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HomeMy WebLinkAbout09-9768 CITY OF ZEPHYRHILLS w 5335 - 811H STREET (813)780 -0020 9768 BUILDING PERMIT Permit Number: 9768 Address: 5053 17TH ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 21300 -0010 Improv. Cost: 2,400.00 M,� i ' 6 . Date Issued: 11/18/2009 Name: SWEENEY, SANDRA & MICHAEL Total Fees: 67.50 Address: 5053 17TH ST Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542 Date Paid: 11/18/2009 Phone: (610)400 -5496 Work Desc: INSTALL METAL SHED 10 X 12 r a � H•M • - :UIL• 67.50 / '()a P a-: ialtI k.. + A 4 , t del .. _,_ == a d B a z s ,�d'4 '- "' 4 1 A FRAME �. SHEATHING FINAL f (- Za --0 7 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 noti •- of commencement." . .. �. O fr v irp RS _ • " E PERMIT OFFIFR RMIT • ES IN 6 MONTHS WITHOUT APPROVED INSPECTION F OR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9768 BUILDING PERMIT Permit Number: 9768 Address: 5053 1 7TH ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 21300 -0010 Im rov. Cost: 2,400.00 w 4 Date Issued: Name: SWEENEY, SANDRA Total Fees: 45.00 I Address: 5053 17TH ST Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: (610)400 -5496 Work Desc: INSTALL METAL SHED 10 X 12 t €'.', 4 = ;"� Q0. i �.,,. r?. t. � d �'� _ € � �a.. ads ., � . „ H• BU Li N E 45.00 kea_d ?Sci ti p R 3; j a iv■ ? '. aka 'x � .,- 7• `i'`, < - -,„ 3 . ,� .. s `° . :d am .. ?'`.'�' ,,. , . -'�... ::. ``.� ,s, °'' '" . '' . 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." 6 e.E--- 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 '7( Fax - 8 13 - 780 - 0021 Building Department ' Date R6ceived – ' 0 – 0 Phone Contact for Permitting -- Owner's Name / ( //veL TT S ne, jje6.7 wNu ' Ow ner Pfi6 mfier• - '- / (O -- --J Owner's Address Qg 110,41e.- 0 /J 7a' 6 - � Owner Phone Number Fee Simple Titleholder Name /2f /cl11/1- ('L- 'f 4g., ✓l L4 " ( out -CJ/tie Owner Phone Number Fee Simple Titleholder Address 5o53 / 7 T� / _eP 7 JOB ADDRESS 5 3 /7 7 S // f C' , ( LOT # (7■ 1 3 SUBDIVISION A /.4 PARCEL ID# 1/ .26 2 / C /l] / 300 C/ c / Cam' (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED Ix I NEW CONSTR ADD /ALT ( 1 SIGN n MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE 1 I SFR I 1 COMM 1 1 OTHER I TYPE OF CONSTRUCTION 1 1 BLOCK I 1 FRAME I1 STEEL OTHER F IM DESCRIPTION OF WORK /Y :!°7.¢4 - f r L' BUILDING SIZE /0 X /,;Z / SQ FOOTAGE A9 ° 5 HEIGHT F / BUILDING $ c g / 03 . 6)C) VALUATION OF TOTAL CONSTRUCTION I 1 ELECTRICAL $4- AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. I I PLUMBING $ 71/ I MECHANICAL 1 oe VALQJ ° ID►• F MECHANICAL INSTALLATION 1 GAS 1 1 ROOFING 1 1 SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS /) / 40K L / / - FLOOD ZONE AREA 1 IYES 1 INO ItliffirailliniallWallir f0 r t BUILDER / CpMfANY 1/ 0 �� SIGNATURE , / W - - , - -c --� ,,�_'�REGISTERED I Y / N 1 FE E CURRENT I Y / N 1 Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N . 