HomeMy WebLinkAbout09-8797 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8797
BUILDING PERMIT
Permit Number: 8797 Address: 39512 CHARIOT LANE LT 237
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: 24-26-21-0000-00100-0090
Improv. Cost: 1,765.50 OWNER INFORMATION
_
Date Issued: Name: NHCFL-115LLC
Total Fees: 60.00 Address: 6991 E. CAMELBACK RD
Amount Paid: 60.00 SCOTTSDALE AZ 85251
Date Paid: 2/06/2009 Phone: (813)783-3477
Work Desc: INSTALLATION 8 X 12 SHED
HOMEOWNER BUILDING FEE 60.00
2
'.. 4 .€{ $€ C'dl +Y ........:.::....................:...:.:..:...::•.........
'e.$9i'3
FRAME ;
SHEATHING
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
ONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 2- Phone Contact for Permitting --IIIIIIIIIIIIIIIlIIIII..,Il.II.lI 1 .11. ...III iIIlIIIIIIIIIIIIIIIIIIIIIII 11111111 I,,IIIIIt 11111111 ,.rtIIII ....III IllIllIllIllI
pPOwner's Natne �
1 �`7S / i1? Owner Phone Number d '•'3" 71l'r �'�
Owner's Address 43/ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
�r � /
JOB ADDRESS 393 [.G ��'� /►f iQ1/ 2 /,�/ /! LOT# R
SUBDIVISIONIt2, * /Z4D S PARCEL ID# 2$-F24' .- 11 O- OV` dO - o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR B ADD/ALT Q SIGN Q MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR 0 COMM OTHER
TYPE OF CONSTRUCTION fi BLOCK ,0 FRAME E STEEL 0 OTHER
DESCRIPTION OF WORK v X V Tr- I
BUILDING SIZE I SQ FOOTAGE I HEIGHT
LII BUILDING I/ 7 / VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL I$ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
11111 PLUMBING $ -
LII MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO (/r
EiiII GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA LIIYEs LINO
BUILDER COMPANY !/
SIGNATURE REGISTERED Y/ N FEE CURRENT I Y/N
Address License# $ I
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N IFEE CURRENT I Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURRENT IY/N
Address License# $-
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I License# $- I
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N I
��
Address I License# I I
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.
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
the job is considered abandoned.
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, ,
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 NOTICE OF COMMENCEMENT.
r-LGRIDA JURAT(F7•03)
OWNER OR AGEP -',(G ��C CONTRACTOR
Subscribed and sworn r ajftrmed)be a me th'�SD
Subscribed and savor o(or aftirme��)bef re me this 7-y09 by l/ .e
a_p� by j4/!!ZS/U��,(Y, S6
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
L cen as identification.
L� Ge,1 as identification.
,ocs 6 e
, � Notary Public
Notary public ��
'°� Commission DD 62183:
Commis oPrN '=
Co s n No. ; plre
,, .',t'pF F.°e` Bonded Thm Tmy Fain Insumno WO 38
typed,printed or stamped
Name of Notary type
Name of Notaryd,printed or stamped
........
-City of.Zephyrhills
BUILDING PLAN REVIEW COMMENTS
A/
C ontractor/Homeowner:
Date Received: _/ 0
Si
te: c3 95/2
Permit Type: 2
Approved wino comments:❑ Approved with below comments:'` Denied w/the.below comments: ❑
PP
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___ S k
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a
This comment sheet shall be kept with the permit and/or plans.
/ o
Kalvin S, er— I J er Date Contractor.:and/ r Homeowner
(Required whea comments are present)
DISCLOSURE STATEMENT .FOR OWNER
CITY OF .ZEPHYRHILLS BUILDING DEPARTMENT
I, have read and fully understand and
agree to the provisions 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. 1 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 zonin - rett3,ations.
OWNER'S SIGMA -rL %J_4.ALdDATE
ADDRESS
PHONE
WITNESS PERMIT #
Lr r -. DUILUCno 121 VV I vv 1
0
-STATE OF FLORIDA
DEPART-MET OF COMMU'NrT:Y AFFAIRS
'Dedicated to making Florida a better place to call hoinex
CHARLIE GRIST CHARLIE
r THOMAS G PELHAM
ovemo
Seavwy
November 20,2007
Mr.Robert Moore
Lark Builders,Inc.
P.O.Box 629
Lyons,GA 30436
RE: Manufacturer Renewal of Certification,ID MFT-1 --Expiration Date!December 16,2010
Dear Mx-Moore:
It is ray pleasure to inform you that Lark Builde
been approved under the Manufactured located at StVida.GA 75 has
Part I,Florida Statutes for the (Modular)
Begs Program,as provided for under Chapter 553,
manufacture of Stc Sheds and Utiliwjsc for installation in Florida.
