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Home My WebLink About08-8436 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8436 BUILDING PERMIT Permit Number: 8436 Address: 5024 20TH 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: 12-26-21-0100-0000-0020 Improv. Cost: 3,250.00 Date Issued: 10/20/2008 Name: THOMPSON, PATRICIA Total Fees: 227.50 Address: 5024 20TH ST Amount Paid: 227.50 ZEPHYRHILLS, FL. 33542 Date Paid: 10/20/2008 Phone: (813)780-8559 Work Desc: PLACE EMERGENCY GENERATOR ON CEMENT SLAB HOMEOWNER BUILDING FEE 67.50 ELECTRICAL FEE 35.00 FIRE PLAN REVIEW FEES 25.00 FIRE PERMIT FEES 100.00 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." M4 ____ CONTRACTOR 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 ( /1 z J Date Received — D Phone Contact for Permitting --► C IIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIII 11111111 ''iii,... IIl _l. . ....lIII Owner's Name at r1 d of d son Owner Phone Number v " p 7-I Owner's Address 0 Z 20 5 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address ��} JOB ADDRESS 21 �`� LOT# II SUBDIVISION ( ?1' Y k PARCEL ID# JZ' IPV~ 0 47.0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR 0 COMM OTHER TYPE OF CONSTRUCTION BLOCK �j FRAME STEEL 0 OTHER DESCRIPTION OF WORK G Ywr'a/t!dY 4 rL GCS.Q. V" BUILDING SIZE I SQ FOOTAGE I HEIGHT II Q BUILDING Is I VALUATION OF TOTAL CONSTRUCTION Ellil ELECTRICAL 1$ Ago AMP SERVICE ® PROGRESS ENERGY 0 W.R.E.C. Q PLUMBING $ 11111 MECHANICAL $ g QUA pp VALUATION OF MECHANICAL INSTALLATION W 0 GAS ROOFING SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO BUILDER / 1 COMPANY f/ { SIGNATURE G� J v` REGISTERED Y/ EE CURRENT Y N Address License# ELECTRICIAN COMPANY SIGNATURE J J REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N I FEE CURRENT Y/N Address I I License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I I License# OTHER COMPANY SIGNATURE REGISTERED I Y/ N I 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&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 applicant 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 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. FLORIDA JURAT(F.S. 117.03) CONTRACTOR __/ LJ1 OWNER OR AGENT Subscribed and sworn (or affirmed)before this Subscribed and sworn (or affirmed)before th m , , by L t� Mnc by inn f�' Who is/are personal) to me or has/have produce Who is/are personally mown to me or has/have produ d as identification. as identification. Notary Public r P B Notary Public '� / ��""/' JACOUELI BOLES fires December 12, 0 Comission N com �= Facpires December 12,201 ,•• •e •7�701U printed or stamped Name of Notary typed,printed or stam e Name of Notary typed CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8436 BUILDING PERMIT Permit Number: 8436 Address: 5024 20TH 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: 12-26-21-0100-0000-0020 Improv. Cost: 3,250.00 Date Issued: Name: THOMPSON, PATRICIA Total Fees: 227.50 Address: 5024 20TH ST Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: (813)780-8559 Work Desc: PLACE A GENERATOR ON CEMENT SLAB r HOMEOWNER BUILDING FEE 67.50 ELECTRICAL FEE 35.00 FIRE PLAN REVIEW FEES 25.00 FIRE PERMIT FEES 100.00 !V l-v 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." 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/Homeowner: (1T t Cti r ` Date Received: _ __� __ Site: C )A Permit Type: Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comme t sheet shall be kept with the permit and/or plans. /(2j7 C?� alvin S —Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) NOTTCE OFCOAMENCEMENT 111111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIllll 2008152337 Permit No. P operty Identificatjon No. hot 1�5 SNrAns r hr i ! *,V0 . -002�4,,, ?