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HomeMy WebLinkAbout10-10621 CITY OFZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10621 DRIVEWAY ;PERMIT Permit Number: 10621 Address: 5848 12TH ST Permit Type: DRIVEWAY ZEPHYRHILLS, FL. Class of Work: SLAB 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 - 03800 -0190 Improv. Cost: 2,264.00" L Date Issued: 6/21/2010 Name: BRENDLE, PAUL & CYNTHIA Total Fees: 67.50 Address: 5255 11TH ST Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542 Date Paid: 6/21/2010 Phone: (813)788 -3767 Work Desc: 789 SQ. FT CONCRETE SLAB -DRIVE WAY EXTENSION /SIDEWALK PATIO AREA -. x :T� sa ` -_� �� , �' 7 .�.. s a HOMEOWNER DRIVEWAY 67.50 ;ki .- AY 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 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 cording your notice of commencement." e CONTRACTOR PERMIT OFF! - - PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 IIOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813 - 780 -0020 City of Zephyrhills Permit Application ' ()‘21 Fax-813-780-0021 Building Department ) Date Received ' i O i 0 Phone Contact for Permittin ∎ O V Owner's Name O wner Phone ` u m .er / _ r f 67 Owner's Address –5; // .XM Owner Phone Number Fee Simple Titleholder Name fia974 41,;11, Owner Phone Number I Fee Simple Titleholder Address -� // ` ./. PJ' 3\�� JOB ADDRESS 5 7 p I _ .I 4 € . � /C- LOT # I 19+- /f/f'�� 11 oo /Q -- 0 -3To0 -®1941 SUBDIVISION ������ M��'�q` PARCEL ID# j (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN 1 1 1 1 DEMOLISH INSTALL REPAIR .- ,,�� PROPOSED USE I I SFR 1 1 COMM I I OTHER 1 l 1 TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL 1 , 1 1 1 DESCRIPTION OF WORK r L® ',/ /L� ✓ ,--C �-'` Athl C2-1 BUILDING SIZE )4///C1 SQ FOOTAGE I 7 tT 4 1 1 HEIGHT / 1 `/T 1 'BUILDING $ �Y /� VALUATION OF TOTAL CONSTRUCTION a Z / 2. L'9- OO 'ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. (PLUMBING $ 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 'GAS 1 1 ROOFING I I SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 'YES NO BUILDER ' / i I OMPANY C// /�-1 t ---- SIGNATURE L; AP REGISTERED 1 / N FEE CURREN I Y / N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED l Y / N 1 FEE CURREN 1 Y / N 1 Address License # MECHANICAL COMPANY SIGNATURE REGISTERED l Y/ N 1 FEE CURREN 1 Y / N 1 Address License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 Address License # I 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 requ (A/C upgrades over $7500) ** 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 if shingles 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 LENDS R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 11 .„ 7 OWNER OR AGENT CONTRACTOR Subscribed and swom to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this b by Who is /are personally known to me or has/have produced Who Is /are personally known to me or has /have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped Pasco County Parcel: 11- 26 -21- 0010 - 03800 -0190 001 Page 1 of 1 Data Current as Of: I Weekly Archive - Saturday, June 12, 2010 Parcel ID II 11- 26 -21- 0010 - 03800 -0190 (Card: 001 of 001) I Classification 01 - Single Family Mailing Address Final 2009 Value BRENDLE PAUL L & CYNTHIA D Ag Land $0 5255 11TH ST Land $25,704 ZEPHYRHILLS FL 33542 -5029 Building $13,444 Physical Address Extra Features $o 5848 12TH ST ZEPHYRHILLS FL 33542 -3737 Market Value $39,148 Legal Description (First 4 Lines) Assessed (Non - School Amendment 1) $39,148 See Plat for this Subdivision ,.L Taxable Value $39,148 ZH PB 1 PG 54 LOTS 19, 20 BLK 38 OR 3059 PG 702 Land Detail (Card: 001 of 001) Line II Use IlDescriptionll Zoning 11 Units 11 Type II Price II Condition 11 Value I 1 Il 0100 11 SFR 11 00R2 L8,400.00 11 SF 11 $3.06 11 1.00 11 $25,704 Additional Land Information I Acres II 0.19 11 Tax Area 0 30ZH 11 FEMA Code II X 11Residential CodeII ZHLHLP2 1 Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1910 Stories 1.0 Exterior Wall 1 Asbestos Shingle Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Wall Board or Wood Wall Interior Wall 2 None Flooring 1 Asphalt Tile Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 1 Line 1 Description II Sq. Feet l l Repl. Cost New 1 1 FEP . 