ADDRESS 3� l r7 pt l oCi ��1�� LDUp
BLOCK SUBDIVISION 9Q e≤ c 06-/CS t/1ct
LEGAL DESCRIPTION: LOT(S) � / �
PARCEL ID If 7 { O03/1 �o O D s (J✓(OBTA N FROM PROPERTY TAX NOTICE)
WORK PROPSED: ❑NEW CONSTRUCTION ❑ ADDITION ❑ALTERATION ❑ REPAIR L /YIINSTALL
❑SIGN ❑ MOVE ❑ DEMOLISH
PROPOSED USE: ❑SGL FAMILY DWELLING ❑MULTI-FAMILY ❑# OF UNITS ❑MOBILE HOME
❑COMMERCIAL ❑INDUSTRIAL ❑SWIMMING POOL OTHER
[ ] RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK
BUILDING SIZE /` SQUARE FOOTAGE C[%(J HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & ( 1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIO
(I ,7��Z
PERMITS REQUESTED
BUILDING $
i VALUATION OF TOTAL CONSTRUC ON
Q ELECTRICAL AMP SERVICE O FLORIDA POWER ❑ W.R.E.C.
O PLUMBING
❑ MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION
O GAS DROOPING ❑ SPECIALTY ❑ OTHER
TYPE OF CONSTRUCTION: O BLOCK O FRAME ❑ STEEL ❑ OTHER
FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA❑ YES ❑ NO
[II_ CONTRACTOR SECTION
BUILDER AN
l COMPY O h
`� STATE CERT OR REGIST #.
SIGNATURE ---" CITY PROCESSING #
* ** ***********+**********+*****************+**++***************
ELECTRICIAN COMPANY -
STATE CERT OR REGIST if
SIGNATURE CITY PROCESSING #
PLUMBER COMPANY
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING 1)
********************************+****************#***************
MECHANICAL COMPANY
STATE CERT OR REGIST It -
SIGNATURE CITY PROCESSING #
OTHER COMPANY
STATE CERT OR REGIST #
SIGNATURE CITY PROCESSING #
:oNDi T.tONS tF PEY'M_ T 7LE FI D.-.•r
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be sub�e t to "deed resl.ri•aicns' ri i.clti
may be more restrictive than City regulations. The undersigned assumes respcta:.} :.! .i y '.or
compliance with any applicable deed restrictions.
B. UNLICENSEP CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
if the owner has hired a contractor or contractors to undertake :work, they may he recd"'re'
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 misdemeaiior
violation under state law. If the owner or intended contractor are uncertain s toul:3t
licensing requirements may apply for the intended work;, they are ad'rised to contact the
city of Zephyrhills Building Department, 633-796-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor sections'• of this appli.catiou for which they.
will be responsible. If you, as the owner signs as the contractor, you are indica irig that
you, rather than the contractor, are responsible for the work_ If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and
not entitled to permitting privileges in the City of %ephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 7?3, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida' s Gcres .:ruct_i-cr'
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. It the applicant is someone other that. the "owner", t y'
have obtained a copy of the above described document and promise in good I:3i.tIi '[r, :leisve'
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER' S AFFIDAVIT ;, ! l
l certify that all the information in this application i.s accurate and than, all work
be done in compliance with all applicable laws regulating construction, Toning, and land
development.
Application is hereby made to obtain a permit to do work and installation :.is Indicated.
certify that no work or installation has commenced prior to issuance of a permit arcd that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. ] aLso
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibi Lity to identify what actions I trust take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Ser:siti7a
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, :4ecl;iud Areas,
Altering Wat=•rcourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or '•A,etc.", it is
understood that a drainage plan addressing a •'conpensating volume" will, be submitted *-which
is prepared by a professional engineer registered in the State of Florida prior to perrr_t
issuance.
