HomeMy WebLinkAbout07-6403 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 6403
BUILDING PERMIT
Permit Number: 6403 Address: 5612 16TH ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-11400-0200
Improv. Cost: 3,100.00
Date Issued: 1/30/2007 Name: WILLIAMS, JIMMY& JUDY
Total Fees: 172.50 Address: 5612 16TH ST
Amount Paid: 172.50 ZEPHYRHILLS, FL. 33542
Date Paid: 1/30/2007 Phone:
Work Desc: RENOVATIONS AND REROOF
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HOMEOWNER BUILDING FEE 67.50 ELECTRICAL FEE 35.00
PLUMBING FEE 35.00 MECHANICAL FEE 35.00
ID
FOOTER BOND 2ND ROUGH PLUMB MISC „
INSULATION CEILING
FOOTER 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."
NO OCCUPANCY BEFORE C.O.
CTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application
Building Department
Date Received j_a aj {jJ Phone Contact for Permitting11111111
— p� Owner Phone Number
Owner's Name %��'l wo r /�
5 Owner Phone NNumber 13 ` f_9 r__U3o
Owner's Address
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address r
� I
JOB ADDRESS Yy1 C LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR B B ADD/ALT = SIGN = MOVE DEMOLISH INSTALL REPAIR
PROPOSED USE SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL = OTHER
DESCRIPTION OF WORK < tE. Y�c�a7e?x..1 ha, e � �<q Aa'. . C?i
BUILDING SIZE I I SQ FOOTAGE r HEIGHT
BUILDING Is
' VALUATION OF TOTAL CONSTRUCTION
= ELECTRICAL $ , � (C AMP SERVICE PROGRESS ENERGY = W.R.E.C,
= PLUMBING $ S
= MECHANICAL $ 0 p VALUATION OF MECHANICAL INSTALLATION w(l Jn C'- 'C'- '2 o L
= GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY rri 2 r✓
SIGNATURE ` REGISTERED Y/ N FEE CURRENT Y/N
Address License#
ELECTRICI COMPANY
SIGNATURE REGISTERED I_Y/ NI FEE CURRENT Y/N
Address ` License#
ti Ga
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
1I I
MECHANICA /(� OMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
OTHER I COMPANY
SIGNATURE I REGISTERED I_V/ NI 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)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 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 TICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"i'estr•ici ohs°
w ich may be more restrictive than County regulations. The undersigned assumes responsibility for coinplia,fi.6 V fh any
applicable dedd
i restrictions. -
UN LICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a eorftracjdt bf
cofitractofs td,ilndertake work, they may be required to be licensed in accordance with,statie and local I4ft the '. .'
contractor is ilot'licensed as required by law, both the owner and contractor maybe cited for a Misderrieal6fioiafioti
under stato.iaw If the owner or intended contractor are uncertain as to what licensing requirements mad ) i` tli
intended Vlrbrk� they are advised to contact the Pasco County Building Inspection Division—Lici nsing S+sotlofi a 7 0 7
• 0009. Furlheiiiiore, if the owner has hired a contractor or contractors, he is advised to have the cbhtiaht (s"") sign
pogrtons ofthe Gcontractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, thattiiay be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
TFANSPORTATION IMPADTIUTILITIES`IMPACT AND RESOURCE RECOVERY FEES: The undersigned 'understands
thaat 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 "certifcate 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'SIOWNER'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 wail
construction, I certify that fill will be used only to fill the area within the stem wail.
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 TOOWNER: YOUR FAILURE YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, O CONSULT
T RECORD A O
PAYING TWICE FOR IMPROVEMENTS TO
WITH YOUR LENDER OR AN ATTOR Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F. 3)
� � CONTRACTOR
OWNER OR AGENT Subscribed and swum to(or affl nned)before me this
S bsc ri ed and sworn affi d)qafore me this_ by
Who Is/are personally known to me or hasthave produced Who Is/are personally known to me or has/have produced
as identification.
s as Identification.
Notary Public
� Notary Public
Commission No.
Commission No.
Karen
Name of Notary typed,printed or stamped
Name of Notary typ scion#DDM664
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Expires October 29,2010
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ALL P LICABLE BUILDING, f Q c 7Ldcc
ELECTFJCAL,PLUMBING AND / ,
viECHANICAL CODES- -r /,
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BUILD_:iNG SHALL COMPLY WIT,,
ALL APPLICABLE BUILDING,
ELECTRICAL, PLUMBING ANL
MECHANICAL CODES
-� ` 3EVIEW BATE:
CITY OF ZEFE�YRFII LL,S-.
BUILDING OFF!CJAL,
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DISCLOSURE STATRMT{*1T FOR OWNER
CITY OF fZEPRYREILLS BUILDING DEPARTWNNT
I !' have read and fully understand and
agree to the prpvisions 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 subco7itracted, 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.