1 1 132 11 $2,645 2 11 BAS 1 1 816 1 l $23,460 Extra Features (Card: 001 of 001) I Line 11 Description II Year 11 Units (1 Value _I I No Extra Features Sales History Previous Owner 11 MARTIN PEGGY I Year II Month 1 1 B ook /Page it Type II Amount 1 1992 II 08 11 3059 / 0702 II WD II $15,000 I 1970 II 10 1 1 0513 / 0801 11 W II $7,500 http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng =21 &sbb= 0010 &b... 6/18/2010 Jacqueline Boges From: Jacqueline Boges Sent: Thursday, June 10, 2010 3:52 PM j � To: Shane LeBlanc D Subject: RE: Department Order Book signatures k THANK YOU, I PLACED IN YOUR BOX A DRIVE WAY PERMIT APPLICATION FOR 5848 12TH ST FOR AN EXTENSION ON THE DRIVEWAY . Original Message From: Shane LeBlanc - �� �L, L� N CEP 4- LOT - Sent: Sent: Thursday, June 10, 2010 3:29 PM To: Jacqueline Boges SKc� - t4 V _ ( J1 "°\2--( ro \ley Subject: Re: Department Order Book signatures Sc wcQG SE Z itAcAcs ( ( el-t ®.vc" Stopped by and signed it this afternoon. Thanks, — SJL rte' Shane LeBlanc City of Zephyrhills Blackberry wireless. Original Message From: Jacqueline Boges <jboges @ci.zephyrhills.fl.us> To: Rick Moore <rmoore @ci.zephyrhills.fl.us>; Shane LeBlanc < sleblanc @ci.zephyrhills.fl.us>; Todd Vandeberg < tvandeberg @ci.zephyrhills.fl.us>; RJ Keetch < rjkeetch @ci.zephyrhills.fl.us>; David Henderson <dhenderson @ci.zephyrhills.fl.us>; Nathan Coleman <ncoleman @ci.zephyrhills.fl.us> Sent: Wed Jun 09 10:53:19 2010 Subject: Department Order Book signatures Greetings Gentlemen, The below property has requested a final inspection. Please advise if your review /inspection will be delayed. We will need your comments and /or sign off placed in our Department Order Book located in the Building Department. Thank you, Nature of building: Multipurpose Building 1 • DISCLOSURE STATEMENT .FOR OWNER CITY OF .ZEPBZRUZIJAS BUILDING DEPARTMENT 1, 113 v / �. ,. �d / �i 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, renovat 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 s) 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 s}' 11 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 sha11 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 must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you seal or lease a building you have built or substantially' improved yourself wit *r+ 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 at 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 mus comply 'with all applicable laws, ordinances, building codes, and zoning re- m= tions. ./ OWNER'S SIGNATURE 41 t <L 6 DATE 7 2,10 ADDRESS 7 . / ,�,75219 :P. t" • • PHONE :fi�iillWA WITNESS PERMIT * • • CITY OF 'ZEPHYRHILLS :BUILDING DEPARTMENT OWNER , p O "' .A/mAage, JOB LOCATION -6 �4 S 0� 4rded <e24IzI4. � PARCEL I . D . ' # v 3 oo ©/ 90 SHOW ALL -EXISTING & :PROPOSED STRUCTURES -GIVING DIMENSIONS "Et SETBACKS.. i k 490 .. . ..... i I .7. T it 4447-/ Act alachizagA41 AT 1..: m , Ol �' V . /T it ot4/4 i 6,/ ' NA. ll) 43 i l - I Ni A 1,.. .., 4 0 t0It N. _19,3 ' 32 e.4', e' 2 +% L ` UTILITY BUILDINGS 4`V N H k MUST SHOW SIZE & Q' 2 FOUNDATION INFO R- ` S (30') 30 ,) e MATION . p ` ._._._...__P___. (NOTE EXAMPLES 1 & 2 ) STREET !^" 1. SETBACKS FOR R1, R2 ZONING 2. SETBACKS FOR R3 ZONING 60' 60' . 10' ' 10' . -p E R X • 0 I 10' P S 10' 10' EXISTING • 10' 0 T 1 0, 140' S I E N D G G' !7 -(° PROPOSED RE EW DA' E - CI OF ZE' HYRH LLS 20 P S EXA' INER 20 L FAM 30' DUPLEX FRONT PROPERTY LINE FRONT PEOPSATI LINE 1.. I. • .-a w U :T, ' 0 01 caa D H H z oo_ a • a ° a .'4 - � Ww a °w E�u�aao � N 0 O a w as aaca �+ a ° m H Ha •Z •s w a ' 4.) •a w N H � w a . a a x o o -1' -. 1 A > CI I E•' ZOZOa N , ?, a CAZ X z a mr-+az a .a, 1-1 E-1 n a •Cr w o oH0:4a+ 3a' o z cn o. u U hat au 'n o 0 cp) a w a at b� o Ix a , 13 o a H A vb N n w o o o o 0 a ocZ >; Ow Ow �• a -- I~ 0 Oc Z 1 \, L 6 Q _ P -et \(,...„,......„.._ N N o o y1, ;,� c,� f v CZ C\I \ ---.1 ..s. ......, .c� • =, 1/\/1:) W ..i.'.- �— k.z2 z� �\ 5� ®1 g1 . _M vr 6. - 1--.: 6 -- W�4 u Z N 3 2 3 .. � °1 111 1-1 n1 --• s. N -0. ° O W • q 1 - • 4. Q O 9 4 . 0 ltd H 3D O p `� \ ( 3O 9 r) . N N , O .h �� ,QO N a tl '^+�� °a b v 016. 0O on ,1, n g w H 12 a •- H r c4 ,. - o . H . O r 44 r 3C r � r W =s City of Zephyrliills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: P &e,fltlie_ Date Received: 6 -0- f6 Site: S 6f6 6 CZ Type: c. k 666 LV W , , per � dln /Sa4ivd/ Permit T e: r I mo.. ~ o a4 Approved w /no comments: ❑ Approved w /the below comments: ❑ Denied w /the below comments: ❑ l ) C011 rr ,SkctiLt 0 bf- P a Ore d on /I) C ,1 ' RA:).w, _ tem C oncref-' 41(401 14 sp le; it L kci ( .S1 on P - proved J ?d$[(c. WOfk V & t,e, 7 44.4+gge447 L— A g..r.d7,1-u -- 2,..i!--- /1 /,--` ce44..,46,,_._ a, ;75;- r `te / r a- e 7 1 1i This comment sheet shall be kept with the permit and/or pl. s Contract Kalvin tzer ner — P xami Date Contractor and/or Homeowner (Required when comments are present)