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 code. Every pern,t_
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for
period of six months after the time the work is commenced. One 90 day extension of tine
may be allowed for the permit with fee charge of $15.00. The extension shall be requester
in writing to the Building Official . An approved inspection must be logged during each si
month period, or the project will be considered abandoned. N. {{)Urt
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE CF COMMENCE:'1ENT MAY RESULT
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CDHSUI'T
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING ,C'UR NOTICE OF COMMENCEMENT. JO`S UNDEP
x__500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT SIG:1?VNJRE: CONTRACTOR
STATE OF FLORIDA STA+1'F_. OF FLORIDA
i U C'n COUNTY _ C' O COUNTY OF � i lT' OP
The foregoing inst ument was acknowledged The foregoing instrument was acknowledged
Before me thi S day of )Q( . Before me this 3` day of '- ' C'
by JvylriL VR0Ct by I : Ot --L /^—
/ (name of person acknowledged) • (name of person acknowledged)
L7 who is personally known to me, or L rho is personally known to me, or
O who has produced 0 who has produced_
} f (type of identi.f icit;on)
{type of identification) YP
and who❑did ❑did not take an oath. and who Udid [did not take an oath
Signature of person taking acknowledgement— Signature of person t:=.ikincI ackncw,ledyiaer:t
Name typed, pri or stamped tame typed tinted or stamped
#..'•. SUCANANNU1VALLEc aE';••• % StIANA+I l rat,! E
* +i * MY COMMISSION I DD 777369 * * W` 7369
y EXPIRES:July 2e,2012 V Ian 2012
+�o tor` rhm audi t"Services * * 31 3
EXPIRES:
Juuly 22,2012
�� 0F Fe \Or Bonded ilia BIM90< res
PASCO co
CENTRAL PERMITTING DWISION
OWNER-BUILDER AFFIDAVIT
STATE Or FLORIDA)
COUNTY OF PASCO)
�ersonall. appeared /� rr� r
BEFORE me, the undersigned authority, l y PP du y sworn,who being by meunder oath, deposes and states,
first
as follows:
I do hereby swear/aff tm:
That I own the prope described as 55/3 — — -y— �_
Disclosure. Statement. wider an
State law requires construction to be dofie by licensed contractors. You have applied for a permit
contractor t
exem.pbon to the law. The exemption allows you, as the owner of your property, to act as your c
�vrth certai n restrictionB even though you do not have a license. You must provide direct, onsite sup viSi0fl of
the construction yourself. You may build or improve a one-family or two-fami]y residence or
fau
wild or iin rove a ce eTCial building provided your costs do not exceed
outbuilding. You may also b P
00.00. The building or residence must be for your owii use and occupancy- It may not be built or
7�,0 roved
stanfially improved for sal e or lease. If you sell or lease a building you have built or suhstr+ntial1Y improved
��ved
sub P
within. one year after the construction is complete,'the law will presume that you built or sobperson to act as your r an it for sale or lease, winch is a violation of this exemption. You may not ies onsib Jity to make sure that people
contractor or to supervise people worlJ.ng on your building. It is your p P ordinances You
employed by you have licenses required by State law and by Count or rotn2ici al lice not ceased n perforrru
may not delegate the responsibility for supervising work to a licensed contractor who 1s
the work being done. Any petsorl working on your building who is not licensed must work under your
s� envision and must be employed ley you, which means that you must deduct F.1.C.A. and witluholding tax and
s 7p
Pro
vide Workers' Compensation for that employee, all as prescribed by law. Your COrL9trUCttUn most Comply
with ill applicable laws, ordinances, building codes, and zoning regulations.
That I have read the foregoing, and am aware of my respo and liabilities
s for construction work on.
the above--described property an l do lrercby agree to each of theaforesaid
- trP.THER.j FIANT SAYETEI NOT.
Owne `s Sigirature
Address
Date
SWOP to and subscribed be ore me
This 1' day of t)c�+ n� �r
7() - ?oti •Pywc SUCAN ANN UIVALLE
/11 I 1/ # * MY C0t I$S ON*00 777a
EXPIRES.A*22,2912
Notary Public ��� eN,ew eutwary
State of Florida at Large
My Commission Expires:
Print, Typc, or Stamp Commissioned
Name of Notary Public
Personally Knovvti or Produced Identification
Type of Identification
• Majestic Oaks RV Park Site Plan Lot # 9 t
Resident u 2 N R Date Nov. 3o/o 1 Phone # 9i3 3 7&236o1
Make of Unit Sun 6 u i o r2 Size 6 'x /c ' Year 2o0
0 8
Contractor PA ,rzess 4omes Phone # St3 78J 14 31
All drawings will be to scale Scale r a v X I
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SHOW ALL EXISTING AND PROPOSED STRUCTURE GIVING DIMENSIDNS do BETBA01C5
ALL EASEMENTS; "RIDHT^OFD-WAY„, JURISDICTIONAL LINES; i.,y
DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE
3