HomeMy WebLinkAbout10-10239 CITY OFZEPHYRHILLS K-
5335 - 8TH STREET
(813)780 -0020 10239
BUILDING PERMIT
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Permit Number: 10 Address: - S§5 - 33 39 CHARIOT LANE
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: MAJESTIC OAKS
Est. Value: Parcel Number: 24- 26 -21- 0000 - 00100 -0090
Improv. Cost: 1,417.75
Date Issued: 3/12/2010 Name: NHC -F115 LLC
Total Fees: 60.00 Address: 6991 E CAMELBACK RD STE B -310
Amount Paid: 60.00 SCOTTSDALE AZ 85251
Date Paid: 3/12/2010 Phone: (740)334 -8207
Work Desc: INSTALL 8 X8 SHED
60.00
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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."
N 4.1P I
Cs NT -1 CTO SIGN TU"E PERMITOFFI'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:
Date Received:
3iDf 0
Site: 3 3
Ac Permit Type:
8 s
Approved wino comments: ❑ Approved w /the below comments:. CV Denied w /the below comments: ❑
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This comm nt ' - = shall be kept with the permit and/or plans.
� 3,1 '-
Kal in S • — Plans Examiner Date Contractor an. t r Homeowner
(Required when comments are present)
Sheds
Plan Review Comments
1) All property markers shall be fully exposed at time of inspection.
2) All sheds shall be installed and anchored per manufactures specifications.
3) All set -backs shall be met.
4) Only 2 accessory buildings per parcel.
5) Sheds shall not be rented or inhabited.
6) Must meet and follow all conditions of ordinance:780 -01
7) No other work shall be permitted (framing, plumbing, electrical and mechanical) unless
otherwise specified.
813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021
, Building Department # 10v-
Date Received _L. o-( Phone Contact for Permitting --
IlttttlltIIII1ILtilJir
Owner's Name OS ( , - fille Owner Phone Number STRITERMIE
Owner's Address 3 q "33 Cho ro jVLQ (L4' ? Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3 6 1-<?? 0144 4-4 to nt, LOT #
SUBDIVISION ' 'fiite t ' c C ' PARCEL ID# '2-1 - -2 24 - . 0 60 - o6I 6D v id
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED I NEW CONSTR ADD /ALT 1 I SIGN 1 I MOVE 1 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE M SFR I I COMM 11 OTHER 1 1 I
TYPE OF CONSTRUCTION I 1 BLOCK 1 1 FRAME 1 1 STEEL ® OTHER 1 1
DESCRIPTION OF WORK 4?"411 / )(e" ' i-
BUJLDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ / t/ I 7s- VALUATION OF TOTAL CONSTRUCTION
1 1 ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C.
1 1 PLUMBING $
1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
1 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES f No
*
BUILDER �{ I ¢ (7 COMPANY (lf�V Cr 4)))62L '
SIGNATURE / ed `r REGISTERED I Y / N 1 1 FEE CURRENT I Y/ N I
<
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1
Address License # I
PLUMBER COMPANY
I
SIGNATURE REGISTERED 1 Y / N 11 FEE CURRENT I Y/ N I
Address License # r
I
MECHANICAL COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N I
Address License # I
OTHER COMPANY
SIGNATURE REGISTERED 1 Y/ N . FEE CURRENT 1 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 Imay 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 undersigr�'ed 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 Authorty- 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 c nditioning, 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 F (LURE 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. 117.0 4 ,
OWNER OR AGENT ( II 1 - CONTRACTOR 4 Ill t 1 Yaiil
- bscnbed and sworn (or affirme.'� befor m thi Subscribed and swo to ( affirme.ib fore a t0is
-i0 - (o by T ecvc�,6 l,• -r I > 3 - ia - ca b ,_j "' . o b, o yft w
Who is /are perso known me or as a ve produced Who is /are persona known to m or has /have produced
(A 0.41&Q as identific lion. C-2 c as identification.
