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Home My WebLink About10-11192 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11192 • BUILDING PERMIT Permit Number: 11192 Address: 38741 CR 54 LT 81 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: SLEEPY HOLLOW MHSUB DIV Est. Value: Parcel Number: 02- 26 -21- 0010 - 05000 -0030 Improv. Cost: 500.00 Date Issued: 11/22/2010 Name: SLEEPY HOLLOW MOBILE ESTATES Total Fees: 60.00 Address: 38615 LANSING AVE Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/22/2010 Phone: (705)422 -1678 Work Desc: INSTALLATION PATIO AWING 21 X 8 W/ INSTALLATION OF 4TH WALL IN REAR -.. • Tvi - :1 • F A 6 I' l -II i ii° IP •• - 1p -• • - Iv r 1 1r el 1 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." 6 02- 2 r , 4 1, ,, , CONTRACTOR SIGNATURE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER o �S rol , ---- City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Ners'i& I/ E' /d/ c1 Date Received: // 6 Site: 3 $ 7 f Cr 5 L11/6, Permit Type: 8 i" Z l /Gt.7i li g?‹)/if)/ij__ Approved w /no comments: ❑ Approved w /the below comments: Denied w /the below comments: ❑ Ped a 1 I4il1ivl i ii . r tt clititi, Y A/Ae' ' This comment sheet shall be kept with the permit and /or plans. il__2/ 42 a) ___________ Kalvin S tzer — 1 xaminer to Contractor and/or Homeowner (Required when comments are present 813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department II ' 1 Date Received 'I / 8 /0 Phone Contact for Permittin ! -- r ''rOwner's Name /`f fie (i 4 L-/ ?/ "6 i Owner Phone Number 7 a ,� LZ< - /6 ;/) Owner's Address .47L/41/. �� 4/ S �i'iiy l-; r c f/ (� v c C' /t /47-00 .1 47 a7✓/ Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address IYJOB ADDRESS � .S 7' 7 l' C'` 6- 9 . ?_- -- - 0 G / LOT # C --/ SUBDIVISION PARCEL ID# ( [ _- y, — - - W( 0 ` O o o - 003- (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN n n DEMOLISH INSTALL REPAIR PROPOSED USE [ SFR I I COMM 1 1 OTHER 1 TYPE OF CONSTRUCTION I I BLOCK '—I FRAME I I STEEL I 1 1 I X DESCRIPTION OF WORK P/4/7" J (U /,/ /'W/ 6 , ,2 /X g BUILDING SIZE SQ FOOTAGE HEIGHT X 1 'BUILDING $ ©0 y' VALUATION OF TOTAL CONSTRUCTION 1 (ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 I W.R.E.C. 1 IPLUMBING $ 1 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 IGAS 1 1 ROOFING 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS OOD ZONE AREA 1 IYES NO NIrTI1 ` X BUILDER� __ 0 + COMPANY l V' "'6 vW�I e� SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I Y/ N I Address License # 1 ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREI I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREI I Y/ N I Address I 1 License # MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N 1 Address License # I OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURREN I 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 $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 NC 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT( CONTRACTOR Ni Spbscrjpedcnnd sworn to affirmed) before me this SubscJib sworn to (or rmed) before me this (l lC lv by ( / "�� v by ss Who Is/are persona o me or has/have produced Who is /are persona as/have produced t as Identification. Li C L as identification. s t- � . Apr ' 3i- • E$ Notary Public / • -'� L Notary Public 833 • 'it ,..,; , '' JA ;IuELINt t5 s.: t Commission DD 621833 Co is .• , Expires December 12 20 Comm n N * 1 Bonded , = V".•:-:_,R; Expires December 12, 2010 lFri �"' - ?f„th pondad Thr" Troy Ron Insurance POP-20-701g Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped . . i t i . - . -': - ... , . ...t • ,• ,.....-" ' ", , ' . ' ' . I i . - - .. :. ' ,--, -"•',. • , - .• , i . _ 4 .• ' /1 / 3 ( / -. 7 7 ., /7. +.7 ' ,J • • • DISCLOSURE STATEMENT .FOR OWNER CITY OF . '$Ua,DSNG DEPARTMENT • have read and fully understand and agree to the provisions of 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 =ant, lease or sale.' That he or she m1 comply with the following conditions: 1 That the owner and_he or she alone s'h = act as the builder for all phases of • construction. �,;�� 2. That the owner will comply with all provisions of the City of Zephyr 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 perso*+ =11y.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 ra1 for a reinspectioa 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 Zephyr'' 1 ' 1 s 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 owns 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 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 at your contractor or • to supervise people working on your building. It is your responsibility to make sure that 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.1.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, bui1ft T+g codes, and zoning regulati- . a OWNER'S SIGNATURE . . DATE ADDRESS � � " "0" • PHONE • • mF'Q - rT1 • WITNESS • • SLEEPY HOLLOW MOBILE ESTATES INC. 38615 LANSING AVE. ZEPHYRHILLS, FLORIDA 33542 Phone 813 -782 -1111 Fax 813 - 783 - 7681 Websitc E-mail •sleePyhoilowpark.com E- sleepyhollowpark © verizon.net November 17, 2010 Meerten Veldhoen 38741 CR 54€ Lot 81 ° - Zephyrhills, FL 33542 Mert: Sleepy Hollow Mobile Estates approves the awning for a patio as long as it is built to code specifications and a permit from City of Zephyrhills is obtained. Thank you Wilfred J. Brown Board of Directors - Maintenance • ***A RESIDENT OWNED SENIOR PARK*** . , .. ! „ \ - • ' 'c' \ ' . _.... \ \ \ ..,.., ........-.. ' t , .. i i . ' ,„ '''''''->•', t;',' i , ? ' . . , N. ,, .. .., ,' t.r,..' -,.' , ., ' '..„ "..-. '''..„, , ..„- f. ' 7 T . ..- . ; ,... , .. . • - , -"'‘,„ ' - '' ''';•:, ',', . :',,,,. ' ... ....- , , k ..,-,. -.. •-s..,,,■ -,,) .. t .. , . , • , '' , ..., • t . , . ,. . , . SLEEPY HOLLOW MOBILE ESTATES INC. 38615 LANSING AVE. ZEPHYRHILI -S' FLORIDA 33542 Phone 813 -782 -1111 Fax 813-783-7881 Websitc www sleepyhoilo wpark.com E -mail sleepyhollowpark © verizon. net OMMOINas MdWaiMINIIIIMINIMMIMMINIMatila November 17, 2010 Meerten Veldhoen 38741 CR SA;_ Lot 81 • Zephyrhills, FL 33542 Mert: Sleepy Hollow Mobile Estates approves the awning for a patio as long as it is built to code specifications and a permit from City of Zephyrhills is obtained. Thank you • Wilfred J. 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