HomeMy WebLinkAbout09-8735 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8735
BUILDING PERMIT
Permit Number: 8735 Address: 5436 TANGERINE DR
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: 12-26-21-0040-00400-0030
Improv. Cost: 309.00 ,
Date Issued: 2/04/2009 Name: WILKINSON, CHRISTINE
Total Fees: 52.50 Address: 5436 TANGERINE DR
Amount Paid: 52.50 ZEPHYRHILLS, FL. 33542
Date Paid: 2/04/2009 Phone: (813)782-3394
Work Desc: REPLACE 1 WINDOW SIZE/SIZE
HOMEOWNER BUILDING FEE 52.50
a /�G1
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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."
Uz \ r-
CONTRACTOR SIGNATURE PERMIT OFFI R
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
Contractor omeowner;/
Date Received:
Site:
Permit Type: J4 &) �i-' 3 2 ' �.
Approved wino comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comet t sleet s 1 be kept with the permit and/or plans.
/ /j_ot'
Kal ' Switz —P1 aminer Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received — OC Phone Contact for Permitt g ? 3 y
Owner's Name l_ Owner Phone Number 1_ \ _ t 33Q Lj
Owner's Address 5`i �4 O'R r► 1 Owner Phone Number - J_ 5
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address`�
JOB ADDRESS 5 `t �P TCI Vl C(- n LOT# ��
SUBDIVISION PARCEL ID# \ ' % ( ' b 0 (-E O() 003 0 3 Q
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED Eli NEW CONSTR B ADD/ALT SIGN MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM Q OTHER
TYPE OF CONSTRUCTION ® BLOCK [� FRAME Q STEEL Q OTHER
DESCRIPTION OF WORK I! t r ct & S
BUILDING SIZE SQ FOOTAGE HEIGHT
Q BUILDING $ '30 Q O VALUATION OF TOTAL CONSTRUCTION
LIII ELECTRICAL Is
AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
Q PLUMBING I$
0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
0 GAS Q ROOFING 0 SPECIALTY [ ] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO
BUILDER \ V COMPANY Il
SIGNATURE V. -" REGISTERED Y/ NI FEE CURRENT Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED YIN YINI FEE CURRENT Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ NI FEE CURRENT Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ NI FEE CURRENT Y/N
Address License# I -
OTHER COMPANY
SIGNATURE REGISTERED I_YINI FEE CURRENT Y/N
Address 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&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 ail new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
IIIIIIIIIIIIIIIIIIIIIlIIII
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 IMPACTIUTILITIES 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 MAY RESULT IN YOUR
PAYING TWICE
LENDER OR AN ATTORNEY FINANCING, CONSULT
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
WITH YOUR
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as Identification. as identification.
Notary Public
Notary Public
Commission Commission No.
No.
Name of Notary typed,printed or stamped
Name of Notary typed,printed or stamped
OWNER-BUILDER AFFIDAVIT
• STATE OF
COUNTY OF
BEFORE me,the undersigned authority,personally appeared
�h r. 'l,+i s' e_ W .k n rn who being by me first duly sworn,under oath,deposes and states,
as follows:
I do hereby swear/affirm:
That I own the property described as
c -'-\\s U 35U
Disclosure Statement
State law requires construction to be done by licensed contractors. You have applied for a permit under an
exemption to the 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
$75,000.00. The building or residence must be for your own use and occupancy. It may not be built or
substantially•improved for sale or lease. If you sell or lease a building you have built or substantially improved
within one year after the construction is complete,the.law will presume that you built or substantially improved
it for sale or lease,which is a violation of this exemption.You may not hire an unlicensed person to act as your
contractor or to supervise people working on your building. It is your responsibility to make sure that people
employed by you have licenses required by State law and by County or municipal licensing ordinances. You
may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform
the work being done. Any person working on your building who is not licensed must work under your
supervision and must be employed by you,which meanq that you must deduct F.I.C.A.and withholding tax and
provide Workers' Compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws,ordinances,building codes,and zoning regulations.
That I have read the foregoing, and am aware of my responsibilities and liabilities for construction work on
the above-described property and do hereby agree to each of the aforesaid stipulations.
FURTHER AFFIANT SAYETH NOT.
Owner's Signature
43i
Ad ress
rL. 3 S 5. .. ...... . . . .•., ..
Date
SWORN to and subscribed before me
This 7/f day of /,4',1J.
20
r • jjJ
Notary ublic
of Flnric 9 nth
BOBBIES.SWETLAND My Commission Expires: -
: Commission DD 734406
Expires February 22,2012
BandedTMuTmyFainIiMMOlOaBOO4 5.O1$
Print,Type,or Stamp Commissioned
Name of Notary Public
Personally Known or Produced Identification
Type of Identification F.C ��
Page lot Y.
Parcel ID 12 26 21 0040 00400 0030
Deeded Acres 0.29
GIS Acres-This value is a calculated value taken from the attribute table.It is not the legal acreage of the parcel. The legal
acreage of the parcel is the Deeded Acres value.
The percent Wetlands, Future Land Use,Zoning etc. use the GIS Acres value.
GIS Acres .25
Wetlands
Not Found
Future Land Use
Zoning
ZH . 5 acres 100.%of Parcel
Fema
C .25 acres 100.%of Parcel
WindSpeed
105 mph
Taz
1743
Evacuation Zone
None
Archaelogical Sites
Site Not Found
Habitat
Not Significant
Land$ 22164
Ag$ 0
Building$ 99388
X Features$ 1859
Appraised$ 123411
Tax Area 30ZH
Mailing Address
WILKINSON CHRISTINE D 5436 TANGERINE DR
ZEPHYRHILLS FL 33542-4699
Physical Address
5436 TANGERINE DR
Exemptions H
Previous Sales
08 0
07 0
93 56000
79 29000
79 4500
http://gis.pascocountyfl.net/MapPages/outputipgs/PIdent4500_2229.html 1/5/2009
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Code Version 2007 FL# 10453.5
Application Type ALL Product Manufacturer Alside Window Company
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FL10453- Revision Alside Window Company L.F. Schmidt, pproved
R 1 FL#: FL10453.5 P.E.
Model:e. Model 07HP (813) 926-
Description: Extruded PVC Single Hung Window - 6537
utilizes Sill Extender"Non-Impact"
Category: Windows
Subcategory:Single Hung
DCA Administration
Department of Community Affairs
Florida BuNdSng Code OnNne
Codes and Standards
2555 Shumard Oak Boulevard
Tallahassee,Florida 32399-2100
(850)487-1824,Fax(850)414-8436
O 2000-2005 The State of Florida.All rights reserved.CooydQht and Disclaimer
Product Approval Accepts:
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