12 Notary Public ~ Ln� � '� �c� Notary Public
/ , iy JACQUELIN OGES � Y, ev •,, JACQUELINE BOGES
Com si.: 1 .,. ., il 1 621833 Commission No. :;o•
_•; • - mbar ;� .: ti Gommission DD 621833
E xp ires December :03.•4.. � `= F ;;. ` c �.:° Ex fires December 12, 2010
(, 'typed, printed or stamped Name of Notary type t2�4 :' Bonded TMU Fain d i►e�d O
Name of Notary ; " Fain Insurance 800- 3857013
Majestic Oaks RV Park Site Plan Lot #-
Resident 6 c7,, Date Phone #
Make of Unit Size 0 .v Year
Contractor Phone #
All drawings will be to scale Scale X
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INSTRUCTIONS
SHOW ALL EXISTING AND PROPOSED STRUCTURE GIVING DIMENSIONS & SETBACKS'
ALL EASEMENTS; "RIGHT-OF-WAY", JURISDICTIONAL LINES;
DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE
Approved:
cLAA..A.)—^
Date 3 - 6
•
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 Zephyrhil:ls
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.
B. 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 parson 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 regulations.
OWNER'S SIGNATURE ��' / a� / t%e DATE 1 /1(YI
•
ADDRESS ?403 j l. � . '
PHONE
WITNESS PERMIT #
TY ITY
2 swat ROAD 54 TZPRnumus, FL 33541
PR: 6134779-11.810 RAM 313479
DAT 3-- 1 l3
S1N3 9
NAME £eou4 ALL 4 n 1 10 7 p L 2-0
ADDRESS , 1,v-
P Y • cC�r
69,45 BASE COLOR / TRBtIROOF 44 /42-
WIEthOWS 1 MEM=
OIHER.M1FORMATIEN
SALE c 13 3 p P
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TAX f , CHECK NO.
' ?AI / yr 7.7J
TOTAL DT .- -- -:-i
NOKKALDELTVERY, MOCKING, AM) AN-CHUMS Et-Mum:D.
THAT
20 liZZT THERE MINA, MA MARGE OF TWO Et oIF ING NE w
AVER 26 P, _ 1 "" 1
CIREARGE OR N JNTO ..S �A 512.9P
DEUrmiams ANCHOR. Tifficas IS A X 2.00 PSMI. MLR CHARGE NOR
DELIVERY MOM
MM. FROM PAM D7R L
IAA AND veemn. TO r:_.� 1,� '4, - KNIG
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SKETEN OF LAYOUT:
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STATE OF FLORIDA
DEPARTMENT OF COMMUNITY AFFAIRS
"Dedicated to making Florida a better place to call hairs
THOMAS G. PBLNAM
CHARLIE ONSET Spry
Govemor
•
November 26.2007
Mr. Garland Collins •
Colcraft, Inc.
P. O. Boa, 136
Stillmore, GA 30464
•
•sl of Crrtiftcatira, Jt1) FT -1 l a2- - Eapiru'ou Date: Deoe tv'r 16 20 •
RE: !vlamu;�cttu>M B e� �
Dear Mr. Collins:
It is my pleasure to inform you that Colcraft. Inc., located at 05 N Second
c. .ftiIlfnnr GA 34464, has
been approved under the Manufactured (Modular) Buildings Program, as provided for under Chapter 553,
Part I, Florida Statutes, for the manufacture of fitinagaisc.. Assembly and
CommciBuildinrrs for installation in Florida
Design and production of the buildings must be approved for compliance witli the our ones
Building Code (FBC) by your selected Third Party Agency before manufacturing. grri i a.
Party Agency is a contractor to the Department and has statutory authority and r restom,ibilities that they
must comply with to maintain their approved status Expect and demand quality plans review and
inspections.
Each FBC change will make your plans obsolete until they have been reviewit..d. approved and so
indicated on the cover page of the plazas] for compliance with the FBC by your Third Party Agency for
plans review. Please ensure that your plans arc ina compliance and properly peeMd OD our website to
avoid embarrassing work stoppages in the permitting process. All site related installation issues are
subject to the local authority having jurisdiction.
Unannounced monitoring visits by the Department's contractor will be made at least annually. Complete
access to your manufacturing facility and records is mandatory to remain comptiot with the rules and
regulations of this programs.
Please visit our website at www.11Oridabuilding.org to sec valuable information un the Florida
Manufactured Buildings Program. A copy of this letter must accompany appticatiirns for local building
permits.
Si ely,
Michael D. Ashworth
Manufactured (Modular) Buildings Program Manager • `.
Cc: Danny Kennernur, National Design and Inspection, Inc.
2555 SHUMARD Phone; $50 4 a e 6BOSUNCOM 28 -845e Fax: 92 SU
WebStta: www.dea
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