1 FEE CURRENT 1 Y/ N 1 Address License # MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 Address 1 License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 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 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 ATT 1, ' Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) C ctt-OR AGENT . . CONTRACTOR Subscribed and sworn to (. affirmed �a •� = �e this Subscribed and sworn to (or affirmed) before me this by ' / by Who is/are a per. nally known to me or has/have produced Who is/are personally known to me or has/have produced �� �> as identification as identification. �/ • w� , :j' • Notary Public Commis • i; Commission No. ry rig Commission DD 734406 Name of . * ` •,• "r• , Lr ' Name of Notary typed, printed or stamped 0 '„ " Bonded T ,u Troy Fan Insurance 800.385.7019 VI C TSL o > ON 0 .N. O y .b NI O E a 1- CU m .c U CO d 3 a° 4 m C 1 , E a 7 O >."0 Q N t d & ; x o 0 C 0 b U W �° ▪ L' 3 E " I T N �� � a i O A 8, • -6' a j 0,-- o- o o '- % o c O c N O O .- c u� $ u.• > O 0 Li Lu 4.11111.- • c 3 .c3st 3 s WW NaV N I Cn II CZ V1 O 000a ao:J��` =craw= C! 3 U Cl , .. U NUU 33OW NO: I V 00 + o �cD o 'EA al 6 V C ` 0 N.-. \ N O D N 15 U U a D -c 0 N UN 11C3' \ • (n a a r L -' O -I-) a E S _ 0 . 0 (�f .y m t1 I Z ct 111 e E a o a) . 0 o- y ! 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ZN .2 o j I �6 .) 6'F p Y ,i"61 o do ���o ° °,c, .o e U o w 0 " Y d, � � - S L w m v.) v p ls�J` Vi Li j I � p o _ Ct ICv O `" N¢ a .s .6'9 x U • >"-- N Q (V (f) I Z m Q. C-3 CA /� Q O I.0 1. t <� •7 107 1 1 oar I 2'o ` i o a= a I 5§-% ( w ) (a),00 o T d o e A � ° / 3�� ( C /d ( 1 o C _ O b U) ° C W P. P. \ W °' °� c . O z b s 0 � o Q cn W A8A01 > N . Q rn .-: CV C] \i Q) (V rt CD �L z� o z m O N c O N - 0 :=---_ U (J) f— Y U a_ O 0 U on --J NOTE: INSTALL ANCHORS Revisions: PER MANUFACTURER'S Details for Concrete Insta 0 4/01/2009 Plan Update With Detail Updates REQUIREMENTS SIMPSON "LSTA18" 20 GA. STRAP TIE FASTENED WITH GUSSET ANGLE SIMPSON (14) -10D NAILS • STRONG TIE HGAM I OKT HDG (7- FASTENERS PER MEMBER) (OR EQUIVALENT) SPACED 4" OC 5/8" DIA.x3" LAG BOLT WITH 2" (4) -SDS WOOD SCREWS 1/4" DIA. WASHER, 3° EMBEDMENT A449 x2Y2" HOT DIPPED GALVANIZED GALVANIZED OR EQUIVALENT (2)-2x6 PRESSURE (4) 1/4" x 3 -1/4" ANCHOR 110 MPH WIND ZOND- (i, - ''%' % ' °%� TREATED SKIDS VV %'' % "%'%-, SIMPSON WEDGE -ALL 5/8" DIA. X 40" GROUND ANCHOR -I P` WA253 I 4MG (OR EQUIVALENT) WITH SINGLE 6" HELIX AA �` (MODEL #59060) FOR SOIL CLASS 3 <2(‹c-, I s ��� 130 AND 150 MPH WIND ZONE `)�' ' ' 4" THICK CONCRETE SLAB ® 5/8" DIA. X 48' GROUND ANCHOR • • ',' I ? f - �i~` WITH SINGLE 6" HELIX i! / . / . (MODEL #59065) FOR SOIL CLASS 3 j ;- MIN. 4" OFFSET FROM EDGE (SEE CHART FOR QUANTITY) v Details for Masonry Block Installations 3/ 16" GALVANIZED CABLE TIE DOWN ENGINEERING PART SIMPSON "LSTA 18" 20 GA. #5 1 556 (OR