HomeMy WebLinkAbout09-9178 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9178
BUILDING PERMIT
"'a•x� •°fa3 , . i P,. °"" >7 s
Permit Number: 9178 Address: 39712 MEADOWOOD LP
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: , MEADOWOOD ESTATES
Est. Value: ( Parcel Number: 13- 26 -21- 0140 - 00000 -0190
Improv. Cost:
Date Issued: 6/01/2009 Name: BLOXSOM, ROSEMARIE
Total Fees: 87.50 Address: 39712 MEADOWOOD LP
Amount Paid: 87.50 ZEPHYRHILLS, FL. 33542
Date Paid: 6/01/2009 Phone: (813)325 -4312
Work Desc: EXISTING ADD- BRING ELECTRIC TO CODE / INSULATION- PRVS NO PRMT -FOR BANN
DAVID W. JOHNSON BUILDER, INC BUILDING FEE 52.50 ELECTRICAL FEE 35.00
nl k,I✓ P Z ��a�
�U1
data ; 8 .. ,� t : •
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
i • ve ents to your property. If you intend to obtain financing, consult with your lender or an attorney
• efore - ording your oti e • f _A•1 mencement."
CONTRACTOR SIGNATURE PERMIT OFFI 'R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
DAVID W. JOHNSON / BUILDER INC.
gi 9504 Fort King Road
Dade City, FL. 33525
Office:[ 3521 523 -0473 Fax:[ 352] 523 - 2802
C GC 060316
S'OS: 0 L -01COM
ADO2es$ : 31711 O t>o D i-oOP
�i HY(�N ►L(,3 I �L
535'41-
PAucEL 1 26-21 - 001 -anco =0
5 co E OF 1.00Q.14
1,) 1_6GT21 C.A 1_ 10 COVE
2.) T \i5OLd TioN To cope
3) SI vi , w/T FA sMN6D Ta COVE
515T ►Nt& (g515'tNty
NO (00Rk PegroRMMC
t o Ai 1 N 5 D D A RE 4
i OM i y.
7
a R /
o ff%
ALL WORK SHALL COMPLY WITH ALL
PREVAILING CODES, FLORIDA BUILDING
/• ` CODE, NATIONAL ELECTRIC CODE AND
2,4 � ; CITY OF ZEPHYRHILLS ORDINANCES
/ �-
, REVIEW DATE I v 9
CITY OF ZEPHYRHILLS
/ FLANS EXAMINER pc( /
sec
,/ gsl
Y 1 (q? T
>""mi
813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021
- • Building Department
Date Received Phone Contact for Permitting 8/ 3 / -- y z. 7/
Owner's Name SiOX 5 g /go $ 'ern 4'fv SG Owner Phone Number ?f 3 ' 3.2. 4 /L
Owner's Address 3 3 7 / 2. fr7 o a eyed 2mi9.' Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 56-h? e LOT #
SUBDIVISION PARCEL ID# /3 - .24 -it / - 0/ Ye- OOO &` ei /Q '
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE I I SFR I I COMM I I OTHER 1
TYPE OF CONSTRUCTION BLOCK I / I FRAME 1 1 STEEL 1 I OTHER I
DESCRIPTION OF WORK �- ��
� �O CC De / /N c 5 X00
BUILDING SIZE 6240 X 5 ' SQ FOOTAGE Dy. HEIGHT 7
BUILDING $ /oO VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ , AMP SERVICE I t4 PROGRESS ENERGY I W.R.E.C.
Soo
I I PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS I I ROOFING 1 I SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES [ONO
BUILDER � di /J�� COMPANY p�` � 'v ��N`'-"" Y euil/
SIGNATURE , �► " �%/ REGISTERED I Y / N I FEE CURRENTT / N I
Address 9-9 7 /� ' ,C �-- � 2 /L/ pZ c..-
5ysz License # CV G C 60 /
ELECTRICIAN 3.5 COMPANY 'O % r £'eC i'YIC
SIGNATURE 41.4 {, REGISTERED ( Y/ N I FEE CURRENT I Y/ N 1
Address 1 License # FC '000 /Z4 F
PLUMBER COMPANY f
SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N 1
Address 1 License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
OTHER COMPANY _
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I
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 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 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 Tots 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
ob is considered abandoned.
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the , job
WARNING TO OWNER: YOUR EN TO YOUR NOTICE
YO OF COMMENCEMENT TO OBTAIN F NANC CONSUL
PAYING TWICE FOR IMPROVEMENTS
YOUR LE !44T.' AN ATTOR EY : F • ae RECORDING Y'1 ► • ICE OF COMMENCE
JURAT (.. . 117.03 "' ��
OWNER OR AG N CONTRACTO' VA
s c
Subscribed and -worn o or affirmed) before'* this . bee and by
swom to (or affirmed) beforfine this
—l✓9 by Who is /are personally known to me or h. /have produced
Who is /are personally knov+m a or has ve produced as identification.
as identification.
% .�
V ' Notary Public
•.. I I 4 Notary Public
. JACQUELINE :OGES
Com isslon No. . ' Py , JACQUELINE BOGES Co ssi• o J.: Cul omission uU 621833
=.: !� 1. commission DD 621833 , •1�w- hug Expires Dec ember 12, 201
= . Inn' i .,k.47.11• nw 4rw� 800 385 7019
Expires December 12, 2010
?' 4' ', pnnted or starr" /
Name of Notary typdt ^pti n te8° 2 9P insurance Name of Notary typ
°s��lri