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HomeMy WebLinkAbout10-10061 CITY OF ZEPHYRHILLS 5335 - 8TH STREET , • (813)780-0020 10061 BUILDING PERMIT '.7 = Permit Number: 10061 Address: 4826 GORDON 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: WINTERS Est. Value: Parcel Number: 15-26-21-0030-001000-001 lmprov. Cost: 1,899.25 77=7777 Date Issued: 1/28/2010 Name: WINTERS MOBILE HOME PARK INC Total Fees: 60.00 Address: 38022 WINTER DR Amount Paid: 60.00 ZEPHYRHILLS FL 33542 Date Paid: 1/28/2010 Phone: (231)233-4242 , Work Desc: INSTALL 8 X 12 SHED -I- : =`-, ; H•M CNN N*: BUILD, 60.00 tee :IFT1 cnsAUtofitvd4 :,; ivraz:` FRAM SHEATHING , FINAL U 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 yo notice of commencement." 1 1 • ,b fir 44 /I ONTRACT: 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: 'G'� s'r �' :J ` Date Received: /- 2-5- re Site: L 5 2-(,' C Yd� 1 Permit Type: 6 ( /Z. 41.G Approved w /no comments: ❑ Approved w /the below comments: X Denied w /the below comments: ❑ ft Se f sip Q c..) fi- 1 1 flO e . l r s o 6 ..e__ .( I) [7. r 4 i ,, C I A: 1 J� ICI t r-.e- e f c411 ke � �F ©r ,v 0 1 � P � This comment sheet shall be ke t 'th the permit and/or plans. , / i t I 7 r ( 0 4 0 1 . - Kalvin Switzer Plans Ex er Date Co • tor a nd/or `omeowner (Required when comments are present) 813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department pow Date Received LL LI Z J— / Phone Contact for Permitting -- Owner's Name ,?' ) t?± 7r ?)CI Owner Phone Number. • /' <I'.; x - 2.33 — 5e / 6c' Owner Phone one Nur�er ib Owner's Address ti`�'vjly ���(�C�/V `�J � ``,��,, _. Fee Simple Titleholder Name Owner Phone Number w ,.M. Fee Simple Titleholder Address JOB ADDRESS y�p2 (O ©R A) 7 LOT # SUBDIVISION PARCEL ID# 15_24_2,1- w ,50 - UOr(�Q w/d (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I I MOVE I I DEMOLISH X INSTALL REPAIR PROPOSED USE FA SFR I I COMM I I OTHER I I TYPE OF CONSTRUCTION I I BLOCK I I FRAME 1 1 STEEL 1 1 OTHER I I DESCRIPTION OF WORK /4V57 !.— V X 12/ cs BUILDING SIZE SQ FOOTAGE HEIGHT I I BUILDING $ /179; , e2 VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 1 W.R.E.C. I I PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS 1 1 ROOFING 1 I SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 'NO BUILDER / / COMPANY /% / ?7 t ��Nri� SIGNATURE ! �,./�/ �.� / tom 1�� REGISTERED I Y / N I FEE CURRENT I Y / N I Address / I License # ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address 1 License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address License # F 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-0-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 1 have obtained a copy of the above described document and promise in good faith to deliver it to the "owner , r prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: 1 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. 1 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 IMPROVEMENTS OR FINANCING, CONSULT WITH YOUR UR LENDER AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) , r / /�[ G /� � OWNER OR AGENT( � iZ F tl"( 3 CONTRACTOR �. I�/'� // �r /4 / , r firmed be . e me / rmed) b Subscribed and sworn to ( irmed) Subscribed and sworn too ' L5 1 b y t j —Z�,J bye ��,���,�, � ��� tt -2-5--1 , Who is /are personal) !r, to m: • as ave pro•used Who Is /are personall i°1- to me : has / sa d en ri produced C P� -S-2- as Identification. rU'`\ , f Notary Public � ce _l. (h4 11V Ey Notary Public ;1 , r ' ` 1 ` v:4 JACQUELINE f:GES JACQUELINE 80GES CormrrfissiorF •f > __ • •• rr' • • I • t . Co ` =N " '' ' ' Ex fires December 12, 2010 I nmissiur 1M DD02 r P . - :., 4 Expires December 12, 2010 i d6 * e' r f Bonded Nu Troy Fain Insurance 800-385-7019 Name ary typed, p n es or s ampe. Name of Notary typed, printed or stamped DISCLOSURE STATEMENT. FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT 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 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 all applicable laws, ordinances, building codes, and zoning regulate. s. j / a _ OWNER' S SIGNATURE �� %„ i� _ DATE ADDRESS rf 7;4; e,e, O PHONE 1.