EQUIVALENT), STRAP TIE FASTENED WITH TIGHTEN TO 500 LBS OF TENSION (2) -2x6 PRESSURE (1 4) - I OD NAILS TREATED SKIDS (7- FASTENERS PER MEMBER) USE (3) -3/10" GALVANIZED CLAMP TIE DOWN ENGINEERING PART (F +" 5/8" DIA.x3" LAG BOLT WITH 2" #53806 (OR EQUIVALENT) �� WASHER, 3" EMBEDMENT A449 �/ \ I .V,,: 1.' "x 1 ti� GALVANIZED OR EQUIVALENT 110 MPH WIND ZOND- >// % ECLOCK - / j Y, 1/2" DIA. X 30" GROUND ANCHOR ›\ ' >* � I I O MPH WIND ZOND r ' I /. \� ���� WITH SINGLE 4" HELIX \ !,/,,./<%" ' \" , 5/8" DIA. X 40" GROUND ANCHOR +)F" (MODEL #59055) FOR SOIL CLASS 2 ,mil i� 4' WITH SINGLE 6" HELIX - 130 AND 150 MPH WIND ZONE - s \ ! . �; (MODEL #59060) FOR SOIL CLASS 3 2' 4 �" • 4 %,8'x 16`� 5/8" DIA. X 40" GROUND ANCHOR / % /•• 130 AND 150 MPH WIND ZONE ./ it BLOCK- WITH SINGLE 6" HELIX \% ` , �, 5/8" DIA. X 48" GROUND ANCHOR l i /. /. 4' // (MODEL #59060) FOR SOIL CLASS 3 ' \ / \ \/ WITH SINGLE 6" HELIX . 1. ‘ `' \ (SEE CHART FOR QUANTITY) ;; \ //' (MODEL #59065) FOR SOIL CLASS 3 ;\ ±' 1' GENERAL NOTES (SEE CHART FOR QUANTITY) / 1. DESIGN FOR MIN 2,500 P51 CONCRETE 2. ALL HELIX ANCHORS MUST MEET THE MINIMUM WORKING LOAD OF 3,150 1b5. AND ULTIMATE LOAD OF 4,725 lbs.; ANCHORS MUST BE INSTALLED TO MANUFACTURERS RECOMMENDATIONS. ANY BENDING OR DAMAGE CAUSED UPON ANCHOR CHART INSTALLATION WILL VOID ANCHOR AND MUST BE DISCARDED. 3. CONTRACTOR SHALL VISIT THE SITE AND THOROUGHLY FAMILIARIZE THEMSELF WITH EXISTING CONDITIONS. CONTRACTOR 15 RESPONSIBLE FOR MEETING SOIL P4.00K 110 MpN 130 MPh - ,j' 0 MFH CLASSIFICATION FOR SIZING HELICAL ANCHORS. GULDIN6 9,Acit - 4. ONE ANCHOR SHALL BE PLACED AT EACH BUILDING CORNER WITHIN 12" OF WPM 1-M16111 (MAX) # MOCK' '* KI17 4 A IG110ftS EhCV1 �E) 6 10 7' 4 2 CORNER 6 12 7' - 6" 4 2 2 2 5. ANY REQUIRED INTERMEDIATE ANCHORS SHALL BE PLACED EQUAL DISTANCES 8 8 7' -b" 4 7 7 2 - APART FROM EACH OTHER. 8 10 7' 6" 9 2 3 7 G. THE ANCHOR MUST BE IN THE SITE SOIL CLASS IN WHICH THE LOAD 8 12 %'-6" 6 - 2 2 REQUIREMENTS WERE SET, 3 14 ' 6" 6 - 5 5 7. USE TIE -DOWN ENGINEERING (OR COMPARABLE) 1/2" X 30" GROUND ANCHOR 8 16 7' - 6" 6 7 5 3 5 WITH SINGLE 4" HELIX OR 5/8" DIA. X 40" GROUND ANCHOR WITH SINGLE 6" HELIX 10 10 7' 4 - - 8. TESTED SOIL CAPACITY FOR TIE DOWN 1/2" X 30" ANCHOR = 500 FT . LB. 10 12 7' - 0" 6 _ 2 3 9. TESTED SOIL CAPACITY FOR TIE DOWN 5/8" X 40" ANCHOR = 375 FT. LB 10 19 7' O" 6 10 Ib 7'-O" 6 2 5 5 5 10 INSTALLATION OF THE ANCHORS MUST MEET ALL AT REQUIREMENTS AS SPECIFIED 10 20 7' -0" 3 - 3 5 5 BY TIE DOWN ENGINEERING, INC TO INCLUDE REQUIREMENTSINS FOR SPACING AND 10 24 7 ' -O" 10 -. 4 4 4 SITE SPECIFIC SOIL CONDITIONS 10 30 7' - 0" (7 2 - 5 5 ' 1 I . MAXIMUM STRUCTURE HEIGHT 15 12 FEET 12 12 6' -6" 6 2 2 7 12. ANCHORS ARE FOR SPECIFIED SOIL CLASSES NEEDED 12 14 6' -6" 6 2 5 5 5 DESIGN PARAMETERS 12 16 6' -6" 6 = 3 5 . 