• �'2 "61b6 d6� UNDERSIGNED hereby give informs you that the unprovement "mafle tilo real property,and m accor3a�ce wit1� Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property(legal descr ti n:) Q Ve a)Street Address: 5O 2.General description of improvements: aRrT 3.Owner Information t 3 3 3► .2 a)Name and address: 7><j f 1 G I h. o �i Z D'+Nt . rM b)Name and address of fee eple tit holder(if other owner) T T c)Interest in property 3 _ nC e 'r4-Contractor Information CC Rcpt:1209115 Rec: 10.00 W DS: 0.00 IT: D 00 a)Name and address: '-) dn .. 10/20/08 Clerk b)Telephone No.: Fax No.(Opt.) S.Surety Information JED M mC01 oC0UNTY CLERK a)Name and address: 1( /2 /08 /08 b)Amount of Bond: OR BK PG 12 c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: b)Telephone No.: Fax No.(Opt.) '8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a)Name and address: 'b)Telephone No.: Fax No.(Opt.) _ 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording.unless a different date is specified): WARNING TO OWNER: ANY'PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,. FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING NOTICE OF COMMENCEMENT. STATE OF LORI L IMATSON COUNTY OF? :*_.�AV COMMISSION#DD705828 EXPI august 16,2011 Signs a of Owns r Owners Authorized O ' /Di ector/Pazficr/Manager •'` mod` (407)398-0153 FbcEgrvica�ua-- -- I ! �! PnntNeme ( n Arl The foregoing instrument was acknowledged before me this_ day of 0i'--O . e f 2O O ,by t{I a c., o � (type of authority,e.g.officer,trustee,attorney in fact)for 1. T h cr m p S u n (name of party on behalf of m instrument was executed). Personally Known OR Produced Identification L/ Notary Signature Type of fdentification Fioduced F I C,f Name(print) t_r-i(' (&J Verification pursuant to Section'92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Signature of Natural Person Signing Above FORMSMOC,rvsd2007 . STATE OF FLORIDA ; COUNTY OF PASCO THIS IS TO CERTIFY THAT EO TRUE AND CORRECT COPY OF THE OR OF PUBLIC RECORD IN THIS OFFI HAND AI AL SEAL THI JED PITTM RK OF CIRCUIT Cd' T BY DEPOT' LCCRK ZEPHYRHLLS RRE )EPA T 6907 Dairy Road, Zephyrhilis, FL 33542 sll a Keith %fifiiams B' (813))780-+0041 Fax (813)7$0-0044 FIRE SERVICE USER FEES Occupancy No.: / �J Plan No.: Contractor ' � , Business Name: d ' r2 Billing Address: Business Address: ST- Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Site Plan N/C Annual N/C Sprinider $50 1st Alarm WC Muni-FamilydCom 06 sf 1st Re-inspection WC Standpipes $50 2nd Alarm WC (M m Cha 2nd Re-inspection $100 Fire Pump $50 3rd Alarm WC Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 80-25 Heeds $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 0 Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 persysam Camp Fire $25 Per Pump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARM SYSTEM Hood/Duct $50 8 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual 26 plus Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 Annual Wet $50 OTHER Waste Tire Storage�� $50 Annual $50 Fire Wall/SmoteWan $15 perwau Generator=KW 100 CO2 $50 LP Gas $25 per tank Generator>30 KW 150 Other $50 Natural Gas $25 persysrem Rio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 Hood/Ducts $50 Tent 10x10'or greater $15 percent Torch Pot/Applied $50 OTHER Fire Pump $45 Haz.Materials $100 Annual ElLP Installation per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 Eldraust.Hood/Duct $30 0 Natural Gas Installation $50 Re-inspection DBL (Per System) (other than annual) Spray Booth $50 0 Inspection scheduled DBL and cancelled less than 24 hours Construction Insp. WC Emergency Vehicle Act $50 FALSE ALARM PLANS TOTAL IE2 1 INSPECTION TOTAL____ PERMIT TOTAL TOTAL jj GRAND TOTAL 1 I��— Comments: ►C�1C�1 e s t - Date: Qcr.r`•k-- Date: tb,15 10'£a lnsp&ctor. & — � BOUNDARY SURVEY C. Fred Deuel and Asso Client: JOHN BULOVA & PATRICIA THOMPSON 5151 Gall Blvc Work order number: 12611—ZH Zephyrhills, Florida Date of Survey: AUGUST 9, 1999 Phone: (813) 782- Fax: (813) 782 NORTH LINE OF SUMMER HILL SUBDIVISION- - — — o NORTHWEST CORNER O LOT 1 OFLOT5 - 0 LOT 4 ��yF�� 2oS'52" NORTHEAST CORNER 87.52 E OF LOT 5 �� -' Qom. LEGA LOT 2 Corn o iv g Q' e`L the a o ' line LOT F//��r�+ of L O \^ c7 ST LIN C� EAE _ and OF LOT 5 8 \C� WEST 2/3 r-F- M (BY AREA) : \ VACANT � SOUTHEAST CORNER SOUTHWEST CORNER 9101.6 S.F = \z OF LOT 5 OF LOT 5 t� LOT 3 S 89'55'20"W 170.00'(R&M) � 1 , NORTHWEST CORNER OF LO1 7 ,'- LOT 6 LOT 7 30.00'm r-� �cn3 � o < C4 o N Q CO N. cI I ' SOUTH LINE OF SUMMER HILL SUBDIVISION GQ SOUTH AVENUE Zephyrhills Fire Rescue 6907 Dairy Road,Zephyrhills,FL 33542 Fire Marshal Bus (813)780-0041 Kerry Bamett Fax(813)780-0044 E-mail: kbamett@fire.zephyrhills.fl.us Plan Review#: 08-123 Project: Patricia Thompson Number of Pages: 3 plus Installation Manual Date: October 15,2008 The plans have been reviewed for the generator installation located at 5024 20th Street and installation is allowed to move forward once plans have been submitted for the gas installation needed to run the system. The payment of the permit and plan review fees acknowledges that the occupant agrees to the following points below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. This system requires LP or Natural gas. Plans shall be submitted for approval of the gas installation. There will be no charge for the plan review or permit for the gas. 2. Installation shall comply with the applicable sections of NFPA 37,NFPA 54 or 58 and NFPA 70. 3. Building department will inspect all electric to ensure it is compliant. 4. Generator shall be located 5' from any openings into the home and 5' from any outside combustible wall. 5. If the generator is to supply back up power to any bedroom branch circuit, then the circuit breaker in the transfer switch shall be replaced with an arc fault circuit interrupter. 2 Inspections to be conducted: 1. Final KE ARNETT, FIRE MARSHAL •**Please be advised this review of plans submitted is a cursory review to assist the contractor in compliance with applicable fire safety codes.This review is not intended to be a final approval of the submitted plans.It is the contractor's sole responsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and local ordinances.In the event that further examination or site inspection reveals areas of non-compliance,it shall be the contractor's sole responsibility,at their sole expense to bring those areas in compliance.The City assumes no responsibility for the contractor's failure to be in compliance with all applicable NFPA codes and local ordinances, -I IrYp G c, L ± njJil p�0 �/N�L 4TTECJ L ANp \o t w 89° :2'SS"E SUtiIME2~ itt su�oiv�siov 0 3 X0.00' 06 LOT/ ii rn °a 6/ 83° 52 '5.5'" . 1/4. Co t 00 q � ' Ili 1/A GA''T LOT Cy 277' 5 (� h N LDT3 LEGAL DESCRIPTION 3 h a Lot 2, SUMMER HILL SUBDIVISION, as recorded 3O.OO' in Plat Book 31 , Pages 38-39, Public Records Pasco County, Florida. _ __ y So✓7y L itiE OF SUM MEA N��L SuB.7/✓. C. Fred Deuel and Associates, Inc. FOR: R.C. BURNEr E 5151 Gall Blvd. ✓'�p!/Tfj' Zephyrhills, Florida 33541 v4 SURVEY DATE: OCTOBER 27, 1998 Phone: (813) 782-6717 BOUNDARY SURVEY Fax: (813) 762-5426 ORDER #12336-ZH 'DISCLOSURE STATEMENT IFOR OWNER CITY OF.ZEPHYRHILLS-.BUILDING DEPARTMENT �i � /�D /J S�/ have read and fully understand and agree to the I, - a 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 bypr co * o id domicile, and same is not for rent, lease or sale. That he or she shall comps 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 ownerwill 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 $75,000. The building or residence must be for your own use or occupancy. It may not be 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 worker's 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 SIGNATURE ADDRESS /P PHONE WITNES PERMIT I/Masterforms/OwnersAffidavit/Nov07