- .2.3 1 3 -- y12 L WITNESS PERMIT # • OWNER . aCe� FR-E-) ^' / • JOB LOCATION Q r/PQ • PARCEL I.D. N E 4,0G 4- 0 - A SHOW ALL EXISTING & PROPOSED STRUCTURES- GIVING DIMENSIONS 4 SETBACKS. • /At, /- -A: KS . .................... fa il. T ..•. • • Ili . • UTILITY BUILDINGS MUST SHOW SIZE & 4 FOUNDATION INFOR• 3 Al NATION. 0.6 4 i • • . FRONT PROPERTY LING • (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 60' 2. SETBACKS FOR R3 ZOt)INO 10' 10' R X • o I ' 10! P 0 T 10' 1 0' 10' EYYBTING' 10' T s I ' E N' D G • PROPOSED 20' 20'SGL FAN 30'DUPLEX ,FRONT PROPERTY LINE FRONT PROPERTY LINQ ( DESCRIBE WHAT TYPE: F REE STANDIN OR ATTACHED C (2) IF ATTACHED, HOW IS IT TO 86` FASTENED TO ATTACHED ( CIRCLE ONE). o STRUCTURE? ( DESCRIBE POET SPACING & FASTENING (IF TO CO , CONCRETE, IN WHAT MANNRR?) . • • (4) GIVE DIMENSIONS OF CARPORT LENGTH, �' H, WID TH, 6 HEIGHTS . (5) GIVE AMOUNT Ot OVERHANG FROM STRUCTURAL SUPPORT: . ( -COMPLY WITH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLAN. 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N � �1 ' ,ic 7 4 � �� t ' / �. ` M I - // t 0 ` I i ill D : 1 1 1 _ '4 14 ,It�G,td, m wi "VicVic. MO & CAIMA I., PI PLO et iPtf 1 ay - _ avers cmo .wnE ferret MAD 404"a 404 904,0 WdMW�/ M�lG9 wpm Kam% 3rn IL UMW* lb 11310•341C0 l �f� ILD:ficm4OS FI� i j 3-ftidY *01 • • o � STATE OF FLORIDA DEPARTMENT OF COMMUNITY AFFAIRS `Dedicated to making Florida a better place to call home Al BUSS TI4ADDIU$ L. COPIER. AIA Cie au S�Mary DIVISION OF HOUSING & COMMUNITY DEVELOPMENT BUILDING CODES & STANDARDS MEMORANDUM From: Michael Ashworth, Manufactured Buildings Program Manager Vti To: Building Officials, Manufacturers 8t: Third Party Agencies Subject: Raised Seals on Plans for Manufactured (Modular) Buildings Data November 28, 2006 Section 553.80(lXd), FS specifically exempts state approved manufactured (modular) buildings bearing the DCA insignia, from further plan review by local code enforcing agencies. Rule 9B -I, FAC: and the Florida Building Code (FBC) do not require original signed and seated plans for manufactured (modular) buildings to be submitted to local jurisdictions to obtain a building permit. The insignia issued by. this DcPaMnent 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 y reserved to em local lag., foundation, electrical hook -up, plumbing, etc.,) are require signed specifically and entirely reserved to the local authority having jurisdiction, who may �1 gned and scaled plans for applicable items. The State of Florida Manufactured (Modular) Buildings Program Agencies to maintain a set of signed requires its approved Third Party Agencies and g� and sealed plans, (either hardcopy or electronic] that have been approved by a Florida licensed design professional or Modular Plans Reviewer. In reports conducted at the manufacturing facility by Florida licensed design spwction Inspectors are also required to be on file. Local jurisdictions may p pies of p Modular with the permit application or may rely on the plans on file at www fl i r e c opies of the app plans di For additional information, please contact Michael Ashworth at 850. 