5 12 20 6'-6" d 5 5 5 I . WIND DESIGN PER ASCE 7 -02 12 24 6' -6" 10 2 9 4 4 2. DESIGN WIND SPEED - I I OMPH - 130MPH - 150 MPH 12 50 6' -6" 12 2 5 ' 5 3. WIND EXPOSURE CATEGORY: C 12 56 b 6 19 2 b 6 6 12 90 6'-6" 16 _ 7 7 4. WIND IMPORTANCE FACTOR: 1 .0 12 44 b' b" lb _ 7 7 _ 5. ENCLOSURE CLASSIFICATION: ENCLOSED 12 50 6' - 6" 18 2 8 8 0 G. DESIGN MEETS INTERNATIONAL BUILDING CODE 200G 4 FLORIDA BUILDING CODE 19 14 6'-6" 17 4 3 5 5 2007 4 2009 SUPPPLEMENTS TO FLORIDA BUILDING CODE 2007 14 16 6'-6" 12 4 5 5 5 SOIL CLASS DESCRIPTIONS: 14 20 6' -6" 46 4 5 5 5 14 29 b' - 6" 20 4 4 9 9 SOIL CLASS 2 - VERY DENSE AND OR CEMENTED SANDS, COARSE GRAVEL, 14 30 6' - 6" 24 4 r, 5 COBBIES, PRELOADED SILTS, CLAYS AND COARL. A TEST PROBE TORQUE VALUE OF 14 56 6' -6" 28 9 6 b 6 14 40 6' - 6" 52 4 7 7 _ 550 +Ibs -in 14 44 6' -6" 52 4 7 8 ' SOIL CLASS 3 - MEDIUM DENSE COARSE SANDS SANDY GRAVELS VERY STIFF SILTS 14 50 6' -6" 36 4 8 0 0 AND CLAYS. A TEST PROBE TORQUE VALUE OF 350- 550Ibs -1n DESIGN FOR: LARK BUILDERS 409 DICKSON STREET A i•••• •. • ::::::::' Haney Associates, Inc. VIDALIA, GA. 30474 ■••••••� • : : : :r Engineering & Construction Planning PROJECT NUMBER - OGEN224A 1••• • i 1N Vasa Street, SdMedi, Pendleton, SC SOO - Phone: 864446-76N Fu: 864-646 -7999 DATE: APRIL 15t, 2009 Sheet I OF I e R'a: . ".- ,. • 1� �+ 'A 6J� i�. ......,_\ a ir. ; NOTE: TIlIS PLAN HAS BEEN UPDATED AND SUPERSEDES ANY PREVIOUS COPIES + * * k , 0 j)ei ;f1e,, «,,,t,Ab0. DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT f w r r . _L have read and fully understand and agree to the provisions of this inst ent. 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 said domicile, and same is not for actually occupies, or will occupy by the following conditions: rent, lease or sale. That he or she shall comply 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. 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 -J. applicable laws, ordinances, building codes, and zoning regulations. 1 OWNER' S SIGNATURE '' -7 4 DATE �� / 6 ADDRESS J 0,s /7 Ti`s c 'T PHONE (p / U 'Iv O . e/ WITNESS PERMIT # • Contract - Integrity Resources, Inc. Distributors of Lark Portable Buildings/ Swings/ Ramps 8836 Gall Blvd Zephyrhills, FL. 33541 Office: (813) 788 -4011- Fax: (813) 715 -4124- Cell: (813) 361 -9198 Date: //". -69 2 Serial # Approximate Delivery Date Name: le_ � � � e 1 Address: 7744,—. _ City: (Mileage chg @ $2.50 /mile over 5 mi radius) PH: Cell: Shed Price: $Zoe 0 Additions: $ Deletions: $ - Delivery: $ -7,90 t WO Width /M Swings: $ ,er .•, Ramps: $ Total: $ Zit Length: i; Style: Size Width Size Length Siding Type 0 0 ASLS D -Lap Sub Total Z 0 Wall Color Trim Color Roof Material Door Type Tax ( ° 0 Door Hinge Windows Switches: Lights: Total - z ,S(pS l-c'C LHE RHO SM LG Outlets: Deposit 0 Payment: Cash: ❑ Credit Card ❑ Finance ❑ Vents IV Check: ❑ Balance $0.00 Balance due at time of order unless otherwise noted: There will be a 25% charge for canceled orders on Sheds, Swings and Ramps. The undersigned customer grants Integrity