S. 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 re ations.
OWNER'S SIGNATURE �t/t/•6G-r2_ "/ DATE I 2?— r
ADDRESS
PHONE
WITNESS
PERMIT #
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Parcel Information for: 11-26-21-0010-11400-0200 Card: 001 Page 1 of 2
S Search Again Show Map Generalized Building Schematic Estimate Taxes
ee Tax Collector Information -Current/Delinquent Taxes Frequently Asked Questions
Parcel ID 1L11-26-21-0010-11400-0200 (Card: 001 of 001)
Classification 01 -Single Family
Mailing Address Assessment(totals)
WILLIAMS JIMMY R&JUDY A Ag Land $0
5612 16TH ST Land $15,210
ZEPHYRHILLS, FL 335424226
Physical Address Building $46,089
Extra Features $373
5612 16TH ST
ZEPHYRHILLS, FL 33542-4226 Total Assessment $61,672
Legal Description (First 4 Lines) Save Our Homes $0
CITY OF ZEPHYRHILLS
PB 1 PG 54 LOTS 20-22 INCL Taxable Value $61,672
BLOCK 114 LESS THE E 66.67 FT
AKA PARCEL 2
Land Detail (Card: 001 of 001)
Line IL Use Description i Zoning ILunitsi Type Price ILcondiLValue
f_i it 0100 IL SFR IL00RZ 14,200.00lt SF 3.25 lLioo iLs13,65ö1
2 i 0100 Ii SFR 00R2 2,400.00 SF .65 1Li.00 it $1,560
Additional Land Information
Acres 0.15 Tax Area JL 30ZH Fema Code Res Code 11LHL.P2
Building Information - Year Built 1951 USE 01 -Single Family Residential (Card: 001 of 001)
Ext Wall I Tile or Wood Frame Stucco Ext Wall 2 None
Roof Str Gable or Hip Roof Coy Asphalt or Composition Shingle
Int Wall I Wall Board or Wood Wall Int Wall 2 None
Flooring I Pine or Soft Wood Flooring 2 None
Fuel Electric Heat Forced Air-Ducted
AC Central Baths 1.00
Line Description Sq. Feet Repl. Cost New
1 BAS I- 708 $49,843
2 FST 39 $1,408
3 FSP 350 $12,320
Extra Features (Card: 001 of 001)
Line Description j Year iL Units JValue
1 CLFENCE 1980 i 550 $194
2 UDU-M 1980 1 $179
Sales History
Previous Owner SAMPSON GLADYS HARRIS
Year Month Book!Page Type Amount
2003 12 5668/i7 WD $61,000
1991 2064J8_27 WD $28,000
1991 I 08 Z5/0920 WD $0
http://appraiser.pascogov.com/search/offline tca.asp?Sec=11&Twn=26&Rng=21&Sbb=0... 1/29/2007
STOP WORK
By order of the Building Official: Witham . ourgess
All Building, plumbing, electrical and mechanical work
shall cease at the below mentioned property.
Address: (, / a- /6 ' `'
S/
Date: -- /
79
Contact the
Ne7) s�� ��� �'J Building Department
e� sFL 335 - 8th Street
��-c;`)✓fTi�n� 313-780-0020
'�� (tL /5 t)LE72
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Complaint
Complainants Name:
Complainants Address:
Complainants Phone#:
Location of Problem:
Description of Problem:
Complaint
Complainants Name:
Complainants Address:
Complainants Phone#:
Location of Problem:
Description of Problem:
C 2 �_5
• NOTICE OF COMMENCEMENT
State of County of
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. 1/ - ,2.4 -Z-/ - l I y'o 9 - o
(Legal description of the property nd street address if available)
�
r '2. General Description of Improvement 1�}oN
6 J ro oM &1
3. Owner Information: Name cJ i art,Yt WI/a'y13 'o' , fib/ /`i ,n,S
Address ' /
/�r i J car s State 3S
v City � ��� F��
Interest in Property: O e.1 _
Name of Fee Simple Titleholder:
2007016588(If other than owner)
Address City State
4. Contractor: Name Rcpt: 1069233 1069233 Rec: 10.00
DS: 0,00 IT: 0.00
01/30/07 Dpty Clerk
Address City State
5. Surety: Name
Address City State
Amount of Bond: $
P
6. Lender: Name r rwp S j— ,j
Address !' o /3o)( f o Z f`2 City iv u 5 State Q
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address City State
8. In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
JED PITTMAN, PAASC0 COUNTY CLERK
�- 01/30/07 ORBK 7365 PG f AS
Signature of Owner:
Sworn to and subsc i ed b ore e th day of A c2A4 U , 2007 .
Notary Public:
My Commission Expires:
MY COMMISSION#DD573386
PC93053048/A EXPIRES:July 12,2010
1-%I 111-}-NNOTARY FL Not DIo oorn Aimee:Co:
City of Zephyrhills
BUILDING PLAN REVIEW CONEMENTS
Contractor/Homeowner: us
Date Received: I -02 3 -
Site: 5Co i a Ito- S} 2s v .
Permit Type: (?o„r,a - i cj I pa cc >
Approved w/no comments:❑T Approved w/the below comments: Denied w/the below comments: ❑
t Ts .
This comment sheet shall be kept with the permit and/or plans.
,,` P l
I v�
(T /%
B Burgess- ding Official l Date on a r and/or Homeowner
equired when comments are present)