922 - 6075 or E - mail: michaei .ashworth @dca.state.fl.us. Cc: 1 Jones Files 2565 iMUMARD OAK SOULEYARD • TALLANAds EE. FLORIDA P : 850 ♦88.84661Sunct=m 278.8466 FAX d54.821 4T /Sunco }2 =i m 245 ;4 in tarn • address: n . carom IRAlaCO PRO M tta:;tw d hate t� iW Nn av L'� T z,2 ,a rr�lof8rwgarser ? T R.�2sid PLii'�.Z1b INS— v ONUIfr - 4, .; ..'. ij. • •STATE OF FLORIDA DEPARTMENT 'O•F 0 =Y AFFAIRS "Dedicated to making Florida a better place to call home" CHARLIE CRtST Governor THOMAS G. PELHAM Secretary November 20, 2007 Mr. Robert Moore Lark Builders, Inc. P. O. Box 629 Lyons, GA 30436 RE: Manufacturer Renewal of Certification, ID MFT -114 - - Expiration Date: December 16, 2010 Dear Mr. Moore: It is my pleasure to inform you that Lark Builders. Inc., located at 4 9 j xon SL Vm a . i r e �A75 has been approved under the Manufactured (Modular) Buildings Pro J T r Part I, Florida Statutes, for the manufacture of Storage S � andlity provided for under i ..�msc for innstallatti on n in n Florida. Foa Design and production of the buildings must be approved for compliance with the current Florida Building Code (FBC) by your selected Third Party Agency before manufacturing Party Agency is a contractor to the Department and has statutory begins. Your Third ' authority and responsibilities E y xpect and demand quality plans review and must comply .with to maintain their approved status. aas that ta inspections. lity Each FBC change will make your plans obsolete until they have been review so indicated [on the cover page of the plans] for compliance with the FBC by reviewed, Party r y Ag and or plans review. Please ensure that your plans are in Y y° P te'cY f� avoid embarrassing work stoppages in the compliance and properly posted on our website to subject to the local authors havin permitting process. All sib. related installation issues are authority g jurisdiction. - " Unannounced monitoring visits by the access to your manufacturing facility and records is mandatory be made at least annually: Complete • . regulations ofthisprogram. - .. " . _ - remain compliant with the rules and • Please visit our website at www.floridebtJlidi om to see valuable information Manufactured Buildings Program. A copy of this letter' must accompany for l the w permits.. mpanY applicatitms for local building Sincerely, ' L & z L , L cot, ic hael D. Asorth Manufactured (Modular) Buildings Program Manager Cc: Danny Kennemur, NDI • • 2555 SHUMARD'OAK BOULEVARD TA LLAHASSEE, Ft 32399 - 2100 Phone: 850 - 488 - 8466 /SUNCOM 278 -8466 Fax: 850- 921 - 0781 /SUNCOM 291 -0781 WebsIte: www.dca.stat e•tt , mss F MS'23SWSUNCOM 276-2356 305409 STATE CONCERN MELO OFFICE 370&SUNCOM27l-3309 F a x DEVELOPMENT Far 3 05Q8p.2112 F ax ' Imou 292 -5623 CONCCR1 IN5TA.i.5 0E4/19/ 02 00 2.s r ° nrpm/ 4 A ` R.E f r � srLCIL G 146 COM 5M48504 "49f 20 6A StRA? 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VIVAC A, CA. : .' - -- 1 Engineering & Construction Planning + PRQ.ECi NJM/Er 06EN224A IN Van and, NM MI, PINIM ,LC.i%1I- NINEK4446-1tNFa:WNW!, t2A1g : 5eptenb a' )9, 2608 . ,�. ag o I if • �v H� � °� • City of Zephyrhills Receipt NO p'��I3 (,,,,-, PC ; �� 5335 Eighth Street • Ze 00 1lls, Florida 33542 \ (813) 780 -0015 Date s. -y it i 20 Physical Address Amount Due . �. l)) ( _ _) Paving Assessment Tax Parcel ID # ( — ( .. ) Other _ / - ,� - ,_, / / c , O ( 6 Name kt2. Y"(' 00 -rt- relit - r, ck r )f , , , (...L.* _ 1 Street No. ? tr, 6 . ( r J ('.- 1 r .. f 1 -- City, State, Zip c` ,JC i Ea - ( '', i �„ � � . J r } l� NOTICE: All assessments are due and payable within (30) thirty days after date and will bear interest at the rate of 9% per annum thereafter. Please send postage for return receipt.