Resources Inc a purchase money security interest in the merchandise described above, which shall be deemed personal property of Integrity Resources, Inc. Shall be entitled to recover all the cost of collections of Delivery and any amount due or owing under this agreement or in conjunction with this agreement including but not limited to attorneys fee; court cost and any other cost of collections. Legal venue will remain in Pasco County. The buyer is responsible for damage incurred by obstacles that have not been removed and for underground utilities which interfere with the anchor installation. Il is the buyer's resonsibilty to obtain permits required regarding installation of this product. Customer acce: and agrees to assume full responsibility and to indemnify and hold Integrity Resources harmless from all claims including the cost of defense thereof involving the deliveries of merchandise, use of Sheds, Swings and Ramps as well as claims for any property damage, bodily injury, or death due to negligence of Integrity Resources Inc .Customer warrant that access /location provided for the building is sufficient to bear the weight of all equipment and vehicles required to perform the service. Neither the service provider nor Integrity Resources Inc shall be responsible for damage to any pavement or accompanying sub - service or any route reasonably necessary to perform the service herein.contructec or for damages to Utilities, property, lawns, fences, shrubbery, driveways, curbs, septic systems or sprinklers. Customer agrees to pay all cost of attorney's fees and court costs. Integrity Resources, Inc. reserves the right to remove the building from the buyer's property , subsequent to delivery, and the customer grants permission for removal, if the customer's check defaults, financing throll h U.S. Credit fails, or other 3 party financing fails. Accepted - _ , I _ . _ __ Customer Accepted Agent Delivery acceptance by C stom :: Date Shed,Swings or Ramp is : " . ete, delivered as agreed and set up is to customer's satisfaction. Q1 R ii,,r, ti City of Zephyrhills BUILDING PLAN REVIEW COMMENTS a / Contractor omeown ) __ ,1 / ` 40 . ___// — Date Received: ; l7 — /t —.0 9 Site: S-0 4 ° /'7 * - ri Permit Type: _ _ _ Approved w /no comments: ❑ Approved w /the below comments: Denied w /the below comments: ❑ J) Bicl l j —2 • /9CCeSso r L p ,,, /al �n r C j�� 2C-� J a) All r s 0, 7 /4 cce- sa Pae /d ' 1 / ,,s Jt.e.e f ,'4. k 'pi Ai c -PJ 3) C a4 c.e is - v/ _eh, ‘e .. , ceo This comment sheet shall be kept with the permit and/or plans. / /i> � _ ._ Kwi Plans Examiner Date Con • .c or .. • ►o A • eowner (Required • - 1 c• dI 11 en : e • esent) 3/3/2009 2:31 ---' 1 0 ( f Z \ AA, rn d 0 , , % 10 0 0 � D i �rnD Di '' �.- m 0 0 z- 00 0 rn -- H — R� Z� Q �l� - 0 D D N { fl p X10 rn � (n : 0 ' m 0 :r� %%%%% %%% i- � % % Z -{ Cl n N 2 r � 0.. 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