Design and production of the buildings must be approved for compliance with the current Florida
Building Code (FBC) by your-selected Third P
Party Agency is a contractor to the y Agency before manufacturing begins. Your Third
must Agency with o maintain theDwent and has statutory authority and rrsponsibilities that they
Inspections. approved status. Expect and demand quality plans review and
Each FBC change will make your plans obsolete until they have been reviewed, approved and so
indicated[on the cover page of the plaasj for compliauee with the FBC by your Third Party
plans review. Please ensure that your plans are in compliance and oAgency for
avoid embarrassing work stoppages in the permitting h7 posted on our website to
subject to the local authori ha process. All site related installation issues are
t3' �gj�sdiction• -
. ess Unannounced to monitoring visits by the Department's.eontrsetor will be-made at least annually: Complete
access your manufAcituing facility and records is amndatory,
regulations of this program .-. _to remain compliant with the.rules and
Please visit our website at www.floradebuikiirlpAra to see valuable information on the Florida
Manufactured Buildings Program- A copy o fy of this etterletterl must accompany mpanY applications for-local building
Sincerely, -
ichael D.Ashy y onb
Manufactured(Modular)Buildings Program Manager
Cc. Danny Kennemur,NDI
2555 SHUMARD'OAK BOULEVARD TALLAHASSEE, Ft 32399%2700
Phone: 850.488-8468ISUNCOM 278-0468 Fax; 850-927-0T87ISE1NCOM 291-0781
Websile: WWjy.068.alala fl ,
COMawNr7T ENO =--
F 'Zak+'9NNCDN 278i,c .r—% AReA OFCRfljç STATE WNcern F�5[.D OFFICE HOUSING AND
70WSNMCG�/Z78.7D00 Flit:208.8-2042 F 5:eI fl4e7 MZV0.00MENT
Fear 630.8?2.�662y9{INCoN 2iQ-SQ2
STATE OF FLORIDA
DEPARTMENT OF COMMUNITY AFFAIRS
"Dedicated to making Florida a better place to call home"
JEB BUSH THADDEUS L.COHEN,AIA
Governor
Seaeiwy
DIVISION OF HOUSING&COMMUNITY DEVELOPMENT
BUILDING CODES&STANDARDS
MEMORANDUM
From: Michael Ashworth,Manufactured Buildings Program Manager
To: Building Officials,Manufacturers&Third Party Agencies
Subject: Raised Seals on Plans for Manufactured(Modular)Buildings
Date: November 28,2006
Section 553.80(l)(d),FS specifically exempts state approved manufactured(modular)buildings bearing
the DCA insignia,from further plan review by local code enforcing agencies. Rule 9B-1,FAC;and the
Florida Building Code(FBC)do not require original signed and sealed plans for manufactured(modular)
buildings to be submitted to local jurisdictions to obtain a building permit. The insignia issued by this
Department attests that the plans have been reviewed and the buildings inspected by a state approved
Third Party Agency and found compliant with the FBC.
However,any code requirements not completed at the factory are considered site related and are subject
to local plan review and inspection in accordance with the FBC and local requirements.Signing and
sealing of these plans should follow local procedures. All site-related installation requirements(e.g.,
foundation,electrical hook-up,plumbing,etc.,)are specifically and entirely reserved to the local authority
having jurisdiction,who may require signed and sealed plans for applicable items.
The State of Florida Manufactured(Modular)Buildings Program requires its approved Third Party
Agencies to maintain a set of signed and sealed plans,(either hardcopy or electronic)that have been
reviewed and approved by a Florida licensed design professional or Modular Plans Reviewer. Inspection
reports conducted at the manufacturing facility by Florida licensed design professionals or Modular
Inspectors are also required to be on file.Local jurisdictions may require copies of the approved plans
with the permit application or may rely on the plans on file at www.floridabuildin org.
For additional information,please contact Michael Ashworth at 850-922-6075 or E-mail:
m ichael.ashworth@dca.state.fl.us.
cc: I.Jones
Files
2555 SHUMARD OAK BOULEVARD • TALLAHASSEE, FLORIDA 32399-2100
Phone: 850.488.8466/Suncom 278.8466 FAX: 850.921.0781/Suncom 291.0781
Internet address: httD:/Jwww dca state fl us
CRITICAL STATE CONCERN FIELD OFFICE COMMUNITY PLANNING EMERGENCY MANAGEMENT HOUSING&COMMUNTY DEVELOPMENT
2796 O.erseas Higtnvay.$u,Io 212 2565 SNxnard Oak Bo�devard 2556 St%mard Oak Boulevard 2555 Sreanard Oak Boulevard
Mwud89-Ft 33050-2227 7alIal,aaee,FL 32399.2100 Tallahasee,FL 323992100 Ta&lah�see.FL 32399-2100
(305)2
(305)289-2402 (850)48&2356 (85q 4119969
(850)488-7956